Jody Michael Johnson
Surgeon Family Doctor - Addiction Medicine
5000 Ky Route 321 Suite 3141
Prestonsburg
, Kentucky 41653
Jody Michael Johnson
Surgeon Family Doctor - Addiction Medicine
5000 Ky Route 321 Suite 3141
Prestonsburg
, Kentucky 41653
(606) 886-9908
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Surgeon
Languages spoken
- English
Location
First Address
- Jody Michael Johnson
- Po Box 1239
- Prestonsburg, KY
- Zip : 41653-5239
- Fax : (606) 886-9908
- Phone : (606) 889-6240
Second Address
- Jody Michael Johnson
- 5000 Ky Route 321 Suite 3141
- Prestonsburg, KY
- Zip : 41653
- Fax : (606) 886-9908
- Phone : (606) 889-6240
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FAQs
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Is Jody Michael Johnson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0401X | Family Doctor - Addiction Medicine | 02979 | KY |
| Y | 208200000X | Surgeon | 02979 | KY |
| Y | 208600000X | Surgeon | 02979 | KY |
National Provider Identifier
| NPI | 1588692503 |
|---|---|
| Provider Name | Jody Michael Johnson |
| First Address | Prestonsburg, KY 41653-5239 |
| Second Address | Prestonsburg, KY 41653 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 03/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 137957 | (02) | |
| 64121213 | (05) | 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.