Nicholas Von Der Ahe, MD | |
750 Round Valley Dr Ste 201, Park City, UT 84060-7549 | |
(435) 649-7680 | |
(435) 776-9353 |
Full Name | Nicholas Von Der Ahe |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 750 Round Valley Dr Ste 201, Park City, 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 |
---|---|---|---|
1588191902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 081963 (Georgia) | Secondary |
207Q00000X | Family Medicine | 13447082-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park City Hospital | Park city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Floyd Healthcare Management Inc | 5193633386 | 109 |
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Floyd Healthcare Management Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689610149 PECOS PAC ID: 5193633386 Enrollment ID: O20040127000897 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Von Der Ahe, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Nicholas Von Der Ahe, MD 750 Round Valley Dr Ste 201, Park City, UT 84060-7549 Ph: (435) 649-7680 |
Dr. Joseph Ferriter, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 Bonanza Dr, Park City, UT 84060 Phone: 435-649-7640 Fax: 435-649-1365 | |
John Joseph Hanrahan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 Maple Dr, Park City, UT 84098 Phone: 435-714-0715 | |
Dr. Kenneth Alan Wolkoff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3065 Fawn Dr, Park City, UT 84098 Phone: 435-655-8212 | |
Brian J Rush, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2720 Homestead Rd, Ste 100, Park City, UT 84098 Phone: 435-940-9400 | |
Bradley Cris Cowley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7000 | |
Dr. Spenser Reed, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1790 Sun Peak Dr Ste A101, Park City, UT 84098 Phone: 435-645-0800 | |
Stefani Jane Day, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 Bonanza Dr, Park City, UT 84060 Phone: 435-649-7640 Fax: 435-645-7768 |