OrganizationActive
Corey B Johnson MD PC
NPI 1114115763 · Family Medicine Physician · Logan, UT
Corey B Johnson MD PC is a Family Medicine Physician organization in Logan, UT (NPI 1114115763).
Provider details
- NPI number
- 1114115763
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Corey Johnson, President(435) 753-2842
- License
- 1848241205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1219 N 400 E
Logan, UT 84341-2321
Phone: (435) 753-2842
Street-level locationGet directions
Mailing address
1219 N 400 E
Logan, UT 84341-2321
Other names (DBA / former)
- Doing business as
- Cache Vein Care
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2007-10-09
Frequently asked questions
- What is Corey B Johnson MD PC's NPI number?
- Corey B Johnson MD PC's National Provider Identifier (NPI) is 1114115763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Corey B Johnson MD PC?
- Corey B Johnson MD PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Corey B Johnson MD PC located?
- Corey B Johnson MD PC's practice location on file with NPPES is 1219 N 400 E, Logan, UT 84341-2321.
- What is Corey B Johnson MD PC's phone number?
- The practice phone number listed in the NPPES registry for Corey B Johnson MD PC is (435) 753-2842.
- Who is the authorized official for Corey B Johnson MD PC?
- The authorized official listed on Corey B Johnson MD PC's NPPES record is Corey Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Corey B Johnson MD PC's NPI active?
- Yes — Corey B Johnson MD PC's NPI (1114115763) is active in the NPPES registry as of the last update on 2007-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.