| Ryan Johnson, | |
|
412 High St Apt 3, Marquette, MI 49855-3876 | |
| (517) 294-5788 | |
| Not Available |
| Full Name | Ryan Johnson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 412 High St Apt 3, Marquette, Michigan |
| 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 |
|---|---|---|---|
| 1962122986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704327275 (Michigan) | Primary |
| 163W00000X | Registered Nurse | 4704327275 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Keweenaw Hospital | Laurium, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Michigan-alpena Pllc | 6406260124 | 25 |
| Aspirus Keweenaw | 8123912011 | 116 |
| Entity Name | Aspirus Keweenaw |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
| Entity Name | Aspirus Keweenaw |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326115569 PECOS PAC ID: 8123912011 Enrollment ID: O20080123000612 |
| Entity Name | Hospitalist Medicine Physicians of Michigan-alpena PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043818156 PECOS PAC ID: 6406260124 Enrollment ID: O20210120002607 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Johnson, 1778 N Hughes Rd, Howell, MI 48843-9174 Ph: (517) 294-5788 | Ryan Johnson, 412 High St Apt 3, Marquette, MI 49855-3876 Ph: (517) 294-5788 |
Peter Skellenger, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 714 Spruce St, Apt #e, Marquette, MI 49855 Phone: 906-399-3611 |
Sandra L Wachter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 |
Sarah Humpula, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1925 Neidhart Ave, Marquette, MI 49855 Phone: 906-458-5939 |
Janet M Simula, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 |
Kenneth L Mcneely, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 |
Lisa A Kuopus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 |
Joseph Morris Holcomb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3595 |