Mary Johnson (NPI# 1083600704, PAC ID# 2769461755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1083600704 |
| PAC ID by PECOS | 2769461755 |
| Professional Enrollment ID | I20040714000909 |
| Full Name | Mary Johnson |
| Organization Legal Name | STEWARD MEDICAL GROUP, INC |
| Address |
29 Crafts St Suite 400 Newton MA 02458-1393 |
| Phone Number | 6179647530 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860688728 |
| Number of Group Practice Members | 895 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220036 | ST ELIZABETH'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 29 Crafts St, Suite 400, Newton, MA 02458-1393 | 6179647530 | STEWARD MEDICAL GROUP, INC |
| 29 Crafts St, Newton, MA 02458-1393 | 6179647530 | STEWARD MEDICAL GROUP, INC |
| Organization Legal Name | STEWARD MEDICAL GROUP, INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa K Gruber | Pediatric Medicine | Steward Medical Group, Inc | 100 Amesbury St, 103 Methuen Cardiology, Lawrence, MA 01842-1321 |
| Herminio I Duran | Pathology | Steward Medical Group, Inc | 736 Cambridge St, Brighton, MA 02135-2907 |
| Victoria Milligan | Clinical Social Worker | Steward Medical Group, Inc | 10 Forbes Rd, Braintree, MA 02184-2622 |
| Carl L Pillitteri | Obstetrics/gynecology | Steward Medical Group, Inc | 675 Paramount Dr, Raynham, MA 02767-5188 |
| Alicia A Vanihinger | Nurse Practitioner | Steward Medical Group, Inc | 100 Amesbury St, Lawrence, MA 01842-1321 |
| Michael G Callum | Urology | Steward Medical Group, Inc | 11 Nevins St, Brighton, MA 02135-3514 |
| Street Address |
29 CRAFTS ST SUITE 400 |
| City | NEWTON |
| State | MA |
| Zip | 02458-1393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vladimir B Shursky | Physical Therapy | Wellbridge Physical Therapy LLC | 29 Crafts St, Suite 570, Newton, MA 02458-1282 |
| Francesca Marangell | Internal Medicine | Steward Medical Group Inc | 29 Crafts St, Suite 400, Newton, MA 02458-1393 |
| Richard T Silverman | Plastic and Reconstructive Surgery | New England Plastic Surgical Associates, PC | 29 Crafts St, Suite 370, Newton, MA 02458-1282 |
| Jessica Shursky | Physical Therapy | Wellbridge Physical Therapy LLC | 29 Crafts St, Suite 570, Newton, MA 02458-1282 |
| Daeyou Choi | Physical Therapy | Wellbridge Physical Therapy LLC | 29 Crafts St, Suite 570, Newton, MA 02458-1282 |
| Steven M Vandor | Internal Medicine | Steward Medical Group Inc | 29 Crafts St, Suite 400, Newton, MA 02458-1393 |
| Olga Gelina | Physical Therapy | Wellbridge Physical Therapy LLC | 29 Crafts St, Suite 570, Newton, MA 02458-1282 |
| Jessica E Shattuck | Physical Therapy | Wellbridge Physical Therapy | 29 Crafts St, Suite 570, Newton, MA 02458-1282 |
| Liane Elizabeth Moses | Physical Therapy | Wellbridge Physical Therapy | 29 Crafts St, Newton, MA 02458-1282 |
| Yulia Sigal | Physical Therapy | Wellbridge Physical Therapy | 29 Crafts St, Suite 570, Newton, MA 02458-1282 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hui Shien Loh | Internal Medicine | 150 California St, Newton, MA 02458-1005 | |
| Bara Litman | Psychologist, Clinical | 717 Washington St, Newton, MA 02458-1281 | |
| Sara W Brenner | Clinical Social Worker | 717 Washington St, Suite 4, Newton, MA 02458-1281 | |
| Steven Brodhead | Optometry | 697 Washington St, Newton, MA 02458-1388 | |
| Chandra Elizabeth Wisneski | Chiropractic | 517 Washington St, Newton, MA 02458-1433 | |
| Lawrence Elliott Rosenberg | Psychiatry | 62 B Walnut Pk, Newton, MA 02458-1434 | |
| Ernest Loewenstein | Optometry | 471 Washington St, Newton, MA 02458-1450 | |
| David J Saie | Internal Medicine | Brigham and Womens Physicians Organization Inc | 272 Centre St, Newton, MA 02458-1618 |
| Bichhai Ly | Clinical Social Worker | Brigham and Womens Physicians Organization Inc | 272 Centre St, Newton, MA 02458-1618 |
| Trisha Saha | Internal Medicine | Brigham and Womens Physicians Organization Inc | 272 Centre St, Newton, MA 02458-1618 |
| Find all physicians in zip 02458 | |||
| City | NEWTON |
| Zip Code | 02458 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NEWTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mary 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.