JOHNSON MEMORIAL HEALTH PHYSICIAN NETWORK, LLC (NPI# 1053972331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053972331 |
| Entity Type | Organization |
| Organization Name | JOHNSON MEMORIAL HEALTH PHYSICIAN NETWORK, LLC |
| Practice Address |
1125 W Jefferson St Franklin IN 46131-2140 |
| Mailing Address |
1155 W Jefferson St Ste 104 Franklin IN 46131-2731 |
| Practice Telephone | 3173467934 |
| Practice Fax Number | 3173462712 |
| Mailing Telephone | 3173467934 |
| Mailing Fax Number | 3173462712 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | ADAM PUTVIN (CFO) |
| Authorized Official Telephone | 3173467939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1125 W JEFFERSON ST |
| City | FRANKLIN |
| State | IN |
| Zip Code | 46131-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248986 | Johnson Memorial Hospital | Pharmacy | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2005-07-08 |
| 1205450152 | Molly Anne Oriley | Nurse Anesthetist, Certified Registered | 1125 W Jefferson St, Franklin, IN 46131-2765 | 2020-06-05 |
| 1457973901 | Chelsea Denardin | Pharmacist | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2020-05-07 |
| 1376187989 | Michelle Tartaglia | Physician Assistant | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2019-11-06 |
| 1770133621 | Tyrone Maurice Buckingham | Pharmacist | 1125 W Jefferson St, Pharmacy, Franklin, IN 46131-2140 | 2019-09-12 |
| 1528552361 | Heidi Smith | Nurse Practitioner | 1125 W Jefferson St, Franklin, IN 46131 | 2018-06-15 |
| 1164973665 | Beverly Lynn Bragg | Nurse Practitioner | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2016-10-19 |
| 1902279870 | Aspen Leaf Emergency Physicians, LLC | Physician Assistant | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2015-11-02 |
| 1023486479 | Erica Smith | Physical Therapist | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2015-09-02 |
| 1760858096 | Stephanie Sapp | Occupational Therapist | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2015-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134607161 | Eric P. Lefave | Student in an Organized Health Care Education/Training Program | 101 Branigin Rd, Franklin, IN 46131 | 2018-08-01 |
| 1821512500 | Cameron Greene | Specialist/Technologist | 198 Cemetery Hill Rd., Franklin, IN 46131 | 2017-08-03 |
| 1912421694 | Lauryn Kendyl Darnall | Specialist/Technologist | 1041 West Jefferson St. Apt 2, Franklin, IN 46131 | 2017-08-03 |
| 1124578893 | Chantel Paul | Specialist/Technologist | 1709 Traditions Ct, Franklin, IN 46131 | 2016-10-06 |
| 1710386834 | Rhonda A. Thorne Miller | Occupational Therapist | Accord Children's Therapy, 1176 N Main St., Franklin, IN 46131 | 2014-08-14 |
| 1124466131 | Addiction Care Interventions Inc | Community/Behavioral Health | 550 E. Jefferson Ave., Suite 101, Franklin, IN 46131 | 2013-06-12 |
| 1821361718 | Diane M Christensen | Occupational Therapist | 1125 West Jefferson St, Franklin, IN 46131 | 2012-02-23 |
| 1902189764 | Kenneth Paul Reeves | Pharmacist | 20 N. Morton St., Franklin, IN 46131 | 2011-09-27 |
| 1780993402 | Amanda Marie Dininger | Optometrist | 460 N Morton St Ste D, Franklin, IN 46131 | 2010-09-29 |
| 1922293448 | Assisted Living Concepts Inc | Assisted Living Facility | 1435 Christian Blvd, Franklin, IN 46131 | 2007-09-07 |
| Find all providers in zip 46131 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730657735 | Physicians Wellness Group Pllc | Family Medicine | 2235 East Mcewen Drive, Franklin, TN 37067 | 2018-11-07 |
| 1437578382 | Alicia Maria Lopez | Family Medicine | 4323 Carothers Pkwy Ste 505, Franklin, TN 37067-5920 | 2014-04-08 |
| 1811315344 | Michelle Eakins | Family Medicine | 5275 State Route 122 Ste 100, Franklin, OH 45005-9617 | 2014-04-02 |
| 1386085942 | Afreeda Adnan Hashmi | Family Medicine | 102 Fairview Dr Ste B, Franklin, VA 23851 | 2013-07-11 |
| 1124462841 | Henry Dephillips | Family Medicine | 4036 Old Hillsboro Rd, Franklin, TN 37064-9546 | 2013-04-24 |
| 1922389980 | Upmc Communtiy Medicine Inc | Family Medicine | 1266 Liberty St, Franklin, PA 16323-1322 | 2011-09-06 |
| 1801197157 | Merilyn R Charlton | Family Medicine | 512 Autumn Springs Ct Ste C, Franklin, TN 37067-2847 | 2010-11-03 |
| 1346552932 | Robert Lane Tippens | Family Medicine | 205 Miller Springs Court, Attn: Cbo, Franklin, TN 37064-5434 | 2010-07-12 |
| 1457678880 | Diana Shaghayegh Sepehri-harvey | Family Medicine | 3301 Aspen Grove Dr Ste 100, Franklin, TN 37067-2903 | 2010-04-25 |
| 1992940522 | Kelly Jeanne Hengler | Family Medicine | 118 Fairview Dr Ste F, Franklin, VA 23851 | 2008-12-11 |
| Find all providers in FRANKLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.