Jon W Johnson (NPI# 1700849270, PAC ID# 0840392882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1700849270 |
| PAC ID by PECOS | 0840392882 |
| Professional Enrollment ID | I20070222000436 |
| Full Name | Jon W Johnson |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Address |
6500 38th Ave N Saint Petersburg FL 33710-1629 |
| Phone Number | 5619970821 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 0244269413 |
| Number of Group Practice Members | 248 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100246 | LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 6500 38th Ave N, Saint Petersburg, FL 33710-1629 | 5619970821 | INTENSIVE CARE CONSORTIUM INC |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Physicians | 219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soowhan Lah | Critical Care (intensivists) | Intensive Care Consortium Inc | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Disha Awasthi | Pulmonary Disease | Intensive Care Consortium Inc | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Jacklyn Reyes Pancrudo | Internal Medicine | Intensive Care Consortium Inc | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Ali Ashraf | Pulmonary Disease | Intensive Care Consortium Inc | 700 W Oak St, Kissimmee, FL 34741-4996 |
| Christine D Lallos | Anesthesiology | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Shawn W Blouin | Nurse Practitioner | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Gina Marie Iacovella | Critical Care (intensivists) | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Rajiv Malhotra | Pulmonary Disease | Intensive Care Consortium Inc | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Azzat Abdulghani Ali | Critical Care (intensivists) | Intensive Care Consortium Inc | 9330 State Rd, Suite 54, Trinity, FL 34655-1808 |
| Geoffrey Andrew Loh | Critical Care (intensivists) | Intensive Care Consortium Inc | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Street Address |
6500 38TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip | 33710-1629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashok N Shenoy | Family Medicine | Gulf-to-bay Anesthesiology Associates LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Charles H Nightingale | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Patrick W Mccabe | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Jeremy T Ng | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| David I Antokal | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Byron P Markel | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Kim M Saviano | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Alan W Ambrose | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Edgar Antonio Mercado | Internal Medicine | Intensive Care Consortium Inc | 6500 38th Ave N, Saint Petersburg, FL 33710-1629 |
| Lynea M Kelly | Emergency Medicine | Bluff Knoll Emergency Physicians LLC | 6500 38th Ave N, St Petersburg, FL 33710-1629 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren S Hendrix | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Khine Swe Zin Min | Hospitalist | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Marie-france Scherer | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| My N Myers | Hospitalist | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Jacek M Kucharewicz | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Timothy N Brundage | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Douglas B Moss | Podiatry | 7855 38th Ave N, Suite 200, St Petersburg, FL 33710-1134 | |
| John J Obrien Jr. | Plastic and Reconstructive Surgery | 7855 38th Ave N, St Petersburg, FL 33710-1152 | |
| Christopher Newman | Plastic and Reconstructive Surgery | 7855 38th Ave N, Saint Petersburg, FL 33710-1152 | |
| Louis Mazzella | Family Medicine | Nautilus Health Care Group LLC | 7501 38th Ave N, St Petersburg, FL 33710-1230 |
| Find all physicians in zip 33710 | |||
| City | SAINT PETERSBURG |
| Zip Code | 33710 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | SAINT PETERSBURG + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Jon 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.