Glen C Johnson (NPI# 1548239395, PAC ID# 0941499081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1548239395 |
| PAC ID by PECOS | 0941499081 |
| Professional Enrollment ID | I20110105000808 |
| Full Name | Glen C Johnson |
| Organization Legal Name | GUTHRIE MEDICAL GROUP PC |
| Address |
1011 N Elmer Ave Pediatrics Sayre PA 18840-1625 |
| Phone Number | 5708873070 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 6002728656 |
| Number of Group Practice Members | 546 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390079 | ROBERT PACKER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Guthrie Sq, Sayre, PA 18840-1625 | 5708885858 | GUTHRIE MEDICAL GROUP PC |
| 1 Guthrie Sq, 1st, Sayre, PA 18840-1625 | 5708885858 | GUTHRIE MEDICAL GROUP PC |
| 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 | 5708873070 | GUTHRIE MEDICAL GROUP PC |
| Organization Legal Name | GUTHRIE MEDICAL GROUP PC |
| Physicians | 592 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saravanakumar Manickam | Anesthesiology | Guthrie Medical Group PC | 1 Guthrie Dr, Corning, NY 14830-3696 |
| Kate S Larrabee | Nurse Practitioner | Guthrie Medical Group PC | 31 Arnot Rd, A, Horseheads, NY 14845-8533 |
| David Ristedt | Family Medicine | Guthrie Medical Group PC | 1780 Hanshaw Rd, Ithaca, NY 14850-9105 |
| Noorpreet K Dhawan | Family Medicine | Guthrie Medical Group PC | 9768 Liberty Dr, Painted Post, NY 14870-9094 |
| Gavin D Omahony | Hand Surgery | Guthrie Medical Group PC | 3 Guthrie Dr, Corning, NY 14830-3696 |
| Nikki A Fitch | Nurse Practitioner | Guthrie Medical Group PC | 1336 Cedar St, Elmira, NY 14904-2951 |
| Sara L Stamp | Registered Dietitian Or Nutrition Professional | Guthrie Medical Group PC | 105 Desmond St, Sayre, PA 18840-2001 |
| Tina M Route | Nurse Practitioner | Guthrie Medical Group PC | 37 N Chemung St, Waverly, NY 14892-1296 |
| Bryan N Tolle | Family Medicine | Guthrie Medical Group PC | 285 Guthrie Dr, Troy, PA 16947-8115 |
| Ashley Eldredge-martin | Nurse Practitioner | Guthrie Medical Group PC | 132 Colonial Dr, Towanda, PA 18848-8107 |
| Street Address |
1011 N ELMER AVE PEDIATRICS |
| City | SAYRE |
| State | PA |
| Zip | 18840-1625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa R Fox | Occupational Therapy | Guthrie Medical Group PC | 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 |
| Jennifer M Altieri | Nurse Practitioner | Guthrie Medical Group PC | 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 |
| Raja C Chakinala | Hospitalist | Guthrie Medical Group PC | 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 |
| Paul E Baker | Physician Assistant | Guthrie Medical Group PC | 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 |
| Scott T Terwilliger | Optometry | Guthrie Medical Group PC | 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 |
| Jill E Hess | Physician Assistant | Guthrie Medical Group PC | 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 |
| Nicole L Witman | Nurse Practitioner | Guthrie Medical Group PC | 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 |
| Joseph Armine Scopelliti | Gastroenterology | Guthrie Medical Group PC | 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 |
| Karim W Sadik | Plastic and Reconstructive Surgery | Guthrie Medical Group PC | 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 |
| John V Pamula | Internal Medicine | Guthrie Medical Group PC | 1011 N Elmer Ave, Pediatrics, Sayre, PA 18840-1625 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Mcgurk | Psychiatry | Robert Packer Hospital | Guthrie Square, Robert Packer Hosp, Sayre, PA 18840 |
| Jeffrey E Jacobson | Psychiatry | Robert Packer Hospital | Guthrie Square, Robert Packer Hosp, Sayre, PA 18840 |
| Michael D. Beredo | Certified Registered Nurse Anesthetist (crna) | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Melinda A Geiger | Certified Registered Nurse Anesthetist (crna) | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Lee A Witherow | Certified Registered Nurse Anesthetist (crna) | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Nitin Chopra | Anesthesiology | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Anne S Pamula | Family Medicine | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Ian P Snider | Family Medicine | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Daniel J Brown | Anesthesiology | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Jennifer L Hatch | Certified Registered Nurse Anesthetist (crna) | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Find all physicians in zip 18840 | |||
| City | SAYRE |
| Zip Code | 18840 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | SAYRE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Glen 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.