Active NPI 1841289600 Individual Practitioner Male Practitioner

Eric B Johnson , PA-C

Physician Assistant • Ogden, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Eric Johnson, PA-C is a certified Physician Assistant practicing in Ogden, UT. With approximately 28 years of clinical experience since completing medical education in 1998, Eric Johnson delivers high-quality medical care to the local community at 698 12TH ST.

Eric Johnson is affiliated with Ogden Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

698 12th St

Ogden, UT 844046200

Telephone 8014753700

Fax 8014753701

Associated Practice Facility / Clinic

🏢 12th St Pharmacy Inc Facility NPI 1538284716

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ogden, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +15.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

112 Specialists

Practicing in Ogden, UT (1904 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (28 Years) 28 Yrs

Ogden Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	79	$182.00	$103.07
99213 Established patient office or other outpatient visit, typically 15 minutes	152	114	$133.00	$71.89
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	152	108	$24.00	$13.26
36415 Insertion of needle into vein for collection of blood sample	78	57	$7.00	$6.86
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	50	44	$14.00	$7.61
83036 Hemoglobin A1C level	49	38	$24.00	$9.52
80053 Blood test, comprehensive group of blood chemicals	49	41	$27.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	36	34	$42.00	$16.46
81002 Urinalysis, manual test	36	36	$8.00	$3.41
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	31	31	$100.00	$68.88
80061 Blood test, lipids (cholesterol and triglycerides)	30	29	$33.00	$13.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$171.00	$104.54
84550 Uric acid level, blood	28	28	$11.00	$4.43
G0008 Administration of influenza virus vaccine	24	23	$32.00	$30.87
87086 Bacterial colony count, urine	21	19	$20.00	$7.91
90662 Influenza vaccine split virus, preservative free	20	19	$84.75	$81.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	12	$37.00	$11.47
83718 Hdl cholesterol level	19	16	$27.00	$8.03
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$40.00	$18.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$167.00	$90.06
82465 Cholesterol level	19	16	$10.00	$4.26
90480 Admn sarscov2 vacc 1 dose	17	14	$60.00	$41.16
91320 Sarscv2 vac 30mcg trs-suc im	17	14	$205.00	$148.49
81001 Manual urinalysis test with examination using microscope, automated	16	15	$8.00	$3.11
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	15	13	$21.00	$8.48
86140 Measurement C-reactive protein for detection of infection or inflammation	15	13	$12.00	$5.08
82043 Urine microalbumin (protein) level	13	11	$20.00	$5.66
87088 Bacterial urine culture	13	11	$18.00	$7.93
82570 Creatinine level to test for kidney function or muscle injury	13	11	$11.00	$5.08
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	13	12	$9.00	$4.18
87430 Detection test by immunoassay technique for streptococcus, group a (strep)	13	13	$27.00	$16.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	83	$182.00	$103.19
99213 Established patient office or other outpatient visit, typically 15 minutes	110	88	$133.00	$72.75
36415 Insertion of needle into vein for collection of blood sample	75	54	$7.00	$6.86
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	44	40	$14.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	39	36	$27.00	$10.35
83036 Hemoglobin A1C level	32	23	$24.00	$9.22
81002 Urinalysis, manual test	31	28	$8.00	$3.30
84443 Blood test, thyroid stimulating hormone (TSH)	29	25	$42.00	$16.46
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	29	27	$100.00	$51.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$171.00	$104.17
87086 Bacterial colony count, urine	27	25	$20.00	$7.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	11	$37.00	$11.39
83718 Hdl cholesterol level	20	17	$27.00	$7.63
82465 Cholesterol level	20	17	$10.00	$4.05
81001 Manual urinalysis test with examination using microscope, automated	20	19	$8.00	$3.11
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$30.00	$16.20
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	17	15	$21.00	$8.48
G0008 Administration of influenza virus vaccine	17	17	$32.00	$25.45
80061 Blood test, lipids (cholesterol and triglycerides)	17	16	$33.00	$13.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$167.00	$90.70
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$40.00	$18.92
90662 Influenza vaccine split virus, preservative free	16	16	$80.00	$71.93
87088 Bacterial urine culture	14	12	$18.00	$7.93
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$325.00	$282.89
G0009 Administration of pneumococcal vaccine	13	13	$32.00	$24.93
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	12	12	$9.00	$4.18
86140 Measurement C-reactive protein for detection of infection or inflammation	12	12	$12.00	$5.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$254.00	$135.26
