Dr. Johanna Suzanne Archer
Reproductive Endocrinologist
6420 Dutchmans Pkwy Suite 395
Louisville
, Kentucky 40205-3372
Dr. Johanna Suzanne Archer
Reproductive Endocrinologist
6420 Dutchmans Pkwy Suite 395
Louisville
, Kentucky 40205-3372
(502) 749-6426
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Johanna Suzanne Archer
- 6420 Dutchmans Pkwy Suite 395
- Louisville, KY
- Zip : 40205-3372
- Fax : (502) 749-6426
- Phone : (502) 749-6420
Second Address
- Dr. Johanna Suzanne Archer
- 6420 Dutchmans Pkwy Suite 395
- Louisville, KY
- Zip : 40205-3372
- Fax : (502) 749-6426
- Phone : (502) 749-6420
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 41480 | KY |
National Provider Identifier
| NPI | 1295796662 |
|---|---|
| Provider Name | Dr. Johanna Suzanne Archer |
| First Address | Louisville, KY 40205-3372 |
| Second Address | Louisville, KY 40205-3372 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2006 |
| Last Update Date | 14/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000542447 | ANTHEM (01) | |
| 000000542618 | ANTHEM (01) | |
| 0722543 | (02) | KY |
| 200883710 | (05) | IN |
| 50017025 | PASSPORT SPECIALTY (01) | KY |
| 50017026 | PASSPORT SPECIALITY (01) | KY |
| 50017027 | PASSPORT PCP (01) | KY |
| 7100016980 | (05) | KY |
| 7372351 | AETNA (01) | |
| H64013 | UPIN (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.