Mark D Johnson, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

48521 Issued in MA

Practice address

255 Plain Drive
Massachusetts Anesthesia Corp.
Stoughton, MA 02072-0372

Phone

(781) 341-3966

Fax

(781) 341-8269

NPI assigned

Jul 11, 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 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Anesthesiology

Education

University of Massachusetts Medical School, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivs Anesthesia LLCGroup PAC ID 9537233010, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ivs Anesthesia, LLC

  • Anesthesiology Physician
  • Andover, MA
  • NPI 1740440163

  MA

  Medicare reassignment Care Compare group
• Medical Anesthesiology Consultants

  • Anesthesiology Physician
  • Fitchburg, MA
  • NPI 1437104205

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1770518581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "address_2": "MASSACHUSETTS ANESTHESIA CORP.",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020720372",
            "telephone_number": "781-341-3966",
            "fax_number": "781-341-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PLAIN DRIVE",
            "address_2": "MASSACHUSETTS ANESTHESIA CORP.",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020720372",
            "telephone_number": "781-341-3966",
            "fax_number": "781-341-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "48521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050092266",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6171433",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Jeanty
• Jennifer Cardarelli LMHC, LLC
• Fabiola Jocelin
• Ashia Noelle Johnson-Merritt
• Jemimah Johnson, DPT
• Lyndon C Jones, LICSW
• Margaret W Jones, M.D.
• Elena Adriana Jordache, DMD
• Kathleen Marian Jordan, M, RD, LDN
• Anthony B Joseph, MD

• Anesthesiology Physician in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Anesthesiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.