Christopher Shane Johnson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

12975467-1205 Issued in UT

Practice address

743 Chippenham CT
St George, UT 84770-6106

Phone

(208) 416-2932

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, WY, UT, TX4 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 4

Specialty

Diagnostic Radiology

Education

Uniformed Services Uhs Fe Hebert School of Med, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hospital of Converse CountyGroup PAC ID 2264340843, 77 clinicians

Tuba City Regional Health Care CorporationGroup PAC ID 4284542531, 160 clinicians

Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians

Abercrombie Radiological Consultants IncGroup PAC ID 3072411834, 51 clinicians

X-Ray Professional AssociationGroup PAC ID 3375539927, 62 clinicians

Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians

Columbus Radiology Physicians LLCGroup PAC ID 3971863416, 56 clinicians

Carilion Tazewell Community HospitalGroup PAC ID 4183604259, 76 clinicians

Winchester Radiologists PCGroup PAC ID 7113915281, 77 clinicians

Tennessee Valley Radiology LLCGroup PAC ID 9133105521, 42 clinicians

Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
• Tuba City Regional Health Care Corporation Hospital, Tuba City, AZ, CCN 030073
• Summit Medical Center Hospital, Casper, WY, CCN 530034
• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
• Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Abercrombie Radiological Consultants Inc

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1942207154

  UT

  Medicare reassignment Care Compare group NPD
• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304

  UT

  Medicare reassignment Care Compare group NPD
• Carilion Medical Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1730123472

  UT

  Medicare reassignment Care Compare group NPD
• Carilion Tazewell Community Hospital

  • General Acute Care Hospital
  • Tazewell, VA
  • NPI 1427040328

  UT

  Medicare reassignment Care Compare group NPD
• Columbus Radiology Physicians LLC

  • Diagnostic Radiology Physician
  • Columbus, IN
  • NPI 1467964718

  UT

  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Converse County

  • General Practice Physician
  • Douglas, WY
  • NPI 1356496491
  Medicare reassignment Care Compare group NPD
• Mercy Diagnostic Imaging PC

  • Diagnostic Radiology Physician
  • Darby, PA
  • NPI 1477509768

  UT

  Medicare reassignment Care Compare group NPD
• Tennessee Valley Radiology LLC

  • Diagnostic Radiology Physician
  • Sweetwater, TN
  • NPI 1356367551

  UT

  Medicare reassignment Care Compare group NPD
• Tuba City Regional Health Care Corporation

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  Family Medicine, TX

  Medicare reassignment Care Compare group NPD
• Winchester Radiologists PC

  • Diagnostic Radiology Physician
  • Winchester, VA
  • NPI 1235123977

  UT

  Medicare reassignment Care Compare group NPD
• X-Ray Professional Association

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1790758449

  UT

  Medicare reassignment Care Compare group NPD
• Carilion Rockbridge Community Hospital

  • Multi-Specialty Clinic/Center
  • Lexington, VA
  • NPI 1174636021

  UT

  Medicare reassignment NPD

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

• Carilion Medical Center

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation
• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408
  Care Compare affiliation
• Summit Medical Center, LLC

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1609297506
  Care Compare affiliation
• Tuba City Regional Health Care Corporation

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424
  Care Compare affiliation
• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954
  Care Compare affiliation

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1760532634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "208-416-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 CHIPPENHAM CT",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706106",
            "telephone_number": "208-416-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101276335",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "TL2432",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "12975467-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760532634",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin John Johnson, PT
• Brannon Johnson
• Chayse Elaine Johnson
• Chelsea Fae Johnson, AMFT
• Christopher Johnson, M.D.
• Cody S Johnson, D.M.D.
• Cyndia L. Johnson, C.N.M.
• Diamond Johnson
• Diana Johnson
• Jacoby Johnson

• Diagnostic Radiology Physician in St George, UT
• Providers in St George, UT by specialty
• Diagnostic Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.