Mark B Johnson (NPI# 1811159353, PAC ID# 2365510658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1811159353 |
| PAC ID by PECOS | 2365510658 |
| Professional Enrollment ID | I20081014000698 |
| Full Name | Mark B Johnson |
| Organization Legal Name | MOBILE WOUND SOLUTIONS LLC |
| Address |
1700 Furnas St Ashland NE 68003-1254 |
| Phone Number | 4029447031 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8527242627 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1700 Furnas St, Ashland, NE 68003-1254 | 4029447031 | MOBILE WOUND SOLUTIONS LLC |
| 225 N 56th St, Lincoln, NE 68504-3519 | MOBILE WOUND SOLUTIONS LLC | |
| 410 W 5th St, Louisville Care Center, Louisville, NE 68037-6006 | 4022342125 | MOBILE WOUND SOLUTIONS LLC |
| 410 W 5th St, Louisville, NE 68037-6006 | 4022342125 | MOBILE WOUND SOLUTIONS LLC |
| Organization Legal Name | MOBILE WOUND SOLUTIONS LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin Lewis Cline | Nurse Practitioner | Mobile Wound Solutions LLC | 3333 Brown Rd, St Louis, MO 63114-4327 |
| Street Address |
1700 FURNAS ST |
| City | ASHLAND |
| State | NE |
| Zip | 68003-1254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea J Carda | Optometry | John E Bateman O D P C | 705 N 17th Ave, Ashland, NE 68003-1209 |
| Kristina L Smith | Nurse Practitioner | Real Life Health LLC | 705 N 17th Ave, Ashland, NE 68003-1209 |
| Marcella Louise Sorrell | Nurse Practitioner | Real Life Health LLC | 705 N 17th Ave, Ashland, NE 68003-1209 |
| John E Bateman | Optometry | John E Bateman O D P C | 705 N 17th Ave, Ashland, NE 68003-1209 |
| Frank J Rizzo | Podiatry | 1617 Bills Dr, Ashland, NE 68003-1273 | |
| Lacey A Mink | Chiropractic | 1427 Silver St, Ashland, NE 68003-1845 | |
| Karen M Stille | Physical Therapy | Lincoln Orthopedic Physical Therapy PC | 1409 Silver St, Ashland, NE 68003-1845 |
| Renee A Tewes | Physical Therapy | Lincoln Orthopedic Physical Therapy PC | 1409 Silver St, Ashland, NE 68003-1845 |
| Ryan M Worrell | Chiropractic | 1510 Silver St, Ashland, NE 68003-1848 |
| City | ASHLAND |
| Zip Code | 68003 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | ASHLAND + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Mark 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.