Joseph Clarke Johnsonwall, M.D.

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

023992 Issued in LA

Practice address

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285

Phone

(703) 585-9133

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Joseph Clarke Wall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1932172301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 WILLIAM AND MARY DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223081554",
            "telephone_number": "703-585-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "703-585-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSONWALL",
        "first_name": "JOSEPH",
        "middle_name": "CLARKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "LA",
            "license": "023992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "WALL",
            "middle_name": "CLARKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Helen Rebecca Johnson, M.D.
• Issac Johnson
• Michael Johnson
• Natalie A Johnson, PT
• William Cavell Johnson Jr., D.D.S.
• Andrew Christopher Jones, MD
• Mehrnoosh Jones, PA-C
• Sara Dryden Jones, MD
• Payal Mehta Joseph, LCSW
• Tiffany Joseph

• Military Health Care Provider in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Military Health Care Provider in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.