National Provider Identifier Database

MARK R JOHNSON, MD – NPI #1205811775
Pediatric Pulmonology

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.


Contact Information

MARK R JOHNSON, MD
301 N 8TH ST
SPRINGFIELD, IL62701-1041
Phone: 217-545-0702
Fax: 217-545-5834
Website:
Specialty Taxonomy Code
* Pediatric Pulmonology 2080P0214X

* Indicates primary specialty

NPI Profile & details for MARK R JOHNSON

NPI Number 1205811775
Credentials MD
Entity Individual
Enumeration date 12/07/2005
Last updated 11/17/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036-093433
  • IL Medicaid: 036093433
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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