Individual provider Active NPI

Arch Courtney Johnson, D.O.

  • Emergency Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1093078198
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
03867 Issued in KY
Practice address
446 Hospital Rd
Chillicothe, OH 45601-9030
Phone
(740) 779-8214
Fax
(740) 779-8295
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 03867 KY Primary

Addresses

Primary practice location

446 Hospital Rd
Chillicothe, OH 45601-9030

Mailing address

130 Stoneridge CT
Chillicothe, OH 45601-9665
Phone (276) 365-6013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151211002128 KY Practitioner - Emergency Medicine 3274834478 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 9, 2015 Accepting new patients
Pikeville Medical Center Inc. CurrentSince May 31, 2016 Accepting new patients
Pikeville Medical Center Inc CurrentSince May 31, 2016 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Adena Medical Group LLC Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

625 James Trimble Blvd
Paintsville, KY 41240

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

5000 Ky Route 321
Ste 4102
Prestonsburg, KY 41653
Phone (606) 886-7595

260 Hospital Dr
Ste 1
South Williamson, KY 41503
Phone (606) 237-1700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1093078198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STONERIDGE CT",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019665",
            "telephone_number": "276-365-6013",
            "fax_number": "740-779-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019030",
            "telephone_number": "740-779-8214",
            "fax_number": "740-779-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ARCH",
        "middle_name": "COURTNEY",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.