Corey B Johnson (NPI# 1639180698, PAC ID# 8527016302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1639180698 |
| PAC ID by PECOS | 8527016302 |
| Professional Enrollment ID | I20050107000824 |
| Full Name | Corey B Johnson |
| Address |
565 W 465 N 130 Cache Vein Care Providence UT 84332-4802 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1988 |
| Primary Specialty | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 565 W 465 N, 130 Cache Vein Care, Providence, UT 84332-4802 |
| Street Address |
565 W 465 N 130 CACHE VEIN CARE |
| City | PROVIDENCE |
| State | UT |
| Zip | 84332-4802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Spencer W Wade | Chiropractic | 565 W 465 N, Suite 140, Providence, UT 84332-4802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vera Carlson | Family Medicine | 565 W 465, Suite 130, Providence, UT 84332-4802 | |
| Thomas Owen Fullmer X | Chiropractic | 1652s Hwy 165, Providence, UT 84332-6701 | |
| Nichole L Jardine | Clinical Social Worker | 545 W 465, Suite 130, Providence, UT 84332-8005 | |
| Thomas E Atkin | Clinical Psychologist | 545 W 465 N, Providence, UT 84332-8005 | |
| Jeremy William Broadhurst | Family Medicine | Ihc Health Services Inc | 190 S Hwy 165, Providence, UT 84332-9512 |
| Robert G Patterson | Family Medicine | Ihc Health Services Inc | 190 S Hwy 165, Providence, UT 84332-9512 |
| Kevin R Duke | Family Medicine | Mountainstar Medical Group-cache Valley LLC | 382 W 280, Providence, UT 84332-9753 |
| Richard Thomas Stevens | Family Medicine | Mountainstar Medical Group-cache Valley LLC | 382 W 280, Providence, UT 84332-9753 |
| Lars Bergeson | Family Practice | Mountainstar Medical Group-cache Valley LLC | 382 W 280, Providence, UT 84332-9753 |
| David A Smith | Optometry | 276 N Spring Creek Pkwy, Providence, UT 84332-9775 | |
| Find all physicians in zip 84332 | |||
| City | PROVIDENCE |
| Zip Code | 84332 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PROVIDENCE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Corey B 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.