| Kevin B Johnson, MD | |
|
3570 W 9000 S Ste 100, West Jordan, UT 84088 | |
| (801) 903-5620 | |
| (385) 351-6718 |
| Full Name | Kevin B Johnson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 47 Years |
| Location | 3570 W 9000 S Ste 100, West Jordan, 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 |
|---|---|---|---|
| 1255456497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 176259-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jordan Valley Medical Center | West jordan, UT | Hospital |
| Riverton Hospital | Riverton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin B Johnson, MD Po Box 800022, Kansas City, MO 64180-0022 Ph: () - | Kevin B Johnson, MD 3570 W 9000 S Ste 100, West Jordan, UT 84088 Ph: (801) 903-5620 |
Wesley Deans, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3590 W 9000 S Ste 240, West Jordan, UT 84088 Phone: 801-964-3000 | |
Justin A Call, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3592 W 9000 S, Ste 200, West Jordan, UT 84088 Phone: 801-562-8732 Fax: 801-267-5633 | |
Dr. David Samuel Massinople, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3570 W 9000 S Ste 110, West Jordan, UT 84088 Phone: 801-263-2370 | |
David R Zackrison, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3590 W 9000 S Ste 240, West Jordan, UT 84088 Phone: 801-569-2384 | |
Kenneth W Goldberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3590 W 9000 S Ste 240, West Jordan, UT 84088 Phone: 801-569-2384 Fax: 801-569-8643 | |
Dr. Kenneth N Buchi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3584 W 9000 S Ste 300, West Jordan, UT 84088 Phone: 801-233-8233 Fax: 801-565-3663 |