Derek K Johnson in Fairfax - Pediatric Allergy/immunology
Derek K Johnson - NPI 1285622183
Derek K Johnson is a Pediatric Allergy/immunology in Fairfax, Virginia. Derek K Johnson practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Derek K Johnson is 1285622183. The last update date is 2017-02-27.
Derek K Johnson's current location address is 3903a Fair Ridge Dr, Fairfax, Virginia. You can contact this provider via phone number 7036480030 and fax number 7036489028. The mailing address for Derek K Johnson is 3903a Fair Ridge Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek K Johnson |
|---|---|
| Address | 3903a Fair Ridge Dr, Fairfax, Virginia |
| Phone Number | 7036480030 |
| Fax Number | 7036489028 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285622183 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2017-02-27 |
Provider Mailing Address Detail
| Address | 3903a Fair Ridge Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220332938 |
| Phone Number | 7036480030 |
| Fax Number | 7036489028 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Allergy/immunology |
|---|---|
| Taxonomy | 2080P0201X |
| Licence No | MD 065160L |
|
Definition: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18751530003 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Derek K Johnson?
The Derek K Johnson has been issued the NPI (National Provider Identifier) 1285622183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Derek K Johnson's physical address?
The Derek K Johnson is physically located at 3903A Fair Ridge Dr, in the city of Fairfax, VA, with the postal code 220332938.
What is Derek K Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Derek K Johnson is Pediatric Allergy/immunology, and the taxonomy code that categorizes this field of expertise is 2080P0201X.
When was the Derek K Johnson's 1285622183 issued?
The Derek K Johnson's 1285622183 was issued on 2005-10-13.
As of what date were the Derek K Johnson's details last updated?
The information pertaining to the Derek K Johnson, including its address, specialty, and other details, was most recently updated on 2017-02-27.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL