Matthew B Johnson, DO | |
37 Ball Park Rd, Harlan, KY 40831-1701 | |
(606) 573-4520 | |
(606) 573-6392 |
Full Name | Matthew B Johnson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 37 Ball Park Rd, Harlan, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811512494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0116034070 (Virginia) | Secondary |
207R00000X | Internal Medicine | 05495 (Kentucky) | Primary |
Entity Name | Appalachian Regional Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528148012 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
Mailing Address | Practice Location Address |
---|---|
Matthew B Johnson, DO 37 Ball Park Rd, Harlan, KY 40831-1701 Ph: (606) 573-4520 | Matthew B Johnson, DO 37 Ball Park Rd, Harlan, KY 40831-1701 Ph: (606) 573-4520 |
Aelia Akbar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 | |
Jose Echeverria, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 | |
Georges Sayed Damaa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 | |
Dr. Nazneen Ahmed, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 | |
Abdulkader Dahhan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Professional Ln, Suite 101, Harlan, KY 40831 Phone: 606-573-1085 Fax: 606-573-1085 | |
Shyam Subramanya Ganti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 | |
Richard Stoltzfus, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 |