James Lewis Johnson, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

20960 Issued in KY

Practice address

44 McCoy Ave
Heart Care Associates, PSC
Madisonville, KY 42431-2867

Phone

(270) 821-0677

Fax

(270) 821-2539

NPI assigned

Feb 24, 2006

Last updated

Mar 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heart Care Associates PSC

  • Cardiovascular Disease Physician
  • Madisonville, KY
  • NPI 1396758710
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1558337022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVE, BOX 9",
            "address_2": "HEART CARE ASSOCIATES, PSC",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312867",
            "telephone_number": "270-821-0677",
            "fax_number": "270-821-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVE",
            "address_2": "HEART CARE ASSOCIATES, PSC",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312867",
            "telephone_number": "270-821-0677",
            "fax_number": "270-821-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "20960",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD0000036916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209604",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
            "identifier": "000000670343",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Jennings, APRN
• Mary E Jent, PTA
• Melissa Ann Jett, CSA
• John a Roy DMD PSC
• David E Johnson, MS, PA-C
• Latoya Jennel Johnson
• Leslie Johnson, APRN
• Michael Ryan Johnson, D.P.M.
• Neal Alan Johnson, DC
• Jones Medical Corp (Bridgewater Medical Center)

• Cardiovascular Disease Physician in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.