Daniel Kotok, | |
4403 Harrison Blvd Ste 4410, Ogden, UT 84403-3323 | |
(801) 387-6850 | |
(801) 387-6855 |
Full Name | Daniel Kotok |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 4403 Harrison Blvd Ste 4410, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427579515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 13317449-1205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Daniel Kotok, 4401 Harrison Blvd, Ogden, UT 84403-3195 Ph: () - | Daniel Kotok, 4403 Harrison Blvd Ste 4410, Ogden, UT 84403-3323 Ph: (801) 387-6850 |
Mikhail Shipotko, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 | |
Ewa Gniado, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 | |
Jaclyn Nguyen, Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 | |
Dr. Timothy Trask, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-3654 | |
Gregory T Almony, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E, Suite #204, Ogden, UT 84405 Phone: 801-479-0194 Fax: 801-479-5642 | |
Brian W Pugh, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405 Phone: 801-475-5400 Fax: 801-475-8614 | |
Dr. Jack D Wahlen, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 |