Willis B Johnston (NPI# 1881660025, PAC ID# 3274602065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1881660025 |
| PAC ID by PECOS | 3274602065 |
| Professional Enrollment ID | I20100429001140 |
| Full Name | Willis B Johnston |
| Organization Legal Name | OKLAHOMA CITY CLINIC |
| Address |
701 Ne Oklahoma City OK 73104-5403 |
| Phone Number | 4056447500 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5799697355 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 701 Ne, Oklahoma City, OK 73104-5403 | 4056447500 | OKLAHOMA CITY CLINIC |
| 701 Ne, 10th, Oklahoma City, OK 73104-5403 | 4056447500 | OKLAHOMA CITY CLINIC |
| Organization Legal Name | OKLAHOMA CITY CLINIC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Maidt | Family Practice | Oklahoma City Clinic | 701 Ne, 10th, Oklahoma City, OK 73104-5403 |
| Susan T Redwine | Pediatric Medicine | Oklahoma City Clinic | 200 N Bryant Ave, Edmond, OK 73034-6273 |
| Street Address |
701 NE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73104-5403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Maidt | Family Practice | Oklahoma City Clinic | 701 Ne, 10th, Oklahoma City, OK 73104-5403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nilaksha I Bhatt | Anesthesiology | 7014 Ne 10th St, 124 Medical Center Asc, Oklahoma City, OK 73104 | |
| Christopher H Bozarth | Radiation Oncology | Midwest Oncology Group, Pllc | 111 Harrison Ave, Suite 104, Oklahoma City, OK 73104-1819 |
| Michael D Martin | Neurosurgery | Board of Regents of The University of Oklahoma - Ou Physicians | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 |
| Mitali Shrenik Talsania | Endocrinology | Board of Regents of The University of Oklahoma - Ou Physicians | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 |
| Joanna Elizabeth Gernsback | Neurosurgery | Board of Regents of The University of Oklahoma - Ou Physicians | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 |
| Latasha B Craig | Obstetrics/gynecology | Board of Regents of The University of Oklahoma - Ou Physicians | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 |
| Jonea Lim | Endocrinology | Board of Regents of The University of Oklahoma - Ou Physicians | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 |
| Angela R King | Physician Assistant | Board of Regents of The University of Oklahoma - Ou Physicians | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 |
| Richard G Hutchison | Physician Assistant | Board of Regents of The University of Oklahoma - Ou Physicians | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 |
| Ian F Dunn | Neurosurgery | Board of Regents of The University of Oklahoma - Ou Physicians | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 |
| Find all physicians in zip 73104 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
| Specialty | PODIATRY |
| City + Specialty | OKLAHOMA CITY + PODIATRY |
Please comment or provide details below to improve the information on Willis B Johnston.
| 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.