Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205811775 Individual Practitioner Male Practitioner

Dr. Mark R Johnson , MD

Pediatrics - Pediatric Pulmonology • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Johnson, MD is a registered healthcare professional specializing in Pediatrics - Pediatric Pulmonology in Springfield, IL. Practice services are available at 301 N 8TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

301 N 8th St

Springfield, IL 627011041

Telephone 2175450702
Fax 2175455834
Associated Practice Facility / Clinic
🏢 Pavilion Pharmacy Llc Facility NPI 1851362230

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Pediatric Pulmonology in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Springfield, IL (42 Statewide)

Telehealth Adoption Rate
0.0% 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: 2020-11-17
Pediatrics - Pediatric Pulmonology Primary Specialty

NUCC Taxonomy Code: 2080P0214X

State License IL 036-093433

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036093433 (IL)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Ruth Mayforth , MD

Surgery - Pediatric Surgery

NPI 1184610255

Doctor of Medicine (M.D.)

Anna Hickey

Psychologist - Clinical

NPI 1326386921
Dr. Jane Joost , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1558343327

Doctor of Medicine (M.D.)

Dr. Glen Aylward , PhD

Psychologist - Clinical

NPI 1649252495

Doctor of Philosophy (Ph.D.)

Shawna Forinash , LCSW

Social Worker - Clinical

NPI 1750591921

Licensed Clinical Social Worker

Dr. Julio Pardo , MD

Pediatrics - Pediatric Endocrinology

NPI 1831362094

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2020

Pediatrics (License #036-093433 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 301 N 8TH ST, SPRINGFIELD, IL 627011041 (Tel: 2175450702)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175457578)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics

🟢
Initial NPI Registration & Enumeration December 07, 2005

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: 1205811775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2005
Last Update: November 17, 2020
Sole Proprietor: No

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175457578

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.