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

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.

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 (34 clinicians)

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

Hospital & facility affiliations

  • Baptist Health Paducah Hospital · Paducah, KY · CCN 180104

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 IDStateProvider typePAC IDDetails
I20150922002399 KY Practitioner - Anesthesiology 9739326125 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Anesthesia Partners, PLLC Anesthesiology Current
since Jan 1, 2019
Accepting new patients
Northstar Anesthesia of Kentucky, PLLC Anesthesiology Current
since Feb 1, 2016
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)CodeLicenseStatePrimary
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

All providers in Paducah, KY · Anesthesiology Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.