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Deactivated NPI 1750480703 Deactivated / Inactive NPI Male Practitioner

Dr. Mark A Johnson , MD

Specialist • Atlantic, IA

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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. Mark Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2006
NPI Deactivation Date July 20, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Johnson, MD was a registered Specialist practicing in Atlantic, IA. Throughout an active medical career spanning 15 years, Dr. Johnson provided care at the practice location at 1501 E 10TH ST until profile deactivation on 2021-07-20.

Historical Medicare Part B clinical services included follow-up hospital inpatient care per day, hospital discharge day management. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1501 E 10th St

Atlantic, IA 500221936

Telephone 7122432850
Fax 7122435111
Associated Practice Facility / Clinic
🏢 Cass County Memorial Hospital Facility NPI 1093760944

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Atlantic, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Atlantic, IA (135 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes
21 16 $100.00 $38.20
99238 Hospital discharge day management, 30 minutes or less
15 15 $236.00 $70.96

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IA 24936

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

20 Associated Practitioners
Dr. Emily Chang , DO

Obstetrics & Gynecology

NPI 1003011560

Doctor of Osteopathic Medicine (D.O.)

Dr. James Brown , MD

Obstetrics & Gynecology

NPI 1033150313

Doctor of Medicine (M.D.)

Suzanne Beitzel , ARNP

Nurse Practitioner - Family

NPI 1144307810

Advanced Registered Nurse Practitioner

Dr. Shannon Peterson , DNP, ARNP

Nurse Practitioner - Family

NPI 1215345210

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner

Dr. Todd Bean , MD

Family Medicine

NPI 1225049497

Doctor of Medicine (M.D.)

Mary Robinson , PA-C

Physician Assistant - Medical

NPI 1295967255

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 20, 2021

Record deactivated on July 20, 2021

NPI Profile Active February 19, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 19, 2008

Registered at 1501 E 10TH ST, ATLANTIC, IA 500221936 (Tel: 7122432850)

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Updated Business Mailing Address February 19, 2008

Registered at 1501 E 10TH ST, ATLANTIC, IA 500221936 (Tel: 7122432850)

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Provider Name / Credentials Updated February 19, 2008

Recorded as MARK JOHNSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2008

Specialist (License #24936 in IA)

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Initial NPI Registration & Enumeration September 22, 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: 1750480703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: February 19, 2008
Deactivation Date: July 20, 2021

Mailing Address

1501 E 10th St

Atlantic, IA 500221936

Phone: 7122432850

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.