Healthcare Provider Details

I. General information

NPI: 1891716387
Provider Name (Legal Business Name): APRIL R JOHNSON M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL R BARDES M.D.

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8244 E US HIGHWAY 36 STE 1310
AVON IN
46123-9627
US

IV. Provider business mailing address

1100 SOUTHFIELD DR SUITE 1370
PLAINFIELD IN
46168-4498
US

V. Phone/Fax

Practice location:
  • Phone: 317-838-9355
  • Fax: 317-718-2955
Mailing address:
  • Phone: 317-837-5571
  • Fax: 317-837-5580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01059697A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01059697A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: