Stephanie Diane Henderson, MD | |
9450 S 1300 E, Sandy, UT 84094-5555 | |
(801) 501-2160 | |
(801) 501-2107 |
Full Name | Stephanie Diane Henderson |
---|---|
Gender | Female |
Speciality | Gynecological Oncology |
Experience | 13 Years |
Location | 9450 S 1300 E, Sandy, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982997284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | R72652 (Arizona) | Secondary |
207V00000X | Obstetrics & Gynecology | 10259776-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alta View Hospital | Sandy, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
San Juan County Hospital | 4486541851 | 14 |
Entity Name | Granger Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
Entity Name | San Juan County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659315877 PECOS PAC ID: 4486541851 Enrollment ID: O20040301000938 |
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 |
---|---|
Stephanie Diane Henderson, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Stephanie Diane Henderson, MD 9450 S 1300 E, Sandy, UT 84094-5555 Ph: (801) 501-2160 |
Kristi Maas, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way, Sandy, UT 84092 Phone: 801-878-8888 | |
Dr. John Lawrence Gililland Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way, Sandy, UT 84092 Phone: 801-878-8888 Fax: 801-878-8890 | |
Dr. Frank Jay Keefer, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3324 Seven Springs Dr, Sandy, UT 84092 Phone: 801-942-3510 | |
Russell A Smith, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, Suite 300, Sandy, UT 84094 Phone: 801-571-7777 Fax: 801-523-1848 | |
Alicia Tabish Jones, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, Suite 300, Sandy, UT 84094 Phone: 801-571-7777 Fax: 801-523-1848 | |
Kenneth S Larsen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, #308, Sandy, UT 84094 Phone: 801-501-5590 | |
Gregory C Tanner, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9600 S 1300 E, Ste 305, Sandy, UT 84094 Phone: 801-963-1880 Fax: 801-963-1886 |