Victor R Johnson (NPI# 1598936387, PAC ID# 0547319436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1598936387 |
| PAC ID by PECOS | 0547319436 |
| Professional Enrollment ID | I20090526000267 |
| Full Name | Victor R Johnson |
| Organization Legal Name | EAST ALABAMA EAR, NOSE, AND THROAT, PC |
| Address |
1965 1st Ave Opelika AL 36801-5403 |
| Phone Number | 3347050012 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Group Practice PAC ID | 0749217776 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1965 1st Ave, Opelika, AL 36801-5403 | 3347050012 | EAST ALABAMA EAR, NOSE, AND THROAT, PC |
| Organization Legal Name | EAST ALABAMA EAR, NOSE, AND THROAT, PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Constance Callen | Nurse Practitioner | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| Meredith Genetski | Nurse Practitioner | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| Warren A Stiles | Otolaryngology | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| Wesley S Whatley | Otolaryngology | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| William R Blythe | Otolaryngology | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| Amy G Nowlin | Physician Assistant | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| Street Address |
1965 1ST AVE |
| City | OPELIKA |
| State | AL |
| Zip | 36801-5403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Constance Callen | Nurse Practitioner | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| Meredith Genetski | Nurse Practitioner | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| Warren A Stiles | Otolaryngology | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| Wesley S Whatley | Otolaryngology | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| William R Blythe | Otolaryngology | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| Amy G Nowlin | Physician Assistant | East Alabama Ear, Nose, and Throat, PC | 1965 1st Ave, Opelika, AL 36801-5403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin Roach | Family Medicine | 7667 Alabama Hwy 51, Suite B, Opelika, AL 36801 | |
| Moses M Jones | Family Medicine | Auburn Urgent Care, Inc | 2638 Enterprise Dr, Opelika, AL 36801-1512 |
| Kevin L Jackson | Internal Medicine | 2430 Village Professional Dr, Opelika, AL 36801-2378 | |
| Sandra J Whitaker | Nurse Practitioner | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Jennifer Ann Hadley | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Jennifer Smith | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| David Estep | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Peter J Lusche | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Sai K Nandamuru | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Erica Kierce | Nurse Practitioner | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Find all physicians in zip 36801 | |||
| City | OPELIKA |
| Zip Code | 36801 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | OPELIKA + QUALIFIED AUDIOLOGIST |
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| 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.