Active NPI
Justin Johnson
- Emergency Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0084902
- Practice address
- 3001 S Hanover St
Baltimore, MD 21225-1233 - Phone
- (410) 350-3200
- NPI assigned
- Jun 19, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0084902 | MD | Primary |
| Emergency Medicine Physician | 207P00000X | MT206669 | PA | |
| Internal Medicine Physician | 207R00000X | MT206669 | PA | |
| Emergency Medicine Physician | 207P00000X | 30079 | WV |
Addresses
Primary practice location
3001 S Hanover St
Baltimore, MD 21225-1233
Mailing address
230 N Broad St
Philadelphia, PA 19102-1121
Other practice location 1
230 N Broad St
Philadelphia, PA 19102-1121
Phone (215) 762-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA, WV, DC, TX, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0084902 | MD | MD | Emergency Medicine Physician |
| 30079 | WV | MD | Emergency Medicine Physician |
| MT206669 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Health Care Alliance, Inc. | Emergency Medicine | Current | Accepting new patients |
| St Paul Place Specialists Inc | Emergency Medicine | Current | Accepting new patients |
| Kent Queen Anne Pathology | Current | Accepting new patients | |
| Mep Health, LLC | Emergency Medicine | Current | Accepting new patients |
| WHC Physician Group LLC | Current | Accepting new patients | |
| University of Maryland Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Pinnacle Health Emergency Department Services LLC | Emergency Medicine | Current | Accepting new patients |
| WHC Emerg Phys | Current | Accepting new patients | |
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Bayhealth Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Maryland Family Care, Inc. | Internal Medicine | Current | Accepting new patients |
| DLP Conemaugh Meyersdale Medical Center LLC | Current | Accepting new patients | |
| Chester River Health Center | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| Chester River Hospital Center | Current | Accepting new patients | |
| West Virginia Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| DLP Conemaugh Miners Medical Center LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Internal Medicine | Current | Accepting new patients |
| STC Pediatrics LLC | Current | Accepting new patients | |
| Saint Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Emergency Physicians SPPS | Emergency Medicine | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| STC Pediatrics LLC | Emergency Medicine | Current | Accepting new patients |
| Upper Chesapeake Emergency Medicine Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current | Accepting new patients |
| West Baltimore Emergency Medicine Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 26)
640 S State St
Dover, DE 19901
Phone (302) 744-4700
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100
520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911
300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363
160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067
230 N Broad St
Philadelphia, PA 19102
Phone (215) 255-3828
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
Organizations & group practices 28
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1760885958
-
- Orthopaedic Foot and Ankle Surgery Physician
- Baltimore, MD
- NPI 1871549196
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1144271743
-
- Emergency Medicine Physician
- Bel Air, MD
- NPI 1285854026
-
- Emergency Medicine Physician
- Dover, DE
- NPI 1073012696
-
- Critical Access Hospital
- Meyersdale, PA
- NPI 1659376358
-
- Critical Access Hospital
- Hastings, PA
- NPI 1184620486
-
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1841604501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 S HANOVER ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212251233",
"telephone_number": "410-350-3200"
}
],
"practiceLocations": [
{
"address_1": "230 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021121",
"country_code": "US",
"telephone_number": "215-762-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0084902",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MT206669",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT206669",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "30079",
"primary": false
}
],
"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 Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.