Individual provider Active NPI

Ronald Harvey Johnson, M.D.

  • Obesity Medicine (Internal Medicine) Physician
  • Fredericksburg, VA
National Provider Identifier
1831430768
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
0101053948 Issued in VA
Practice address
411 Park Hill Dr
Suite a
Fredericksburg, VA 22401-3376
Phone
(540) 372-6811
Fax
(540) 372-7099
NPI assigned
Mar 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X 0101053948 VA Primary

Addresses

Primary practice location

411 Park Hill Dr
Suite a
Fredericksburg, VA 22401-3376

Mailing address

411 Park Hill Dr
Suite a
Fredericksburg, VA 22401-3376
Phone (540) 372-6811

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
0101053948VAMDObesity Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1831430768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PARK HILL DR",
            "address_2": "SUITE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013376",
            "telephone_number": "540-372-6811",
            "fax_number": "540-372-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PARK HILL DR",
            "address_2": "SUITE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013376",
            "telephone_number": "540-372-6811",
            "fax_number": "540-372-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RONALD",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "VA",
            "license": "0101053948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.