| Gadzoom Health Llc | |
|
1108 E South Union Ave Midvale UT 84047-2904 | |
| (801) 899-5364 | |
| Not Available |
| Full Name | Gadzoom Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1108 E South Union Ave, Midvale, Utah |
| Authorized Official Name and Position | Brian Newberry (MANAGER) |
| Authorized Official Contact | 8018995364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gadzoom Health Llc 4601 Ne Ingle Rd Vancouver WA 98682-9648 Ph: (801) 899-5364 | Gadzoom Health Llc 1108 E South Union Ave Midvale UT 84047-2904 Ph: (801) 899-5364 |
| NPI Number | 1770187163 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 11/25/2020 |
| Medicare PECOS PAC ID | 3476954793 |
|---|---|
| Medicare Enrollment ID | O20210624000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770187163 | NPI | - | NPPES |
| Provider Name | Aaron S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730317348 PECOS PAC ID: 4082751896 Enrollment ID: I20091028000223 |
| Provider Name | David Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154575637 PECOS PAC ID: 4486779204 Enrollment ID: I20100917000078 |
| Provider Name | Andrea Walkenhorst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306121132 PECOS PAC ID: 0143471391 Enrollment ID: I20121115000461 |
| Provider Name | Garth James Muir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326200627 PECOS PAC ID: 1052451705 Enrollment ID: I20130222000113 |
| Provider Name | Jessica Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396024618 PECOS PAC ID: 6204074511 Enrollment ID: I20130528000633 |
| Provider Name | Brittany L Duckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922435031 PECOS PAC ID: 7911229349 Enrollment ID: I20160728002519 |
| Provider Name | April R Cundall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255846424 PECOS PAC ID: 0244598845 Enrollment ID: I20180102001587 |
| Provider Name | Janis Maag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982112587 PECOS PAC ID: 2466712054 Enrollment ID: I20180130000994 |
| Provider Name | Tyler M Nixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669639985 PECOS PAC ID: 0143419739 Enrollment ID: I20180417002469 |
| Provider Name | Vanessa May Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063975613 PECOS PAC ID: 1153655006 Enrollment ID: I20190626001289 |
| Provider Name | Jessica Potter Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467938936 PECOS PAC ID: 8820422231 Enrollment ID: I20191217003314 |
| Provider Name | April Christine Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932674579 PECOS PAC ID: 9234474255 Enrollment ID: I20200319000713 |
| Provider Name | August Jean Teuscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407448970 PECOS PAC ID: 2860891157 Enrollment ID: I20210518001757 |
| Provider Name | Sidney Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619540564 PECOS PAC ID: 2567500630 Enrollment ID: I20211019002720 |
| Provider Name | Josie Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265164040 PECOS PAC ID: 9234511437 Enrollment ID: I20220804002059 |
| Provider Name | Heather Lynn Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437877552 PECOS PAC ID: 9335504323 Enrollment ID: I20230426001733 |
| Provider Name | Jesse Lee Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447942370 PECOS PAC ID: 3173982667 Enrollment ID: I20230630001156 |
| Provider Name | Paul Howes Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578249314 PECOS PAC ID: 9436507142 Enrollment ID: I20231117002948 |
| Provider Name | Tiffanee Rae Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720855927 PECOS PAC ID: 6608227657 Enrollment ID: I20240104000664 |
| Provider Name | Rachel Lackow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396515342 PECOS PAC ID: 9335585827 Enrollment ID: I20240306003455 |
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