Carl R Johnson (NPI# 1275525701, PAC ID# 6103805544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1275525701 |
| PAC ID by PECOS | 6103805544 |
| Professional Enrollment ID | I20040719000508 |
| Full Name | Carl R Johnson |
| Address |
500 Health Ctr Dr Matton IL 61938-9258 |
| Phone Number | 2172584080 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| 140032 | ST ANTHONYS MEMORIAL HOSPITAL |
| 140053 | ST JOHNS HOSPITAL |
| 140091 | THE CARLE FOUNDATION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Health Ctr Dr, Matton, IL 61938-9258 | 2172584080 | |
| 500 Health Ctr Dr, Suite 104, Matton, IL 61938-9258 | 2172584080 |
| Street Address |
500 HEALTH CTR DR |
| City | MATTON |
| State | IL |
| Zip | 61938-9258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Helms | Chiropractic | 1804 Broadway Ave, Mattoon, IL 61938-3806 | |
| Terry A Ward | Chiropractic | 1616 Lafayette Ave, Mattoon, IL 61938-3926 | |
| Hunter D Hout | Chiropractic | 905 Remington Rd, Mattoon, IL 61938-4210 | |
| Garrett B Buell | Chiropractic | 905 Remington Rd, Mattoon, IL 61938-4210 | |
| Jamie Devon Stephens | Chiropractic | 801 Broadway Ave, Mattoon, IL 61938-4211 | |
| William S Selvidge | Chiropractic | 608 Broadway Ave, Mattoon, IL 61938-4321 | |
| Tina M Funk | Optometry | 420 Broadway Ave E, Mattoon, IL 61938-4604 | |
| Lars A Gentry | Optometry | 420 Broadway Ave E, Mattoon, IL 61938-4604 | |
| Rachel Stuckey | Clinical Social Worker | Coles County Mental Health Association Inc | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
| Zehra I Rowjee | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
| Find all physicians in zip 61938 | |||
| City | MATTON |
| Zip Code | 61938 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MATTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Carl R 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.