Dr Brock A Johnson, MD | |
1729 Kinneys Ln Ste 102, Portsmouth, OH 45662-3166 | |
(740) 351-0980 | |
(740) 351-0021 |
Full Name | Dr Brock A Johnson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 10 Years |
Location | 1729 Kinneys Ln Ste 102, Portsmouth, 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 |
---|---|---|---|
1770993206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 54062 (Kentucky) | Secondary |
207X00000X | Orthopaedic Surgery | 35.139825 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
King's Daughters' Medical Center | Ashland, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kings Daughters Medical Specialties Inc | 6103968029 | 326 |
Kings Daughters Medical Specialties Inc | 6103968029 | 326 |
Premier Therapy And Health Centers Inc | 7416859574 | 166 |
Entity Name | Kings Daughters Medical Specialties Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497083539 PECOS PAC ID: 6103968029 Enrollment ID: O20100114000813 |
Mailing Address | Practice Location Address |
---|---|
Dr Brock A Johnson, MD Po Box 2379, Ashland, KY 41105-2379 Ph: (606) 408-9565 | Dr Brock A Johnson, MD 1729 Kinneys Ln Ste 102, Portsmouth, OH 45662-3166 Ph: (740) 351-0980 |
Dr. Duane J Marchyn, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1711 27th St Ste 102, Portsmouth, OH 45662 Phone: 740-356-1709 Fax: 740-353-3027 | |
Jared Carson Bentley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St Ste 102, Portsmouth, OH 45662 Phone: 740-356-1709 Fax: 740-353-3027 | |
Dr. Gerardo Dumlao Trinidad, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1729 Kinneys Ln Ste 102, Portsmouth, OH 45662 Phone: 740-351-0980 Fax: 740-351-0021 | |
Christopher G. Belton, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St Ste 102, Portsmouth, OH 45662 Phone: 740-356-1709 Fax: 740-353-3027 | |
John William Dobson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1711 27th St Ste 102, Portsmouth, OH 45662 Phone: 740-356-1709 Fax: 740-353-3027 |