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

Mark E Johnson, MD

Individual provider Cardiovascular Disease Physician · NPI 1568454502

Mark E Johnson, MD is a Cardiovascular Disease (Cardiology) in St Cloud, Minnesota. Graduated from Sanford School of Medicine of University of South Dakota in 1982, 44 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
44
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
MN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 Sixth Ave N Centracare Clinic
St Cloud, MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 255-5714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 33783 (MN)

Record details

NPI number1568454502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESAugust 26, 2024
Mailing address1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 1982 (44 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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