Wendy M Johnson (NPI# 1255548897, PAC ID# 3577623917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255548897 |
| PAC ID by PECOS | 3577623917 |
| Professional Enrollment ID | I20081114000785 |
| Full Name | Wendy M Johnson |
| Organization Legal Name | BLUFFS FAMILY HEALTH CARE PC |
| Address |
3434 W Broadway Council Bluffs IA 51501-3291 |
| Phone Number | 7123250022 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0446298061 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160047 | METHODIST JENNIE EDMUNDSON |
| 160028 | CHI HEALTH MERCY COUNCIL BLUFFS |
| Address | Phone | Organization |
|---|---|---|
| 201 Ridge St, Suite 202, Council Bluffs, IA 51503-4643 | 7123967711 | BLUFFS FAMILY HEALTH CARE PC |
| 3434 W Broadway, Council Bluffs, IA 51501-3291 | 7123250022 | BLUFFS FAMILY HEALTH CARE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BLUFFS FAMILY HEALTH CARE PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Matthew Wanzek Iii | Family Practice | Bluffs Family Health Care PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Matthew F Fryzek | Internal Medicine | Bluffs Family Health Care PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| John W Marshall | Internal Medicine | Bluffs Family Health Care PC | 201 Ridge St, Council Bluffs, IA 51503-4643 |
| Street Address |
3434 W BROADWAY |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip | 51501-3291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie L Bolte | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Andrew R Arther | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| James L Friedlander | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Andrew Francis Trainer | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Brett V Kettelhut | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| John D Horgan | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Amandeep S Mahal | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Euclid Rajkumar Joseph Desouza | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Bruce E Lundak | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| James M Tracy | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Curtis Schanuth | Chiropractic | 1720 N 16th St, Suite G, Council Bluffs, IA 51501-0109 | |
| Sharon A Heckathorn | Clinical Social Worker | Heartland Family Service | 1515 Ave J, Council Bluffs, IA 51501-1170 |
| Barry James Jose | Optometry | Family Eyecare Center, Inc. | 1601 Ave D, Council Bluffs, IA 51501-2510 |
| Travis John Alger | Chiropractic | 3424 W Broadway, Council Bluffs, IA 51501-3211 | |
| Joseph Matthew Wanzek Iii | Family Practice | Bluffs Family Health Care PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Matthew F Fryzek | Internal Medicine | Bluffs Family Health Care PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Sara Lynn Rygol | Physician Assistant | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Joyce E Vacek | Physician Assistant | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Marcy L French | Nurse Practitioner | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Terry Thomas Butkus | Nurse Practitioner | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Find all physicians in zip 51501 | |||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COUNCIL BLUFFS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Wendy 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.