Randy M Johnson, MD | |
155 5th St Ne, Barberton, OH 44203-3332 | |
(330) 493-4443 | |
(330) 493-8677 |
Full Name | Randy M Johnson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 155 5th St Ne, Barberton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700813490 | NPI | - | NPPES |
2662533 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35-087639 (Ohio) | Primary |
207P00000X | Emergency Medicine | 35087639 (Ohio) | Secondary |
Entity Name | Canton Aultman Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801832381 PECOS PAC ID: 2961307319 Enrollment ID: O20031201000025 |
Entity Name | Aultman Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619911054 PECOS PAC ID: 3779485867 Enrollment ID: O20040121000010 |
Entity Name | Caep-dunlap, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669709911 PECOS PAC ID: 3476694555 Enrollment ID: O20100112000243 |
Mailing Address | Practice Location Address |
---|---|
Randy M Johnson, MD 2600 Sixth St Sw, Canton, OH 44710-1702 Ph: (330) 456-2695 | Randy M Johnson, MD 155 5th St Ne, Barberton, OH 44203-3332 Ph: (330) 493-4443 |
Robert J Faflik Jr., DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 155 5th St Ne, Barberton, OH 44203 Phone: 330-493-4443 Fax: 330-493-8677 | |
Erin L Simon, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 155 5th St Ne, Barberton, OH 44203 Phone: 330-493-4443 Fax: 330-493-8677 | |
William Reisinger, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 5th St Ne, Barberton, OH 44203 Phone: 330-493-4443 Fax: 330-493-8677 | |
Amy Janas, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 155 5th St Ne, Barberton, OH 44203 Phone: 330-493-4443 | |
Elizabeth Ferguson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 155 5th St Ne, Barberton, OH 44203 Phone: 330-493-4443 | |
Dominic Bagnoli Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 155 5th St Ne, Barberton, OH 44203 Phone: 330-493-4443 Fax: 330-493-8677 |