Mark R Johnson, M.D.
Mark R Johnson is a Pediatric Pulmonology Physician provider (Pediatrics) practicing in Springfield, IL, registered in the NPPES registry with NPI 1205811775 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205811775 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mark R Johnson |
| Credential | M.D. |
| Sex | Male |
| Practice address | 301 N 8TH ST, Springfield, IL, 62701 |
| Phone | 2175450702 |
| Fax | 2175455834 |
| Enumeration date | 2005-12-07 |
| Last updated in NPPES | 2020-11-17 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080P0214X | Pediatric Pulmonology Physician | Primary | 036-093433 | IL |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036093433 | Medicaid | IL | — |
Copy-ready billing details
Provider: Mark Johnson, M.D. NPI: 1205811775 Taxonomy: 2080P0214X (Pediatric Pulmonology Physician) Address: 301 N 8TH ST, Springfield, IL, 62701
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578565420 | Samuel Au | Individual | Radiation Oncology Physician | Springfield, IL |
| 1700871571 | Carol Bauer | Individual | Otolaryngology Physician | Springfield, IL |
| 1871588640 | Horst Konrad | Individual | Otolaryngology Physician | Springfield, IL |
| 1609861426 | Phillip Myers | Individual | Otolaryngology Physician | Springfield, IL |
| 1477549905 | Kevin Robbins | Individual | Otolaryngology Physician | Springfield, IL |
| 1609862200 | Richard Bass | Individual | Otolaryngology Physician | Springfield, IL |
| 1184610255 | Ruth Mayforth | Individual | Pediatric Surgery Physician | Springfield, IL |
| 1154317113 | John Fisk | Individual | Orthopaedic Surgery Physician | Springfield, IL |
Verify this record
Cross-check NPI 1205811775 against the authoritative CMS record: view Mark R Johnson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-17.