Crider Johnson Pediatrics PSC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CRIDER JOHNSON PEDIATRICS PSC

Practice address

387 Town Mountain Rd
Suite 202
Pikeville, KY 41501-1640

Phone

(606) 437-1056

Fax

(606) 437-5040

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Robinson

Title

Manager

Phone

(606) 437-1008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• jyothi mettu md psc Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack Byron Crider, M.D.

  • Pediatrics Physician
  • Pikeville, KY
  • NPI 1437145091
  NPD (past)
• Stan Michael Johnson, M.D.

  • Pediatrics Physician
  • Pikeville, KY
  • NPI 1184610461
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1114029212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 TOWN MOUNTAIN RD",
            "address_2": "SUITE 202",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011640",
            "telephone_number": "606-437-1056",
            "fax_number": "606-437-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 TOWN MOUNTAIN RD",
            "address_2": "SUITE 202",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011640",
            "telephone_number": "606-437-1056",
            "fax_number": "606-437-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIDER JOHNSON PEDIATRICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "606-437-1008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100207560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jyothi mettu md psc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Frederick G Cox, MD
• Danielle Ray Craft, RBT
• Michael David Cranney, D.O.
• Sarah Elizabeth Crawford, D.O.
• Creative Counseling Associates
• Jack Byron Crider, M.D.
• Christopher C Croot, MD
• Crossroads Addiction Recovery Effort, LLC
• James Chumbley Crouch, MD
• Aaron W Crum, M..D.

• Pediatrics Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.