Active NPI
Carl Johnson, M.D.
- Orthopaedic Surgery Physician
- Lutherville Timonium, MD
National Provider Identifier
1821039108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- D26445
- Practice address
- 10753 Falls Rd
Lutherville Timonium, MD 21093-4535 - Phone
- (410) 583-2727
- NPI assigned
- Jun 9, 2006
- Last updated
- Feb 8, 2013
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | D26445 | MD | Primary |
Addresses
Primary practice location
10753 Falls Rd
Lutherville Timonium, MD 21093-4535
Mailing address
PO Box 64664
Baltimore, MD 21264-4664
Phone (410) 550-0453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330191500 | Medicaid | MD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D26445 | MD | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1821039108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64664",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644664",
"telephone_number": "410-550-0453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10753 FALLS RD",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210934535",
"telephone_number": "410-583-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CARL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D26445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330191500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville Timonium, MD
- Johns Hopkins University (Jhu - 10751 Falls Rd Ste 304 - Provider Type: 20 - Physician)
- Johns Hopkins University (Jhu - 10751 Falls Rd Ste 412 Provider Type: 27 - Mental Health)
- Johns Hopkins University (Jhu-10803 Falls Rd Ste 1300-Provider Type: 20-Physician)
- Johns Hopkins University (Jhu-10755 Falls Rd Ste 460-Provider Type: 20-Physician)
- Johns Hopkins University (Jhu -10803 Falls Rd Pavilion III - Provider Type: 20-Physician)
- Katherine Jones, LCSW-C
- Rachel Marie Julio
- Just at Home LLC
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Lutherville-Timonium Sleep Center)
- Karolyn W. Seidl, Psy.D., LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.