| Daniel Allen Johnson, DO | |
| 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | |
| (504) 842-3460 | |
| Not Available | 
| Full Name | Daniel Allen Johnson | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 1514 Jefferson Hwy, New Orleans, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417148974 | NPI | - | NPPES | 
| 1005894 | Medicaid | LA | |
| 00624526 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 56690 (Louisiana) | Secondary | 
| 207P00000X | Emergency Medicine | DO.000185 (Louisiana) | Primary | 
| Entity Name | Vidant Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 | 
| Entity Name | Emergency Medicine Physicians Of Mecklenburg County Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912232182 PECOS PAC ID: 3870635584 Enrollment ID: O20100119000374 | 
| Entity Name | Outer Banks Professional Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Daniel Allen Johnson, DO 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-3460 | Daniel Allen Johnson, DO 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-3460 | 
| Ms. Misty T Wetzel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 963 Taft Pl, New Orleans, LA 70119 Phone: 504-309-4246 | |
| Jasmine Sha'dey Holmes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Canal Street, D&t Bldg., 2nd Floor, Suite 2720, New Orleans, LA 70112 Phone: 504-702-2287 Fax: 504-702-2500 | |
| Dr. Susan Diane Taylor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Foucher St, New Orleans, LA 70115 Phone: 504-897-2850 | |
| Lisa Birdsall Fort, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3460 | |
| Ms. Elizabeth Anne Clement, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Gravier St, 7th Floor, New Orleans, LA 70112 Phone: 504-903-3594 | |
| Sarah Elizabeth Griffin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Canal St, New Orleans, LA 70112 Phone: 347-271-0784 | |
| Colin Devlin,  Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5022 Laurel St, New Orleans, LA 70115 Phone: 781-696-2226 |