Corey Morgan Johnson, M.D.
Individual provider Active NPI Urology Physician · Owensboro, KY
NPI 1861601916 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1861601916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 44616 (KY)
- Practice address
- 1301 Pleasant Valley Rd
Suite 302
Owensboro, KY 42303-9774 - Phone
- (270) 688-4480
- Fax
- (270) 688-4489
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Kentucky College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health Medical Group Inc
Practice addresses (Care Compare)
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
1301 Pleasant Valley Rd
Owensboro, KY 42303-9774
2211 Mayfair Dr
Owensboro, KY 42301-4569
444 S Main St
Madisonville, KY 42431-2846
Phone (270) 825-0069
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
- Owensboro Health Regional Hospital
- Baptist Health Deaconess Madisonville
- Owensboro Health Twin Lakes Medical Center
- Owensboro Health Muhlenberg Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 20 |
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 |
|---|---|---|---|---|
| I20110824000489 | KY | Practitioner - Urology | 7416125729 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44616 | KY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group, Inc | Current |
Accepting new patients | |
| Ohio County Hospital Corporation | Current |
Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Ohio County Hospital Corporation | Urology | Current |
Accepting new patients |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Past | Accepting new patients |
Locations
1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806
1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401
1301 Pleasant Valley Rd
Ste 302
Owensboro, KY 42303
Phone (270) 417-7880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01069814A | IN | |
| Urology Physician | 208800000X | 44616 | KY | Yes |
Addresses
Primary practice location
1301 Pleasant Valley Rd
Suite 302
Owensboro, KY 42303-9774
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
1213 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-4771
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100179530 | Medicaid | KY | |
| 201029080 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjohnson9365@direct.owensborohealth.org | ||
| Direct Messaging Address | cjohnson9365@direct.owensborohealth.org |
Other providers in Owensboro, KY
- Sandra Jewell-Latta
- John T Houston MD
- Johnson Family Dentistry
- Alyssa Hope Johnson
- Austin Dean Johnson
- Dasjarae Brior Johnson
- David Joseph Johnson
- Evan Johnson
- Guscilla Johnson
- Heather J. Johnson
All providers in Owensboro, KY · Urology 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 Oct 23, 2024. 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.