Timothy D Johnston (NPI# 1760416242, PAC ID# 5496783433) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760416242 |
| PAC ID by PECOS | 5496783433 |
| Professional Enrollment ID | I20070515000601 |
| Full Name | Timothy D Johnston |
| Organization Legal Name | ESPERANZA HEALTH CENTER, INC. |
| Address |
4417 N 6th St Philadelphia PA 19140-2319 |
| Phone Number | 2153023600 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 6103815071 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390027 | TEMPLE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4417 N 6th St, Philadelphia, PA 19140-2319 | 2153023600 | ESPERANZA HEALTH CENTER, INC. |
| Organization Legal Name | ESPERANZA HEALTH CENTER, INC. |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Lynn Brix | Nurse Practitioner | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Samantha Baker-evens | Nurse Practitioner | Esperanza Health Center, Inc. | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 |
| Oanh Hoang Vo | Nurse Practitioner | Esperanza Health Center, Inc. | 3156 Kensington Ave, Philadelphia, PA 19134-2400 |
| Bryan R Hollinger | Internal Medicine | Esperanza Health Center, Inc. | 2940 N 5th St, Philadelphia, PA 19133-2801 |
| Dominic Derenge | Family Medicine | Esperanza Health Center, Inc. | 2940 N 5th St, Philadelphia, PA 19133-2801 |
| Charles Young | Nurse Practitioner | Esperanza Health Center, Inc. | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 |
| Daria Chacon | Internal Medicine | Esperanza Health Center, Inc. | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 |
| Elizabeth Talley | Family Medicine | Esperanza Health Center, Inc. | 2940 N 5th St, Philadelphia, PA 19133-2801 |
| Timothy Leaman | Family Medicine | Esperanza Health Center, Inc. | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 |
| Sharon S Yang | Nurse Practitioner | Esperanza Health Center, Inc. | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 |
| Street Address |
4417 N 6TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19140-2319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Lynn Brix | Nurse Practitioner | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Daniel L Chen | Internal Medicine | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Katherine Baker Bhadra | Nurse Practitioner | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Katherine Abigail Tan | Nurse Practitioner | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Kristie L Mast | Family Medicine | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Greenberg | Urology | Einstein Practice Plan Inc | 5401 Old York, Suite 401, Philadelphia, PA 19140 |
| Joseph M Ortiz | Ophthalmology | 511 W Courtland St, Philadelphia, PA 19140-1404 | |
| Rafael S Collazo | Optometry | 511 W Courtland St, Philadelphia, PA 19140-1404 | |
| Delana Wardlaw | Family Medicine | Temple Physicians Inc | 4350 Germantown Ave, Suite 1, Philadelphia, PA 19140-1749 |
| Sarwat A Iqbal | Family Medicine | 4104 N 5th St, Philadelphia, PA 19140-2614 | |
| Anna Morales-caraballo | Nurse Practitioner | Temple Physicians Inc | 133 W Hunting Park Ave, Philadelphia, PA 19140-2717 |
| Nuria Lopez-pajares | Preventative Medicine | Temple Physicians Inc | 133 W Hunting Park Ave, Philadelphia, PA 19140-2717 |
| Rebecca A Weaver | Clinical Social Worker | Greater Philadelphia Health Action, Inc. | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 |
| Olga M Lomanovitch | Clinical Social Worker | Greater Philadelphia Health Action, Inc. | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 |
| Wakengo Mahaniah | Family Medicine | Greater Philadelphia Health Action, Inc. | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 |
| Find all physicians in zip 19140 | |||
| City | PHILADELPHIA |
| Zip Code | 19140 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PHILADELPHIA + INTERNAL MEDICINE |
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| 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.