Mark A Johnson
Family Medicine

Address: 2211 Queen Anne Ave N, Seattle, WA 98109-2313
Phone: 2068618500

Mark A Johnson (NPI# 1528122751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1528122751
Entity Type Individual
Full Name Mark A Johnson
Credential MD
Gender Male
Practice Address 2211 Queen Anne Ave N
Seattle
WA 98109-2313
Practice Telephone 2068618500
Practice Fax Number 2068618501
Mailing Address Po Box 84026
Seattle
WA 98124-8426
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-12-21
Last Update Date 2007-08-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians MD00042851 WA
No 207VX0000X Obstetrics & Gynecology · Obstetrics Allopathic & Osteopathic Physicians MD00042851 WA

Other Provider Identifier

State Identifier Issuer Type Code
WA 8414070 MEDICAID
WA 0193241 OTHER LABOR AND INDUSTRIES

Other Providers MARK JOHNSON

NPI Name Taxonomy Address Enumeration
1427528546 Mark Johnson Urology 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 2018-12-01
1437692787 Mark Johnson Pharmacist 500 N Claude Lord Boulevard, Pottsville, PA 17901-3868 2016-11-18
1891159968 Mark I Johnson Occupational Therapist 6301 Overton Ridge Blvd, Fort Worth, TX 76132-3283 2016-04-05
1902277734 Mark Johnson Sr. Counselor 5310 Eagle Creek Blvd, Shakopee, MN 55379-8617 2015-10-20
1295175966 Mark Johnson Pharmacist 418 Opal Ln, Hibbing, MN 55746-3844 2013-06-26
1275971988 Mark A Johnson Dentist 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 2013-06-05
1740623818 Mark Barnett Johnson Student in an Organized Health Care Education/Training Program 111 Colchester Ave # 326pa1, Burlington, VT 05401-1473 2013-04-09
1598009938 Mark R Johnson Pharmacist 273 12th St Ne, Unit 313, Atlanta, GA 30309-3853 2012-11-26
1164778619 Mark Anthony Johnson Pharmacist 3449 Rezanof Drive, Kodiak, AK 99615 2012-08-01
1881953578 Mark Joseph Johnson Anesthesiology 2810 N Swan Rd Ste 1002810n, Tucson, AZ 85712-6305 2012-05-15

Physician Overview

NPI 1528122751
PAC ID by PECOS 8426009523
Professional Enrollment ID I20050207000359
Full Name Mark A Johnson
Organization Legal Name SWEDISH HEALTH SERVICES
Phone Number 2063866111
Gender M
Credential MD
Medical School MEDICAL COLLEGE OF WISCONSIN
Graduation Year 2001
Primary Specialty FAMILY PRACTICE
Secondary Specialties OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 0244138196
Number of Group Practice Members 835
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500027 SWEDISH MEDICAL CENTER - FIRST HILL/BALLARD

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_111_1 Pneumonia Vaccination Status for Older Adults 80%
PQRS_EP_113_1 Colorectal Cancer Screening 57%
PQRS_EP_226_1 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 87%

Office Location

Street Address 2211 QUEEN ANNE AVE N
City SEATTLE
State WA
Zip Code 98109-2313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780789594 John Christopher Morrison Internal Medicine 2211 Queen Anne Ave N, Seattle, WA 98109 2006-09-14
1780166280 Frances M Paley Registered Nurse 2211 Queen Anne Ave N, Seattle, WA 98109-2367 2018-08-30
1720344245 Chandra Campbell Maloney Family Medicine 2211 Queen Anne Ave N, Seattle, WA 98109-2367 2012-04-10
1013282581 Matthew Jared Fradkin Pediatrics 2211 Queen Anne Ave N, Seattle, WA 98109-2367 2012-03-16
1265697403 Dynacare Northwest Inc Clinical Medical Laboratory 2211 Queen Anne Ave N, Seattle, WA 98109-2367 2008-07-28
1598836504 Maria A. Wise Family Medicine 2211 Queen Anne Ave N, Seattle, WA 98109-2367 2006-11-13
1548345283 Benjamin Starnes Pediatrics 2211 Queen Anne Ave N, Swedish Physicians, Seattle, WA 98109-2313 2006-10-25
1740364462 Clara Y. Chan Family Medicine 2211 Queen Anne Ave N, Seattle, WA 98109-2367 2006-10-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770048464 Roger Leach Massage Therapist 4162, Roy Street, Seattle, WA 98109 2019-02-06
1881166627 Erica Dickson Nurse Practitioner 1616 8th Ave North, Suite 105, Seattle, WA 98109 2018-12-18
1912492828 One Medical Group of Washington, P.C. Psychologist 625 Boren Avenue North, Seattle, WA 98109 2018-06-25
1942793526 Washington Dental Corporation, PC Dentist 527 Boren Ave N, Seattle, WA 98109 2018-06-08
1417449968 Chelsie Mccalla Occupational Therapy Assistant Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 2018-05-31
1710405964 Next Level Sports Performance Consulting Clinic/Center 24 Roy Street, #461, Seattle, WA 98109 2017-09-07
1679091953 Amy Ly Indorf Pharmacist 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 2017-09-06
1730605338 Vanessa Claire Copeland Pharmacist 825 Eastlake Ave. E., G-5900, Seattle, WA 98109 2017-08-16
1639603483 Sugako Toda Behavior Technician 1100 Dexter Ave. N., Ste. 100, Seattle, WA 98109 2017-04-19
1598204992 Kiyle Nieman Technician, Other 1100 Dexter N Ste 100, Seattle, WA 98109 2017-02-17
Find all providers in zip 98109

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912463670 Hillman City Medical Pllc Family Medicine 3828 S Graham St Suite A, Seattle, WA 98118 2019-02-18
1073079034 Bliss Medical Professionals Pllc Family Medicine 4200 Aurora Ave N, Seattle, WA 98103-7308 2019-02-14
1538676598 Wellness Lab Family Medicine 5410 California Ave Sw Ste 202, Seattle, WA 98136-1562 2017-12-29
1316453608 William Curchin Family Medicine 904 7th Ave Fl 9, Seattle, WA 98104-1132 2017-12-21
1871020933 Seattle Sports & Regenerative Medicine Family Medicine 1000 Dexter Ave N Ste 300, Seattle, WA 98109-3579 2017-05-18
1821403544 Dang Hai Do Family Medicine 4725 30th Ave S, Seattle, WA 98108-2137 2014-06-23
1326451428 Whole Health Osteopathic Medicine LLC Family Medicine 3931 Woodland Park Ave N, Seattle, WA 98103-7928 2014-06-05
1932511953 Glenna Cecilia Martin Family Medicine 1801 Nw Market St Ste 207, Seattle, WA 98107-3909 2014-05-25
1134548068 Anne Gayman Family Medicine 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 2014-04-08
1255754313 Jessica Elizabeth Goman Family Medicine 125 16th Ave E # Csb545, Group Health, Seattle, WA 98112-5211 2014-01-27
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Competitor

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City SEATTLE
Zip Code 98109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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