| Division Of Nephrology University Of Utah | |
|
50 N Medical Dr Salt Lake City UT 84132-0001 | |
| (801) 581-2121 | |
| Not Available |
| Full Name | Division Of Nephrology University Of Utah |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 N Medical Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Janell I Madonna (DIRECTOR OF CONTRACTING AND PE) |
| Authorized Official Contact | 8015876464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Division Of Nephrology University Of Utah Po Box 413033 Salt Lake City UT 84141-0001 Ph: (801) 213-3800 | Division Of Nephrology University Of Utah 50 N Medical Dr Salt Lake City UT 84132-0001 Ph: (801) 581-2121 |
| NPI Number | 1659304889 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 04/14/2009 |
| Medicare PECOS PAC ID | 8022921105 |
|---|---|
| Medicare Enrollment ID | O20031106000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659304889 | NPI | - | NPPES |
| 807289100 | Medicaid | NV | |
| 807289100 | Medicaid | ID | |
| 45884269 | Medicaid | NM | |
| 100502046 | Medicaid | NV | |
| 876000525382 | Medicaid | UT |
| Provider Name | Irel S Eppich |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689764276 PECOS PAC ID: 2769395474 Enrollment ID: I20031110000180 |
| Provider Name | Tooran M Lavasani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861582470 PECOS PAC ID: 1052219334 Enrollment ID: I20040218001176 |
| Provider Name | Janet H Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528158136 PECOS PAC ID: 5092707455 Enrollment ID: I20040402001131 |
| Provider Name | Terrence Bjordahl |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710006408 PECOS PAC ID: 8527049089 Enrollment ID: I20040528001168 |
| Provider Name | Martin C Gregory |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912926049 PECOS PAC ID: 0345293627 Enrollment ID: I20050226000091 |
| Provider Name | Christof Westenfelder |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730279324 PECOS PAC ID: 8527081132 Enrollment ID: I20060110000689 |
| Provider Name | Srinivasa Beddhu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124118757 PECOS PAC ID: 9234153966 Enrollment ID: I20060120000778 |
| Provider Name | Marcellus Saka Assiago |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235348897 PECOS PAC ID: 2365516812 Enrollment ID: I20080801000371 |
| Provider Name | Kalani Raphael |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902982382 PECOS PAC ID: 2567511157 Enrollment ID: I20090602000126 |
| Provider Name | Fuad S Shihab |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700976321 PECOS PAC ID: 4183751597 Enrollment ID: I20100415000951 |
| Provider Name | Robert H Yenchek |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083890610 PECOS PAC ID: 6800962200 Enrollment ID: I20121106000679 |
| Provider Name | Nirupama Mbbs Ramkumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053550509 PECOS PAC ID: 2163663733 Enrollment ID: I20130724000168 |
| Provider Name | Siddhartha Kakani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750502928 PECOS PAC ID: 4385769223 Enrollment ID: I20131008000878 |
| Provider Name | Faris A Ahmed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881805372 PECOS PAC ID: 1456588466 Enrollment ID: I20131219001431 |
| Provider Name | Monique E Cho |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780833889 PECOS PAC ID: 7113146960 Enrollment ID: I20140910000992 |
Ted R Schultz Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 Padley St, Salt Lake City, UT 84108 Phone: 801-202-4892 | |
Intermountain Healthcare Flu Shot Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 776 N Terminal Dr, Salt Lake City, UT 84122 Phone: 801-292-6100 | |
U-u Pulmonary Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Ldsh Cancer Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 9th Ave, Salt Lake City, UT 84103 Phone: 801-442-1400 | |
Bmt Division Department Of University Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Circle Of Hope Dr, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
All For Women Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 E 3300 S, Salt Lake City, UT 84109 Phone: 801-746-7467 Fax: 801-746-7469 | |
University Of Utah Hospital Infectious Disease Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6336 |