Terri L Johnson (NPI# 1902826647, PAC ID# 9032184569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902826647 |
| PAC ID by PECOS | 9032184569 |
| Professional Enrollment ID | I20061005000138 |
| Full Name | Terri L Johnson |
| Organization Legal Name | GRANT COUNTY PUBLIC HOSPITAL DISTRICT 2 |
| Address |
908 10th Ave Sw Quincy WA 98848-1376 |
| Phone Number | 5097873531 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1992 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921919077 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501320 | QUINCY VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 908 10th Ave Sw, Quincy, WA 98848-1376 | 5097873531 | GRANT COUNTY PUBLIC HOSPITAL DISTRICT 2 |
| Organization Legal Name | GRANT COUNTY PUBLIC HOSPITAL DISTRICT 2 |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Klingner | Family Medicine | Grant County Public Hospital District 2 | 908 10th Ave Sw, Quincy, WA 98848-1376 |
| Jaime D Dominguez-cespedes | Internal Medicine | Grant County Public Hospital District 2 | 908 10th Ave Sw, Quincy, WA 98848-1376 |
| Elaine E Polk | Physician Assistant | Grant County Public Hospital District 2 | 908 10th Ave Sw, Quincy, WA 98848-1376 |
| William J Washington | Emergency Medicine | Grant County Public Hospital District 2 | 908 10th Ave Sw, Quincy, WA 98848-1376 |
| Fernando Dietsch Jr. | Family Practice | Grant County Public Hospital District 2 | 908 10th Ave Sw, Quincy, WA 98848-1376 |
| Street Address |
908 10TH AVE SW |
| City | QUINCY |
| State | WA |
| Zip | 98848-1376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Klingner | Family Medicine | Grant County Public Hospital District 2 | 908 10th Ave Sw, Quincy, WA 98848-1376 |
| Jaime D Dominguez-cespedes | Internal Medicine | Grant County Public Hospital District 2 | 908 10th Ave Sw, Quincy, WA 98848-1376 |
| Elaine E Polk | Physician Assistant | Grant County Public Hospital District 2 | 908 10th Ave Sw, Quincy, WA 98848-1376 |
| William J Washington | Emergency Medicine | Grant County Public Hospital District 2 | 908 10th Ave Sw, Quincy, WA 98848-1376 |
| Fernando Dietsch Jr. | Family Practice | Grant County Public Hospital District 2 | 908 10th Ave Sw, Quincy, WA 98848-1376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy R Zolman | Chiropractic | 110 C St Sw, Quincy, WA 98848-1207 |
| City | QUINCY |
| Zip Code | 98848 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | QUINCY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Terri 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.