| Larry Wayne Johnson, MD | |
|
1015 Garden Lake Pkwy, Toledo, OH 43614-2779 | |
| (419) 383-5500 | |
| (419) 383-5575 |
| Full Name | Larry Wayne Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1015 Garden Lake Pkwy, Toledo, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932183043 | NPI | - | NPPES |
| 0418793 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35043619 (Ohio) | Primary |
| Entity Name | State Of Ohio Office Of Budget And Management State Accounting |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023082716 PECOS PAC ID: 0143133181 Enrollment ID: O20031202000209 |
| Entity Name | Harbor |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366526782 PECOS PAC ID: 8325931181 Enrollment ID: O20040205000276 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Wayne Johnson, MD 1015 Garden Lake Pkwy, Toledo, OH 43614-2779 Ph: (419) 383-5500 | Larry Wayne Johnson, MD 1015 Garden Lake Pkwy, Toledo, OH 43614-2779 Ph: (419) 383-5500 |
Rameez Bhatti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5555 | |
Dr. Linda M Speer, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5555 Fax: 419-383-3113 | |
Paul Alan Schultz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5555 Fax: 419-383-3113 | |
Zahra Aftab, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5614 Fax: 419-383-5549 | |
Mr. Michael James Lisieski, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5502 Fax: 419-383-5515 | |
Monica Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 Sunforest Ct, Suite 227, Toledo, OH 43623 Phone: 419-480-0700 | |
Dr. Donna A Woodson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3120 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5555 Fax: 419-383-3113 |