Provider Demographics
NPI:1427194331
Name:THORNTON, RACHEL LYN JOHNSON (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LYN JOHNSON
Last Name:THORNTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:LYN
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5200 EASTERN AVE STE 4200
Mailing Address - Street 2:MASON F. LORD BUILDING, CENTER TOWER
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-2739
Mailing Address - Country:US
Mailing Address - Phone:410-550-4226
Mailing Address - Fax:410-550-4153
Practice Address - Street 1:4940 EASTERN AVE BSMT
Practice Address - Street 2:JOHNS HOPKINS BAYVIEW MEDICAL CENTER, PEDIATRICS DEPT
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2735
Practice Address - Country:US
Practice Address - Phone:410-550-0967
Practice Address - Fax:410-550-1276
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP19043208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics