Suzanne M Yandow, MD | |
100 Mario Capecchi Dr, 4550, Salt Lake City, UT 84113-1103 | |
(801) 662-5600 | |
Not Available |
Full Name | Suzanne M Yandow |
---|---|
Gender | Female |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 100 Mario Capecchi Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932385671 | NPI | - | NPPES |
2000101-03 | Medicaid | TX | |
2000101-04 | Other | TX | MEDICAID CSHCN - ROT |
200010105 | Medicaid | TX | |
2000101-02 | Other | TX | MEDICAID CSHCN - AUSTIN |
8CS727 | Other | TX | BCBS |
8V1731 | Other | TX | BCBSTX INDIVIDUAL NUMBER |
2000101-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | M8442 (Texas) | Primary |
Entity Name | The Association Of Chrmc And University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
Mailing Address | Practice Location Address |
---|---|
Suzanne M Yandow, MD Po Box 413026, Salt Lake City, UT 84141-3026 Ph: (801) 213-3900 | Suzanne M Yandow, MD 100 Mario Capecchi Dr, 4550, Salt Lake City, UT 84113-1103 Ph: (801) 662-5600 |
Cameron R. Guy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Benjamin Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 82 S 1100 E Ste 303, Salt Lake City, UT 84102 Phone: 801-533-2002 Fax: 801-323-9546 | |
Chrystina James, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Thomas D. Bauman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011 | |
Jaclyn Aleksandra Konopka, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Kayla L. Gates, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 S Wakara Way, Salt Lake City, UT 84108 Phone: 801-587-5448 | |
Jeffrey D Jackson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124 Phone: 801-261-7479 Fax: 801-261-7429 |