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

Mr. Anthony William Johnson, PA-C

Individual provider Physician Assistant · NPI 1407105547

Mr. Anthony William Johnson, PA-C is a Physician Assistant in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Oregon and Utah.

Licensed in
OR, UT
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1094 S Blair St
Salt Lake City, UT 84111-4703
Phone: (702) 885-6791
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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 366543-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA158656 (OR)

Record details

NPI number1407105547
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 5, 2012
Last updated in NPPESFebruary 13, 2013

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