Denise Smith Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0002293 Issued in MD

Practice address

12101 Old Line Ctr
Waldorf, MD 20602-2552

Phone

(301) 843-2223

Fax

(301) 705-9720

NPI assigned

Jul 11, 2007

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

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Asthma Allergy and Sinus Center, LLCGroup PAC ID 2062406085, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: denise.johnson@advancedasthmaallergyandsinus.chartmakerdirect.com
• Direct secure messaging: denise.johnson.1@3222.direct.athenahealth.com

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.

• Asthma Allergy and Sinus Center, LLC

  • Clinic/Center
  • Waldorf, MD
  • NPI 1073610127
  Medicare reassignment Care Compare group
• Family ENT Allergy and Asthma Center PC

  • Specialist
  • Gaithersburg, MD
  • NPI 1659396703

  DC

  Medicare reassignment

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1124226147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 INGLEBORO CT",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433047",
            "telephone_number": "301-735-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 OLD LINE CTR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022552",
            "telephone_number": "301-843-2223",
            "fax_number": "301-705-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DENISE",
        "middle_name": "SMITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002293",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA30173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johns Hopkins University
• Cheyenne Johnson
• Christian Aaron Johnson, D.M.D.
• Crystal Johnson, CAC-AD
• Dalton James Johnson Jr., L.C.P.C.
• Kathryn Alicia Johnson, BS, CAC-AD
• Lashay Johnson, LCPC
• Leah Johnson
• Rene Johnson, CRNP
• Ron C Johnson, LGPC, NCC

• Physician Assistant in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.