Stephen M Johnson Md Pc

LBN: Stephen M Johnson Md Pc
Stephen M Johnson Md Pc is an health care organization with primary practice located at 200 W 103Rd St Ste 1000, Indianapolis IN 46290-1092. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Stephen M Johnson Md Pc can be contacted via phone (317) 817-1765, or through Chatlos, Lisa via phone (317) 817-1762.

Contact Information

Primary practice address
200 W 103Rd St Ste 1000 Indianapolis IN 46290-1092
Fax: (317) 817-1767
Website:
Authorized official contact:
Name: Chatlos, Lisa

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01027083 Indiana

Profile Details

NPI number 1528266517
LBN Legal business name Stephen M Johnson Md Pc
DBA Doing business as
Authorized official Chatlos, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated Dec 18th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528266517 NPPES
Indiana MEDICAID 100072660A

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