Omolola O Johnson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D61341 Issued in MD

Practice address

809 N Hammonds Ferry Rd
Suite C
Linthicum, MD 21090-1317

Phone

(410) 789-2500

Fax

(410) 789-2501

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Healthcare, LLC

  • Pediatrics Physician
  • Linthicum, MD
  • NPI 1497955967

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1003848672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 HELEN DORSEY WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455046",
            "telephone_number": "410-964-5711",
            "fax_number": "410-964-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N HAMMONDS FERRY RD",
            "address_2": "SUITE C",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210901317",
            "telephone_number": "410-789-2500",
            "fax_number": "410-789-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OMOLOLA",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D61341",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D61341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• House of Empathy Home Health Care
• Amanda Iturriaga, M.S.
• Jason Paul Elliott DDS LLC
• Ettaly Franke Jobes, MD
• Olayinka Michael Johnson, M.D.
• K Reed Gehring LCSW-C LLC
• Sachi Nishio Kanzaki, LGP
• Helena Kim, PHARM.D.
• Christina J Kirby, LCPC
• Ronald Paul Kleiman, PD

• Internal Medicine Physician in Linthicum, MD
• Providers in Linthicum, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.