Active NPI
Johnson Memorial Hospital
- General Acute Care Hospital
- Saint Paul, IN
National Provider Identifier
1487016549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 71006159A
- Legal business name
- JOHNSON MEMORIAL HOSPITAL
- Practice address
- 214 Crenshaw Dr
Saint Paul, IN 47272-9435 - Phone
- (812) 593-5903
- NPI assigned
- Mar 27, 2016
- Last updated
- Mar 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Cadwallader, MD
- Title
- Medical Director
- Phone
- (317) 346-7929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 71006159A | IN | Primary |
Addresses
Primary practice location
214 Crenshaw Dr
Saint Paul, IN 47272-9435
Mailing address
214 Crenshaw Dr
Saint Paul, IN 47272-9435
Phone (812) 593-5903
National Provider Directory
National Provider Directory- Tax ID family
- Johnson Memorial Hospital Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Storrs, CT
- NPI 1265826796
-
- General Acute Care Hospital
- Stafford Springs, CT
- NPI 1972728442
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Columbus, IN
- NPI 1255787453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459036800000",
"number": "1487016549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 CRENSHAW DR",
"city": "SAINT PAUL",
"state": "IN",
"postal_code": "472729435",
"telephone_number": "812-593-5903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 CRENSHAW DR",
"city": "SAINT PAUL",
"state": "IN",
"postal_code": "472729435",
"telephone_number": "812-593-5903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-27",
"last_updated": "2016-03-27",
"status": "A",
"authorized_official_last_name": "CADWALLADER",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "317-346-7929",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IN",
"license": "71006159A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.