Charity Dawn Johnson (NPI# 1730522129, PAC ID# 9133358138) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1730522129 |
PAC ID by PECOS | 9133358138 |
Professional Enrollment ID | I20180109002242 |
Full Name | Charity Dawn Johnson |
Organization Legal Name | WARREN CLINIC INC |
Address |
108 Lone Oak Cir Fort Gibson OK 74434-5001 |
Phone Number | 9184786005 |
Gender | F |
Graduation Year | 2012 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8820900293 |
Number of Group Practice Members | 487 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370025 | SAINT FRANCIS HOSPITAL MUSKOGEE |
370089 | NORTHEASTERN HEALTH SYSTEM |
370091 | SAINT FRANCIS HOSPITAL, INC |
370218 | SAINT FRANCIS HOSPITAL SOUTH, LLC |
Address | Phone | Organization |
---|---|---|
108 Lone Oak Cir, Fort Gibson, OK 74434-5001 | 9184786005 | WARREN CLINIC INC |
Organization Legal Name | WARREN CLINIC INC |
Physicians | 455 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anne Mix | Physician Assistant | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
Peter Fast | Sports Medicine | Warren Clinic Inc | 2900 N Main St, Muskogee, OK 74401-4078 |
Shiela D Williams | Nurse Practitioner | Warren Clinic Inc | 715 N Foreman St, Vinita, OK 74301-1422 |
Richenda Dawn Herren | General Surgery | Warren Clinic Inc | 101 Rockefeller Dr, Suite 201, Muskogee, OK 74401-5050 |
Carmen Oakes | Nurse Practitioner | Warren Clinic Inc | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 |
Patrice Harrison | Qualified Audiologist | Warren Clinic Inc | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 |
Jonathan M Baldwin | Obstetrics/gynecology | Warren Clinic Inc | 3504 W Okmulgee St, Muskogee, OK 74401-5073 |
Robert L Shepler | Family Medicine | Warren Clinic Inc | 3332 W Okmulgee St, Muskogee, OK 74401-5069 |
Ashley Anne Petersen | Pediatric Medicine | Warren Clinic Inc | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 |
William Alexander Santillan | Nurse Practitioner | Warren Clinic Inc | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 |
Street Address |
108 LONE OAK CIR |
City | FORT GIBSON |
State | OK |
Zip | 74434-5001 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Renfrow | Nurse Practitioner | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
Andrew R Olshen | Physical Medicine and Rehabilitation | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
Steven A Smith | Dermatology | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
Charles R Mutch | Physician Assistant | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
Garry T Page Jr. | Chiropractic | 1596 S Lee St, Fort Gibson, OK 74434-8403 | |
Ann Elizabeth Page | Chiropractic | 1596 S Lee St, Fort Gibson, OK 74434-8403 | |
Debbie S Coy | Optometry | 330 W Hwy 62, Fort Gibson, OK 74434-8446 | |
Kelly E Glass | Optometry | Debbie S. Coy, O.d. P.C. | 330 W Hwy 62, Fort Gibson, OK 74434-8446 |
Dennis H Garrison | Optometry | 799 S Lee St, Fort Gibson, OK 74434-8708 |
City | FORT GIBSON |
Zip Code | 74434 |
Specialty | FAMILY MEDICINE |
City + Specialty | FORT GIBSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charity Dawn 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.