Clark W Johnson (NPI# 1487706099, PAC ID# 8729166285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1487706099 |
| PAC ID by PECOS | 8729166285 |
| Professional Enrollment ID | I20110314000988 |
| Full Name | Clark W Johnson |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Address |
1600 W Antelope Dr Layton UT 84041-1142 |
| Phone Number | 8018071000 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8022032234 |
| Number of Group Practice Members | 134 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460003 | SALT LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1600 W Antelope Dr, Layton, UT 84041-1142 | 8018071000 | PHYSICIAN GROUP OF UTAH INC |
| 1600 W Antelope Dr, Davis Hospital and Medical Center, Layton, UT 84041-1142 | 8018071000 | PHYSICIAN GROUP OF UTAH INC |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Deans | Neurology | Physician Group of Utah Inc | 3590 W 9000, Suite 240, West Jordan, UT 84088-8864 |
| Tamiyah Dinh | Nurse Practitioner | Physician Group of Utah Inc | 5980 S Fashion Blvd, Suite 203, Murray, UT 84107-7362 |
| Komal Rastogi | Neurology | Physician Group of Utah Inc | 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1141 |
| Nicholas M Noble | Family Medicine | Physician Group of Utah Inc | 349 N Flint St, Suite 101, Kaysville, UT 84037-9808 |
| Robert W Engelen | Sports Medicine | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072 |
| Mitchell Taylor Peterson | Physical Therapy | Physician Group of Utah Inc | 1840 S 1300, Salt Lake City, UT 84105-3617 |
| Patricia L Judson | Obstetrics/gynecology | Physician Group of Utah Inc | 3336 Pioneer Pkwy, Suite 301, West Valley City, UT 84120-2073 |
| Laura Chelu | Obstetrics/gynecology | Physician Group of Utah Inc | 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703 |
| Andrew Benjamin Ward | Physician Assistant | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Nancy Lieu | Clinical Social Worker | Physician Group of Utah Inc | 2530 W 4700 S, Salt Lake City, UT 84118-1865 |
| Street Address |
1600 W ANTELOPE DR |
| City | LAYTON |
| State | UT |
| Zip | 84041-1142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James B Sowby | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Steven T Hunt | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Jeffery Mccleve | Physician Assistant | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Brian C Hales | Anesthesiology | North Davis Anesthesiology LLC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Brett Thomas Burtenshaw | Family Medicine | Associates for Inpatient Medicine LLC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Cheryl Lynn Green | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Abdulelah Y Abu Qare | Emergency Medicine | Associates for Inpatient Medicine LLC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Bo S Poulson | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Sanjeev Bakshi | Internal Medicine | Santibanez Aguirre PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Ryan B Springer | Anesthesiology | North Davis Anesthesiology LLC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | PSYCHIATRY |
| City + Specialty | LAYTON + PSYCHIATRY |
Please comment or provide details below to improve the information on Clark W 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.