Individual
SUSAN G JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 HUSTON DR, SUITE 1, SHEPHERDSVILLE, KY 40165-7250
(502) 955-7311
(502) 955-9694
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 272-5100
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27734
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350680
ANTHEM / NMA
—
01
—
000052154C
HUMANA / NMA
—
01
—
012906
SIHO / NMA
—
01
—
1073671
PASSPORT / NMA
—
01
—
1193978
CHA / NMA
—
01
—
2138920002
CIGNA / NMA
—
01
—
2435117000
PASSPORT ADVANTAGE / NMA
—
05
—
64277346
—
KY
01
—
P00181542
RAILROAD MEDICARE
KY
Enumeration date
04/19/2006
Last updated
07/09/2015
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