Keith Ewing Johnson, MD | |
178 Clizbe Ave, Amsterdam, NY 12010-7520 | |
(518) 843-8745 | |
(518) 842-9633 |
Full Name | Keith Ewing Johnson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 22 Years |
Location | 178 Clizbe Ave, Amsterdam, New York |
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 |
---|---|---|---|
1609880806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | C1-0008872 (Delaware) | Secondary |
207L00000X | Anesthesiology | 240532-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Oneida Healthcare Center | Oneida, NY | Hospital |
River Hospital Clinics | Alexandria bay, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Digestive Disease Medicine Of Central New York, Llp | 1254351141 | 22 |
River Hospital Inc | 2567372899 | 31 |
Genesee Physician Practice Pllc | 6002114774 | 14 |
Griffiss Ec, Llc | 8628249521 | 12 |
Entity Name | River Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003814641 PECOS PAC ID: 2567372899 Enrollment ID: O20040614001352 |
Entity Name | Digestive Disease Medicine Of Central New York, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083785372 PECOS PAC ID: 1254351141 Enrollment ID: O20051207000321 |
Entity Name | Genesee Physician Practice Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598138356 PECOS PAC ID: 6002114774 Enrollment ID: O20160413000238 |
Entity Name | Westmoreland Asc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699254169 PECOS PAC ID: 9638490451 Enrollment ID: O20190313000196 |
Entity Name | Griffiss Ec, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487259545 PECOS PAC ID: 8628249521 Enrollment ID: O20210129000536 |
Mailing Address | Practice Location Address |
---|---|
Keith Ewing Johnson, MD 178 Clizbe Ave, Amsterdam, NY 12010-7520 Ph: (518) 843-8745 | Keith Ewing Johnson, MD 178 Clizbe Ave, Amsterdam, NY 12010-7520 Ph: (518) 843-8745 |
Mr. Albert Angus Fraser, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 178 Clizbe Ave, Amsterdam, NY 12010 Phone: 518-843-8745 Fax: 518-842-9633 | |
Mr. Jian Zhao, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 178 Clizbe Ave, Amsterdam, NY 12010 Phone: 518-843-8745 Fax: 518-842-9633 | |
Mr. Myung W Surh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 178 Clizbe Ave, Amsterdam, NY 12010 Phone: 518-843-8745 Fax: 518-842-9633 |