Kevin R Johnson (NPI# 1114120896, PAC ID# 8426100298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1114120896 |
| PAC ID by PECOS | 8426100298 |
| Professional Enrollment ID | I20090709000369 |
| Full Name | Kevin R Johnson |
| Organization Legal Name | EMERGENCY PROFESSIONAL SERVICES PC |
| Address |
1111 E Mcdowell Rd Phoenix AZ 85006-2612 |
| Phone Number | 6022396968 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6901707272 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030130 | BANNER IRONWOOD MEDICAL CENTER |
| 030002 | BANNER - UNIVERSITY MEDICAL CENTER PHOENIX |
| 030115 | BANNER ESTRELLA MEDICAL CENTER |
| 030088 | BANNER BAYWOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 6022396968 | EMERGENCY PROFESSIONAL SERVICES PC |
| 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 6032396968 | EMERGENCY PROFESSIONAL SERVICES PC |
| Organization Legal Name | EMERGENCY PROFESSIONAL SERVICES PC |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie L Cook | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Diana L Dabell | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Jessica Wickes | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Marvin T Clever | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Mandy B Limberg | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Douglas Ck Dang | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Alan G Molk | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Emily Arena Przybylowski | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Richard J Bruno | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Moneesh Deepak Bhow | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Street Address |
1111 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip | 85006-2612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vidyasagargoud Marupakula | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Carrie L Cook | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Michael Gary Keeney | Pathology | Pathology Specialist of Arizona, LLP | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Dana Archbold | Internal Medicine | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Emmanuel A Bayongan | Critical Care (intensivists) | Banner Hospital Based Physicians Arizona LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Abhilash P Nambiar | Radiation Oncology | Radiation Oncologists of Central Arizona | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Diana L Dabell | Emergency Medicine | Emergency Professional Services PC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Sajith F Joseph | Internal Medicine | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Leslie A Welk | Diagnostic Radiology | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Sara C Stimsonriahi | Internal Medicine | Banner - University Hospital Based Physicians LLC | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Lawayne Minor | Nurse Practitioner | Asap Health Solutions Inc | 1750 E Windsor Ave, Phoenix, AZ 85006-1237 |
| Rajagopalan Ravi | Vascular Surgery | Vhs Arizona Heart Institute Inc | 2632 N 20th St, Phoenix, AZ 85006-1339 |
| Christopher M Fecarotta | Ophthalmology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| James L Plotnik | Ophthalmology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Robert B Bailey | Urology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Amanda Marie Campos | Endocrinology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Richard L Golub | Ophthalmology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Reeti Chawla | Endocrinology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Martin A Turman | Nephrology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Michael L Ritchey | Urology | Phoenix Children's Hospital | 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 |
| Find all physicians in zip 85006 | |||
| City | PHOENIX |
| Zip Code | 85006 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PHOENIX + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kevin 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.