84550 Uric acid level, blood	11	11	$11.00	$4.03
90480 Admn sarscov2 vacc 1 dose	11	11	$60.00	$33.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	87	$179.81	$103.42
99213 Established patient office or other outpatient visit, typically 15 minutes	112	102	$124.42	$73.42
36415 Insertion of needle into vein for collection of blood sample	63	51	$7.00	$2.91
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	41	41	$100.00	$30.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	38	34	$14.00	$7.67
80053 Blood test, comprehensive group of blood chemicals	38	38	$27.00	$10.44
81002 Urinalysis, manual test	36	33	$8.00	$3.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	12	$37.00	$10.77
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	23	$30.00	$16.37
G0008 Administration of influenza virus vaccine	24	23	$31.92	$23.88
87086 Bacterial colony count, urine	24	23	$20.00	$7.97
90662 Influenza vaccine split virus, preservative free	23	22	$80.00	$68.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$163.45	$91.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	13	$250.10	$139.17
84443 Blood test, thyroid stimulating hormone (TSH)	19	19	$42.00	$16.59
82465 Cholesterol level	19	17	$10.00	$4.30
83718 Hdl cholesterol level	19	17	$27.00	$8.09
83036 Hemoglobin A1C level	18	15	$24.00	$9.57
84550 Uric acid level, blood	18	18	$11.00	$4.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$171.00	$106.28
81001 Manual urinalysis test with examination using microscope, automated	18	17	$8.00	$3.13
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	17	16	$21.00	$8.53
0134A Fee covid-19 vac 14 res	15	15	$41.00	$31.33
87088 Bacterial urine culture	15	14	$18.00	$7.98
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	12	12	$9.00	$4.22
80061 Blood test, lipids (cholesterol and triglycerides)	12	12	$33.00	$13.15
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	12	11	$75.00	$50.97
86140 Measurement C-reactive protein for detection of infection or inflammation	12	12	$12.00	$5.12
G0103 Prostate cancer screening; prostate specific antigen test (psa)	11	11	$40.00	$19.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	121	$102.00	$73.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	50	$153.00	$106.60
36415 Insertion of needle into vein for collection of blood sample	57	41	$7.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	52	42	$14.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	45	39	$27.00	$10.56
81002 Urinalysis, manual test	37	35	$8.00	$3.48
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	31	31	$100.00	$63.59
84443 Blood test, thyroid stimulating hormone (TSH)	30	23	$42.00	$16.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$154.00	$92.17
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	21	$30.00	$16.53
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	21	21	$75.00	$51.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$171.00	$108.55
84550 Uric acid level, blood	20	20	$11.00	$4.52
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	19	16	$9.00	$4.27
86140 Measurement C-reactive protein for detection of infection or inflammation	18	15	$12.00	$5.18
G0008 Administration of influenza virus vaccine	16	16	$30.00	$14.04
82465 Cholesterol level	16	14	$10.00	$4.35
83036 Hemoglobin A1C level	16	12	$24.00	$9.71
83718 Hdl cholesterol level	16	14	$27.00	$8.19
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$40.00	$19.31
87086 Bacterial colony count, urine	15	14	$20.00	$8.07
90662 Influenza vaccine split virus, preservative free	14	14	$80.00	$65.26
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	14	11	$21.00	$8.65
80061 Blood test, lipids (cholesterol and triglycerides)	13	13	$33.00	$13.39
0064A Adm sarscov2 50mcg/0.25mlbst	12	12	$41.00	$32.23
0011A Adm sarscov2 100mcg/0.5ml1st	12	12	$41.00	$33.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	104	$153.00	$87.16
99213 Established patient office or other outpatient visit, typically 15 minutes	102	70	$102.00	$60.54
36415 Insertion of needle into vein for collection of blood sample	49	36	$7.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	34	$14.00	$7.40
80053 Blood test, comprehensive group of blood chemicals	35	32	$27.00	$10.23
81002 Urinalysis, manual test	33	31	$8.00	$3.45
G0008 Administration of influenza virus vaccine	22	21	$30.00	$16.20
84443 Blood test, thyroid stimulating hormone (TSH)	21	19	$42.00	$16.75
90662 Influenza vaccine split virus, preservative free	19	18	$80.00	$60.34
83036 Hemoglobin A1C level	18	13	$24.00	$9.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$171.00	$95.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	11	$206.00	$116.01
87086 Bacterial colony count, urine	16	16	$20.00	$7.98
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	16	13	$21.00	$8.56
84550 Uric acid level, blood	15	15	$11.00	$4.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$154.00	$89.17
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$40.00	$19.22
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	13	13	$75.00	$51.31
87088 Bacterial urine culture	12	12	$18.00	$8.00
