Organization Active NPI

Hendricks County Hospital

Doing business as Johnston Ob/Gyn

  • Obstetrics & Gynecology Physician
  • Danville, IN
National Provider Identifier
1497856272
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HENDRICKS COUNTY HOSPITAL
Doing business as
Johnston Ob/Gyn
Practice address
112 Hospital LN Ste 302
Danville, IN 46122-1998
Phone
(317) 272-7510
Fax
(317) 272-7514
NPI assigned
Sep 26, 2006
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Shelley Mobley
Title
Credentialing
Phone
(317) 837-5570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

112 Hospital LN Ste 302
Danville, IN 46122-1998

Mailing address

112 Hospital LN Ste 302
Danville, IN 46122-1998
Phone (317) 272-7510

Other names 1

  • Johnston Ob/Gyn Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000309 IN Part B Supplier - Clinic/Group Practice 4880505528 Receives reassigned benefits from 431 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Brownsburg, IN; Danville, IN; Greencastle, IN; Lizton, IN; Plainfield, IN; Avon, IN; Bainbridge, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1497856272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HOSPITAL LN STE 302",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221998",
            "telephone_number": "317-272-7510",
            "fax_number": "317-272-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HOSPITAL LN STE 302",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221998",
            "telephone_number": "317-272-7510",
            "fax_number": "317-272-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "317-837-5570"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Ob/Gyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.