DR. THOMAS MARK JOHNSON (NPI# 1366498545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366498545 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MARK JOHNSON |
| Credential | M.D. |
| Practice Address |
200 Executive Center Pkwy Suite 102 Fredericksburg VA 22401-3177 |
| Mailing Address |
7501 Greenway Center Dr Suite 300 Greenbelt MD 20770-3514 |
| Practice Telephone | 5406545333 |
| Practice Fax Number | 5406545334 |
| Mailing Telephone | 3014414577 |
| Mailing Fax Number | 3014744679 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD32823 | DC | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 0101231064 | VA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | D0057684 | MD | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD32823 | DC | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
D0057684 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 027275400 | 05 | |
| VA | 1366498545 | 05 | |
| MD | 691200100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881069862 | Thomas Mark Johnson | Registered Nurse | N5733 Gurholt Lake Rd, Scandinavia, WI 54977-9736 | 2015-12-02 |
| 1114339884 | Thomas Johnson | Pharmacist | 1540 W El Camino Ave, Sacramento, CA 95833-1946 | 2014-05-28 |
| 1023428471 | Thomas Johnson | Pharmacist | 2900 Biscayne Blvd, Miami, FL 33137-4122 | 2014-05-06 |
| 1588009765 | Thomas Vincent Johnson IIi | Ophthalmology | Wilmer Eye Institute, Johns Hopkins Hospital, 600 North Wolfe Street, Wilmer B-29, Baltimore, MD 21287-0001 | 2013-05-01 |
| 1982958666 | Thomas Martin Johnson | Chiropractor | 2806 Townsgate Rd Ste B, Westlake Village, CA 91361-3066 | 2012-11-02 |
| 1497013668 | Thomas Allen Johnson | Chiropractor | 446 S Mall Dr Ste B5, Saint George, UT 84790-4945 | 2012-04-25 |
| 1467731778 | Thomas Henry Johnson | Specialist/Technologist | 345 E Avenue J7, Lancaster, CA 93535-3644 | 2011-08-04 |
| 1710278320 | Thomas Duane Johnson | General Practice | 2330 Birch Rd, York, PA 17408-4107 | 2011-04-29 |
| 1912209024 | Thomas Allen Johnson | Hearing Instrument Specialist | 1428 N Woodland Blvd, Deland, FL 32720-2260 | 2010-11-22 |
| 1023346525 | Thomas J. Johnson | Specialist/Technologist, Other | 1311 Strozier Ct, Barling, AR 72923-2035 | 2009-11-23 |
| Street Address |
200 EXECUTIVE CENTER PKWY SUITE 102 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012759 | Katrina Nickerson | Occupational Therapist | 200 Executive Center Pkwy, Fredericksburg, VA 22401-3177 | 2018-08-07 |
| 1326566605 | Gabrielle Walsh | Speech-Language Pathologist | 200 Executive Center Pkwy, Fredericksburg, VA 22401-3177 | 2017-09-06 |
| 1639603418 | Michelle Norris | Occupational Therapist | 200 Executive Center Pkwy, Suite 106, Fredericksburg, VA 22401-3177 | 2017-04-18 |
| 1629522115 | Robert Reed Senter Jr. | Speech-Language Pathologist | 200 Executive Center Pkwy, Suite 106, Fredericksburg, VA 22401-3177 | 2016-08-12 |
| 1891986857 | Jason T Lipscomb Dds P C | Dentist | 200 Executive Center Pkwy, Suite 104, Fredericksburg, VA 22401-3177 | 2007-08-06 |
| 1326166620 | Amedisys Home Health of Virginia LLC | Home Health | 200 Executive Center Pkwy, Suite 100, Fredericksburg, VA 22401-3177 | 2007-03-26 |
| 1619043908 | Susan Leslie Lansbury | Nurse Practitioner | 200 Executive Center Pkwy, Suite #106, Fredericksburg, VA 22401-3177 | 2006-11-28 |
| 1437238599 | Jason Todd Lipscomb | Dentist | 200 Executive Center Pkwy, Suite #104, Fredericksburg, VA 22401-3177 | 2006-11-02 |
| 1811934359 | Rappahannock Pediatric Associates, P.C. | Pediatrics | 200 Executive Center Pkwy, Suite 101, Fredericksburg, VA 22401-3107 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462047 | Amir H Hariri | Ophthalmology | 9702 Stanton Dr, Fairfax, VA 22031-3555 | 2019-05-14 |
| 1467910554 | Samuel H Yun Ophthalmology Plc | Ophthalmology | 3959 Pender Dr Ste 260, Fairfax, VA 22030-6041 | 2019-03-07 |
| 1770993081 | Virginia Retina Consultants, Plc | Ophthalmology | 540 Lew Dewitt Blvd, Suite 5, Waynesboro, VA 22980-1665 | 2014-05-08 |
| 1700976834 | Virginia Retina Consultants, Plc | Ophthalmology | 600 Peter Jefferson Pkwy Ste 350, Charlottesville, VA 22911-8836 | 2006-10-12 |
| 1235172461 | Andy Hay | Ophthalmology | 8717 Digges Road, Manassas, VA 20110 | 2006-06-14 |
| 1770943565 | Virginia Retina Specialists | Ophthalmology | 6400 Arlington Blvd., Suite 600, Falls Church, VA 22042-2349 | 2016-03-07 |
| 1356769731 | Evan M Berger | Ophthalmology | 3235 Academy Ave Ste 200, Portsmouth, VA 23703-3200 | 2014-04-02 |
| 1033485065 | Brittany Elizabeth Powell | Ophthalmology | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2012-03-23 |
| 1275783235 | Advanced Retina Center, Lc | Ophthalmology | 8233 Old Courthouse Rd, Suite 300, Vienna, VA 22182-3816 | 2008-09-26 |
| 1265691141 | Kori A Elkins | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 | 2008-06-05 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.