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Active NPI 1194769612 Individual Practitioner Male Practitioner

Marc A Johnson , PA-C

Physician Assistant • Monument, CO

Professional Overview & Biography Verified Profile Summary

Marc Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Monument, CO. Practice services are available at 545 3RD ST UNIT 308 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

545 3rd St Unit 308

Monument, CO 801324513

Telephone 7197333086
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Monument, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Monument, CO (3810 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 1915

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
19130538 (CO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Franklin Boskovich , FNP-BC, RNFA

Nurse Practitioner - Family

NPI 1235245614

Family Nurse Practitioner (Board Certified), RNFA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 03, 2022

Registered at 545 3RD ST UNIT 308, MONUMENT, CO 801324513 (Tel: 7197333086)

📍
Updated Business Mailing Address February 03, 2022

Registered at PO BOX 673, MONUMENT, CO 801320673 (Tel: 7196507994)

NPI Profile Active March 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2014

Registered at 4105 BRIARGATE PARKWAY, SUITE 300, COLORADO SPRINGS, CO 809203487 (Tel: 7194733332)

📍
Updated Business Mailing Address March 28, 2014

Registered at 4105 BRIARGATE PARKWAY, SUITE 300, COLORADO SPRINGS, CO 809203487 (Tel: 7194733332)

👤
Provider Name / Credentials Updated March 28, 2014

Recorded as MARC JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2014

Physician Assistant (License #1915 in CO)

🟢
Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194769612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: February 03, 2022
Sole Proprietor: No

Mailing Address

Po Box 673

Monument, CO 801320673

Phone: 7196507994

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.