Mark E Johnson, MD
Mark E Johnson is a Cardiovascular Disease Physician provider (Internal Medicine) practicing in St Cloud, MN, registered in the NPPES registry with NPI 1568454502 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568454502 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mark E Johnson |
| Credential | MD |
| Sex | Male |
| Practice address | 1200 SIXTH AVE N, CENTRACARE CLINIC, St Cloud, MN, 56303 |
| Phone | 3202525131 |
| Fax | 3202555714 |
| Enumeration date | 2005-08-16 |
| Last updated in NPPES | 2024-08-26 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RC0000X | Cardiovascular Disease Physician | Primary | 33783 | MN |
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 |
|---|---|---|---|
| 600885 | Other | — | ARAZ GROUP AMERICAS PPO |
| HP25456 | Other | — | HEALTH PARTNERS |
| 110104487 | Other | — | RR MEDICARE |
| 110904 | Other | — | U CARE |
| 2114001 | Other | — | FIRST HEALTH PLAN |
| 6D71JO | Other | — | BLUE CROSS BLUE SHIELD |
| 986014 | Other | — | PREFERRED ONE |
| 2529937 | Other | — | MEDICA HEALTH PLANS |
| 686002800 | Medicaid | MN | — |
| 686002800 | Other | — | MEDICAL ASSISTANCE |
Copy-ready billing details
Provider: Mark Johnson, MD NPI: 1568454502 Taxonomy: 207RC0000X (Cardiovascular Disease Physician) Address: 1200 SIXTH AVE N, CENTRACARE CLINIC, St Cloud, MN, 56303
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306848122 | Bernard Erickson | Individual | Interventional Cardiology Physician | St Cloud, MN |
| 1679575492 | Keith Lurie | Individual | Clinical Cardiac Electrophysiology Physician | St Cloud, MN |
| 1295728848 | Edward Martin - Chafee | Individual | Pediatric Cardiology Physician | St Cloud, MN |
| 1356339303 | Holly Peterson | Individual | Hospitalist Physician | St Cloud, MN |
| 1578552477 | Olayiwola Adetunji | Individual | Hospitalist Physician | St Cloud, MN |
| 1134118920 | Paul Marek | Individual | Hospitalist Physician | St Cloud, MN |
| 1194714097 | Peter Waldusky | Individual | Hospitalist Physician | St Cloud, MN |
| 1790775393 | Todd Severnak | Individual | Hospitalist Physician | St Cloud, MN |
Verify this record
Cross-check NPI 1568454502 against the authoritative CMS record: view Mark E 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 2024-08-26.