Mark W Johnson (NPI# 1205838653, PAC ID# 1153328604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1205838653 |
| PAC ID by PECOS | 1153328604 |
| Professional Enrollment ID | I20091112000483 |
| Full Name | Mark W Johnson |
| Organization Legal Name | COVENANT MEDICAL GROUP |
| Address |
5009 College Ave Snyder TX 79549-6109 |
| Phone Number | 9155731300 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1978 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 6901889393 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450040 | COVENANT MEDICAL CENTER |
| 453306 | COVENANT CHILDRENS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5009 College Ave, Snyder, TX 79549-6109 | 9155731300 | COVENANT MEDICAL GROUP |
| Organization Legal Name | COVENANT MEDICAL GROUP |
| Physicians | 185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Owen | Urology | Covenant Medical Group | 3612 23rd St, Lubbock, TX 79410-1326 |
| David F Oakes | Cardiac Electrophysiology | Covenant Medical Group | 3506 21st St, Suite 302, Lubbock, TX 79410-1212 |
| Kyler W Barkley | Cardiovascular Disease (cardiology) | Covenant Medical Group | 3514 21st St, Lubbock, TX 79410-1210 |
| Joshua G Hill | Family Medicine | Covenant Medical Group | 611 N Frankford Ave, Lubbock, TX 79416-1545 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Kia M Ousley | Family Medicine | Covenant Medical Group | 1910 Quaker Ave, Suite 101, Lubbock, TX 79407-2447 |
| Jana C Ashburn | Nurse Practitioner | Covenant Medical Group | 3606 21st St, Suite 103, Lubbock, TX 79410-1226 |
| Kate E Barnett | Physical Therapy | Covenant Medical Group | 4404 19th St, Suite C, Lubbock, TX 79407-2424 |
| Cristan D Ledbetter | Nurse Practitioner | Covenant Medical Group | 4102 22nd Pl, Lubbock, TX 79410-1122 |
| Street Address |
5009 COLLEGE AVE |
| City | SNYDER |
| State | TX |
| Zip | 79549-6109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah F Hunt | Nurse Practitioner | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Michael D Robertson | Internal Medicine | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Ahmad Sabouni | Neurology | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Brad Snodgrass | Internal Medicine | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Toni Gafford | Nurse Practitioner | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Amanda Hatton | Obstetrics/gynecology | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Kye B Lear | Family Medicine | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Kendra D Oden | Nurse Practitioner | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Gabriella T Davis | Nurse Practitioner | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Matthew M Price | Nurse Practitioner | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason B Cave | Optometry | Cave Eyecare Associates, Inc. | 303 37th St, Snyder, TX 79549-5041 |
| Dennis B Cave | Optometry | Cave Eyecare Associates, Inc. | 303 37th St, Snyder, TX 79549-5041 |
| Joyce P Hnatek | Hospice/palliative Care | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Keith Burke | Family Medicine | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| John B Hanna | Family Medicine | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Terrie L Klein | Nurse Practitioner | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Michael G Bailey | Family Medicine | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Sharon A Johnson | Nurse Practitioner | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Rochelle C Jacinto | Family Medicine | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Daniel B Hadzic | Family Medicine | Covenant Medical Group | 5009 College Ave, Snyder, TX 79549-6109 |
| Find all physicians in zip 79549 | |||
| City | SNYDER |
| Zip Code | 79549 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | SNYDER + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Mark 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.