Patrick Michael Johannes, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

16273 Issued in SC

Practice address

301 Memorial Dr
Rosa Clark Medical Clinic
Seneca, SC 29672

Phone

(864) 882-4664

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oconee Medical Center

  • General Acute Care Hospital
  • Seneca, SC
  • NPI 1255367637
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1457328924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROSA CLARK MEDICAL CLINIC",
            "address_2": "301 MEMORIAL DRIVE",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "29672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL DR",
            "address_2": "ROSA CLARK MEDICAL CLINIC",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "29672",
            "telephone_number": "864-882-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNES",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "SC",
            "license": "16273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Lynn Jacobs, LPN
• Reanashia Ann Jamison
• Stacy Hofman Jaskwhich, N.P.
• Joshua Jenkins, MD
• Susan Jenkins, LPC-A
• John G McRoberts DMD PA
• Helen Nichole Johnson-Wall, M.D.
• Arlene Elizabeth Johnson, APRN
• Jessica Frances Johnson, PTA
• Jessica Lynn Johnson, DO

• Emergency Medical Services (Emergency Medicine) Physician in Seneca, SC
• Providers in Seneca, SC by specialty
• Emergency Medical Services (Emergency Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.