Daniel A Evans, MD | |
100 N Medical Dr, Salt Lake City, UT 84113-1103 | |
(801) 993-9551 | |
(801) 733-5872 |
Full Name | Daniel A Evans |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 100 N Medical Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760599161 | NPI | - | NPPES |
QM0000057307 | Other | UT | ALTIUS |
28040 | Other | UT | HEALTHY U |
870280408EV1 | Other | UT | EDUCATORS MUTUAL |
0060758 | Medicaid | MT | |
49394881200001 | Other | UT | BCBS |
656108 | Other | UT | DESERET MUTUAL |
PRA07384 | Other | UT | MOLINA |
1021320001 | Other | UT | CIGNA |
68248 | Other | UT | PEHP |
107012191101 | Other | UT | IHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4939488-1205 (Utah) | Primary |
Entity Name | Pediatric Anesthesiologists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417965799 PECOS PAC ID: 4385618578 Enrollment ID: O20040824000152 |
Mailing Address | Practice Location Address |
---|---|
Daniel A Evans, MD 1954 Fort Union Blvd Ste 111, Salt Lake City, UT 84121-6893 Ph: () - | Daniel A Evans, MD 100 N Medical Dr, Salt Lake City, UT 84113-1103 Ph: (801) 993-9551 |
Dr. Anne Wierman Estares, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 4c104, Salt Lake City, UT 84132 Phone: 719-314-5254 | |
Ashley Nicole Langell, MS, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132 Phone: 801-581-3622 | |
Dr. Nicole Jeffreys, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3578 | |
Matthew L Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618 | |
Dr. Jeffrey David Dillon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Room 3c444, Salt Lake City, UT 84132 Phone: 801-581-6393 Fax: 801-581-4367 | |
Jennifer Jean Davis, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6393 | |
Dennis L. Morris, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618 |