Healthcare Provider Details

I. General information

NPI: 1538420641
Provider Name (Legal Business Name): AARON J JOHNSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2012
Last Update Date: 07/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

PO BOX 980153
RICHMOND VA
23298-0153
US

V. Phone/Fax

Practice location:
  • Phone: 410-448-6400
  • Fax:
Mailing address:
  • Phone: 804-628-2676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberD85157
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD85157
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: