Dr Jed Craig Southwick, MD | |
4401 Harrison Blvd, Ogden, UT 84403-3195 | |
(801) 387-7615 | |
Not Available |
Full Name | Dr Jed Craig Southwick |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 20 Years |
Location | 4401 Harrison Blvd, Ogden, 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 |
---|---|---|---|
1366651481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 6456430-1205 (Utah) | Primary |
207P00000X | Emergency Medicine | 88435 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mckay Dee Hospital | Ogden, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Emergency Physicians | 1153307277 | 124 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Utah Emergency Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588048979 PECOS PAC ID: 1153307277 Enrollment ID: O20040628001454 |
Mailing Address | Practice Location Address |
---|---|
Dr Jed Craig Southwick, MD 357 E 3700 N, North Ogden, UT 84414-2749 Ph: (801) 782-5310 | Dr Jed Craig Southwick, MD 4401 Harrison Blvd, Ogden, UT 84403-3195 Ph: (801) 387-7615 |
Robert W Grow, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5475 Adams Ave Pkwy, Ogden, UT 84405 Phone: 801-479-2376 | |
Mrs. Ramsey Lee Gosselin, FNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E Ste 100, Ogden, UT 84405 Phone: 801-475-7966 Fax: 801-475-7967 | |
Robert D Crofts, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7615 Fax: 801-387-7667 | |
Spencer Page Ferrin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7001 | |
Kristian Kemp, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2111 | |
Mitchell Douglas Barneck, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7000 | |
Dr. Lyman Val Rollins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2111 |