| Carol A Leatherman, PA | |
|
750 Round Valley Dr, Suite 200, Park City, UT 84060-7548 | |
| (435) 658-7246 | |
| Not Available |
| Full Name | Carol A Leatherman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 750 Round Valley Dr, Park City, 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 |
|---|---|---|---|
| 1700834686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA920 (Kentucky) | Secondary |
| 363A00000X | Physician Assistant | 9454093-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park City Hospital | Park city, UT | Hospital |
| Heber Valley Hospital | Heber city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A Leatherman, PA Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 658-7246 | Carol A Leatherman, PA 750 Round Valley Dr, Suite 200, Park City, UT 84060-7548 Ph: (435) 658-7246 |
Richard Rainville, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1154 Center Dr Ste D250, Park City, UT 84098 Phone: 385-246-5971 | |
Cynthia C Berwald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2720 Homestead Rd, Suite 100, Park City, UT 84098 Phone: 435-940-9400 | |
Shari Bloom, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1665 Bonanza Dr, Park City, UT 84060 Phone: 435-649-7640 Fax: 435-649-1365 | |
Amelia Bell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1784 Uinta Way, E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 | |
Natalie Marie Blaskowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr Ste 100, Park City, UT 84060 Phone: 435-656-6600 | |
Kevin Bryan James Huntington, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 | |
Bradon T Mckinnon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 801-648-5551 |