PAMELA CAROL JOHNSON MD NPI 1104878065

NPI Information

  • NPI: 1104878065
  • Provider Name: PAMELA CAROL JOHNSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3742 10TH ST NE
    WASHINGTON, DC
    ZIP 20017
  • Phone: (202) 269-0358

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NPI Details

Pamela Carol Johnson, MD is a family medicine in Washington, DC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Pamela Carol Johnson, MD NPI is 1104878065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3742 10TH ST NE
WASHINGTON, DC
ZIP 20017-820
Phone: (202) 269-0358

The NPI 1104878065 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 12/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine0101237027VIRGINIANo
2207Q00000XFamily MedicineD44855MARYLANDNo
3207Q00000XFamily Medicine0101237027VIRGINIANo
4207Q00000XFamily MedicineMD047674DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11104878065MEDICAIDVIRGINIA
2010150302MEDICAIDVIRGINIA
3P00246395OTHERVIRGINIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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