OrganizationActive
Corey B Johnson MD PC
NPI 1114115763 · Family Medicine Physician · Logan, UT
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(88/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.