| J G Johnson, DO | |
|
5450 Fort St, Oakwood Southshore Medical Center, Trenton, MI 48183-4601 | |
| (734) 671-3800 | |
| Not Available |
| Full Name | J G Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5450 Fort St, Trenton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427257096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO165177 (Oregon) | Secondary |
| 207P00000X | Emergency Medicine | 5101017215 (Michigan) | Primary |
| Entity Name | Northwest Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
| Entity Name | Washington Emergency Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346586351 PECOS PAC ID: 5092951814 Enrollment ID: O20130424000635 |
| Entity Name | Sound Physicians Emergency Medicine Of Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629532064 PECOS PAC ID: 7315279007 Enrollment ID: O20191030000855 |
| Mailing Address | Practice Location Address |
|---|---|
| J G Johnson, DO 5450 Fort St, Oakwood Southshore Medical Center, Trenton, MI 48183-4601 Ph: () - | J G Johnson, DO 5450 Fort St, Oakwood Southshore Medical Center, Trenton, MI 48183-4601 Ph: (734) 671-3800 |
Dr. Charles Incognito Carino, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 816-304-1573 | |
Dr. David Malicke, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Emergency Medicine Department, Trenton, MI 48183 Phone: 734-671-3883 Fax: 734-671-3546 | |
Paul Kennedy Perry, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Esli Gollapalli, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Oakwood Southshore Medical Center, 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Dr. Jonathan Blair Leischner, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Dr. Matthew James Thomas, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Joshua Martin Smith, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-642-2380 |