Stephanie M Johnson MD LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

01054624A Issued in IN

Legal business name

STEPHANIE M JOHNSON MD LLC

Practice address

274 Hannah Ave
Seymour, IN 47274-4058

Phone

(812) 522-9761

Fax

(812) 522-9761

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Michelle Johnson, M.D.

Title

Sole Employee

Phone

(812) 522-9761

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629119177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 HANNAH AVE",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472744058",
            "telephone_number": "812-522-9761",
            "fax_number": "812-522-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 HANNAH AVE",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472744058",
            "telephone_number": "812-522-9761",
            "fax_number": "812-522-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE M JOHNSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE EMPLOYEE",
        "authorized_official_telephone_number": "812-522-9761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IN",
            "license": "01054624A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Seymour, IN
• Providers in Seymour, IN by specialty
• Adult Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.