Jonathan Todd Johnson, MD | |
1710 N Greenville Ave Ste 110, Allen, TX 75002-8861 | |
(682) 303-2600 | |
(682) 303-2601 |
Full Name | Jonathan Todd Johnson |
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Gender | Male |
Speciality | Pediatrics |
Location | 1710 N Greenville Ave Ste 110, Allen, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962693655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | N6895 (Texas) | Primary |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
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Jonathan Todd Johnson, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Jonathan Todd Johnson, MD 1710 N Greenville Ave Ste 110, Allen, TX 75002-8861 Ph: (682) 303-2600 |
Naomi Suntal Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 919 Medical Dr Ste 1100, Allen, TX 75013 Phone: 214-644-0280 Fax: 844-814-0531 | |
Cate Ramzel, RBT Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Junction Dr, Allen, TX 75013 Phone: 469-675-3153 | |
Nazia Baig, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 311 N Allen Dr, Allen, TX 75013 Phone: 972-666-8591 | |
Chad Richard Smith, M.D., FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 919 Medical Dr, Allen, TX 75013 Phone: 214-644-0280 Fax: 214-644-0294 | |
Dr. Daniel J Moulton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1105 Central Expy N, Suite 250, Allen, TX 75013 Phone: 972-747-5437 Fax: 972-747-5497 | |
Dr. Akila Amsavelu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 599 S Custer Rd, Allen, TX 75013 Phone: 972-359-7600 | |
Jenna Lynn Cash, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1105 Central Expy N, Suite 250, Allen, TX 75013 Phone: 972-747-5437 Fax: 972-747-5497 |