Patrice Johnson (NPI# 1346554417, PAC ID# 2264612647) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1346554417 |
| PAC ID by PECOS | 2264612647 |
| Professional Enrollment ID | I20110203000095 |
| Full Name | Patrice Johnson |
| Organization Legal Name | AMSURG OAK LAWN IL ANESTHESIA LLC |
| Address |
9921 Southwest Hwy Oak Lawn IL 60453-3754 |
| Phone Number | 7084252552 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1557587029 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140158 | MERCY HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2334 -2340 S Wabash Ave, Chicago, IL 60616-2112 | 3128080468 | ELITE ANESTHESIA GROUP INC |
| 2525 S Michigan Ave, Chicago, IL 60616-2315 | 3125672000 | MERCY HOSPITAL AND MEDICAL CENTER |
| 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 | 7084252552 | AMSURG OAK LAWN IL ANESTHESIA LLC |
| Organization Legal Name | AMSURG OAK LAWN IL ANESTHESIA LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen L Olsen | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Barbara A Doherty | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Julie Ann Flynn | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Jeffrey J Ryan | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Richard Clark | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Street Address |
9921 SOUTHWEST HWY |
| City | OAK LAWN |
| State | IL |
| Zip | 60453-3754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen L Olsen | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Barbara A Doherty | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Julie Ann Flynn | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Jeffrey J Ryan | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Lauren M Smith | Nurse Practitioner | Illinois Gastroenterology Group LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3767 |
| Maria Mcintire | Pathology | Gi Partners of Illinois LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Richard Clark | Certified Registered Nurse Anesthetist (crna) | Amsurg Oak Lawn Il Anesthesia LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Ven A Aduana | Pathology | Gi Partners of Illinois LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Sandra L Bernklau | Nurse Practitioner | Gi Partners of Illinois LLC | 9921 Southwest Hwy, Oak Lawn, IL 60453-3754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen C Hertz | Physical Therapy | Athletico Ltd | 8729 Ridgeland Ave, Oak Lawn, IL 60453-1001 |
| Grant S Arthur | Physical Therapy | Athletico Ltd | 8729 Ridgeland Ave, Oak Lawn, IL 60453-1001 |
| Erika L Kruchten | Physical Therapy | Athletico Ltd | 8729 Ridgeland Ave, Oak Lawn, IL 60453-1001 |
| Caroline J Mulhall | Chiropractic | 9025 Nashville Ave, Oak Lawn, IL 60453-1458 | |
| Darshan Nagesh | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
| John F Grady | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
| Yelena Boumendjel | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
| Patrick John Sanchez | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
| Emil Zager | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
| Paul T Martin Jr. | Podiatry | Foot and Ankle Associates Ltd | 4650 Southwest Hwy, Oak Lawn, IL 60453-1836 |
| Find all physicians in zip 60453 | |||
| City | OAK LAWN |
| Zip Code | 60453 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | OAK LAWN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.