Derek Brent Johnson, DO | |
5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157-2520 | |
(801) 507-5248 | |
Not Available |
Full Name | Derek Brent Johnson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 18 Years |
Location | 5121 S Cottonwood Street, 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 |
---|---|---|---|
1962605857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 359058-1204 (Utah) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 2006018684 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Wilcox Memorial Hospital | Lihue, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kauai Medical Clinic | 5092628479 | 125 |
Entity Name | Kauai Medical Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
Mailing Address | Practice Location Address |
---|---|
Derek Brent Johnson, DO 3136 Lower Saddleback Rd, Park City, UT 84098-4829 Ph: (801) 707-7423 | Derek Brent Johnson, DO 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157-2520 Ph: (801) 507-5248 |
Kendell Ryan Klingler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 778 E Briarmeadow Ave, Murray, UT 84107 Phone: 208-390-7555 | |
Ethan K Fisher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-733-5618 | |
Jason Hafer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-455-8221 | |
Dr. Jayaprakash Moodalagiriappa, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-432-2668 | |
Dr. Daniel Larsen Jacobs, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5801 S Fashion Blvd Ste 195, Murray, UT 84107 Phone: 801-829-7246 Fax: 801-655-9615 | |
Dr. Michael Marshall Beck, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675 | |
Mr. Joshua C Peterson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675 |