Jordan S Johnson (NPI# 1851682470, PAC ID# 6901127687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1851682470 |
| PAC ID by PECOS | 6901127687 |
| Professional Enrollment ID | I20170519000717 |
| Full Name | Jordan S Johnson |
| Organization Legal Name | RETINA CONSULTANTS OF OKLAHOMA PLLC |
| Address |
9913 S May Ave C Oklahoma City OK 73159-7003 |
| Phone Number | 4056910505 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2011 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7719160472 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370028 | INTEGRIS BAPTIST MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 9913 S May Ave C, Oklahoma City, OK 73159-7003 | 4056910505 | RETINA CONSULTANTS OF OKLAHOMA PLLC |
| Organization Legal Name | RETINA CONSULTANTS OF OKLAHOMA PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance Scott | Ophthalmology | Retina Consultants of Oklahoma Pllc | 9913 S May Ave C, Oklahoma City, OK 73159-7003 |
| Street Address |
9913 S MAY AVE C |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73159-7003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance Scott | Ophthalmology | Retina Consultants of Oklahoma Pllc | 9913 S May Ave C, Oklahoma City, OK 73159-7003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheng Lun Soo | Orthopedic Surgery | Oklahoma Center for Spine and Pain Solutions PC | 9821 S May Ave, Suite B, Oklahoma City, OK 73159-1042 |
| Sasipha N Pahamark | Nurse Practitioner | Oklahoma Center for Spine and Pain Solutions PC | 9821 S May Ave, Suite B, Oklahoma City, OK 73159-1042 |
| Paul B Snowden | Optometry | 7200 S Penn Ave, Suite D, Oklahoma City, OK 73159-3336 | |
| Alicia M York | Physician Assistant | Bdc Medical Pllc | 2209 Sw 74th St, Suite 322, Oklahoma City, OK 73159-3929 |
| Blake D Christensen | Pain Management | Bdc Medical Pllc | 2209 Sw 74th St, Suite 322, Oklahoma City, OK 73159-3929 |
| Debora K Balfour | Chiropractic | 8501 S Pennsylvania Ave, Oklahoma City, OK 73159-5206 | |
| Philip R Martinez | Chiropractic | 7709 S Pennsylvania Ave, Oklahoma City, OK 73159-5218 | |
| Shannon R Miller | Nurse Practitioner | Integris Ambulatory Care Corporation | 8600 S Pennsylvania Ave, Integris Fam Care South Penn, Oklahoma City, OK 73159-5233 |
| Peter P Chan | Family Medicine | Integris Ambulatory Care Corporation | 8600 S Pennsylvania Ave, Integris Fam Care South Penn, Oklahoma City, OK 73159-5233 |
| Hoang Nguyen | Family Medicine | Integris Ambulatory Care Corporation | 8600 S Pennsylvania Ave, Integris Fam Care South Penn, Oklahoma City, OK 73159-5233 |
| Find all physicians in zip 73159 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | OKLAHOMA CITY + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jordan S 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.