Rory M Johnson (NPI# 1669481057, PAC ID# 4587709860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1669481057 |
| PAC ID by PECOS | 4587709860 |
| Professional Enrollment ID | I20100311000387 |
| Full Name | Rory M Johnson |
| Organization Legal Name | DOOR COUNTY MEMORIAL HOSPITAL |
| Address |
3711 State Hwy 42 Fish Creek WI 54212-9630 |
| Phone Number | 9208683511 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Group Practice PAC ID | 5395735088 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521358 | MINISTRY DOOR COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3711 State Hwy 42, Fish Creek, WI 54212-9630 | 9208683511 | DOOR COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | DOOR COUNTY MEMORIAL HOSPITAL |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn M Weilbaker | Nurse Practitioner | Door County Memorial Hospital | 910 Main Rd, Washington Island, WI 54246-9004 |
| John Philip Bryan | Physician Assistant | Door County Memorial Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 |
| Michael S Bruno | Anesthesiology | Door County Memorial Hospital | 1843 Michigan St, Sturgeon Bay, WI 54235-1007 |
| Richard L Hecker | Podiatry | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
| Heidi M Derbick | Nurse Practitioner | Door County Memorial Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 |
| Ellen L Knipfer | Nurse Practitioner | Door County Memorial Hospital | 815 Jefferson St, Algoma, WI 54201-1733 |
| Hannah S Craanen | Nurse Practitioner | Door County Memorial Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 |
| Sandra I Martens | Family Medicine | Door County Memorial Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 |
| Kelton J Reitz | Internal Medicine | Door County Memorial Hospital | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 |
| Callie A Krauel | Clinical Social Worker | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
| Street Address |
3711 STATE HWY 42 |
| City | FISH CREEK |
| State | WI |
| Zip | 54212-9630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Hecker | Podiatry | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
| Callie A Krauel | Clinical Social Worker | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
| Joseph J Rebhan | Family Medicine | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
| Holly A Swain | Physician Assistant | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
| Dorene E Dempster | Obstetrics/gynecology | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
| Anne Elizabeth Jordan | Family Medicine | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly C Fagundes | Physical Therapy | 8499 St Hwy 42, Fish Creek, WI 54212-9419 | |
| Tucker A Emerson | Chiropractic | Emerson Chiropractic Wellness Center LLC | 8499 St Hwy 42, Fish Creek, WI 54212-9419 |
| Elizabeth A Emerson | Chiropractic | Emerson Chiropractic Wellness Center LLC | 8499 St Hwy 42, Fish Creek, WI 54212-9419 |
| City | FISH CREEK |
| Zip Code | 54212 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FISH CREEK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rory M 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.