| Dr James Earl Johnson Jr, MD | |
|
2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | |
| (210) 292-7956 | |
| (210) 292-7986 |
| Full Name | Dr James Earl Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 28 Years |
| Location | 2200 Bergquist Dr, Lackland Afb, Texas |
| 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 |
|---|---|---|---|
| 1780664391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | K9814 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cody Regional Health | Cody, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Park Hospital District | 7315855624 | 59 |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Earl Johnson Jr, MD 22019 Cristobal Dr, Garden Ridge, TX 78266-2237 Ph: (210) 883-4712 | Dr James Earl Johnson Jr, MD 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 Ph: (210) 292-7956 |
Dr. Regina Maria Reinsvold, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236 Phone: 210-292-6255 | |
Dr. Mark David Levin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Lackland Afb, TX 78236 Phone: 210-292-2055 | |
Dr. Thomas Pennington, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Drive, Suite1, Attn: Credentials (cmc), Lackland Afb, TX 78236 Phone: 210-292-5123 Fax: 210-292-7986 |