Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS MARK JOHNSON, M.D.
ActiveDR. THOMAS MARK JOHNSON, M.D. is a Sports Medicine (Emergency) healthcare provider located in FREDERICKSBURG, Virginia. NPI 1366498545 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · FREDERICKSBURG, VA
Registration Details
- NPI Number
- 1366498545
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.260127636079 yrs)
- Last Updated
- Apr 9, 2019
- Licenses
-
D0057684 (MD)0101231064 (VA)MD32823 (DC)MD32823 (DC)D0057684 (MD)
Practice Information
- Address
-
200 EXECUTIVE CENTER PKWYSUITE 102FREDERICKSBURG, VA, 224013177Browse VA providers · Browse ZIP 22401
- Phone
- 5406545333
- Fax
- 5406545334
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Sports Medicine (Emergency)
- Additional Specialty
- Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.