Roger Dalton Johnson, CRNA | |
3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | |
(803) 395-2200 | |
(803) 395-2304 |
Full Name | Roger Dalton Johnson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 3000 Saint Matthews Rd, Orangeburg, South Carolina |
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 |
---|---|---|---|
1871884742 | NPI | - | NPPES |
GP2825 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 100263 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 17516 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lexington Medical Center | West columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lexington Health Inc | 2567872070 | 767 |
Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922063858 PECOS PAC ID: 8527970771 Enrollment ID: O20040112000062 |
Entity Name | Msn Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083003941 PECOS PAC ID: 0941528194 Enrollment ID: O20150420000399 |
Entity Name | Atlantic Coast Anesthesia Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291 |
Entity Name | Lexington Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Mailing Address | Practice Location Address |
---|---|
Roger Dalton Johnson, CRNA Po Box 1245, Orangeburg, SC 29116-1245 Ph: (803) 395-4497 | Roger Dalton Johnson, CRNA 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 Ph: (803) 395-2200 |
Mr. Harold William Allerton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200 | |
Eileen Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-747-9889 Fax: 803-747-9889 | |
Mr. William E Cawthon, C.R.N.A Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200 | |
Sabrina T Gonzalez, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200 | |
Hilliary Goode, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200 | |
Melvin Stanaway, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-454-2613 Fax: 803-765-1732 | |
Patrick B. Riley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-454-2613 Fax: 803-765-1732 |