Individual provider Active NPI

Herman Singh Johal, MD MPH FRCSC

  • Orthopaedic Trauma Physician
  • Baltimore, MD
National Provider Identifier
1588078919
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
111459 Issued in ZZ
Practice address
22 S. Greene Street, R Adams Cowley Shock Trauma Center
Division of Orthopaedic Traumatology
Baltimore, MD 21201
Phone
(410) 328-6280
Fax
(410) 328-2893
NPI assigned
Jun 13, 2014
Reactivated
Feb 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 111459 ZZ Primary

Addresses

Primary practice location

22 S. Greene Street, R Adams Cowley Shock Trauma Center
Division of Orthopaedic Traumatology
Baltimore, MD 21201

Mailing address

22 S. Greene Street, R Adams Cowley Shock Trauma Center
Division of Orthopaedic Traumatology
Baltimore, MD 21201
Phone (410) 328-6280

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
111459ZZMDOrthopaedic Trauma Physician

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1588078919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S. GREENE STREET, R ADAMS COWLEY SHOCK TRAUMA CENTER",
            "address_2": "DIVISION OF ORTHOPAEDIC TRAUMATOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-6280",
            "fax_number": "410-328-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S. GREENE STREET, R ADAMS COWLEY SHOCK TRAUMA CENTER",
            "address_2": "DIVISION OF ORTHOPAEDIC TRAUMATOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-6280",
            "fax_number": "410-328-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHAL",
        "first_name": "HERMAN",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "credential": "MD MPH FRCSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2015-02-09",
        "deactivation_date": "2015-01-15",
        "reactivation_date": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "ZZ",
            "license": "111459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.