Rurik C Johnson (NPI# 1760495824, PAC ID# 0648371013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1760495824 |
| PAC ID by PECOS | 0648371013 |
| Professional Enrollment ID | I20070730000305 |
| Full Name | Rurik C Johnson |
| Organization Legal Name | SURGICAL ASSOCIATES OF WESTERN NY PC |
| Address |
7060 Erie Rd Suite 400 Derby NY 14047-9430 |
| Phone Number | 7166775500 |
| Gender | M |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 0941238604 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330279 | MERCY HOSPITAL OF BUFFALO |
| 330078 | SISTERS OF CHARITY HOSPITAL |
| 330229 | BROOKS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7060 Erie Rd, Suite 400, Derby, NY 14047-9430 | 7166775500 | SURGICAL ASSOCIATES OF WESTERN NY PC |
| 550 Orchard Park Rd, A103, West Seneca, NY 14224-2654 | 7166775500 | SURGICAL ASSOCIATES OF WESTERN NY PC |
| Organization Legal Name | SURGICAL ASSOCIATES OF WESTERN NY PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Steven Armstrong | General Surgery | Surgical Associates of Western Ny PC | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2654 |
| Liam T Knott | General Surgery | Surgical Associates of Western Ny PC | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2654 |
| Kenneth H Eckhert Iii | General Surgery | Surgical Associates of Western Ny PC | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2654 |
| Timothy R Rasmusson | General Surgery | Surgical Associates of Western Ny PC | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2654 |
| Courtney R Moran | Nurse Practitioner | Surgical Associates of Western Ny PC | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2654 |
| Briana R Kelley | Physician Assistant | Surgical Associates of Western Ny PC | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2654 |
| Karee A Chella | Nurse Practitioner | Surgical Associates of Western Ny PC | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2654 |
| Richard Bloomberg | General Surgery | Surgical Associates of Western Ny PC | 2780 Delaware Ave, Suite 201, Kenmore, NY 14217-2748 |
| Michael P Rade | General Surgery | Surgical Associates of Western Ny PC | 550 Orchard Park Rd, A103, West Seneca, NY 14224-2654 |
| Street Address |
7060 ERIE RD SUITE 400 |
| City | DERBY |
| State | NY |
| Zip | 14047-9430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prashula P Ellsworth | Physician Assistant | General Physician PC | 7060 Erie Rd, Derby, NY 14047-9430 |
| Elizabeth R Hyla | Nurse Practitioner | Brain and Spine Medical Services Pllc | 7060 Erie Rd, Suite 300, Derby, NY 14047-9430 |
| Daniel M Salcedo | Physical Medicine and Rehabilitation | Brain and Spine Medical Services Pllc | 7060 Erie Rd, Suite 300, Derby, NY 14047-9430 |
| Angel M Szkutak | Physician Assistant | Lakeshore Family Medicine Assoc PC | 7060 Erie Rd, Suite 100, Derby, NY 14047-9431 |
| Ashley E Skipper | Physician Assistant | Lakeshore Family Medicine Assoc PC | 7060 Erie Rd, Suite 100, Derby, NY 14047-9431 |
| Christine M Klemp | Nurse Practitioner | Brain and Spine Medical Services Pllc | 7060 Erie Rd, Suite 300, Derby, NY 14047-9430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Feldstein | Diagnostic Radiology | Imaging Group of Delaware, Pa | 1201 Langhorne - Newtown Rd, Langhorne, PA 14047-1201 |
| Christopher T Kirkpatrick | Diagnostic Radiology | Imaging Group of Delaware, Pa | 1201 Langhorne - Newtown Rd, Langhorne, PA 14047-1201 |
| Thomas J Reilly | Diagnostic Radiology | Imaging Group of Delaware, Pa | 1201 Langhorne - Newtown Rd, Langhorne, PA 14047-1201 |
| Douglas D Hage | Obstetrics/gynecology | 7020 Erie Rd, Derby, NY 14047-9306 | |
| Robert J Joba | Optometry | 6929 Erie Rd, Derby, NY 14047-9436 | |
| Debra S Longbine | Physician Assistant | Wny Medical PC | 6970 Erie Rd, Derby, NY 14047-9591 |
| Derek B Bell | Chiropractic | 7008 Erie Rd, Derby, NY 14047-9592 | |
| Traci Raynor | Nurse Practitioner | Community Concern of Wny | 6722 Erie Rd, Derby, NY 14047-9670 |
| Cherie B Ruben | Psychologist, Clinical | Community Concern of Wny | 6722 Erie Rd, Derby, NY 14047-9670 |
| Marlene C Longdon | Nurse Practitioner | Community Concern of Wny | 6722 Erie Rd, Derby, NY 14047-9670 |
| Find all physicians in zip 14047 | |||
| City | DERBY |
| Zip Code | 14047 |
| Specialty | GENERAL SURGERY |
| City + Specialty | DERBY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Rurik C 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.