Stan Michael Johnson
M.D. | Pediatrics | Male
Stan Michael Johnson, M.D. is a Pikeville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stan Michael Johnson is
387 Town Mountain Rd, Ste 202, Pikeville, Kentucky - 41501-1640. He can be contacted on phone at
606-437-1008 and fax number 606-437-5040.
Stan Michael Johnson is a sole proprietor of his business.
NPI number (Unique professional ID) for Stan Michael Johnson is
1184610461 which was assigned by NPPES on 22 Sep, 2005 and it was last updated on 08 Jul, 2007.
Stan Michael Johnson license number is
39306 for Pediatrics (208000000X) in Kentucky.
Stan Michael Johnson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stan Michael Johnson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Stan Michael Johnson |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Stan Michael Johnson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 387 Town Mountain Rd, Ste 202
Pikeville, KY, 41501-1640
United States |
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| Phone Number : | 606-437-1008 |
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| Fax Number : | 606-437-5040 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184610461 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Sep, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Medicare Participation:
Stan Michael Johnson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1153545561 |
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| Medicare Enrollment ID : | I20140604001958 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Kentucky College Of Medicine |
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| Graduation Year : | 2002 |
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| Accepts Medicare? | Yes. Stan Michael Johnson accepts medicare insurance. |
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Group Practice Association:
Stan Michael Johnson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Stan Michael Johnson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Spero Health Of Kentucky, Llc | 1052792041 | 41 | 3192 Dixie Hwy
Erlanger, KY - 410181850
Ph: 8598882510 | Yes |
| Spero Health Of Kentucky, Llc | 1052792041 | 41 | 7160 N Mayo Trl
Pikeville, KY - 415013151
Ph: 6066579988 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stan Michael Johnson are as mentioned. Primary taxonomy code for Stan Michael Johnson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 39306 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Stan Michael Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 64099344 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 387 Town Mountain Rd, Ste 202
Pikeville, KY, 41501-1640
United States |
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| Phone Number : | 606-437-1008 |
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| Fax Number : | 606-437-5040 |
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Business Location:
Patients can refer following map for directions to
Stan Michael Johnson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.