Elizabeth R Johnson (NPI# 1114369741, PAC ID# 4880981059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1114369741 |
| PAC ID by PECOS | 4880981059 |
| Professional Enrollment ID | I20191118001209 |
| Full Name | Elizabeth R Johnson |
| Organization Legal Name | LAWNWOOD CARDIOVASCULAR SURGERY LLC |
| Address |
11750 Sw 40th St Kendall Regional Medical Center Miami FL 33175-3530 |
| Phone Number | 3052233000 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 7214937598 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100209 | KENDALL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11750 Sw 40th St, Kendall Regional Medical Center, Miami, FL 33175-3530 | 3052233000 | LAWNWOOD CARDIOVASCULAR SURGERY LLC |
| Organization Legal Name | LAWNWOOD CARDIOVASCULAR SURGERY LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian A Otero | Thoracic Surgery | Lawnwood Cardiovascular Surgery LLC | 11760 Sw 40th Street, 352 Florida Heart and Vascular Care On Su, Miami, FL 33175-3595 |
| Jack Zeltzer | Vascular Surgery | Lawnwood Cardiovascular Surgery LLC | 180 Jfk Dr, Suite 340, Atlantis, FL 33462-6641 |
| Debra L Baldwin | Physician Assistant | Lawnwood Cardiovascular Surgery LLC | 5301 S Congress Ave, Atlantis, FL 33462-1149 |
| Robert D Chait | Cardiovascular Disease (cardiology) | Lawnwood Cardiovascular Surgery LLC | 180 John F Kennedy Dr, Suite 320, Atlantis, FL 33462-6607 |
| Aleksandr V Potashnik | Physician Assistant | Lawnwood Cardiovascular Surgery LLC | 5301 S Congress Ave, Atlantis, FL 33462-1149 |
| Kenneth L Gibbs | Interventional Cardiology | Lawnwood Cardiovascular Surgery LLC | 2401 Frist Blvd, Suite 5, Fort Pierce, FL 34950-4800 |
| Allan S Stewart | Thoracic Surgery | Lawnwood Cardiovascular Surgery LLC | 3661 S Miami Ave, 301 Florida Heart and Vascular Care At Me, Miami, FL 33133-4232 |
| William H Heitman | Thoracic Surgery | Lawnwood Cardiovascular Surgery LLC | 2401 Frist Blvd, Suite 5, Fort Pierce, FL 34950-4800 |
| Mike Enrique Buitrago | Nurse Practitioner | Lawnwood Cardiovascular Surgery LLC | 8251 W Broward Blvd, 300 Fl Heart and Vascular Care At Kendal, Plantation, FL 33324-2703 |
| Berkley C Curtis Jr. | Physician Assistant | Lawnwood Cardiovascular Surgery LLC | 8201 W Broward Blvd, Plantation, FL 33324-2701 |
| Street Address |
11750 SW 40TH ST KENDALL REGIONAL MEDICAL CENTER |
| City | MIAMI |
| State | FL |
| Zip | 33175-3530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcelo V. Bendix | Internal Medicine | 11750 Sw 40th St, Kendall Regional Hospital, Miami, FL 33175-3530 | |
| Samuel Neuhut | Psychiatry | East Florida Behavioral Health Network, LLC | 11750 Sw 40th St, Kendall Reg Med Ctr, Miami, FL 33175-3530 |
| Maria D Del Sol | Psychiatry | East Florida Behavioral Health Network, LLC | 11750 Sw 40th St, Miami, FL 33175-3530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime F Avecillas | Pulmonary Disease | Lung and Critical Care Specialists of South Florida | 12905 Sw42nd St, Suite 213, Miami, FL 33175 |
| Juan M Ortiz | Cardiovascular Disease (cardiology) | 11760 Sw 40 St (bird, Suite 502, Miami, FL 33175 | |
| Javier Gonzalez | Internal Medicine | Lung and Critical Care Specialists of South Florida | 12905 Sw42nd St, Suite 213, Miami, FL 33175 |
| Jeanette Gonzalez | Clinical Social Worker | 2230 Sw 131 Ct, We R Family Usa Corp, Miami, FL 33175-1135 | |
| Quoc Nam Huynh | Optometry | South Florida Vision Services, Inc | 11865 Sw 26th St, Optical Navarros 25, Miami, FL 33175-2400 |
| Rolando E Diaz | General Practice | 11865 Coral Way, Suite B 7, Miami, FL 33175-2400 | |
| Eduardo J Vasquez | Critical Care (intensivists) | 12905 Sw 42nd St, Suite 213, Miami, FL 33175-2912 | |
| Jose Cardona-guzman | Internal Medicine | 12905 Sw 42nd St, Suite 213, Miami, FL 33175-2912 | |
| Teresa Iribarren | Internal Medicine | 12955 Sw 42nd St, Suite 12, Miami, FL 33175-2932 | |
| Lester M De Leon | Family Medicine | 4155 Sw 136th Ave, Miami, FL 33175-3253 | |
| Find all physicians in zip 33175 | |||
| City | MIAMI |
| Zip Code | 33175 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | MIAMI + VASCULAR SURGERY |
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| 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.