80061 Blood test, lipids (cholesterol and triglycerides)	12	12	$33.00	$13.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	113	$153.00	$87.61
99213 Established patient office or other outpatient visit, typically 15 minutes	98	72	$102.00	$61.28
36415 Insertion of needle into vein for collection of blood sample	72	49	$7.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	56	40	$14.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	47	39	$27.00	$11.51
84443 Blood test, thyroid stimulating hormone (TSH)	45	37	$42.00	$18.30
81002 Urinalysis, manual test	45	40	$8.00	$3.41
83036 Hemoglobin A1C level	35	29	$24.00	$10.57
82948 Blood glucose (sugar) measurement using reagent strip	29	12	$8.00	$4.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$171.00	$96.28
G0008 Administration of influenza virus vaccine	24	24	$30.00	$15.91
84550 Uric acid level, blood	23	22	$11.00	$4.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	16	$206.00	$112.13
83718 Hdl cholesterol level	20	16	$27.00	$8.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	13	$36.95	$13.71
82465 Cholesterol level	20	16	$10.00	$4.74
90662 Influenza vaccine split virus, preservative free	19	19	$80.00	$54.89
87086 Bacterial colony count, urine	19	17	$20.00	$8.79
80061 Blood test, lipids (cholesterol and triglycerides)	18	17	$33.00	$14.58
G0009 Administration of pneumococcal vaccine	15	15	$30.00	$15.91
84439 Thyroxine (thyroid chemical), free	14	11	$22.00	$9.82
81001 Manual urinalysis test with examination using microscope, automated	14	14	$8.00	$3.45
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$40.00	$20.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$63.00	$35.30
87088 Bacterial urine culture	12	12	$18.00	$8.81
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	11	11	$21.00	$9.42
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$117.73	$110.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	138	$153.00	$87.46
99213 Established patient office or other outpatient visit, typically 15 minutes	142	87	$102.00	$59.22
36415 Insertion of needle into vein for collection of blood sample	91	65	$7.00	$2.91
80053 Blood test, comprehensive group of blood chemicals	72	61	$27.00	$12.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	66	59	$14.00	$9.40
83036 Hemoglobin A1C level	54	44	$24.00	$11.75
84443 Blood test, thyroid stimulating hormone (TSH)	44	39	$42.00	$20.33
81002 Urinalysis, manual test	41	39	$8.00	$3.34
G0008 Administration of influenza virus vaccine	32	32	$30.00	$19.49
90662 Influenza vaccine split virus, preservative free	29	29	$57.79	$52.15
87086 Bacterial colony count, urine	26	23	$20.00	$9.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$171.00	$96.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	17	$63.00	$34.98
81001 Manual urinalysis test with examination using microscope, automated	22	19	$8.00	$3.84
82465 Cholesterol level	20	20	$10.00	$5.05
86140 Measurement C-reactive protein for detection of infection or inflammation	19	19	$12.00	$6.26
83718 Hdl cholesterol level	19	19	$27.00	$9.50
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	19	19	$9.00	$4.29
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	17	17	$21.00	$10.46
87088 Bacterial urine culture	17	17	$18.00	$9.79
80061 Blood test, lipids (cholesterol and triglycerides)	17	16	$33.00	$16.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	12	$36.00	$16.66
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$40.00	$22.26
G0009 Administration of pneumococcal vaccine	14	14	$30.00	$19.49
84550 Uric acid level, blood	13	13	$11.00	$5.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$154.00	$83.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	79	$102.00	$59.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	68	$153.00	$88.00
36415 Insertion of needle into vein for collection of blood sample	66	49	$7.00	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	55	45	$14.00	$6.98
80053 Blood test, comprehensive group of blood chemicals	47	42	$27.00	$11.76
84443 Blood test, thyroid stimulating hormone (TSH)	37	33	$42.00	$22.27
83036 Hemoglobin A1C level	36	33	$24.00	$12.77
81002 Urinalysis, manual test	34	29	$8.00	$3.35
G0008 Administration of influenza virus vaccine	23	23	$30.00	$23.96
81001 Manual urinalysis test with examination using microscope, automated	23	17	$8.00	$4.26
87086 Bacterial colony count, urine	22	15	$20.00	$10.85
90662 Influenza vaccine split virus, preservative free	21	21	$46.33	$44.75
80061 Blood test, lipids (cholesterol and triglycerides)	20	20	$33.00	$13.57
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	17	16	$9.00	$4.77
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$40.00	$23.18
86140 Measurement C-reactive protein for detection of infection or inflammation	15	14	$12.00	$6.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$63.00	$35.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$171.00	$94.79
G0009 Administration of pneumococcal vaccine	12	12	$30.00	$23.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$257.00	$140.38

