Michael Johnson (NPI# 1306829445, PAC ID# 9335148592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1306829445 |
| PAC ID by PECOS | 9335148592 |
| Professional Enrollment ID | I20160830001300 |
| Full Name | Michael Johnson |
| Organization Legal Name | LUTHERAN CHARITY ASSOCIATION |
| Address |
2422 20th St Sw Jamestown ND 58401-6201 |
| Phone Number | 7012521050 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2264341031 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140093 | PRESENCE UNITED SAMARITANS MEDICAL CENTER |
| 351335 | JAMESTOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 800 N Logan Ave, Suite 204, Danville, IL 61832-3741 | 2174314080 | OSF MULTI-SPECIALTY GROUP |
| 2422 20th St Sw, Jamestown, ND 58401-6201 | 7012521050 | LUTHERAN CHARITY ASSOCIATION |
| 8600 State Route 91 130, Peoria, IL 61615-7829 | 3096835050 | OSF MULTI-SPECIALTY GROUP |
| Organization Legal Name | LUTHERAN CHARITY ASSOCIATION |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael N Renschler | Podiatry | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Deanna M Balvitsch | Certified Registered Nurse Anesthetist (crna) | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Michael Khalil | General Surgery | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Twyla Gene Wick | Certified Registered Nurse Anesthetist (crna) | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Kent A Diehl | Family Medicine | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Ben W Muscha | Family Medicine | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Marissa M Leese | Qualified Audiologist | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Jane M Weaver | General Surgery | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Travis J Mattern | Certified Registered Nurse Anesthetist (crna) | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Michael T Dean | Orthopedic Surgery | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Street Address |
2422 20TH ST SW |
| City | JAMESTOWN |
| State | ND |
| Zip | 58401-6201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael N Renschler | Podiatry | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Deanna M Balvitsch | Certified Registered Nurse Anesthetist (crna) | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Michael Khalil | General Surgery | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Twyla Gene Wick | Certified Registered Nurse Anesthetist (crna) | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Kent A Diehl | Family Medicine | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Ben W Muscha | Family Medicine | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Marissa M Leese | Qualified Audiologist | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Jane M Weaver | General Surgery | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Travis J Mattern | Certified Registered Nurse Anesthetist (crna) | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Michael T Dean | Orthopedic Surgery | Lutheran Charity Association | 2422 20th St Sw, Jamestown, ND 58401-6201 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy E Hart | Clinical Social Worker | 1609 7th Ave Ne, Jamestown, ND 58401-2818 | |
| Chelsea L Modlin | Clinical Social Worker | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Jennifer D Nitschke | Clinical Psychologist | South Central Human Service Center | 520 Nw 3rd St, Jamestown, ND 58401-2968 |
| John J Weber | Clinical Social Worker | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Cassandra L Buchanan | Nurse Practitioner | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Charles R Voigt | Clinical Social Worker | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Courtney Mae Reinarts | Clinical Social Worker | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Daniel P Cramer | Clinical Psychologist | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| David L Clinkenbeard | Psychiatry | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Maria De Robles | Psychiatry | South Central Human Service Center | 520 3rd St Nw, Jamestown, ND 58401-2968 |
| Find all physicians in zip 58401 | |||
| City | JAMESTOWN |
| Zip Code | 58401 |
| Specialty | GENERAL SURGERY |
| City + Specialty | JAMESTOWN + GENERAL SURGERY |
Please comment or provide details below to improve the information on Michael 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.