Matthew Wayne Jarvis, DNP | |
1220 E 3900 S Ste 1f, Salt Lake City, UT 84124-1327 | |
(801) 262-5711 | |
(801) 262-5741 |
Full Name | Matthew Wayne Jarvis |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1220 E 3900 S Ste 1f, Salt Lake City, 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 |
---|---|---|---|
1366964728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 8281526-4405 (Utah) | Secondary |
363L00000X | Nurse Practitioner | 8281526-4405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspen Ridge Home Health | Murray, UT | Home health agency |
St Mark's Hospital | Salt lake city, UT | Hospital |
Lone Peak Hospital | Draper, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountainstar Medical Group Neurosurgery - St Marks Llc | 0941472484 | 2 |
Entity Name | Mountainstar Medical Group Neurosurgery - St Marks Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578859831 PECOS PAC ID: 0941472484 Enrollment ID: O20111005000868 |
Mailing Address | Practice Location Address |
---|---|
Matthew Wayne Jarvis, DNP Po Box 741648, Atlanta, GA 30374-1648 Ph: () - | Matthew Wayne Jarvis, DNP 1220 E 3900 S Ste 1f, Salt Lake City, UT 84124-1327 Ph: (801) 262-5711 |
Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999 | |
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600 | |
Emma Fong, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000 | |
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766 | |
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761 | |
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 | |
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166 |