MARK JOHNSON (NPI# 1780618694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780618694 |
Entity Type | Individual |
Full Name | MARK JOHNSON |
Credential | MD |
Practice Address |
385 Main St South Union Square Southbury CT 06488 |
Mailing Address |
385 Main St South Union Square Bldg #1 Southbury CT 06488 |
Practice Telephone | 2032647999 |
Practice Fax Number | 2032647477 |
Mailing Telephone | 2032647999 |
Mailing Fax Number | 2032647477 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
022134 | CT | Allopathic & Osteopathic Physicians |
X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
022134 | CT | Allopathic & Osteopathic Physicians |
X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
022134 | CT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
1437692787 | Mark Johnson | Pharmacist | 500 N Claude Lord Boulevard, Pottsville, PA 17901-3868 | 2016-11-18 |
1902277734 | Mark Johnson Sr. | Counselor | 5310 Eagle Creek Blvd, Shakopee, MN 55379-8617 | 2015-10-20 |
1295175966 | Mark Johnson | Pharmacist | 418 Opal Ln, Hibbing, MN 55746-3844 | 2013-06-26 |
1275971988 | Mark A Johnson | Dentist | 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 | 2013-06-05 |
1598009938 | Mark R Johnson | Pharmacist | 273 12th St Ne, Unit 313, Atlanta, GA 30309-3853 | 2012-11-26 |
1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
1881953578 | Mark Joseph Johnson | Anesthesiology | 2810 N Swan Rd Ste 1002810n, Tucson, AZ 85712-6305 | 2012-05-15 |
1811261662 | Mark Johnson | Physical Therapist | 3303 Sw Bond Ave Fl 1, Portland, OR 97239-4501 | 2012-02-25 |
1639470636 | Mark Johnson | Counselor | 4314 W Lovers Ln, Dallas, TX 75209-2804 | 2010-11-06 |
Street Address |
385 MAIN ST SOUTH UNION SQUARE |
City | SOUTHBURY |
State | CT |
Zip Code | 06488 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619973823 | Bipinchandra Jagjivan | Radiology | 385 Main St South, Union Square Bldg #1 Nvra Imaging Network, Southbury, CT 06488 | 2005-06-22 |
1538249065 | Geoffrey L Manton | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-10-17 |
1245252824 | Diagnostic Imaging of Southbury | Clinic/Center | 385 Main St South, Nvra Union Square Bldg 2, Southbury, CT 06488 | 2006-07-24 |
1346274255 | Robert Gumbardo | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
1871527788 | Jeffrey Hawley | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
1578597308 | Philip Rothfeld | Radiology | 385 Main St South, Union Square, Bldg#1, Southbury, CT 06488 | 2006-07-10 |
1114959541 | Matthew Bushey | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-07 |
1699707018 | Carolyn Ajemian | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-07 |
1184652711 | Gina Rupert | Physician Assistant | 385 Main St South, Ste 301 Union Square, Southbury, CT 06488 | 2006-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538646229 | Katherine Whalen | Physical Therapist | 655 Main Sreet South, Southbury, CT 06488 | 2018-07-25 |
1346779618 | Prestige Companion & Homemakers, LLC | Homemaker | 32 Poverty Rd, Suite F, Southbury, CT 06488 | 2017-06-08 |
1407225873 | Mary Synnott | Occupational Therapist | 25 Depot Hill Rd, Southbuty, CT 06488 | 2015-09-16 |
1568854735 | Jean Piacenza | Social Worker | 505 Heritage Road, Suite 104, Southbury, CT 06488 | 2015-02-25 |
1295174993 | Saeeda Qadri | Internal Medicine | 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 | 2013-06-17 |
1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
1992064380 | Maria Hornak-houle | Social Worker | 88 Main St. S, Southbury, CT 06488 | 2012-05-07 |
1255641072 | Rebecha Kay Sullivan | Social Worker | 35 Timberland Way, Southbury, CT 06488 | 2010-10-14 |
1619115094 | Jennie L Kempf | Counselor | 33 Bullet Hill Rd Ste 204, Southbury, CT 06488 | 2009-01-23 |
1891949434 | Kelly Patrice Hochstetler | Occupational Therapist | 22 Old Waterbury Rd., Suite 101, Phys. Med. Ctr. of Southbury, Southbury, CT 06488 | 2008-11-10 |
Find all providers in zip 06488 |
Taxonomy Code | 2085N0904X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Nuclear Radiology |
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346274255 | Robert Gumbardo | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
1598799405 | Robert Lehman | Radiology | 385 Main St S, Union Square Bldg#2, Southbury, CT 06488-4240 | 2006-07-10 |
1992739809 | Ying-sek Chan | Radiology | 385 Main St S, Union Square, Southbury, CT 06488-4240 | 2006-07-10 |
1114959541 | Matthew Bushey | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-07 |
1275565640 | Michael Malin | Radiology | 385 Main St S, Union Square, Southbury, CT 06488-4240 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174812986 | Alena Kreychman | Radiology | 4 Talcott Gln Unit D, Farmington, CT 06032-3523 | 2011-04-01 |
1669412961 | Aditya R Daftary | Radiology | 205 Church Street, 3rd Floor, New Haven, CT 06510-1805 | 2006-06-07 |
1073502621 | Frans J Wackers | Radiology | 20 York Street, Y-nhh South Pavilion 2nd Fl, New Haven, CT 06510 | 2005-10-17 |
1912239625 | Anne Marie Boustani | Radiology | 20 York St, New Haven, CT 06510-3220 | 2010-02-04 |
1689813966 | Manijeh Zehtabchi | Radiology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510 | 2009-02-11 |
1528231677 | David S Karimeddini | Radiology | 263 Farmington Ave, Farmington, CT 06030-0001 | 2008-04-09 |
1326134701 | Antonio Obando | Radiology | 950 Campbell Avenue, West Haven, CT 06516-2700 | 2006-10-05 |
1992788335 | Carol H Lee | Radiology | 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519-1369 | 2005-11-21 |
1457347833 | Scott Williams | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2005-09-21 |
1447245030 | Douglas W Gibson | Radiology | 263 Farmington Ave, Radiology, Farmington, CT 06030-2803 | 2005-09-20 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MARK JOHNSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.