Individual provider Active NPI

Earl McArthur Johnson Jr., MD

  • Plastic Surgery Physician
  • Falls Church, VA
National Provider Identifier
1124252531
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101258156 Issued in VA
Practice address
2755 Hartland Rd
Suite 300
Falls Church, VA 22043-3540
Phone
(703) 544-8971
Fax
(703) 562-6994
NPI assigned
May 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101258156 VA Primary

Addresses

Primary practice location

2755 Hartland Rd
Suite 300
Falls Church, VA 22043-3540

Mailing address

2755 Hartland Rd
Suite 300
Falls Church, VA 22043-3540
Phone (703) 544-8971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20150902002035 DC Practitioner - Plastic and Reconstructive Surgery 2961718127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Emory University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2755 Hartland Rd
Suite 300
Falls Church, VA 22043-3545
Phone 70354489712007

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Melanoma (skin cancer) excision1-10
Removal of tissue87
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Surgical Specialists, LLC CurrentSince Jun 3, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2755 Hartland Rd
Ste 300
Falls Church, VA 22043
Phone 70354489712007

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1124252531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 HARTLAND RD",
            "address_2": "SUITE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433540",
            "telephone_number": "703-544-8971",
            "fax_number": "703-562-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 HARTLAND RD",
            "address_2": "SUITE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433540",
            "telephone_number": "703-544-8971",
            "fax_number": "703-562-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EARL",
        "middle_name": "MCARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101258156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.