Organization Active NPI

Kevin Johnson MD PC

  • Anesthesiology Physician
  • Cullman, AL
National Provider Identifier
1386624252
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
KEVIN JOHNSON MD PC
Practice address
1403 Wall St NE
Cullman, AL 35055-0000
Phone
(256) 734-9472
Fax
(256) 734-9272
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mrs. Kay Steele
Title
Administrator
Phone
(256) 734-9472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1403 Wall St NE
Cullman, AL 35055-0000

Mailing address

PO Box 822
Cullman, AL 35056-0822
Phone (256) 734-9472

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1386624252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350560822",
            "telephone_number": "256-734-9472",
            "fax_number": "256-734-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 WALL ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350550000",
            "telephone_number": "256-734-9472",
            "fax_number": "256-734-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN JOHNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-734-9472",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.