| Christopher Johnson, DO | |
|
7031 Sw 62nd Ave, South Miami, FL 33143-4701 | |
| (305) 284-7551 | |
| Not Available |
| Full Name | Christopher Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 7031 Sw 62nd Ave, South Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225617673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | OS19449 (Florida) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | H0102232 (Maryland) | Primary |
| Entity Name | Ballout International Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629554225 PECOS PAC ID: 5890045256 Enrollment ID: O20180905001883 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Johnson, DO 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-0000 | Christopher Johnson, DO 7031 Sw 62nd Ave, South Miami, FL 33143-4701 Ph: (305) 284-7551 |
Roshan Santhosh, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7000 Sw 62nd Ave, South Miami, FL 33143 Phone: 305-284-7761 | |
Dr. De'jon Parker, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7000 Sw 62nd Ave Ste 401, South Miami, FL 33143 Phone: 305-284-7761 | |
Dr. Michael Iyamu, D.O Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7031 Sw 62nd Ave, South Miami, FL 33143 Phone: 305-284-7761 | |
Dr. Robert Kindell St.clair Jr., D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7031 Sw 62nd Ave, South Miami, FL 33143 Phone: 305-284-7761 | |
Ghazaleh Ebrahimi, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7031 Sw 62nd Ave, South Miami, FL 33143 Phone: 305-284-7500 Fax: 305-284-7755 | |
Dr. Eric K Lebbeney-bandar, D.O., MSC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7031 Sw 62nd Ave, South Miami, FL 33143 Phone: 305-284-7787 |