Individual provider Active NPI

Harry W Johnson, MD

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1093746885
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0038053 Issued in MD
Practice address
419 W Redwood St
Suite 500
Baltimore, MD 21201-1734
Phone
(667) 214-1300
Fax
(410) 328-3379
NPI assigned
Jul 6, 2006
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0038053 MD Primary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X D38053 MD

Addresses

Primary practice location

419 W Redwood St
Suite 500
Baltimore, MD 21201-1734

Mailing address

PO Box 64551
Baltimore, MD 21264-4551
Phone (667) 214-1302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118000579 MD Practitioner - Obstetrics/Gynecology 5193914406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wake Forest University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

419 W Redwood St
Suite 500
Baltimore, MD 21201-7001
Phone (410) 328-6640

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0038053MDMDObstetrics & Gynecology Physician
D38053MDMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of MD Obstetrical and Gynecological Asso. PA Obstetrics & Gynecology CurrentSince Jul 1, 1992 Accepting new patients
University of Maryland Surgical Associates, PA CurrentSince Aug 6, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

250 W Pratt St
Ste 880
Baltimore, MD 21201

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

Interoperability endpoints

  • Direct secure messaging: hjohnson22114@direct.umm.edu

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1093746885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64551",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644551",
            "telephone_number": "667-214-1302",
            "fax_number": "410-328-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "SUITE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "667-214-1300",
            "fax_number": "410-328-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HARRY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0038053",
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MD",
            "license": "D38053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.