Carmen L Johnson (NPI# 1770524258, PAC ID# 8224009790) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1770524258 |
| PAC ID by PECOS | 8224009790 |
| Professional Enrollment ID | I20081226000164 |
| Full Name | Carmen L Johnson |
| Organization Legal Name | SHERIDAN MEMORIAL HOSPITAL ASSOCIATION |
| Address |
440 W Laurel Ave Plentywood MT 59254-1526 |
| Phone Number | 4067651420 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF SASKATCHEWAN COLLEGE OF DENTISTRY |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9133038706 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241308 | LAKE VIEW MEMORIAL HOSPITAL |
| 241317 | COOK COUNTY NORTHSHORE HOSPITAL |
| 271322 | SHERIDAN MEMORIAL HOSPTIAL |
| Address | Phone | Organization |
|---|---|---|
| 440 W Laurel Ave, Plentywood, MT 59254-1526 | 4067651420 | SHERIDAN MEMORIAL HOSPITAL ASSOCIATION |
| Organization Legal Name | SHERIDAN MEMORIAL HOSPITAL ASSOCIATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Graham | Physician Assistant | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Brenda D Koessl | Nurse Practitioner | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Adam W Graham | Physician Assistant | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Jenna L Thomas | Nurse Practitioner | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Street Address |
440 W LAUREL AVE |
| City | PLENTYWOOD |
| State | MT |
| Zip | 59254-1526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk Stoner | Family Practice | 448 W Laurel Ave, Plentywood, MT 59254-0217 | |
| Lynn M Graham | Physician Assistant | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Brenda D Koessl | Nurse Practitioner | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Adam W Graham | Physician Assistant | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Jenna L Thomas | Nurse Practitioner | Sheridan Memorial Hospital Association | 440 W Laural Ave, Plentywood, MT 59254-1526 |
| Diane E Savage | Certified Clinical Nurse Specialist (cns) | Eastern Montana Community Mental Health Center | 100 W Laurel, Plentywood, MT 59254-1647 |
| City | PLENTYWOOD |
| Zip Code | 59254 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PLENTYWOOD + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Carmen 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.