Larry C Johnson (NPI# 1285653618, PAC ID# 1850384264) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1285653618 |
| PAC ID by PECOS | 1850384264 |
| Professional Enrollment ID | I20041115001133 |
| Full Name | Larry C Johnson |
| Organization Legal Name | TRIAD HEALTH SYSTEMS, INC. |
| Address |
329 Floyd Dr Carrollton KY 41008-8261 |
| Phone Number | 5027321082 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4082798699 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180045 | ST ELIZABETH FLORENCE |
| 180127 | FRANKFORT REGIONAL MEDICAL CENTER |
| 181311 | ST ELIZABETH GRANT |
| 180035 | ST ELIZABETH EDGEWOOD |
| Address | Phone | Organization |
|---|---|---|
| 329 Floyd Dr, Carrollton, KY 41008-8261 | 5027321082 | TRIAD HEALTH SYSTEMS, INC. |
| 441 Us Hwy 42 W, Warsaw, KY 41095-9561 | 8595671591 | TRIAD HEALTH SYSTEMS, INC. |
| Organization Legal Name | TRIAD HEALTH SYSTEMS, INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Michelle Black | Nurse Practitioner | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Cheryl B Baker | Nurse Practitioner | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Barbara J Newell | Family Medicine | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| Jasmine K Birchall | Nurse Practitioner | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| Susan A Sanford | Nurse Practitioner | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| Larry Joseph Gross | Psychiatry | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Eric C Baumann | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Mark L Miller | Family Medicine | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| William F Metzger | Optometry | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Cindy J Haines | Nurse Practitioner | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Street Address |
329 FLOYD DR |
| City | CARROLLTON |
| State | KY |
| Zip | 41008-8261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Michelle Black | Nurse Practitioner | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Travis L Smith | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia Consultants, LLC | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 |
| Chad M Galle | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia Consultants, LLC | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 |
| Eric C Baumann | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Roy A Morris | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia Consultants, LLC | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 |
| Christina M Rollins | Nurse Practitioner | American Pain Institute Inc | 329 Floyd Dr, Suite D, Carrollton, KY 41008-8261 |
| Justin P Pearce | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia Consultants, LLC | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 |
| Douglas M Smalara | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Kelly Simpson | Nurse Practitioner | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Charles T Morse Jr. | Certified Registered Nurse Anesthetist | Metro Anesthesia Consultants, LLC | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Coffey | Physician Assistant | Radiology Associates of Northern Kentucky Pllc | 309 11th St, Carrollton, KY 41008-1435 |
| Samer H Hussein | Internal Medicine | Ccmh Corporation | 309 11th St, Carrollton, KY 41008-1435 |
| Elizabeth A Reichard | Diagnostic Radiology | Radiology Associates of Northern Kentucky Pllc | 309 11th St, Carrollton, KY 41008-1435 |
| William R Shanks | Emergency Medicine | Ohio River Emergency Physicians LLC | 309 11th St, Carrollton, KY 41008-1435 |
| Farooq A Mirza | General Surgery | Ccmh Corporation | 309 11th St, Carrollton, KY 41008-1435 |
| Steven Mark Bloom | Ophthalmology | Eye Centers of Louisville Psc | 309 11th St, Carrollton, KY 41008-1435 |
| Tawanda Nacole Whidby | Nurse Practitioner | Ccmh Corporation | 309 11th St, Carrollton, KY 41008-1435 |
| Toni Nicole Wright | Nurse Practitioner | Commonwealth Pain Associates Pllc | 309 11th St, Carrollton, KY 41008-1435 |
| Amber Adcock | Nurse Practitioner | Ccmh Corporation | 309 11th St, Carrollton, KY 41008-1435 |
| Thomas R Slone | Certified Registered Nurse Anesthetist (crna) | Ccmh Corporation | 309 11th St, Carrollton, KY 41008-1435 |
| Find all physicians in zip 41008 | |||
| City | CARROLLTON |
| Zip Code | 41008 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CARROLLTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Larry C 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.