| Dr Christopher Cullen Johnson, MD OBGYN | |
|
1400 Senate Ave, Suite 102, Red Oak, IA 51566-1715 | |
| (712) 623-6335 | |
| (712) 623-3755 |
| Full Name | Dr Christopher Cullen Johnson |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1400 Senate Ave, Red Oak, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508852666 | NPI | - | NPPES |
| 1226159 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 29118 (Iowa) | Primary |
| Entity Name | Montgomery County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265405310 PECOS PAC ID: 9032015805 Enrollment ID: O20031211000423 |
| Entity Name | Montgomery County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1376539338 PECOS PAC ID: 9032015805 Enrollment ID: O20061104000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Cullen Johnson, MD OBGYN Po Box 498, Red Oak, IA 51566-0498 Ph: (712) 623-7000 | Dr Christopher Cullen Johnson, MD OBGYN 1400 Senate Ave, Suite 102, Red Oak, IA 51566-1715 Ph: (712) 623-6335 |
James Forest Wyatt, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1905 East Summit Street, Red Oak, IA 51566 Phone: 712-623-5416 Fax: 712-623-5418 | |
Marcela Ivette Pineda Molina, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1400 Senate Ave Ste 102, Red Oak, IA 51566 Phone: 712-623-6335 Fax: 712-623-3755 |