Stephen C Johnson (NPI# 1235126780, PAC ID# 8729028048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1235126780 |
| PAC ID by PECOS | 8729028048 |
| Professional Enrollment ID | I20090211000621 |
| Full Name | Stephen C Johnson |
| Organization Legal Name | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| Address |
1100 W 2nd St Oshkosh NE 69154-6096 |
| Phone Number | 3087723283 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5597828269 |
| Number of Group Practice Members | 95 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280061 | REGIONAL WEST MEDICAL CENTER |
| 281360 | BOX BUTTE GENERAL HOSPITAL |
| 281341 | CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES |
| 281358 | GORDON MEMORIAL HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 2101 Box Butte Ave, Alliance, NE 69301-4445 | 3087626660 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| 821 Morehead St, Chadron, NE 69337-2546 | 3084325586 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| 300 E 8th St, Gordon, NE 69343-1123 | 3082820401 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| 1100 W 2nd St, Oshkosh, NE 69154-6096 | 3087723283 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| 4021 Ave B, Scottsbluff, NE 69361-4602 | 3086353711 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan J Deal | Physician Assistant | Radiology Imaging of Nebraska, LLC | 4021 Ave B, Scottsbluff, NE 69361-4602 |
| Luke F Hoagland | Diagnostic Radiology | Radiology Imaging of Nebraska, LLC | 4021 Ave B, Scottsbluff, NE 69361-4602 |
| Jason Lincoln Kelly | Diagnostic Radiology | Radiology Imaging of Nebraska, LLC | 3911 Ave B, Scottsbluff, NE 69361-4617 |
| Street Address |
1100 W 2ND ST |
| City | OSHKOSH |
| State | NE |
| Zip | 69154-6096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie Jean Cox | Chiropractic | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
| Paula L Plog | Physician Assistant | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
| Brook Rene Wager | Emergency Medicine | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
| Kristin Cartright | Chiropractic | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
| Harold Wallace Keenan | General Practice | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
| City | OSHKOSH |
| Zip Code | 69154 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | OSHKOSH + DIAGNOSTIC RADIOLOGY |
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| 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.