Provider Demographics
NPI:1851357370
Name:JOHNSON, FRANK J II (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:JOHNSON
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-0388
Mailing Address - Country:US
Mailing Address - Phone:540-932-5162
Mailing Address - Fax:540-932-5875
Practice Address - Street 1:42 LAMBERT ST STE 511
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-2437
Practice Address - Country:US
Practice Address - Phone:540-886-6259
Practice Address - Fax:540-885-1696
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101036487207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005608741Medicaid
VA005608741Medicaid
VA080004955Medicare ID - Type Unspecified