DR. LOREN MARK JOHNSON M.D. NPI 1114909694

NPI Information

  • NPI: 1114909694
  • Provider Name: DR. LOREN MARK JOHNSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 203 W LOSEY ST
    SUITE 1620
    SCOTT AFB, IL
    ZIP 62225
  • Phone: (618) 229-6306

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NPI Details

DR. Loren Mark Johnson, M.D. is a family medicine in Scott Afb, IL. The provider is 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. DR. Loren Mark Johnson, M.D. NPI is 1114909694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

203 W LOSEY ST
SUITE 1620
SCOTT AFB, IL
ZIP 62225-207
Phone: (618) 229-6306

The enumeration date for this NPI number is 11/18/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0101033282VIRGINIAYes
22083A0100XPreventive MedicineAerospace Medicine0101033282VIRGINIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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