Connie Johnson (NPI# 1972087518, PAC ID# 9335484146) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972087518 |
| PAC ID by PECOS | 9335484146 |
| Professional Enrollment ID | I20181226001424 |
| Full Name | Connie Johnson |
| Organization Legal Name | RIDGE FAMILY PRACTICE, P.C. |
| Address |
201 Ridge St Suite 201 Council Bluffs IA 51503-4643 |
| Phone Number | 7123225899 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2769372382 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160047 | METHODIST JENNIE EDMUNDSON |
| Address | Phone | Organization |
|---|---|---|
| 201 Ridge St, Suite 201, Council Bluffs, IA 51503-4643 | 7123225899 | RIDGE FAMILY PRACTICE, P.C. |
| 31 E Main St, Treynor, IA 51575-7142 | 7124873636 | RIDGE FAMILY PRACTICE, P.C. |
| Organization Legal Name | RIDGE FAMILY PRACTICE, P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarine I Coker | Family Medicine | Ridge Family Practice, P.C. | 31 E Main St, Treynor, IA 51575-7142 |
| Jennifer S Kay | Family Practice | Ridge Family Practice, P.C. | 31 E Main St, Treynor, IA 51575-7142 |
| Street Address |
201 RIDGE ST SUITE 201 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip | 51503-4643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne Buge | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Associates PC | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 |
| Andrew E Huff | Anesthesiology | Bluffs Pain Management LLC | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 |
| Melissa R Hynek | Nurse Practitioner | Physicians Clinic Inc | 201 Ridge St, Suite 312, Council Bluffs, IA 51503-4643 |
| Charles S Pugsley Iv | Physician Assistant | Midwest Neurosurgery, PC | 201 Ridge St, Suite 311, Council Bluffs, IA 51503-4643 |
| Patrick J Ahrens | General Surgery | Physicians Clinic Inc | 201 Ridge St, Suite 214, Council Bluffs, IA 51503-4643 |
| Eric M Bendorf | General Surgery | Physicians Clinic Inc | 201 Ridge St, Suite 214, Council Bluffs, IA 51503-4643 |
| Shelly M Schutte | Physician Assistant | Bluffs Pain Management LLC | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 |
| Kara D Dostal | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Associates PC | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 |
| Timothy J Goc | Anesthesiology | Medical Anesthesia Associates PC | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 |
| Emily M Lange | Obstetrics/gynecology | Physicians Clinic Inc | 201 Ridge St, Suite 312, Council Bluffs, IA 51503-4643 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Knight | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 7 Elliot St, Council Bluff, IA 51503-0239 |
| Steven S Barnes | Chiropractic | 2901 N Broadway, Council Bluffs, IA 51503-0308 | |
| Kathryn Robbins Case | Clinical Social Worker | Clear Mind Therapy, LLC | 35 Main Pl, Suite 100, Council Bluffs, IA 51503-0706 |
| Natalie Renee Bussing | Clinical Social Worker | Clear Mind Therapy, LLC | 35 Main Pl, Suite 100, Council Bluffs, IA 51503-0706 |
| Daniel C Kjeldgaard | Chiropractic | 7 N 6th St, Council Bluffs, IA 51503-0710 | |
| John R Tracy | Clinical Social Worker | 500 Willow Ave, Suite 210, Council Bluffs, IA 51503-0827 | |
| Christy L Fisher | Clinical Social Worker | 500 Willow Ave, Suite 215, Council Bluffs, IA 51503-0827 | |
| Christopher R Olson | Optometry | 320 Mckenzie Ave, Suite 206, Council Bluffs, IA 51503-1002 | |
| Pauline S Seymour | Podiatry | Council Bluffs Foot and Ankle Care PC | 320 Mckenzie Ave, Suite 102, Council Bluffs, IA 51503-1002 |
| David H Sjulin | Otolaryngology | Father Flanagans Boys Home | 320 Mckenzie Ave, Suite 202, Council Bluffs, IA 51503-1002 |
| Find all physicians in zip 51503 | |||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COUNCIL BLUFFS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Connie 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.