Daniel L Johnson (NPI# 1124199690, PAC ID# 4880781079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124199690 |
| PAC ID by PECOS | 4880781079 |
| Professional Enrollment ID | I20071105000494 |
| Full Name | Daniel L Johnson |
| Organization Legal Name | LAKE REGIONAL HEALTH SYSTEM |
| Address |
441 W Elm St Lake Regional Occupational Medicine Lebanon MO 65536-3523 |
| Phone Number | 5733488045 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133026776 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260186 | LAKE REGIONAL HEALTH SYSTEM |
| 260059 | MERCY HOSPITAL LEBANON |
| Address | Phone | Organization |
|---|---|---|
| 441 W Elm St, Lake Regional Occupational Medicine, Lebanon, MO 65536-3523 | 5733488045 | LAKE REGIONAL HEALTH SYSTEM |
| Organization Legal Name | LAKE REGIONAL HEALTH SYSTEM |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Jl Neill | Family Medicine | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Laura K Seaman | Nurse Practitioner | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Linda Jabbari | Family Medicine | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| James R Spieler | Internal Medicine | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Margaret Coplin | Hematology/oncology | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Henry Keiler Bluhm Jr. | Physician Assistant | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Ken V Holt | Obstetrics/gynecology | Lake Regional Health System | 54 Hospital Dr, Suite 201, Osage Beach, MO 65065-3050 |
| John C Brand | Family Medicine | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Brandi N Kincaid | Nurse Practitioner | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Mary A Whitman | Nurse Practitioner | Lake Regional Health System | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Street Address |
441 W ELM ST LAKE REGIONAL OCCUPATIONAL MEDICINE |
| City | LEBANON |
| State | MO |
| Zip | 65536-3523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil R Schwartzman | Internal Medicine | Lake Regional Health System | 441 W Elm St, Lake Regional Occupational Medicine, Lebanon, MO 65536-3523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack D Crocker | Chiropractic | 464 N Jefferson Ave, Lebanon, MO 65536-2742 | |
| Marla C Smith | Optometry | Mattax Neu Prater Eye Center Inc | 430 N Jefferson Ave, Lebanon, MO 65536-2742 |
| James B Mattax Jr. | Ophthalmology | Mattax Neu Prater Eye Center Inc | 430 N Jefferson Ave, Lebanon, MO 65536-2742 |
| Leo T Neu Iii | Ophthalmology | Mattax Neu Prater Eye Center Inc | 430 N Jefferson Ave, Lebanon, MO 65536-2742 |
| Melani A Crocker | Chiropractic | 617 N Jefferson Ave, Lebanon, MO 65536-2745 | |
| Margaret K Swick | Chiropractic | 291 N Adams Ave, Lebanon, MO 65536-3045 | |
| Cylinda L Butler | Optometry | 702 Owens Dr, Lebanon, MO 65536-3501 | |
| Thomas R Whitty | Chiropractic | 702 Owens Dr, Lebanon, MO 65536-3501 | |
| Michael Montgomery | Optometry | 279 E Elm St, Lebanon, MO 65536-3610 | |
| Rose M Sundet | Podiatry | 596 Morton Rd, Lebanon, MO 65536-3648 | |
| Find all physicians in zip 65536 | |||
| City | LEBANON |
| Zip Code | 65536 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LEBANON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Daniel 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.