Mark C Johnson (NPI# 1831155365, PAC ID# 5092811133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1831155365 |
| PAC ID by PECOS | 5092811133 |
| Professional Enrollment ID | I20081028000235 |
| Full Name | Mark C Johnson |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Address |
9850 St Lukes Dr Nampa ID 83687-7912 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4981878402 |
| Number of Group Practice Members | 686 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 608 W Hays St, Boise, ID 83702-5511 | 2083815970 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 610 W Hays St, Boise, ID 83702-5511 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 9850 St Lukes Dr, Nampa, ID 83687-7912 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Physicians | 831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Scholten | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Tracye J Lawyer | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Suite 215, Nampa, ID 83687-7912 |
| Alex Mari Tanabe | Internal Medicine | St Lukes Clinic-treasure Valley LLC | 600 N Robbins Rd, Boise, ID 83702-4565 |
| Jessica J Carpenter | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 1620 S Kimball Ave, Caldwell, ID 83605-4547 |
| Whitney B Conrad | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 1226 W River St, Boise, ID 83702-7049 |
| Megan D Larson | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 287 W Jefferson St, Boise, ID 83702-6045 |
| Bonnie M Reed | Family Medicine | St Lukes Clinic-treasure Valley LLC | 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550 |
| Scott J Chyna | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976 |
| Sarah J Mooseau | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 510 N 2nd St, Suite 201, Boise, ID 83702-6078 |
| Nitya Alluri | Hematology | St Lukes Clinic-treasure Valley LLC | 100 E Idaho St, Suite 302, Boise, ID 83712-6269 |
| Street Address |
9850 ST LUKES DR |
| City | NAMPA |
| State | ID |
| Zip | 83687-7912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracye J Lawyer | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Suite 215, Nampa, ID 83687-7912 |
| Heather N Powell | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Nampa, ID 83687-7912 |
| Stephen T Diemont | Emergency Medicine | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Nampa, ID 83687-7912 |
| Gary D Botimer | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Suite 215, Nampa, ID 83687-7912 |
| Julie D Lyon | Hospitalist | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Nampa, ID 83687-7912 |
| Javier Torrez | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Nampa, ID 83687-7912 |
| Christopher A Gnadinger | Emergency Medicine | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Nampa, ID 83687-7912 |
| Sarah C Maddux | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Nampa, ID 83687-7912 |
| Rick N Roberts | Internal Medicine | Southern Idaho Health Partners LLC | 9850 St Lukes Dr, Nampa, ID 83687-7912 |
| Jeremy J Stockett | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Nampa, ID 83687-7912 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn A Benton | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jeffrey Ryan Moreno | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Allyson A Bates | Nurse Practitioner | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Juliette E Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jynnah Leigh Snow | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Janine M Franco | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Michelle Chin | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Dustan T Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Rick A Heikkila | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Christoffer A Spoja | Internal Medicine | Sound Physicians of Idaho | 4300 E Flamingo Ave, Nampa, ID 83687-3138 |
| Find all physicians in zip 83687 | |||
| City | NAMPA |
| Zip Code | 83687 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | NAMPA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Mark C Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.