Gary R Johnson (NPI# 1285794107, PAC ID# 2668559121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1285794107 |
PAC ID by PECOS | 2668559121 |
Professional Enrollment ID | I20080408000445 |
Full Name | Gary R Johnson |
Address |
558 1st S St Woodville MS 39669-3777 |
Gender | M |
Graduation Year | 1990 |
Primary Specialty | PHYSICAL THERAPY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
558 1st S St, Woodville, MS 39669-3777 |
Street Address |
558 1ST S ST |
City | WOODVILLE |
State | MS |
Zip | 39669-3777 |
Name | Specialty | Organization | Address |
---|---|---|---|
Virginia Lewis | Physical Medicine and Rehabilitation | Premier Physical Therapy, LLC | 558 1st S St, Woodville, MS 39669-3777 |
Name | Specialty | Organization | Address |
---|---|---|---|
Blanche Bell | Nurse Practitioner | Family Health Care Clinic Inc | 1495 Us Hwy 61 S, Woodville, MS 39669-3577 |
James J Hoth | Ophthalmology | Devjani Lahiri-munir, A Professional Corporation | 625 Main St, Woodville, MS 39669-9706 |
City | WOODVILLE |
Zip Code | 39669 |
Specialty | PHYSICAL THERAPY |
City + Specialty | WOODVILLE + PHYSICAL THERAPY |
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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.