Parker Richard Roberts, | |
5475 S 500 E, Ogden, UT 84405-6905 | |
(800) 880-3566 | |
(801) 432-2670 |
Full Name | Parker Richard Roberts |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5475 S 500 E, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679283360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 10397447-3102 (Utah) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 103974474406 (Utah) | Primary |
Entity Name | Nph Anesthesia Of Utah Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
Mailing Address | Practice Location Address |
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Parker Richard Roberts, 2221 Lakeside Blvd Ste 600, Richardson, TX 75082-4416 Ph: (469) 505-1652 | Parker Richard Roberts, 5475 S 500 E, Ogden, UT 84405-6905 Ph: (800) 880-3566 |
Jenny L Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 800-880-3566 Fax: 801-733-5872 | |
Joseph Reyna, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2468 Fax: 801-479-2936 | |
Krystal Mae Tipping, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 S 1500 W, Ogden, UT 84404 Phone: 801-710-1161 | |
Layne B Croxford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4364 Washington Blvd, Ogden, UT 84403 Phone: 801-479-4470 | |
Rebecca Jo Santek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-727-2056 Fax: 770-701-6675 | |
Richard C Torman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 800-880-3566 Fax: 801-733-5872 | |
Rock E. Harper, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 800-880-3566 Fax: 801-733-5872 |