Carl W Johnson Iii (NPI# 1467450122, PAC ID# 9335100916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1467450122 |
| PAC ID by PECOS | 9335100916 |
| Professional Enrollment ID | I20041026001089 |
| Full Name | Carl W Johnson Iii |
| Organization Legal Name | SURGICAL CARE ASSOCIATES LTD |
| Address |
12935 S Gregory St Blue Island IL 60406-2428 |
| Phone Number | 7085972000 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0446419071 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140191 | INGALLS MEMORIAL HOSPITAL |
| 140118 | METROSOUTH MEDICAL CENTER |
| 140250 | ADVOCATE SOUTH SUBURBAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12935 S Gregory St, Blue Island, IL 60406-2428 | 7085972000 | SURGICAL CARE ASSOCIATES LTD |
| 71 W 156th St, Suite 309, Harvey, IL 60426-4264 | 7083311122 | SURGICAL CARE ASSOCIATES LTD |
| 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 7083311122 | SURGICAL CARE ASSOCIATES LTD |
| 6703 159th St, Suite 110, Tinley Park, IL 60477-1782 | 7083311122 | SURGICAL CARE ASSOCIATES LTD |
| Organization Legal Name | SURGICAL CARE ASSOCIATES LTD |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krunal H Pardiwala | General Surgery | Surgical Care Associates Ltd | 6703 159th St, Suite 110, Tinley Park, IL 60477-1782 |
| Gary R Peplinski | General Surgery | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Ravi M Deshmukh | General Surgery | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Jessica Stoeberl | Physician Assistant | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Street Address |
12935 S GREGORY ST |
| City | BLUE ISLAND |
| State | IL |
| Zip | 60406-2428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary R Peplinski | General Surgery | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Laura M Dean | Physician Assistant | Metro Infectious Disease Consultants LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Clark Mcclurkin | Nephrology | Associates In Nephrology Sc | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Luciano Fochesatto Filho | Internal Medicine | Metro Infectious Disease Consultants LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Ravi M Deshmukh | General Surgery | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Ankita Dalal | Family Medicine | Blue Island Clinic Company LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Joseph Kent | Infectious Disease | Metro Infectious Disease Consultants LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Mohamad Barakat | Internal Medicine | Kidney and Hypertension Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Jessica Stoeberl | Physician Assistant | Surgical Care Associates Ltd | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Humaira Khan | Family Medicine | Blue Island Clinic Company LLC | 12935 S Gregory St, Blue Island, IL 60406-2428 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Lucero | Emergency Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Nicole Fitzgerald | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Jennifer Komada | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Rebecca Cummings | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Celeste Mcfarland | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Sheri Nichole Morse | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kristen M Sobol | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kaitlyn Steinberg | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Naomi Shirleen Chinavong | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Fatima Ali Hyder | Internal Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Find all physicians in zip 60406 | |||
| City | BLUE ISLAND |
| Zip Code | 60406 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BLUE ISLAND + GENERAL SURGERY |
Please comment or provide details below to improve the information on Carl W Johnson Iii.
| 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.