Jonathan P Scoville, MD | |
50 N Medical Dr, Salt Lake City, UT 84132-0001 | |
(801) 581-2121 | |
Not Available |
Full Name | Jonathan P Scoville |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 50 N Medical Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427412444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 036164308 (Illinois) | Secondary |
207T00000X | Neurological Surgery | FS7172682 (Utah) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Jonathan P Scoville, MD 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-2121 | Jonathan P Scoville, MD 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-2121 |
Gail A. Magid, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 275 E 200 S, Salt Lake City, UT 84111 Phone: 800-366-1884 Fax: 801-487-8197 | |
Dr. Robert John Bollo, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6908 | |
Wonhong David Min, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3838 S 700 E Ste 300a, Salt Lake City, UT 84106 Phone: 801-261-4988 Fax: 801-269-9425 | |
Dr. Paul Gregory Amstutz, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 500s Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 | |
Jodie Karen Levitt, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1327 East 2100 South, Suite 101, Salt Lake City, UT 84105 Phone: 801-363-2473 Fax: 866-363-3441 | |
Michael T. Bounajem, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 175 N Medical Dr E #5, Salt Lake City, UT 84132 Phone: 801-581-6908 | |
Dr. Katherine E. Callahan, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 175 N Medical Dr Rm 5323, Salt Lake City, UT 84112 Phone: 801-581-2121 |