Dr. Stephen Kennedy Johnson
M.D., PH.D. | Pediatrics | Male
Dr. Stephen Kennedy Johnson, M.D., PH.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Stephen Kennedy Johnson is
10211 Westport Rd, Louisville, Kentucky - 40241-2147. He can be contacted on phone at
502-339-0444 and fax number 502-339-1717.
Dr. Stephen Kennedy Johnson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Stephen Kennedy Johnson is
1417155953 which was assigned by NPPES on 05 Jul, 2007 and it was last updated on 13 Apr, 2021.
Dr. Stephen Kennedy Johnson license number is
46857 for Pediatrics (208000000X) in Kentucky.
Dr. Stephen Kennedy 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:
Dr. Stephen Kennedy Johnson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Stephen Kennedy Johnson |
|---|
| Credential : | M.D., PH.D. |
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| Gender : | Male |
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Business Address:
Dr. Stephen Kennedy 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 : | 10211 Westport Rd
Louisville, KY, 40241-2147
United States |
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| Phone Number : | 502-339-0444 |
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| Fax Number : | 502-339-1717 |
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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 : | 1417155953 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2007 |
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| Last Updated On : | 13 Apr, 2021 |
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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 Dr. Stephen Kennedy Johnson are as mentioned. Primary taxonomy code for Dr. Stephen Kennedy Johnson, M.D., PH.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 103TC0700X | Psychologist Clinical | No | 1376 | KY |
| 208000000X | Pediatrics | Yes | 46857 | KY |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Stephen Kennedy Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000885933 | Other | KY | ANTHEM-NCMA |
| 50079132 | Other | KY | PASSPORT-NCMA |
| 7100215230 | MEDICAID | KY | |
| 165151 | Other | KY | SIHO-NCMA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | sjohnson45003@direct.nortonhealthcare.org
| No affiliation |
|
| 10210 WESTPORT RD,
LOUISVILLE, KY, 40241-2148
United States |
FHIR
(FHIR URL) | https://epicsoap.nortonhealthcare.org/
| No affiliation |
|
| 10210 WESTPORT RD,
LOUISVILLE, KY, 40241-2148
United States |
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 : | Po Box 776879
Chicago, IL, 60677-6879
United States |
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| Phone Number : | 502-272-5395 |
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| Fax Number : | 502-272-5339 |
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Business Location:
Patients can refer following map for directions to
Dr. Stephen Kennedy 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.