Theadora Sakata, | |
555 Foothill Dr, Suite 301, Salt Lake City, UT 84112-1106 | |
(801) 213-8846 | |
Not Available |
Full Name | Theadora Sakata |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 555 Foothill 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 |
---|---|---|---|
1588922439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 8790923-1205 (Utah) | Primary |
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 |
---|---|
Theadora Sakata, 375 Chipeta Way, Suite A, Salt Lake City, UT 84108-1260 Ph: () - | Theadora Sakata, 555 Foothill Dr, Suite 301, Salt Lake City, UT 84112-1106 Ph: (801) 213-8846 |
Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197 | |
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400 | |
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382 | |
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117 | |
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741 | |
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771 | |
Ms. Shannon B. Mckim, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108 Phone: 801-581-2121 |