Shay Holley, MD | |
5475 S 500 E, Ogden, UT 84405-6905 | |
(801) 479-2111 | |
Not Available |
Full Name | Shay Holley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 33 Years |
Location | 5475 S 500 E, Ogden, 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 |
---|---|---|---|
1255392213 | NPI | - | NPPES |
930085279 | Other | UT | RAILROAD |
D0576 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 275093-1205 (Utah) | Secondary |
207P00000X | Emergency Medicine | 275093-1205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physicians Integrated Care Llc | 4284548116 | 170 |
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 |
Mailing Address | Practice Location Address |
---|---|
Shay Holley, MD 144 S 500 E, 2nd Floor, Salt Lake City, UT 84102-1907 Ph: () - | Shay Holley, MD 5475 S 500 E, Ogden, UT 84405-6905 Ph: (801) 479-2111 |
Robert W Grow, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5475 Adams Ave Pkwy, Ogden, UT 84405 Phone: 801-479-2376 | |
Mrs. Ramsey Lee Gosselin, FNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E Ste 100, Ogden, UT 84405 Phone: 801-475-7966 Fax: 801-475-7967 | |
Robert D Crofts, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7615 Fax: 801-387-7667 | |
Spencer Page Ferrin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7001 | |
Kristian Kemp, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2111 | |
Mitchell Douglas Barneck, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7000 | |
Dr. Lyman Val Rollins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2111 |