IndividualActive
Derek Johnson, MD
NPI 1285622183 · Pediatric Allergy/Immunology Physician · Fairfax, VA
Provider details
- NPI number
- 1285622183
- Entity type
- Individual
- Primary specialty
- Pediatric Allergy/Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD 065160L (PA)
Practice location
3903a Fair Ridge Dr
Fairfax, VA 22033-2938
Phone: (703) 648-0030
Fax: (703) 648-9028
Mailing address
3903a Fair Ridge Dr
Fairfax, VA 22033-2938
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2017-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.