Johnnie A Ham (NPI# 1982687430, PAC ID# 5193807790) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1982687430 |
PAC ID by PECOS | 5193807790 |
Professional Enrollment ID | I20080204000503 |
Full Name | Johnnie A Ham |
Address |
575 Price St Suite 313 Pismo Beach CA 93449-2553 |
Gender | M |
Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
Graduation Year | 1999 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Secondary Specialties | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050107 | MARIAN REGIONAL MEDICAL CENTER |
050232 | FRENCH HOSPITAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
575 Price St, Suite 313, Pismo Beach, CA 93449-2553 |
Street Address |
575 PRICE ST SUITE 313 |
City | PISMO BEACH |
State | CA |
Zip | 93449-2553 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wendy E Weiss | Family Medicine | 575 Price St, Suite 101, Pismo Beach, CA 93449-2553 | |
Sarah A Cole | Nurse Practitioner | Coastal Prestige Medical Services, Inc | 575 Price St, Suite 313, Pismo Beach, CA 93449-2553 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert Evans | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 931 Oat Park Blvd, Suite 101, Pismo Beach, CA 93449 |
Igor J Nastaskin | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 931 Oat Park Blvd, Suite 101, Pismo Beach, CA 93449 |
Max M Maude | Physician Assistant | Timothy H Jones Md Inc | 302 Vista Del Mar Ave, Shell Beach, CA 93449-1833 |
Andrew Peterson | Chiropractic | 1251 Shell Beach Rd, Pismo Beach, CA 93449-1953 | |
Rand C Ritchie | Psychiatry | 354 Main St, Suite C, Pismo Beach, CA 93449-2581 | |
Denise M Dritsas | Psychologist, Clinical | 310 James Way, Suite 150, Pismo Beach, CA 93449-2877 | |
Ann Marie Donnelly | Psychologist, Clinical | 310 James Way, Suite 110, Pismo Beach, CA 93449-2877 | |
Kristyn Collins | Psychologist, Clinical | 310 James Way, Suite 150, Pismo Beach, CA 93449-2877 | |
Pierre G Labrecque | Dermatology | 340 James Way, Suite 140, Pismo Beach, CA 93449-2880 | |
Gina Marie Rotondo | Speech Language Pathologist | 320 James Way, Pismo Beach, CA 93449-2888 | |
Find all physicians in zip 93449 |
City | PISMO BEACH |
Zip Code | 93449 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | PISMO BEACH + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Johnnie A Ham.
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.