Provider Demographics
NPI:1740377720
Name:JOHNS, CHRISTINA (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:JOHNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301A FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3833
Mailing Address - Country:US
Mailing Address - Phone:410-266-6767
Mailing Address - Fax:410-266-6761
Practice Address - Street 1:2301A FOREST DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3833
Practice Address - Country:US
Practice Address - Phone:410-266-6767
Practice Address - Fax:410-266-6761
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD30446208000000X, 2080P0204X
MDD0056351208000000X, 2080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0652OtherCAREFIRST
VA6722849Medicaid
VA6722849Medicaid
001062C95Medicare ID - Type Unspecified