| Craig Johnson, DO | |
|
96 E Kimballs Ln, Draper, UT 84020-5020 | |
| (801) 233-9300 | |
| Not Available |
| Full Name | Craig Johnson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 5 Years |
| Location | 96 E Kimballs Ln, Draper, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669850665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 7839219-1204 (Utah) | Secondary |
| 207L00000X | Anesthesiology | DO2788 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Timpanogos Regional Hospital | Orem, UT | Hospital |
| Mountain View Hospital | Payson, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Anesthesia Lc | 5991604829 | 25 |
| Entity Name | Mountain View Anesthesia Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043249840 PECOS PAC ID: 5991604829 Enrollment ID: O20040108000626 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Johnson, DO Po Box 3750, Salt Lake City, UT 84110-3750 Ph: (800) 748-4868 | Craig Johnson, DO 96 E Kimballs Ln, Draper, UT 84020-5020 Ph: (801) 233-9300 |
Justin Curtis, APRN-CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln, Draper, UT 84020 Phone: 801-233-9300 | |
Dr. Benjamin Metcalfe, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11925 S State St, Draper, UT 84020 Phone: 801-545-8000 | |
Derek Levoy Haight, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 408, Draper, UT 84020 Phone: 801-572-1186 | |
Tony Gianoulis, MD, MHA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln, Draper, UT 84020 Phone: 801-641-7396 | |
David Wallace, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 738 Golden Pheasant Dr, Draper, UT 84020 Phone: 801-403-7980 | |
Dr. Benjamin A Rideout, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1733 Kudu Ct, Draper, UT 84020 Phone: 801-572-8215 |