Sean Johnson, | |
1310 W 22nd St, Sioux Falls, SD 57105-1501 | |
(605) 328-8200 | |
Not Available |
Full Name | Sean Johnson |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 11 Years |
Location | 1310 W 22nd St, Sioux Falls, South Dakota |
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 |
---|---|---|---|
1053754994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 11024 (South Dakota) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Usd Medical Center | Sioux falls, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center | 8325950215 | 717 |
Entity Name | Sanford Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
Entity Name | Sanford Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
Mailing Address | Practice Location Address |
---|---|
Sean Johnson, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-8200 | Sean Johnson, 1310 W 22nd St, Sioux Falls, SD 57105-1501 Ph: (605) 328-8200 |
Mark James Jameson, MD PHD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1417 S Cliff Ave Ste 300, Sioux Falls, SD 57105 Phone: 605-504-3000 Fax: 605-504-3001 | |
Jaishree Palanisamy Lerew, D.O. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1310 W 22nd St, Sioux Falls, SD 57105 Phone: 605-328-8200 | |
Dr. Micah Marshall Likness, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2315 W 57th St, Sioux Falls, SD 57108 Phone: 605-336-3503 Fax: 605-665-0076 | |
Kristen Leigh Seligman Coffroth, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1417 S Cliff Ave Ste 300, Sioux Falls, SD 57105 Phone: 605-504-3000 | |
William H. Avery, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1310 W 22nd St, Sioux Falls, SD 57105 Phone: 605-328-8200 Fax: 605-328-8201 | |
Dr. Craig Phillip Hedges, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2315 W 57th St, Sioux Falls, SD 57108 Phone: 605-336-3503 Fax: 605-336-6010 |