Dusti R Johnson (NPI# 1881164945, PAC ID# 8527301662) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1881164945 |
| PAC ID by PECOS | 8527301662 |
| Professional Enrollment ID | I20190514000149 |
| Full Name | Dusti R Johnson |
| Organization Legal Name | STILLWATER MEDICAL CENTER AUTHORITY |
| Address |
417 Fairview Ave Ponca City OK 74601-1923 |
| Phone Number | 5807623770 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365353794 |
| Number of Group Practice Members | 126 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370049 | STILLWATER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 417 Fairview Ave, Ponca City, OK 74601-1923 | 5807623770 | STILLWATER MEDICAL CENTER AUTHORITY |
| Organization Legal Name | STILLWATER MEDICAL CENTER AUTHORITY |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime Lyn Griffith | Family Medicine | Stillwater Medical Center Authority | 600 S Linwood Ave A, Cushing Primary Care, Cushing, OK 74023-4630 |
| Rahmah Hall | Physician Assistant | Stillwater Medical Center Authority | 1412 Fir St, Perry, OK 73077-5036 |
| Jeremiah Bro | Nurse Practitioner | Stillwater Medical Center Authority | 1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381 |
| Catherine Kindt | Nurse Practitioner | Stillwater Medical Center Authority | 1815 W 6th Ave, Stillwater Med C Clinic W, Stillwater, OK 74074-2402 |
| Julia K Fell | Physician Assistant | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Jon M Johnson Ii | Internal Medicine | Stillwater Medical Center Authority | 608 S Hester, Stillwater, OK 74074-4516 |
| Marshall A Walker | Optometry | Stillwater Medical Center Authority | 707 S Western Rd, Stillwater, OK 74074-4126 |
| Mindy A Mcgee | Physician Assistant | Stillwater Medical Center Authority | 414 W Hwy 64, Morrison, OK 73061-9494 |
| William R Ford | Obstetrics/gynecology | Stillwater Medical Center Authority | 1411 W 7th Ave, 202 Sw Women's Clinic, Stillwater, OK 74074-4300 |
| Robert W Lauvetz | Urology | Stillwater Medical Center Authority | 816 S Pine St, Stillwater, OK 74074-4349 |
| Street Address |
417 FAIRVIEW AVE |
| City | PONCA CITY |
| State | OK |
| Zip | 74601-1923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia K Fell | Physician Assistant | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Coleen R Krieger | Physician Assistant | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Scott D Martin | Pediatric Medicine | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Carly D Waren | Nurse Practitioner | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Blake Allen Baird | Family Medicine | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Connie J Hill | Physician Assistant | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Glynda E Fox | Nurse Practitioner | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Naa A Sackey | Obstetrics/gynecology | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Erin E Hutchison | Physician Assistant | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Blaine Burnett | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Codi N Vilhauer | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Judy Nielsen | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Thomas M Carter | Ophthalmology | 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1910 | |
| Mark Edward Rigney | Family Medicine | 400 Fairview, Bldg 3 Suite 20, Ponca City, OK 74601-1910 | |
| Phillip J Knight | Family Medicine | 400 Fairview Ave, Suite 15, Ponca City, OK 74601-1910 | |
| Michael S Schiff | Cardiovascular Disease (cardiology) | Integris Cardiovascular Physicians LLC | 400 Fairview Ave, Suite 19, Ponca City, OK 74601-1910 |
| William R Howard | Otolaryngology | 400 Fairview Ave, Suite 16, Ponca City, OK 74601-1910 | |
| Gary A Dorman | Optometry | 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1910 | |
| Shrikrishna V Vaidya | Neurology | 400 Fairview Ave, Ponca City, OK 74601-1910 | |
| Find all physicians in zip 74601 | |||
| City | PONCA CITY |
| Zip Code | 74601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PONCA CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dusti 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.