Mark R Johnson in Springfield - Pediatric Pulmonology
Mark R Johnson - NPI 1205811775
Mark R Johnson is a Pediatric Pulmonology in Springfield, Illinois. Mark R Johnson practices all healthcare services and medical treatments related to Pediatric Pulmonology. The NPI Number for Mark R Johnson is 1205811775. The last update date is 2020-11-17.
Mark R Johnson's current location address is Po Box 19639, Springfield, Illinois. You can contact this provider via phone number 2175457578 and fax number 2175451884. The mailing address for Mark R Johnson is Po Box 19639, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Johnson |
|---|---|
| Address | Po Box 19639, Springfield, Illinois |
| Phone Number | 2175457578 |
| Fax Number | 2175451884 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205811775 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2020-11-17 |
Provider Mailing Address Detail
| Address | Po Box 19639 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949639 |
| Phone Number | 2175457578 |
| Fax Number | 2175451884 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Pulmonology |
|---|---|
| Taxonomy | 2080P0214X |
| Licence No | 036-093433 |
|
Definition: 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 in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36093433 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark R Johnson?
The Mark R Johnson has been issued the NPI (National Provider Identifier) 1205811775 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Mark R Johnson is physically located?
The Mark R Johnson is physically situated at the following address: Po Box 19639, Springfield, IL, 627949639.
What is the Mark R Johnson's specialty and taxonomy code?
The Mark R Johnson's specialty is Pediatric Pulmonology, and the corresponding taxonomy code is 2080P0214X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205811775 to Mark R Johnson?
The Mark R Johnson received its 1205811775 assignment from the Centers for Medicare & Medicaid Services on 2005-12-07.
As of what date was the information regarding Mark R Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark R Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-11-17.
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