Eric D Johnson (NPI# 1972785715, PAC ID# 4587654710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1972785715 |
| PAC ID by PECOS | 4587654710 |
| Professional Enrollment ID | I20040518000513 |
| Full Name | Eric D Johnson |
| Address |
607 Clifty St Somerset KY 42503-1765 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1988 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440152 | REGIONAL ONE HEALTH |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 877 Jefferson Ave, Memphis, TN 38103-2807 | 9015458336 | UT REGIONAL ONE PHYSICIANS INC |
| 75 Walmart Plaza Dr, Suite 4, Monticello, KY 42633-7907 | ||
| 607 Clifty St, Somerset, KY 42503-1765 |
| Street Address |
607 CLIFTY ST |
| City | SOMERSET |
| State | KY |
| Zip | 42503-1765 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don L Richardson | Optometry | 246 Poplar Ave, Suite 1, Somerset, KY 42503-1701 | |
| Kenneth E Ruby | Urology | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Heidi Renae Frey | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Donna Birney | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Kelli N Jordan | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Joseph G Weigel | Internal Medicine | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Lisa E Marcum | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Randall Elliot Dalton | Otolaryngology | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Julie K Stevens | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Autumn Z Richardson | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Find all physicians in zip 42503 | |||
| City | SOMERSET |
| Zip Code | 42503 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SOMERSET + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Eric D 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.