| John Dallin Johnson, NP | |
|
5169 S Cottonwood St Ste 510, Murray, UT 84107-6767 | |
| (801) 507-3584 | |
| Not Available |
| Full Name | John Dallin Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 5169 S Cottonwood St Ste 510, Murray, 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 |
|---|---|---|---|
| 1821878174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 10234808-4405 (Utah) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 10234808-4405 (Utah) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granger Medical Clinic Pc | 3476465691 | 172 |
| Entity Name | Granger Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Granger Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| John Dallin Johnson, NP Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | John Dallin Johnson, NP 5169 S Cottonwood St Ste 510, Murray, UT 84107-6767 Ph: (801) 507-3584 |
Michael Christensen, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5802 S 900 E Unit 1, Murray, UT 84121 Phone: 480-868-9650 | |
Kristy Bentley, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-5400 | |
Alisa F Corry, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 210, Murray, UT 84107 Phone: 801-507-3380 | |
Patricia Hartley-clanton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5121 Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 Fax: 801-442-0643 | |
Laura B Hunt, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St, Ste 320, Murray, UT 84107 Phone: 801-507-3380 | |
Jason Reid Lesser, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 610, Murray, UT 84107 Phone: 801-507-3630 | |
Nathan Miles Jones, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 746 E Winchester St Ste 200, Murray, UT 84107 Phone: 801-456-2333 |