Mark a Johnson, MD, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MARK A JOHNSON, MD, PA

Practice address

100 Medical Center Blvd Ste 100
Conroe, TX 77304-2821

Phone

(936) 271-0665

Fax

(936) 271-0664

NPI assigned

Jul 21, 2006

Last updated

Nov 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Alan Johnson, MDNPI 1053334615

Title

Porvider

Phone

(936) 271-0665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17348/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• NPI 1053334615

  • NPI 1053334615

  Surgery, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1558381376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15713 LAKEWAY DR",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773183181",
            "telephone_number": "281-723-6926",
            "fax_number": "844-855-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-271-0665",
            "fax_number": "936-271-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A JOHNSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PORVIDER",
        "authorized_official_telephone_number": "936-271-0665",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Manzanarez, DC
• Bunnarith Mao
• Robin Elizabeth Marble, RN
• Gabrielle Marchelli
• Marjorie Enterprises LLC (Hear Again)
• Mark Stephenson DDS PC (Dr Mark Stephenson DDS PC)
• Janusz Markowski, M.D.
• Jacqueline Marroquin
• Joshua J Marsh, DO
• Jensen Paul Marshall, PHARM. D

• Surgery Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.