Individual
JOHN R. JOHNSON
Active
Individual
JOHN R. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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