MARK R JOHNSON (NPI# 1205811775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205811775 |
| Entity Type | Individual |
| Full Name | MARK R JOHNSON |
| Credential | M.D. |
| Practice Address |
301 N 8th St Springfield IL 62701-1041 |
| Mailing Address |
Po Box 19639 Springfield IL 62794-9639 |
| Practice Telephone | 2175450702 |
| Practice Fax Number | 2175455834 |
| Mailing Telephone | 2175457578 |
| Mailing Fax Number | 2175451884 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1437692787 | Mark Johnson | Pharmacist | 500 N Claude Lord Boulevard, Pottsville, PA 17901-3868 | 2016-11-18 |
| 1902277734 | Mark Johnson Sr. | Counselor | 5310 Eagle Creek Blvd, Shakopee, MN 55379-8617 | 2015-10-20 |
| 1295175966 | Mark Johnson | Pharmacist | 418 Opal Ln, Hibbing, MN 55746-3844 | 2013-06-26 |
| 1275971988 | Mark A Johnson | Dentist | 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 | 2013-06-05 |
| 1598009938 | Mark R Johnson | Pharmacist | 273 12th St Ne, Unit 313, Atlanta, GA 30309-3853 | 2012-11-26 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| 1881953578 | Mark Joseph Johnson | Anesthesiology | 2810 N Swan Rd Ste 1002810n, Tucson, AZ 85712-6305 | 2012-05-15 |
| 1811261662 | Mark Johnson | Physical Therapist | 3303 Sw Bond Ave Fl 1, Portland, OR 97239-4501 | 2012-02-25 |
| 1639470636 | Mark Johnson | Counselor | 4314 W Lovers Ln, Dallas, TX 75209-2804 | 2010-11-06 |
| Street Address |
301 N 8TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62701-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565420 | Samuel Poriza Au | Radiology | 301 N 8th St, Springfield, IL 62701-1041 | 2005-08-11 |
| 1073148375 | Ashley Kirkpatrick | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2020-03-06 |
| 1699260299 | Eman Mosleh | Pediatrics | 301 N 8th St, Springfield, IL 62701-1041 | 2018-06-26 |
| 1508370719 | Linsey Meloche | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2017-11-27 |
| 1649789736 | Nichole Kristine Chatham | Occupational Therapist | 301 N 8th St, Springfield, IL 62701-1041 | 2017-09-21 |
| 1174075147 | Loralee Donnelly | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701 | 2016-10-26 |
| 1740639533 | Matthew Leland Davis | Urology | 301 N 8th St, Springfield, IL 62701-1041 | 2016-06-13 |
| 1578910741 | Bradley Christopher Holland | Urology | 301 N 8th St, 4b143c, Springfield, IL 62701-1041 | 2016-05-18 |
| 1295182467 | Meredith Volle | Pediatrics | 301 N 8th St, 4a, Springfield, IL 62701-1041 | 2016-05-18 |
| 1205299542 | Rebecca S. Vanmeter | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687183 | Affinity Patient Coordination LLC | In Home Supportive Care | 217 E Monroe St Ste 102, Springfield, IL 62701 | 2018-07-31 |
| 1427498435 | Donald L Jacoby | Pharmacist | 701 N. First St., Springfield, IL 62701 | 2013-07-05 |
| 1700183480 | Erin Zepp | Dietitian, Registered | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2011-02-16 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1396924148 | Jeanne Lyn Malone | Counselor | 408 South Fifth Street, Springfield, IL 62701 | 2007-10-29 |
| 1942422928 | Nobuharu Harada | Family Medicine | 301 N 8th, Pav-3a158, Springfield, IL 62701 | 2007-05-02 |
| 1427131127 | Radiological Associates of Decatur | Radiology | 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 | 2006-10-24 |
| 1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| Find all providers in zip 62701 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184817926 | Asha Thomas | Pediatrics | 3300 Main Street 4th Floor, Suite A&b, Springfield, MA 01199 | 2007-08-24 |
| 1114914363 | Paul S Salva | Pediatrics | 781 Chestnut St, Suite 11, Springfield, MA 01107-1623 | 2005-10-03 |
| 1265778831 | Esra Caylan | Pediatrics | 50 Wason Ave Fl 1, Springfield, MA 01107-1274 | 2012-12-29 |
| 1487809448 | Anwar Shafi | Pediatrics | 301 N 8th St, Suite Pav4a, Springfield, IL 62701-1041 | 2008-11-18 |
| 1437352952 | Nico W Vehse | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2007-06-11 |
| 1689745903 | William A Spohn | Pediatrics | 651 S Limestone St, Springfield, OH 45505-1965 | 2006-11-10 |
| 1225129430 | Francis J. Duda | Pediatrics | 50 Wason Ave, 1st Floor, Springfield, MA 01199-1002 | 2006-09-27 |
| 1386665412 | Pediatric Pulmonology of Western New England, P.C. | Pediatrics | 780 Chestnut St, Ste. 11, Springfield, MA 01107-1610 | 2006-07-22 |
| 1053364281 | Matthew C Lundien | Pediatrics | 1965 S Fremont Ave, Ste 220, Springfield, MO 65804-2201 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437593472 | Brenda Louise Giles | Pediatrics | 5721 South Maryland Avenue, Dept of Peds, K160j, Mc8000, The University of Chicago, Chicago, IL 60637 | 2013-04-22 |
| 1790913036 | Avani Vinod Shah | Pediatrics | 630 N State St Apt 1502, Chicago, IL 60654 | 2009-06-25 |
| 1891816781 | Kimberly D. Watts | Pediatrics | 2300 N Childrens Plz # 43, Chicago, IL 60614-3363 | 2007-04-02 |
| 1578612438 | Childrens Medical Center Sc | Pediatrics | 1801 W 47th St, Chicago, IL 60609-3872 | 2007-01-09 |
| 1982783361 | David Scott Shoberg | Pediatrics | 7144 Kleckner Rd, Rockford, IL 61107-6821 | 2006-11-04 |
| 1770542862 | Thomas Patrick Green | Pediatrics | 2400 Childrens Plaza, Childrens Memorial Hospital, Chicago, IL 60614 | 2006-03-20 |
| 1669467726 | Nizar Kherallah | Pediatrics | 530 Ne Glen Oak Ave Dept Of, Peoria, IL 61637-2673 | 2005-09-15 |
| 1841701075 | Ashley Black | Pediatrics | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2017-10-16 |
| 1699188623 | John Palla | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2014-06-06 |
| 1083847917 | Torero Pulmonary Specialists, Sc | Pediatrics | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2009-08-26 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.