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Marissa Johnson, DO

NPI 1588167324ActiveIndividual· Radiology, Diagnostic Radiology· Salt Lake City, UT

Radiology, Diagnostic Radiology (DO) in Salt Lake City, Utah, trained at Col of Osteo Med of the Pacific at Lebanon (class of 2020). Enrolled in Medicare as practitioner - diagnostic radiology.

Overview

NPI1588167324
StatusActive
Entity typeIndividual
CredentialDO
Sole proprietorNo
NPI issuedMar 16, 2018
Last updated in NPPESDec 26, 2025
Certified by providerDec 26, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Radiology, Diagnostic Radiology Primary2085R0202X12439651-1204UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Diagnostic Radiology (UT)

Medicare sources and data years

Education and affiliations

Medical schoolCol of Osteo Med of the Pacific at Lebanon
Graduation year2020
Medicare specialtyDiagnostic Radiology

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other diagnostic radiologists in Salt Lake City

All 122 diagnostic radiologists in Salt Lake City · All diagnostic radiologists in Utah