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DR. LOREN MARK JOHNSON M.D.
NPI 1114909694
Family Medicine in Scott Afb, IL

Active since November 18, 2005
203 W LOSEY ST, SUITE 1620, SCOTT AFB, IL 62225(618) 229-6306 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Loren Mark Johnson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LOREN MARK JOHNSON M.D. (NPI 1114909694) is an individual family medicine provider in Scott Afb, Illinois, licensed in Virginia (0101033282) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1114909694
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LOREN MARK JOHNSONCredential: M.D.
Location Address203 W LOSEY ST, SUITE 1620Scott Afb, IL 62225-5207
Mailing Address203 W Losey St, Suite 1620Scott Afb, IL 62225-5207
Phone(618) 229-6306
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1114909694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101033282
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 0101033282 (VA)
203 W LOSEY ST, Scott Afb, IL 62225
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH PAUL MCDONNELL M.D.
Internal Medicine
203 W LOSEY ST, SUITE 1624
SCOTT AFB, IL 62225
St. Clair County (618) 206-2225
DR. PATRICK DAVID LOWRY M.D.
Preventive Medicine (Aerospace Medicine)
203 W LOSEY ST, BLDG 1700, RM 1600
SCOTT AFB, IL 62225
St. Clair County (618) 229-5496
DAVID HAMMIEL LCSW
Social Worker (Clinical)
203 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 229-6113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loren Johnson's NPI number?

The NPI number for Loren Johnson is 1114909694. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Loren Johnson located?

Loren Johnson practices at 203 W Losey St Suite 1620, Scott Afb, IL 62225. The listed phone number is (618) 229-6306.

What is Loren Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Loren Johnson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.