BRIAN A JOHNSON MD
NPI 1467535799
Non-Pharmacy Dispensing Site in Winamac, IN

NPI Status: Active since October 23, 2006

Contact Information

613 TERRACE DR
WINAMAC, IN
ZIP 46996
Phone: (574) 946-6644

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  • Organization
  • Non-Pharmacy Dispensing Site

About BRIAN A JOHNSON MD

This page provides the complete NPI Profile along with additional information for Brian A Johnson Md, a provider established in Winamac, Indiana operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1467535799 assigned on October 2006. The practitioner's primary taxonomy code is 332900000X with license number 5003424A (IN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Brian A Johnson Md. The authorized official of this NPI record is Direndia Shackelford (Managed Care Specialist)

NPI
1467535799
Provider Legal Name
BRIAN A JOHNSON MD PC
Other Organization Name
BRIAN A JOHNSON MD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
613 TERRACE DR WINAMAC, IN 46996
Location Phone
(574) 946-6644
Mailing Address
613 TERRACE DR WINAMAC, IN 46996
Mailing Phone
(574) 946-6644
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2006
Last Update Date
06-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
5003424A
License State
IN
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIRENDIA SHACKELFORD

Authorized Official Title
MANAGED CARE SPECIALIST
Authorized Official Phone
(800) 654-0889

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1535561OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
100210710MEDICAID (05)IN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467535799
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412710310718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 0 + 3 + 1 + 0 + 7 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1467535799 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023012754DR. BRIAN ALAN JOHNSON MD
Individual
Family Medicine613 TERRACE DR
WINAMAC, IN 46996
(574) 946-6644
1235357476ALLMAN FAMILY PRACTICE,P.C.
Organization
Family Medicine613 TERRACE DR
WINAMAC, IN 46996
(574) 946-6677
1972030062LAFAYETTE PAIN CARE PC
Organization
Durable Medical Equipment & Medical Supplies613 TERRACE DR
WINAMAC, IN 46996
(574) 946-4290
1043356439BRIAN A JOHNSON MD PC
Organization
Family Medicine613 TERRACE DR
WINAMAC, IN 46996
(574) 946-6644

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467535799, enumerated in the NPI registry as an "organization" on October 23, 2006

The provider is located at 613 Terrace Dr Winamac, In 46996 and the phone number is (574) 946-6644

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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