Douglas J Johnson (NPI# 1982671855, PAC ID# 9638205156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1982671855 |
| PAC ID by PECOS | 9638205156 |
| Professional Enrollment ID | I20100408000527 |
| Full Name | Douglas J Johnson |
| Organization Legal Name | GREENVIEW PRIMECARE LLC |
| Address |
1777 Ashley Cir Bowling Green KY 42104-3339 |
| Phone Number | 2707814090 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9436240207 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180124 | GREENVIEW REGIONAL HOSPITAL |
| 180013 | THE MEDICAL CENTER (BOWLING GREEN) |
| Address | Phone | Organization |
|---|---|---|
| 1325 Andrea St, Suite 200, Bowling Green, KY 42104-5854 | 2707825002 | GREENVIEW PRIMECARE LLC |
| 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2707814090 | GREENVIEW PRIMECARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | GREENVIEW PRIMECARE LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Hall | Family Medicine | Greenview Primecare LLC | 1777 Ashley Cir, Bowling Green, KY 42104-3339 |
| Freda Y Hubbard | Nurse Practitioner | Greenview Primecare LLC | 730 Campbell Ln, Bowling Green, KY 42104-1039 |
| Joseph R Allen | Family Medicine | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Jessica M Rapp | Family Medicine | Greenview Primecare LLC | 1777 Ashley Cir, Bowling Green, KY 42104-3339 |
| Lynetta L Stiltner | Family Medicine | Greenview Primecare LLC | 1777 Ashley Cir, Bowling Green, KY 42104-3339 |
| Haley G. Brewster | Nurse Practitioner | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Jack G Glasser | Family Medicine | Greenview Primecare LLC | 1325 Andrea St, Suite 100, Bowling Green, KY 42104-5853 |
| James Todd Douglas | Family Medicine | Greenview Primecare LLC | 1325 Andrea St, Suite 100, Bowling Green, KY 42104-5853 |
| Anderson R Rowland | Family Medicine | Greenview Primecare LLC | 1325 Andrea St, Suite 100, Bowling Green, KY 42104-5853 |
| James R Burt | Family Medicine | Greenview Primecare LLC | 1777 Ashley Cir, Bowling Green, KY 42104-3339 |
| Street Address |
1777 ASHLEY CIR |
| City | BOWLING GREEN |
| State | KY |
| Zip | 42104-3339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Hall | Family Medicine | Greenview Primecare LLC | 1777 Ashley Cir, Bowling Green, KY 42104-3339 |
| Jessica M Rapp | Family Medicine | Greenview Primecare LLC | 1777 Ashley Cir, Bowling Green, KY 42104-3339 |
| Lynetta L Stiltner | Family Medicine | Greenview Primecare LLC | 1777 Ashley Cir, Bowling Green, KY 42104-3339 |
| James R Burt | Family Medicine | Greenview Primecare LLC | 1777 Ashley Cir, Bowling Green, KY 42104-3339 |
| James O Jarvis | Internal Medicine | Greenview Primecare LLC | 1777 Ashley Cir, Bowling Green, KY 42104-3339 |
| James K Phillips Jr. | Family Practice | Greenview Primecare LLC | 1777 Ashley Cir, Bowling Green, KY 42104-3339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam R Kesri | Internal Medicine | 6040 Scottsville Rd, Bowling Green, KY 42104-0388 | |
| Michael J Collins | Family Medicine | 1340 Ellis Pl, Bowling Green, KY 42104-0602 | |
| James R Farrage Jr. | Physical Medicine and Rehabilitation | 1725 Mcintosh St, Bowling Green, KY 42104-1037 | |
| Freda Y Hubbard | Nurse Practitioner | Greenview Primecare LLC | 730 Campbell Ln, Bowling Green, KY 42104-1039 |
| Joseph R Allen | Family Medicine | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Haley G. Brewster | Nurse Practitioner | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Trina Rena Warden | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Tammy H Love | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Brandon Michael Goodpaster | Chiropractic | Spine Stop Bowling Green Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Darrell L Tade | Optometry | Precision Eye Care Professionals, Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Find all physicians in zip 42104 | |||
| City | BOWLING GREEN |
| Zip Code | 42104 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOWLING GREEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Douglas 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.