Dr Ian R Cavin, DO | |
4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 | |
(801) 965-3600 | |
Not Available |
Full Name | Dr Ian R Cavin |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 22 Years |
Location | 4252 S Highland Dr Ste 200, 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 |
---|---|---|---|
1184647315 | NPI | - | NPPES |
1265638357 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 34-00-8456 (Ohio) | Secondary |
208600000X | Surgery | 6446111-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lone Peak Hospital | Draper, UT | Hospital |
Alta View Hospital | Sandy, UT | Hospital |
St Mark's Hospital | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granger Medical Clinic Pc | 3476465691 | 149 |
Granger Medical Specialists Llc | 4587074356 | 155 |
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 | 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 Ian R Cavin, DO 7181 S Campus View Dr, West Jordan, UT 84084-4312 Ph: (801) 965-3505 | Dr Ian R Cavin, DO 4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 Ph: (801) 965-3600 |
Dr. Gregory Lawrence Livers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 129 F St, Salt Lake City, UT 84103 Phone: 801-364-3091 | |
Dr. Melanie Ann Dance, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 E 3900 S, Salt Lake City, UT 84124 Phone: 801-265-2000 | |
Alexander Schurman, Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Kaohinani Joseph Longwolf, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132 Phone: 801-213-2598 | |
Marisol Z. Monzon, MD Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Charles David Richards, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1391 E Farm Hill Dr, Salt Lake City, UT 84117 Phone: 801-272-6859 | |
Dr. Teresa Reading, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 10th Ave, #100, Salt Lake City, UT 84103 Phone: 801-408-7660 Fax: 801-408-7650 |