David Gordon Affleck, MD | |
1160 E 3900 S, Suite 3500, Salt Lake City, UT 84124-1202 | |
(801) 743-4750 | |
(801) 743-4765 |
Full Name | David Gordon Affleck |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 28 Years |
Location | 1160 E 3900 S, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710979653 | NPI | - | NPPES |
D5506 | Medicaid | UT | |
P00424176 | Other | UT | RR MEDICARE |
134332141 | Other | UT | TAX IDENTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 346120-1206 (Utah) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 3461201205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tender Care Home Health | Bountiful, UT | Home health agency |
St Mark's Hospital | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountainstar Cardiovascular Services Llc | 1951404110 | 14 |
Entity Name | Mountainstar Cardiovascular Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689721219 PECOS PAC ID: 1951404110 Enrollment ID: O20070309000071 |
Mailing Address | Practice Location Address |
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David Gordon Affleck, MD Po Box 281490, Atlanta, GA 30384-1490 Ph: () - | David Gordon Affleck, MD 1160 E 3900 S, Suite 3500, Salt Lake City, UT 84124-1202 Ph: (801) 743-4750 |
Dr. Ammar A. M. Asban, MBBS Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 30 N 1900 E, Salt Lake City, UT 84132 Phone: 801-581-4222 | |
Aaron Eckhauser, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 100 N. Mario Capecchi Dr, Suite 2800, Salt Lake City, UT 84113 Phone: 801-662-5566 | |
Dr. Bruce Bennett Reid, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 324 10th Ave, #154, Salt Lake City, UT 84103 Phone: 801-408-8666 | |
J Kent Thorne, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1160 E 3900 S, #3500, Salt Lake City, UT 84124 Phone: 801-743-4750 Fax: 801-743-4765 | |
Michael P Collins, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St, Ste 600, Salt Lake City, UT 84107 Phone: 801-507-3600 | |
Lauren E. Levy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Drive Rm 4s100, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Dr. Stephen Eugene Clayson, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 324 10th Ave, Salt Lake City, UT 84103 Phone: 801-408-8666 |