Dr. Tiffanie Johnson

MD | Pediatric Cardiology | Female

---

Complete Profile:

Dr. Tiffanie Johnson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Tiffanie Johnson
Credential :	MD
Gender :	Female

Business Address:

Dr. Tiffanie 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 :	575 Riley Hospital Dr. Msa 2 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-944-8906
Fax Number :	317-274-4022

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 :	1932142809
NPI Entity Type :	Individual
First Enrolment Date :	14 Jun, 2006
Last Updated On :	20 Nov, 2020

Medicare Participation:

Dr. Tiffanie Johnson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3678477205
Medicare Enrollment ID :	I20031125000045
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	University Of Missouri, Columbia School Of Medicine
Graduation Year :	1997
Accepts Medicare?	Yes. Dr. Tiffanie Johnson accepts medicare insurance.

Group Practice Association:

Dr. Tiffanie 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 Dr. Tiffanie Johnson is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatric Associates, Inc.	2163326794	123	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179445000	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 Dr. Tiffanie Johnson are as mentioned. Primary taxonomy code for Dr. Tiffanie Johnson, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	01054582	IN
2085P0229X	Radiology Pediatric Radiology	No	01054582	IN
2085R0202X	Radiology Diagnostic Radiology	No	01054582	IN

Legacy Identifiers:

Other legacy medical identifiers of Dr. Tiffanie Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200455010	MEDICAID	IN
64070253	MEDICAID	KY
1011498	MEDICAID	VT

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).

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 :	250 N Shadeland Ave Indianapolis, IN, 46219-4959 United States
Phone Number :	317-944-8906

Business Location:

Patients can refer following map for directions to Dr. Tiffanie 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.