Robert L Johnson (NPI# 1427092964, PAC ID# 9931106861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1427092964 |
| PAC ID by PECOS | 9931106861 |
| Professional Enrollment ID | I20061108000020 |
| Full Name | Robert L Johnson |
| Address |
404 N Galena Ave Suite 120 Dixon IL 61021-2179 |
| Gender | M |
| Credential | DC |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 1993 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 404 N Galena Ave, Suite 120, Dixon, IL 61021-2179 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
| Street Address |
404 N GALENA AVE SUITE 120 |
| City | DIXON |
| State | IL |
| Zip | 61021-2179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon J Jones Burtlow | Nurse Practitioner | Physicians Immediate Care Ltd. | 1672 S Gelena Ave, Dixon, IL 61021 |
| Timothy W Boersma | General Practice | Physicians Immediate Care Ltd. | 1672 S Gelena Ave, Dixon, IL 61021 |
| Kurt K Nelson | Optometry | 629 N Galena Ave, Dixon, IL 61021-0572 | |
| Lauren E Cecchetti | Nurse Practitioner | Cgh Medical Center | 1321 N Galena Ave, Dixon, IL 61021-1009 |
| Eric Gale | Internal Medicine | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Rachel M Deets | Physician Assistant | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Nolan D Wolfe | Physical Therapy | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Edward P Hanlon | Optometry | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Geoffrey N Wright | Physical Therapy | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Ajay Kumar Varma Buddaraju | Rheumatology | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Find all physicians in zip 61021 | |||
| City | DIXON |
| Zip Code | 61021 |
| Specialty | CHIROPRACTIC |
| City + Specialty | DIXON + CHIROPRACTIC |
Please comment or provide details below to improve the information on Robert L 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.