Mark E Johnson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD00044906 Issued in WA

Practice address

724 5TH St
Marysville, CA 95901-5646

Phone

(530) 749-3242

Fax

(530) 749-3248

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Rush Medical College of Rush University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospital at Westlake Medical Center Hospital, Austin, TX, CCN 670006
• Methodist Hospital Hospital, San Antonio, TX, CCN 450388
• Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Texas Emergency Group LLC

  • Emergency Medicine Physician
  • Cuero, TX
  • NPI 1699288811
  Medicare reassignment NPD
• Third Coast Emergency Physicians Southwest PA

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1497793475
  Medicare reassignment NPD
• WH Services Austin LLC

  • Hospitalist Physician
  • Austin, TX
  • NPI 1346950946
  Medicare reassignment NPD
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1245043413
  NPD (past)
• Home Dialysis of Illinois LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Northbrook, IL
  • NPI 1881304566
  NPD (past)
• Horizon Emergency Physician Group, LTD

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1962427690
  NPD (past)
• Kennewick Emergency Physicians, P.S.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kennewick, WA
  • NPI 1629110564
  NPD (past)
• Nouveau Jeunesse Associates, PLLC

  • Phlebology Physician
  • Kennewick, WA
  • NPI 1124257720
  NPD (past)
• Valley Emergency Care Management, Inc.

  • Emergency Medicine Physician
  • Geneva, IL
  • NPI 1841395092
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Healthcare System of San Antonio LTD LLP

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1659525236
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1124074273
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1689627655
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1952348021
  Care Compare affiliation
• Westlake Surgical, L.P.

  • General Acute Care Hospital
  • West Lake Hills, TX
  • NPI 1043328198
  Care Compare affiliation

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1669578357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 YUBA ST",
            "address_2": "SUITE 144",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959014838",
            "telephone_number": "530-741-6245",
            "fax_number": "530-741-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 5TH ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015646",
            "telephone_number": "530-749-3242",
            "fax_number": "530-749-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00044906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I PROVIDER #",
            "identifier": "0197072",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0227846",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8429763",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "3952JO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jancy John, CRNA
• Theodore John, M.D.
• Betsy G Johnson, MS
• Inder Johnson, OTR/L
• Kendell Sharess Johnson, LVN
• Tessah Johnson
• Jennifer B. Jones, MPT
• Aunastaja Jordan-Collins
• Meghan Elizabeth Jorgensen
• Sarb Judge

• Emergency Medicine Physician in Marysville, CA
• Providers in Marysville, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.