Active NPI
Dale B Johnson, M.D.
- Diagnostic Radiology Physician
- Clinton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0055117
- Practice address
- 7501 Surratts Rd
Clinton, MD 20735-3362 - Phone
- (301) 870-7001
- Fax
- (301) 870-6697
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D0055117 | MD | Primary |
Addresses
Primary practice location
7501 Surratts Rd
Clinton, MD 20735-3362
Mailing address
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 870-7001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Yale University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Grasonville, MD 21638
Phone (309) 671-8282
100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400
1005 Broadway St
Quincy, IL 62301-2834
Phone (309) 671-8282
219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845
927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423
Hospital & facility affiliations
- Blessing Hospital
- University of MD Shore Medical Center at Easton
- Illini Community Hospital
- Pike County Memorial Hospital
- University of MD Shore Medical Ctr at Chestertown
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0055117 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Delmarva Radiology P.a. | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Southern Maryland Professional Rad | Diagnostic Radiology | Past | Accepting new patients |
| DRS Groover Christie & Merritt PC | Diagnostic Radiology | Past | Accepting new patients |
| Southern Radiology MRI Partnership | Diagnostic Radiology | Past | Accepting new patients |
Locations
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
1005 Broadway St
Quincy, IL 62301
2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
918 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 749-1123
101 Medical Dr
Hannibal, MO 63401
100 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
Interoperability endpoints
- djohnson483381@direct.umm.edu
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
MD
-
- Diagnostic Ultrasound Physician
- Salisbury, MD
- NPI 1699733527
Diagnostic Radiology
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
- Surgery Physician
- Baltimore, MD
- NPI 1033134663
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1114773272
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1083895452
-
- Diagnostic Radiology Physician
- Bethesda, MD
- NPI 1902878788
-
- Diagnostic Radiology Physician
- Clinton, MD
- NPI 1922009968
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- Critical Access Hospital
- Pittsfield, IL
- NPI 1720086218
-
- Critical Access Hospital
- Louisiana, MO
- NPI 1205837218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1982690103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7503 SURRATTS RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353358",
"telephone_number": "301-870-7001",
"fax_number": "301-870-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 SURRATTS RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353362",
"telephone_number": "301-870-7001",
"fax_number": "301-870-6697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DALE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0055117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.