# FREDERICK M JOHNSON MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215100680
- **Authorized official:** FREDERICK M JOHNSON MD (OWNER)
- **Authorized official phone:** (401) 331-1113

## Contact information

- **Practice address:** 1524 ATWOOD AVE, SUITE 125, JOHNSTON, RI 02919
- **Practice address phone:** (401) 331-1113
- **Practice address fax:** (401) 331-1153
- **Mailing address:** PO BOX 19427, JOHNSTON, RI 02919
- **Mailing address phone:** (401) 331-1113
- **Mailing address fax:** (401) 331-1153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 4421 | RI | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 04/08/2008