Dayne A Johnson (NPI# 1669505178, PAC ID# 5395830467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1669505178 |
| PAC ID by PECOS | 5395830467 |
| Professional Enrollment ID | I20071004000105 |
| Full Name | Dayne A Johnson |
| Organization Legal Name | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC |
| Address |
652 S Medical Ctr Dr Suite 110 Saint George UT 84790-7077 |
| Phone Number | 4356562424 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6406020049 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460007 | CEDAR CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 652 S Medical Ctr Dr, Suite 110, Saint George, UT 84790-7077 | 4356562424 | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC |
| Organization Legal Name | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Kennedy | Nurse Practitioner | Southwest Spine and Pain Care Specialists LLC | 25 N 2000, Suite 8, Hurricane, UT 84737-4115 |
| Jeffrey Alan Wright | Physician Assistant | Southwest Spine and Pain Care Specialists LLC | 2051 E Red Hills Pkwy, Suite 7, St George, UT 84770-8671 |
| Edward A Parry | Nurse Practitioner | Southwest Spine and Pain Care Specialists LLC | 320 River Park Dr, Suite 255, Provo, UT 84604-6065 |
| Cole W Robinson | Physical Medicine and Rehabilitation | Southwest Spine and Pain Care Specialists LLC | 860 N Main St, Suite B, Richfield, UT 84701-1840 |
| John Mccormick | Rheumatology | Southwest Spine and Pain Care Specialists LLC | 2107 W Sunset Blvd, Suite 102, Saint George, UT 84770-7140 |
| Brookanne J Mickelson | Nurse Practitioner | Southwest Spine and Pain Care Specialists LLC | 301 N 200, Suite 2a, St George, UT 84770-3040 |
| Derek L Frieden | Interventional Pain Management | Southwest Spine and Pain Care Specialists LLC | 1122 Ctr Dr, Suite D 350, Park City, UT 84098-5780 |
| Alan Pendleton Hillstead | Interventional Pain Management | Southwest Spine and Pain Care Specialists LLC | 1303 N Main St, Cedar City, UT 84721-9746 |
| Jon Bruce Obray | Pain Management | Southwest Spine and Pain Care Specialists LLC | 652 S Medical Ctr Dr, Suite 110, Saint George, UT 84790-7077 |
| Caitlyn R Jennings | Physician Assistant | Southwest Spine and Pain Care Specialists LLC | 652 S Medical Ctr Dr, Suite 110, Saint George, UT 84790-7077 |
| Street Address |
652 S MEDICAL CTR DR SUITE 110 |
| City | SAINT GEORGE |
| State | UT |
| Zip | 84790-7077 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luciana De Saibro | Neurology | Ihc Health Services Inc | 652 S Medical Ctr Dr, Suite 320, St George, UT 84790-7266 |
| Morgan Black Bowden | Nurse Practitioner | Ihc Health Services Inc | 652 S Medical Ctr Dr, Suite 420, St George, UT 84790-7049 |
| Jennifer Fisher | Nurse Practitioner | Ihc Health Services Inc | 652 S Medical Ctr Dr, Suite 310, St George, UT 84790-7266 |
| Ari David Amitai | Orthopedic Surgery | Ihc Health Services Inc | 652 S Medical Ctr Dr, Suite 120, St George, UT 84790-7077 |
| D Scott Burton | Internal Medicine | Ihc Health Services Inc | 652 S Medical Ctr Dr, Suite 120, St George, UT 84790-7077 |
| Jon Bruce Obray | Pain Management | Southwest Spine and Pain Care Specialists LLC | 652 S Medical Ctr Dr, Suite 110, Saint George, UT 84790-7077 |
| Amanda Michelle Legg | Nurse Practitioner | Ihc Health Services Inc | 652 S Medical Ctr Dr, Suite 120, St George, UT 84790-7077 |
| Sarah Wei Wu | Hospitalist | Ihc Health Services Inc | 652 S Medical Ctr Dr, Suite 400, St George, UT 84790-7267 |
| Caitlyn R Jennings | Physician Assistant | Southwest Spine and Pain Care Specialists LLC | 652 S Medical Ctr Dr, Suite 110, Saint George, UT 84790-7077 |
| Mark Harold Stouffer | Orthopedic Surgery | Ihc Health Services Inc | 652 S Medical Ctr Dr, Suite 420, St George, UT 84790-7049 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith S Sampson | Nurse Practitioner | Ihc Health Services Inc | 652 S Medical Ctr Dr, 320 Sw Neurololgy Assoc, St George, UT 84790 |
| Joseph Aaron Smith | Optometry | 599 S Mall Dr, Spc K1, St George, UT 84790-1258 | |
| Andrew P White | Chiropractic | 435 N 1680 E, 6 Innova Pain Clinic, St George, UT 84790-1448 | |
| Bruce C Solomon | Clinical Social Worker | 2298 E 200, St George, UT 84790-1603 | |
| Justin W Salmon | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Brian T Richey | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Torrence Brock Kesterson | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Joshua L Frame | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, Suite 100, St George, UT 84790-1764 |
| Jason C Swigert | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, St George, UT 84790-1764 |
| Grace J Paradela | Internal Medicine | Grace Paradela Md PC | 292 S 1470, Suite 200, St George, UT 84790-1764 |
| Find all physicians in zip 84790 | |||
| City | SAINT GEORGE |
| Zip Code | 84790 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT GEORGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Dayne A Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.