Michael Johnson, MD | |
6046 Whipple Ave Nw, North Canton, OH 44720-7616 | |
(330) 433-1200 | |
(330) 433-1666 |
Full Name | Michael Johnson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 6046 Whipple Ave Nw, North Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346273281 | NPI | - | NPPES |
2801490 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35090478 (Ohio) | Primary |
Entity Name | Ultimate Access Primary Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073021689 PECOS PAC ID: 1658704945 Enrollment ID: O20191126003032 |
Mailing Address | Practice Location Address |
---|---|
Michael Johnson, MD 6046 Whipple Ave Nw, North Canton, OH 44720-7616 Ph: (330) 433-1200 | Michael Johnson, MD 6046 Whipple Ave Nw, North Canton, OH 44720-7616 Ph: (330) 433-1200 |
Julia Fiorentino, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1200 Fax: 330-433-1666 | |
Lynette M Cugino, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1200 Fax: 330-433-1666 | |
Dr. Julie Lynn Oberly, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1401 South Main Street, Suite 101, North Canton, OH 44720 Phone: 330-497-8636 Fax: 330-497-8634 | |
Gilbert R Rowley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1200 Fax: 330-305-5047 | |
James Edgar Phillips Ii, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Wilbur Dr Ne, North Canton, OH 44720 Phone: 330-494-3751 | |
John B Humphrey Jr., MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1200 Fax: 330-305-5047 | |
Privi Pauskar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1200 |