Healthcare Provider Details

I. General information

NPI: 1386237014
Provider Name (Legal Business Name): DARIUS JOHNSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2021
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST
BALTIMORE MD
21287-0010
US

IV. Provider business mailing address

615 S POTOMAC ST
BALTIMORE MD
21224-3908
US

V. Phone/Fax

Practice location:
  • Phone: 443-248-9697
  • Fax:
Mailing address:
  • Phone: 443-248-9697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0106659
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: