Kevin M Johnson (NPI# 1679685598, PAC ID# 2769379502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1679685598 |
| PAC ID by PECOS | 2769379502 |
| Professional Enrollment ID | I20050324000333 |
| Full Name | Kevin M Johnson |
| Organization Legal Name | COEUR D ALENE SURGICAL AND VEIN |
| Address |
608 Northwest Blvd Coeur D Alene ID 83814-2174 |
| Phone Number | 2086644940 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7214062330 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 608 Northwest Blvd, Coeur D Alene, ID 83814-2174 | 2086644940 | COEUR D ALENE SURGICAL AND VEIN |
| 608 Northwest Blvd, Suite 301, Coeur D Alene, ID 83814-2174 | 2086644940 | COEUR D ALENE SURGICAL AND VEIN |
| Organization Legal Name | COEUR D ALENE SURGICAL AND VEIN |
| Physicians | 1 |
| Street Address |
608 NORTHWEST BLVD |
| City | COEUR D ALENE |
| State | ID |
| Zip | 83814-2174 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Earl Hirschi | Chiropractic | 610 N Hubbard St, Suite 114, Coeur D'alene, ID 83814 | |
| Sean Tristan T Cook | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Dustin D Dinning | Rheumatology | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Natalie Rose Cooper | Physical Medicine and Rehabilitation | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Melanie L Enderwick | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Sarah R Nave | Registered Dietitian Or Nutrition Professional | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Orlando E Nunez | Podiatry | 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814-1404 | |
| Steven M Schlough | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Jennifer Duncan | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Michele M Bauer | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Find all physicians in zip 83814 | |||
| City | COEUR D ALENE |
| Zip Code | 83814 |
| Specialty | GENERAL SURGERY |
| City + Specialty | COEUR D ALENE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Kevin M 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.