Philip Evan Johnson (NPI# 1467418293, PAC ID# 2769490994) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1467418293 |
| PAC ID by PECOS | 2769490994 |
| Professional Enrollment ID | I20141106000978 |
| Full Name | Philip Evan Johnson |
| Address |
127 Linden Ave Rutledge PA 19070-2102 |
| Gender | M |
| Credential | MD |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | OTOLARYNGOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 127 Linden Ave, Rutledge, PA 19070-2102 |
| Street Address |
127 LINDEN AVE |
| City | RUTLEDGE |
| State | PA |
| Zip | 19070-2102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerri Elizabeth Bakker | Optometry | 13 Kedron Ave, Morton, PA 19070-1513 |
| City | RUTLEDGE |
| Zip Code | 19070 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | RUTLEDGE + OTOLARYNGOLOGY |
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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.