Organization
FAMILY PHYSICIANS OF JOHNSON COUNTY
Active
Parent organization
JOHNSON MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNSON MEMORIAL HOSPITAL
Authorized official
ADAM PUTVIN (CFO)
(317) 736-3396
Entity
Organization
Contact information
Practice address
1155 W JEFFERSON ST STE 101, FRANKLIN, IN 46131-2731
(317) 736-7738
(317) 736-6403
Mailing address
1155 W JEFFERSON ST, SUITE 101, FRANKLIN, IN 46131-2731
(317) 736-7738
(317) 736-6403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M100024970
MEDICARE PTAN
IN
Enumeration date
06/01/2010
Last updated
07/11/2019
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