Emily Carole Johnson (NPI# 1023374048, PAC ID# 1052614542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1023374048 |
| PAC ID by PECOS | 1052614542 |
| Professional Enrollment ID | I20160816001480 |
| Full Name | Emily Carole Johnson |
| Organization Legal Name | MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST |
| Address |
1310 Wisconsin St 200 Mps Hauestein Neurology North Otta Grand Haven MI 49417-2472 |
| Phone Number | 6166855050 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 2163572991 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230059 | MERCY HEALTH SAINT MARY'S |
| 230066 | MERCY HEALTH HACKLEY CAMPUS |
| 230174 | NORTH OTTAWA COMMUNITY HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1310 Wisconsin St, 200 Mps Hauestein Neurology North Otta, Grand Haven, MI 49417-2472 | 6166855050 | MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST |
| 245 Cherry St Se, Suite 200, Grand Rapids, MI 49503-4607 | 6166855000 | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| 1500 E Sherman Blvd, Palliative Care, Muskegon, MI 49444-1849 | 2316723027 | MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST |
| Organization Legal Name | MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Elizabeth Coleman | Clinical Social Worker | Mercy Health Partners - Physician Specialist | 1150 E Sherman Blvd, 1175 Mercy Geriatrics Medician Accp, Muskegon, MI 49444-1885 |
| Archana V Patel | Gastroenterology | Mercy Health Partners - Physician Specialist | 1675 Leahy St, Suite 324b, Muskegon, MI 49442-5500 |
| Jennifer L Mosher | Nurse Practitioner | Mercy Health Partners - Physician Specialist | 6401 Prairie St, Suite 1700, Norton Shores, MI 49444-7843 |
| Roni K Devlin | Infectious Disease | Mercy Health Partners - Physician Specialist | 1700 Clinton St, Muskegon, MI 49442-5502 |
| David A Cree | Obstetrics/gynecology | Mercy Health Partners - Physician Specialist | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Meredith L Best | Physician Assistant | Mercy Health Partners - Physician Specialist | 1675 Leahy St, Suite 324b, Muskegon, MI 49442-5500 |
| Thea N Clouse Gawronski | Physician Assistant | Mercy Health Partners - Physician Specialist | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Patrick Abraham Pavwoski | Neurosurgery | Mercy Health Partners - Physician Specialist | 1675 Leahy St, Suite 401a, Muskegon, MI 49442-5547 |
| Sara Susanne Farwig | Physician Assistant | Mercy Health Partners - Physician Specialist | 1675 Leahy St, Suite 324b, Muskegon, MI 49442-5500 |
| Elaine Ann Engelsman | Nurse Practitioner | Mercy Health Partners - Physician Specialist | 1700 Clinton St, Muskegon, MI 49442-5502 |
| Street Address |
1310 WISCONSIN ST 200 MPS HAUESTEIN NEUROLOGY NORTH OTTA |
| City | GRAND HAVEN |
| State | MI |
| Zip | 49417-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy C Power | Gastroenterology | Mercy Health Partners Sub-specialty Services | 1310 Wisconsin St, Suite 204, Grand Haven, MI 49417-2472 |
| Mehul Patel | Pulmonary Disease | Mercy Health Partners Sub-specialty Services | 1310 Wisconsin St, Suite 204, Grand Haven, MI 49417-2472 |
| Sara Beth Grevers | Nurse Practitioner | Mercy Health Partners - Physician Specialist | 1310 Wisconsin St, 200 Mps Hauestein Neurology North Otta, Grand Haven, MI 49417-2472 |
| Steven Neil Shephard | Obstetrics/gynecology | Mercy Health Partners Sub-specialty Services | 1310 Wisconsin St, Suite 204, Grand Haven, MI 49417-2472 |
| Donna B Zambetis | Nurse Practitioner | Mercy Physician Network | 1310 Wisconsin St, 103 Mhpp North Ottawa Family Medicine, Grand Haven, MI 49417-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek Thomas Meyers | Optometry | Rx Optical Laboratories, Inc. | 1125 S Beacon, Grand Haven, MI 49417 |
| Barbara M Harris | Clinical Social Worker | 41 Washington St, Suite 320, Grand Haven, MI 49417 | |
| Lynn A Huizinga | Optometry | Rx Optical Laboratories, Inc. | 1125 S Beacon, Grand Haven, MI 49417 |
| Walker M Parmelee | Psychologist, Clinical | Parmelee and Associates Psychological Consultants, 321 Fulton, Grand Haven, MI 49417-1231 | |
| Mary F Peterson | Chiropractic | 635 Fulton Ave, Grand Haven, MI 49417-1237 | |
| Michael T Vollink | Optometry | Vollink Eyecare Pllc | 4 Washington Ave, Grand Haven, MI 49417-1353 |
| Terrance L Draeger | Optometry | Vollink Eyecare Pllc | 4 Washington Ave, Grand Haven, MI 49417-1353 |
| Terry Lanigan | Clinical Social Worker | 233 Washington St, Suite 212, Grand Haven, MI 49417-1374 | |
| Joseph Merrell Iii | Clinical Social Worker | 41 Washington Ave, Suite 368, Grand Haven, MI 49417-1378 | |
| Cynthia J Crawford | Clinical Social Worker | 41 Washington Ave, Suite 368, Grand Haven, MI 49417-1378 | |
| Find all physicians in zip 49417 | |||
| City | GRAND HAVEN |
| Zip Code | 49417 |
| Specialty | NEUROLOGY |
| City + Specialty | GRAND HAVEN + NEUROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.