John Edward Humiston, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01081516A Issued in IN

Practice address

12265 Hancock St Ste 42
Carmel, IN 46032-5892

Phone

(317) 606-8778

NPI assigned

Aug 31, 2010

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emeraldneurorecover.johnhumiston@143241.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1841507605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 HANCOCK ST STE 42",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325892",
            "telephone_number": "317-606-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12265 HANCOCK ST STE 42",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325892",
            "telephone_number": "317-606-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMISTON",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-31",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83402",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01081516A",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "01081516A",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A83402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EmeraldNeuroRecover.JohnHumiston@143241.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12265 Hancock St Ste 42",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460325892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William David Hughes, LMHC-A
• Donna Hulka, PT
• Elizabeth Hull
• Melissa L Humburg
• Lana J Hume, APRN
• Emily Marie Hunt, PT, DPT
• Kimeka Lashaunda Hunt, MBA, MSW, LSW
• Ashley A Hunter
• Elizabeth Hunter
• Ethan Alan Hunter, RBT

• Family Medicine Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.