| Ryan Douglas Johnson, MD | |
|
1840 Woodmoor Dr Ste 102, Monument, CO 80132-9083 | |
| (719) 622-6522 | |
| (719) 622-6520 |
| Full Name | Ryan Douglas Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Addiction Medicine |
| Location | 1840 Woodmoor Dr Ste 102, Monument, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184623878 | NPI | - | NPPES |
| 153159201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR.0057733 (Colorado) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 0057733 (Colorado) | Primary |
| Entity Name | Colorado Recovery Tms, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225629553 PECOS PAC ID: 2163822511 Enrollment ID: O20210607002840 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Douglas Johnson, MD 2348 Rainbows End Pt, Colorado Springs, CO 80921-7200 Ph: (719) 313-8689 | Ryan Douglas Johnson, MD 1840 Woodmoor Dr Ste 102, Monument, CO 80132-9083 Ph: (719) 622-6522 |
Alexis Chryse Michopoulos, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17230 Jackson Creek Pkwy, Ste 300, Monument, CO 80132 Phone: 719-571-7000 Fax: 719-571-7059 | |
Joshua Jewell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15854 Jackson Creek Pkwy Unit 120, Monument, CO 80132 Phone: 719-364-9930 Fax: 719-364-9939 | |
Dr. Dara D Lowe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17230 Jackson Creek Pkwy, Monument, CO 80132 Phone: 719-571-7000 Fax: 719-571-7059 | |
Michael James Oneill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Beacon Lite Rd, Monument, CO 80132 Phone: 719-419-7490 Fax: 719-309-6847 | |
Kristin Scott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17230 Jackson Creek Pkwy, Suite 300, Monument, CO 80132 Phone: 719-571-7000 | |
Michael Torres, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 15954 Jackson Creek Pkwy # B244, Monument, CO 80132 Phone: 719-930-9515 |