Anthony W Johnson (NPI# 1407105547, PAC ID# 9931343274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1407105547 |
| PAC ID by PECOS | 9931343274 |
| Professional Enrollment ID | I20170317001040 |
| Full Name | Anthony W Johnson |
| Organization Legal Name | TEXAS SPINE AND JOINT HOSPITAL LLC |
| Address |
1814 Roseland Blvd Tyler TX 75701-4234 |
| Phone Number | 9035253333 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0345272381 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 708 E Corsicana St, Athens, TX 75751-2627 | 9039045007 | TEXAS SPINE AND JOINT HOSPITAL LLC |
| 2211 S Loop, 256 Tsjh Urgent Care Palestine/texas Spine and Joint H, Palestine, TX 75801-4701 | 9037290970 | TEXAS SPINE AND JOINT HOSPITAL LLC |
| 1814 Roseland Blvd, Tyler, TX 75701-4234 | 9035253333 | TEXAS SPINE AND JOINT HOSPITAL LLC |
| Organization Legal Name | TEXAS SPINE AND JOINT HOSPITAL LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Stanovic Karlson | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 8101 S Broadway Ave, Texas Spine and Joint Hospital Ltd, Tyler, TX 75703-5469 |
| Bradford J White | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 2211 S Loop, 256 Tsjh Urgent Care Palestine/texas Spine and Joint H, Palestine, TX 75801-4701 |
| Katrena Michelle Holden | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 715 N 4th St, Texas Spine and Joint Hospital Ltd, Longview, TX 75601-5412 |
| Rebecca C Ellspermann | Physician Assistant | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Christopher K Bailey | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Renny Varghese | Emergency Medicine | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Kimberley A Lowry | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Brooke E Dreiss | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Mark Wesley Mcdonald | Family Medicine | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Stephanie A Mowery | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Street Address |
1814 ROSELAND BLVD |
| City | TYLER |
| State | TX |
| Zip | 75701-4234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenda Rose Sealey | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 1814 Roseland Blvd, Suite 100, Tyler, TX 75701-4262 |
| Rebecca C Ellspermann | Physician Assistant | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Christopher K Bailey | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Renny Varghese | Emergency Medicine | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Kimberley A Lowry | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Brooke E Dreiss | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Mark Wesley Mcdonald | Family Medicine | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Kevin J Pauza | Physical Medicine and Rehabilitation | 1814 Roseland Blvd, Suite 250, Tyler, TX 75701-4242 | |
| Stephanie A Mowery | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Aleksandra Olsson Detwiler | Internal Medicine | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose L Enriquez | Diagnostic Radiology | Tyler Radiology Associates, Pa | 1100 S Beckham, Tyler, TX 75701 |
| Frank P Reuter Jr. | Internal Medicine | 712 S Bois D Arc Ave, Tyler, TX 75701-1503 | |
| Tammy L Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| Mark R Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| James Louis Wasson | Obstetrics/gynecology | 649 S Broadway Ave, Suite 2, Tyler, TX 75701-1677 | |
| Michael C Ford | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701-1833 | |
| Rosalyn L Gooch | Certified Registered Nurse Anesthetist (crna) | Novamed Surgery Center of Tyler, Lp | 802 Turtle Creek Dr, Tyler, TX 75701-1900 |
| Evans S Smith | Emergency Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Li-yu H Mitchell | Family Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Find all physicians in zip 75701 | |||
| City | TYLER |
| Zip Code | 75701 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TYLER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Anthony W 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.