JOHNSON MEMORIAL HOSPITAL (NPI# 1154321099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154321099 |
| Entity Type | Organization |
| Organization Name | JOHNSON MEMORIAL HOSPITAL |
| Other Organization Name | JOHNSON MEMORIAL HOSPITAL HEALTH AFFILIATES |
| Practice Address |
1155 W Jefferson St Ste 202 Franklin IN 46131-2732 |
| Mailing Address |
Po Box 800 Franklin IN 46131-0800 |
| Practice Telephone | 3177387878 |
| Practice Fax Number | 3177387872 |
| Mailing Telephone | 3177387878 |
| Mailing Fax Number | 3177387872 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2016-12-14 |
| Authorized Official Name | LARREL I DAILEY (DIRECTOR,REVENUE CYCLE) |
| Authorized Official Telephone | 3177363588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | 005001 | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
005001 | IN | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 005001 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000264062 | 01 |
| IN | 200390880A | 05 |
| Other Name | Type Code |
|---|---|
| Johnson Memorial Hospital Health Affiliates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487016549 | Johnson Memorial Hospital | General Acute Care Hospital | 214 Crenshaw Dr, Saint Paul, IN 47272-9435 | 2016-03-27 |
| 1144627977 | Johnson Memorial Hospital | Skilled Nursing Facility | 411 N Wolf Rd, Columbia City, IN 46725-8733 | 2014-11-21 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1144236415 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 1720 Alber St, Wabash, IN 46992-1015 | 2006-07-31 |
| 1982627329 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 200 26th St, Logansport, IN 46947-2063 | 2006-07-26 |
| 1508889940 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 548 S 100 W, Hartford City, IN 47348-9507 | 2006-07-26 |
| 1669495008 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 5909 Lute Rd, Portage, IN 46368-4824 | 2006-07-26 |
| 1134142573 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 612 E 11th St, Rushville, IN 46173-1319 | 2006-07-26 |
| 1437172871 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 2901 W 37th Ave, Hobart, IN 46342-1727 | 2006-07-26 |
| 1952324394 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 524 Anderson Rd, Chesterfield, IN 46017-1514 | 2006-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JOHNSON MEMORIAL HOSPITAL | 1125 W Jefferson St, Franklin, IN 46131-2140 |
| Connecticut Business Registrations | Johnson Memorial Hospital Auxiliary, Inc. | One Financial Plaza, Hartford, CT 06103 |
| Connecticut Business Registrations | JOHNSON MEMORIAL HOSPITAL, INC. | 201 Chestnut Hill Road, Stafford Springs, CT 06076 |
| Street Address |
1155 W JEFFERSON ST STE 202 |
| City | FRANKLIN |
| State | IN |
| Zip Code | 46131-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205287224 | Riley Hoffman | Physician Assistant | 1155 W Jefferson St, Suite 101, Franklin, IN 46131-2730 | 2016-06-30 |
| 1427438001 | Maggie Doty Lewis | Physician Assistant | 1155 W Jefferson St, Suite 202, Franklin, IN 46131-2730 | 2015-06-09 |
| 1336552207 | Katie Christian | Nurse Practitioner | 1155 W Jefferson St, Suite 101, Franklin, IN 46131-2730 | 2014-06-08 |
| 1740604479 | Michelle Hamric | Nurse Practitioner | 1155 W Jefferson St, Suite 201, Franklin, IN 46131-2730 | 2014-02-18 |
| 1992140412 | Sean David Beeson | Family Medicine | 1155 W Jefferson St, Ste 101, Franklin, IN 46131-2731 | 2013-05-10 |
| 1356613103 | Julie A Wiggam | Speech-Language Pathologist | 1155 W Jefferson St, Franklin, IN 46131-2730 | 2012-02-08 |
| 1235424862 | Nicholas David Vornehm | Surgery | 1155 W Jefferson St, Suite 102, Franklin, IN 46131-2731 | 2011-06-11 |
| 1356509160 | Elisha Marie Hart | Physician Assistant | 1155 W Jefferson St, Ste 101, Franklin, IN 46131-2730 | 2008-05-29 |
| 1730233685 | Diane M Kolody | Family Medicine | 1155 W Jefferson St, Suite 101, Franklin, IN 46131-2730 | 2007-01-22 |
| 1053468041 | David H Dunkle | Family Medicine | 1155 W Jefferson St, Suite 101, Franklin, IN 46131-2730 | 2007-01-04 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831630110 | Christen Harris | Internal Medicine | 1526 Sterling Rd, Franklin, LA 70538-3860 | 2017-03-20 |
| 1912309931 | Jawad Agha Md PC | Internal Medicine | 30300 Franklin Rd, Franklin, MI 48025-1407 | 2014-09-22 |
| 1790125607 | Karen Levan Graves | Internal Medicine | 1473 Willowbrooke Cir, Franklin, TN 37069-7202 | 2013-06-25 |
| 1699089409 | Ferdo Renardi Ong | Internal Medicine | 225 Bancroft Cv, Franklin, TN 37064-4215 | 2010-08-04 |
| 1841513074 | Alan W Edwards, M.d., P.C. | Internal Medicine | 118 Fairview Dr Ste 101, Franklin, VA 23851-1250 | 2010-03-02 |
| 1093980609 | Andrew A Houston | Internal Medicine | 1300 W Jefferson St Ste C, Franklin, IN 46131-9121 | 2008-04-24 |
| 1497926711 | David Olyn Hollis | Internal Medicine | 205 Bellegrove Ct, Franklin, TN 37069-7203 | 2008-03-13 |
| 1679776736 | Annemarie M Armani | Internal Medicine | 435 King St 2, Franklin, MA 02038-2516 | 2007-06-07 |
| 1427251859 | Jennifer Maria Santana De Los Santos | Internal Medicine | 256 Seaboard Ln, Suite F101, Franklin, TN 37067-2875 | 2007-06-05 |
| 1659588929 | Britten Farrar Young | Internal Medicine | 4323 Carothers Pkwy Ste 308, Franklin, TN 37067-5918 | 2007-05-17 |
| 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.