Patricia G Johnson (NPI# 1750441820, PAC ID# 2769478999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750441820 |
| PAC ID by PECOS | 2769478999 |
| Professional Enrollment ID | I20040428001145 |
| Full Name | Patricia G Johnson |
| Organization Legal Name | ALASKA FAMILY HEALTH CENTERS LLC |
| Address |
4931 E Mayflower Ln Suite 1 Wasilla AK 99654-7759 |
| Phone Number | 9077451777 |
| Gender | F |
| Credential | DO |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6103101845 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020006 | MAT-SU REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 | 9077451777 | ALASKA FAMILY HEALTH CENTERS LLC |
| Organization Legal Name | ALASKA FAMILY HEALTH CENTERS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Ja Kimmery | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Debra D Bushnell | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Yvonne M Gambini | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Roger A Hughes | Physician Assistant | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Neil A Nardini | Physician Assistant | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Tyfanae S Stuart | Nurse Practitioner | Alaska Family Health Centers LLC | 425 E Dahlia Ave, Suite L, Palmer, AK 99645-6463 |
| Linda J Sloan | Family Practice | Alaska Family Health Centers LLC | 425 E Dahlia Ave, Suite L, Palmer, AK 99645-6463 |
| Street Address |
4931 E MAYFLOWER LN SUITE 1 |
| City | WASILLA |
| State | AK |
| Zip | 99654-7759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher James Sahlstrom | Family Medicine | Heritage Family Medicine LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99665-7759 |
| Melanie Ja Kimmery | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Debra D Bushnell | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Yvonne M Gambini | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Roger A Hughes | Physician Assistant | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Neil A Nardini | Physician Assistant | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Craig Michael Brumagin | Physician Assistant | Heritage Family Medicine LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99665-7759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blaine G Upham | Chiropractic | 5461 E Mayflower Lane, Suite 6, Wasilla, AK 99654 | |
| Jeffrey A Lepage | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Trisha M Magee | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
| Marlys F Bryan | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
| Josh T Williams | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Amy L Stielstra | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Corissa J Abel | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Lisa M Bouyea-francies | Nurse Practitioner | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Robin Hughes | Clinical Social Worker | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Mary A Eckart | Physician Assistant | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Find all physicians in zip 99654 | |||
| City | WASILLA |
| Zip Code | 99654 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WASILLA + FAMILY MEDICINE |
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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.