Robert L Johnson (NPI# 1184686073, PAC ID# 7012965536) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1184686073 |
| PAC ID by PECOS | 7012965536 |
| Professional Enrollment ID | I20190603000659 |
| Full Name | Robert L Johnson |
| Organization Legal Name | GLIDDEN PARK INPATIENT SERVICES, LLC |
| Address |
1700 S 23rd St Fort Pierce FL 34950-4803 |
| Phone Number | 7724614000 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355502758 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450083 | EAST TEXAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 3056827000 | DIXIE HIGHWAY INPATIENT SERVICES,LLC |
| 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 7724614000 | GLIDDEN PARK INPATIENT SERVICES, LLC |
| Organization Legal Name | GLIDDEN PARK INPATIENT SERVICES, LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina M Seus | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Margaret E. Mgbemena | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Jose A Izquierdo Diaz | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Deep Bharatbhai Patel | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Marvin Ishmeal Cohen | Nurse Practitioner | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| John S Lau | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Elvys Sacerio Valcarcel | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| George A Garcia | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Jason M Lakatos | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Milagros Rivera | Physician Assistant | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Street Address |
1700 S 23RD ST |
| City | FORT PIERCE |
| State | FL |
| Zip | 34950-4803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia M Wilson | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Eric T Stanley | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Sabrina M Seus | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Brian L Fisher | Anesthesiology | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Margaret E. Mgbemena | Internal Medicine | Glidden Park Inpatient Services, LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Hillary L Tipton | Physician Assistant | Lawnwood Healthcare Specialists LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Paul Njeru | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Melissa G Tucker | Nurse Practitioner | Fl-i Medical Services LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Jesus E Viloria | Pathology | Quality Pathology Group Inc | 1700 S 23rd St, Ft Pierce, FL 34950-4803 |
| Jerry K Wilson | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ziad Marjieh | Cardiovascular Disease (cardiology) | 1801 Se Hillmoor Dr, B109, Port Saint Lucie, FL 34950 | |
| Wilhelmina Lewis | Family Medicine | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Serge Volma Valme | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Sarang Hadaegh | General Practice | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Rene Leyva Quevedo | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Reinaldo Hernandez Silva | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Gladys Duarte | General Practice | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Anitra G Brown | Obstetrics/gynecology | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Arlene Morrison | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Lola B. Harrison | Nurse Practitioner | Florida Community Health Centers Inc | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 |
| Find all physicians in zip 34950 | |||
| City | FORT PIERCE |
| Zip Code | 34950 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FORT PIERCE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Robert 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.