Emily Blythe Johnston, M.D.
Individual provider Active NPI Anesthesiology Physician · Paducah, KY
NPI 1811287709 · NPPES record last updated Jun 26, 2015
Key facts
- NPI
- 1811287709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 47899 (KY)
- Practice address
- 2507 Broadway St
Paducah, KY 42001-3124 - Phone
- (270) 442-8228
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Kentucky College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apex Anesthesia Partners PLLC
Practice addresses (Care Compare)
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100
Hospital & facility affiliations
- Baptist Health Paducah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150922002399 | KY | Practitioner - Anesthesiology | 9739326125 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Anesthesia Partners, PLLC | Anesthesiology | Current |
Accepting new patients |
| Northstar Anesthesia of Kentucky, PLLC | Anesthesiology | Current |
Accepting new patients |
Locations
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
2507 Broadway St
Paducah, KY 42001
Phone (270) 442-8228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 47899 | KY | Yes |
| Anesthesiology Physician | 207L00000X | MD.31917 | AL |
Addresses
Primary practice location
2507 Broadway St
Paducah, KY 42001-3124
Mailing address
2507 Broadway St
Paducah, KY 42001-3124
Phone (270) 442-8228
Other providers in Paducah, KY
- Rebecca G Johnson
- Robin Johnson
- Stephanie Johnson
- Tonya Denise Johnson
- Brian S Johnston
- James Dennis Johnston
- Jennifer L Johnston
- Madeline Jolley
- Jones Pharmacy Inc
- Jones Pharmacy Inc
All providers in Paducah, KY · Anesthesiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.