| Ashley Valley Physician Practice, Llc | |
|
175 N. 100 W. Suite 202 Vernal UT 84078 | |
| (435) 789-1820 | |
| (435) 789-1821 |
| Full Name | Ashley Valley Physician Practice, Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 175 N. 100 W., Vernal, Utah |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Valley Physician Practice, Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Ashley Valley Physician Practice, Llc 175 N. 100 W. Suite 202 Vernal UT 84078 Ph: (435) 789-1820 |
| NPI Number | 1740482025 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 4284683947 |
|---|---|
| Medicare Enrollment ID | O20050119001166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740482025 | NPI | - | NPPES |
| Provider Name | Michael Garey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881629525 PECOS PAC ID: 0749258622 Enrollment ID: I20041108000324 |
| Provider Name | Smitha Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962490201 PECOS PAC ID: 4385607506 Enrollment ID: I20041109000648 |
| Provider Name | Jay H Gassman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720193956 PECOS PAC ID: 2668404823 Enrollment ID: I20050908000535 |
| Provider Name | Mitchell J Melling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528063617 PECOS PAC ID: 8628988391 Enrollment ID: I20051102000252 |
| Provider Name | Juan C Vasquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477593713 PECOS PAC ID: 5092800375 Enrollment ID: I20080715000528 |
| Provider Name | J Cameron Kesler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225189020 PECOS PAC ID: 9931254059 Enrollment ID: I20110228000852 |
| Provider Name | Thomas M Buchanan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710162227 PECOS PAC ID: 7517141088 Enrollment ID: I20110407000029 |
| Provider Name | Alma L Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164474037 PECOS PAC ID: 1456263623 Enrollment ID: I20110616000611 |
| Provider Name | Omar E Mendez-figueroa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912034315 PECOS PAC ID: 7618869983 Enrollment ID: I20120312000619 |
| Provider Name | Michael A Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417075102 PECOS PAC ID: 2961668322 Enrollment ID: I20120730000630 |
| Provider Name | David Mathis Thayn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386802916 PECOS PAC ID: 2961652789 Enrollment ID: I20121101000027 |
| Provider Name | William King Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740530302 PECOS PAC ID: 2769636661 Enrollment ID: I20130130000323 |
| Provider Name | Wade Butaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679703094 PECOS PAC ID: 7012195258 Enrollment ID: I20130219000225 |
| Provider Name | Garth James Muir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326200627 PECOS PAC ID: 1052451705 Enrollment ID: I20130222000113 |
| Provider Name | Clyde Sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295939262 PECOS PAC ID: 5193876464 Enrollment ID: I20130328000125 |
| Provider Name | Trevor J Mathis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205008844 PECOS PAC ID: 2264675644 Enrollment ID: I20130904000561 |
| Provider Name | Paul A Thayn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639311186 PECOS PAC ID: 6103069455 Enrollment ID: I20130905000479 |
| Provider Name | Jason E Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194161190 PECOS PAC ID: 2668616038 Enrollment ID: I20130925000385 |
| Provider Name | Matthew Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407143324 PECOS PAC ID: 9739339300 Enrollment ID: I20140715002560 |
| Provider Name | Melinda Beth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609280882 PECOS PAC ID: 0446477897 Enrollment ID: I20140808001655 |
| Provider Name | Celia Zebrack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396968111 PECOS PAC ID: 2264591536 Enrollment ID: I20140826001480 |
| Provider Name | Jeffrey Mcgee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104068436 PECOS PAC ID: 6709934185 Enrollment ID: I20141022000740 |
| Provider Name | Sara D Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467681866 PECOS PAC ID: 8628232204 Enrollment ID: I20150401002457 |
| Provider Name | Eugene Douglas Larsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447513221 PECOS PAC ID: 8527290923 Enrollment ID: I20150903001782 |
| Provider Name | Dustin T Bradley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942684162 PECOS PAC ID: 7719296771 Enrollment ID: I20151014002652 |
| Provider Name | Joshua T Napier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013981539 PECOS PAC ID: 2062509953 Enrollment ID: I20160404002030 |
| Provider Name | Karen F Bunn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295843308 PECOS PAC ID: 7214902709 Enrollment ID: I20170821000991 |
| Provider Name | Craig Bernell Batty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992167324 PECOS PAC ID: 4082987003 Enrollment ID: I20170913000920 |
| Provider Name | Eileen E Joyce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104880178 PECOS PAC ID: 8729046297 Enrollment ID: I20180112000616 |
| Provider Name | Xondra Alexis Driggs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063648590 PECOS PAC ID: 0244488518 Enrollment ID: I20180131002737 |
| Provider Name | Allan W Belcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356634059 PECOS PAC ID: 5395058077 Enrollment ID: I20180430000308 |
| Provider Name | Tyler B Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821351875 PECOS PAC ID: 7719294305 Enrollment ID: I20180511002004 |
| Provider Name | Shulun Zang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306230842 PECOS PAC ID: 2668787722 Enrollment ID: I20180716001399 |
| Provider Name | Sheila Ann Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962856534 PECOS PAC ID: 8224329321 Enrollment ID: I20180925003371 |
| Provider Name | Tyler R Wilhelm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457698813 PECOS PAC ID: 3870719396 Enrollment ID: I20191010001645 |
| Provider Name | Mark E Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760902498 PECOS PAC ID: 3072888239 Enrollment ID: I20200825000485 |
| Provider Name | Danette Foster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205467487 PECOS PAC ID: 8628495207 Enrollment ID: I20200827001190 |
| Provider Name | Timothy Rollans Tappana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164962346 PECOS PAC ID: 9931478138 Enrollment ID: I20210127001856 |
| Provider Name | Brian Eades |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770670523 PECOS PAC ID: 3577688316 Enrollment ID: I20211011001831 |
| Provider Name | Timothy A Hawkes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083954176 PECOS PAC ID: 4880971308 Enrollment ID: I20220527001955 |
| Provider Name | Shawn M Cooper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730313412 PECOS PAC ID: 7315266251 Enrollment ID: I20221013000262 |
| Provider Name | Sterling Aaron Haws |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194288530 PECOS PAC ID: 4688006638 Enrollment ID: I20230711003352 |
| Provider Name | Stephen Eugene Rockhill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598313678 PECOS PAC ID: 7618399072 Enrollment ID: I20230712000346 |
| Provider Name | Chelsea Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811625239 PECOS PAC ID: 7113374836 Enrollment ID: I20231116002927 |
| Provider Name | Wade Bollinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730198136 PECOS PAC ID: 8325026727 Enrollment ID: I20240327000713 |
| Provider Name | Kayden Barber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689254419 PECOS PAC ID: 7113328808 Enrollment ID: I20240401003083 |
Altitude Counseling & Consulting Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 W 500 N Ste B, Vernal, UT 84078 Phone: 435-219-6312 | |
Vernal Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1360 W Highway 40, Vernal, UT 84078 Phone: 435-777-8999 | |
Root Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 266 W 100 N Ste 2, Vernal, UT 84078 Phone: 453-789-4483 Fax: 435-789-4488 | |
Basin Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 379 North 500 West, Suite 1a, Vernal, UT 84078 Phone: 435-789-1165 Fax: 435-789-1169 | |
John L Griffith Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 W 100 N Ste S104, Vernal, UT 84078 Phone: 435-781-1099 Fax: 435-781-1090 | |
Lynn Nelson Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 East 100 South, Vernal, UT 84078 Phone: 435-789-4483 Fax: 435-789-4488 | |
Alma Parker Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 N 100 W, Ste 205c, Vernal, UT 84078 Phone: 435-781-6300 Fax: 435-781-6301 |