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Contact Information

TIFFANIE JOHNSON, MD
575 RILEY HOSPITAL DR. MSA 2
INDIANAPOLIS, IN46202-5109
 Phone: 317-944-8906
 Fax: 317-274-4022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Pediatric Radiology

2085P0229X
Indicates primary specialty

NPI Profile & details for TIFFANIE JOHNSON · (Female)

NPI # 1932142809
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 02/07/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 01054582
  • IN Medicaid 200455010
  • KY Medicaid 64070253
  • VT Medicaid 1011498
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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