Johanna M Dolan
Individual provider Active NPI Contractor · Frederick, MD
NPI 1972254928 · NPPES record last updated Sep 24, 2025
Key facts
- NPI
- 1972254928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- PO Box 522
Frederick, MD 21705-0522 - Phone
- (240) 232-5064
- NPI assigned
- Jan 11, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
PO Box 522
Frederick, MD 21705-0522
Mailing address
PO Box 522
Frederick, MD 21705-0522
Phone (240) 232-5064
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | Kolmac Clinic, LLC |
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.