Daniel J Johnson (NPI# 1740206549, PAC ID# 4183701386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1740206549 |
| PAC ID by PECOS | 4183701386 |
| Professional Enrollment ID | I20080412000110 |
| Full Name | Daniel J Johnson |
| Organization Legal Name | COASTAL SENIOR HEALTHCARE INC |
| Address |
3914 E State Rd Suite 64 Bradenton FL 34208-9059 |
| Phone Number | 9412163800 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678840600 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100087 | SARASOTA MEMORIAL HOSPITAL |
| 100035 | MANATEE MEMORIAL HOSPITAL |
| 100166 | DOCTORS HOSPITAL OF SARASOTA |
| 100299 | LAKEWOOD RANCH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 | 9419076016 | INTERCOASTAL MEDICAL GROUP INC |
| 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 9415380001 | INTERCOASTAL MEDICAL GROUP INC |
| 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 | 9412163800 | COASTAL SENIOR HEALTHCARE INC |
| 2881 Hyde Park St, Sarasota, FL 34239-3228 | INTERCOASTAL MEDICAL GROUP INC | |
| 921 S Beneva Rd, Sarasota, FL 34232-2401 | 9413657390 | INTERCOASTAL MEDICAL GROUP INC |
| 965 S Beneva Rd, Sarasota, FL 34232-2401 | 9413661888 | INTERCOASTAL MEDICAL GROUP INC |
| Organization Legal Name | COASTAL SENIOR HEALTHCARE INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Lee Sauer | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Katie A Spada | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Va Im | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Autumn Nicole Stevanus | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Linda J Copher | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Kristi Cay Kita | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Kelly Ann Marechal | Nurse Practitioner | Coastal Senior Healthcare Inc | 820 5th St W, Palmetto, FL 34221-5018 |
| Kris J Minko | Nurse Practitioner | Coastal Senior Healthcare Inc | 820 5th St W, Palmetto, FL 34221-5018 |
| Street Address |
3914 E STATE RD SUITE 64 |
| City | BRADENTON |
| State | FL |
| Zip | 34208-9059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Lee Sauer | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Robert J Klukoff | Psychologist, Clinical | Gulfside Behavioral Care Np Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Katie A Spada | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Sarah Matilda Dixon-bowdell | Nurse Practitioner | Gulfside Behavioral Care Np Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Va Im | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Catherine I Mcdermott | Nurse Practitioner | Gulfside Behavioral Care Np Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Autumn Nicole Stevanus | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Linda J Copher | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Kristi Cay Kita | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina Baker | Nurse Practitioner | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Bijal J Patel | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Michelle G Green | Nurse Practitioner | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Cassandra M. Hafner | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Ashley Metzgar | Physician Assistant | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Catherine Mauldin Cooper | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| James M Pineno | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Christopher M Cooper | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Natalie E Borg | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Andrew R Clark | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Find all physicians in zip 34208 | |||
| City | BRADENTON |
| Zip Code | 34208 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRADENTON + 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.