Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Lyle Johnson, PA

Individual provider Medical Physician Assistant · NPI 1326248022

David Lyle Johnson, PA is a Physician Assistant in Murray, Utah. Qualified in 2007, 19 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
19
Licensed in
UT
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5169 S Cottonwood St Ste 510
Murray, UT 84107-6767
Phone: (801) 507-3513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5314229-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5314229-8002 (UT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5314229-8002 (UT)

Record details

NPI number1326248022
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 20, 2007
Last updated in NPPESJune 9, 2016
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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