Gaylen S Johnson, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

D54711 Issued in MD

Practice address

10715 Downsville Pike
Suite 100
Hagerstown, MD 21740-7240

Phone

(240) 313-9910

Fax

(240) 313-9915

NPI assigned

Jul 13, 2006

Last updated

Dec 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1952326548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 DOWNSVILLE PIKE",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407240",
            "telephone_number": "240-313-9910",
            "fax_number": "240-313-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 DOWNSVILLE PIKE",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407240",
            "telephone_number": "240-313-9910",
            "fax_number": "240-313-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GAYLEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "MD",
            "license": "D54711",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MD",
            "license": "D54711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Eric U Johnson, D.C.
• Hardwick S Johnson Jr.
• Jeffrey Pace Johnson, MD
• Linnette Johnson
• Rachael Lottie Johnson, CRNP-F
• Rebecca Ann Johnson, CRNP

• Occupational Medicine Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Occupational Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.