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

Mark A Johnson, DO

Individual provider Family Medicine Physician · NPI 1376707034

Mark A Johnson, DO is a Family Practice in Meridian, Idaho. Qualified in 2007, 19 years ago. Offers telehealth. Licensed in Idaho and Washington.

Years since qualifying
19
Licensed in
ID, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1524 W Cayuse Creek Dr
Meridian, ID 83646-4795
Phone: (208) 937-8372
Fax: (208) 616-1606
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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 O-0583 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence OL20000133 (WA)

Record details

NPI number1376707034
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 11, 2008
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1524 W Cayuse Creek Dr, Meridian, ID 83646-4795

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Meridian