Chris J Johnson (NPI# 1104800267, PAC ID# 1759448046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104800267 |
| PAC ID by PECOS | 1759448046 |
| Professional Enrollment ID | I20090401000416 |
| Full Name | Chris J Johnson |
| Organization Legal Name | CONSULTATIVE HEALTH AND MEDICINE PA |
| Address |
5520 Ridgewood Cv Minnetrista MN 55364-8239 |
| Phone Number | 612865526211 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6305024373 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| 240063 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 9529932400 | PARK NICOLLET CLINIC |
| 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 | 612865526211 | CONSULTATIVE HEALTH AND MEDICINE PA |
| 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | PARK NICOLLET CLINIC | |
| 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 9529933123 | PARK NICOLLET CLINIC |
| Organization Legal Name | CONSULTATIVE HEALTH AND MEDICINE PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bree Yaeger Jensen | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Amber Rae Halverson | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Anne T Pierce | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Lisa G Burns | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Megan M Danielson | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Debra K Mike | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Angela L Guerrero | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Street Address |
5520 RIDGEWOOD CV |
| City | MINNETRISTA |
| State | MN |
| Zip | 55364-8239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bree Yaeger Jensen | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Amber Rae Halverson | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Anne T Pierce | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Lisa G Burns | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Megan M Danielson | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Debra K Mike | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Angela L Guerrero | Nurse Practitioner | Consultative Health and Medicine Pa | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Whitbeck | Nurse Practitioner | Tapestry Telehealth Pllc | 5947 Gumwood Rd, Mound, MN 55364-1030 |
| James D Byers | Chiropractic | 2365 Commerce Blvd, Mound, MN 55364-1447 | |
| Leland K Martin | Psychologist, Clinical | 2434 Commerce Blvd, Suite A, Mound, MN 55364-1480 | |
| Jayme L Clayton | Chiropractic | 2305 Commerce Blvd, Mound, MN 55364-1493 | |
| Stephanie Miner | Oral Surgery | 5205 Shoreline Dr, Mound, MN 55364-1770 | |
| James Michael Baldus | Psychologist, Clinical | 5200 Maywood Rd, Suite 202, Mound, MN 55364-1776 |
| City | MINNETRISTA |
| Zip Code | 55364 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MINNETRISTA + FAMILY MEDICINE |
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| 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.