Sophia M Johnson (NPI# 1467897595, PAC ID# 8527284066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1467897595 |
| PAC ID by PECOS | 8527284066 |
| Professional Enrollment ID | I20171018002095 |
| Full Name | Sophia M Johnson |
| Organization Legal Name | KINGMAN HOSPITAL INC |
| Address |
1726 E Beverly Ave Suite A Kingman AZ 86409-3500 |
| Phone Number | 9287533303 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6901791367 |
| Number of Group Practice Members | 144 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 | 9287533303 | KINGMAN HOSPITAL INC |
| Organization Legal Name | KINGMAN HOSPITAL INC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Harris Kaplan | Gastroenterology | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 101, Kingman, AZ 86409-3593 |
| Kathleen B Walton | Nurse Practitioner | Kingman Hospital Inc | 4995 E Hwy 68, Suite 1, Golden Valley, AZ 86413-5500 |
| Michael Deboer | Family Medicine | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Ben Tacheron | Pain Management | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Christopher A Porter Iv | Interventional Radiology | Kingman Hospital Inc | 1033 Sycamore Ave, Kingman, AZ 86409-3580 |
| Eric E Capriles | General Surgery | Kingman Hospital Inc | 3104 N Stockton Hill Rd, Kingman, AZ 86401-4183 |
| Kale Bodily | Diagnostic Radiology | Kingman Hospital Inc | 1608 N Stockton Hill Rd, Suite 104, Kingman, AZ 86401-4142 |
| Sungnam Joe | Internal Medicine | Kingman Hospital Inc | 2226 Hualapai Mountain Rd, Suite 101, Kingman, AZ 86401-8374 |
| Daniel M Riesenberg | Urology | Kingman Hospital Inc | 1712 Sycamore Ave, Kingman, AZ 86409-0927 |
| Deborah Raye Bennett | Family Medicine | Kingman Hospital Inc | 3116 N Stockton Hill Rd, Kingman, AZ 86401-4183 |
| Street Address |
1726 E BEVERLY AVE SUITE A |
| City | KINGMAN |
| State | AZ |
| Zip | 86409-3500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Deboer | Family Medicine | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Robert Cole | Nurse Practitioner | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Nicholas S Stagg | Nurse Practitioner | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Steven Damron | Family Medicine | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Nancy E Dooling | Nurse Practitioner | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Kevin Frank Brown | Family Practice | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Tonya L Allen | Nurse Practitioner | Kingman Hospital Inc | 1726 E Beverly Ave, Kingman, AZ 86409-3500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra B Fedie | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| John A Weidner | Family Medicine | 3636 Stockton Hill Rd, Suite 2, Kingman, AZ 86409-0514 | |
| Jillian Musick | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Antony I Mwangi | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Muhammad A Khan | General Surgery | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Karen Gwinn | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Munawar A Paracha | Neurology | 1708 Sycamore Ave, Kingman, AZ 86409-0927 | |
| Marie Bridget Moran | Nurse Practitioner | Mohave Mental Health Clinic Inc | 1741 Sycamore Ave, Kingman, AZ 86409-0927 |
| Michael S Serrano | Nurse Practitioner | Mohave Mental Health Clinic Inc | 3505 Western Ave, Kingman, AZ 86409-0927 |
| Annika J Bergeson | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 1700 Sycamore Ave, Kingman, AZ 86409-0927 |
| Find all physicians in zip 86409 | |||
| City | KINGMAN |
| Zip Code | 86409 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | KINGMAN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Sophia 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.