Individual provider Active NPI

Dana Allen Johnson, M.D.

  • Hematology & Oncology Physician
  • Ashland, KY
National Provider Identifier
1073512133
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25543 Issued in KY
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0829787OtherOHOHIO MEDICAID
64255433MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070418000476 KY Practitioner - Hematology/Oncology 0143233130 Reassigns benefits to 1 organization
I20250429000204 GA Practitioner - Medical Oncology 0143233130 Reassigns benefits to 1 organization

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

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

LicenseStateTypeSpecialty
25543KYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Mar 1, 2025 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.