Bonnie P Johnson (NPI# 1093779183, PAC ID# 9133259831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093779183 |
| PAC ID by PECOS | 9133259831 |
| Professional Enrollment ID | I20100607000378 |
| Full Name | Bonnie P Johnson |
| Organization Legal Name | VIRGINIA CANCER INSTITUTE INCORPORATED |
| Address |
6130 Harbourside Centre Loop Suite 101 Midlothian VA 23112-2104 |
| Phone Number | 8043780394 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628048378 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490112 | CJW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2104 | 8043780394 | VIRGINIA CANCER INSTITUTE INCORPORATED |
| 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 | 8043307990 | VIRGINIA CANCER INSTITUTE INCORPORATED |
| Organization Legal Name | VIRGINIA CANCER INSTITUTE INCORPORATED |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Johnson | General Surgery | Virginia Cancer Institute Incorporated | 10710 Midlothian Tpke, Suite 138, North Chesterfield, VA 23235-4766 |
| Nathan E Langer | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Brenna Bohatec | Nurse Practitioner | Virginia Cancer Institute Incorporated | 4730 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 |
| Will R Voelzke | Hematology/oncology | Virginia Cancer Institute Incorporated | 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 |
| David F Trent | Hematology/oncology | Virginia Cancer Institute Incorporated | 6605 W Broad St, Suite A, Richmond, VA 23230-1715 |
| Seaborn M Wade Iii | Hematology/oncology | Virginia Cancer Institute Incorporated | 7501 Right Flank Rd, Suite 600, Mechanicsville, VA 23116-3863 |
| Gabriel Mccoy | Hematology/oncology | Virginia Cancer Institute Incorporated | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2104 |
| Pablo M Gonzalez | Hematology/oncology | Virginia Cancer Institute Incorporated | 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 |
| Gisa A Schunn | Hematology/oncology | Virginia Cancer Institute Incorporated | 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 |
| Amy Rose | General Surgery | Virginia Cancer Institute Incorporated | 10710 Midlothian Tpke, Suite 138, North Chesterfield, VA 23235-4766 |
| Street Address |
6130 HARBOURSIDE CENTRE LOOP SUITE 101 |
| City | MIDLOTHIAN |
| State | VA |
| Zip | 23112-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriel Mccoy | Hematology/oncology | Virginia Cancer Institute Incorporated | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2104 |
| Sharon A Goble | Hematology/oncology | Virginia Cancer Institute Incorporated | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2104 |
| Thomas Christian Weart | Hematology/oncology | Virginia Cancer Institute Incorporated | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2104 |
| Jessie O Turner | Nurse Practitioner | Virginia Cancer Institute Incorporated | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Jones | Clinical Social Worker | 4920 Millridge E Pkwy, Suite 206, Midlothian, VA 23112 | |
| Amelia N Bazzi | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 13800 Hull St Rd, Midlothian, VA 23112-2002 |
| Cindy Mcgarry | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Rebecca M Kiraly Qualls | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Samuel A Martin | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Robie Robinson | Optometry | 6721 Lake Harbour Dr, Midlothian, VA 23112-2083 | |
| Claude R Hinson Jr. | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Jennifer K Stirgwolt | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Dandan Li | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Bogale Jima | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Find all physicians in zip 23112 | |||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MIDLOTHIAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Bonnie P 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.