MRS. TATIA FORD JOHNSON (NPI# 1811146178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811146178 |
| Entity Type | Individual |
| Full Name | MRS. TATIA FORD JOHNSON |
| Other Name | MISS TATIA LYNN FORD |
| Credential | MPAS, PA-C |
| Practice Address |
12150 Annapolis Rd Suite #300 Glenn Dale MD 20769-9183 |
| Practice Telephone | 3012495384 |
| Practice Fax Number | 3012496047 |
| Mailing Telephone | 3012495384 |
| Mailing Fax Number | 3012496047 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2010-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
M002916L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0002501 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12150 ANNAPOLIS RD SUITE #300 |
| City | GLENN DALE |
| State | MD |
| Zip Code | 20769-9183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306060 | Vaul Anthony Phillips | Physical Medicine & Rehabilitation | 12150 Annapolis Rd, Ste 211, Glenn Dale, MD 20769-9183 | 2005-06-15 |
| 1386259513 | Beatrice Ginette M. Patchou | Nurse Practitioner | 12150 Annapolis Rd, Glenn Dale, MD 20769-9183 | 2020-09-14 |
| 1396383709 | Nicolas Smith | Physical Therapist | 12150 Annapolis Rd, Glenn Dale, MD 20769-9183 | 2019-12-16 |
| 1003285891 | Arnold S Kirshenbaum Md Pa | Specialist | 12150 Annapolis Rd, Suite #108, Glenn Dale, MD 20769-9183 | 2015-09-22 |
| 1134536154 | The Bariatric and Hernia Institute, PC | Surgery | 12150 Annapolis Rd, Suite 309, Glenn Dale, MD 20769-9183 | 2014-07-22 |
| 1326463092 | Maryland Family Healthcare, LLC | Family Medicine | 12150 Annapolis Rd, Suite 212, Glenn Dale, MD 20769-9183 | 2014-03-04 |
| 1376976159 | Alissa Anne Parmelee | Physician Assistant | 12150 Annapolis Rd, Suite 308, Glenn Dale, MD 20769-9183 | 2013-08-15 |
| 1760826267 | Thomas J Mccarthy | Physical Therapy Assistant | 12150 Annapolis Rd, Suite 305, Glenn Dale, MD 20769-9183 | 2013-04-26 |
| 1700130895 | Rita N Anu | Physician Assistant | 12150 Annapolis Rd, Glenn Dale, MD 20769-9183 | 2012-10-29 |
| 1285990663 | Bernard Bendenkaga Alenda | Nurse Practitioner | 12150 Annapolis Rd, Glenn Dale, MD 20769-9183 | 2012-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023585676 | Ifeoma C Onyeiwu | Nurse Practitioner | Krystal Medical Associates, 12150 Annapolis Rd, Suite 100, Glenndale, MD 20769 | 2018-10-31 |
| 1124593983 | Olivia Kaindaneh | Technician | 10809 Glandshire Dr, Glandale, MD 20769 | 2018-10-09 |
| 1154810505 | Cassie Leghu | Home Health Aide | 5108 Janesdale Court, Glenn Dale, MD 20769 | 2018-05-01 |
| 1033659164 | Eternal Dermatology and Aesthetic Center LLC | Dermatology | 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 | 2017-03-08 |
| 1881957934 | Angela Teresa Dudley Hamilton | Counselor | 11415 Old Pond Drive, Glenn Dale, MD 20769 | 2012-06-22 |
| 1144597923 | Jaj Health Care Services,llc | Clinical Nurse Specialist | 12150 Annapolis Rd # 205, Glenndale, MD 20769 | 2011-11-22 |
| 1831493030 | Evidence Physical Therapy, LLC | Physical Therapist | 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 | 2011-01-03 |
| 1972731867 | Linh Nguyen | Pharmacist | 10831 Lanham Severn Rd, Glenn Dale, MD 20769 | 2009-06-30 |
| 1417141557 | Sharon Evette Hawks | Nutritionist | 12150 Annapolis Rd., Ste. 104, Glenn Dale, MD 20769 | 2007-08-31 |
| 1871715441 | Beth S Warner | Psychologist | 1107 Shoemaker Bldg., U. of Md Counseling Center, Glenn Dale, MD 20769 | 2007-05-03 |
| Find all providers in zip 20769 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962971309 | Emmy L Estrada | Physician Assistant | 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 | 2018-11-14 |
| 1902273584 | Glenda Prudencio | Physician Assistant | 12150 Annapolis Rd Ste 308, Glenn Dale, MD 20769-9183 | 2015-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
| 1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1982170833 | Barbara Argyros | Physician Assistant | 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 | 2018-10-18 |
| 1457827552 | Kyra Ann Kearney | Physician Assistant | 7810 Arbor Grove Dr Apt 401, Hanover, MD 21076-1901 | 2018-10-17 |
| Find all providers with the same taxonomy | ||||
| City | GLENN DALE |
| Zip Code | 20769 |
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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.