Dr Sean Jay Henderson, DO, FACOS | |
1159 E 200 N Ste 300, American Fork, UT 84003-2037 | |
(801) 965-3600 | |
Not Available |
Full Name | Dr Sean Jay Henderson |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 14 Years |
Location | 1159 E 200 N Ste 300, American Fork, 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 |
---|---|---|---|
1366753709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 34.011766 (Ohio) | Secondary |
208800000X | Urology | 9683273-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
American Fork Hospital | American fork, UT | Hospital |
Timpanogos Regional Hospital | Orem, UT | Hospital |
Gunnison Valley Hospital | Gunnison, UT | Hospital |
Utah Valley Hospital | Provo, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granger Medical Clinic Pc | 3476465691 | 149 |
Gunnison Valley Hospital | 3678487659 | 19 |
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 | Gunnison Valley Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255924486 PECOS PAC ID: 3678487659 Enrollment ID: O20031113000860 |
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 Sean Jay Henderson, DO, FACOS 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Dr Sean Jay Henderson, DO, FACOS 1159 E 200 N Ste 300, American Fork, UT 84003-2037 Ph: (801) 965-3600 |
Daniel Vernon Cahoon, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1159 E 200 N Ste 300, American Fork, UT 84003 Phone: 801-965-3600 | |
Dr. Stewart T Landau, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1159 E 200 N Ste 300, American Fork, UT 84003 Phone: 801-965-3600 | |
Dr. Ronald Jay Saunders, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1159 E 200 N, American Fork, UT 84003 Phone: 801-756-7609 Fax: 801-756-6834 |