Individual provider Active NPI

Paul Louis Johnson, D.O.

  • Anesthesiology Physician
  • Lexington, KY
National Provider Identifier
1760645006
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R1220 Issued in KY
Practice address
Dept of Anesthesiology Univ of Kentucky
800 Rose Street
Lexington, KY 40536-0001
Phone
(859) 323-5956
Fax
(859) 323-1080
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R1220 KY Primary

Addresses

Primary practice location

Dept of Anesthesiology Univ of Kentucky
800 Rose Street
Lexington, KY 40536-0001

Mailing address

Dept of Anesthesiology Univ of Kentucky
800 Rose Street
Lexington, KY 40536-0001
Phone (859) 323-5956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091006000057 KY Practitioner - Anesthesiology 2466598479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
West Virginia School of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TRH Anesthesia LLCGroup PAC ID 2062866395, 15 clinicians

Practice addresses (Care Compare)

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 465-3561

Hospital & facility affiliations

  • Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R1220KYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TRH Anesthesia LLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1760645006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT OF ANESTHESIOLOGY UNIV OF KENTUCKY",
            "address_2": "800 ROSE STREET",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF ANESTHESIOLOGY UNIV OF KENTUCKY",
            "address_2": "800 ROSE STREET",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "R1220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.