Jordan Carlton Schramm, MD | |
1055 N 300 W Ste 401, Provo, UT 84604-3306 | |
(801) 357-7499 | |
(801) 373-5980 |
Full Name | Jordan Carlton Schramm |
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Gender | Male |
Speciality | Otolaryngology - Pediatric Otolaryngology |
Location | 1055 N 300 W Ste 401, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588976328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 9712365-1205 (Utah) | Secondary |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | 9712365-1205 (Utah) | Primary |
Entity Name | Peak Ent Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346489036 PECOS PAC ID: 4284781543 Enrollment ID: O20090402000646 |
Mailing Address | Practice Location Address |
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Jordan Carlton Schramm, MD 1055 N 300 W Ste 401, Provo, UT 84604-3306 Ph: (801) 357-7499 | Jordan Carlton Schramm, MD 1055 N 300 W Ste 401, Provo, UT 84604-3306 Ph: (801) 357-7499 |
Dr. Phillip Lee Chaffin Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W, Ste 401, Provo, UT 84604 Phone: 801-357-7499 Fax: 801-373-5980 | |
Matthew K. Money, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W, Suite 301, Provo, UT 84604 Phone: 801-357-4460 Fax: 801-357-4090 | |
Dr. Kipp Moreno Robins, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 | |
Kirt Scott Beus, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W, Suite 401, Provo, UT 84604 Phone: 801-357-7499 Fax: 801-373-5980 | |
Scott Shipley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 401, Provo, UT 84604 Phone: 801-357-7499 Fax: 801-373-5980 | |
Dr. Seth Allred Riddle, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W, Suite 401, Provo, UT 84604 Phone: 801-357-7499 Fax: 801-373-5980 |