Dr Nicole Marie Johnson, MD | |
11100 Euclid Avenue, Cleveland, OH 44106 | |
(216) 844-7700 | |
Not Available |
Full Name | Dr Nicole Marie Johnson |
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Gender | Female |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 11100 Euclid Avenue, Cleveland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710190947 | NPI | - | NPPES |
1026733980001 | Medicaid | PA | |
2957870 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 35-086941 (Ohio) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 35086941 (Ohio) | Primary |
Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Mailing Address | Practice Location Address |
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Dr Nicole Marie Johnson, MD 24701 Euclid Avenue, 3rd Floor, Euclid, OH 44117 Ph: () - | Dr Nicole Marie Johnson, MD 11100 Euclid Avenue, Cleveland, OH 44106 Ph: (216) 844-7700 |
Keshava Murthy Narayana Gowda, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # M-14, Cleveland, OH 44195 Phone: 216-212-3601 | |
Dr. Aditi Yadav, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-445-5686 Fax: 216-636-0009 | |
Dominic Cercone, Pediatrics Medicare: Medicare Enrolled Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1000 | |
Dr. Reshma Raj, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-5394 | |
Mary Nock, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Avenue, Cleveland, OH 44106 Phone: 216-844-7700 | |
Michelle M Marks, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Anne Stormorken, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Avenue, Cleveland, OH 44106 Phone: 216-844-7700 |