Organization Active NPI

Johnson Memorial Hospital Health Affiliates

  • Physician Assistant
  • Franklin, IN
National Provider Identifier
1477933398
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1001836A Issued in IN
Legal business name
JOHNSON MEMORIAL HOSPITAL HEALTH AFFILIATES
Practice address
1155 W Jefferson St Ste 202
Franklin, IN 46131-2732
Phone
(317) 346-3883
Fax
(317) 346-3141
NPI assigned
Jun 5, 2015
Organization subpart
Yes
Parent organization
JOHNSON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Liz Hedden
Title
Cfo
Phone
(317) 736-3396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 1001836A IN Primary

Addresses

Primary practice location

1155 W Jefferson St Ste 202
Franklin, IN 46131-2732

Mailing address

1155 W Jefferson St Ste 202
Franklin, IN 46131-2732
Phone (317) 346-3883

National Provider Directory

National Provider Directory
Part of
Emergency Medical Group

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1477933398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W JEFFERSON ST STE 202",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312732",
            "telephone_number": "317-346-3883",
            "fax_number": "317-346-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W JEFFERSON ST STE 202",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312732",
            "telephone_number": "317-346-3883",
            "fax_number": "317-346-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEMORIAL HOSPITAL HEALTH AFFILIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNSON MEMORIAL HOSPITAL",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "HEDDEN",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-736-3396"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "1001836A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.