Active NPI
Todd W Johnson, MD
- Anesthesiology Physician
- Price, UT
National Provider Identifier
1932204807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 360756-1205
- Practice address
- 300 N Hospital Dr
Price, UT 84501-4218 - Phone
- (800) 748-4868
- Fax
- (801) 733-5872
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 360756-1205 | UT | Primary |
Addresses
Primary practice location
300 N Hospital Dr
Price, UT 84501-4218
Mailing address
PO Box 765
Price, UT 84501-0765
Phone (435) 613-1333
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107003518102 | Other | UT | IHC |
| 65785 | Other | UT | PEHP |
| QM0000076612 | Other | UT | ALTIUS |
| 38891 | Other | UT | HEALTHY U |
| 2000575 | Other | UT | UNITED HEALTHCARE |
| TPRA10930 | Other | UT | MOLINA |
| 683628 | Other | UT | DESERET MUTUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932204807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 765",
"city": "PRICE",
"state": "UT",
"postal_code": "845010765",
"telephone_number": "435-613-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N HOSPITAL DR",
"city": "PRICE",
"state": "UT",
"postal_code": "845014218",
"telephone_number": "800-748-4868",
"fax_number": "801-733-5872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TODD",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "360756-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107003518102",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "65785",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000076612",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "38891",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2000575",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "TPRA10930",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "683628",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.