Michael Alan Johnson (NPI# 1205847209, PAC ID# 4082707633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1205847209 |
| PAC ID by PECOS | 4082707633 |
| Professional Enrollment ID | I20070912000590 |
| Full Name | Michael Alan Johnson |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
108 Lynch Creek Way Petaluma CA 94954-2310 |
| Gender | M |
| Graduation Year | 1989 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050136 | PETALUMA VALLEY HOSPITAL |
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 108 Lynch Creek Way, Petaluma, CA 94954-2310 | ST JOSEPH HERITAGE HEALTHCARE | |
| 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 7075463210 | ST JOSEPH HERITAGE HEALTHCARE |
| 500 Doyle Park Dr, Santa Rosa, CA 95405-4559 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
108 LYNCH CREEK WAY |
| City | PETALUMA |
| State | CA |
| Zip | 94954-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Harf | Orthopedic Surgery | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 | |
| Stephen M Gugenheim | Otolaryngology | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Nikola Lozanov | Family Medicine | 108 Lynch Creek Way, Suite 4, Petaluma, CA 94954-2310 | |
| Naomi R.e. Detablan | Podiatry | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Joyce H Colton House | Otolaryngology | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Farid Osman | Nephrology | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Petaluma, CA 94954-2310 |
| Adamane S Lalithmohan | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Petaluma, CA 94954-2310 |
| Edward F Loker | Internal Medicine | 108 Lynch Creek Way, Petaluma, CA 94954-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald L Harris | Optometry | 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 | |
| Peter R Pretkel | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Julie L Restad | Chiropractic | 1301 Redwood Way, Suite 150, Petaluma, CA 94954-1136 | |
| Robert D Mosby | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Grace A Wakim | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Dan Lightfoot | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Kalane J Wong | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert L Anderson | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Allison Shaw | Pathology | Permanente Medical Group Inc | 101 Monroe St, Petaluma, CA 94954-2328 |
| Anna Kristina Paulsson | Radiation Oncology | St Joseph Heritage Healthcare | 110 Lynch Creek Way A, Petaluma, CA 94954-2337 |
| Find all physicians in zip 94954 | |||
| City | PETALUMA |
| Zip Code | 94954 |
| Specialty | PODIATRY |
| City + Specialty | PETALUMA + PODIATRY |
Please comment or provide details below to improve the information on Michael Alan 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.