Active NPI
Dana Allen Johnson, M.D.
- Hematology & Oncology Physician
- Ashland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 25543
- Practice address
- 617 23Rd St
Suite 19
Ashland, KY 41101-2845 - Phone
- (606) 325-2221
- Fax
- (606) 324-1326
- NPI assigned
- Jul 20, 2005
- Last updated
- Aug 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 25543 | KY | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 25543 | KY |
Addresses
Primary practice location
617 23Rd St
Suite 19
Ashland, KY 41101-2845
Mailing address
PO Box 936
London, KY 40743-0936
Phone (606) 330-7818
Other practice location 1
701 Bob O Link Dr Ste 100
Lexington, KY 40504-3760
Phone (859) 224-3194
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0829787 | Other | OH | OHIO MEDICAID |
| 64255433 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Kentucky College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 Kentucky Ave
Suite 201
Paducah, KY 42003-3813
Phone (270) 554-0011
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25543 | KY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Bluegrass Hematology Oncology | Past | Accepting new patients | |
| Saint Joseph Health System, Inc. | Hematology & Oncology | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
60 S Stewart Rd
Corbin, KY 40701
Phone (606) 258-8888
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
2501 Kentucky Ave
Ste 201
Paducah, KY 42003
Phone (270) 554-0011
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba Phoebe Specialty Pharmacy
- Community/Retail Pharmacy
- Albany, GA
- NPI 1891315420
-
- Specialist
- Lexington, KY
- NPI 1104954254
-
- Hematology & Oncology Physician
- Lexington, KY
- NPI 1659624435
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
dba CHI Saint Joseph Mount Sterling
- General Acute Care Hospital
- Mt Sterling, KY
- NPI 1679679146
-
dba CHI Saint Joseph London
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1073512133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"telephone_number": "606-330-7818",
"fax_number": "606-330-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 23RD ST",
"address_2": "SUITE 19",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012845",
"telephone_number": "606-325-2221",
"fax_number": "606-324-1326"
}
],
"practiceLocations": [
{
"address_1": "701 Bob O Link Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405043760",
"country_code": "US",
"telephone_number": "859-224-3194",
"fax_number": "859-219-3304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANA",
"middle_name": "ALLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KY",
"license": "25543",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "KY",
"license": "25543",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID",
"identifier": "0829787",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64255433",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.