| Cedar Valley Family & Foot Llc | |
|
3435 E Pony Express Pkwy Ste 140 Eagle Mountain UT 84005-5548 | |
| (801) 789-2444 | |
| (801) 789-2045 |
| Full Name | Cedar Valley Family & Foot Llc |
|---|---|
| Speciality | Podiatrist |
| Location | 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, Utah |
| Authorized Official Name and Position | Lynsey Nielsen (CLINICAL ADMINISTRATOR) |
| Authorized Official Contact | 3853888003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Valley Family & Foot Llc 3435 E Pony Express Pkwy Ste 140 Eagle Mountain UT 84005-5548 Ph: (385) 388-8003 | Cedar Valley Family & Foot Llc 3435 E Pony Express Pkwy Ste 140 Eagle Mountain UT 84005-5548 Ph: (801) 789-2444 |
| NPI Number | 1649902461 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 08/22/2023 |
| Medicare PECOS PAC ID | 1759765027 |
|---|---|
| Medicare Enrollment ID | O20220906001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649902461 | NPI | - | NPPES |
| Provider Name | Ryan T Kitterman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174811442 PECOS PAC ID: 1951528413 Enrollment ID: I20140807001199 |
| Provider Name | Brooke Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134750110 PECOS PAC ID: 6103257639 Enrollment ID: I20200515001914 |
| Provider Name | Dana Michelle Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265050660 PECOS PAC ID: 9436573722 Enrollment ID: I20200720002167 |
Premier Family Medical - Eagle Mountain Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005 Phone: 801-756-3511 Fax: 801-756-1705 | |
Guardian Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4612 N Independence Way, Eagle Mountain, UT 84005 Phone: 801-404-9662 | |
Utah Podiatric Physicians And Surgeons Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005 Phone: 801-789-2444 |