Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Loren Mark Johnson, MD

Individual provider Family Medicine Physician · NPI 1114909694

Dr. Loren Mark Johnson, MD is a Family Medicine Physician in Scott AFB, Illinois. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

203 W Losey St Ste 1620
Scott AFB, IL 62225-5207
Phone: (618) 229-6306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101033282 (VA)
Aerospace Medicine Physician Taxonomy 2083A0100X · Licence 0101033282 (VA)

Record details

NPI number1114909694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address203 W Losey St, Suite 1620, Scott Afb, IL 62225-5207

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