MARK J JOHNSON (NPI# 1407924608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407924608 |
| Entity Type | Individual |
| Full Name | MARK J JOHNSON |
| Credential | MD |
| Practice Address |
2400 Mount Zion Parkway Department of Radiology Jonesboro GA 30236 |
| Mailing Address |
3495 Piedmont Road Ne Nine Piedmont Center Atlanta GA 30305-9775 |
| Practice Telephone | 7706033522 |
| Mailing Telephone | 4043647000 |
| Mailing Fax Number | 4043644732 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
033605 | GA | 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 |
2400 MOUNT ZION PARKWAY DEPARTMENT OF RADIOLOGY |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309128 | Debora K Boyle Borkowski | Registered Nurse | 2400 Mount Zion Parkway, Department of Behavioral Health, Jonesboro, GA 30236 | 2006-01-09 |
| 1104134295 | Matthieu Laliberte | Family Medicine | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2010-09-22 |
| 1871732404 | Patricia Ann Jones | Psychiatry & Neurology | 2400 Mount Zion Parkway, Southwood Dept of Behavioral Health, Jonesboro, GA 30236 | 2009-02-04 |
| 1326298605 | Roza Elena Clempus | Internal Medicine | 2400 Mount Zion Parkway, Endocrinolgy Department, Jonesboro, GA 30236 | 2008-09-24 |
| 1750541892 | Neha Sharma | Radiology | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2008-06-12 |
| 1609054626 | Karen Reneau Stewart | Psychiatry & Neurology | 2400 Mount Zion Parkway, Behavorial Health, Jonesboro, GA 30236 | 2008-01-31 |
| 1235322934 | Andrew Nathan Kobylivker | Internal Medicine | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2007-08-25 |
| 1790839660 | Joseph T Schifilliti | Obstetrics & Gynecology | 2400 Mount Zion Parkway, Department of Obstetrics & Gynecology, Jonesboro, GA 30236 | 2007-01-22 |
| 1154472314 | Cecily Cole Martin | Psychiatry & Neurology | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2007-01-15 |
| 1245398478 | Janice C Matthewson | Family Medicine | 2400 Mount Zion Parkway, Family Practice Health Care Team A, Jonesboro, GA 30236 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578982526 | John Clifton Faircloth | Radiology | 800 S Chuch St, Suite 101, Jonesboro, AR 72401 | 2014-04-07 |
| 1083053615 | Caraway Medical Center | Radiology | 2929 S Caraway Rd Ste 1, Jonesboro, AR 72401-7335 | 2013-06-17 |
| 1184984155 | Holly Jo Gonzales | Radiology | 800 S Church St Ste 101, Jonesboro, AR 72401 | 2012-05-23 |
| 1922121698 | Wolf E Heberlein | Radiology | 3800 E Johnson Ave, Ste E, Jonesboro, AR 72401-1931 | 2007-04-09 |
| 1023074002 | Jeff Mullen | Radiology | 3100 Apache Dr, Suite C1, Jonesboro, AR 72401-7404 | 2006-04-26 |
| 1376506980 | St.bernards Imaging Center | Radiology | 1144 E Matthews Ave, Jonesboro, AR 72401-4314 | 2006-04-07 |
| 1518961580 | John Kenneth Phillips | Radiology | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2005-06-08 |
| 1609878867 | Richard R Reinholtz | Radiology | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2005-06-01 |
| 1912136524 | Georgia Vascular Institute, LLC | Radiology | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2009-07-06 |
| 1679715130 | Ezekiel Elliott Shotts | Radiology | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2009-03-30 |
| Find all providers in JONESBORO | ||||
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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.