DR. JOHANNA SUZANNE ARCHER M.D. NPI 1295796662

NPI Information

NPI: 1295796662
Provider Name: DR. JOHANNA SUZANNE ARCHER, M.D.
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

PECOS Registration: Yes

Address:
6420 DUTCHMANS PKWY
SUITE 395
LOUISVILLE, KY
ZIP 40205
Phone: (502) 749-6420
Get Directions

DR. Johanna Suzanne Archer, M.D. is a reproductive endocrinology obstetrics gynecology in Louisville, KY. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. Johanna Suzanne Archer, M.D. NPI is 1295796662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6420 DUTCHMANS PKWY
SUITE 395
LOUISVILLE, KY
ZIP 40205-372
Phone: (502) 749-6420
Fax: (502) 749-6426

The NPI 1295796662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 10/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	41480	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000542447	OTHER		ANTHEM
2	7372351	OTHER		AETNA
3	50017025	OTHER	KENTUCKY	PASSPORT SPECIALTY
4	50017026	OTHER	KENTUCKY	PASSPORT SPECIALITY
5	H64013	OTHER	KENTUCKY	UPIN
6	200883710	MEDICAID	INDIANA
7	50017027	OTHER	KENTUCKY	PASSPORT PCP
8	7100016980	MEDICAID	KENTUCKY
9	000000542618	OTHER		ANTHEM
10	0722543	MEDICARE UPIN	KENTUCKY
11	0979715	MEDICARE PIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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