Tara L Johnson (NPI# 1194261479, PAC ID# 5597049379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194261479 |
| PAC ID by PECOS | 5597049379 |
| Professional Enrollment ID | I20170222000997 |
| Full Name | Tara L Johnson |
| Organization Legal Name | TRINITY MEDICAL CENTER |
| Address |
4500 Utica Ridge Rd Bettendorf IA 52722-1626 |
| Phone Number | 5637423180 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264337518 |
| Number of Group Practice Members | 126 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140280 | TRINITY - ROCK ISLAND |
| Address | Phone | Organization |
|---|---|---|
| 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | 5637423180 | TRINITY MEDICAL CENTER |
| 1100 36th Ave, Moline, IL 61265-7127 | 3097436700 | CARDIOVASCULAR MEDICINE PC |
| 2701 17 St, Rock Island, IL 61201-5351 | 3097795000 | TRINITY MEDICAL CENTER |
| Organization Legal Name | TRINITY MEDICAL CENTER |
| Physicians | 115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry J Stambaugh | Clinical Social Worker | Trinity Medical Center | 4600 3rd St, Moline, IL 61265-6106 |
| Quang T Nguyen | Internal Medicine | Trinity Medical Center | 2701 17 St, Rock Island, IL 61201-5351 |
| Joseph Michael Bertroche | Psychiatry | Trinity Medical Center | 4622 Progress Dr, Davenport, IA 52807-3426 |
| Ubaid Ur Sherwani | Internal Medicine | Trinity Medical Center | 2701 17 St, Rock Island, IL 61201-5351 |
| Megan K Varcho | Nurse Practitioner | Trinity Medical Center | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 |
| Vijayalakshmi Mukkamalla | Internal Medicine | Trinity Medical Center | 2701 17 St, Rock Island, IL 61201-5351 |
| Megan E Pikuza | Nurse Practitioner | Trinity Medical Center | 2701 17 St, Rock Island, IL 61201-5351 |
| Julie Lynn Voelker | Family Medicine | Trinity Medical Center | 2701 17 St, Rock Island, IL 61201-5351 |
| Muhammad Yasir Khan | Internal Medicine | Trinity Medical Center | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 |
| Udaya Shreesha | Pulmonary Disease | Trinity Medical Center | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 |
| Street Address |
4500 UTICA RIDGE RD |
| City | BETTENDORF |
| State | IA |
| Zip | 52722-1626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suhas V Kalghatgi | Anesthesiology | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | |
| Rimas Nemickas | Anesthesiology | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | |
| Megan K Varcho | Nurse Practitioner | Trinity Medical Center | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 |
| Muhammad Yasir Khan | Internal Medicine | Trinity Medical Center | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 |
| Tarikere Lp Kumar | Anesthesiology | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | |
| Udaya Shreesha | Pulmonary Disease | Trinity Medical Center | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 |
| Jason J Deutmeyer | General Surgery | Iowa Physicians Clinic Medical Foundation | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 |
| Kimberly N Mcevoy | Nurse Practitioner | Trinity Medical Center | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 |
| John J Vanstraten | Anesthesiology | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | |
| Thomas R Staley | Family Medicine | Trinity Medical Center | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua D Blunt | Chiropractic | 2500 18th St, Bettendorf, IA 52722-0301 | |
| Gary E Anderson | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Whitney R Hess | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Sandra K Droessler | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Marc E Hoskins | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Robert J Knudson | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Robert D Mixsell | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Anna M Hansen | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Areeba F Ahsan | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Christina L Thornburg | Nurse Practitioner | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Find all physicians in zip 52722 | |||
| City | BETTENDORF |
| Zip Code | 52722 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BETTENDORF + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tara 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.