| Joffre Edward Johnson, MD | |
|
300 University Blvd, Round Rock, TX 78665-1032 | |
| (512) 509-0100 | |
| (512) 218-6330 |
| Full Name | Joffre Edward Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 300 University Blvd, Round Rock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457765547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125064607 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | S0468 (Texas) | Primary |
| Entity Name | Sparrow Ionia Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
| Entity Name | St Joseph Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659499705 PECOS PAC ID: 3779489281 Enrollment ID: O20040226001002 |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Mailing Address | Practice Location Address |
|---|---|
| Joffre Edward Johnson, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Joffre Edward Johnson, MD 300 University Blvd, Round Rock, TX 78665-1032 Ph: (512) 509-0100 |
Clarke Worley Goodman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681 Phone: 512-341-1000 | |
Dr. Jaclyn Ngoc Minh Nguyen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Christopher Wallace, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 Fax: 512-218-6330 | |
Kristen Faye Walker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3341 Winding River Trl, Round Rock, TX 78681 Phone: 325-260-9002 | |
Dr. Peter John Richerson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Dr. James Porter Mcdonough Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Jordan Scaff, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681 Phone: 512-341-1000 |