Spencer A Johnson (NPI# 1881692549, PAC ID# 6709926017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1881692549 |
| PAC ID by PECOS | 6709926017 |
| Professional Enrollment ID | I20100910001071 |
| Full Name | Spencer A Johnson |
| Organization Legal Name | MEDICAL CARE SERVICES, PA |
| Address |
900 Long Lake Rd Suite 160 New Brighton MN 55112-6414 |
| Phone Number | 6127069630 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890865463 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| 240115 | MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6414 | 6127069630 | MEDICAL CARE SERVICES, PA |
| Organization Legal Name | MEDICAL CARE SERVICES, PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy C Symons | Psychologist, Clinical | Medical Care Services, Pa | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6414 |
| Laura A Stephan | Psychologist, Clinical | Medical Care Services, Pa | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6414 |
| Jessica M Dresden | Clinical Psychologist | Medical Care Services, Pa | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6414 |
| Jennifer Dj Hobbs | Clinical Psychologist | Medical Care Services, Pa | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6414 |
| Jessica A Davis | Clinical Psychologist | Medical Care Services, Pa | 900 Long Lake Rd, New Brighton, MN 55112-6414 |
| Street Address |
900 LONG LAKE RD SUITE 160 |
| City | NEW BRIGHTON |
| State | MN |
| Zip | 55112-6414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara A Hanson | Psychologist, Clinical | Arden Woods Psychological Services Pa | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 |
| Cheryl L Schultz | Psychologist, Clinical | Arden Woods Psychological Services Pa | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 |
| Jeffrey Scott Berryhill | Psychologist, Clinical | Arden Woods Psychological Services Pa | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 |
| Mathew W Schultz | Psychologist, Clinical | Arden Woods Psychological Services Pa | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 |
| Rebecca L Hern | Psychologist, Clinical | Arden Woods Psychological Services Pa | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 |
| Thomas S Hainlen | Psychologist, Clinical | Arden Woods Psychological Services Pa | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 |
| Stacy C Symons | Psychologist, Clinical | Medical Care Services, Pa | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6414 |
| Laura A Stephan | Psychologist, Clinical | Medical Care Services, Pa | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6414 |
| Loren P Hubin | Psychologist, Clinical | Arden Woods Psychological Services Pa | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 |
| Jordan A. Lindh | Psychologist, Clinical | Arden Woods Psychological Services Pa | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol O Lascotte | Chiropractic | 5372 Edgewood Dr, Mounds View, MN 55112-1402 | |
| Gregory B Belting | Chiropractic | 5372 Edgewood Dr, Saint Paul, MN 55112-1402 | |
| Nathan T Hockert | Physician Assistant | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Bethany Gavic | Clinical Social Worker | Nystrom and Associates, Ltd | 1900 Silver Lake Nwrd, Suite 110, New Brighton, MN 55112-1789 |
| Sheeba Rahman | Psychiatry | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Amanda C Drewek | Physician Assistant | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Kathleen A Spiry | Clinical Social Worker | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Lauren N Uslinov | Psychiatry | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Sarah G Hanson | Clinical Social Worker | Family Support Services Inc | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Sarah Gross | Clinical Social Worker | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Find all physicians in zip 55112 | |||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEW BRIGHTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Spencer 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.