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

Dr. Vaughn Thad Johnson, DO

Individual provider Family Medicine Physician · NPI 1659453694

Dr. Vaughn Thad Johnson, DO is a Family Practice in Provo, Utah. Graduated from University of Utah School of Medicine in 1997, 29 years ago. Practices with Powell County Memorial Hospital Association Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
29
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3650 N University Ave Ste 200
Provo, UT 84604-6658
Phone: (801) 375-7100
Fax: (801) 375-7102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9531048-1204 (UT)

Record details

NPI number1659453694
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESSeptember 17, 2009
Mailing address3650 N University Ave Ste 200, Provo, UT 84604-6658

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Powell County Memorial Hospital Association Inc. — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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