Michael David Johnson (NPI# 1043482797, PAC ID# 1759441439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1043482797 |
| PAC ID by PECOS | 1759441439 |
| Professional Enrollment ID | I20081125000811 |
| Full Name | Michael David Johnson |
| Organization Legal Name | ALLIANCE PHYSICIANS INC |
| Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2003 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 0840104360 |
| Number of Group Practice Members | 727 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360079 | KETTERING MEDICAL CENTER |
| 360051 | MIAMI VALLEY HOSPITAL |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360360 | SOIN MEDICAL CENTER |
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| Address | Phone | Organization |
|---|---|---|
| 3525 Pentagon Blvd, Suite 101, Beavercreek, OH 45431-1705 | 9377024060 | ALLIANCE PHYSICIANS INC |
| 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 | ALLIANCE PHYSICIANS INC | |
| 5932 Springboro Pike, Dayton, OH 45449-3250 | 9374358663 | ALLIANCE PHYSICIANS INC |
| 3535 Southern Blvd, Kettering, OH 45429-1221 | ALLIANCE PHYSICIANS INC | |
| 3535 Southern Blvd Ob Unit, Kettering, OH 45429-1221 | 9373958469 | ALLIANCE PHYSICIANS INC |
| Organization Legal Name | ALLIANCE PHYSICIANS INC |
| Physicians | 760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katresha Janiece Williams-ellington | Nurse Practitioner | Alliance Physicians Inc | 3300 Philadelphia Dr, Dayton, OH 45405-1919 |
| Rebecca Anne Reynolds | Nurse Practitioner | Alliance Physicians Inc | 2141 N Fairfield Rd B, Beavercreek, OH 45431-2579 |
| Whitney Nicole Clark | Certified Nurse Midwife (cnm) | Alliance Physicians Inc | 50 N Progress Dr, Xenia, OH 45385-2666 |
| Akil P. Patel | Neurosurgery | Alliance Physicians Inc | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 |
| Charles William Oberer | Gastroenterology | Alliance Physicians Inc | 3359 Kemp Rd, Suite 100, Beavercreek, OH 45431-4204 |
| Rebecca Yeager | Family Medicine | Alliance Physicians Inc | 2145 N Fairfield Rd, Suite 100, Beavercreek, OH 45431-2580 |
| Jennifer Martin | Family Medicine | Alliance Physicians Inc | 825 N Main St, Suite 140, Springboro, OH 45066-1503 |
| Stefanie Kristine Lewis | Family Medicine | Alliance Physicians Inc | 1045 Channingway Dr, Fairborn, OH 45324-9252 |
| Angela A Adams-harrison | Family Medicine | Alliance Physicians Inc | 415 Byers Rd, Suite 300, Miamisburg, OH 45342-3684 |
| Michelle Bizzarro | Nurse Practitioner | Alliance Physicians Inc | 3371 Kemp Rd, Beavercreek, OH 45431-2514 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip | 45429-1221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Polenakovik | Internal Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Swathi Datla | Family Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Jeremy L Chapman | Internal Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45428-1221 |
| Timberly De Ann Harvey | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Chalana U Gunawardena | Hospitalist | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45428-1221 |
| Julia Anne Balandiat | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Nicole K Hammock | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| David B Jackson | Emergency Medicine | Emergency Medicine Specialists Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Kelley | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Daniel Lucian Butnariu | Critical Care (intensivists) | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Benjamin Gentry | Pathology | Kettering Pathology Associates Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Bradley A. Wisler | Anesthesiology | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Caccamo | Diagnostic Radiology | Kettering Network Radiologists Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Lori E Bickett | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Ersie Pouagare | Pathology | Regional Pathology Services Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Renjini Rachel Thomas | Internal Medicine | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Scott J Arnold | Pathology | Regional Pathology Services Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Valerie A Aliu | Internal Medicine | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Justin Stafford | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| John Petty | Physical Medicine and Rehabilitation | 3535 Southern Blvd, Kettering, OH 45429-1221 | |
| Find all physicians in zip 45429 | |||
| City | KETTERING |
| Zip Code | 45429 |
| Specialty | GENERAL SURGERY |
| City + Specialty | KETTERING + GENERAL SURGERY |
Please comment or provide details below to improve the information on Michael David 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.