Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stan Michael Johnson, MD

Individual provider Pediatrics Physician · NPI 1184610461

Stan Michael Johnson, MD is a Pediatric Medicine in Pikeville, Kentucky. Graduated from University of Kentucky College of Medicine in 2002, 24 years ago. Practices with Pikeville Medical Center Inc, a 428-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
24
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

238 Cassidy Blvd
Pikeville, KY 41501-1426
Phone: (606) 430-2230
Fax: (606) 437-2526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 387 Town Mountain Rd, Pikeville, KY 41501-1640 — (606) 437-1008

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 39306 (KY)

Record details

NPI number1184610461
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2005
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing addressPo Box 432, Pikeville, KY 41502-0432

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Pikeville Medical Center Inc — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pikeville