Clark A Johnson (NPI# 1518225929, PAC ID# 2264657154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1518225929 |
| PAC ID by PECOS | 2264657154 |
| Professional Enrollment ID | I20180219001223 |
| Full Name | Clark A Johnson |
| Organization Legal Name | FOOT AND ANKLE MEDICAL CENTER OF NAMPA, P.A. |
| Address |
203 12th Ave Rd Suite A Nampa ID 83686-5012 |
| Phone Number | 2084663338 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3870671209 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131307 | WEISER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 | 2084663338 | FOOT AND ANKLE MEDICAL CENTER OF NAMPA, P.A. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | FOOT AND ANKLE MEDICAL CENTER OF NAMPA, P.A. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy W Fowler | Podiatry | Foot and Ankle Medical Center of Nampa, P.a. | 203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 |
| Phillip N Burk | Podiatry | Foot and Ankle Medical Center of Nampa, P.a. | 203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 |
| Street Address |
203 12TH AVE RD SUITE A |
| City | NAMPA |
| State | ID |
| Zip | 83686-5012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy W Fowler | Podiatry | Foot and Ankle Medical Center of Nampa, P.a. | 203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 |
| Phillip N Burk | Podiatry | Foot and Ankle Medical Center of Nampa, P.a. | 203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean R Weatherston | Physical Therapy | Altitude Physical Therapy Inc | 130 S Midland Blvd, Nampa, ID 83686-2601 |
| Elizabeth Renee Bryan | Physical Therapy | Altitude Physical Therapy Inc | 130 S Midland Blvd, Nampa, ID 83686-2601 |
| Kayla R Mcmurray | Physical Therapy | Altitude Physical Therapy Inc | 130 S Midland Blvd, Nampa, ID 83686-2601 |
| Boyd Ricks | Physical Therapy | Altitude Physical Therapy Inc | 130 S Midland Blvd, Nampa, ID 83686-2601 |
| Steven M Bastian | Physical Therapy | Altitude Physical Therapy Inc | 130 S Midland Blvd, Nampa, ID 83686-2601 |
| Katherine Halper | Chiropractic | Ideal Health | 206 S Midland Blvd, Nampa, ID 83686-2602 |
| Anthony J Oberti | Chiropractic | 430 W Iowa Ave, Suite A Whole Health Chiropractic, Nampa, ID 83686-2826 | |
| James K Dean | Optometry | 343 W Iowa Ave, Nampa, ID 83686-2856 | |
| Kevin Guy Dean | Optometry | 343 W Iowa Ave, Nampa, ID 83686-2856 | |
| Amy M Byron-sadiki | Clinical Social Worker | 112 12th Ave Rd, Nampa, ID 83686-5011 | |
| Find all physicians in zip 83686 | |||
| City | NAMPA |
| Zip Code | 83686 |
| Specialty | PODIATRY |
| City + Specialty | NAMPA + PODIATRY |
Please comment or provide details below to improve the information on Clark A 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.