Mark Rolfe Johnson MD., P.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

184901-1205 Issued in UT

Legal business name

MARK ROLFE JOHNSON MD., P.C.

Practice address

1899 E Siesta Dr
Cottonwood Heights, UT 84093-6241

Phone

(801) 631-8210

Fax

(801) 446-1474

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

Mark R Johnson, MD

Title

Provider

Phone

(801) 631-8210

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1225564826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 E SIESTA DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840936241",
            "telephone_number": "801-631-8210",
            "fax_number": "801-446-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 E SIESTA DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840936241",
            "telephone_number": "801-631-8210",
            "fax_number": "801-446-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ROLFE JOHNSON MD., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "801-631-8210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "184901-1205",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "184901-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dave Mangum, CMHC
• Ashley Jane Mann
• Jessica Xaiz Mann, LCSW
• Benjamin James Marden
• Mark R Johnson MD PC
• Madeline Marple
• Haley Marston
• Alison Elaine Martin, PHARMD
• Denise Martinez Gascoigne, MS, RD, CN
• Guadalupe Martinez-Garcia

• Skilled Nursing Facility in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.