Shane Rulon Stratford, DNP, AG-ACNP | |
4401 Harrison Blvd, Ogden, UT 84403-3195 | |
(801) 387-2800 | |
Not Available |
Full Name | Shane Rulon Stratford |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 4401 Harrison Blvd, Ogden, 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 |
---|---|---|---|
1508347006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 79812274405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Layton Hospital | Layton, UT | Hospital |
Mckay Dee Hospital | Ogden, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Emergency Physicians | 1153307277 | 124 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Utah Emergency Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588048979 PECOS PAC ID: 1153307277 Enrollment ID: O20040628001454 |
Mailing Address | Practice Location Address |
---|---|
Shane Rulon Stratford, DNP, AG-ACNP Po Box 571117, Murray, UT 84157-1117 Ph: (801) 507-9700 | Shane Rulon Stratford, DNP, AG-ACNP 4401 Harrison Blvd, Ogden, UT 84403-3195 Ph: (801) 387-2800 |
Trisha B Sears, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714 | |
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110 | |
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795 | |
Carrie Hanni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 | |
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572 | |
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797 | |
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702 |