Charles Timothy Johnson (NPI# 1053317198, PAC ID# 8921998592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1053317198 |
| PAC ID by PECOS | 8921998592 |
| Professional Enrollment ID | I20041201000594 |
| Full Name | Charles Timothy Johnson |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
3116 Willett Dr Laramie WY 82072-5048 |
| Phone Number | 3077429411 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060119 | MEDICAL CENTER OF THE ROCKIES |
| 280061 | REGIONAL WEST MEDICAL CENTER |
| 060010 | POUDRE VALLEY HOSPITAL |
| 530025 | IVINSON MEMORIAL HOSPITAL |
| 061312 | ESTES PARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2750 Broadway St, Boulder, CO 80304-3573 | 3034403169 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1400 E Boulder St, Colorado Springs, CO 80909-5533 | POUDRE VALLEY MEDICAL GROUP LLC | |
| 8890 N Union Blvd, Colorado Springs, CO 80920-2701 | POUDRE VALLEY MEDICAL GROUP LLC | |
| 1024 S Lemay Ave, Uchmg Palliative Care, Fort Collins, CO 80524-3929 | 9704958369 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1106 E Prospect Rd, 100 Uchmg Im / Endo, Fort Collins, CO 80525-5304 | 9704957410 | POUDRE VALLEY MEDICAL GROUP LLC |
| 2121 E Harmony Rd Unit, Fort Collins, CO 80528-3401 | POUDRE VALLEY MEDICAL GROUP LLC | |
| 1000 Lincoln St, Fort Morgan, CO 80701-3290 | 9702377700 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1000 Lincoln St, Suite 207, Fort Morgan, CO 80701-3290 | 9708677900 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1900 16th St, Greeley, CO 80631-5114 | 9703531551 | POUDRE VALLEY MEDICAL GROUP LLC |
| 6767 W 29th St, Greeley Medical Center, Greeley, CO 80634-5474 | 9702243636 | POUDRE VALLEY MEDICAL GROUP LLC |
| 3116 Willett Dr, Laramie, WY 82072-5048 | 3077429411 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1750 E Ken Pratt Blvd, Uchealth, Longmont, CO 80504-5311 | 9702377848 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1750 E Ken Pratt Blvd Fl, 3 Uchealth Pulmonology Clinic Longm, Longmont, CO 80504-5311 | 7207183900 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1925 Mountain View Ave, Longmont, CO 80501-3128 | 3037761234 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1925 Mountain View Ave, Fl 3, Longmont, CO 80501-3128 | 7204943123 | POUDRE VALLEY MEDICAL GROUP LLC |
| 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | POUDRE VALLEY MEDICAL GROUP LLC | |
| 3850 N Grant Ave, 200 Uchmg Urgent Care Loveland, Loveland, CO 80538-8431 | 9706245170 | POUDRE VALLEY MEDICAL GROUP LLC |
| 2 W 42nd St, Suite 2200, Scottsbluff, NE 69361-4610 | 3086302626 | POUDRE VALLEY MEDICAL GROUP LLC |
| 940 Central Park Dr, Steamboat Springs, CO 80487-8853 | 9708701035 | POUDRE VALLEY MEDICAL GROUP LLC |
| 620 Iris Dr, Sterling, CO 80751-4716 | 9705227266 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1000 W 8th Ave, Uchmg Yuma Outreach, Yuma, CO 80759-2641 | 9708485405 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
| Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
| Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
| Marlesa Renee Moore | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Street Address |
3116 WILLETT DR |
| City | LARAMIE |
| State | WY |
| Zip | 82072-5048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca C Carron | Nurse Practitioner | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Paul E Johnson | Otolaryngology | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Gary P Graham | General Surgery | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Eric J Uhlman | Urology | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Elizabeth M Rowe | Certified Nurse Midwife (cnm) | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Samantha J Herriott | Obstetrics/gynecology | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Chelsea A Raymer | Nurse Practitioner | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Peter G Perakos | Gastroenterology | Poudre Valley Medical Group LLC | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Robyn D Curtis-rice | Nurse Practitioner | Ivinson Memorial Hospital | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Kory Lowe | Physician Assistant | Poudre Valley Medical Group LLC | 3116 Willett Dr, Laramie, WY 82072-5048 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Catherine Risley | Nurse Practitioner | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Tracy L Amadio | Nurse Practitioner | Gastroenterology Associates PC | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Erin M Kyle | Registered Dietitian Or Nutrition Professional | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Kent D Katz | Gastroenterology | Gastroenterology Associates PC | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Elizabeth Rogal Smith | Nurse Practitioner | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Travis D Klingler | Obstetrics/gynecology | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Anne C Fitzgerald | Psychologist, Clinical | 1465 N 4th St, Suite 113, Laramie, WY 82072-2066 | |
| J'laine Proctor | Nurse Practitioner | 1465 N 4th St, Suite 103, Laramie, WY 82072-2066 | |
| Frances L Price | Psychologist, Clinical | 1465 N 4th St, Suite 101, Laramie, WY 82072-2066 | |
| James K Boo | Physical Therapy | Homestead Physical Therapy PC | 1575 N 4th St, Suite 101, Laramie, WY 82072-2091 |
| Find all physicians in zip 82072 | |||
| City | LARAMIE |
| Zip Code | 82072 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | LARAMIE + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Charles Timothy 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.