LOREN M. JOHNSON M.D. – NPI #1114909694
Family Medicine

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.

LOREN JOHNSON is a physician located in SCOTT AFB, IL. NPPES has assigned the NPI number 1114909694 to LOREN JOHNSON on November 18, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOREN JOHNSON below.

NPI Profile for
LOREN M. JOHNSON

NPI Number
1114909694
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LOREN M. JOHNSON
Credentials
M.D.
Primary location
203 W LOSEY ST
SUITE 1620
SCOTT AFB, IL 62225-5207
Phone: (618) 229-6306 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
VA 0101033282
2083A0100X
- Preventive Medicine / Aerospace Medicine
VA 0101033282

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.