Stacy A Johnson, MD
Stacy A Johnson, MD practises Internal Medicine in Salt Lake City, Utah. Graduated from Chicago College of Medicine and Surgery in 2005, 21 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 21
- Trained at
- Chicago College of Medicine and Surgery
- Licensed in
- UT
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
30 N 1900 E Rm 5R218Salt Lake City, UT 84132-0002
Phone: (801) 581-7822
Fax: (801) 585-9166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Hospitalist Physician (primary) | Taxonomy 208M00000X · Licence 6353729-1205 (UT) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 6353729-1205 (UT) |
Record details
| NPI number | 1841418050 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2007 |
| Last updated in NPPES | October 21, 2021 |
| Certification date | October 21, 2021 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduated | 2005 (21 years in practice) |
| Group practice | University Of Utah Adult Services — 1740 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 306 |
| Average patient age | 72 |
Practises at
- University Of Utah Hospital And Clinics Hospital · Salt Lake City, UT
Colleagues at University of Utah Adult Services
- Dr. Ashle Mayme Crane, DNP, APRN Acute Care Nurse Practitioner · Salt Lake City, UT
- Paige Harasha, PA-C Physician Assistant · Salt Lake City, UT
- Dr. Jason P Harig, MD Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
- Hannah Rose Kuklenski, AG-ACNP, MSN Acute Care Nurse Practitioner · Columbus, OH
- Dorota Joanna Lebiedz-Odrobina, MD Rheumatology Physician · Salt Lake City, UT
- Brendan Lutz Emergency Medicine Physician · Columbia, SC
- Ian McElhenney, PA-C, ATC, OTC Athletic Trainer · Salt Lake City, UT
- Ryan Daniel Murphy, MD Internal Medicine Physician · Salt Lake City, UT
- Matthew Paul Riccardi Physician Assistant · Salt Lake City, UT
- David Souza Physician Assistant · Salt Lake City, UT
- Tsewang Tashi, MD Internal Medicine Physician · Salt Lake City, UT
- Meghan Vigil, APRN Nurse Practitioner · Slc, UT
Other providers in Salt Lake City
-
Shefali N Jhaveri, MD
275 E 200 S, Salt Lake City, UT 84111-2002 · (801) 487-8190
-
Jessica Johnson, MD
University Of Utah Dept OF Medicine 30 N 1900 E Som Rm 4C116, Salt Lake City, UT 84132-0001 · (801) 585-5559
-
Joyce Dunn Johnson, MD
1060 E 100 S L10, Salt Lake City, UT 84102 · (801) 328-1260
-
Mark Rolfe Johnson, MD
32 W 200 S # 410, Salt Lake City, UT 84101-1603 · (801) 960-4890
-
Nicole Claire Johnston, MD
30 N 1900 E Rm 4C104, Salt Lake City, UT 84132-0002 · (801) 581-7606
-
Teressa R. Ju, MD
26 N 1900 E Rm 701, Salt Lake City, UT 84132-0002 · (801) 581-2121
-
Carl Kablitz, MD
50 N Medical Dr, Salt Lake City, UT 84132-0001 · (801) 581-6709
-
Slobodan Kalaba, MD
389 S 900 E, Salt Lake City, UT 84102-2310 · (385) 282-2000