Johnson Fan MD.PA.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D26670 Issued in MD

Legal business name

JOHNSON FAN MD.PA.

Practice address

5824 Hubbard Dr
Rockville, MD 20852-4818

Phone

(301) 816-2080

Fax

(301) 816-0728

NPI assigned

Mar 15, 2012

Last updated

Mar 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnson Fan, M.D.

Title

President

Phone

(301) 816-2080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1760757314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 HUBBARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524818",
            "telephone_number": "301-816-2080",
            "fax_number": "301-816-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 HUBBARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524818",
            "telephone_number": "301-816-2080",
            "fax_number": "301-816-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON FAN MD.PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-816-2080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D26670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johns Hopkins Community Physicians, Inc
• Johns Hopkins University (Jhu - 9901 Medical Center Dr - Provider Type: 20)
• Johns Hopkins University (Jhu-14955 Shady Grove Rd Ste 100-Provider Type: 20-Physician)
• Johns Hopkins University (Jhu - 15005 Shady Grove Rd Ste 340 - Physician Type - 20 - Physician)
• Kaiya Aaliyah Johns
• Princess Johnson Fell
• Ambrielle Johnson Xol Cho
• Heather Johnson-Beeker
• Danielle Serafina Johnson-Butler
• Candace Johnson-Wooten

• Obstetrics & Gynecology Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.