DR. WALLACE R JOHNSON (NPI# 1043253867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043253867 |
Entity Type | Individual |
Full Name | DR. WALLACE R JOHNSON |
Credential | M.D. |
Practice Address |
22 S Greene St Baltimore MD 21201-1590 |
Mailing Address |
Po Box 64442 Baltimore MD 21264-4442 |
Practice Telephone | 4103287877 |
Practice Fax Number | 4103281048 |
Mailing Telephone | 4103288040 |
Mailing Fax Number | 4434623514 |
Enumeration Date | 2006-06-13 |
Last Update Date | 2019-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0005X |
Internal Medicine Specialization: Hypertension Specialist |
D38086 | MD | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932355229 | Wallace B Johnson | Dentist | West Lake Road, Mayville, NY 14757-0126 | 2008-08-18 |
1639341076 | Wallace Emanuel Johnson | Orthopaedic Surgery | 273 Leeward Ct, Detroit, MI 48207-5053 | 2008-03-26 |
1346209020 | Wallace Scott Johnson | Optometrist | 702 10th St, Worthington, MN 56187-2767 | 2006-03-21 |
1659480838 | Wallace Allen Johnson Jr. | Pharmacist | 933 Old Rockford St, Suite 3, Mount Airy, NC 27030-5356 | 2006-08-30 |
1902833619 | Wallace E Johnson | Internal Medicine | 800 Ayrault Rd Ste 200, Fairport, NY 14450-8941 | 2006-06-27 |
Street Address |
22 S GREENE ST |
City | BALTIMORE |
State | MD |
Zip Code | 21201-1590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
Find all providers in zip 21201 |
Taxonomy Code | 207RH0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hypertension Specialist |
A Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension. |
Notes: Source: American Society of Hypertension, www.ash-us.org [7/1/2011: new] Additional Resources: The American Society of Hypertension Specialists Program offers an examination and designation for Hypertension Specialists. This subspecialty is not a Board certificate issued by either the American Board of Internal Medicine or the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013404961 | Johns Hopkins University | Internal Medicine | 1800 Orleans St, Baltimore, MD 21287-0010 | 2018-04-17 |
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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.