Shawn M Johnson (NPI# 1811908445, PAC ID# 4981613767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1811908445 |
| PAC ID by PECOS | 4981613767 |
| Professional Enrollment ID | I20060406000561 |
| Full Name | Shawn M Johnson |
| Organization Legal Name | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| Address |
3707 New Vision Dr Fort Wayne IN 46845-1702 |
| Phone Number | 2609691124 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5294624060 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 151315 | CAMERON MEMORIAL COMMUNITY HOSPITAL INC |
| 360121 | COMMUNITY HOSPITALS AND WELLNESS CENTERS |
| 150146 | PARKVIEW NOBLE HOSPITAL |
| 151310 | PARKVIEW WABASH HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 121 Westfield Dr, Archbold, OH 43502-1056 | 4194454415 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 2110 Carew St, Fort Wayne, IN 46805-4712 | 2604831847 | BREAST DIAGNOSTIC CENTER LLC |
| 3707 New Vision Dr, Fort Wayne, IN 46845-1702 | 2609691124 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| Organization Legal Name | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Michael Gregory | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1355 Mariners Dr, Warsaw, IN 46582-7145 |
| Christopher Michael Wing | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Benjamin J Moreno | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Melissa Sue Bosma | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 433 W High St, Bryan, OH 43506-1679 |
| William Cohee Petty | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Matthew W Hasselman | Physician Assistant | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Brad M Johnston | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Mitchell E Travis | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 |
| David Keith Powell | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 416 E Maumee St, Angola, IN 46703-2015 |
| Ronald J Douglas | Physician Assistant | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Street Address |
3707 NEW VISION DR |
| City | FORT WAYNE |
| State | IN |
| Zip | 46845-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Edson Carrel | Diagnostic Radiology | P.e.t. Imaging Services, LLC | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
| Sai G Yarram | Diagnostic Radiology | P.e.t. Imaging Services, LLC | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
| Andrew W Potter | Diagnostic Radiology | P.e.t. Imaging Services, LLC | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
| Tram Schroeder | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
| Jason D Gillum | Diagnostic Radiology | P.e.t. Imaging Services, LLC | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
| Andrew J Norton | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
| Darshan C Patel | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
| Jeffrey W Birn | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
| Michael Kinzer | Diagnostic Radiology | P.e.t. Imaging Services, LLC | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
| Peter J Mehta | Diagnostic Radiology | P.e.t. Imaging Services, LLC | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy A Auld | Nurse Practitioner | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Karin L Mohs | Nurse Practitioner | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Justin Charles Reis | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Michael Mamdouh Makary | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Rakesh K Subramanian | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Georges Debal | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Simon Peter Crass | Gastroenterology | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Aaron Thomas Thornburg | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| David W Clark | Gastroenterology | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Wheeler John Dale | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Find all physicians in zip 46845 | |||
| City | FORT WAYNE |
| Zip Code | 46845 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FORT WAYNE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Shawn 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.