Jordan S Johnson, MD | |
9821 S May Ave Ste C, Oklahoma City, OK 73159-7042 | |
(405) 691-0505 | |
(405) 691-0507 |
Full Name | Jordan S Johnson |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 13 Years |
Location | 9821 S May Ave Ste C, Oklahoma City, Oklahoma |
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 |
---|---|---|---|
1851682470 | NPI | - | NPPES |
04679764 | Medicaid | MS | |
2144120 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD.207583 (Louisiana) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | 32660 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Retina Consultants Of Oklahoma Pllc | 7719160472 | 3 |
Entity Name | Retina Consultants Of Oklahoma Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215245014 PECOS PAC ID: 7719160472 Enrollment ID: O20110318000169 |
Mailing Address | Practice Location Address |
---|---|
Jordan S Johnson, MD 3366 Nw Expressway Ste 670, Oklahoma City, OK 73112-4416 Ph: (405) 691-0505 | Jordan S Johnson, MD 9821 S May Ave Ste C, Oklahoma City, OK 73159-7042 Ph: (405) 691-0505 |
Vinay Ashok Shah, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9821 S May Ave Ste C, Oklahoma City, OK 73159 Phone: 405-691-0505 Fax: 405-691-0507 | |
Cynthia A Bradford, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-7873 | |
Jila Noorikolouri, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-3013 | |
Patricia Henrietta Fortin, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7101 Nw Expressway Ste 335, Oklahoma City, OK 73132 Phone: 405-733-2020 | |
Dr. Brian Keith Firestone, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-7873 | |
David W Parke Ii, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-1092 | |
Gary Waine Wilson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7101 Nw Expressway, Suite 335, Oklahoma City, OK 73132 Phone: 405-722-2020 Fax: 405-516-6126 |