Johnson Wong (NPI# 1134517980, PAC ID# 8628369055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1134517980 |
| PAC ID by PECOS | 8628369055 |
| Professional Enrollment ID | I20160615001294 |
| Full Name | Johnson Wong |
| Organization Legal Name | DESERT RIDGE MEDICAL GROUP |
| Address |
21001 N Tatum Blvd Suite 78 1640 Phoenix AZ 85050-5244 |
| Phone Number | 4803067832 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5991056350 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21001 N Tatum Blvd, Suite 78 1640, Phoenix, AZ 85050-5244 | 4803067832 | DESERT RIDGE MEDICAL GROUP |
| Organization Legal Name | DESERT RIDGE MEDICAL GROUP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia N Barrack | Physical Therapy | Desert Ridge Medical Group | 21001 N Tatum Blvd, Suite 78 1640, Phoenix, AZ 85050-5244 |
| Brian Adam Luedke | Chiropractic | Desert Ridge Medical Group | 21001 N Tatum Blvd, Suite 78 1640, Phoenix, AZ 85050-5244 |
| Justin R Wright | Chiropractic | Desert Ridge Medical Group | 21001 N Tatum Blvd, Suite 78 1640, Phoenix, AZ 85050-5244 |
| Street Address |
21001 N TATUM BLVD SUITE 78 1640 |
| City | PHOENIX |
| State | AZ |
| Zip | 85050-5244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia N Barrack | Physical Therapy | Desert Ridge Medical Group | 21001 N Tatum Blvd, Suite 78 1640, Phoenix, AZ 85050-5244 |
| Randall C Paul | Optometry | Family First Vision Care Arizona Pllc | 21001 N Tatum Blvd, Suite 18 1030, Phoenix, AZ 85050-5201 |
| Brian Adam Luedke | Chiropractic | Desert Ridge Medical Group | 21001 N Tatum Blvd, Suite 78 1640, Phoenix, AZ 85050-5244 |
| Justin R Wright | Chiropractic | Desert Ridge Medical Group | 21001 N Tatum Blvd, Suite 78 1640, Phoenix, AZ 85050-5244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Friend | Clinical Social Worker | 3240 E Union Hills Dr, Phoenix, AZ 85050-2652 | |
| Thomas L Armbrust | Chiropractic | Active Life Center, Plc | 18777 N 32nd St, Phoenix, AZ 85050-3202 |
| Katherine A Mccabe | Nurse Practitioner | Minute Clinic LLC | 3210 E Union Hills, Phoenix, AZ 85050-3223 |
| Elizabeth A Fallers | Nurse Practitioner | Minute Clinic LLC | 3210 E Union Hills, Phoenix, AZ 85050-3223 |
| Michelle Ranee Gustafson | Nurse Practitioner | Minute Clinic LLC | 3210 E Union Hills, Phoenix, AZ 85050-3223 |
| Donnamarie Burris | Nurse Practitioner | Minute Clinic LLC | 3210 E Union Hills, Phoenix, AZ 85050-3223 |
| Anthony R Nagorka | Pediatric Medicine | Phoenix Pediatrics Ltd | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 |
| Bradley F Golner | Pediatric Medicine | Phoenix Pediatrics Ltd | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 |
| Gerald H Golner | Pediatric Medicine | Phoenix Pediatrics Ltd | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 |
| John F Curley | Pediatric Medicine | Phoenix Pediatrics Ltd | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 |
| Find all physicians in zip 85050 | |||
| City | PHOENIX |
| Zip Code | 85050 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PHOENIX + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Johnson Wong.
| 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.