Kevin Johnson, MD PC | |
1403 Wall Street, Cullman, AL 35055-0000 | |
(256) 734-9472 | |
(256) 734-9272 |
Full Name | Kevin Johnson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1403 Wall Street, Cullman, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952371874 | NPI | - | NPPES |
000086453 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 00015459 (Alabama) | Primary |
Entity Name | Northstar Anesthesia Of Alabama, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760761506 PECOS PAC ID: 4385816065 Enrollment ID: O20111003000452 |
Mailing Address | Practice Location Address |
---|---|
Kevin Johnson, MD PC Po Box 822, Cullman, AL 35056-0822 Ph: (256) 734-9472 | Kevin Johnson, MD PC 1403 Wall Street, Cullman, AL 35055-0000 Ph: (256) 734-9472 |
Dr. Adam Benjamin Crisologo, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-737-2682 Fax: 256-737-2849 | |
Victoria Underwood Clay, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1948 Al Highway 157 Ste 250, Cullman, AL 35058 Phone: 256-735-5560 Fax: 256-801-7364 | |
Peter Albert Crisologo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Alabama Hwy 157, Cullman Regional Medical Center, Cullman, AL 35058 Phone: 256-737-2637 Fax: 256-734-6257 | |
Gary Keith Morton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-737-2585 | |
James R. Layton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-737-2000 | |
Robin Tate Hall, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Alabama Hwy 157, Cullman Regional Medical Center, Cullman, AL 35058 Phone: 256-737-2638 Fax: 256-734-6257 | |
Ann Christine Still, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1701 Main Ave Sw, Suite E, Cullman, AL 35055 Phone: 256-531-9213 Fax: 256-841-6019 |