Individual provider Active NPI

Seth Sage Johnston, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1700054459
Registry record updated Feb 15, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2011.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31767 Issued in KY
Practice address
5059 Lord Alfred CT
Cincinnati, OH 45241-2180
Phone
(513) 247-0706
Fax
(513) 241-9484
NPI assigned
Feb 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31767 KY Primary

Addresses

Primary practice location

5059 Lord Alfred CT
Cincinnati, OH 45241-2180

Mailing address

5059 Lord Alfred CT
Cincinnati, OH 45241-2180
Phone (513) 247-0706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Center for Pain Relief, LLC Past Accepting new patients
All Family Healthcare Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16584/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1700054459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 LORD ALFRED CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412180",
            "telephone_number": "513-247-0706",
            "fax_number": "513-241-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 LORD ALFRED CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412180",
            "telephone_number": "513-247-0706",
            "fax_number": "513-241-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SETH",
        "middle_name": "SAGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.