Larry W Johnson (NPI# 1932183043, PAC ID# 3577469931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1932183043 |
| PAC ID by PECOS | 3577469931 |
| Professional Enrollment ID | I20031209000538 |
| Full Name | Larry W Johnson |
| Organization Legal Name | HARBOR |
| Address |
123 22nd St Toledo OH 43604-2706 |
| Phone Number | 4192416191 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1967 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325931181 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360048 | UNIVERSITY OF TOLEDO MEDICAL CENTER |
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 123 22nd St, Toledo, OH 43604-2706 | 4192416191 | HARBOR |
| Organization Legal Name | HARBOR |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Day | Clinical Social Worker | Harbor | 3909 Woodley, Toledo, OH 43606-1100 |
| David W Jahn | Psychiatry | Harbor | 800 Commerce Dr, Perrysburg, OH 43551-5256 |
| Jean A Roberts | Clinical Psychologist | Harbor | 4334 Secor Rd, Toledo, OH 43623-4234 |
| Karen C Fritts | Clinical Social Worker | Harbor | 123 22nd St, Toledo, OH 43604-2706 |
| David G Zick | Psychiatry | Harbor | 1010 N Prospect St, Bowling Green, OH 43402-1335 |
| Olivia L Leverich | Psychologist, Clinical | Harbor | 3909 Woodley Rd, Toledo, OH 43606-1169 |
| Bushra Haneef Qureishi | Psychiatry | Harbor | 6629 W Central Ave, Toledo, OH 43617-1098 |
| Dorota S Rytwinski | Psychiatry | Harbor | 123 22nd St, Toledo, OH 43604-2706 |
| Andrea Leslie | Clinical Social Worker | Harbor | 3909 Woodley, Toledo, OH 43606-1100 |
| Thomas Lee Duvall | Clinical Social Worker | Harbor | 3909 Woodley, Toledo, OH 43606-1100 |
| Street Address |
123 22ND ST |
| City | TOLEDO |
| State | OH |
| Zip | 43604-2706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen C Fritts | Clinical Social Worker | Harbor | 123 22nd St, Toledo, OH 43604-2706 |
| Dorota S Rytwinski | Psychiatry | Harbor | 123 22nd St, Toledo, OH 43604-2706 |
| Kellie M Pryor | Nurse Practitioner | Harbor | 123 22nd St, Toledo, OH 43604-2706 |
| Bonnie Kauffmann | Psychologist, Clinical | Harbor | 123 22nd St, Toledo, OH 43604-2706 |
| Janice K Bohmler | Clinical Social Worker | Harbor | 123 22nd St, Toledo, OH 43604-2706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Lau | Nurse Practitioner | A Renewed Mind | 1832 Adams St, Toledo, OH 43604-4428 |
| Diane G Fouts | Nurse Practitioner | A Renewed Mind | 1832 Adams St, Toledo, OH 43604-4428 |
| Tanvir Singh | Psychiatry | A Renewed Mind | 1832 Adams St, Toledo, OH 43604-4428 |
| Jason K Goldswer | Clinical Social Worker | A Renewed Mind | 1832 Adams St, Toledo, OH 43604-4428 |
| Christine Joohee Park | Psychiatry | A Renewed Mind | 1832 Adams St, Toledo, OH 43604-4428 |
| Peggy J Kubiak | Clinical Social Worker | A Renewed Mind | 1832 Adams St, Toledo, OH 43604-4428 |
| Donna L Baldwin-mickey | Optometry | Lucas County Auditor | Toledo-lucas County Health Dept, 635 N Erie St Rm 272, Toledo, OH 43604-5317 |
| Norma J Lake | Nurse Practitioner | Lucas County Auditor | 635 N Erie St, Rm 002, Toledo, OH 43604-5317 |
| Lynn M Ghesquire | Clinical Social Worker | Unison Behavioral Health Group, Inc. | 544 E Woodruff Ave, Toledo, OH 43604-5342 |
| Keri Kiefer | Clinical Social Worker | Unison Behavioral Health Group, Inc. | 544 E Woodruff Ave, Toledo, OH 43604-5342 |
| Find all physicians in zip 43604 | |||
| City | TOLEDO |
| Zip Code | 43604 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TOLEDO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Larry W 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.