Marla S Johnson (NPI# 1104821982, PAC ID# 5698822930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104821982 |
| PAC ID by PECOS | 5698822930 |
| Professional Enrollment ID | I20090402000506 |
| Full Name | Marla S Johnson |
| Organization Legal Name | SUMMIT MEDICAL GROUP INC |
| Address |
1 Medical Village Dr Edgewood KY 41017-3403 |
| Phone Number | 8593012237 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2163326240 |
| Number of Group Practice Members | 471 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Village Dr, Edgewood, KY 41017-3403 | 8593012237 | SUMMIT MEDICAL GROUP INC |
| 900 Medical Village Dr, Edgewood, KY 41017-3422 | 8593310774 | SUMMIT MEDICAL GROUP INC |
| Organization Legal Name | SUMMIT MEDICAL GROUP INC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy J Metzger | Family Practice | Summit Medical Group Inc | 1980 Litton Lane, Hebron, KY 41048-8669 |
| Rae Elizagaray | Registered Dietitian Or Nutrition Professional | Summit Medical Group Inc | 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673 |
| Amy Riegler | Nurse Practitioner | Summit Medical Group Inc | 350 Thomas More Pkwy, Suite 280, Crestview Hills, KY 41017-5460 |
| Ivy L Sheehan | Registered Dietitian Or Nutrition Professional | Summit Medical Group Inc | 2300 Chamber Ctr Dr, Suite 200, Lakeside Park, KY 41017-1673 |
| Annette Reynolds | Psychiatry | Summit Medical Group Inc | 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673 |
| Bradley G Mullen | Pain Management | Summit Medical Group Inc | 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673 |
| Martin J Clements | Family Practice | Summit Medical Group Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Susan M Yelich | General Surgery | Summit Medical Group Inc | 2300 Chamber Ctr Dr, Suite 100, Fort Mitchell, KY 41017-1673 |
| Andrew E-kong Chang | Obstetrics/gynecology | Summit Medical Group Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Steve Brook | Family Practice | Summit Medical Group Inc | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Street Address |
1 MEDICAL VILLAGE DR |
| City | EDGEWOOD |
| State | KY |
| Zip | 41017-3403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Maggie A Raskin | Certified Registered Nurse Anesthetist (crna) | Anesthesia Group Practice Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Karl M Schmitt | Family Medicine | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Victor Schmelzer | Cardiac Surgery | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Alice Roberta Hall | Internal Medicine | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Kenneth K Dean | Certified Registered Nurse Anesthetist (crna) | Anesthesia Group Practice Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Shannon K Bentley | Family Medicine | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| John F Wellbrock | Certified Registered Nurse Anesthetist (crna) | Anesthesia Group Practice Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Richard Larry Gaston | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Colleen Marie Darnell | Hematology/oncology | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latasha M Swafford | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Erina T Emerson | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Dawna M Kennedy | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Kelly Reitzes | Optometry | Wing Eyecare, Inc. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Paul T Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Jamie Daniels Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Gena Grigson | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Geraldine E Elliott | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Merle C Helgeson | Chiropractic | 570 Buttermilk Pike, Crescent Springs, KY 41017-1635 | |
| Monica K Sullivan | Family Medicine | Christ Hospital Medical Associates, II LLC | 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669 |
| Find all physicians in zip 41017 | |||
| City | EDGEWOOD |
| Zip Code | 41017 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EDGEWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marla S 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.