Organization Active NPI

William F. Johnson, MD

  • Gastroenterology Physician
  • Evansville, IN
National Provider Identifier
1104021773
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01026896 Issued in IN
Legal business name
WILLIAM F. JOHNSON, MD
Practice address
801 St. Mary'S Dr.
Suite 205 W
Evansville, IN 47714-0518
Phone
(812) 477-6103
Fax
(812) 477-4897
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
William F. Johnson, MD
Title
Owner
Phone
(812) 477-6103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 01026896 IN Primary

Addresses

Primary practice location

801 St. Mary'S Dr.
Suite 205 W
Evansville, IN 47714-0518

Mailing address

801 St. Mary'S Dr.
Suite 205 W
Evansville, IN 47714-0518
Phone (812) 477-6103

National Provider Directory

National Provider Directory

Locations

801 Saint Marys Dr
Ste 110
Evansville, IN 47714

801 Saint Marys Dr
#110
Evansville, IN 47714
Phone (812) 477-6103

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1104021773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ST. MARY'S DR.",
            "address_2": "SUITE 205 W",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140518",
            "telephone_number": "812-477-6103",
            "fax_number": "812-477-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ST. MARY'S DR.",
            "address_2": "SUITE 205 W",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140518",
            "telephone_number": "812-477-6103",
            "fax_number": "812-477-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F. JOHNSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-477-6103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01026896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.