Jill Rae Johnson (NPI# 1356415574, PAC ID# 9234156019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356415574 |
| PAC ID by PECOS | 9234156019 |
| Professional Enrollment ID | I20051221000169 |
| Full Name | Jill Rae Johnson |
| Organization Legal Name | OMNI MEDICAL GROUP INC |
| Address |
1021 E Bryan Ave Sapulpa OK 74066-4512 |
| Phone Number | 9182271000 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739080490 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1021 E Bryan Ave, Sapulpa, OK 74066-4512 | 9182271000 | OMNI MEDICAL GROUP INC |
| 1923 S Utica Ave, Tulsa, OK 74104-6520 | 9187442967 | OMNI MEDICAL GROUP INC |
| Organization Legal Name | OMNI MEDICAL GROUP INC |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Goldameir Akingbola | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Mitzi Blanchard | Nurse Practitioner | Omni Medical Group Inc | 1421 E 13th St, Tulsa, OK 74120-5207 |
| Kelly R Wratten | Nurse Practitioner | Omni Medical Group Inc | 8115 S Memorial Dr, Tulsa, OK 74133-4331 |
| Ana Trujillo | Nurse Practitioner | Omni Medical Group Inc | 4720 S Harvard Ave, Suite 100, Tulsa, OK 74135-3023 |
| Michael H Vu | Family Medicine | Omni Medical Group Inc | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4932 |
| Brian T Crotty | Family Medicine | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| David L Smith | Family Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Michelle Green | Physician Assistant | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Monica A Lee | Physician Assistant | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Patricia Duffy-feins | Clinical Social Worker | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Street Address |
1021 E BRYAN AVE |
| City | SAPULPA |
| State | OK |
| Zip | 74066-4512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Goldameir Akingbola | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Misty Dawn Stephens | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Jeremy Ransdell | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Sarah Renea Gilbert | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Carrie Irene Cross | Physician Assistant | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Shantel Laniece Bolton | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Terroll Gene Ramsey | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Romy Lee Hafner | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasey M. Nichols | Chiropractic | 200 N Mission, Suite A, Sapulpa, OK 74066-3606 | |
| James Russell | Family Medicine | 308 S Main St, Sapulpa, OK 74066-4110 | |
| Kayla Warner | Nurse Practitioner | 124 E Dewey Ave, Suite A, Sapulpa, OK 74066-4204 | |
| Larry W Higgs | Optometry | Drs Higgs and Morris Optometrists Inc | 17 S Oak St, Sapulpa, OK 74066-4312 |
| Dennis M Morris | Optometry | Drs Higgs and Morris Optometrists Inc | 17 S Oak St, Sapulpa, OK 74066-4312 |
| Dana L Terrell | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Paul S Carlson | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Sean K Benton | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Diane L Pentecost | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Sarah Lynn Cook | Optometry | Hubertina J M Hagen Od Inc PC | 1029 E Taft Ave, Eye To Eye Family Vision Care, Sapulpa, OK 74066-4570 |
| Find all physicians in zip 74066 | |||
| City | SAPULPA |
| Zip Code | 74066 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAPULPA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jill Rae 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.