Sara L Johnson (NPI# 1881601698, PAC ID# 4486747805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1881601698 |
| PAC ID by PECOS | 4486747805 |
| Professional Enrollment ID | I20070830000462 |
| Full Name | Sara L Johnson |
| Address |
496 Shoup Ave W Suite E Twin Falls ID 83301-5043 |
| Phone Number | 2087332885 |
| Gender | F |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130002 | ST LUKE'S MAGIC VALLEY RMC |
| 131302 | NORTH CANYON MEDICAL CENTER |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130007 | ST ALPHONSUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 496 Shoup Ave W, Suite E, Twin Falls, ID 83301-5043 | 2087332885 | |
| 496 Shoup Ave W, Twin Falls, ID 83301-5043 | 2087332885 |
| Street Address |
496 SHOUP AVE W SUITE E |
| City | TWIN FALLS |
| State | ID |
| Zip | 83301-5043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taryna J Goodman | Nurse Practitioner | 496 Shoup Ave W, Suite E, Twin Falls, ID 83301-5043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
| Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
| Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Find all physicians in zip 83301 | |||
| City | TWIN FALLS |
| Zip Code | 83301 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | TWIN FALLS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Sara L 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.