Gordon R Johnson (NPI# 1205893781, PAC ID# 5395702823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1205893781 |
| PAC ID by PECOS | 5395702823 |
| Professional Enrollment ID | I20041215000935 |
| Full Name | Gordon R Johnson |
| Address |
1401 W Central Park Ave Genesis Medical Center West Campus Davenport IA 52804-1707 |
| Gender | M |
| Credential | DO |
| Medical School | COLLEGE OF PHYSICIANS AND SURGEONS (IOWA) |
| Graduation Year | 1978 |
| Primary Specialty | OTOLARYNGOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| Address | Phone | Organization |
|---|---|---|
| 1401 W Central Park Ave, Genesis Medical Center West Campus, Davenport, IA 52804-1707 | ||
| 3906 Lillie Ave, Suite 1, Davenport, IA 52806-4433 |
| Street Address |
1401 W CENTRAL PARK AVE GENESIS MEDICAL CENTER WEST CAMPUS |
| City | DAVENPORT |
| State | IA |
| Zip | 52804-1707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Thompson | Family Medicine | Genesis Health System | 1401 W Central Park Ave, Davenport, IA 52804-1707 |
| Kiwhoon Lee | Radiation Oncology | Quint Cities Radiation Oncology, Ltd | 1401 W Central Park Ave, Davenport, IA 52804-1707 |
| Rebecca A Wiese | Hospitalist | Genesis Health System | 1401 W Central Park Ave, Davenport, IA 52804-1707 |
| Vinay V Satti | Internal Medicine | Genesis Health System | 1401 W Central Park Ave, Davenport, IA 52804-1707 |
| Arthur B Searle | Physical Medicine and Rehabilitation | 1401 W Central Park Ave, Davenport, IA 52804-1707 | |
| Stephen C Rasmus | Sleep Medicine | Stephen C Rasmus Md PC | 1401 W Central Park Ave, Davenport, IA 52804-1523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Babuji R Gandra | Psychiatry | Genesis Health System | 1401 W Central Park, Genesis Health Group, Davenport, IA 52804-1707 |
| James R Bolton | Clinical Social Worker | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Carol A Chukwuka | Nurse Practitioner | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Chris M Pries | Nurse Practitioner | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| William M Nissen | Psychiatry | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Ann M Maxwell | Nurse Practitioner | Genesis Health System | 1401 W Central Park, Genesis Health Group, Davenport, IA 52804-1707 |
| Susan L Armstrong | Clinical Social Worker | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Henry F Emerle | Psychiatry | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Laura M Hill | Clinical Social Worker | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Anne C Gentil Archer | Nurse Practitioner | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Find all physicians in zip 52804 | |||
| City | DAVENPORT |
| Zip Code | 52804 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | DAVENPORT + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Gordon R 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.