DEREK K JOHNSON (NPI# 1285622183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285622183 |
Entity Type | Individual |
Full Name | DEREK K JOHNSON |
Credential | MD |
Practice Address |
3903a Fair Ridge Dr Fairfax VA 22033-2938 |
Practice Telephone | 7036480030 |
Practice Fax Number | 7036489028 |
Mailing Telephone | 7036480030 |
Mailing Fax Number | 7036489028 |
Enumeration Date | 2005-10-13 |
Last Update Date | 2017-02-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
MD 065160L | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0018751530003 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770986556 | Derek Alan Johnson | Social Worker | 23772 West Rd # 195, Brownstown Twp, MI 48183-3050 | 2014-10-07 |
1043625999 | Derek Christopher Johnson | Psychiatry & Neurology | 255 S Routt St Ste 215, Lakewood, CO 80228-2271 | 2014-06-29 |
1104117571 | Derek Johnson | Acupuncturist | 7433 Montgomery Rd, Cincinnati, OH 45236-4160 | 2011-04-20 |
1164685913 | Derek Paul Johnson | Physical Therapist | 109 5th St Ne, Little Falls, MN 56345-2732 | 2008-07-02 |
1407046261 | Derek Sant Johnson | Orthopaedic Surgery | 729 Carol St, New Cumberland, PA 17070-1422 | 2007-07-27 |
1407876063 | Derek Johnson | Family Medicine | 350 John Muir Pkwy Ste 105, Brentwood, CA 94513-5183 | 2006-07-19 |
1811544315 | Derek C Johnson | Pharmacist | 8330 Crawfordsville Rd, Indianapolis, IN 46234-1714 | 2019-08-20 |
1477043545 | Derek Charles Johnson | Pharmacist | 3600 Mallory Ln, Franklin, TN 37067-2900 | 2018-05-15 |
1013443563 | Derek W. Johnson | Counselor | 29 Bassett Ln, Hyannis, MA 02601-3813 | 2017-05-03 |
1932587821 | Derek Johnson | Physical Therapist | 7315 N Oracle Rd, Suite 101, Tucson, AZ 85704-6319 | 2015-05-11 |
Street Address |
3903A FAIR RIDGE DR |
City | FAIRFAX |
State | VA |
Zip Code | 22033-2938 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
Find all providers in zip 22033 |
Taxonomy Code | 2080P0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Allergy/Immunology |
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528300910 | Supriya Jain | Pediatrics | 3023 Hamaker Ct Ste 300, Fairfax, VA 22031-2240 | 2013-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972169910 | Erin Bartlett | Pediatrics | 22505 Landmark Ct Ste 225, Ashburn, VA 20148-6503 | 2019-05-15 |
1821153172 | John R Vroom | Pediatrics | 6501loisdale Court, Springfield, VA 22150-1885 | 2006-12-27 |
1184735334 | Lan Chau Tu | Pediatrics | 6404 Seven Corners Place, #g, Falls Church, VA 22044-2304 | 2006-08-31 |
1518304468 | Samantha C Minnicozzi | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2013-06-02 |
1144514092 | Jonathan A Hemler | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2011-06-07 |
1710027826 | Peter W. Heymann | Pediatrics | Uva Primary Care Ctr, Lee Street, Charlottesville, VA 22908-0001 | 2007-02-07 |
1679658363 | Adult and Pediatric Healthcare | Pediatrics | 100 Elden St, Suite 10, Herndon, VA 20170-4873 | 2006-10-25 |
1366495228 | Cristian Rodriguez | Pediatrics | 3450 N Beauregard St, Suite 1, Alexandria, VA 22302-1200 | 2006-05-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.