Marissa Johnson, DO
NPI 1588167324 · Diagnostic Radiology Physician · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marissa Johnson, DO is a Diagnostic Radiology Physician provider in Salt Lake City, UT (NPI 1588167324).
Provider details
- NPI number
- 1588167324
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 12439651-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 200 Mullins DrLebanon, OR 97355-3983Phone: (541) 259-0235
- 5000 W Chambers StMilwaukee, WI 53210-1650Phone: (414) 447-2195
Registry dates
- Enumerated
- 2018-03-16
- Last updated
- 2025-12-26
- Certified
- 2025-12-26
Frequently asked questions
- What is Marissa Johnson's NPI number?
- Marissa Johnson's National Provider Identifier (NPI) is 1588167324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Johnson's specialty?
- Marissa Johnson is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Marissa Johnson located?
- Marissa Johnson's practice location on file with NPPES is 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002.
- What is Marissa Johnson's phone number?
- The practice phone number listed in the NPPES registry for Marissa Johnson is (801) 581-2868.
- Does Marissa Johnson accept Medicare?
- Marissa Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marissa Johnson's NPI active?
- Yes — Marissa Johnson's NPI (1588167324) is active in the NPPES registry as of the last update on 2025-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.