Dr Stephen C Johnson, MD | |
4021 Avenue B, Scottsbluff, NE 69361-4602 | |
(303) 761-9190 | |
(720) 874-4462 |
Full Name | Dr Stephen C Johnson |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 4021 Avenue B, Scottsbluff, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235126780 | NPI | - | NPPES |
1235126780 | Medicaid | WY | |
1235126780/7726960 | Medicaid | SD | |
P00720335 | Other | NE | RR MCR NE |
10025709000 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 18166 (Nebraska) | Primary |
Entity Name | Radiology Imaging Of Nebraska Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184869901 PECOS PAC ID: 5597828269 Enrollment ID: O20090107000484 |
Entity Name | Radiology Imaging Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679513196 PECOS PAC ID: 2860391257 Enrollment ID: O20140522000894 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen C Johnson, MD 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 Ph: (303) 761-9190 | Dr Stephen C Johnson, MD 4021 Avenue B, Scottsbluff, NE 69361-4602 Ph: (303) 761-9190 |
Robert G Heasty, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2 W 42nd St, Suite 2600, Scottsbluff, NE 69361 Phone: 308-632-7322 Fax: 308-632-6181 | |
Dr. Michael Orin Yung, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 303-761-9190 Fax: 720-874-4462 | |
Dr. Sean Thomas Walker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 303-761-9190 Fax: 720-874-4462 | |
Dr. Mark Allan Hartman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3911 Avenue B, Suite G-100, Scottsbluff, NE 69361 Phone: 308-630-1348 Fax: 308-630-1445 | |
Malonnie L Kinnison, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 303-761-9190 Fax: 303-761-6278 | |
Dr. Patricia J. Eastman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2 W 42nd St, Suite 2100, Scottsbluff, NE 69361 Phone: 308-630-2906 Fax: 308-632-6181 |