Marcus a. Johnson MDPC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

3401 Issued in MT

Legal business name

MARCUS A. JOHNSON MDPC

Practice address

2201 Sun River Rd
Great Falls, MT 59404-5703

Phone

(406) 452-9927

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Marcus A. Johnson, M.D.

Title

Owner

Phone

(406) 452-9927

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1205126018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SUN RIVER RD",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594045703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SUN RIVER RD",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594045703",
            "telephone_number": "406-452-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS A. JOHNSON MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-452-9927",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "3401",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MT",
            "license": "3401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "000084258",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083164",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Dolores Mancillas-Loveless, PTA, LMT, C.PED
• Madelynn Mann
• Rebecca R Mansfield, FNP-BC
• Donna J Marchington, LCPC
• Helenka M Marcinek, MD
• Melchisedek L Margaris, MD
• Mark F. Ozog M.D. P.C. (Ozog Eye Care and Laser Center)
• Mark F. Ozog M.D. P.C. (Ozog Eye Care and Laser Center)
• Charles Marler, M.D.
• Michele C Marler, M.D.

• General Practice Physician in Great Falls, MT
• Providers in Great Falls, MT by specialty
• General Practice Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.