Medical Specialties & State Licenses

CMS Verified: 2021-05-04

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 3115451206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1841289600 (UT)

Hospital & Practice Group Affiliations

Ogden Clinic Pc

698 12th St, Ogden, UT 844046200

Phone: 8014753700

Ogden Clinic Pc

4700 Harrison Blvd, Ogden, UT 844034303

Phone: 8014753010

Ogden Clinic Pc

5495 S 500, Ogden, UT 844057409

Phone: 8014753100

Ogden Clinic Pc

6112 S 1550, Ogden, UT 844055007

Phone: 8014753800

Ogden Clinic Pc

4650 Harrison Blvd, Ogden, UT 844034303

Phone: 8014753010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Michael Browne , PA-C

Physician Assistant

NPI 1043594567

Physician Assistant (Certified)

Dr. Matthew Naegle , DO

Pediatrics

NPI 1154850477

Doctor of Osteopathic Medicine (D.O.)

Dr. Jason Gubler , DPT

Physical Therapist

NPI 1225486608

Doctor of Physical Therapy

Brittany Kester , PA-C

Physician Assistant

NPI 1265989446

Physician Assistant (Certified)

Kerry Reynolds , PA-C

Physician Assistant

NPI 1306034616

Physician Assistant (Certified)

Dr. Monte Roberts , PhD, DNP, RN

Registered Nurse - School

NPI 1316747595

Doctor of Philosophy (Ph.D.), Doctor of Nursing Practice, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location May 04, 2021

Registered at 698 12TH ST, OGDEN, UT 844046200 (Tel: 8014753700)

✅

NPI Profile Active October 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2016

Registered at 1159 E 12TH STREET, OGDEN, UT 844045144 (Tel: 8014753700)

📍

Updated Business Mailing Address October 10, 2016

Registered at 4650 HARRISON BLVD, OGDEN, UT 844034303 (Tel: 8014753000)

👤

Provider Name / Credentials Updated October 10, 2016

Recorded as ERIC JOHNSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2016

Physician Assistant (License #3115451206 in UT)

🟢

Initial NPI Registration & Enumeration October 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841289600

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 14, 2005

Last Update: May 04, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4650 Harrison Blvd

Ogden, UT 844034303

Phone: 8014753000

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