Mary Johanson
NPI 1194301192ActiveIndividual· Pediatrics· Ashland, KY
Pediatrics with Kings Daughters Medical Specialties Inc, practicing in Ashland, Kentucky. Part D covered 166 prescriptions written in 2024, 75% of them generic. Lists King's Daughters' Medical Center as a hospital affiliation.
Overview
| NPI | 1194301192 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 20, 2021 |
| Last updated in NPPES | Aug 13, 2025 |
| Certified by provider | Aug 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | TP529 | KY |
| Internal Medicine | 207R00000X | TP529 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (KY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 166 · 394 30-day fills |
|---|---|
| Patients | 14 |
| Total drug cost | $42,017 |
| Generic share | 75% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Pediatric Medicine |
Medical group
- Kings Daughters Medical Specialties IncWheelersburg, OH · 400 clinicians
Hospital affiliation
- King's Daughters' Medical CenterAshland, KY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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