Luke Alan Johnson (NPI# 1457702623, PAC ID# 5294168720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457702623 |
| PAC ID by PECOS | 5294168720 |
| Professional Enrollment ID | I20191213000991 |
| Full Name | Luke Alan Johnson |
| Organization Legal Name | JACKSONVILLE HOSPITAL LLC |
| Address |
1325 N Dickinson Dr Rusk TX 75785-1051 |
| Phone Number | 9036833600 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284996638 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450194 | EAST TEXAS MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1325 N Dickinson Dr, Rusk, TX 75785-1051 | 9036833600 | JACKSONVILLE HOSPITAL LLC |
| Organization Legal Name | JACKSONVILLE HOSPITAL LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Newman | Obstetrics/gynecology | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Jeremy P Day | Family Medicine | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Alana Marie Akers | Internal Medicine | Jacksonville Hospital LLC | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 |
| Lucia Williams | Obstetrics/gynecology | Jacksonville Hospital LLC | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 |
| Harsh Adhyaru | Obstetrics/gynecology | Jacksonville Hospital LLC | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 |
| William B Roberson Jr. | Family Medicine | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Joseph B Coopwood | General Surgery | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Street Address |
1325 N DICKINSON DR |
| City | RUSK |
| State | TX |
| Zip | 75785-1051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanna Adams | Nurse Practitioner | 1884 Fm, Suite 343, Rusk, TX 75785 | |
| Dana Long | Nurse Practitioner | Health and Human Services Commission | 805 N Dickinson Dr, Rusk State Hospital, Rusk, TX 75785-1006 |
| Gail I Johnson | Psychiatry | Health and Human Services Commission | 805 N Dickinson Dr, Rusk State Hospital, Rusk, TX 75785-1006 |
| Kendra R Verhelle | Internal Medicine | 163 W 5th St, Rusk, TX 75785-1217 |
| City | RUSK |
| Zip Code | 75785 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RUSK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Luke Alan 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.