Johnna L Kohl MD LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4771 Issued in AK

Legal business name

JOHNNA L KOHL MD LLC

Practice address

4001 Dale St Ste 201
Anchorage, AK 99508-5445

Phone

(907) 569-3600

Fax

(907) 569-3200

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Johnna L Kohl, M.D.

Title

President

Phone

(907) 569-3600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1831580604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 DALE ST STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085445",
            "telephone_number": "907-569-3600",
            "fax_number": "907-569-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DALE ST STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085445",
            "telephone_number": "907-569-3600",
            "fax_number": "907-569-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNA L KOHL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "KOHL",
        "authorized_official_first_name": "JOHNNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-569-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AK",
            "license": "4771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014305",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genevieve John, DC
• Jacob C John, MD
• Justice John
• Rebecca Michelle John, PHD, LPC, CDC-I
• Seina Rosa Johndro
• Amy M Johns, PT
• Dennis Johns, PHYSICIAN ASSOCIATE
• Hannah L Johns, LPC, NCC
• Rex William Johns, MED, LCPC
• Alexandria Jae Johnson-Stewart

• General Practice Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.