Tracy R Johnson (NPI# 1548241219, PAC ID# 1759469646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
Nation Provider ID (NPI) | 1548241219 |
PAC ID by PECOS | 1759469646 |
Professional Enrollment ID | I20080417000241 |
Full Name | Tracy R Johnson |
Address |
9101 Bridgeport Way Sw Suite B2 Lakewood WA 98499-2419 |
Gender | M |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
Graduation Year | 1983 |
Primary Specialty | ORAL SURGERY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
9101 Bridgeport Way Sw, Suite B2, Lakewood, WA 98499-2419 |
Street Address |
9101 BRIDGEPORT WAY SW SUITE B2 |
City | LAKEWOOD |
State | WA |
Zip | 98499-2419 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kayleigh Odgear | Occupational Therapy | Multicare Health System | 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499-1514 |
Nicole Marie Lippert | Physical Therapy | Multicare Health System | 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499-1514 |
Dina Marie Acosta | Physical Therapy | Multicare Health System | 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499-1514 |
Bonnie Margaret Edwards | Clinical Social Worker | 9311 Bridgeport Way Sw, Lakewood, WA 98499-1570 | |
Erik M Wells | Chiropractic | 6141 93rd St Sw, Lakewood, WA 98499-2401 | |
Jennifer M Ray | Chiropractic | 6302 93rd St Sw, Lakewood, WA 98499-2408 | |
Lance W Lorfeld | Chiropractic | 9004 Bridgeport Way Sw, Lakewood, WA 98499-2416 | |
Dale L Tosland | Optometry | Bridgeport Family Vision Clinic Pllc | 9101 Bridgeport Swway C, Lakewood, WA 98499-2419 |
Brett Efosa Igbinoba | Optometry | Bridgeport Family Vision Clinic Pllc | 9101 Bridgeport Swway C, Lakewood, WA 98499-2419 |
Indra Annette Finch | Psychologist, Clinical | 6108 Community Pl Sw, Suite 3, Lakewood, WA 98499-2447 | |
Find all physicians in zip 98499 |
City | LAKEWOOD |
Zip Code | 98499 |
Specialty | ORAL SURGERY |
City + Specialty | LAKEWOOD + ORAL SURGERY |
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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.