Dr. Kent Edward Johnson , MD
Urology • Marion, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kent Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kent Johnson, MD was a registered Urology practicing in Marion, IL. Throughout an active medical career spanning 11 years, Dr. Johnson provided care at the practice location at 2401 W MAIN ST until profile deactivation on 2017-02-08.
Practice Location & Contact Primary Location
2401 W Main St
Marion, IL 629591188
Specialty Benchmarks & Practice Insights
Comparative analytics for Urology in Marion, IL
Practicing in Marion, IL (663 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Registered Nurse
Registered Nurse
Physical Therapy Assistant
Registered Nurse
REGISTEREDNURSE
Occupational Therapist
Occupational Therapist Registered, L
Dietitian, Registered
Master of Science, Doctor of Philosophy (Ph.D.), Registered Dietitian, Registered Dietitian Nutritionist
Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 08, 2017
NPI status registered as active in NPPES database
Registered at 2401 W MAIN ST, MARION, IL 629591188 (Tel: 6189985603)
Registered at 630 B LUXOR LANDING RD., GOREVILLE, IL 62939 (Tel: 6189951238)
Recorded as KENT JOHNSON, M.D.
Urology (License #22270 in CO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
630 B Luxor Landing Rd.
Goreville, IL 62939
Phone: 6189951238
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