Sharidan Johnson, CHIEF TECHNOLOGIST

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

R0002387 Issued in MD

Practice address

3 W 23Rd St FL 2
Baltimore, MD 21218-5605

Phone

(410) 662-9729

Fax

(410) 662-9130

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356474225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W 23RD ST FL 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185605",
            "telephone_number": "410-662-9729",
            "fax_number": "410-662-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W 23RD ST FL 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185605",
            "telephone_number": "410-662-9729",
            "fax_number": "410-662-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHARIDAN",
        "name_prefix": "Mr.",
        "credential": "CHIEF TECHNOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MD",
            "license": "R0002387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Louise Johnson, CRNP
• Shakira Johnson
• Shanna Johnson
• Shannon Johnson, LCPC
• Shaquitta L Johnson
• Shellise Johnson
• Sheryl Johnson
• Sofia Johnson
• Stacy Johnson, PHD
• Steven Wayne Johnson, D.D.S.

• Radiography Radiologic Technologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Radiography Radiologic Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.