Dr Christopher Miles Johnson, MD | |
1850 Bandelier Court, Santa Fe, NM 87505-1613 | |
(505) 795-3208 | |
Not Available |
Full Name | Dr Christopher Miles Johnson |
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Gender | Male |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 1850 Bandelier Court, Santa Fe, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023077740 | NPI | - | NPPES |
200825210 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 38356 (Colorado) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 01062005A (Indiana) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Mailing Address | Practice Location Address |
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Dr Christopher Miles Johnson, MD 1850 Bandelier Court, Santa Fe, NM 87505-1613 Ph: (505) 795-3208 | Dr Christopher Miles Johnson, MD 1850 Bandelier Court, Santa Fe, NM 87505-1613 Ph: (505) 795-3208 |
Daniel Agee Coles, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 Cerrillos Rd, Santa Fe, NM 87505 Phone: 505-988-9821 | |
Wanicha Buraphacheep-coggins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2040 S Pacheco St, Nm Doh Family Planning Program, Santa Fe, NM 87505 Phone: 505-476-8870 Fax: 505-476-8898 | |
Dr. Victor Lacerva, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 52 Zambra Way, Santa Fe, NM 87506 Phone: 505-983-4233 | |
Dr. Roberto Thaddeus Araiza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 Galisteo St, Santa Fe, NM 87505 Phone: 505-995-4901 Fax: 505-989-6426 | |
Comfort Bonu, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, St. Vincent Hospitalist Group, Santa Fe, NM 87505 Phone: 505-989-6130 Fax: 505-820-5408 | |
Dr. Cecilia L Concepcion, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5501 Herrera Dr, Santa Fe, NM 87507 Phone: 505-913-3233 Fax: 505-913-3234 |