Jason Richard Johnson (NPI# 1225596125, PAC ID# 9032450267) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225596125 |
| PAC ID by PECOS | 9032450267 |
| Professional Enrollment ID | I20190416001382 |
| Full Name | Jason Richard Johnson |
| Organization Legal Name | PAIN MANAGEMENT GROUP PLLC |
| Address |
633 S Erie St Three Rivers Health Medical Center Three Rivers MI 49093-2073 |
| Phone Number | 5178964343 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153636576 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230015 | THREE RIVERS HEALTH |
| 230096 | STURGIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 633 S Erie St, Three Rivers Health Medical Center, Three Rivers, MI 49093-2073 | 5178964343 | PAIN MANAGEMENT GROUP PLLC |
| Organization Legal Name | PAIN MANAGEMENT GROUP PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer D Eilola | Nurse Practitioner | Pain Management Group Pllc | 200 N Mansion St, 3c, Marshall, MI 49068-1143 |
| Spencer Thomas Bertram | Anesthesiology | Pain Management Group Pllc | 570 Linn St, Suite 2, Allegan, MI 49010-1572 |
| Abdul R Barakat | Anesthesiology | Pain Management Group Pllc | 200 N Madison St, Oaklawn Hospital, Marshall, MI 49068-1199 |
| Terrence S Thomas | Physician Assistant | Pain Management Group Pllc | 200 N Madison St, Oaklawn Hospital, Marshall, MI 49068-1199 |
| Khurram Khan | Pain Management | Pain Management Group Pllc | 555 Linn St, Allegan, MI 49010-1524 |
| Street Address |
633 S ERIE ST THREE RIVERS HEALTH MEDICAL CENTER |
| City | THREE RIVERS |
| State | MI |
| Zip | 49093-2073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc M Prieur | Optometry | Rx Optical Laboratories, Inc. | 111 Us, Suite 131, Three Rivers, MI 49093 |
| Paula Andrasi | Psychologist, Clinical | Transitions Wellness Center LLC | 1519 N Main St, Suite C, Three Rivers, MI 49093-1377 |
| Paula R Kanaan | Clinical Social Worker | Transitions Wellness Center LLC | 1519 N Main St, Suite C, Three Rivers, MI 49093-1377 |
| Stacey M Coon-ballard | Clinical Social Worker | Transitions Wellness Center LLC | 1519 N Main St, Suite C, Three Rivers, MI 49093-1377 |
| Heidi R Hall | Clinical Social Worker | Transitions Wellness Center LLC | 1519 N Main St, Suite C, Three Rivers, MI 49093-1377 |
| Jennifer L Austin | Clinical Social Worker | Transitions Wellness Center LLC | 1519 N Main St, Three Rivers, MI 49093-1377 |
| Sheri Darlene Carpenter | Chiropractic | 72 N Main St, Three Rivers, MI 49093-1532 | |
| Timothy D Henson | Clinical Social Worker | Community Mental Health Services of St Joseph County | 210 S Main St, Three Rivers, MI 49093-1624 |
| Veera J Patel | Internal Medicine | Three Rivers Health System Inc | 1021 Hill St, Suite 100, Three Rivers, MI 49093-2744 |
| Ashley Rachelle Latva | Chiropractic | 230 Enterprise Dr, Latva Family Chiropractic, Three Rivers, MI 49093-7901 | |
| Find all physicians in zip 49093 | |||
| City | THREE RIVERS |
| Zip Code | 49093 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | THREE RIVERS + NURSE PRACTITIONER |
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| 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.