| Dr Ryan Kenji Johnson, MD | |
|
5983 E Grant Rd, Ste 117, Tucson, AZ 85712-2365 | |
| (602) 933-3166 | |
| (602) 933-4166 |
| Full Name | Dr Ryan Kenji Johnson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 5983 E Grant Rd, Tucson, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114941416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35247 (Arizona) | Secondary |
| 208000000X | Pediatrics | 37244 (Iowa) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | 35247 (Arizona) | Primary |
| Entity Name | Phoenix Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Kenji Johnson, MD 3200 E Camelback Rd, Ste 250, Phoenix, AZ 85018-2311 Ph: (602) 933-1813 | Dr Ryan Kenji Johnson, MD 5983 E Grant Rd, Ste 117, Tucson, AZ 85712-2365 Ph: (602) 933-3166 |
Dr. Sivapriya Ramakrishnan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1628 North Alvernon Way, Tucson Central Pediatrics, Tucson, AZ 85712 Phone: 520-325-8000 | |
Ashley Azizi Assadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-7944 | |
Katelyn Desalvo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-626-7944 | |
Dr. Jessica Wright, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111 | |
Robert Serlin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6238 E Pima St, Tucson, AZ 85712 Phone: 520-290-0022 Fax: 520-290-0044 | |
Dr. Charles Hoffmeister, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2104 E Drachman St, Tucson, AZ 85719 Phone: 541-954-5666 | |
Dr. Kritika Patel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-626-6059 |