Active NPI
William B Johnson, M.D.
- Pediatrics Physician
- Fredericksburg, VA
National Provider Identifier
1295715969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101236688
- Practice address
- 4532 Plank Rd
Fredericksburg, VA 22407-0139 - Phone
- (540) 252-1840
- Fax
- (540) 252-1841
- NPI assigned
- Jan 19, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101236688 | VA | Primary |
Addresses
Primary practice location
4532 Plank Rd
Fredericksburg, VA 22407-0139
Mailing address
4532 Plank Rd
Fredericksburg, VA 22407-0139
Phone (540) 252-1840
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO2375 | Other | VA | MEDICARE GROUP |
| 146228 | Other | VA | ANTHEM |
| 3681738 | Other | VA | AETNA HMO |
| CA9037 | Other | VA | MCR RAILROAD GROUP |
| 010101476 | Medicaid | VA | |
| 0101236688 | Other | VA | LICENSE |
| 000828306 | Other | VA | AETNA CAP |
| 0005614690 | Other | VA | AETNA NON HMO |
| 8129248 | Other | VA | MAMSI |
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 |
|---|---|---|---|
| Doorstep Enterprises Inc | Pediatrics | Current | Accepting new patients |
| Childrens Clinic of Fredericksburg Urgent Care PC | Current | Accepting new patients |
Locations
4532 Plank Rd
Fredericksburg, VA 22407
Phone (540) 252-1840
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.
-
- Urgent Care Clinic/Center
- Fredericksburg, VA
- NPI 1740810373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1295715969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4532 PLANK RD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224070139",
"telephone_number": "540-252-1840",
"fax_number": "540-252-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4532 PLANK RD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224070139",
"telephone_number": "540-252-1840",
"fax_number": "540-252-1841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101236688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "CO2375",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "146228",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3681738",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR RAILROAD GROUP",
"identifier": "CA9037",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010101476",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0101236688",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CAP",
"identifier": "000828306",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "0005614690",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "8129248",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.