Individual provider Active NPI

Mark Joseph Johnson, M.D.

  • Anesthesiology Physician
  • Tucson, AZ
National Provider Identifier
1881953578
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
53668 Issued in AZ
Practice address
2810 N Swan Rd Ste 1002810N
Tucson, AZ 85712-6305
Phone
(520) 324-2030
Fax
(520) 445-6019
NPI assigned
May 15, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2016-00200 NC
Anesthesiology Physician 207L00000X 53668 AZ Primary

Addresses

Primary practice location

2810 N Swan Rd Ste 1002810N
Tucson, AZ 85712-6305

Mailing address

2810 N Swan Rd Ste 100
Tucson, AZ 85712-6300
Phone (520) 324-2030

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20170622002299 AZ Practitioner - Anesthesiology 9234420126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at San Antonio, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

10360 E Drexel Rd
Tucson, AZ 85747-9405
Phone (520) 207-2546

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Anesthesiology CurrentSince Nov 17, 2025 Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Sep 20, 2023 Accepting new patients

Locations

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

Organizations & group practices 2

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881953578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N SWAN RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126300",
            "telephone_number": "520-324-2030",
            "fax_number": "520-445-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N SWAN RD STE 1002810N",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126305",
            "telephone_number": "520-324-2030",
            "fax_number": "520-445-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MEDICAL CENTER BLVD",
            "address_purpose": "LOCATION",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-3202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2016-00200",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "53668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.