Elliot P Johnson (NPI# 1780093187, PAC ID# 0547588014) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1780093187 |
| PAC ID by PECOS | 0547588014 |
| Professional Enrollment ID | I20150413001419 |
| Full Name | Elliot P Johnson |
| Organization Legal Name | GENESIS ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Address |
2900 Foxfield Rd Suite 102 St Charles IL 60174-5799 |
| Phone Number | 6303771188 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7618955808 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2900 Foxfield Rd, Suite 102, St Charles, IL 60174-5799 | 6303771188 | GENESIS ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Organization Legal Name | GENESIS ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Ann Zayat | Physician Assistant | Genesis Orthopedics and Sports Medicine LLC | 701 Winthrop Ave, Glendale, IL 60139-1405 |
| Hythem P Shadid | Orthopedic Surgery | Genesis Orthopedics and Sports Medicine LLC | 701 Winthrop Ave, Glendale, IL 60139-1405 |
| Street Address |
2900 FOXFIELD RD SUITE 102 |
| City | ST CHARLES |
| State | IL |
| Zip | 60174-5799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Flatt | Chiropractic | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Laura K Tagle | Internal Medicine | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Robert J Calabria | Family Medicine | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Amy L Frazer | Physician Assistant | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Elizabeth A Heredia | Pediatric Medicine | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Vivian S Vanroekel | Internal Medicine | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Caitlin E Rogers | Nurse Practitioner | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Holly N Watson-evans | Nurse Practitioner | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Amanda B Wendel | Dermatology | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Edward J Ward Iii | Family Medicine | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Cassion Roble | Internal Medicine | David C. Roble, Mdsc | 960 N 5th Ave B, St Charles, IL 60174-1205 |
| Susan L Sacks | Qualified Audiologist | 960 N 5th Ave, St Charles, IL 60174-1205 | |
| Neal Ross Bowen | Psychologist, Clinical | Axiscare Neuropsychology LLC | 2580 Foxfield, Suite 4, St Charles, IL 60174-1403 |
| Catherine S Thomas | Internal Medicine | Central Dupage Physician Group | 2570 Foxfield Rd, St Charles, IL 60174-1406 |
| Huma Chaudhry | Registered Dietitian Or Nutrition Professional | Phc of Buffalo Grove Nutrition | 2570 Foxfield Rd, Suite 107, St Charles, IL 60174-1406 |
| Sandra Kurby | Registered Dietitian Or Nutrition Professional | Phc of Buffalo Grove Nutrition | 2570 Foxfield Rd, Suite 107, St Charles, IL 60174-1406 |
| Shareen Hurani | Chiropractic | 2580 Foxfield Rd, Suite 202, Saint Charles, IL 60174-1409 | |
| Nancy R Krtek | Clinical Social Worker | 473 Dunham Rd, Suite 216, St Charles, IL 60174-1423 | |
| Erin J Cluts | Clinical Social Worker | Dunham Counseling Center, Ltd. | 451 Dunham Rd, Suite 400, St Charles, IL 60174-1431 |
| John D Carney | Clinical Social Worker | Dunham Counseling Center, Ltd. | 451 Dunham Rd, Suite 400, St Charles, IL 60174-1431 |
| Find all physicians in zip 60174 | |||
| City | ST CHARLES |
| Zip Code | 60174 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ST CHARLES + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Elliot P 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.