Stephen M Johnson MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01027083 Issued in IN

Legal business name

STEPHEN M JOHNSON MD PC

Practice address

200 W 103Rd St
Ste 1000
Indianapolis, IN 46290-1092

Phone

(317) 817-1765

Fax

(317) 817-1767

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Chatlos

Title

Office Coordinator

Phone

(317) 817-1762

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen M Johnson, MD

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1770551095
  NPD

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1528266517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 103RD ST",
            "address_2": "STE 1000",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901092",
            "telephone_number": "317-817-1765",
            "fax_number": "317-817-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 103RD ST",
            "address_2": "STE 1000",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901092",
            "telephone_number": "317-817-1765",
            "fax_number": "317-817-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M JOHNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "CHATLOS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "317-817-1762",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01027083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100072660A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephen R Beck MD PC
• Daniel Jack Stephen
• Benjamin Stephens, APRN
• Devon Stephens
• Edward Mark Stephens

• Ophthalmology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.