1043202393 NPI number — MARK ROLFE JOHNSON MD

Table of content: MARK ROLFE JOHNSON MD (NPI 1043202393)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043202393 NPI number — MARK ROLFE JOHNSON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNSON
Provider First Name:
MARK
Provider Middle Name:
ROLFE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043202393
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/23/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
113 PLEASANT VALLEY DR STE 210
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOERNE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78006-5683
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-267-4575
Provider Business Mailing Address Fax Number:
830-214-2576

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32 W 200 S # 410
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84101-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-960-4890
Provider Business Practice Location Address Fax Number:
801-960-4890
Provider Enumeration Date:
08/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  184901-1205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1001176 , issued by the state of ( UT ) . This identifiers is of the category "MEDICAID".




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