| Joseph E Johnson Md & Assoc Ltd | |
|
3160 Vista Blvd Sparks NV 89436-6703 | |
| (775) 352-7200 | |
| (775) 352-7222 |
| Full Name | Joseph E Johnson Md & Assoc Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 3160 Vista Blvd, Sparks, Nevada |
| Authorized Official Name and Position | Joseph Johnson (OWNER) |
| Authorized Official Contact | 7753527200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph E Johnson Md & Assoc Ltd 3160 Vista Blvd Sparks NV 89436-6703 Ph: (775) 352-7200 | Joseph E Johnson Md & Assoc Ltd 3160 Vista Blvd Sparks NV 89436-6703 Ph: (775) 352-7200 |
| NPI Number | 1881723609 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 11/12/2014 |
| Medicare PECOS PAC ID | 4981683976 |
|---|---|
| Medicare Enrollment ID | O20040714000886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881723609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Autumn Renee Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184945479 PECOS PAC ID: 3274727003 Enrollment ID: I20101104001605 |
| Provider Name | Spencer J Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760988588 PECOS PAC ID: 8224372511 Enrollment ID: I20210728001144 |
| Provider Name | Lisa Carnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649928243 PECOS PAC ID: 8022493931 Enrollment ID: I20220913002881 |
| Provider Name | Ashley Coleen Jester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104604438 PECOS PAC ID: 2163874033 Enrollment ID: I20240116002757 |
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