Sally A Johnson (NPI# 1457336224, PAC ID# 7214951730) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457336224 |
| PAC ID by PECOS | 7214951730 |
| Professional Enrollment ID | I20070627000223 |
| Full Name | Sally A Johnson |
| Organization Legal Name | ST CROIX REGIONAL FAMILY HEALTH CENTER |
| Address |
136 Mill St Princeton ME 04668-3344 |
| Phone Number | 2077965503 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577524024 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201305 | CALAIS REGIONAL HOSPITAL |
| 200001 | ST JOSEPH HOSPITAL |
| 200033 | EASTERN MAINE MEDICAL CENTER |
| 201311 | DOWN EAST COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 136 Mill St, Princeton, ME 04668-3344 | 2077965503 | ST CROIX REGIONAL FAMILY HEALTH CENTER |
| Organization Legal Name | ST CROIX REGIONAL FAMILY HEALTH CENTER |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A White | Psychiatry | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Janice S Small | Nurse Practitioner | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Lawrence Crystal | Podiatry | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Phylicia J Bonavida | Nurse Practitioner | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Tara C L Dwelley | Nurse Practitioner | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Mark D Kaplan | Family Medicine | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Street Address |
136 MILL ST |
| City | PRINCETON |
| State | ME |
| Zip | 04668-3344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi L Cooley | Chiropractic | Creekside Chiropractic Center LLC | 136 Mill St, Suite 120, Gahanna, OH 43230-3059 |
| Christine A White | Psychiatry | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Janice S Small | Nurse Practitioner | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Lawrence Crystal | Podiatry | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Phylicia J Bonavida | Nurse Practitioner | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Michael A Fisher | Chiropractic | Creekside Chiropractic Center LLC | 136 Mill St, Suite 120, Gahanna, OH 43230-3059 |
| Tara C L Dwelley | Nurse Practitioner | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| Mark D Kaplan | Family Medicine | St Croix Regional Family Health Center | 136 Mill St, Princeton, ME 04668-3344 |
| City | PRINCETON |
| Zip Code | 04668 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PRINCETON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sally 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.