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Active NPI 1760502991 Individual Practitioner Male Practitioner

Dr. Blake Wilson Johnson , DO

Anesthesiology • West Jordan, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Blake Johnson, DO is a certified Anesthesiology practicing in West Jordan, UT. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Johnson delivers high-quality medical care to the local community at 3580 W 9000 S.

Dr. Johnson maintains professional affiliations with Kauai Medical Clinic, Nph Anesthesia Of Utah Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for open procedure on bones of lower leg, ankle and foot, injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve), ultrasonic guidance imaging supervision and interpretation for insertion of needle. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3580 W 9000 S

West Jordan, UT 840888812

Telephone 8015618888
Fax 4805072971
Associated Practice Facility / Clinic
🏢 Utah Imaging Associates Facility NPI 1164422812

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in West Jordan, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +0.6 yrs vs City Avg
City Avg: 21.4 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
7 Specialists

Practicing in West Jordan, UT (687 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (22 Years) 22 Yrs
West Jordan Specialty Average (21.4 Years) 21.4 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
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot
13 13 $1813.85 $185.14
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)
11 11 $1220.00 $57.34

Medical Specialties & State Licenses

CMS Verified: 2026-06-11
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License UT 6919190-1240

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License AZ 012210

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License KS 94-06211 TEMPORARY

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1841453362 (UT)

Hospital & Practice Group Affiliations

Nph Anesthesia Of Utah Llc

5475 S 500, Ogden, UT 844056905

Phone: 4699987443

Kauai Medical Clinic

3-3420 Kuhio Hwy, Lihue, HI 967661098

Phone: 8082451500

Secondary Practice Locations

2400 S Avenue A

Yuma, AZ 853647127

Phone: 9283442000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Barbara Loader

General Acute Care Hospital

NPI 1003223363
Dr. Khoa Le , MD

Anesthesiology

NPI 1003866526

Doctor of Medicine (M.D.)

Dr. Cardin Bell , MD

Anesthesiology

NPI 1013061480

Doctor of Medicine (M.D.)

Dr. Ryan Giles , MD

Emergency Medicine

NPI 1013977511

Doctor of Medicine (M.D.)

Dr. Thomas Macfarlane , MD

Emergency Medicine

NPI 1043271026

Doctor of Medicine (M.D.)

NPI 1043414139

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2026

Anesthesiology (License #012210 in AZ)

NPI Profile Active June 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2015

Registered at 3580 W 9000 S, WEST JORDAN, UT 840888812 (Tel: 8015618888)

📍
Updated Business Mailing Address June 19, 2015

Registered at PO BOX 1847, GILBERT, AZ 852991847 (Tel: 4805072961)

👤
Provider Name / Credentials Updated June 19, 2015

Recorded as BLAKE JOHNSON, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2015

Anesthesiology (License #6919190-1240 in UT)

🟢
Initial NPI Registration & Enumeration March 30, 2007

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: 1760502991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2007
Last Update: June 11, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 1847

Gilbert, AZ 852991847

Phone: 4805072961

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.