Jessica L Johanson (NPI# 1063883973, PAC ID# 3779884556) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063883973 |
| PAC ID by PECOS | 3779884556 |
| Professional Enrollment ID | I20151221001708 |
| Full Name | Jessica L Johanson |
| Organization Legal Name | MASSACHUSETTS ACUTE CARE SPECIALISTS PC |
| Address |
170 Governors Ave Medford MA 02155-1643 |
| Phone Number | 7813066000 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234303082 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220070 | HALLMARK HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 170 Governors Ave, Medford, MA 02155-1643 | 7813066000 | MASSACHUSETTS ACUTE CARE SPECIALISTS PC |
| Organization Legal Name | MASSACHUSETTS ACUTE CARE SPECIALISTS PC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fadel A Bofarrag | Internal Medicine | Massachusetts Acute Care Specialists PC | 585 Lebanon St, Melrose, MA 02176-3225 |
| Olasumbo Fadiya | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 200 Groton Rd, Ayer, MA 01432-1168 |
| Ann-marie E Sullivan | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 170 Governors Ave, Medford, MA 02155-1643 |
| Ankit R Patel | Hospitalist | Massachusetts Acute Care Specialists PC | 585 Lebanon St, Melrose, MA 02176-3225 |
| Ikhlas Mohamad Sarabi | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 585 Lebanon St, Melrose, MA 02176-3225 |
| Youqin Zhou | Internal Medicine | Massachusetts Acute Care Specialists PC | 585 Lebanon St, Melrose, MA 02176-3225 |
| Kerrill J Mulvaney | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 585 Lebanon St, Melrose, MA 02176-3225 |
| Hanna Peck | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 170 Governors Ave, Medford, MA 02155-1643 |
| Alla M Guenin | Internal Medicine | Massachusetts Acute Care Specialists PC | 585 Lebanon St, Melrose, MA 02176-3225 |
| Catherine J Awuor | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 120 Main St, Malden, MA 02148-6904 |
| Street Address |
170 GOVERNORS AVE |
| City | MEDFORD |
| State | MA |
| Zip | 02155-1643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen D Klee | Nurse Practitioner | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Ann-marie E Sullivan | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 170 Governors Ave, Medford, MA 02155-1643 |
| Andrea M Messina | Nurse Practitioner | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Patricia A Sereno | Family Medicine | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Josephine M Gaviola | Nurse Practitioner | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Paula M Fang | Internal Medicine | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Daniel J Carlat | Psychiatry | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Albert A Hanlon | Physician Assistant | Partners Community Physicians Organization Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Gloria Lunghar | Internal Medicine | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| James A Lech | Psychiatry | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam T Dougherty | Ophthalmology | 77 Playstead Rd, Medford, MA 02155-1451 | |
| Elizabeth Marie Gingerich X | Psychiatry | 219 Ashcroft Rd, Medford, MA 02155-1602 | |
| Jihad B Nader | Psychiatry | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Hanna Peck | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 170 Governors Ave, Medford, MA 02155-1643 |
| Erin M Oconnor | Physician Assistant | Partners Community Physicians Organization Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Elizabeth Allen | Clinical Social Worker | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Devon Beal | Nurse Practitioner | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Elizabeth Lucey | Clinical Social Worker | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Ying Ma | Nurse Practitioner | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Pavan Kumar Punukollu | Diagnostic Radiology | Hallmark Imaging Associates, PC | 170 Governors Ave, Medford, MA 02155-1643 |
| Find all physicians in zip 02155 | |||
| City | MEDFORD |
| Zip Code | 02155 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MEDFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica L Johanson.
| 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.