Individual
DR. TIFFANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 RILEY HOSPITAL DR. MSA 2, INDIANAPOLIS, IN 46202-5109
(317) 944-8906
(317) 274-4022
Mailing address
PO BOX 719094, PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
01054582
IN
2085P0229X
Pediatric Radiology Physician
01054582
IN
2085R0202X
Diagnostic Radiology Physician
01054582
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011498
—
VT
05
—
200455010
—
IN
05
—
64070253
—
KY
Enumeration date
06/14/2006
Last updated
02/07/2026
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