Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194301192 Individual Practitioner Female Practitioner

Mary Johanson

Pediatrics • Ashland, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Johanson is a certified Pediatrics practicing in Ashland, KY. With approximately 5 years of clinical experience since completing medical education in 2021, Mary Johanson delivers high-quality medical care to the local community at 2201 LEXINGTON AVE.

Mary Johanson is affiliated with Kings Daughters Medical Specialties Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2201 Lexington Ave

Ashland, KY 411012843

Telephone 6064084000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ashland, KY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -10.0 yrs vs City Avg
City Avg: 15.0 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Ashland, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johanson (5 Years) 5 Yrs
Ashland Specialty Average (15.0 Years) 15.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-13
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY TP529

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License KY TP529

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Kings Daughters Medical Specialties Inc

2201 Lexington Ave, Ashland, KY 411012843

Phone: 6064084000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Elizabeth Loan , APRN

Nurse Practitioner - Family

NPI 1003434317

Advanced Practice Registered Nurse

Jason Ellis , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023466760

Certified Registered Nurse Anesthetist

NPI 1033255112

Doctor of Medicine (M.D.)

NPI 1053495762

Doctor of Medicine (M.D.)

Martina Myers , APRN

Nurse Practitioner - Gerontology

NPI 1053782417

Advanced Practice Registered Nurse

Jodie Workman

Nurse Anesthetist, Certified Registered

NPI 1073099768

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 23, 2025

Registered at 2201 LEXINGTON AVE, ASHLAND, KY 411012843 (Tel: 6064084000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2025

Internal Medicine (License #TP529 in KY)

NPI Profile Active March 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2021

Registered at 1 MEDICAL CENTER DR, MORGANTOWN, WV 265061200 (Tel: 3042931224)

📍
Updated Business Mailing Address March 20, 2021

Registered at 3112 DUBLIN DR, BISMARCK, ND 585036424 (Tel: 7015279235)

👤
Provider Name / Credentials Updated March 20, 2021

Recorded as MARY JOHANSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mary Johanson. Be the first to share your experience!

Sign in to leave a review for Mary Johanson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194301192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2021
Last Update: August 13, 2025
Sole Proprietor: No

Mailing Address

3112 Dublin Dr

Bismarck, ND 585036424

Phone: 7015279235

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.