Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK SAMUEL JOHNSON, PA-C MT ASCP
ActivePhysician Assistant · SAINT CHARLES, MO
Registration Details
- NPI Number
- 1568453132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.479992127885 yrs)
- Last Updated
- Mar 13, 2020
- License
-
2010013488 (MO)
Practice Information
- Address
-
300 1ST CAPITOL DRSAINT CHARLES, MO, 633012844Browse MO providers · Browse ZIP 63301
- Phone
- 6369475000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SAINT CHARLES, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. MELANIE NICOLE PILKENTON | PA-C | 1245238401 |
| RAY BARTLETT | P.A. | 1194738260 |
| KATHLEEN MILES NIKODYM | PA | 1235210162 |
| MS. RACHEL S TARR | PA-C | 1649397894 |
| KATHLEEN F. CHRISTLIEB | PA | 1013112176 |
| KELLY E GOVRO | P.A. | 1467638544 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.