MARK JOHNSON


Address: 385 Main St South, Union Square, Southbury, CT 06488
Phone: 2032647999

MARK JOHNSON (NPI# 1780618694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers MARK JOHNSON

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

Office Location

Street Address 385 MAIN ST SOUTH
UNION SQUARE
City SOUTHBURY
State CT
Zip Code 06488

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085N0904X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Nuclear Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City SOUTHBURY
Zip Code 06488

Improve Information

Please comment or provide details below to improve the information on MARK JOHNSON.

Dataset Information

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.

Trending Searches