William M Johnson (NPI# 1508851171, PAC ID# 1658317359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1508851171 |
| PAC ID by PECOS | 1658317359 |
| Professional Enrollment ID | I20050705000311 |
| Full Name | William M Johnson |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Address |
1625 Nashville St Russellville KY 42276-8853 |
| Phone Number | 2707264011 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 2466364997 |
| Number of Group Practice Members | 226 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180046 | BOURBON COMMUNITY HOSPITAL |
| 180066 | LOGAN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1625 Nashville St, Russellville, KY 42276-8853 | 2707264011 | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Mayer Romain Khafi | Emergency Medicine | Southeastern Emergency Physicians LLC | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Thomas C Damhoff | Emergency Medicine | Southeastern Emergency Physicians LLC | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Daren William Cox | Emergency Medicine | Southeastern Emergency Physicians LLC | 990 Oak Ridge Turnpike, Oak Ridge, TN 37830-6976 |
| Andrew Hunter Wheeler | Emergency Medicine | Southeastern Emergency Physicians LLC | 456 Burnley Rd, Scottsville, KY 42164-6355 |
| Mary E Harkleroad | Family Medicine | Southeastern Emergency Physicians LLC | 1 Trillium Way, Corbin, KY 40701-8420 |
| Lamin Bangura | Family Medicine | Southeastern Emergency Physicians LLC | 1080 Ellington Pkwy, Lewisburg, TN 37091-2227 |
| William J Mcintyre | Emergency Medicine | Southeastern Emergency Physicians LLC | 55 Foundation Dr, Flemingsburg, KY 41041-9815 |
| Robert A Hill | Family Medicine | Southeastern Emergency Physicians LLC | 1260 University Ave, Sewanee, TN 37375-2303 |
| Shirley K Catron | Family Medicine | Southeastern Emergency Physicians LLC | 723 Old Burkesville Rd, Albany, KY 42602-1654 |
| James L Fritzsche | Emergency Medicine | Southeastern Emergency Physicians LLC | 9352 Park W Blvd, Knoxville, TN 37923-4325 |
| Street Address |
1625 NASHVILLE ST |
| City | RUSSELLVILLE |
| State | KY |
| Zip | 42276-8853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Jeffery Jones | Certified Registered Nurse Anesthetist (crna) | Plj Anesthesia Associates LLC | 1625 Nashville St, Anesthesia Department, Russellville, KY 42276-8850 |
| Patrick D Owsiak | Emergency Medicine | Southeastern Emergency Physicians LLC | 1625 Nashville St, Russellville, KY 42276-8853 |
| Kay Chamberlain | Certified Registered Nurse Anesthetist (crna) | Plj Anesthesia Associates LLC | 1625 Nashville St, Anesthesia Department, Russellville, KY 42276-8850 |
| Gustav A Blomquist | Diagnostic Radiology | Sumner Radiology PC | 1625 Nashville St, Russellville, KY 42276-8853 |
| Donald E Chamberlain | Certified Registered Nurse Anesthetist (crna) | Plj Anesthesia Associates LLC | 1625 Nashville St, Anesthesia Department, Russellville, KY 42276-8850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thad Dustin Wells | Optometry | 105 Robins Way, Suite 206, Russellville, KY 42276-1129 | |
| Darla S Barrow | Optometry | 102 Armory Dr, Russellville, KY 42276-1602 | |
| Amanda S Higdon | Optometry | 102 Armory Dr, Russellville, KY 42276-1602 | |
| Keith A Jones | Chiropractic | 178 E 4th St, Russellville, KY 42276-1820 | |
| Bill D Webb | Optometry | 603 E 4th St, Russellville, KY 42276-1857 | |
| James C Dodson | Internal Medicine | Logan Physician Practice LLC | 147 E 5th St, Russellville, KY 42276-1903 |
| Stuart W Larson | Psychiatry | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Tonya Norris Ballard | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Lorri L Houck | Nurse Practitioner | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Laura A Gaines | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Find all physicians in zip 42276 | |||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | RUSSELLVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on William M 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.