| Dr Joann Elizabeth Johnson, MD | |
|
101 Bob Wallace Ave Sw, Suite E, Huntsville, AL 35801-3847 | |
| (256) 539-5339 | |
| Not Available |
| Full Name | Dr Joann Elizabeth Johnson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 101 Bob Wallace Ave Sw, Huntsville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104809508 | NPI | - | NPPES |
| 51518176 | Other | AL | BLUE CROSS BLUE SHIELD |
| 4483860 | Other | AL | AETNA |
| 51010283 | Other | AL | BLUE CROSS BLUE SHIELD |
| 529702470 | Medicaid | AL | |
| 1403382 | Other | AL | FIRST HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4556 (Alabama) | Secondary |
| 208000000X | Pediatrics | AL4556 (Alabama) | Primary |
| Entity Name | Childrens Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124541438 PECOS PAC ID: 9234405408 Enrollment ID: O20171017000804 |
| Entity Name | Smitmar Health Entities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740899111 PECOS PAC ID: 8325453046 Enrollment ID: O20210210002150 |
| Entity Name | Grace Health And Wellness Family Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184454795 PECOS PAC ID: 4385172279 Enrollment ID: O20250106001889 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joann Elizabeth Johnson, MD 101 Bob Wallace Ave Sw, Suite E, Huntsville, AL 35801-3847 Ph: (256) 539-5339 | Dr Joann Elizabeth Johnson, MD 101 Bob Wallace Ave Sw, Suite E, Huntsville, AL 35801-3847 Ph: (256) 539-5339 |
Dr. Joshua James Lovvorn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Governors Dr Se, Huntsville, AL 35801 Phone: 256-265-1000 | |
Veronica Collier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Governors Dr Se, Huntsville, AL 35801 Phone: 256-265-7981 Fax: 256-265-4987 | |
Dr. Laurie Lenhart Imsand, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Governors Dr Se, Huntsville, AL 35801 Phone: 256-265-7791 Fax: 256-265-7767 | |
Dr. Charles Gerald Judy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 502 Governors Dr Sw, Huntsville, AL 35801 Phone: 256-533-0833 Fax: 256-533-0855 | |
Dr. Meyer Edwin Dworsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2324 Pansy St Sw, Huntsville, AL 35801 Phone: 256-536-9587 Fax: 256-536-9588 | |
Daniel Caicedo Proano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 Lowell Dr Se Ste 101, Huntsville, AL 35801 Phone: 256-265-1310 Fax: 256-265-1311 | |
Mrs. Diana L Davidson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 911 Big Cove Road, Picu, Huntsville, AL 35801 Phone: 256-265-7791 Fax: 256-265-7767 |