DR. MICHAEL RAY JOHNSON (NPI# 1396839403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396839403 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RAY JOHNSON |
| Credential | M.D. |
| Practice Address |
1268 W South Jordan Pkwy Ste 201 South Jordan UT 84095-4652 |
| Mailing Address |
2090 Genova Dr Draper UT 84020-6107 |
| Practice Telephone | 8012549700 |
| Practice Fax Number | 8012549755 |
| Mailing Telephone | 8014950735 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
4550767-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| Street Address |
1268 W SOUTH JORDAN PKWY STE 201 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538182373 | Troy Steven Thomson | Dentist | 1268 W South Jordan Pkwy, Suite #102, South Jordan, UT 84095-4652 | 2006-07-25 |
| 1457894651 | Families First Pediatrics | Clinic/Center | 1268 W South Jordan Pkwy, 201, South Jordan, UT 84095-4652 | 2016-11-21 |
| 1437530334 | Joshua Sharp | Dentist | 1268 W South Jordan Pkwy, Suite 302, South Jordan, UT 84095-4652 | 2015-06-16 |
| 1013324508 | Jennifer Ashton | Nurse Practitioner | 1268 W South Jordan Pkwy, South Jordan, UT 84095-4652 | 2014-07-16 |
| 1093138448 | Simply Dental of South Jordan, LLC | Dentist | 1268 W South Jordan Pkwy, Suite 302, South Jordan, UT 84095-4652 | 2014-01-21 |
| 1215213905 | David M. S. Stewart Dds PC | Dentist | 1268 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095-4652 | 2011-10-26 |
| 1073804001 | Thayne Henrie Gardner | Dentist | 1268 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095-4652 | 2011-04-25 |
| 1669662425 | Kyle S Christensen, Dds, PC | Dentist | 1268 W South Jordan Pkwy, Suite 200, South Jordan, UT 84095-4652 | 2007-07-27 |
| 1194863589 | Families First Pediatrics LLC | Pediatrics | 1268 W South Jordan Pkwy, Ste.#201, South Jordan, UT 84095-4652 | 2007-02-01 |
| 1811081904 | Matthew Nelson Cox | Pediatrics | 1268 W South Jordan Pkwy, Ste 201, South Jordan, UT 84095-4652 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194863589 | Families First Pediatrics LLC | Pediatrics | 1268 W South Jordan Pkwy, Ste.#201, South Jordan, UT 84095-4652 | 2007-02-01 |
| 1811081904 | Matthew Nelson Cox | Pediatrics | 1268 W South Jordan Pkwy, Ste 201, South Jordan, UT 84095-4652 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831695923 | Brigham Pediatrics | Pediatrics | 980 Medical Dr Ste 2, Brigham City, UT 84302-3094 | 2018-04-05 |
| 1740643915 | Steven Homel | Pediatrics | 7556 S Stone Rd, Cottonwood Heights, UT 84121-5238 | 2016-04-04 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1871680579 | Gary L. Behrmann | Pediatrics | 1172 E 100 N Ste 2, Payson, UT 84651-1668 | 2006-10-06 |
| 1548369341 | Kelly Dean Beaumont | Pediatrics | 1240 E 100 S Ste 14, St George, UT 84790-3005 | 2006-09-21 |
| 1326147034 | Bryan Bernell Hofheins | Pediatrics | 1055 N 500 W Ste 102, Provo, UT 84604-3305 | 2006-09-21 |
| 1972583680 | Jerry D Twiggs | Pediatrics | 1240 E 100 S #14, St. George, UT 84790 | 2006-01-19 |
| 1750742607 | University of Utah Pediatric Services | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-03-18 |
| 1881010023 | Adam Wahlstrom | Pediatrics | 1240 E 100 S, St George, UT 84790-3001 | 2014-03-12 |
| 1952585150 | Joy R Patten | Pediatrics | 1750 N Wymount Terrace Dr, Provo, UT 84601-4800 | 2007-12-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.