Craig B Johnson (NPI# 1326197724, PAC ID# 1850461161) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1326197724 |
| PAC ID by PECOS | 1850461161 |
| Professional Enrollment ID | I20080529000362 |
| Full Name | Craig B Johnson |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
6615 Delmonico Dr Colorado Springs CO 80919-1809 |
| Phone Number | 7193649494 |
| Gender | M |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060022 | UCH-MEMORIAL HEALTH SYSTEM |
| 060130 |
| Address | Phone | Organization |
|---|---|---|
| 6615 Delmonico Dr, Colorado Springs, CO 80919-1809 | 7193649494 | POUDRE VALLEY MEDICAL GROUP LLC |
| 8890 N Union Blvd, Colorado Springs, CO 80920-2701 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
| Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
| Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
| Marlesa Renee Moore | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Street Address |
6615 DELMONICO DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80919-1809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Lee Longwell | Internal Medicine | Poudre Valley Medical Group LLC | 6615 Delmonico Dr, Colorado Springs, CO 80919-1809 |
| Martha K Schantz | Physician Assistant | Poudre Valley Medical Group LLC | 6615 Delmonico Dr, Colorado Springs, CO 80919-1809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew T Peterson | Optometry | Peterson Family Eyecare | 6665 Delmonico Dr A, Colorado Springs, CO 80919-1895 |
| David R Salek | Pain Management | Mark C Meyer Md LLC | 5901 Corporate Dr, Colorado Springs, CO 80919-1941 |
| Aaron D Smith | Plastic and Reconstructive Surgery | 5901 Corporate Dr, Colorado Springs, CO 80919-1941 | |
| Mark C Meyer | Anesthesiology | Mark C Meyer Md LLC | 5901 Corporate Dr, Colorado Springs, CO 80919-1941 |
| Gregory J Liebscher | Plastic and Reconstructive Surgery | 5901 Corporate Dr, Colorado Springs, CO 80919-1941 | |
| Ronald G Salvaggione | Chiropractic | 405 Windchime Place, Co Spring Spine and In, Colorado Springs, CO 80919-1984 | |
| Todd M Adams | Chiropractic | 405 Windchime Pl, Colorado Springs, CO 80919-1984 | |
| Lauren A Lokkesmoe | Physical Therapy | Village Physical Therapy, P.C. | 5825 Delmonico Dr, Suite 300, Colorado Springs, CO 80919-2244 |
| Lisa M Froberg | Physical Therapy | Village Physical Therapy, P.C. | 5825 Delmonico Dr, Suite 300, Colorado Springs, CO 80919-2244 |
| Cammie Marler | Physical Therapy | Village Physical Therapy, P.C. | 5825 Delmonico Dr, Colorado Springs, CO 80919-2244 |
| Find all physicians in zip 80919 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80919 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COLORADO SPRINGS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Craig B 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.