Richard Bart Johansen (NPI# 1144281114, PAC ID# 3274447107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1144281114 |
| PAC ID by PECOS | 3274447107 |
| Professional Enrollment ID | I20100310000145 |
| Full Name | Richard Bart Johansen |
| Organization Legal Name | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Address |
1050 E S Temple Salt Lake City UT 84102-1507 |
| Phone Number | 8013504111 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4284548116 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1050 E S Temple, Salt Lake City, UT 84102-1507 | 8013504111 | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Organization Legal Name | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dallas T Koperski | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 Hospital Way, Whitefish, MT 59937-7849 |
| Bradley Cris Cowley | Emergency Medicine | Emergency Physicians Integrated Care LLC | 2055 N Main, Mountain West Medical Center, Tooele, UT 84074-9819 |
| Mark Christensen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Ronald Rogers | Emergency Medicine | Emergency Physicians Integrated Care LLC | 950 S 500, Brigham City, UT 84302-4724 |
| Chase D Bailey | Nurse Practitioner | Emergency Physicians Integrated Care LLC | 3451 W 5600, Roy, UT 84067-9112 |
| Raymond William Allen | Nurse Practitioner | Emergency Physicians Integrated Care LLC | 5475 S 500, Ogden, UT 84405-6905 |
| Tammy K Park | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Darren Brockie | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 Hospital Way, Whitefish, MT 59937-7849 |
| Quinn M Weber | Emergency Medicine | Emergency Physicians Integrated Care LLC | 3580 W 9000, West Jordan, UT 84088-8812 |
| John A Silverman | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Street Address |
1050 E S TEMPLE |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84102-1507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R Smith | Certified Registered Nurse Anesthetist (crna) | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Clyn A Robinson | Anesthesiology | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Tammy K Park | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Julie A Roberts-morris | Anesthesiology | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Michael W Mangelson | Urology | Ihc Health Services Inc | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| John A Silverman | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Matthew David Wolfe | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| John Caplette | Certified Registered Nurse Anesthetist (crna) | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Layhong Soth | Internal Medicine | Santibanez Aguirre Slc PC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Shane R Taufer | Anesthesiology | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy N De La Garza | Family Medicine | 77 S 700, Suite 220, Salt Lake City, UT 84102-1162 | |
| Charles Ty Nuttall | Clinical Social Worker | 699 E S Temple, Suite 300, Salt Lake City, UT 84102-1186 | |
| Darren F Groberg | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Daniel Preece | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Steven R Taylor | Otolaryngology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Kian Eftekhari | Ophthalmology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Balimar B Lindgren | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Edwin Awinda | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Bernard M Mutie | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Nathan Michael Hastings | Hospitalist | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Find all physicians in zip 84102 | |||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SALT LAKE CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Richard Bart Johansen.
| 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.