| Michael Austin Johnson, MD, PHD | |
|
2315 Stockton Blvd, Uc Davis Medical Center, Sacramento, CA 95817-2201 | |
| (608) 712-7152 | |
| Not Available |
| Full Name | Michael Austin Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2315 Stockton Blvd, Sacramento, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629397153 | NPI | - | NPPES |
| 023892 | Other | CO | KAISER COMERCIAL NUMBER |
| 16426541 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | TL-3588 (Colorado) | Secondary |
| 207P00000X | Emergency Medicine | 52351 (Colorado) | Secondary |
| 207P00000X | Emergency Medicine | 130811 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Woodland Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881868164 PECOS PAC ID: 8921176785 Enrollment ID: O20081007000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Austin Johnson, MD, PHD 2315 Stockton Blvd, Uc Davis Medical Center, Sacramento, CA 95817-2201 Ph: (608) 712-7152 | Michael Austin Johnson, MD, PHD 2315 Stockton Blvd, Uc Davis Medical Center, Sacramento, CA 95817-2201 Ph: (608) 712-7152 |
Elizabeth Johnson, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-8570 | |
Timothy Sturgill, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 Hospital Dr, Sacramento, CA 95823 Phone: 330-493-4443 | |
Jon Haynes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-8570 Fax: 916-734-7950 | |
Mark Portman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd., Sacramento, CA 95817 Phone: 916-734-8570 Fax: 916-734-7950 | |
Juliette Gerardo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-2011 | |
Dr. John Ray Richards, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd, Pssb 2100 Emergency Medicine, Sacramento, CA 95817 Phone: 916-734-1537 Fax: 916-734-7950 | |
Kerilee Wenker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2801 L St, Sacramento, CA 95816 Phone: 916-454-2222 |