Doctor profile · Federal record
Dr. Glade Johnson, CRNA, BSN
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Registered Nurse · Goodyear, AZ
- NPI 1609654219
- Accepts Medicare
- 3 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
13677 W McDowell RD
Goodyear, AZ 853952635
(623) 882-1500 - Mailing address
-
21263 W Sycamore Dr
Buckeye, AZ 853967898
Credentials & registration
- NPI registered
- September 2023 — 3 yrs on file
- Profile last updated
- September 20, 2023
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Arizona #297873 · Utah #10836809-3102
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1609654219. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kerecis Limited | 1 | $21.80 |
By nature of payment
Frequently asked questions
What is Dr. Glade Johnson's medical specialty?
Dr. Glade Johnson practices Certified Registered Nurse Anesthetist in Goodyear, AZ.
Where does Dr. Glade Johnson practice?
Dr. Glade Johnson practices at 13677 W McDowell RD, Goodyear, AZ 853952635. Office phone: 6238821500.
What is Dr. Glade Johnson's NPI?
Dr. Glade Johnson's National Provider Identifier (NPI) is 1609654219, issued by NPPES.
Does Dr. Glade Johnson accept Medicare assignment?
Yes. Dr. Glade Johnson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.