Joel D Johnson (NPI# 1922090497, PAC ID# 1850352428) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1922090497 |
| PAC ID by PECOS | 1850352428 |
| Professional Enrollment ID | I20041026001031 |
| Full Name | Joel D Johnson |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Address |
501 S Ragsdale St Ut Health East Texas Physicians Jacksonville TX 75766-2434 |
| Phone Number | 9035415143 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PULMONARY DISEASE |
| Group Practice PAC ID | 4486915600 |
| Number of Group Practice Members | 206 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450083 | EAST TEXAS MEDICAL CENTER |
| 450194 | EAST TEXAS MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 501 S Ragsdale St, Ut Health East Texas Physicians, Jacksonville, TX 75766-2434 | 9035415143 | ETMC PHYSICIAN GROUP, INC. |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varalaxmi Nannaka | Pulmonary Disease | Etmc Physician Group, Inc. | 305 Cottage Rd, Carthage, TX 75633-1511 |
| Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Andrea Corine Cooley | Cardiac Surgery | Etmc Physician Group, Inc. | 1000 E 5th St, Suite 400, Tyler, TX 75701-3362 |
| Jason S Murry | General Surgery | Etmc Physician Group, Inc. | 1020 E Idel St, Ut Health East Texas Physicians, Tyler, TX 75701-2024 |
| Ronald J Pinkenburg | Ophthalmology | Etmc Physician Group, Inc. | 16911 Village Lake Dr, Lindale, TX 75771-5065 |
| Francine Fraser Mccain | Obstetrics/gynecology | Etmc Physician Group, Inc. | 1336 S Palestine St, Athens, TX 75751-3621 |
| Lori Fuquay | Nurse Practitioner | Etmc Physician Group, Inc. | 601 Hwy 110 N, Suite O, Whitehouse, TX 75791-3037 |
| Michael Jason Chastant | Nurse Practitioner | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Eric D Reed | Otolaryngology | Etmc Physician Group, Inc. | 301 W 19th St, Mt Pleasant, TX 75455-2322 |
| Street Address |
501 S RAGSDALE ST UT HEALTH EAST TEXAS PHYSICIANS |
| City | JACKSONVILLE |
| State | TX |
| Zip | 75766-2434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelly Y Harley | Certified Registered Nurse Anesthetist (crna) | Tricounty Anesthesia Associates, Pa | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Adam Newman | Obstetrics/gynecology | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Andrew T Larkin | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Joshua Spencer Larson | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Jeremy P Day | Family Medicine | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Carlton S Rizer | Certified Registered Nurse Anesthetist (crna) | Tricounty Anesthesia Associates, Pa | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Jozef L Smit | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Daniel Baber | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Sajal Das | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Claudia A Deliz-guzman | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Morris | Family Medicine | 421 S Bonner St, Jacksonville, TX 75766-2330 | |
| James J Brown | Clinical Social Worker | Trinity Counseling Associates of East Texas, Inc | 703 S Main St, Jacksonville, TX 75766-2428 |
| Daniel C Bennett | Diagnostic Radiology | 501 S Ragsdale, Etmc Radiology Dept, Jacksonville, TX 75766-2434 | |
| William B Roberson Jr. | Family Medicine | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Gary E Smith | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Joseph B Coopwood | General Surgery | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Mark C Shaw | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Alana Marie Akers | Internal Medicine | Jacksonville Hospital LLC | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 |
| Lucia Williams | Obstetrics/gynecology | Jacksonville Hospital LLC | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 |
| Stacy Roberts Mccown | Nurse Practitioner | Etmc Physician Group, Inc. | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 |
| Find all physicians in zip 75766 | |||
| City | JACKSONVILLE |
| Zip Code | 75766 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSONVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Joel D 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.