Philip Conger Johnson, MD | |
3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | |
(205) 977-1949 | |
Not Available |
Full Name | Philip Conger Johnson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 15 Years |
Location | 3104 Blue Lake Dr Ste 110, Vestavia, Alabama |
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 |
---|---|---|---|
1073757126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD.30466 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Princeton Baptist Medical Center | Birmingham, AL | Hospital |
Grandview Medical Center | Birmingham, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southside Pain Specialists, Pc | 0648355016 | 11 |
Anesthesiologists Associated Pc | 6204739519 | 357 |
Entity Name | Anesthesiologists Associated Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851371850 PECOS PAC ID: 6204739519 Enrollment ID: O20040202000465 |
Entity Name | Southside Pain Specialists, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558546994 PECOS PAC ID: 0648355016 Enrollment ID: O20080310000215 |
Entity Name | Blue Lake Health Alabama, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376266726 PECOS PAC ID: 8325415375 Enrollment ID: O20221103000629 |
Mailing Address | Practice Location Address |
---|---|
Philip Conger Johnson, MD 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 Ph: (205) 977-1949 | Philip Conger Johnson, MD 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 Ph: (205) 977-1949 |
Joshua Morgan Varner, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 | |
Dr. Erin Dodd Morella, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2868 Acton Rd, Vestavia, AL 35243 Phone: 205-332-3160 Fax: 866-702-0880 | |
Mr. James Albert Brock Iii, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 | |
Sarah Gilmore Weaver, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 | |
Travis Davis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 | |
Michael Francis Narveson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-977-1949 |