National Provider Identifier Database

MARK E JOHNSON, MD – NPI #1568454502
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Contact Information

MARK E JOHNSON, MD
1200 SIXTH AVE N
CENTRACARE CLINIC
SAINT CLOUD, MN  56303-2735
Phone: 320-252-5131
Fax: 320-255-5714
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for MARK E JOHNSON

NPI Number 1568454502
Credentials MD
Entity Individual
Enumeration date 08/16/2005
Last updated 08/26/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • MN License #: 33783
  • MN Medicaid: 686002800
  • Other: 600885 ARAZ GROUP AMERICAS PPO
  • Other: 6D71JO BLUE CROSS BLUE SHIELD
  • Other: 2114001 FIRST HEALTH PLAN
  • Other: HP25456 HEALTH PARTNERS
  • Other: 2529937 MEDICA HEALTH PLANS
  • Other: 686002800 MEDICAL ASSISTANCE
  • Other: 986014 PREFERRED ONE
  • Other: 110104487 RR MEDICARE
  • Other: 110904 U CARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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