Kenneth S Johnson, MD | |
100 Michigan St Ne, Grand Rapids, MI 49503-2560 | |
(616) 391-1680 | |
Not Available |
Full Name | Kenneth S Johnson |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 100 Michigan St Ne, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558378265 | NPI | - | NPPES |
930077745 | Other | MI | RAILROAD MEDICARE |
P00411572 | Other | MI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301057997 (Michigan) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 4301057997 (Michigan) | Primary |
Entity Name | Cherry Street Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558459164 PECOS PAC ID: 6800707647 Enrollment ID: O20040804000274 |
Entity Name | Visionary Medical Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538216569 PECOS PAC ID: 1951404185 Enrollment ID: O20070308000475 |
Entity Name | Ecs Western Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001 |
Entity Name | Ecs Lakeshore Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477030476 PECOS PAC ID: 4082964036 Enrollment ID: O20180912002039 |
Mailing Address | Practice Location Address |
---|---|
Kenneth S Johnson, MD Po Box 22067, Lansing, MI 48909-8016 Ph: (616) 975-1845 | Kenneth S Johnson, MD 100 Michigan St Ne, Grand Rapids, MI 49503-2560 Ph: (616) 391-1680 |
Dr. Adam Michael Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000 | |
Mark Greenwood, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Mc 71, Grand Rapids, MI 49503 Phone: 616-391-5310 | |
Raymond Scurek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 Fax: 616-285-0846 | |
Andrew Steven Coleman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 | |
Mark G Kanitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 | |
Steven Perry, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 800-968-6866 | |
Colleen M Bush, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 |