| Ronald Johnson, CRNA | |
|
557 Brookdale Dr, Statesville, NC 28677-4107 | |
| (704) 873-5661 | |
| Not Available |
| Full Name | Ronald Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 557 Brookdale Dr, Statesville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154345338 | NPI | - | NPPES |
| 8050902 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 039494 (North Carolina) | Primary |
| Entity Name | The Presbyterian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487626933 PECOS PAC ID: 1153231907 Enrollment ID: O20031126000588 |
| Entity Name | Carolina Anesthesia Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938 |
| Entity Name | Carolina Regional Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Johnson, CRNA 557 Brookdale Dr, Statesville, NC 28677-4107 Ph: (704) 873-5661 | Ronald Johnson, CRNA 557 Brookdale Dr, Statesville, NC 28677-4107 Ph: (704) 873-5661 |
Mr. Todd Yost Sluder, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-7570 Fax: 704-838-7261 | |
Karen Kauffman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5561 Fax: 704-878-4611 | |
Barbara Lee Thomas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5561 | |
Stacey Schlesinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661 | |
Sylvia Self, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661 Fax: 704-878-4611 | |
Karen Hensley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661 | |
James Cowan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661 |