Richard Johnson (NPI# 1811945926, PAC ID# 8628086584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1811945926 |
| PAC ID by PECOS | 8628086584 |
| Professional Enrollment ID | I20060404000300 |
| Full Name | Richard Johnson |
| Organization Legal Name | CHRISTUS GOOD SHEPHERD MEDICAL CENTER |
| Address |
811 S Washington Ave Marshall TX 75670-5336 |
| Phone Number | 9039276000 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3779565544 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| Address | Phone | Organization |
|---|---|---|
| 811 S Washington Ave, Marshall, TX 75670-5336 | 9039276000 | CHRISTUS GOOD SHEPHERD MEDICAL CENTER |
| Organization Legal Name | CHRISTUS GOOD SHEPHERD MEDICAL CENTER |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Schulundria S Williams | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Richard Carlton Klima | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Randall W Young | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Donna Goecke | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Clifton Fincher | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Jeffrey L Williams | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Abby N Godwin | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Richard L Holladay | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Zackary G Lister | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Bradley B Taylor | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Street Address |
811 S WASHINGTON AVE |
| City | MARSHALL |
| State | TX |
| Zip | 75670-5336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay W Harvey | Family Medicine | East Texas Border Health Clinic | 811 S Washington Ave, Genesis Primecare, Marshall, TX 75670-5336 |
| Latausha Tomeka Gaskin | Physician Assistant | East Texas Border Health Clinic | 811 S Washington Ave, Genesis Primecare, Marshall, TX 75670-5336 |
| Sreenath R Meegada | Internal Medicine | Trinity Clinic | 811 S Washington Ave, Christus Trinity Clinic, Marshall, TX 75670-5336 |
| Cathy L Green | Nurse Practitioner | East Texas Border Health Clinic | 811 S Washington Ave, Genesis Primecare, Marshall, TX 75670-5336 |
| Gary Reed Brouillette | Nurse Practitioner | East Texas Border Health Clinic | 811 S Washington Ave, Genesis Primecare, Marshall, TX 75670-5336 |
| Katharine J Balbuena | Physical Medicine and Rehabilitation | 811 S Washington Ave, Marshall, TX 75670-5336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Glaze | Chiropractic | 701 N Washington Ave, Marshall, TX 75670-2011 | |
| James R Noble | Urology | Regional Urology LLC | 900 E End Blvd N, Suite E, Marshall, TX 75670-2131 |
| Toney L Charles Jr. | Psychologist, Clinical | 301 N Wellington St, Marshall, TX 75670-3335 | |
| Jessica E Evans | Physician Assistant | Access Family Health Pa | 300 N Alamo Blvd, Marshall, TX 75670-3451 |
| Jennifer A Benedict | Nurse Practitioner | Access Family Health Pa | 300 N Alamo Blvd, Marshall, TX 75670-3451 |
| Randall Curtis Lane | Physician Assistant | Access Family Health Pa | 300 N Alamo Blvd, Marshall, TX 75670-3451 |
| Shaun B Kelehan | Family Medicine | Access Family Health Pa | 300 N Alamo Blvd, Marshall, TX 75670-3451 |
| Shane L Kelehan | Physician Assistant | Access Family Health Pa | 300 N Alamo Blvd, Marshall, TX 75670-3451 |
| Odette Mohamed-santa | Family Medicine | Marshall Family Practice Associates Pllc | 402 S Bolivar St, Marshall, TX 75670-4110 |
| James S Logan | Family Medicine | Marshall Family Practice Associates Pllc | 402 S Bolivar St, Marshall, TX 75670-4110 |
| Find all physicians in zip 75670 | |||
| City | MARSHALL |
| Zip Code | 75670 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MARSHALL + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Richard 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.