Individual
JOHN R. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E GRAY ST, STE #900, LOUISVILLE, KY 40202-3900
(502) 584-7525
(502) 589-0849
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
19490
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049350
ANTHEM (UNIVERSITY ORTHOP
KY
01
—
000000049466
ANTHEM (SPINE INSTITUTE)
KY
01
—
000000628404
NLSC/ANTHEM
—
01
—
000051983N
NLS/HUMANA
—
05
—
100373880A
—
IN
01
—
1049637
PASSPORT (UNIVERSITY ORTH
KY
01
—
1054518
PASSPORT (SPINE INSTITUTE
KY
01
—
107150
NLSC/SIHO
—
01
—
163722400
US DEPT OF LABOR
KY
01
—
200005919
RAILROAD MEDICARE (UNIVER
KY
01
—
200007230
RAILROAD MEDICARE (SPINE
KY
01
—
2432613000
PASSPORT ADVANTAGE (UNIVE
KY
01
—
2433674000
PASSPORT ADVANTAGE (SPINE
KY
01
—
2521939
NLSC/CIGNA
—
01
—
3728035000
NLSC/PAD
—
01
—
50024959
NLSC/PHP
—
05
—
64194905
—
KY
01
—
N291394
HARMONY
KY
Enumeration date
07/08/2005
Last updated
01/19/2021
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