DALE GEDGE JOHNSON (NPI# 1275790776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275790776 |
| Entity Type | Individual |
| Full Name | DALE GEDGE JOHNSON |
| Credential | MD |
| Practice Address |
100 N Mario Capecchi Dr Suite 2600 Salt Lake City UT 84113-1100 |
| Practice Telephone | 8016622950 |
| Practice Fax Number | 8016622980 |
| Mailing Telephone | 8016622950 |
| Mailing Fax Number | 8016622980 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
1473781205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 03594 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171254 | Dale Johnson | Technician | 3900 Wheeler Rd Se Unit F, Washington, DC 20032-4376 | 2018-07-27 |
| 1427260595 | Dale Gilman Johnson | Surgery | 828 S California St, Helena, MT 59601-5669 | 2007-05-03 |
| 1669510525 | Dale J Johnson | Nurse Practitioner | 7 Wharf Road, Bolinas Family Practice, Bolinas, CA 94924 | 2007-02-02 |
| 1750474706 | Dale Alan Johnson | Dentist | 1717 W Church St, Freeport, IL 61032-4695 | 2006-10-02 |
| 1629029095 | Dale Johnson | Optometrist | 724 Cedar St, Sault Sainte Marie, MI 49783-2410 | 2006-05-12 |
| 1235189143 | Dale S. Johnson | Ophthalmology | 1319 Vivian St, Longmont, CO 80501-3216 | 2006-05-11 |
| 1447211404 | Dale Alan Johnson | Family Medicine | 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 | 2006-03-30 |
| 1932647070 | Dale Johnson | Specialist/Technologist, Other | 7324 Southwest Fwy, Suite 1550, Houston, TX 77074-2012 | 2017-02-09 |
| 1508236928 | Dale Johnson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-28 |
| 1366677890 | Dale D Johnson | Occupational Therapist | 915 Horton St, Fort Scott, KS 66701-2437 | 2009-05-28 |
| Street Address |
100 N MARIO CAPECCHI DR SUITE 2600 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750346607 | Paul Krakovitz | Otolaryngology | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-04-20 |
| 1417565839 | Gabriel Dunya | Student in an Organized Health Care Education/Training Program | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-07-22 |
| 1588281000 | Alexandra Almberg | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-06-30 |
| 1538781224 | Adam Hine | Dentist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-05-15 |
| 1790306488 | Leslie Goltra | Pharmacist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-05-04 |
| 1194345512 | Perry Alana Chapman | Dietitian, Registered | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-04-26 |
| 1437779410 | Sandra Benson Johnson | Registered Nurse | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-04-20 |
| 1720608078 | Alison Mae Armstrong | Student in an Organized Health Care Education/Training Program | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-04-16 |
| 1295354850 | Katie Lynn Lahue | Music Therapist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-04-14 |
| 1790314144 | Danielle Armstrong | Registered Nurse | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972620888 | Brian Thomas Bucher | Surgery | 100 N Mario Capecchi Dr Ste 2600, Salt Lake City, UT 84113-1103 | 2007-03-23 |
| 1790845873 | Syed Adil Husain | Surgery | 100 N Mario Capecchi Dr Ste 2200, Salt Lake City, UT 84113-1103 | 2006-12-11 |
| 1225119019 | Earl Courtney Downey Jr. | Surgery | 241 N Vine St Apt 906e, 906e, Salt Lake City, UT 84103-1926 | 2006-10-18 |
| 1740644319 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
| 1205290053 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-07 |
| 1144684994 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-07 |
| 1770707713 | Michael D Rollins II | Surgery | 100 N Mario Capecchi Dr, Suite 2600, Salt Lake City, UT 84113-1103 | 2007-04-12 |
| 1316028103 | Richard E Black | Surgery | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-10-18 |
| 1902996515 | Rebecka L Meyers | Surgery | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-10-13 |
| 1902996523 | Eric Richard Scaife | Surgery | 100 N Mario Capecchi Dr, Suite 2600, Salt Lake City, UT 84113-1103 | 2006-10-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.