Walter G Johnson (NPI# 1871503607, PAC ID# 1456398668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1871503607 |
| PAC ID by PECOS | 1456398668 |
| Professional Enrollment ID | I20050409000007 |
| Full Name | Walter G Johnson |
| Organization Legal Name | ROCKLEDGE HMA MEDICAL GROUP, LLC |
| Address |
255 N Sykes Creek Pkwy Suite 101 Merritt Island FL 32953-3518 |
| Phone Number | 3219868887 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1984 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3375737570 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100092 | WUESTHOFF MEDICAL CENTER-ROCKLEDGE |
| 100177 | CAPE CANAVERAL HOSPITAL |
| 100291 | WUESTHOFF MEDICAL CENTER-MELBOURNE |
| Address | Phone | Organization |
|---|---|---|
| 150 N Sykes Creek Pkwy, Merritt Island, FL 32953-3488 | 3214523811 | STEWARD MEDICAL GROUP INC |
| 150 N Sykes Creek Pkwy, Suite 300, Merritt Island, FL 32953-3488 | 3214523811 | STEWARD MEDICAL GROUP INC |
| 255 N Sykes Creek Pkwy, Suite 101, Merritt Island, FL 32953-3518 | 3219868887 | ROCKLEDGE HMA MEDICAL GROUP, LLC |
| 255 N Sykes Creek Pkwy, Merritt Island, FL 32953-3518 | 3219868887 | ROCKLEDGE HMA MEDICAL GROUP, LLC |
| Organization Legal Name | ROCKLEDGE HMA MEDICAL GROUP, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teri C Beeler | Nurse Practitioner | Rockledge Hma Medical Group, LLC | 255 N Sykes Creek Pkwy, Merritt Island, FL 32953-3518 |
| Street Address |
255 N SYKES CREEK PKWY SUITE 101 |
| City | MERRITT ISLAND |
| State | FL |
| Zip | 32953-3518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Podnos | Pulmonary Disease | Steward Medical Group Inc | 255 N Sykes Creek Pkwy, Suite 101, Merritt Island, FL 32953-3518 |
| Teri C Beeler | Nurse Practitioner | Rockledge Hma Medical Group, LLC | 255 N Sykes Creek Pkwy, Merritt Island, FL 32953-3518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Davenport | Podiatry | 1490 Polaris St, Merritt Island, FL 32953-3127 | |
| Robert English Clayton Ii | Obstetrics/gynecology | 231 Mcleod St, Merritt Island, FL 32953-3463 | |
| Daniel Cowling | Optometry | 495 N Courtenay Pkwy, Merritt Island, FL 32953-3485 | |
| Skyhawk Fadigan | Family Medicine | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Ralph Rayner | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Hatice Foell | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Victor Teofilo Perez | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Tiffany Alana Bonnell | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Julieta Waldron | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Khalid Sheikh | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Find all physicians in zip 32953 | |||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MERRITT ISLAND + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.