Individual provider Active NPI

Richard Arden Johnson, D.O.

  • Medical Oncology Physician
  • Logan, UT
National Provider Identifier
1124253166
Registry record updated Nov 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
10544344-1204 Issued in UT
Practice address
1350 N 500 E
Logan, UT 84341
Phone
(435) 716-1130
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 10544344-1204 UT Primary

Addresses

Primary practice location

1350 N 500 E
Logan, UT 84341

Mailing address

PO Box 27128
SLC, UT 84127-0128
Phone (435) 716-1130

Other practice location 1

2610 Uhrmann Rd
Klamath Falls, OR 97601-1123
Phone (541) 274-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180302000402 UT Practitioner - Medical Oncology 9830407659 Reassigns benefits to 3 organizations
I20240624001370 WY Practitioner - Hematology/Oncology 9830407659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
North Lincoln County Hospital DistrictGroup PAC ID 4789580218, shared by 4 NPIs, 66 clinicians

Practice addresses (Care Compare)

1350 N 500
Logan, UT 84341-2400
Phone (435) 716-1770

901 Adams St
Afton, WY 83110-9621
Phone (307) 885-5800

Hospital & facility affiliations

  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
  • Star Valley Medical Center Hospital, Afton, WY, CCN 531313
  • Bear River Valley Hospital Hospital, Tremonton, UT, CCN 460039
  • Franklin County Medical Center Hospital, Preston, ID, CCN 131322
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jan 25, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
North Lincoln County Hospital District CurrentSince May 17, 2024 Accepting new patients
Northeastern Utah Medical Group CurrentSince Jun 15, 2022 Accepting new patients
North Lincoln County Hospital District CurrentSince May 17, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 25, 2018 Accepting new patients
Northeastern Utah Medical Group CurrentSince Jun 15, 2022 Accepting new patients
Ihc Health Services Inc Hematology & Oncology Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 2A
Layton, UT 84041
Phone (801) 387-7185

1281 N 600 E
Logan, UT 84341
Phone (435) 716-6400

1350 N 500 E
North Logan, UT 84341
Phone (435) 716-2800

4403 Harrison Blvd
Ste 1670
Ogden, UT 84403
Phone (801) 387-7125

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1124253166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "435-716-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N 500 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-716-1130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 Uhrmann Rd",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011123",
            "country_code": "US",
            "telephone_number": "541-274-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "ARDEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "UT",
            "license": "10544344-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.