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MARK C JOHNSON MD
NPI 1831155365
Family Medicine in Boise, ID

Active since April 24, 2006
3301 N SAWGRASS WAY, BOISE, ID 83704(208) 375-0862(208) 375-2658 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark C Johnson Md NPPES

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

MARK C JOHNSON MD (NPI 1831155365) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M5266) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1831155365
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK C JOHNSONCredential: MD
Location Address3301 N SAWGRASS WAYBoise, ID 83704-4493
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 375-0862
Fax(208) 375-2658
Sole ProprietorNo
Enumeration DateApril 24, 2006
Last NPPES UpdateJanuary 23, 2014
✔ NPI 1831155365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M5266
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.
3301 N SAWGRASS WAY, Boise, ID 83704
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Other Identifiers 1

Medicare PIN11206902ID

Other Providers at the Same Location NPPES 16

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

ST LUKES REGIONAL MEDICAL CENTER
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
MS. MICHELE RENEE BIRCH DNP, FNP-C
Nurse Practitioner (Family)
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
KIRSTEN M DEUTSCH MD
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
BECKY SUE KROLL M.D.
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
CARSON NICOLE MONDADA PA-C
Physician Assistant (Medical)
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
RUSSELL M KOCEMBA MD
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
GERTJAN MULDER MD
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
KELSEY JANEL WERTZLER MD
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862

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 Mark Johnson's NPI number?

The NPI number for Mark Johnson is 1831155365. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Mark Johnson located?

Mark Johnson practices at 3301 N Sawgrass Way, Boise, ID 83704. The listed phone number is (208) 375-0862.

What is Mark 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 Mark Johnson was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.