Ryan J Stolworthy, MD | |
1400 N 500 E, Logan, UT 84341 | |
(435) 716-1000 | |
Not Available |
Full Name | Ryan J Stolworthy |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 1400 N 500 E, Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417981234 | NPI | - | NPPES |
D4636 | Medicaid | UT | |
P00000456 | Other | RAILROAD MEDICARE | |
51101391200001 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 5110139 (Utah) | Primary |
Entity Name | Emergency Physicians Integrated Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
Entity Name | Rocky Mountain Emergency Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225078736 PECOS PAC ID: 5597662320 Enrollment ID: O20031218000389 |
Mailing Address | Practice Location Address |
---|---|
Ryan J Stolworthy, MD Po Box 25535, Salt Lake City, UT 84125 Ph: (866) 898-7136 | Ryan J Stolworthy, MD 1400 N 500 E, Logan, UT 84341 Ph: (435) 716-1000 |
Steven G. Nail, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-2250 Fax: 435-716-2250 | |
Douglas P Plowman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Mr. Jacob Sanderson, FNP-BC Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-2000 | |
Theral Michael Bishop, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Rodney L Hammer, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 179 N Main St Ste 309, Logan, UT 84321 Phone: 435-755-1670 | |
Richard J Ingebretsen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 |