Homer T Johnson Ii (NPI# 1932223898, PAC ID# 4688761356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SLEEP MEDICINE.
| Nation Provider ID (NPI) | 1932223898 |
| PAC ID by PECOS | 4688761356 |
| Professional Enrollment ID | I20071026000443 |
| Full Name | Homer T Johnson Ii |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
1551 Wall St Saint Charles MO 63303-3539 |
| Phone Number | 3146383600 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | SLEEP MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1551 Wall St, Saint Charles, MO 63303-3539 | 3146383600 | SSM MEDICAL GROUP INC |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
1551 WALL ST |
| City | SAINT CHARLES |
| State | MO |
| Zip | 63303-3539 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Rice Fick | Internal Medicine | American Multispecialty Group Inc | 1551 Wall St, Suite 400, Saint Charles, MO 63303-3541 |
| Elizabeth Hudgins Maylack | Family Medicine | American Multispecialty Group Inc | 1551 Wall St, Suite 400, Saint Charles, MO 63303-3541 |
| Martin P Altman | Gastroenterology | Ssm St.charles Clinic Medical Group Inc | 1551 Wall St, Suite 400, St Charles, MO 63303-2597 |
| Amy B Willbanks | Nurse Practitioner | Ssm St.charles Clinic Medical Group Inc | 1551 Wall St, Suite 400, St Charles, MO 63303-2597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel H Smith | Nurse Practitioner | Ssm Medical Group Inc | 2310 S Old Hwy 94, Ssm Health Medical Grp, St Charles, MO 63303 |
| Omar Ahmad Mahmood | Diagnostic Radiology | Red River Consultants Inc | 10 Maryells Way, Saint Charles, MO 63303-1348 |
| Kathleen M Uhlig | Physical Therapy | Prorehab PC | 2053 Zumbehl Rd, Saint Charles, MO 63303-2723 |
| Rachel E Merriman | Optometry | Kwiatek Optometry Associates PC | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 |
| Stephen Mccullough | Optometry | Kwiatek Optometry Associates PC | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 |
| Alan S Kwiatek | Optometry | Kwiatek Optometry Associates PC | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 |
| David A Horton | Physical Therapy | Prorehab PC | 2053 Zumbehl Rd, Saint Charles, MO 63303-2723 |
| Mary J Bennett | Optometry | Kwiatek Optometry Associates PC | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 |
| Steven Douglas Warden | Physical Therapy | Prorehab PC | 2053 Zumbehl Rd, Saint Charles, MO 63303-2723 |
| Edwina Fay Spence | Nurse Practitioner | American Current Care of Kansas Pa | 1794 Zumbehl Rd, Saint Charles, MO 63303-2759 |
| Find all physicians in zip 63303 | |||
| City | SAINT CHARLES |
| Zip Code | 63303 |
| Specialty | SLEEP MEDICINE |
| City + Specialty | SAINT CHARLES + SLEEP MEDICINE |
Please comment or provide details below to improve the information on Homer T Johnson Ii.
| 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.