David Johansen (NPI# 1114248465, PAC ID# 1557502804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114248465 |
| PAC ID by PECOS | 1557502804 |
| Professional Enrollment ID | I20130729000627 |
| Full Name | David Johansen |
| Organization Legal Name | COMMUNITY MEDICAL GROUP LLC |
| Address |
607 28 Grand Junction CO 81506-6018 |
| Phone Number | 9702433300 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1052612785 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060054 | COMMUNITY HOSPITAL |
| 060023 | ST MARYS MEDICAL CENTER |
| 060071 | DELTA COUNTY MEMORIAL HOSPITAL |
| 061317 | GRAND RIVER HOSPITAL DISTRICT |
| 061302 | FAMILY WEST WEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 607 28, Grand Junction, CO 81506-6018 | 9702433300 | COMMUNITY MEDICAL GROUP LLC |
| Organization Legal Name | COMMUNITY MEDICAL GROUP LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Magrath Fulmer | Family Medicine | Community Medical Group LLC | 551 Kokopelli Blvd, Fruita, CO 81521-6305 |
| Travis Michael Averitt | Family Medicine | Community Medical Group LLC | 2020 N 12th St, Grand Valley Primary Care, Grand Junction, CO 81501-2914 |
| Jennifer June Crowe | Nurse Practitioner | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Heather Tobin | Nurse Practitioner | Community Medical Group LLC | 603 28, Grand Junction, CO 81506-6019 |
| Ryan Goodman | Physician Assistant | Community Medical Group LLC | 1060 Orchard Ave, Unit O, Grand Junction, CO 81501-2997 |
| Annette Lynn Johnson | Nurse Practitioner | Community Medical Group LLC | 1060 Orchard Ave N, Community Care of The Grand Valley, Grand Junction, CO 81501-2997 |
| Katelyn Joy Weaver | Nurse Practitioner | Community Medical Group LLC | 2373 G Rd, Suite 160, Grand Junction, CO 81505-1003 |
| Morgan Irion | Family Medicine | Community Medical Group LLC | 603 28, Grand Junction, CO 81506-6019 |
| Kimberly Marie Hoyt | Physician Assistant | Community Medical Group LLC | 1060 Orchard Ave, Unit O, Grand Junction, CO 81501-2997 |
| Julie Marie Deutsch | Nurse Practitioner | Community Medical Group LLC | 2020 N 12th St, Grand Valley Primary Care, Grand Junction, CO 81501-2914 |
| Street Address |
607 28 |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81506-6018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer June Crowe | Nurse Practitioner | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Kirsten Wiegert | Nurse Practitioner | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Barry W Holcomb | Internal Medicine | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Florian D Seeberger | Internal Medicine | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Randall Coffey | Internal Medicine | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Katherine Marie Mckee-cole | Otolaryngology | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Eugene Lee Hardin | Obstetrics/gynecology | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| William D Hoisington | Family Medicine | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Adam Baker | Otolaryngology | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Donald E Maier | Internal Medicine | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter J Hoffman | Ophthalmology | Hoffman Eye Care PC | 2643 Patterson Rd, Suite 405, Grand Junction, CO 81506-1910 |
| Jeffrey S Midgley | Chiropractic | 2648 Patterson Rd, Suite B, Grand Junction, CO 81506-1931 | |
| Missiouri D Mccoy | Nurse Practitioner | Scl Health Medical Group-grand Junction LLC | 2643 Patterson Rd, Grand Junction, CO 81506-1936 |
| Hoang Chau Thi Nguyen | Thoracic Surgery | Scl Health Medical Group-grand Junction LLC | 2643 Patterson Rd, Grand Junction, CO 81506-1936 |
| Katrina Metcalf | Nurse Practitioner | Western Slope Cardiology, PC | 2643 Patterson Rd, Suite 605, Grand Junction, CO 81506-1937 |
| James A Merrell | Otolaryngology | Colorado West Otolaryngologists PC | 2643 Patterson Rd, Suite 503, Grand Junction, CO 81506-1937 |
| Erick Araneda | Cardiovascular Disease (cardiology) | Western Slope Cardiology, PC | 2643 Patterson Rd, Suite 605, Grand Junction, CO 81506-1937 |
| Matthew R Swelstad | Plastic and Reconstructive Surgery | Colorado West Otolaryngologists PC | 2643 Patterson Rd, Suite 503, Grand Junction, CO 81506-1937 |
| Daniel J Duffey | Cardiovascular Disease (cardiology) | Western Slope Cardiology, PC | 2643 Patterson Rd, Suite 605, Grand Junction, CO 81506-1937 |
| Shea Fetherston | Physician Assistant | Colorado West Otolaryngologists PC | 2643 Patterson Rd, Suite 503, Grand Junction, CO 81506-1937 |
| Find all physicians in zip 81506 | |||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GRAND JUNCTION + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David Johansen.
| 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.