Andrew Timothy Johnson, RN | |
5001 W 41st St, Sioux Falls, SD 57106-1424 | |
(605) 362-0100 | |
Not Available |
Full Name | Andrew Timothy Johnson |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5001 W 41st St, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962190207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R0117101 (Oklahoma) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 212932 (Oklahoma) | Primary |
Entity Name | St. John Anesthesia Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357 |
Mailing Address | Practice Location Address |
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Andrew Timothy Johnson, RN 204 S 62nd St, Broken Arrow, OK 74014-6932 Ph: (918) 932-7007 | Andrew Timothy Johnson, RN 5001 W 41st St, Sioux Falls, SD 57106-1424 Ph: (605) 362-0100 |
Jedd D Bialas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
Aaron Daniel Mortensen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
Austin Wade Fox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-8000 | |
Paul E Gilmore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
John A Lyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 21st St, Sioux Falls, SD 57105 Phone: 605-322-2754 Fax: 605-322-2727 | |
Christopher Brusseau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th Street, Anesthesia Department, Sioux Falls, SD 57117 Phone: 605-312-1225 Fax: 605-312-1226 | |
Gay J Heitmann, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 |