Timothy A Johnson (NPI# 1801879762, PAC ID# 2264418797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1801879762 |
| PAC ID by PECOS | 2264418797 |
| Professional Enrollment ID | I20040629001174 |
| Full Name | Timothy A Johnson |
| Organization Legal Name | MERCY MEDICAL GROUP INC |
| Address |
175 Carew St Suite 200 Springfield MA 01104-2391 |
| Phone Number | 4137348254 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 2365698024 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220066 | MERCY MEDICAL CTR |
| 220077 | BAYSTATE MEDICAL CENTER |
| 220065 | BAYSTATE NOBLE HOSPITAL |
| 220030 | BAYSTATE WING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 175 Carew St, Suite 200, Springfield, MA 01104-2391 | 4137348254 | MERCY MEDICAL GROUP INC |
| Organization Legal Name | MERCY MEDICAL GROUP INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vatsala Kirtani | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Masih U Farooqui | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Jeffrey J Ochs | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| David Bishop | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Philip T Glynn | Medical Oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Michael Henry Rosen | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Subramony Subramonia Iyer | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Sarah Gagnon | Nurse Practitioner | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Jennifer Giffune | Registered Dietitian Or Nutrition Professional | Mercy Medical Group Inc | 175 Carew St, Springfield, MA 01104-2391 |
| Street Address |
175 CAREW ST SUITE 200 |
| City | SPRINGFIELD |
| State | MA |
| Zip | 01104-2391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vatsala Kirtani | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Frederik A Pennings | Neurosurgery | Mercy Specialist Physicians, Inc | 175 Carew St, Suite 300, Springfield, MA 01104-2478 |
| Masih U Farooqui | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Jeffrey J Ochs | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| David Bishop | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Philip T Glynn | Medical Oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Viriato M Fiallo | General Surgery | Riverbend Medical Group Inc | 175 Carew St, Suite 110, Springfield, MA 01104-2389 |
| Michael Henry Rosen | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Michael R Sorrell | Neurology | Western Mass Neurology PC | 175 Carew St, Suite 140, Springfield, MA 01104-2389 |
| Subramony Subramonia Iyer | Hematology/oncology | Mercy Medical Group Inc | 175 Carew St, Suite 200, Springfield, MA 01104-2391 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney B Thomas | Chiropractic | 770 Carew St, Springfield, MA 01104-1948 | |
| Luis A Moral | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Thomas J Moran | Obstetrics/gynecology | Fitzpatrick Moran Costa and Haag-rickert LLP | 299 Carew St, Suite 215, Springfield, MA 01104-2301 |
| Colette A Haag Rickert | Obstetrics/gynecology | Fitzpatrick Moran Costa and Haag-rickert LLP | 299 Carew St, Suite 215, Springfield, MA 01104-2301 |
| Maria Antonia Gorgan | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Sandy Zhuo Liu | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Jeffrey Sussman | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Robert A Goulart | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Robert K Costa | Obstetrics/gynecology | Fitzpatrick Moran Costa and Haag-rickert LLP | 299 Carew St, Suite 215, Springfield, MA 01104-2301 |
| Martin E Bur | Pathology | New England Pathology Associates PC | 299 Carew St, Springfield, MA 01104-2301 |
| Find all physicians in zip 01104 | |||
| City | SPRINGFIELD |
| Zip Code | 01104 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | SPRINGFIELD + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Timothy A 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.