Kevin Johnson (NPI# 1396155511, PAC ID# 5496067779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1396155511 |
| PAC ID by PECOS | 5496067779 |
| Professional Enrollment ID | I20190124003355 |
| Full Name | Kevin Johnson |
| Organization Legal Name | CROUSE MEDICAL PRACTICE PLLC |
| Address |
475 Irving Ave Suite 418 Syracuse NY 13210-1573 |
| Phone Number | 3152185303 |
| Gender | M |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | ADDICTION MEDICINE |
| Group Practice PAC ID | 8426189622 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 475 Irving Ave, Suite 418, Syracuse, NY 13210-1573 | 3152185303 | CROUSE MEDICAL PRACTICE PLLC |
| Organization Legal Name | CROUSE MEDICAL PRACTICE PLLC |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew J Snider | Physician Assistant | Crouse Medical Practice Pllc | 5000 Brittonfield Pkwy, A100, East Syracuse, NY 13057-9230 |
| Rachna Zirath | Internal Medicine | Crouse Medical Practice Pllc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Anis Obeid | Cardiovascular Disease (cardiology) | Crouse Medical Practice Pllc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Erin E Bahamonde | Nurse Practitioner | Crouse Medical Practice Pllc | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1664 |
| Mackenzie R Rotella | Nurse Practitioner | Crouse Medical Practice Pllc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Maggie Towles | Nurse Practitioner | Crouse Medical Practice Pllc | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1664 |
| Todd R Lentz | Internal Medicine | Crouse Medical Practice Pllc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Beverly A Mosher | Nurse Practitioner | Crouse Medical Practice Pllc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Eileen D Stone | Internal Medicine | Crouse Medical Practice Pllc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Timothy A Ko | Physician Assistant | Crouse Medical Practice Pllc | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Street Address |
475 IRVING AVE SUITE 418 |
| City | SYRACUSE |
| State | NY |
| Zip | 13210-1573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth M Houck | Obstetrics/gynecology | 475 Irving Ave, Suite 406, Syracuse, NY 13210-1573 | |
| Bryan D Oneil | Optometry | Lawrence Cecchi Md PC | 475 Irving Ave, Suite 420, Syracuse, NY 13210-1573 |
| James L Greenwald | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Erin K Hill | Obstetrics/gynecology | Loftus, Ryu and Bartol Md's P.C. | 475 Irving Ave, Suite 108, Syracuse, NY 13210-1691 |
| Heather Finn | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Reem Akkawi | Obstetrics/gynecology | Loftus, Ryu and Bartol Md's P.C. | 475 Irving Ave, Suite 108, Syracuse, NY 13210-1691 |
| William J Loftus | Obstetrics/gynecology | Loftus, Ryu and Bartol Md's P.C. | 475 Irving Ave, Suite 108, Syracuse, NY 13210-1691 |
| R Eugene Bailey | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Kaushal B Nanavati | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Suzanne Bartol-krueger | Obstetrics/gynecology | Loftus, Ryu and Bartol Md's P.C. | 475 Irving Ave, Suite 108, Syracuse, NY 13210-1691 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna E Albert | Physical Therapy | Peterson and Nellis Physical Therapy PC | 207 Pine St, Syracuse, NY 13210-1137 |
| Samah O Mohiuddin | Neurology | 1101 Erie E Blvd, Suite 204, Syracuse, NY 13210-1144 | |
| Paige C Ouimette | Psychologist, Clinical | 1101 Erie Blvd E, Suite 206, Syracuse, NY 13210-1144 | |
| Janet E Jaffe | Psychologist, Clinical | 1101 Erie E Blvd, Suite 207, Syracuse, NY 13210-1144 | |
| Rabia Rizwana | Neurology | 1101 Erie Blvd E, Suite 204, Syracuse, NY 13210-1144 | |
| Allan Yozawitz | Clinical Psychologist | 1101 Erie Blvd E, Syracuse, NY 13210-1144 | |
| Charles A Mango | Ophthalmology | 1101 Erie Blvd E, Suite 210, Syracuse, NY 13210-1148 | |
| Rajan Murthy | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 109 Pine St, Syracuse, NY 13210-1149 |
| Cathy J Berry | Obstetrics/gynecology | 101 Pine St, Syracuse, NY 13210-1149 | |
| Mary E Woiler | Nurse Practitioner | Cathy J. Berry, M.d., P.C. | 101 Pine St, Syracuse, NY 13210-1149 |
| Find all physicians in zip 13210 | |||
| City | SYRACUSE |
| Zip Code | 13210 |
| Specialty | PSYCHIATRY |
| City + Specialty | SYRACUSE + PSYCHIATRY |
Please comment or provide details below to improve the information on Kevin 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.