Michelle Danette Johnson (NPI# 1790186070, PAC ID# 0345462057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1790186070 |
| PAC ID by PECOS | 0345462057 |
| Professional Enrollment ID | I20141113001390 |
| Full Name | Michelle Danette Johnson |
| Organization Legal Name | ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS PC |
| Address |
8940 N Wood Sage Rd Peoria IL 61615-7822 |
| Phone Number | 3092433000 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3870571649 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| Address | Phone | Organization |
|---|---|---|
| 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 3092433000 | ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS PC |
| Organization Legal Name | ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS PC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin L Whalen | Nurse Practitioner | Oncology Hematology Associates of Central Illinois PC | 336 Home Blvd, Galesburg, IL 61401-7408 |
| Nita Raut | Hematology/oncology | Oncology Hematology Associates of Central Illinois PC | 603 S 13th St E, Pekin, IL 61554-4935 |
| Jijun Liu | Medical Oncology | Oncology Hematology Associates of Central Illinois PC | 1641 Broadway St, Pekin, IL 61554-3805 |
| Susan N Juliusson | Nurse Practitioner | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Pankaj Kumar | Hematology/oncology | Oncology Hematology Associates of Central Illinois PC | 1200 Starfire Dr, Ottawa, IL 61350-1632 |
| Patrick L Gomez | Hematology/oncology | Oncology Hematology Associates of Central Illinois PC | 3105 Magory Dr, Bloomington, IL 61704-5403 |
| Michael H Veeder | Hematology/oncology | Oncology Hematology Associates of Central Illinois PC | 501 E Grant St, Macomb, IL 61455-3374 |
| Paul A S Fishkin | Hematology/oncology | Oncology Hematology Associates of Central Illinois PC | 180 S Main St, Suite 2e, Canton, IL 61520-2608 |
| Gary A Johnson | Gynecological Oncology | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Jessica M Stewart | Certified Clinical Nurse Specialist (cns) | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Street Address |
8940 N WOOD SAGE RD |
| City | PEORIA |
| State | IL |
| Zip | 61615-7822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan N Juliusson | Nurse Practitioner | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Gary A Johnson | Gynecological Oncology | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Jessica M Stewart | Certified Clinical Nurse Specialist (cns) | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Rebecca J Byler-dann | Gynecological Oncology | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Srinivas Jujjavarapu | Hematology/oncology | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Jessica Gamblin | Nurse Practitioner | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Robin L Schertz | Nurse Practitioner | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Kimberly Ku | Hematology/oncology | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Laura E Hertz | Nurse Practitioner | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Madhuri Bajaj | Hematology/oncology | Oncology Hematology Associates of Central Illinois PC | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer N Thompson | Ophthalmology | Gailey Eye Clinic, Ltd | 8800 N Orange Prairie, Peoria, IL 61615 |
| Jeffrey Y Liang | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 10322 N Juliet Ct, Peoria, IL 61615-1199 |
| Matthew Carr | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Abby G Freckleton | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Susannah Dintzis | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Michael J Pace | Family Practice | Methodist Medical Center of Illinois | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Amanda Miriam Kilgore | Physical Therapy | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Michael Dominic Tarantino | Hematology/oncology | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | |
| Rohith Jesudas | Pediatric Medicine | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Elizabeth A Lepper | Nurse Practitioner | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Find all physicians in zip 61615 | |||
| City | PEORIA |
| Zip Code | 61615 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PEORIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle Danette 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.