Eunice Louise Johnson, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

21653 Issued in KY

Practice address

540 Jett Dr
Jackson, KY 41339-9622

Phone

(606) 666-6240

Fax

(606) 666-6118

NPI assigned

Jul 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breathitt County Health Department

  • Home Health Agency
  • Jackson, KY
  • NPI 1295809291
  NPD (past)
• Breathitt County Health Department

  • Public Health or Welfare Agency
  • Jackson, KY
  • NPI 1770637969
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1528067840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 JETT DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399622",
            "telephone_number": "606-666-6240",
            "fax_number": "606-666-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 JETT DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399622",
            "telephone_number": "606-666-6240",
            "fax_number": "606-666-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EUNICE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "21653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64216237",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamco of Ky. Inc.
• Jett SNF Operations LLC
• John a Jones O.D., P.S.C.
• Aaron William Johnson, D.O.
• Alexandria Erin Whitt Johnson, PHARMD
• Tammy Jones
• Jordan Drug, Inc.
• Roger Joseph
• Juniper Health Inc
• Juniper Health Inc

• Gynecology Physician in Jackson, KY
• Providers in Jackson, KY by specialty
• Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.