P George John, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-042936 Issued in OH

Practice address

1911 N Fairfield Rd
Ste 110a
Beavercreek, OH 45432-2762

Phone

(937) 429-4826

Fax

(937) 429-4575

NPI assigned

Apr 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mvhe Inc

  • Family Medicine Physician
  • Beavercreek, OH
  • NPI 1952608044
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1780640342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N FAIRFIELD RD",
            "address_2": "STE 110A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322762",
            "telephone_number": "937-429-4826",
            "fax_number": "937-429-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N FAIRFIELD RD",
            "address_2": "STE 110A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322762",
            "telephone_number": "937-429-4826",
            "fax_number": "937-429-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "P",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-042936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0388334",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarrell Healthcare LLC
• Megan Kathleen Jasinski, RN
• Eric A Jaynes, DPT
• Jmac Counseling Services
• John P Downer, OD
• Janet Marie Johnson, RN
• Merissa M Johnson, DO
• Nathan William Johnson
• Patricia Ellen (Terzian) Johnson
• Susan-Ae H Johnson, RN

• Pediatrics Physician in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.