Kenneth Michael Jorgensen, MD | |
9660 S 1300 E, Sandy, UT 84094-3762 | |
(801) 269-2696 | |
(801) 269-2690 |
Full Name | Kenneth Michael Jorgensen |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 9660 S 1300 E, Sandy, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083648026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 339837-1205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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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 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Michael Jorgensen, MD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: (801) 269-2696 | Kenneth Michael Jorgensen, MD 9660 S 1300 E, Sandy, UT 84094-3762 Ph: (801) 269-2696 |
Gary H Lambert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9660 S 1300 E, Sandy, UT 84094 Phone: 801-269-2696 Fax: 801-269-2690 | |
Eddie C Iorg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9660 S 1300 E, Sandy, UT 84094 Phone: 801-269-2500 Fax: 801-269-2690 | |
Jeffrey M Mcnally, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9660 S 1300 E, Sandy, UT 84094 Phone: 801-269-2696 Fax: 801-269-2690 | |
Dr. Shiloh Gilbert, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9660 S 1300 E, Sandy, UT 84094 Phone: 801-501-2600 | |
Dr. Isaac Joseph Bingham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9660 S 1300 E, Sandy, UT 84094 Phone: 801-314-2875 | |
Adam F Ghiz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9660 S 1300 E, Sandy, UT 84094 Phone: 801-269-2696 Fax: 801-269-2690 |