Dr Cuper Martinez-santibanez, MD | |
3460 S Pioneer Pkwy, West Valley City, UT 84120-2049 | |
(801) 783-5011 | |
(801) 746-3734 |
Full Name | Dr Cuper Martinez-santibanez |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 7 Years |
Location | 3460 S Pioneer Pkwy, West Valley 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 |
---|---|---|---|
1891238481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10261485-1205 (Utah) | Primary |
208M00000X | Hospitalist | 10261485-1205 (Utah) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Jordan Valley Medical Center | West jordan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granger Medical Clinic Pc | 3476465691 | 149 |
Utah Regional Hospitalists Llc | 4789807165 | 128 |
Confederated Tribes Of The Goshute Reservation | 0042451650 | 43 |
Entity Name | Granger Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
Entity Name | Utah Regional Hospitalists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236 |
Entity Name | Santibanez Aguirre Slc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609334911 PECOS PAC ID: 0345582383 Enrollment ID: O20190423002734 |
Entity Name | Granger Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
Mailing Address | Practice Location Address |
---|---|
Dr Cuper Martinez-santibanez, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Dr Cuper Martinez-santibanez, MD 3460 S Pioneer Pkwy, West Valley City, UT 84120-2049 Ph: (801) 783-5011 |
Dr. Warren R Stack, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3540 S 4000 W, 350, West Valley City, UT 84120 Phone: 801-968-8692 Fax: 801-968-9632 | |
James Russell Grua, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 | |
Kenneth Schaecher, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 Fax: 801-965-3526 | |
Charles W Haws, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, Suite 201, West Valley City, UT 84120 Phone: 801-676-3776 Fax: 801-676-0987 | |
David Oelsner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 | |
J David Bane, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3725 W 4100 South, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 | |
Alison Oakes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |