STEPHANIE M JOHNSON MD LLC (NPI# 1629119177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629119177 |
| Entity Type | Organization |
| Organization Name | STEPHANIE M JOHNSON MD LLC |
| Practice Address |
274 Hannah Ave Seymour IN 47274-4058 |
| Practice Telephone | 8125229761 |
| Practice Fax Number | 8125229761 |
| Mailing Telephone | 8125229761 |
| Mailing Fax Number | 8125229761 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEPHANIE MICHELLE JOHNSON (SOLE EMPLOYEE) |
| Authorized Official Telephone | 8125229761 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
01054624A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
274 HANNAH AVE |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255348025 | Kenneth Eli Mancher | Family Medicine | 17 Westerman Ave, Seymour, CT 06483-3320 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316591829 | Grogan Family Medicine LLC | Family Medicine | 3024 Ohio Ave, Connersville, IN 47331-3073 | 2019-08-01 |
| 1366901696 | Signal Business Administration Inc | Family Medicine | 135 Jordan Rd, Indianapolis, IN 46217-4003 | 2019-03-16 |
| 1700393741 | Jeffrey N De Wester Treatment and Research Center, LLC | Family Medicine | 6447 S East St Ste C, Indianapolis, IN 46227-2119 | 2017-12-29 |
| 1760757645 | Jimmy Floyd Sharp | Family Medicine | 2012 Market St, Charlestown, IN 47111-1729 | 2012-03-12 |
| 1598893752 | William Dudley Ritchie | Family Medicine | 567 E Olmstead Ave, Evansville, IN 47711-3333 | 2007-03-01 |
| 1932253994 | Robert S. Hojnicki | Family Medicine | 1812 E Crystal Creek Dr, Terre Haute, IN 47802-4897 | 2007-01-23 |
| 1316966948 | Paul Joseph Brownson | Family Medicine | 762 Franklin Trce, Zionsville, IN 46077-1165 | 2006-07-18 |
| 1568413680 | J Nathan Sherlock | Family Medicine | 1241 Central Ave, Indianapolis, IN 46202-2613 | 2006-05-13 |
| 1275511586 | Rodney J Anderson | Family Medicine | 1300 N Pennsylvania St, Suite 200, Indianapolis, IN 46202-4453 | 2006-01-06 |
| 1386646529 | Shreyas Arvind Desai | Family Medicine | 2640 Hamstrom Rd, Portage, IN 46368-3832 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
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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.