Stephanie J Johnson (NPI# 1629089800, PAC ID# 9638194780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1629089800 |
| PAC ID by PECOS | 9638194780 |
| Professional Enrollment ID | I20100217000814 |
| Full Name | Stephanie J Johnson |
| Organization Legal Name | PHYSICIANS LABORATORY OF NORTHWEST IOWA LTD |
| Address |
116 E 11th St Suite 204 Spencer IA 51301-4363 |
| Phone Number | 7122623795 |
| Gender | F |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 9537058458 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160112 | SPENCER MUNICIPAL HOSPITAL |
| 160124 | LAKES REGIONAL HEALTHCARE |
| 161351 | AVERA HOLY FAMILY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1301 S Cliff Ave, Suite 700, Sioux Falls, SD 57105-1019 | 6053227200 | PHYSICIANS LABORATORY, LTD. |
| 116 E 11th St, Suite 204, Spencer, IA 51301-4363 | 7122623795 | PHYSICIANS LABORATORY OF NORTHWEST IOWA LTD |
| Organization Legal Name | PHYSICIANS LABORATORY OF NORTHWEST IOWA LTD |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Tjarks | Pathology | Physicians Laboratory of Northwest Iowa Ltd | 116 E 11th St, Suite 204, Spencer, IA 51301-4363 |
| Daniel Wesley Abbott | Pathology | Physicians Laboratory of Northwest Iowa Ltd | 116 E 11th St, Suite 204, Spencer, IA 51301-4363 |
| Street Address |
116 E 11TH ST SUITE 204 |
| City | SPENCER |
| State | IA |
| Zip | 51301-4363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathi K Heckert | Nurse Practitioner | Spencer Municipal Hospital | 116 E 11th St, 101 Avera Medical Group Spencer A Department of Spenc, Spencer, IA 51301-4365 |
| Brian J Tjarks | Pathology | Physicians Laboratory of Northwest Iowa Ltd | 116 E 11th St, Suite 204, Spencer, IA 51301-4363 |
| Travis J Witt | Family Medicine | Spencer Municipal Hospital | 116 E 11th St, 101 Avera Medical Group Spencer A Department of Spenc, Spencer, IA 51301-4365 |
| David P Robison | Family Medicine | Spencer Municipal Hospital | 116 E 11th St, 101 Avera Medical Group Spencer A Department of Spenc, Spencer, IA 51301-4365 |
| John E Hilsabeck | Family Medicine | Spencer Municipal Hospital | 116 E 11th St, 101 Avera Medical Group Spencer A Department of Spenc, Spencer, IA 51301-4365 |
| Kimberly Ann Whisenant | Nurse Practitioner | Spencer Municipal Hospital | 116 E 11th St, 101 Avera Medical Group Spencer A Department of Spenc, Spencer, IA 51301-4365 |
| Jamie C Westerman-billings | Nurse Practitioner | Spencer Municipal Hospital | 116 E 11th St, 101 Avera Medical Group Spencer A Department of Spenc, Spencer, IA 51301-4365 |
| Ronald J Creswell | Family Medicine | Spencer Municipal Hospital | 116 E 11th St, 101 Avera Medical Group Spencer A Department of Spenc, Spencer, IA 51301-4365 |
| Amanda E Young | Family Medicine | Spencer Municipal Hospital | 116 E 11th St, 101 Avera Medical Group Spencer A Department of Spenc, Spencer, IA 51301-4365 |
| Susan T Terrell | Nurse Practitioner | Spencer Municipal Hospital | 116 E 11th St, 101 Avera Medical Group Spencer A Department of Spenc, Spencer, IA 51301-4365 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Renea Rabel | Chiropractic | 1204 W 18th St, Spencer, IA 51301-1334 | |
| Bryon L Gaul | Dermatology | 2004 Hwy Blvd, Spencer, IA 51301-2112 | |
| Brent R Stanley | Chiropractic | 1723 Hwy Blvd, Suite 2, Spencer, IA 51301-2208 | |
| Abigail Casey Drucker | Obstetrics/gynecology | Northwest Iowa Surgeons PC | 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226 |
| Jeffre Duane Helmink | General Surgery | Northwest Iowa Surgeons PC | 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226 |
| Patrick James Slattery | General Surgery | Northwest Iowa Surgeons PC | 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226 |
| Jason Robert Keonin | General Surgery | Northwest Iowa Surgeons PC | 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226 |
| Brian Patrick Wilson | Obstetrics/gynecology | Northwest Iowa Surgeons PC | 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226 |
| Amanda Ann Winterboer | Optometry | 1104 W 18th St, Spencer, IA 51301-2815 | |
| Jeffrey D Burns | Chiropractic | 1210 W 18th St, Spencer, IA 51301-2817 | |
| Find all physicians in zip 51301 | |||
| City | SPENCER |
| Zip Code | 51301 |
| Specialty | PATHOLOGY |
| City + Specialty | SPENCER + PATHOLOGY |
Please comment or provide details below to improve the information on Stephanie J 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.