Kelle B Johnson (NPI# 1073982179, PAC ID# 8224348198) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073982179 |
| PAC ID by PECOS | 8224348198 |
| Professional Enrollment ID | I20151104002055 |
| Full Name | Kelle B Johnson |
| Organization Legal Name | TIOGA HEALTH CARE PROVIDERS INC |
| Address |
15 Meade St Wellsboro PA 16901-1813 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375597792 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 391316 | UPMC SUSQUEHANNA SOLDIERS & SAILORS |
| Address | Phone | Organization |
|---|---|---|
| 15 Meade St, Wellsboro, PA 16901-1813 | TIOGA HEALTH CARE PROVIDERS INC | |
| 32 -36 Central Ave, Wellsboro, PA 16901-1840 | 5707230471 | TIOGA HEALTH CARE PROVIDERS INC |
| 32 -36 Central Ave, Susquehanna Health Emergency Servic, Wellsboro, PA 16901-1840 | 5707230145 | TIOGA HEALTH CARE PROVIDERS INC |
| Organization Legal Name | TIOGA HEALTH CARE PROVIDERS INC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven R Smith | Obstetrics/gynecology | Tioga Health Care Providers Inc | 15 Meade St, L1, Wellsboro, PA 16901-1813 |
| Donald Golobek | Orthopedic Surgery | Tioga Health Care Providers Inc | 9 Water St, Susquehanna Health Orthopedics At W, Wellsboro, PA 16901-1117 |
| Kathryn A Elenchin | Certified Registered Nurse Anesthetist (crna) | Tioga Health Care Providers Inc | 32 -36 Central Ave, Wellsboro, PA 16901-1840 |
| Emily Solow | General Surgery | Tioga Health Care Providers Inc | 1 Main St, Wellsboro, PA 16901-1601 |
| Gary R Fornera | Obstetrics/gynecology | Tioga Health Care Providers Inc | 15 Meade St, L1, Wellsboro, PA 16901-1813 |
| Robert Lee Barrett | Certified Registered Nurse Anesthetist (crna) | Tioga Health Care Providers Inc | 32 -36 Central Ave, Wellsboro, PA 16901-1840 |
| Songoli C Umeh | Anesthesiology | Tioga Health Care Providers Inc | 32 -36 Central Ave, Wellsboro, PA 16901-1840 |
| Jay T Hohenhaus | Certified Registered Nurse Anesthetist (crna) | Tioga Health Care Providers Inc | 32 -36 Central Ave, Wellsboro, PA 16901-1840 |
| Todd A Rudy | Physician Assistant | Tioga Health Care Providers Inc | 9 Water St, Susquehanna Health Orthopedics At W, Wellsboro, PA 16901-1117 |
| Ryan L Wojnicki | Certified Registered Nurse Anesthetist (crna) | Tioga Health Care Providers Inc | 15 Meade St, Wellsboro, PA 16901-1813 |
| Street Address |
15 MEADE ST |
| City | WELLSBORO |
| State | PA |
| Zip | 16901-1813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven R Smith | Obstetrics/gynecology | Tioga Health Care Providers Inc | 15 Meade St, L1, Wellsboro, PA 16901-1813 |
| Megan A Sechrist | Physician Assistant | Susquehanna Physician Services | 15 Meade St, Wellsboro, PA 16901-1813 |
| Gary R Fornera | Obstetrics/gynecology | Tioga Health Care Providers Inc | 15 Meade St, L1, Wellsboro, PA 16901-1813 |
| Amanda Marie Swanson | Nurse Practitioner | Susquehanna Physician Services | 15 Meade St, Suite L3, Wellsboro, PA 16901-1813 |
| Joseph Kaplan | Medical Oncology | Susquehanna Physician Services | 15 Meade St, Suite L3, Wellsboro, PA 16901-1813 |
| Grady D Gafford | Ophthalmology | Grady D. Gafford Md PC | 15 Meade St, U1, Wellsboro, PA 16901-1813 |
| Leslie Erin Erdman | Nurse Practitioner | Susquehanna Physician Services | 15 Meade St, Suite L3, Wellsboro, PA 16901-1813 |
| Scott P Rutkoski | Optometry | Grady D. Gafford Md PC | 15 Meade St, U1, Wellsboro, PA 16901-1813 |
| Ryan L Wojnicki | Certified Registered Nurse Anesthetist (crna) | Tioga Health Care Providers Inc | 15 Meade St, Wellsboro, PA 16901-1813 |
| David W Fox | Optometry | Grady D. Gafford Md PC | 15 Meade St, U1, Wellsboro, PA 16901-1813 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard J Strauch | Qualified Audiologist | 2 -b Waln St, Wellsboro, PA 16901-1116 | |
| Donald Golobek | Orthopedic Surgery | Tioga Health Care Providers Inc | 9 Water St, Susquehanna Health Orthopedics At W, Wellsboro, PA 16901-1117 |
| Todd A Rudy | Physician Assistant | Tioga Health Care Providers Inc | 9 Water St, Susquehanna Health Orthopedics At W, Wellsboro, PA 16901-1117 |
| Kelly Carr | Nurse Practitioner | North Penn Comprehensive Health Services | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 |
| Olivia Mays | Nurse Practitioner | North Penn Comprehensive Health Services | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 |
| Margaret S Frock | Nurse Practitioner | North Penn Comprehensive Health Services | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 |
| Laura E Bailey | Nurse Practitioner | North Penn Comprehensive Health Services | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 |
| Suzanne Stepanski | Family Medicine | North Penn Comprehensive Health Services | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 |
| Matthew P Heckman | Family Medicine | North Penn Comprehensive Health Services | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 |
| Allison Mae Moss | Physician Assistant | North Penn Comprehensive Health Services | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 |
| Find all physicians in zip 16901 | |||
| City | WELLSBORO |
| Zip Code | 16901 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WELLSBORO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelle B 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.