Andrew L Johnson (NPI# 1619388204, PAC ID# 8426326380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1619388204 |
| PAC ID by PECOS | 8426326380 |
| Professional Enrollment ID | I20170616001870 |
| Full Name | Andrew L Johnson |
| Organization Legal Name | CANTON AULTMAN EMERGENCY PHYSICIANS INC |
| Address |
2600 6th St Sw Canton OH 44710-1702 |
| Phone Number | 3304562695 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2961307319 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360084 | AULTMAN HOSPITAL |
| 361323 | AULTMAN ORRVILLE HOSPITAL |
| 360131 | ALLIANCE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2600 6th St Sw, Canton, OH 44710-1702 | 3304562695 | CANTON AULTMAN EMERGENCY PHYSICIANS INC |
| 832 S Main St, Orrville, OH 44667-2208 | 3304562695 | CAEP-DUNLAP, LLC |
| Organization Legal Name | CANTON AULTMAN EMERGENCY PHYSICIANS INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel E Balcom | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Timothy M O'toole | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Cody J Rider | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| William G Clark | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Geneiso A Serri | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Jason Dureska | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Aaron J Clark | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Thomas J Kinney | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Paul D Hrics | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Jesse S Gurm | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Street Address |
2600 6TH ST SW |
| City | CANTON |
| State | OH |
| Zip | 44710-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd L Johnson | Cardiovascular Disease (cardiology) | Ohio Physician Professional Corporation | 2600 6th St Sw, Suite A2 710, Canton, OH 44710-1702 |
| John Tsai | Cardiovascular Disease (cardiology) | Ohio Physician Professional Corporation | 2600 6th St Sw, Suite A2 710, Canton, OH 44710-1702 |
| Daniel A Wasdahl | Pathology | Canton Pathology Associates, Inc. | 2600 6th St Sw, Canton, OH 44710-1702 |
| Anthony Clark | Certified Registered Nurse Anesthetist (crna) | Ohio Hospital-based Physicians Corporation | 2600 6th St Sw, Canton, OH 44710-1702 |
| Ramana Podugu | Cardiovascular Disease (cardiology) | Ohio Physician Professional Corporation | 2600 6th St Sw, Suite A2 710, Canton, OH 44710-1702 |
| Arlene Weeber | Certified Registered Nurse Anesthetist (crna) | Ohio Hospital-based Physicians Corporation | 2600 6th St Sw, Canton, OH 44710-1702 |
| Matthew Saltarelli | Pathology | Canton Pathology Associates, Inc. | 2600 6th St Sw, Canton, OH 44710-1702 |
| Joel E Balcom | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Jeffery Keller | Certified Registered Nurse Anesthetist (crna) | Ohio Hospital-based Physicians Corporation | 2600 6th St Sw, Canton, OH 44710-1702 |
| Timothy M O'toole | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel E Starr | Nurse Practitioner | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| David A Beard | Hospitalist | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| Yara Khouri | Hospitalist | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| Madhavi Sunkar | Hospitalist | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| Merita Konstantacos | Certified Clinical Nurse Specialist (cns) | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| Noelle K Pollino | Hospitalist | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| Antonio Sortino | Thoracic Surgery | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| Laurie L Hanne | Hospice/palliative Care | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| Cody J Rider | Emergency Medicine | Canton Aultman Emergency Physicians Inc | 2600 6th St Sw, Canton, OH 44710-1702 |
| Jeffrey Allen Marsh | Hospice/palliative Care | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| Find all physicians in zip 44710 | |||
| City | CANTON |
| Zip Code | 44710 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CANTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Andrew L 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.