| Edward Johnson, | |
|
9055 Chevrolet Dr, Ellicott City, MD 21042-4016 | |
| (410) 878-2887 | |
| Not Available |
| Full Name | Edward Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 9055 Chevrolet Dr, Ellicott City, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467811109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R189350 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sandeep Sharma, M.d., L.l.c. | 0143316133 | 6 |
| Juniper Healthcare Llc | 1355648064 | 5 |
| Entity Name | Sandeep Sharma, M.d., L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306041710 PECOS PAC ID: 0143316133 Enrollment ID: O20080618000667 |
| Entity Name | Juniper Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346608171 PECOS PAC ID: 1355648064 Enrollment ID: O20160606000331 |
| Entity Name | Nu Pathway Healthcare And Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891329470 PECOS PAC ID: 9830529585 Enrollment ID: O20200420002397 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Johnson, 1755 Sharwood Pl, Crofton, MD 21114-1924 Ph: (410) 533-6316 | Edward Johnson, 9055 Chevrolet Dr, Ellicott City, MD 21042-4016 Ph: (410) 878-2887 |
Susan Marie L'heureux, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3218 Greenway Dr, Ellicott City, MD 21042 Phone: 410-294-1062 | |
Mrs. Lisa Ann Uhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3691 Park Ave Ste 9, Ellicott City, MD 21043 Phone: 301-279-2779 | |
Ms. Helen Lesada-lasam Cruz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2635 Kidwell Pl, Ellicott City, MD 21043 Phone: 410-504-2453 | |
Mrs. Isabella K Mate, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3219 Corporate Ct, Ellicott City, MD 21042 Phone: 410-220-0396 Fax: 410-220-2264 | |
Mrs. Elizabeth Whitfield, MSN, CRNP, MPH, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Ellicott City, MD 21043 Phone: 410-203-1700 | |
Dr. Adebola O Adeleye, DNP, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Attn: Minuteclinic Credentialing 2100, Ellicott City, MD 21043 Phone: 410-203-1700 | |
Glory Tataw, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203a Corporate Ct, Ellicott City, MD 21042 Phone: 410-205-2458 |