James Martin Johnston, MD | |
75 Pringle Way Ste 505, Reno, NV 89502-1469 | |
(775) 982-5000 | |
(775) 982-3900 |
Full Name | James Martin Johnston |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 75 Pringle Way Ste 505, Reno, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528177367 | NPI | - | NPPES |
404279 | Other | GA | WELLCARE |
792665328E | Medicaid | GA | |
11566679 | Other | CAQH | |
792665328C | Medicaid | GA | |
G59801 | Medicaid | SC | |
P00414570 | Other | GA | RAILROAD MEDICARE |
01067533 | Other | GA | AMERIGROUP |
792665328B | Medicaid | GA | |
792665328D | Medicaid | GA | |
792665328A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 059801 (Georgia) | Secondary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 17447 (Nevada) | Primary |
Entity Name | Community Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900 |
Mailing Address | Practice Location Address |
---|---|
James Martin Johnston, MD 850 Harvard Way, Reno, NV 89502-2055 Ph: (775) 982-5262 | James Martin Johnston, MD 75 Pringle Way Ste 505, Reno, NV 89502-1469 Ph: (775) 982-5000 |
Deborah Ivane Vydra, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5301 Reno Corporate Dr, Reno, NV 89511 Phone: 775-329-5555 | |
Susan E. Chambers-sorensen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 75 Pringle Way, Suite 300, Reno, NV 89502 Phone: 775-982-6020 Fax: 775-982-6021 | |
Dr. Sonia Budhecha, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 75 Pringle Way, 505, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900 | |
Lindsay Koppinger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10581 Double R Blvd, Reno, NV 89521 Phone: 775-324-0766 | |
Max Coppes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 75 Pringle Way, Ste 505, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900 | |
Lauren Lee Sandefur, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 901 E 2nd St Ste 201, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3971 | |
Meredith Reynolds, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Jones St, Reno, NV 89503 Phone: 775-322-1880 Fax: 775-322-1808 |