Kimberly A Johnson (NPI# 1407887755, PAC ID# 5991761520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1407887755 |
| PAC ID by PECOS | 5991761520 |
| Professional Enrollment ID | I20041206000937 |
| Full Name | Kimberly A Johnson |
| Address |
902 Ave D Suite 102b Gothenburg NE 69138-1955 |
| Gender | F |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2004 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 902 Ave D, Suite 102b, Gothenburg, NE 69138-1955 |
| Street Address |
902 AVE D SUITE 102B |
| City | GOTHENBURG |
| State | NE |
| Zip | 69138-1955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann M Scott | Nurse Practitioner | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
| Michael P Crisman | Physician Assistant | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
| Michelle K Chew | Nurse Practitioner | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
| Laurel A Walton | Obstetrics/gynecology | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
| Carol Lea Shackleton | Family Medicine | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
| Kayla S Knauss | Family Medicine | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
| Douglas W Beard | Orthopedic Surgery | Front Range Center for Brain and Spine Surgery, PC. | 910 20th St, Gothenburg, NE 69138-1237 |
| Aaron Isaiah Salomon | Physician Assistant | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
| Tiffany A Hicken | Chiropractic | 512 10th Ave, Gothenberg, NE 69138-1924 | |
| John A Gosnell | Optometry | 829 Lake Ave, Gothenburg, NE 69138-1943 | |
| Find all physicians in zip 69138 | |||
| City | GOTHENBURG |
| Zip Code | 69138 |
| Specialty | OPTOMETRY |
| City + Specialty | GOTHENBURG + OPTOMETRY |
Please comment or provide details below to improve the information on Kimberly A 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.