William Alexander Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TC813 Issued in KY

Practice address

1400 Highland Rd Ste 1
Richmond, IN 47374-8810

Phone

(765) 935-8905

Fax

(765) 939-4200

NPI assigned

Sep 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
• Ohio County Hospital Hospital, Hartford, KY, CCN 181323
• Perry County Memorial Hospital Hospital, Tell City, IN, CCN 151322
• Owensboro Health Muhlenberg Community Hospital Hospital, Greenville, KY, CCN 180004
• Owensboro Health Twin Lakes Medical Center Hospital, Leitchfield, KY, CCN 180070

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Owensboro Health Medical Group Inc

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242
  Medicare reassignment Care Compare group
• Owensboro Health Medical Group Inc

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711
  NPD
• Owensboro Health Medical Group, Inc.

  • Urology Physician
  • Madisonville, KY
  • NPI 1770210387
  NPD
• Owensboro Health Medical Group, Inc

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1376594242

  Physician Assistant

  NPD (past)

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

• Perry County Memorial Hospital

  • Ambulance
  • Tell City, IN
  • NPI 1356309777

  Hospital

  Care Compare affiliation
• Perry County Memorial Hospital

  • Critical Access Hospital
  • Tell City, IN
  • NPI 1699779017
  Care Compare affiliation
• Oh Muhlenberg, LLC

  • General Acute Care Hospital
  • Greenville, KY
  • NPI 1407800436
  Care Compare affiliation
• Oh Muhlenberg, LLC

  • Pulmonary Disease Physician
  • Greenville, KY
  • NPI 1992001044

  Hospital

  Care Compare affiliation
• Ohio County Hospital Corporation

  • Critical Access Hospital
  • Hartford, KY
  • NPI 1629007430
  Care Compare affiliation
• Owensboro Health Inc

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612
  Care Compare affiliation
• Owensboro Health Twin Lakes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Leitchfield, KY
  • NPI 1285221416
  Care Compare affiliation

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1821570987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8905",
            "fax_number": "765-935-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHLAND RD STE 1",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473748810",
            "telephone_number": "765-935-8905",
            "fax_number": "765-939-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "ALEXANDER",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100593300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myasia Johnson
• Pamela Johnson
• Rachel L Johnson
• Richard Christopher Johnson, OTR(L)
• Sasha Johnson, MD
• Abigail Dawn Jones
• Alisha Kay Jones, D.P.M
• Brittany N Jones, LCSW
• Christopher Jones
• Connie Jones

• Physician Assistant in Richmond, IN
• Providers in Richmond, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.