Douglas Ross Johnson, MD | |
234 Goodman St, Cincinnati, OH 45219-2364 | |
(513) 584-3832 | |
(513) 584-3807 |
Full Name | Douglas Ross Johnson |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 27 Years |
Location | 234 Goodman St, Cincinnati, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114943263 | NPI | - | NPPES |
64064181 | Medicaid | KY | |
CB 5773 | Other | KY | RR GROUP# |
37903705 | Other | KY | MEDICAID LAB GROUP# |
4000501 | Other | KY | MEDICARE LAB GROUP# |
220033608 | Other | KY | RR MEDICARE PIN# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | 35 121319 (Ohio) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35121319 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Chester Hospital | West chester, OH | Hospital |
University Of Cincinnati Medical Center, Llc | Cincinnati, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Cincinnati Physicians Company Llc | 2264344480 | 1336 |
Entity Name | University Of Cincinnati Physicians Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
Mailing Address | Practice Location Address |
---|---|
Douglas Ross Johnson, MD Po Box 636256 Central Credentialing, Cincinnati, OH 45263-6256 Ph: (513) 585-5507 | Douglas Ross Johnson, MD 234 Goodman St, Cincinnati, OH 45219-2364 Ph: (513) 584-3832 |
Bruce G Storrs, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-872-1400 | |
Mei Liang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Lab Medicine Building, Cincinnati, OH 45219 Phone: 513-584-3834 Fax: 513-558-2289 | |
Parsa Hodjat, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3333 Burnet Ave., Ml 1035, Cincinnati, OH 45229 Phone: 513-636-4261 Fax: 513-636-3924 | |
Jingwei Li, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave Ml 1035, Cincinnati, OH 45229 Phone: 513-636-4261 Fax: 513-636-3924 | |
Gregory Retzinger, MD Pathology Medicare: Medicare Enrolled Practice Location: 231 Albert Sabin Way, Department Of Pathology, Cincinnati, OH 45267 Phone: 513-558-4500 Fax: 513-558-2289 | |
Ila N Mehta Iii, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-624-4337 | |
Jiang Wang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-584-1000 Fax: 513-584-3778 |