Randall M Johnson (NPI# 1073787677, PAC ID# 1759424021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073787677 |
| PAC ID by PECOS | 1759424021 |
| Professional Enrollment ID | I20100209000232 |
| Full Name | Randall M Johnson |
| Organization Legal Name | PHYSICIANS ALLIANCE OF CONNECTICUT LLC |
| Address |
322 E Main St Branford CT 06405-3136 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890939029 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 322 E Main St, Branford, CT 06405-3136 | PHYSICIANS ALLIANCE OF CONNECTICUT LLC | |
| 2200 Whitney Ave, Suite 170, Hamden, CT 06518-3694 | PHYSICIANS ALLIANCE OF CONNECTICUT LLC | |
| 20 York St, New Haven, CT 06510-3220 | 2034883267 | PHYSICIANS ALLIANCE OF CONNECTICUT LLC |
| 240 Indian River Rd, Suite A5, Orange, CT 06477-3690 | 2037991252 | PHYSICIANS ALLIANCE OF CONNECTICUT LLC |
| Organization Legal Name | PHYSICIANS ALLIANCE OF CONNECTICUT LLC |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niurka J Visconti | Internal Medicine | Physicians Alliance of Connecticut LLC | 477 Boston Post Rd, Orange, CT 06477-3548 |
| Chanon C Biceglia | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 687 Campbell Ave, West Haven, CT 06516-3774 |
| Holly Penkacik | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 689 Campbell Ave, West Haven, CT 06516-3711 |
| Deborah J Valin | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 2690 Whitney Ave, Hamden, CT 06518-2924 |
| Meredith C Edwards | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 74 Cheshire Rd, Wallingford, CT 06492-3065 |
| Jennifer Ruby | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 1453 Whalley Ave, New Haven, CT 06515-1153 |
| Jeffrey Reynolds | Nephrology | Physicians Alliance of Connecticut LLC | 240 Indian River Rd, Suite A5, Orange, CT 06477-3690 |
| Mark P Altman | Orthopedic Surgery | Physicians Alliance of Connecticut LLC | 350 Goose Ln, Suite 203b, Guilford, CT 06437-2158 |
| Helen Ede | Family Medicine | Physicians Alliance of Connecticut LLC | 1291 Boston Post Rd, Suite 200, Madison, CT 06443-3476 |
| Jennifer S Thompson | Gastroenterology | Physicians Alliance of Connecticut LLC | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3602 |
| Street Address |
322 E MAIN ST |
| City | BRANFORD |
| State | CT |
| Zip | 06405-3136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Charles Niese | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| David James Griffin | Physician Assistant | Physicians Alliance of Connecticut LLC | 322 E Main St, Branford, CT 06405-3136 |
| Douglas Jordan Grunwald | Gastroenterology | Physicians Alliance of Connecticut LLC | 322 E Main St, Branford, CT 06405-3136 |
| William M Dickerson Jr. | Optometry | 322 E Main St, Tupelo, MS 38804-4026 | |
| Sara C Petee | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| Anthony I Capobianco | Physician Assistant | Physicians Alliance of Connecticut LLC | 322 E Main St, Branford, CT 06405-3136 |
| Elizabeth A Bull | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| Courtney E Calandro | Physician Assistant | Physicians Alliance of Connecticut LLC | 322 E Main St, Branford, CT 06405-3136 |
| Kate L Charron | Physician Assistant | Physicians Alliance of Connecticut LLC | 322 E Main St, Branford, CT 06405-3136 |
| Shelley J Fogt | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Youngquist | Optometry | 120 Commercial Pkwy, Branford, CT 06405-2537 | |
| Sushil Gupta | Pulmonary Disease | Pulmonary Care, PC | 14 Business Park Dr, Branford, CT 06405-2909 |
| Rachel Creevy D'errico | Nurse Practitioner | Northeast Medical Group Inc | 500 E Main St, Branford, CT 06405-2912 |
| Kyle Lynn Blomberg | Nurse Practitioner | Northeast Medical Group Inc | 500 E Main St, Branford, CT 06405-2912 |
| Gloria J Greenidge | Clinical Social Worker | 388 E Main St, Suite 3, Branford, CT 06405-2914 | |
| Jamelah T Stone | Clinical Social Worker | 500 E Main St, Suite 322, Branford, CT 06405-2929 | |
| Faith Levin-irwin | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Janet M Smith | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Justine Gillen | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Phyllis L Quinn | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Find all physicians in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRANFORD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Randall M 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.