Keith Patrick Johnson (NPI# 1487616967, PAC ID# 8921055021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1487616967 |
| PAC ID by PECOS | 8921055021 |
| Professional Enrollment ID | I20050331000949 |
| Full Name | Keith Patrick Johnson |
| Organization Legal Name | OASIS MEDICAL AND SURGICAL WELLNESS GROUP LLC |
| Address |
85 Harristown Rd Suite 103 Glen Rock NJ 07452-3307 |
| Phone Number | 8472753633 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 7214257534 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3307 | 8472753633 | OASIS MEDICAL AND SURGICAL WELLNESS GROUP LLC |
| Organization Legal Name | OASIS MEDICAL AND SURGICAL WELLNESS GROUP LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sujal P Patel | Orthopedic Surgery | Oasis Medical and Surgical Wellness Group LLC | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3307 |
| Street Address |
85 HARRISTOWN RD SUITE 103 |
| City | GLEN ROCK |
| State | NJ |
| Zip | 07452-3307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raffaella L Kalishman | Internal Medicine | Sovereign Medical Group LLC | 85 Harristown Rd, Suite 104, Glen Rock, NJ 07452-3323 |
| Hanan Morcos | Cardiac Electrophysiology | Sovereign Medical Group LLC | 85 Harristown Rd, Suite 104, Glen Rock, NJ 07452-3323 |
| Sujal P Patel | Orthopedic Surgery | Oasis Medical and Surgical Wellness Group LLC | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3307 |
| Farzana Nanavati | Neurology | Sovereign Medical Group LLC | 85 Harristown Rd, Suite 104, Glen Rock, NJ 07452-3323 |
| Ahmed Suhail Hadi | Dermatology | Sovereign Medical Group LLC | 85 Harristown Rd, Suite 101, Glen Rock, NJ 07452-3323 |
| Joseph N Grizzanti | Pulmonary Disease | Sovereign Medical Group LLC | 85 Harristown Rd, Suite 101, Glen Rock, NJ 07452-3323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerard T Kramer | Chiropractic | Kramer Chiropractic Center | 519 S Broad St, Glen Rock, NJ 07452-1309 |
| Diane M Kramer | Chiropractic | Kramer Chiropractic Center | 519 S Broad St, Glen Rock, NJ 07452-1309 |
| Robert W Egermayer | Physical Therapy | 522 S Broad St, Glen Rock, NJ 07452-1325 | |
| Nancy K Becker | Occupational Therapy | Nancy K. Becker Otr/l, Cht, LLC | 522 S Broad St, Suite 9, Glen Rock, NJ 07452-1325 |
| Jonathan S Dosik | Dermatology | Dermatology Associates of Glen Rock Pa | 348 S Maple Ave, Glen Rock, NJ 07452-1542 |
| Sharon A Galvin | Dermatology | Dermatology Associates of Glen Rock Pa | 348 S Maple Ave, Glen Rock, NJ 07452-1542 |
| Philip J Aretsky | Otolaryngology | Philip J. Aretsky, Md Pa | 385 S Maple Ave, Glen Rock, NJ 07452-1543 |
| Linda J Liebowitz | Qualified Audiologist | Philip J. Aretsky, Md Pa | 385 S Maple Ave, Glen Rock, NJ 07452-1543 |
| Sandra Carlson | Internal Medicine | 385 S Maple Ave, Suite 101, Glen Rock, NJ 07452-1545 | |
| Terrylee Maimone | Optometry | 240 Rock Rd, Glen Rock, NJ 07452-1738 | |
| Find all physicians in zip 07452 | |||
| City | GLEN ROCK |
| Zip Code | 07452 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | GLEN ROCK + ORTHOPEDIC SURGERY |
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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.