David Charles Johnson, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

0101233087 Issued in VA

Practice address

19455 Deerfield Ave
Suite 312
Lansdowne, VA 20176-8102

Phone

(703) 729-5010

Fax

(703) 729-5833

NPI assigned

Jul 24, 2006

Last updated

Dec 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, MD2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

University of Virginia School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The National Sports Medicine Institute,PCGroup PAC ID 5597842096, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The National Sports Medicine Institute,PC

  • Orthopaedic Surgery Physician
  • Lansdowne, VA
  • NPI 1790815645

  MD

  Medicare reassignment Care Compare group NPD Authorized official
• National Sports Medicine Institute

  • Physical Therapy Clinic/Center
  • Lansdowne, VA
  • NPI 1447645551
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Steadman Clinic Professional LLC

  • Specialist
  • Vail, CO
  • NPI 1952327835
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1184646374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "SUITE 312",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768102",
            "telephone_number": "703-729-5010",
            "fax_number": "703-729-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "SUITE 312",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768102",
            "telephone_number": "703-729-5010",
            "fax_number": "703-729-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "VA",
            "license": "0101233087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miok Hyoun, D.C.
• Infectious Diseases and Travel
• Internal Medicine of Loudoun, LLC
• Zahra C Ismaeli, ATC
• Sean A Jebraili, MD
• Timothy Sterling Johnson, M.D.
• Caroline Bari Johnston, PT, DPT
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Loudoun Medical Center)
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Loudon Medical Center Pharmacy)
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Loudoun Medical Center)

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.