Derek B Johnson
Medical Specialty
Professional ID
- NPI: 1962605857
- PECOS ID: 6901939552
- Enrollment ID: I20100803000236
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2006
Hospital Service
- Hospital CCN1: 460057
- Business Name (LBN)1: Park City Medical Center
Medical Practices
- Organization Name: Mountain West Anesthesia Llc
- Group Practice ID assigned by PECOS: 9032018502
- Number of Group Practice member: 172
Location
- Address1: 150 W Civic Ctr Dr
- Address2: Suite 200
- City: Sandy
- State: Utah
- Zip Code: 84070
- Phone Number: (801)727-2056
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):