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Contact Information

MARK A JOHNSON, MD
1140 VARNUM STREET NE
SUITE 106
WASHINGTON, DC20017
 Phone: 202-448-4014
 Fax: 202-448-4082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK A JOHNSON · (Male)

NPI Number 1831118868
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 07/19/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • DC License # MD30469
  • DC Medicaid 017148800
  • MD Medicaid 529000700
  • Other 2063270 AETNA
  • Other 52821 AMERIGROUP
  • Other F7920001 BLUE CROSS
  • Other 16077 CHARTERED HEALTH PLAN
  • Other 392560 UNITED HEALTHCARE MAMSI
Hospital affiliation(s)
  • WASHINGTON ADVENTIST HOSPITAL - (Acute Care)
    7600 CARROLL AVENUE
    TAKOMA PARK, MD 20912
  • WASHINGTON HOSPITAL CENTER - (Acute Care)
    110 IRVING ST NW
    WASHINGTON, DC 20010
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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