Matthew Johnson (NPI# 1053870717, PAC ID# 1456689405) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053870717 |
| PAC ID by PECOS | 1456689405 |
| Professional Enrollment ID | I20190828003725 |
| Full Name | Matthew Johnson |
| Organization Legal Name | SJS, PLLC |
| Address |
900 Ocean Beach Hwy Suite 110 Longview WA 98632-4171 |
| Phone Number | 3606488860 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9436413861 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 900 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4171 | 3606488860 | SJS, PLLC |
| Organization Legal Name | SJS, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Rivard Dibenedetto | Physician Assistant | Sjs, Pllc | 900 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4171 |
| Se Jung Shin | Emergency Medicine | Sjs, Pllc | 900 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4171 |
| Street Address |
900 OCEAN BEACH HWY SUITE 110 |
| City | LONGVIEW |
| State | WA |
| Zip | 98632-4171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Rivard Dibenedetto | Physician Assistant | Sjs, Pllc | 900 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4171 |
| Se Jung Shin | Emergency Medicine | Sjs, Pllc | 900 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick M Lassen | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| John T Mansfield | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Chad C Chesley | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Jodie E Brewer-peet | Physician Assistant | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Saeyeal K Lee | Obstetrics/gynecology | Peacehealth | 1660 Delaware St, Longview, WA 98632-2310 |
| Riyad Caradog Karmy-jones | General Surgery | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Kim W Stoneking | Family Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Yoon Hee Amy Chang | Internal Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Peter J Leyzac | Certified Registered Nurse Anesthetist (crna) | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Donna K Lynds | Nurse Practitioner | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Find all physicians in zip 98632 | |||
| City | LONGVIEW |
| Zip Code | 98632 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LONGVIEW + PHYSICIAN ASSISTANT |
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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.