Deepu John, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42237 Issued in KY

Practice address

130 Kate Ireland Drive
Mary Breckinridge Hospital
Hyden, KY 41749-1779

Phone

(606) 672-2341

NPI assigned

Dec 11, 2008

Last updated

Aug 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1619112109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "41749",
            "telephone_number": "606-672-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KATE IRELAND DRIVE",
            "address_2": "MARY BRECKINRIDGE HOSPITAL",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417491779",
            "telephone_number": "606-672-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "DEEPU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "42237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora C Hamlin, ARNP
• Donald I Holbrook, OD
• Hometown Pharmacy Inc.
• Hyden Emergency Physicians, LLC
• Hyden Nursing Home, LLC
• Diana Johnson-Whitaker
• Kaitlin Johnson
• Barbara Lynn Joseph, NURSE PRACTITIONER
• Kentucky River District Health Department (Hyden Elementary School)
• Kentucky River District Health Department (Leslie County Middle School)

• Internal Medicine Physician in Hyden, KY
• Providers in Hyden, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.