Mark Johnson

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

FO3744 Issued in PA

Practice address

3303 W 26TH St
Erie, PA 16506

Phone

(814) 449-8708

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536969600000",
    "number": "1174053763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062401",
            "telephone_number": "814-449-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16506",
            "telephone_number": "814-449-8708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "16506",
            "country_code": "US",
            "telephone_number": "814-449-8708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "FO3744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill R Johnson, CPM
• Julie A Johnson, DPT
• Karen Ann Johnson, LPC
• Kurt A Johnson, DMD
• Linda M Johnson, CRNP
• Matthew Johnson, M.D.
• Nichole Stachewicz Johnson, DMD
• Rashada Johnson
• Selena L. Johnson
• Taylor Hildebrandt Johnson, DDS

• Hearing Instrument Specialist in Erie, PA
• Providers in Erie, PA by specialty
• Hearing Instrument Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.