Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD8015 | DC |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD8015 | DC |
NPI | 1265525125 |
---|---|
Provider Name | David Charles Johnson |
First Address | Washington, DC 20010-2927 |
Second Address | Washington, DC 20010-2927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 06/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200023381 | RAILROAD MEDICARE (01) | DC |
4566-0001 | CAREFIRST BLUE CROSS (01) | DC |
D09282 | (02) | DC |