Marc A Johnson (NPI# 1194769612, PAC ID# 1153306550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194769612 |
| PAC ID by PECOS | 1153306550 |
| Professional Enrollment ID | I20040621000930 |
| Full Name | Marc A Johnson |
| Organization Legal Name | PIKES PEAK ORTHOPAEDIC SURGERY AND SPORTS MEDICINE PLLC |
| Address |
2925 Professional Pl Suite 110 Colorado Springs CO 80904-8134 |
| Phone Number | 7194450344 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2961729397 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2925 Professional Pl, Suite 110, Colorado Springs, CO 80904-8134 | 7194450344 | PIKES PEAK ORTHOPAEDIC SURGERY AND SPORTS MEDICINE PLLC |
| Organization Legal Name | PIKES PEAK ORTHOPAEDIC SURGERY AND SPORTS MEDICINE PLLC |
| Physicians | 1 |
| Street Address |
2925 PROFESSIONAL PL SUITE 110 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80904-8134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul B Rahill | Orthopedic Surgery | 2925 Professional Pl, Suite 110, Colorado Springs, CO 80904-8134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene R Wulf | Clinical Social Worker | 1339 N 31st St, Colorado Springs, CO 80904-1204 | |
| Nelda Jean C Wulf | Clinical Social Worker | 1339 N 31st Cir, Colorado Springs, CO 80904-1206 | |
| David P Doyle | Chiropractic | 2812 W Colorado Ave, 104 Colorado Springs Chiropractic, Colorado Springs, CO 80904-2481 | |
| Ashli Rhodes Jones | Occupational Therapy | A C Enterprises, LLC | 2522 W Saint Vrain St, Colorado Springs, CO 80904-2517 |
| Lauren Michelle Staton | Physical Therapy | A C Enterprises, LLC | 2522 W Saint Vrain St, Colorado Springs, CO 80904-2517 |
| Steven J Melnyk | Physical Therapy | A C Enterprises, LLC | 2522 W Saint Vrain St, Colorado Springs, CO 80904-2517 |
| Patrick William Dolan | Physical Therapy | A C Enterprises, LLC | 2522 W Saint Vrain St, Colorado Springs, CO 80904-2517 |
| Geralynn Tyler Grieve | Physical Therapy | A C Enterprises, LLC | 2522 W Saint Vrain St, Colorado Springs, CO 80904-2517 |
| David Michael Carlson | Chiropractic | 1912 W Uintah St, Colorado Springs, CO 80904-2740 | |
| Jonathan Stewart Gallen | Anesthesiology | 1712 W Uintah St, Colorado Springs, CO 80904-2958 | |
| Find all physicians in zip 80904 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80904 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COLORADO SPRINGS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marc A Johnson.
| 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.