Valerie J Johnson (NPI# 1629227434, PAC ID# 6709047798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629227434 |
| PAC ID by PECOS | 6709047798 |
| Professional Enrollment ID | I20120419000044 |
| Full Name | Valerie J Johnson |
| Organization Legal Name | DUKES PHYSICIAN SERVICES LLC |
| Address |
1000 N Broadway Peru IN 46970-1070 |
| Phone Number | 7654725335 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375508211 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151318 | DUKES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 N Broadway, Peru, IN 46970-1070 | 7654725335 | DUKES PHYSICIAN SERVICES LLC |
| 807 N Cass St B, Wabash, IN 46992-1613 | 2605633300 | DUKES PHYSICIAN SERVICES LLC |
| Organization Legal Name | DUKES PHYSICIAN SERVICES LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Drancik | Internal Medicine | Dukes Physician Services LLC | 275 W 12th St, Peru, IN 46970-1655 |
| Elizabeth E Wolfe | Registered Dietitian Or Nutrition Professional | Dukes Physician Services LLC | 285 W 12th, Suite 105, Peru, IN 46970-1654 |
| Lisa A Greenway | Qualified Audiologist | Dukes Physician Services LLC | 285 W 12th St, Suite 205, Peru, IN 46970-1654 |
| Mark Meyer | Family Practice | Dukes Physician Services LLC | 807 N Cass St B, Wabash, IN 46992-1613 |
| June H Pollydore | Obstetrics/gynecology | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
| Charles Richard Kershner | Orthopedic Surgery | Dukes Physician Services LLC | 1395 N Baldwin Ave, Marion, IN 46952-1913 |
| Nathan A Epp | General Surgery | Dukes Physician Services LLC | 285 W 12th St, Suite 112, Peru, IN 46970-1654 |
| Takunda Smile Mugwisi | Obstetrics/gynecology | Dukes Physician Services LLC | 285 W 12th St, Suite 205, Peru, IN 46970-1654 |
| Russel Legreid | Otolaryngology | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
| Michael J Brumfield | General Surgery | Dukes Physician Services LLC | 285 W 12th St, Suite 112, Peru, IN 46970-1654 |
| Street Address |
1000 N BROADWAY |
| City | PERU |
| State | IN |
| Zip | 46970-1070 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| June H Pollydore | Obstetrics/gynecology | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
| Russel Legreid | Otolaryngology | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
| Ann V Collie | Endocrinology | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
| Christine Lynn Romack | Nurse Practitioner | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
| Mark D Crowley | Internal Medicine | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
| Lacy Georgette Ireland | Nurse Practitioner | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyson C Damitz | Physical Therapy | Ivyrehab Physical Therapy Pllc | 5 Broadway Plz, Peru, IN 46970-1052 |
| Letecia D Timmel | Clinical Social Worker | Four County Comprehensive Mental Health Center Inc | 1000 N Broadway A, Peru, IN 46970-1070 |
| Leslie Michelle Guy | Clinical Social Worker | Four County Comprehensive Mental Health Center Inc | 1000 N Broadway A, Peru, IN 46970-1070 |
| Steven M Carney | Clinical Social Worker | Four County Comprehensive Mental Health Center Inc | 1000 N Broadway A, Peru, IN 46970-1070 |
| Christina J Waddups | Clinical Social Worker | Four County Comprehensive Mental Health Center Inc | 1000 N Broadway A, Peru, IN 46970-1070 |
| Bonnie Rosa Miltenberger | Nurse Practitioner | Four County Comprehensive Mental Health Center Inc | 1000 N Broadway A, Peru, IN 46970-1070 |
| Gregory Quin | Internal Medicine | 302 N Duke St, Peru, IN 46970-1520 | |
| Elizabeth E Wolfe | Registered Dietitian Or Nutrition Professional | Dukes Physician Services LLC | 285 W 12th, Suite 105, Peru, IN 46970-1654 |
| Lisa A Greenway | Qualified Audiologist | Dukes Physician Services LLC | 285 W 12th St, Suite 205, Peru, IN 46970-1654 |
| Nathan A Epp | General Surgery | Dukes Physician Services LLC | 285 W 12th St, Suite 112, Peru, IN 46970-1654 |
| Find all physicians in zip 46970 | |||
| City | PERU |
| Zip Code | 46970 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PERU + NURSE PRACTITIONER |
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| 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.