Organization Active NPI

William H. Johnson, M.D.,P.a.

Doing business as Kidney Center of Frederick/Hagerstown

  • Nephrology Physician
  • Frederick, MD
National Provider Identifier
1609865153
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
WILLIAM H. JOHNSON, M.D.,P.A.
Doing business as
Kidney Center of Frederick/Hagerstown
Practice address
140 Thomas Johnson Drive
Suite 202
Frederick, MD 21702-4402
Phone
(301) 620-9899
NPI assigned
Oct 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kristen Kellam Michael
Title
Office Manager
Phone
(301) 620-9899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X MD Primary

Addresses

Primary practice location

140 Thomas Johnson Drive
Suite 202
Frederick, MD 21702-4402

Mailing address

140 Thomas Johnson Drive
Suite 202
Frederick, MD 21702-4402
Phone (301) 620-9899

Other identifiers 1

IdentifierTypeStateIssuer
CJ4322OtherMDMEDICARE RAILROAD

Other names 1

  • Kidney Center of Frederick/Hagerstown Doing business as

National Provider Directory

National Provider Directory

Locations

140 Thomas Johnson Dr
Ste 202
Frederick, MD 21702
Phone (301) 620-9899

140 Thomas Johnson Dr
Frederick, MD 21702
Phone (503) 927-0288

11801 Fingerboard Rd
Monrovia, MD 21770
Phone (301) 831-6100

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609865153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024402",
            "telephone_number": "301-620-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024402",
            "telephone_number": "301-620-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H. JOHNSON, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "KELLAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-620-9899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ4322",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Center of Frederick/Hagerstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.