Angel J Johnson (NPI# 1811373632, PAC ID# 9830409812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811373632 |
| PAC ID by PECOS | 9830409812 |
| Professional Enrollment ID | I20151103001493 |
| Full Name | Angel J Johnson |
| Organization Legal Name | NICHOLAS EMERGENCY GROUP, PLLC |
| Address |
400 Fairview Heights Rd Summersville WV 26651-9308 |
| Phone Number | 3048722891 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305132978 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511322 | |
| 511308 | BRAXTON COUNTY MEMORIAL HOSPITAL |
| 510006 | UNITED HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 3048722891 | NICHOLAS EMERGENCY GROUP, PLLC |
| Organization Legal Name | NICHOLAS EMERGENCY GROUP, PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark C Geary Ii | Emergency Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Andrew Brett Cook | Emergency Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Thomas B Duff | Family Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Stanley T Morris | Emergency Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Jonathan Dale | Family Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Street Address |
400 FAIRVIEW HEIGHTS RD |
| City | SUMMERSVILLE |
| State | WV |
| Zip | 26651-9308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bandy B Mullins | General Surgery | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Mark C Geary Ii | Emergency Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Andrew Brett Cook | Emergency Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Thomas J Reynolds | Certified Registered Nurse Anesthetist (crna) | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Thomas B Duff | Family Medicine | Nicholas Emergency Group, Pllc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Judy M Spencer | Physician Assistant | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Amy C Mann | Nurse Practitioner | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Whitney A Boggs | Family Medicine | New River Health Association Inc | 400 Fairview Heights Rd, Suite 201, Summersville, WV 26651-9308 |
| Joanna F Fletcher | Certified Registered Nurse Anesthetist (crna) | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Jeffrey Mark Rodebaugh | Family Medicine | West Virginia Health Care Cooperative Inc | 400 Fairview Heights Rd, Summersville, WV 26651-9308 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara M Holdren | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Tonya Rachel Young | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Kathy Hamon | Family Medicine | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Crystal R Taylor | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Elizabeth A Coffman | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Sara Sanson | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
| Eddie Prendergast Jr. | Optometry | 651 Water St, Summersville, WV 26651-1454 | |
| Thomas Goodwin | Chiropractic | 1018 Broad St, Summersville, WV 26651-1711 | |
| Christa M Degidio | Physical Medicine and Rehabilitation | Mountaineer Physical Therapy and Sports Medicine | 207 Merchants Walk, Summersville, WV 26651-1901 |
| Richard S Trenbath | Family Medicine | 211 Merchants Walk, Summersville, WV 26651-1901 | |
| Find all physicians in zip 26651 | |||
| City | SUMMERSVILLE |
| Zip Code | 26651 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SUMMERSVILLE + NURSE PRACTITIONER |
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| 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.