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

Marissa Johnson, DO

Individual provider Diagnostic Radiology Physician · NPI 1588167324

Marissa Johnson, DO is a Diagnostic Radiology in Salt Lake City, Utah. Graduated from Col of Osteo Med of the Pacific at Lebanon in 2020, 6 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Trained at
Col of Osteo Med of the Pacific at Lebanon
Licensed in
UT
In the registry since
2018
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

30 N 1900 E Rm 1A071
Salt Lake City, UT 84132-0002
Phone: (801) 581-2868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 Mullins Dr, Lebanon, OR 97355-3983 — (541) 259-0235
  • 5000 W Chambers St, Milwaukee, WI 53210-1650 — (414) 447-2195

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 12439651-1204 (UT)

Record details

NPI number1588167324
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 16, 2018
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCOL OF OSTEO MED OF THE PACIFIC AT LEBANON
Graduated 2020 (6 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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