Active NPI
Edward Anthony Johnson, M.D.
- Neurology Physician
- Cheverly, MD
National Provider Identifier
1245371152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D0040725
- Practice address
- 3001 Hospital Dr
Cheverly, MD 20785-1189 - Phone
- (301) 618-2000
- NPI assigned
- Feb 12, 2007
- Last updated
- Nov 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | D0040725 | MD | Primary |
Addresses
Primary practice location
3001 Hospital Dr
Cheverly, MD 20785-1189
Mailing address
7910 Andrus Rd
Suite 16
Alexandria, VA 22306-3171
Phone (703) 780-9465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Behavioral Services, Inc | Past | Accepting new patients | |
| Khaled a Khalafallah, PC | Past | Accepting new patients | |
| Medical Faculty Associates, Inc | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Cheverly, MD
- NPI 1043237878
-
- Psychiatry Physician
- Olney, MD
- NPI 1306863170
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1245371152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7910 ANDRUS RD",
"address_2": "SUITE 16",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063171",
"telephone_number": "703-780-9465",
"fax_number": "703-780-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 HOSPITAL DR",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851189",
"telephone_number": "301-618-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "EDWARD",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0040725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.