Eric U Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01325 Issued in MD

Practice address

1185 Mount Aetna Rd
Suite 102
Hagerstown, MD 21740-6832

Phone

(301) 739-0790

Fax

(301) 739-0353

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chiropractic Pain & Rehabilitation Center

  • Rehabilitation Chiropractor
  • Hagerstown, MD
  • NPI 1194935874
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912042250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 VENICE WAY",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434648",
            "telephone_number": "304-876-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 MOUNT AETNA RD",
            "address_2": "SUITE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406832",
            "telephone_number": "301-739-0790",
            "fax_number": "301-739-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "095990",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET",
            "identifier": "1017515",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IWIF",
            "identifier": "41578",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "609578",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE FEP",
            "identifier": "R155",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI MDIPA OPT CHC ALLIA",
            "identifier": "220619",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "EJ1004587",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johns Hopkins University (JHU - 12916 Conamar Dr Ste 204 - Provider Type: 20)
• Johns Hopkins University (Jhu - 11110 Medical Campus Road Ste 249 - Provider Type: 20-Physician)
• Gratia Johns-Boehme
• Aleda Nash Johnson, MD
• Beth A Johnson, LCSW-C
• Gaylen S Johnson, M.D.
• Hardwick S Johnson Jr.
• Jeffrey Pace Johnson, MD
• Linnette Johnson
• Rachael Lottie Johnson, CRNP-F

• Chiropractor in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.