Premila Ls Johnson (NPI# 1184727562, PAC ID# 4880792449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1184727562 |
| PAC ID by PECOS | 4880792449 |
| Professional Enrollment ID | I20070605000250 |
| Full Name | Premila Ls Johnson |
| Organization Legal Name | PREMILA JOHNSON, MD LP |
| Address |
2300 W Michigan Ave Suite 5 Midland TX 79701-5855 |
| Phone Number | 4326839898 |
| Gender | F |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 2860658499 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450133 | MIDLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2300 W Michigan Ave, Suite 5, Midland, TX 79701-5855 | 4326839898 | PREMILA JOHNSON, MD LP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | PREMILA JOHNSON, MD LP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Maurice Lopez | Nurse Practitioner | Premila Johnson, Md Lp | 2300 W Michigan Ave, Suite 5, Midland, TX 79701-5855 |
| Street Address |
2300 W MICHIGAN AVE SUITE 5 |
| City | MIDLAND |
| State | TX |
| Zip | 79701-5855 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Maurice Lopez | Nurse Practitioner | Premila Johnson, Md Lp | 2300 W Michigan Ave, Suite 5, Midland, TX 79701-5855 |
| Guillermo E Brachetta | General Surgery | 2300 W Michigan Ave, Suite 1, Midland, TX 79701-5855 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Paul Cooper | Physician Assistant | Wes Tex Urgent Care Pllc | 210 W Longview Ave, Suite A, Midland, TX 79701-1932 |
| Jeffrey C. Limbacher | Physician Assistant | Wes Tex Urgent Care Pllc | 210 W Longview Ave, Suite A, Midland, TX 79701-1932 |
| Haley Diane Wilson | Physician Assistant | Wes Tex Urgent Care Pllc | 210 W Longview Ave, Suite A, Midland, TX 79701-1932 |
| Christopher Hendy Bodily | Physician Assistant | Wes Tex Urgent Care Pllc | 210 W Longview Ave, Suite A, Midland, TX 79701-1932 |
| Terry Lane Beck | Emergency Medicine | Wes Tex Urgent Care Pllc | 210 W Longview Ave, Suite A, Midland, TX 79701-1932 |
| Joy Lynn Luke | Optometry | Luke Eye Associates, Lp | 200w Interstate 20, Midland, TX 79701-2030 |
| Charles Jacob Luke | Optometry | Luke Eye Associates, Lp | 200w Interstate 20, Midland, TX 79701-2030 |
| Alfonso S Garcia Jr. | Physical Therapy | 1005 N Midkiff Rd, Midland, TX 79701-2134 | |
| David John Doll | Chiropractic | 1220 N Midkiff Rd, Suite B, Midland, TX 79701-2135 | |
| Mourad L Mansour | Internal Medicine | 3001 W Illinois Ave, Midland, TX 79701-3109 | |
| Find all physicians in zip 79701 | |||
| City | MIDLAND |
| Zip Code | 79701 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MIDLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Premila Ls 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.