Jennifer C Johnson (NPI# 1962588384, PAC ID# 6103716998) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962588384 |
| PAC ID by PECOS | 6103716998 |
| Professional Enrollment ID | I20040316001334 |
| Full Name | Jennifer C Johnson |
| Organization Legal Name | ROBERT K DYER MD DERMATOLOGY LLC |
| Address |
3461 S County Trl Suite 202 East Greenwich RI 02818-1463 |
| Phone Number | 4014713376 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1991 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8123290491 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410008 | SOUTH COUNTY HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 | 4014713376 | ROBERT K DYER MD DERMATOLOGY LLC |
| 350 Kingstown Rd, Suite 202, Narragansett, RI 02882-3262 | 4013602970 | ROBERT K DYER MD DERMATOLOGY LLC |
| Organization Legal Name | ROBERT K DYER MD DERMATOLOGY LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meighan D Blanco | Nurse Practitioner | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Lauren J Volpe | Physician Assistant | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Kathryn E Sliney | Physician Assistant | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Lauren E Vieira | Physician Assistant | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Robert K. Dyer | Dermatology | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Vincent D Criscione | Dermatology | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Nancy K Staley | Physician Assistant | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Street Address |
3461 S COUNTY TRL SUITE 202 |
| City | EAST GREENWICH |
| State | RI |
| Zip | 02818-1463 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meighan D Blanco | Nurse Practitioner | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Aaron Weisbord | Cardiovascular Disease (cardiology) | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 103, East Greenwich, RI 02818-1463 |
| Lauren E Houle | Nurse Practitioner | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 201, East Greenwich, RI 02818-1463 |
| David J Broza | Cardiovascular Disease (cardiology) | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 103, East Greenwich, RI 02818-1463 |
| Alexander James Ejzak | Physician Assistant | Silver Spring Health Care Management Inc | 3461 S County Trl, East Greenwich, RI 02818-1465 |
| Brian George Kwetkowski | Family Medicine | 3461 S County Trl, Suite 303, East Greenwich, RI 02818-1463 | |
| Bethany J Knorr | Physician Assistant | Silver Spring Health Care Management Inc | 3461 S County Trl, East Greenwich, RI 02818-1465 |
| Erin Marie Smith | Physician Assistant | Silver Spring Health Care Management Inc | 3461 S County Trl, East Greenwich, RI 02818-1465 |
| Kathleen M Danilczyk | Physician Assistant | Silver Spring Health Care Management Inc | 3461 S County Trl, East Greenwich, RI 02818-1465 |
| Eric B Miller | Urology | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 201, East Greenwich, RI 02818-1463 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Currier Jr. | Nurse Practitioner | Silver Spring Health Care Management, Inc | 3491 S County Trl, East Greenwich, RI 02818 |
| George S Sehl | Internal Medicine | 40 Chestnut Dr, East Greenwich, RI 02818-0150 | |
| Angela R Ciresi | Chiropractic | 3285 S County Trl, East Greenwich, RI 02818-1434 | |
| Olivia A Zebro | Chiropractic | Ciresi Chiropractic | 3285 S County Trl, East Greenwich, RI 02818-1434 |
| Lauren J Volpe | Physician Assistant | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Jennifer Avedisian | Nurse Practitioner | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 301, East Greenwich, RI 02818-1463 |
| Kathryn E Sliney | Physician Assistant | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Jennifer Keryn Enos | Obstetrics/gynecology | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 204, East Greenwich, RI 02818-1463 |
| Neil Brandon | Cardiovascular Disease (cardiology) | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 103, East Greenwich, RI 02818-1463 |
| John Murphy | Cardiovascular Disease (cardiology) | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 103, East Greenwich, RI 02818-1463 |
| Find all physicians in zip 02818 | |||
| City | EAST GREENWICH |
| Zip Code | 02818 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EAST GREENWICH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer C 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.