Active NPI
Emily Jane Johnson, M.D.
- Family Medicine Physician
- Washington Court House, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 89764
- Practice address
- 1510 Columbus Ave
Suite 230
Washington Court House, OH 43160 - Phone
- (740) 333-3333
- Fax
- (740) 333-5171
- NPI assigned
- Apr 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 89764 | OH | Primary |
Addresses
Primary practice location
1510 Columbus Ave
Suite 230
Washington Court House, OH 43160
Mailing address
1450 Columbus Ave
Suite 104
Washington Court House, OH 43160-3701
Phone (740) 333-2236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2852328 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emilyjohnson@fcmhms.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89764 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
1450 Columbus Ave
Ste 103
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2243
1450 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 335-2654
1450 Columbus Ave
Ste 104
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2236
1510 Columbus Ave
Ste 230
Wshngtn Ct Hs, OH 43160
Phone (740) 333-3333
1450 Columbus Ave
Ste B
Wshngtn Ct Hs, OH 43160
1450 Columbus Ave
Ste 106
Wshngtn Ct Hs, OH 43160
Phone (614) 766-2006
Interoperability endpoints
- ejjohnson@yourcarecommunity.org
- ejohnson1060670@direct.osumc.edu
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1659545945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 COLUMBUS AVE",
"address_2": "SUITE 104",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431603701",
"telephone_number": "740-333-2236",
"fax_number": "740-333-3881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 COLUMBUS AVE",
"address_2": "SUITE 230",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "43160",
"telephone_number": "740-333-3333",
"fax_number": "740-333-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "EMILY",
"middle_name": "JANE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "89764",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2852328",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emilyjohnson@fcmhms.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1510 Columbus Ave",
"address_2": "Suite 230",
"city": "Washington Court House",
"state": "OH",
"country_code": "US",
"postal_code": "43160",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington Court House, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.