David Ellsworth Johnson, MD | |
3100 Tongass Ave, Ketchikan, AK 99901-5746 | |
(907) 225-4463 | |
Not Available |
Full Name | David Ellsworth Johnson |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3100 Tongass Ave, Ketchikan, Alaska |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396803763 | NPI | - | NPPES |
MD1213 | Medicaid | AK | |
R004 | Other | AK | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1160 (Alaska) | Primary |
Mailing Address | Practice Location Address |
---|---|
David Ellsworth Johnson, MD Po Box 6852, Ketchikan, AK 99901-1852 Ph: (907) 225-6396 | David Ellsworth Johnson, MD 3100 Tongass Ave, Ketchikan, AK 99901-5746 Ph: (907) 225-4463 |
Dr. Elisa Marie Rosier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Po Box Wwp, Ketchikan, AK 99950 Phone: 313-300-8189 | |
John G Rosenfeld, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-4463 Fax: 907-228-8321 | |
Sean Bhagat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Peacehealth Medical Group, 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8140 Fax: 907-228-8440 |