Moses Desmond Degraft-johnson (NPI# 1194970475, PAC ID# 2769511799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
Nation Provider ID (NPI) | 1194970475 |
PAC ID by PECOS | 2769511799 |
Professional Enrollment ID | I20111209000474 |
Full Name | Moses Desmond Degraft-johnson |
Address |
2623 Centennial Blvd Suite 102 Tallahassee FL 32308-0585 |
Gender | M |
Graduation Year | 2001 |
Primary Specialty | VASCULAR SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100135 | TALLAHASSEE MEMORIAL HEALTHCARE |
100106 | DOCTOR'S MEMORIAL HOSPITAL INC |
Address | Phone | Organization |
---|---|---|
2623 Centennial Blvd, Suite 102, Tallahassee, FL 32308-0585 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
Street Address |
2623 CENTENNIAL BLVD SUITE 102 |
City | TALLAHASSEE |
State | FL |
Zip | 32308-0585 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erin M Carlquist | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
Vatsal Patel | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
Eileen Venable | Psychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Jeffrey T Ferraro | Neuropsychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Donna S Kitch | Psychologist, Clinical | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Jessica D Shrum | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Jonathan E Johnson | Physician Assistant | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Jennifer Beaupied | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Cynthia S Whitaker | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Kelly E Sunshine | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
Find all physicians in zip 32308 |
City | TALLAHASSEE |
Zip Code | 32308 |
Specialty | VASCULAR SURGERY |
City + Specialty | TALLAHASSEE + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Moses Desmond Degraft-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.