Shantae M Johnson (NPI# 1750872487, PAC ID# 8426307430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750872487 |
| PAC ID by PECOS | 8426307430 |
| Professional Enrollment ID | I20180824001455 |
| Full Name | Shantae M Johnson |
| Organization Legal Name | BRONSON BATTLE CREEK HOSPITAL |
| Address |
4441 Capital Ave Sw Bronson Urology Specialists Battle Creek MI 49015-9359 |
| Phone Number | 2697886888 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547173478 |
| Number of Group Practice Members | 125 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230075 | BRONSON BATTLE CREEK HOSPITAL |
| 230017 | BRONSON METHODIST HOSPITAL |
| 230117 | BORGESS MEDICAL CENTER |
| 230217 | OAKLAWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4441 Capital Ave Sw, Bronson Urology Specialists, Battle Creek, MI 49015-9359 | 2697886888 | BRONSON BATTLE CREEK HOSPITAL |
| Organization Legal Name | BRONSON BATTLE CREEK HOSPITAL |
| Physicians | 90 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah M Markle | Clinical Social Worker | Bronson Battle Creek Hospital | 2845 Capital Ave Sw, 302 Bronson Internal Medicine and Rheumat, Battle Creek, MI 49015-4187 |
| Erika Lynn Dearing | Obstetrics/gynecology | Bronson Battle Creek Hospital | 3238 Capital Ave Sw, Bronson Ob/gyn Capital Ave Sw, Battle Creek, MI 49015-4302 |
| Robert Michael Hollebrands | Physician Assistant | Bronson Battle Creek Hospital | 2 Heritage Oak Ln, Battle Creek, MI 49015-4250 |
| Wendy J Beckwith | Nurse Practitioner | Bronson Battle Creek Hospital | 4441 Capital Ave Sw, Bronson Urology Specialists, Battle Creek, MI 49015-9359 |
| Renuka C Haugen | Nurse Practitioner | Bronson Battle Creek Hospital | 5352 Beckley Rd, Battle Creek, MI 49015-4155 |
| Randy A Mudge | Radiation Oncology | Bronson Battle Creek Hospital | 300 N Ave Outpatient Ctr 2nd Floor, Bronson Neuroscience Center, Battle Creek, MI 49017-3307 |
| Gianna L Service | Family Medicine | Bronson Battle Creek Hospital | 2900 Watkins Rd, Battle Creek, MI 49015-8604 |
| Sajid Hussain | Psychiatry | Bronson Battle Creek Hospital | 165 N Washington Ave, Bbch Fieldstone Center, Battle Creek, MI 49037-2929 |
| Janeille Marie Devore | Physician Assistant | Bronson Battle Creek Hospital | 300 N Ave, Battle Creek, MI 49017-3307 |
| David M Bartholomew | General Surgery | Bronson Battle Creek Hospital | 363 Fremont St, Suite 208, Battle Creek, MI 49017-3398 |
| Street Address |
4441 CAPITAL AVE SW BRONSON UROLOGY SPECIALISTS |
| City | BATTLE CREEK |
| State | MI |
| Zip | 49015-9359 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy J Beckwith | Nurse Practitioner | Bronson Battle Creek Hospital | 4441 Capital Ave Sw, Bronson Urology Specialists, Battle Creek, MI 49015-9359 |
| Patrick J Sweeney | Urology | Bronson Battle Creek Hospital | 4441 Capital Ave Sw, Bronson Urology Specialists, Battle Creek, MI 49015-9359 |
| Kevin A Brewton | Urology | Bronson Battle Creek Hospital | 4441 Capital Ave Sw, Bronson Urology Specialists, Battle Creek, MI 49015-9359 |
| Kelly A Borg | Nurse Practitioner | Bronson Battle Creek Hospital | 4441 Capital Ave Sw, Bronson Urology Specialists, Battle Creek, MI 49015-9359 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Ray Baltierra | Optometry | Rx Optical Laboratories, Inc. | 65 E Columbia, Battle Creek, MI 49015 |
| Gerald Edward Hanna | Optometry | Rx Optical Laboratories, Inc. | 65 E Columbia, Battle Creek, MI 49015 |
| Teresa A Luzunaris | Optometry | Rx Optical Laboratories, Inc. | 65 E Columbia, Battle Creek, MI 49015 |
| Stephen Fedele | Family Medicine | 105 N 20th St, Battle Creek, MI 49015-1746 | |
| Ronald James Kasten | Chiropractic | 57 20th St S, Battle Creek, MI 49015-2901 | |
| Joy M Wisser | Physician Assistant | Radiant Healthcare Physical Medicine of Battle Creek PC | 1346 Columbia Ave W, Battle Creek, MI 49015-3000 |
| Julie K Brown | Clinical Social Worker | Family and Children Services | 778 Columbia Ave W, Battle Creek, MI 49015-3028 |
| James N Baker | Optometry | 1125 W Columbia Ave, Battle Creek, MI 49015-3031 | |
| Kenneth Wesley Cooper | Chiropractic | 914 Columbia Ave W, Battle Creek, MI 49015-3032 | |
| Mark E Mccullough | Chiropractic | Mccullough Family Chiropractic, P.C. | 1346 Columbia Ave W, Battle Creek, MI 49015-3067 |
| Find all physicians in zip 49015 | |||
| City | BATTLE CREEK |
| Zip Code | 49015 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BATTLE CREEK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shantae M 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.