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

Richard John, DO

Individual provider Family Medicine Physician · NPI 1649894692

Richard John, DO is a Family Practice in Logan, Utah. Graduated from Liberty Univ College of Osteopathic Medicine in 2020, 6 years ago. Practices with Impact Physician Group LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Trained at
Liberty Univ College of Osteopathic Medicine
Licensed in
UT
In the registry since
2020
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

1350 N 500 E
Logan, UT 84341-2400
Phone: (208) 234-4700
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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 13421605-8904 (UT)

Record details

NPI number1649894692
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 5, 2020
Last updated in NPPESNovember 6, 2023
Certification dateNovember 3, 2023
Mailing address1350 N 500 E, Logan, UT 84341-2400

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Impact Physician Group Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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