Larry Dean Johnson (NPI# 1669448155, PAC ID# 6305744632) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1669448155 |
| PAC ID by PECOS | 6305744632 |
| Professional Enrollment ID | I20051114000649 |
| Full Name | Larry Dean Johnson |
| Address |
1510 Hancock Bridge Pkwy Suite 6 Cape Coral FL 33990-1715 |
| Gender | M |
| Credential | DC |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1986 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1510 Hancock Bridge Pkwy, Suite 6, Cape Coral, FL 33990-1715 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
| Street Address |
1510 HANCOCK BRIDGE PKWY SUITE 6 |
| City | CAPE CORAL |
| State | FL |
| Zip | 33990-1715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois M Harriman | Nurse Practitioner | Saluscare, Inc | 1105 Cultural Park Blvd, Cape Coral, FL 33990-1217 |
| Sarajane Johnson | Nurse Practitioner | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Nicola Mckellop | Nurse Practitioner | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Kimberly A Burgess | Physician Assistant | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Carole Mclane | General Practice | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Khoa Dang Nguyen | Podiatry | Family Foot and Leg Center Pa | 530 Se 16th Pl, Suite A, Cape Coral, FL 33990-1656 |
| Edward Frank Drass | Family Medicine | 530 Se 16th Place, Suite B, Cape Coral, FL 33990-1656 | |
| Jose F Perez | Internal Medicine | 602 Se 16th Pl, Cape Coral, FL 33990-1684 | |
| Ariel Figueredo | Obstetrics/gynecology | 602 Se16th Pl, Cape Coral, FL 33990-1684 | |
| Arun Kumar Penukonda | General Surgery | 323 Del Prado Blvd S, Suite 100, Cape Coral, FL 33990-1747 | |
| Find all physicians in zip 33990 | |||
| City | CAPE CORAL |
| Zip Code | 33990 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CAPE CORAL + CHIROPRACTIC |
Please comment or provide details below to improve the information on Larry Dean 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.