Mark Johnson, MD
Healthcare Provider in Southbury, Connecticut
1780618694- Practice location
- 385 Main St South, Union Square, Southbury, CT 06488
- Phone
- 203-264-7999
- Fax
- 203-264-7477
- Last updated
- September 11, 2025
Mark Johnson is a Healthcare Provider based in Southbury, CT. Mark Johnson practices in Southbury, CT and has the professional credentials of MD. The NPI Number for Mark Johnson is 1780618694 and holds a License No. 022134 (CT). The current practice location address for Mark Johnson is 385 Main St South, Union Square, Southbury, CT 06488 and can be reached out via phone at 203-264-7999 and via fax at 203-264-7477.
Provider Profile Details
- NPI Number
- 1780618694
- Provider Name
- Mark Johnson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 385 Main St South, Union Square, Southbury, CT 06488
- Phone Number
- 203-264-7999
- Fax Number
- 203-264-7477
- Primary Taxonomy
- Healthcare Provider · 2085N0904X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 10, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 385 Main St South
Union Square
Southbury, CT 06488 - City
- Southbury
- State
- Connecticut
- Zip
- 06488
- Phone Number
- 203-264-7999
- Fax Number
- 203-264-7477
Provider Business Mailing Address Details
- Address
- 385 Main St South
Union Square Bldg #1
Southbury, CT 06488 - City
- Southbury
- State
- CT
- Zip
- 06488
- Phone Number
- 203-264-7999
- Fax Number
- 203-264-7477
License Information
- License Number (1)
- 022134
- License State (1)
- CT
- License Number (2)
- 022134
- License State (2)
- CT
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (3)
- 022134
- License State (3)
- CT
- Taxonomy (3)
- Radiology, Diagnostic Ultrasound · 2085U0001X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark Johnson, MD?
The NPI number of Mark Johnson, MD is 1780618694. It was assigned on July 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Mark Johnson, MD?
Mark Johnson, MD is registered under the primary taxonomy Healthcare Provider (code 2085N0904X), licensed in CT under license number 022134.
Where does Mark Johnson, MD practice?
The practice location is 385 Main St South, Union Square, Southbury, CT 06488. The office can be reached at 203-264-7999 (phone) or 203-264-7477 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780618694 directly on the NPPES registry website.