| James Lyndon Johnson, MD | |
|
1705 W 2nd, Elk City, OK 73644-4455 | |
| (580) 225-2511 | |
| (580) 821-5536 |
| Full Name | James Lyndon Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1705 W 2nd, Elk City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477566180 | NPI | - | NPPES |
| P00010436 | Other | OK | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 23119 (Oklahoma) | Primary |
| Entity Name | Shortgrass Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982263752 PECOS PAC ID: 9234385535 Enrollment ID: O20121101000597 |
| Entity Name | Oklahoma Emergency Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891039764 PECOS PAC ID: 0345493649 Enrollment ID: O20130118000115 |
| Mailing Address | Practice Location Address |
|---|---|
| James Lyndon Johnson, MD Po Box 2339, Elk City, OK 73648-2339 Ph: (580) 225-2511 | James Lyndon Johnson, MD 1705 W 2nd, Elk City, OK 73644-4455 Ph: (580) 225-2511 |
Dr. Bruce Wayne Staeheli, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 119 Clubhouse Pl, Elk City, OK 73644 Phone: 580-303-4664 | |
Robert Wayne King, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1705 W 2nd, Elk City, OK 73644 Phone: 580-225-2511 Fax: 580-821-5536 |