Individual provider Active NPI

Justin Johnson

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1841604501
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0084902 Issued in MD
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

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, DE6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20180718000354 MD Practitioner - Emergency Medicine 1052668340 Reassigns benefits to 9 organizations
I20201222001493 PA Practitioner - Emergency Medicine 1052668340 Reassigns benefits to 5 organizations
I20210505000468 WV Practitioner - Emergency Medicine 1052668340 Reassigns benefits to 2 organizations
I20221101000134 DC Practitioner - Emergency Medicine 1052668340 Reassigns benefits to 1 organization
I20240325002277 TX Practitioner - Emergency Medicine 1052668340
I20240731000694 DE Practitioner - Emergency Medicine 1052668340 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0084902MDMDEmergency Medicine Physician
30079WVMDEmergency Medicine Physician
MT206669PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 27, 2020 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
St Paul Place Specialists Inc Emergency Medicine CurrentSince Jul 31, 2020 Accepting new patients
Kent Queen Anne Pathology CurrentSince Jun 1, 2023 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
WHC Physician Group LLC CurrentSince Jul 1, 2018 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
Pinnacle Health Emergency Department Services LLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
WHC Emerg Phys CurrentSince Jul 1, 2018 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Bayhealth Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Maryland Family Care, Inc. Internal Medicine CurrentSince Jul 29, 2020 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Current Accepting new patients
Chester River Health Center CurrentSince Jun 1, 2023 Accepting new patients
STC Pediatrics LLC CurrentSince Nov 25, 2021 Accepting new patients
Chester River Hospital Center Current Accepting new patients
West Virginia Emergency Physicians, LLP Emergency Medicine CurrentSince Nov 14, 2021 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Nov 27, 2020 Accepting new patients
STC Pediatrics LLC CurrentSince Nov 25, 2021 Accepting new patients
Saint Paul Place Specialists, Inc. CurrentSince Jul 31, 2020 Accepting new patients
Emergency Physicians SPPS Emergency Medicine CurrentSince Jun 6, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
STC Pediatrics LLC Emergency Medicine Current Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Emergency Medicine CurrentSince Nov 18, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Sep 1, 2020 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.

View all 28

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

Verify at the official NPI Registry.