| Ian Johnson, DO | |
|
374 Mdg/sghc, Unit 5071, Apo Ap 96328-5071, Apo, AP 96328-5071 | |
| (315) 225-7508 | |
| Not Available |
| Full Name | Ian Johnson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 6 Years |
| Location | 374 Mdg/sghc, Unit 5071, Apo, Armed Forces Pacific |
| 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 |
|---|---|---|---|
| 1730715640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | OP61190273 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Dynamics Llc | 3779832530 | 883 |
| Entity Name | Destin Anesthesia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891726394 PECOS PAC ID: 9830158500 Enrollment ID: O20041007000514 |
| Entity Name | Fleming Island Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Anesthesia Dynamics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Johnson, DO 374 Mdg/sghc, Unit 5071, Apo Ap 96328-5071, Apo, AP 96328-5071 Ph: Not Available | Ian Johnson, DO 374 Mdg/sghc, Unit 5071, Apo Ap 96328-5071, Apo, AP 96328-5071 Ph: (315) 225-7508 |
Bryan James Ray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Unit 5071, Apo, AP 96328 Phone: 701-644-9058 |
Dr. Marvin J Mikeska, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 374 Medical Group Yokota Ab, Apo, AP 96328 Phone: 315-225-5034 |
Dr. Joseph Rae Park, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: Unit 15245, Apo, AP 96271 Phone: 315-737-1341 |
Sydney Fitzgerald Hemphill, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 3d Medical Battalion, Unit 38445, Apo, AP 96373 Phone: 198-646-7198 |
Dr. Andrea Lan Tsai, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 603 Ocean Road, Apo, AP 96555 Phone: 808-580-2224 Fax: 808-580-2018 |