Ellis W Johnson (NPI# 1841306156, PAC ID# 5698770964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1841306156 |
| PAC ID by PECOS | 5698770964 |
| Professional Enrollment ID | I20060919000466 |
| Full Name | Ellis W Johnson |
| Address |
527 2nd St Woodland WA 98674-8486 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500150 | LEGACY SALMON CREEK HOSPITAL |
| 500041 | PEACHEALTH ST JOHN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 527 2nd St, Woodland, WA 98674-8486 |
| Street Address |
527 2ND ST |
| City | WOODLAND |
| State | WA |
| Zip | 98674-8486 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney B Smither | Chiropractic | Hemmelman Chiropractic, PC | 1933 Belmont Loop, Woodland, WA 98674-8492 |
| Roberta J Hemmelman | Chiropractic | Hemmelman Chiropractic, PC | 1933 Belmont Loop, Woodland, WA 98674-8492 |
| Natalie A Paul | Nurse Practitioner | Cowlitz Family Health Center | 1251 Lewis River Rd, Woodland, WA 98674-9265 |
| Debra E Harrington | Nurse Practitioner | Cowlitz Family Health Center | 1251 Lewis River Rd, Woodland, WA 98674-9265 |
| Thomas J Gerne | Chiropractic | 1044 B St, Woodland, WA 98674-9404 | |
| Francisco M Sole | Chiropractic | Bridge Chiropractic 3 Pllc | 1227 N Goerig St H, Woodland, WA 98674-9741 |
| Rebekah R Jarzombek | Chiropractic | Bridge Chiropractic 3 Pllc | 1227 N Goerig St H, Woodland, WA 98674-9741 |
| City | WOODLAND |
| Zip Code | 98674 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WOODLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ellis W 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.