Marc C Johnson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01062075A Issued in IN

Practice address

350 W Columbia St
Suite 420
Evansville, IN 47710-1782

Phone

(812) 422-3254

Fax

(812) 426-6388

NPI assigned

Nov 17, 2005

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 IN, MN2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of New Mexico School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Medical Scanning Consultants PA

  • Diagnostic Radiology Physician
  • St Louis Park, MN
  • NPI 1659348092
  Medicare reassignment Care Compare group NPD
• Imaging Associates of Indiana, PC

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1699072611
  Medicare reassignment NPD
• Cdi Twin Cities ASC LLC

  • Ambulatory Surgical Clinic/Center
  • St Louis Park, MN
  • NPI 1245207687
  NPD
• Medical Scanning Consultants PA

  • Diagnostic Radiology Physician
  • Federal Way, WA
  • NPI 1730156175
  NPD
• Indiana Radiology Partners, Inc

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1497712160
  NPD (past)
• Medical Scanning Consultants PA

  • Diagnostic Radiology Physician
  • Carmel, IN
  • NPI 1396712725
  NPD (past)
• Maryville Radiology Group, LTD

  • Diagnostic Radiology Physician
  • Maryville, IL
  • NPI 1497773063
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1902888761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W COLUMBIA ST",
            "address_2": "SUITE 420",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101782",
            "telephone_number": "812-422-3254",
            "fax_number": "812-426-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COLUMBIA ST",
            "address_2": "SUITE 420",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101782",
            "telephone_number": "812-422-3254",
            "fax_number": "812-426-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARC",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01062075A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017600",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200832060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Lynn Johnson, AGACNP-BC
• Kamesha Johnson, RN
• Kathryn Johnson
• Linda Johnson
• Madison Johnson
• Megan R Johnson, COTA
• Melinda Jo Johnson, M.A., CCC-A
• Melissa S Johnson, LCSW
• Mia E Johnson, RRT
• Michelle Johnson, BA

• Diagnostic Radiology Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.