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

Mr. John Michael Self, MD

Individual provider Plastic Surgery Physician · NPI 1912012287

Mr. John Michael Self, MD is a Plastic and Reconstructive Surgery in Murray, Utah. Graduated from University of Alabama School of Medicine in 1978, 48 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
48
Trained at
University of Alabama School of Medicine
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5292 So College Dr 202
Murray, UT 84123
Phone: (801) 266-3671
Fax: (801) 266-8194
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 3557751205 (UT)

Record details

NPI number1912012287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5292 So College Dr, 202, Murray, UT 84123

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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