Ellis E Johnson Iii (NPI# 1679583645, PAC ID# 5193733319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1679583645 |
| PAC ID by PECOS | 5193733319 |
| Professional Enrollment ID | I20120618000707 |
| Full Name | Ellis E Johnson Iii |
| Address |
35055 La Hwy 16 Suite 1c Denham Springs LA 70706-1535 |
| Gender | M |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 35055 La Hwy 16, Suite 1c, Denham Springs, LA 70706-1535 |
| Street Address |
35055 LA HWY 16 SUITE 1C |
| City | DENHAM SPRINGS |
| State | LA |
| Zip | 70706-1535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kori Fogg Juban | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 34870 La Hwy 1019, Denham Springs, LA 70706-0659 |
| Leon A Cannizzaro Iii | Cardiovascular Disease (cardiology) | Our Lady of The Lake Physician Group LLC | 34870 La Hwy 1019, Denham Springs, LA 70706-0659 |
| Denzil Louis Moraes | Interventional Cardiology | Our Lady of The Lake Physician Group LLC | 34870 La Hwy 1019, Denham Springs, LA 70706-0659 |
| Mandy R Erwin | Nurse Practitioner | 35055 La Hwy 16 2h, Denham Springs, LA 70706-1535 | |
| Wayne D Foster Jr. | Nurse Practitioner | 8406 Le Marie Ct, Denham Springs, LA 70706-1536 |
| City | DENHAM SPRINGS |
| Zip Code | 70706 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | DENHAM SPRINGS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ellis E Johnson Iii.
| 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.