Amy S Johnson (NPI# 1245292853, PAC ID# 7315075140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245292853 |
| PAC ID by PECOS | 7315075140 |
| Professional Enrollment ID | I20100514000323 |
| Full Name | Amy S Johnson |
| Organization Legal Name | BLUE HERON MEDICAL GROUP LLC |
| Address |
305 10th St Suite 101 Pocomoke City MD 21851-1607 |
| Phone Number | 4109573005 |
| Gender | F |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577518414 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210019 | PENINSULA REGIONAL MEDICAL CENTER |
| 210045 | MCCREADY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 | 4109573005 | BLUE HERON MEDICAL GROUP LLC |
| Organization Legal Name | BLUE HERON MEDICAL GROUP LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul R Fleury | Internal Medicine | Blue Heron Medical Group LLC | 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 |
| Joshua Steven Brewer | Family Medicine | Blue Heron Medical Group LLC | 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 |
| Mary L Fleury | Internal Medicine | Blue Heron Medical Group LLC | 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 |
| Street Address |
305 10TH ST SUITE 101 |
| City | POCOMOKE CITY |
| State | MD |
| Zip | 21851-1607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul R Fleury | Internal Medicine | Blue Heron Medical Group LLC | 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 |
| Joshua Steven Brewer | Family Medicine | Blue Heron Medical Group LLC | 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 |
| Mary L Fleury | Internal Medicine | Blue Heron Medical Group LLC | 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesus G Santiano | General Practice | 100 8th St, Pocomoke City, MD 21851-1129 | |
| Dennis A Cuzzo | Chiropractic | 100 8th St, Pocomoke City, MD 21851-1129 | |
| Kathryn J Wool | Registered Dietitian Or Nutrition Professional | Worcester County Health Department | 400 Walnut St A, Pocomoke City, MD 21851-1501 |
| Frank L Weidema | Optometry | 1518 Market St, Pocomoke City, MD 21851-1712 | |
| James Robert Nickol | Optometry | Dr James R Nickol Dr Frank L Weidema Optometrists Pa | 1518 Market St, Pocomoke City, MD 21851-1712 |
| Stephanie Howard | Nurse Practitioner | Everest Medical Center P A | 1604 Market St, Pocomoke City, MD 21851-1714 |
| Sarad Raj Baral | Internal Medicine | Everest Medical Center P A | 1604 Market St, Pocomoke City, MD 21851-1714 |
| City | POCOMOKE CITY |
| Zip Code | 21851 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | POCOMOKE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Amy 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.