Dr James Earl Johnson Jr, MD | |
2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | |
(210) 292-7956 | |
(210) 292-7986 |
Full Name | Dr James Earl Johnson Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 26 Years |
Location | 2200 Bergquist Dr, Lackland Afb, Texas |
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 |
---|---|---|---|
1780664391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | K9814 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital West | Pembroke pines, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheridan Healthcorp Inc | 3173429693 | 837 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Greater Florida Anesthesiologists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
Mailing Address | Practice Location Address |
---|---|
Dr James Earl Johnson Jr, MD 22019 Cristobal Dr, Garden Ridge, TX 78266-2237 Ph: (210) 883-4712 | Dr James Earl Johnson Jr, MD 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 Ph: (210) 292-7956 |
Dr. Mark David Levin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Lackland Afb, TX 78236 Phone: 210-292-2055 | |
Dr. Thomas Pennington, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Drive, Suite1, Attn: Credentials (cmc), Lackland Afb, TX 78236 Phone: 210-292-5123 Fax: 210-292-7986 |