Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Johnson, MD

Individual provider Internal Medicine Physician · NPI 1710412101

Ethan Johnson, MD is an Internal Medicine in Arlington, Virginia. Graduated from University of Arkansas College of Medicine in 2017, 9 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Trained at
University of Arkansas College of Medicine
Licensed in
VA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone: (703) 558-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2425 Geary Blvd, San Francisco, CA 94115-3358 — (415) 833-2000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 010270969 (VA)

Record details

NPI number1710412101
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address2101 E Jefferson St, Rockville, MD 20852-4908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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