John R. Johnson
Orthopaedic Spine Surgeon
210 E Gray St Ste #900
Louisville
, Kentucky 40202-3900
John R. Johnson
Orthopaedic Spine Surgeon
210 E Gray St Ste #900
Louisville
, Kentucky 40202-3900
(502) 272-5116
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- John R. Johnson
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Fax : (502) 272-5116
- Phone : (502) 588-9490
Second Address
- John R. Johnson
- 210 E Gray St Ste #900
- Louisville, KY
- Zip : 40202-3900
- Fax : (502) 589-0849
- Phone : (502) 584-7525
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 19490 | KY |
National Provider Identifier
| NPI | 1396743886 |
|---|---|
| Provider Name | John R. Johnson |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Louisville, KY 40202-3900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2005 |
| Last Update Date | 19/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000049350 | ANTHEM (UNIVERSITY ORTHOP (01) | KY |
| 000000049466 | ANTHEM (SPINE INSTITUTE) (01) | KY |
| 000000628404 | NLSC/ANTHEM (01) | |
| 000051983N | NLS/HUMANA (01) | |
| 100373880A | (05) | IN |
| 1049637 | PASSPORT (UNIVERSITY ORTH (01) | KY |
| 1054518 | PASSPORT (SPINE INSTITUTE (01) | KY |
| 107150 | NLSC/SIHO (01) | |
| 163722400 | US DEPT OF LABOR (01) | KY |
| 200005919 | RAILROAD MEDICARE (UNIVER (01) | KY |
| 200007230 | RAILROAD MEDICARE (SPINE (01) | KY |
| 2432613000 | PASSPORT ADVANTAGE (UNIVE (01) | KY |
| 2433674000 | PASSPORT ADVANTAGE (SPINE (01) | KY |
| 2521939 | NLSC/CIGNA (01) | |
| 3728035000 | NLSC/PAD (01) | |
| 50024959 | NLSC/PHP (01) | |
| 64194905 | (05) | KY |
| C66419 | (02) | KY |
| N291394 | HARMONY (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.