Richard Bart Johansen, MD | |
3580 W 9000 S, West Jordan, UT 84088-8812 | |
(801) 561-8888 | |
Not Available |
Full Name | Richard Bart Johansen |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 36 Years |
Location | 3580 W 9000 S, 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 |
---|---|---|---|
1144281114 | NPI | - | NPPES |
10496 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 184747-1205 (Utah) | Secondary |
207P00000X | Emergency Medicine | 184747-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jordan Valley Medical Center | West jordan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physicians Integrated Care Llc | 4284548116 | 170 |
Entity Name | Emergency Physicians Integrated Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
Mailing Address | Practice Location Address |
---|---|
Richard Bart Johansen, MD 144 S 500 E, 2nd Floor, Salt Lake City, UT 84102-1907 Ph: () - | Richard Bart Johansen, MD 3580 W 9000 S, West Jordan, UT 84088-8812 Ph: (801) 561-8888 |
Ryan Giles, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Thomas Macfarlane, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Thomas Darr, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Andrew Gardner Florence, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Barbara Dahl, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Ann Page, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 |