Dustin L Johnson (NPI# 1033439492, PAC ID# 7012104763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1033439492 |
| PAC ID by PECOS | 7012104763 |
| Professional Enrollment ID | I20160928000467 |
| Full Name | Dustin L Johnson |
| Organization Legal Name | SOMC MEDICAL CARE FOUNDATION, INC. |
| Address |
1805 27th St Portsmouth OH 45662-2640 |
| Phone Number | 7403568681 |
| Gender | M |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436061645 |
| Number of Group Practice Members | 175 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360008 | SOUTHERN OHIO MEDICAL CENTER |
| 180009 | KING'S DAUGHTERS' MEDICAL CENTER |
| 360361 | KINGS DAUGHTERS MEDICAL CENTER OHIO |
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1805 27th St, Portsmouth, OH 45662-2640 | 7403568681 | SOMC MEDICAL CARE FOUNDATION, INC. |
| 207 Plummers Ln, Vanceburg, KY 41179-7683 | 6067960010 | SOMC MEDICAL CARE FOUNDATION, INC. |
| Organization Legal Name | SOMC MEDICAL CARE FOUNDATION, INC. |
| Physicians | 164 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahat S Azfar | Dermatology | Somc Medical Care Foundation, Inc. | 1735 27th St, Suite 308, Portsmouth, OH 45662-2679 |
| Jonathan Ballard | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 835 W Emmitt Ave, Waverly, OH 45690-1190 |
| Natosha L Staggs | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 90 Cic Blvd, West Union, OH 45693-8024 |
| Christopher C Wiler | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 952 State Route 2, Greenup, KY 41144-7999 |
| Geoffrey V Martin | Radiation Oncology | Somc Medical Care Foundation, Inc. | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 |
| Nicholas Toppins | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 835 Emmitt Ave, Waverly, OH 45690-1190 |
| Brandy Jo Branham | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 15888a Us 52 Hwy, West Portsmouth, OH 45663 |
| David K Byers | Infectious Disease | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Paul D Rase | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 8792 State Route 335, Minford, OH 45653-8698 |
| Justin D Nolen | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 10 Thomas Hollow Rd, Lucasville, OH 45648-8889 |
| Street Address |
1805 27TH ST |
| City | PORTSMOUTH |
| State | OH |
| Zip | 45662-2640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dalkeith F Tucker | Emergency Medicine | Epmg of Ohio Inc Pa | 1805 27th St, Portsmouth, OH 45662-2640 |
| Shayna B Tomchin | Pathology | Somc Medical Care Foundation, Inc. | 1805 27th St, Portsmouth, OH 45662-2640 |
| Loretta A Settonni | Diagnostic Radiology | Somc Medical Care Foundation, Inc. | 1805 27th St, Portsmouth, OH 45662-2640 |
| Adam A Wilson | Certified Registered Nurse Anesthetist (crna) | Somc Medical Care Foundation, Inc. | 1805 27th St, Portsmouth, OH 45662-2640 |
| Jessica S Suber | Plastic and Reconstructive Surgery | Somc Medical Care Foundation, Inc. | 1805 27th St, Portsmouth, OH 45662-2640 |
| Michael L Purdy | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 1805 27th St, Portsmouth, OH 45662-2640 |
| Adam D Evans | Interventional Radiology | Somc Medical Care Foundation, Inc. | 1805 27th St, Portsmouth, OH 45662-2640 |
| Praveena Coimbatore | Hospitalist | Apogee Medical Group Ohio Inc | 1805 27th St, Portsmouth, OH 45662-2640 |
| Jami Michelle Lyon | Diagnostic Radiology | Somc Medical Care Foundation, Inc. | 1805 27th St, Portsmouth, OH 45662-2640 |
| Angel R Ali | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 1805 27th St, Portsmouth, OH 45662-2640 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul S Cwikla | Podiatry | 1605 E Eleventh St, Portsmouth, OH 45662 | |
| David K Byers | Infectious Disease | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Ryan F Sandlin | Obstetrics/gynecology | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Zachary Harr | Physician Assistant | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Reena Samuel | Nephrology | Southern Ohio Nephrology, Inc. | 1711 27th St, Portsmouth, OH 45662-2638 |
| Ernesto Espe Banalagay | Nephrology | Southern Ohio Nephrology, Inc. | 1711 27th St, Portsmouth, OH 45662-2638 |
| Tiffany L Harris | Certified Nurse Midwife (cnm) | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Joseph W Herrmann | Vascular Surgery | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Phillip D Roberts | Family Medicine | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Jeffrey E Parker | General Surgery | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Find all physicians in zip 45662 | |||
| City | PORTSMOUTH |
| Zip Code | 45662 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PORTSMOUTH + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Dustin L 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.