Active NPI
Johnson Memorial Hospital Health Affiliates
- Physician Assistant
- Franklin, IN
National Provider Identifier
1477933398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1001836A
- 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 HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 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.