Matthew T. Johnson (NPI# 1265680375, PAC ID# 9638313042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1265680375 |
| PAC ID by PECOS | 9638313042 |
| Professional Enrollment ID | I20160906001075 |
| Full Name | Matthew T. Johnson |
| Organization Legal Name | UROLOGY OF ST. LOUIS, INC |
| Address |
6812 State Route 162 200 Maryville IL 62062-8562 |
| Phone Number | 6182880900 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6204723786 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140185 | MEMORIAL HOSPITAL |
| 140307 | METRO-EAST SERVICES INC |
| 140002 | ALTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6812 State Route 162 200, Maryville, IL 62062-8562 | 6182880900 | UROLOGY OF ST. LOUIS, INC |
| 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 | 3145676071 | UROLOGY OF ST. LOUIS, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 93% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 24% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 50% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 10% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 56% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 2% |
| Organization Legal Name | UROLOGY OF ST. LOUIS, INC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Porter | Nurse Practitioner | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| James Rybak | Urology | Urology of St. Louis, Inc | 4550 Memorial Dr, Suite 280, Belleville, IL 62226-5372 |
| Joseph Levy | Urology | Urology of St. Louis, Inc | 112 Piper Hill Dr, Suite 12, Saint Peters, MO 63376-1690 |
| Danielle N Fries | Nurse Practitioner | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Asim Razzaq | Urology | Urology of St. Louis, Inc | 11155 Dunn Rd, Suite 309e, Saint Louis, MO 63136-6111 |
| David W Keetch | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Brad C White | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Matthew Spellman | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Seth Strope | Urology | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Demetrios A Katsikas | Urology | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Street Address |
6812 STATE ROUTE 162 200 |
| City | MARYVILLE |
| State | IL |
| Zip | 62062-8562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa M Crocker | Physician Assistant | Urology of St. Louis, Inc | 6812 State Route 162 200, Maryville, IL 62062-8562 |
| Jeffrey A Parres | Urology | Urology of St. Louis, Inc | 6812 State Route 162 200, Maryville, IL 62062-8562 |
| Travis L Bullock | Urology | Urology of St. Louis, Inc | 6812 State Route 162 200, Maryville, IL 62062-8562 |
| Lauren K Sidwell | Nurse Practitioner | Urology of St. Louis, Inc | 6812 State Route 162 200, Maryville, IL 62062-8562 |
| Roger R Good | Radiation Oncology | Urology of St. Louis, Inc | 6812 State Route 162 200, Maryville, IL 62062-8562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shubhangi S Peche | Neurology | St Louis University | 2133 Vadabalene, Maryville, IL 62062 |
| James J Dalla Riva | Obstetrics/gynecology | James J Dalla Riva Md PC | 6812 State Rd 162, Suite 301, Maryville, IL 62062 |
| Bryson Thomas Whalen | Obstetrics/gynecology | James J Dalla Riva Md PC | 6812 State Rd 162, Suite 301, Maryville, IL 62062 |
| Thomas M Hulsen | Obstetrics/gynecology | James J Dalla Riva Md PC | 6812 State Rd 162, Suite 301, Maryville, IL 62062 |
| David W Kinscherff | Podiatry | Foot Health Center Inc P C | 122 E Zupan St, Maryville, IL 62062-2010 |
| Krystal Gilb | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Zachary Paul Luchtefeld | Family Medicine | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Amanda J Kilzer | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Robert T Farmer | Family Medicine | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Holly Harlow Shirley | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Find all physicians in zip 62062 | |||
| City | MARYVILLE |
| Zip Code | 62062 |
| Specialty | UROLOGY |
| City + Specialty | MARYVILLE + UROLOGY |
Please comment or provide details below to improve the information on Matthew T. 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.