Shawn Evette Johnson (NPI# 1609927342, PAC ID# 4284809864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1609927342 |
| PAC ID by PECOS | 4284809864 |
| Professional Enrollment ID | I20180416001793 |
| Full Name | Shawn Evette Johnson |
| Organization Legal Name | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| Address |
75 Beekman St Plattsburgh NY 12901-1438 |
| Phone Number | 5185612000 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2003 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2769396878 |
| Number of Group Practice Members | 192 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| 670102 | AD HOSPITAL EAST, LLC |
| Address | Phone | Organization |
|---|---|---|
| 12930 E Fwy, Spine Orthopedic and Pain Surgical Pa, Houston, TX 77015-5710 | 2819848799 | ADVANCED SURGEONS AND PHYSICIANS NETWORK INC |
| 12950 E Fwy, Ad Hospital East LLC, Houston, TX 77015-5710 | 7133303887 | ADVANCED SURGEONS AND PHYSICIANS NETWORK INC |
| 8307 Knight Rd, Houston, TX 77054-3905 | 7137954884 | ADVANCED SURGEONS AND PHYSICIANS NETWORK INC |
| 75 Beekman St, Plattsburgh, NY 12901-1438 | 5185612000 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| Organization Legal Name | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| Physicians | 168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Henry | General Surgery | Champlain Valley Physicians Hospital Medical Center | 214 Cornelia St, Suite 102, Plattsburgh, NY 12901-2332 |
| Lindsey B Wilhelm | Family Medicine | Champlain Valley Physicians Hospital Medical Center | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1874 |
| Leo Grafstein | Urology | Champlain Valley Physicians Hospital Medical Center | 15 Degrandpre Way, Plattsburgh, NY 12901-6449 |
| Staci L Carter-kelly | Physician Assistant | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Ann M Watts | Registered Dietitian Or Nutrition Professional | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Deborah M Kampschror | Physician Assistant | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Jose M Acostamadiedo | Medical Oncology | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Daniel J Ackil | Emergency Medicine | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Edward J Mazdzer | Neurology | Champlain Valley Physicians Hospital Medical Center | 206 Cornelia St, Suite 102, Plattsburgh, NY 12901-2779 |
| Andrei Cepoi | Internal Medicine | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Street Address |
75 BEEKMAN ST |
| City | PLATTSBURGH |
| State | NY |
| Zip | 12901-1438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Staci L Carter-kelly | Physician Assistant | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Ann M Watts | Registered Dietitian Or Nutrition Professional | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Deborah M Kampschror | Physician Assistant | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Jose M Acostamadiedo | Medical Oncology | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Daniel J Ackil | Emergency Medicine | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Andrei Cepoi | Internal Medicine | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Stacy A Comeau | Nurse Practitioner | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Robert L Benak | Internal Medicine | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Elena Boland | General Surgery | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Lars M Galldin | Anesthesiology | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Ambler | Internal Medicine | 128 Boynton Ave, Plattsburgh, NY 12901-1237 | |
| William N Pelton | Internal Medicine | 164 Boynton Ave, Suite 103, Plattsburgh, NY 12901-1241 | |
| Jacques Piche | Otolaryngology | 164 Boynton Ave, Suite 306, Plattsburgh, NY 12901-1241 | |
| Craig G Hurwitz | Nephrology | 52 Tom Miller Rd, Plattsburgh, NY 12901-1252 | |
| Sabieli Kabeli | Pulmonary Disease | Adirondack Pulmonary and Sleep Medicine Pllc | 142 Boynton Ave, Suite A, Plattsburgh, NY 12901-1292 |
| Lauren A Caniano | Nurse Practitioner | Adirondack Pulmonary and Sleep Medicine Pllc | 142 Boynton Ave, Suite A, Plattsburgh, NY 12901-1292 |
| Cheryl A Kabeli | Nurse Practitioner | Adirondack Pulmonary and Sleep Medicine Pllc | 142 Boynton Ave, Suite A, Plattsburgh, NY 12901-1292 |
| David J Anderson | Family Medicine | 154 Prospect Ave, Plattsburgh, NY 12901-1302 | |
| Brooke A Helwig | Physician Assistant | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Todd J Whitman | Hematology/oncology | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Find all physicians in zip 12901 | |||
| City | PLATTSBURGH |
| Zip Code | 12901 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PLATTSBURGH + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Shawn Evette 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.