MARK LEO JOHNSON (NPI# 1649353855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649353855 |
| Entity Type | Individual |
| Full Name | MARK LEO JOHNSON |
| Credential | M.D. |
| Practice Address |
1000 Mon Health Medical Park Dr Ste 1100 Morgantown WV 26505-1104 |
| Mailing Address |
1000 Mon Health Medical Park Dr Ste 1103 Morgantown WV 26505-1143 |
| Practice Telephone | 3045991448 |
| Practice Fax Number | 3045995335 |
| Mailing Telephone | 3045991448 |
| Mailing Fax Number | 3045995335 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2017-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 18363 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 001719640 | 01 | |
| WV | MEDICARE | WV5186C185 | 01 |
| WV | 0126399000 | 05 | |
| WV | RAILROAD MEDICARE | PO1453582 | 01 |
| 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 |
1000 MON HEALTH MEDICAL PARK DR STE 1100 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033189766 | Andrzej J Jaworski | Internal Medicine | 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 | 2006-01-25 |
| 1710140298 | Rime Abbas | Internal Medicine | 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 | 2008-07-06 |
| 1265506448 | Mary Jean Hall | Dermatology | 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 | 2006-11-20 |
| 1033292339 | Jerome Gordon Johnson | Surgery | 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 | 2006-10-23 |
| 1730100132 | Faisal A Bukeirat | Internal Medicine | 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730437716 | Akkary Center for Weight Management & Surgical Services | Surgery | 1100 Fort Pierpont Dr, Morgantown, WV 26508-1329 | 2012-08-21 |
| 1780962704 | Pineview Surgery Pllc | Surgery | 1311 Pineview Dr Ste 200, Morgantown, WV 26505-3276 | 2011-07-25 |
| 1144487042 | Ehab A Akkary | Surgery | 1100 Fort Pierpont Dr Ste 101, Morgantown, WV 26508-1329 | 2008-05-19 |
| 1194911107 | Ferdinand C Martinez | Surgery | 3000 Mon Health Medical Park Dr Ste 3201, Morgantown, WV 26505-1170 | 2007-09-24 |
| 1255538575 | Jennifer Christine Knight | Surgery | 101 Stadium Dr., Morgantown, WV 26506 | 2007-06-29 |
| 1871682468 | David C Blass | Surgery | 261 Lakeview Dr, Morgantown, WV 26508-8081 | 2006-10-12 |
| 1710966098 | George Tittmann Record | Surgery | 341 Spruce St, Milan Puskar Health Right, Morgantown, WV 26505-5504 | 2006-01-13 |
| 1780661819 | William Hugh Burns | Surgery | 600 Suncrest Town Centre Dr Ste 310, Morgantown, WV 26505-1873 | 2005-12-29 |
| 1174508212 | Roger Edward King | Surgery | 600 Suncrest Towne Centre, Suite 310, Morgantown, WV 26505-1872 | 2005-12-13 |
| 1508359381 | Miles James Graves | Surgery | 101 Stadium Dr, Morgantown, WV 26506 | 2018-06-07 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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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.