| Santibanez Pac Utah | |
|
451 E Bishop Federal Ln Salt Lake City UT 84115-2357 | |
| (801) 487-7557 | |
| Not Available |
| Full Name | Santibanez Pac Utah |
|---|---|
| Speciality | Internal Medicine |
| Location | 451 E Bishop Federal Ln, Salt Lake City, Utah |
| Authorized Official Name and Position | Julie Roser (VP OF OPERATIONS) |
| Authorized Official Contact | 7752220045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santibanez Pac Utah 10775 Double R Blvd Reno NV 89521-8956 Ph: () - | Santibanez Pac Utah 451 E Bishop Federal Ln Salt Lake City UT 84115-2357 Ph: (801) 487-7557 |
| NPI Number | 1881469484 |
|---|---|
| Provider Enumeration Date | 11/24/2023 |
| Last Update Date | 11/24/2023 |
| Medicare PECOS PAC ID | 1355785437 |
|---|---|
| Medicare Enrollment ID | O20240216000756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881469484 | NPI | - | NPPES |
| Provider Name | Mary J Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508851890 PECOS PAC ID: 9931005923 Enrollment ID: I20031210000559 |
| Provider Name | David H Workman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659329449 PECOS PAC ID: 2961425590 Enrollment ID: I20060110000788 |
| Provider Name | Bryan R Bartholomew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407956121 PECOS PAC ID: 2163429911 Enrollment ID: I20061108000691 |
| Provider Name | Dusan Sabol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790785426 PECOS PAC ID: 6002816196 Enrollment ID: I20070115000350 |
| Provider Name | Jorge Santibanez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568446672 PECOS PAC ID: 9739179847 Enrollment ID: I20130709000746 |
| Provider Name | Vijay S Maiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902830243 PECOS PAC ID: 0042216442 Enrollment ID: I20130724001000 |
| Provider Name | Jason E Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194161190 PECOS PAC ID: 2668616038 Enrollment ID: I20130925000385 |
| Provider Name | Rory Carrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710279922 PECOS PAC ID: 7517191612 Enrollment ID: I20140717001634 |
| Provider Name | James Barclay Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992080915 PECOS PAC ID: 9739355595 Enrollment ID: I20150818003529 |
| Provider Name | Isaac J Noyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952660482 PECOS PAC ID: 2668696956 Enrollment ID: I20150903001148 |
| Provider Name | Jesse J Twu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216581 PECOS PAC ID: 5193013027 Enrollment ID: I20161010001554 |
| Provider Name | Bernard M Mutie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396255360 PECOS PAC ID: 0749547891 Enrollment ID: I20171128003813 |
| Provider Name | Tyler M Nixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669639985 PECOS PAC ID: 0143419739 Enrollment ID: I20180417002469 |
| Provider Name | Martin John Oates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346265709 PECOS PAC ID: 1557365608 Enrollment ID: I20181213002925 |
| Provider Name | Casey J Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629551247 PECOS PAC ID: 1254674369 Enrollment ID: I20190513001348 |
| Provider Name | Kimberly Ann Henne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780248336 PECOS PAC ID: 8527392489 Enrollment ID: I20190626001673 |
| Provider Name | Kaylene Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265821276 PECOS PAC ID: 6800115353 Enrollment ID: I20191210000282 |
| Provider Name | Stayler Mcomie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932749538 PECOS PAC ID: 3173953106 Enrollment ID: I20200415001642 |
| Provider Name | Chase C Bartholomew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881181618 PECOS PAC ID: 8921345695 Enrollment ID: I20210706000005 |
| Provider Name | Roberta Bostian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972275501 PECOS PAC ID: 4385037514 Enrollment ID: I20230807003019 |
| Provider Name | Suzanne Marie Strasters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689321275 PECOS PAC ID: 2860849270 Enrollment ID: I20231107001679 |
| Provider Name | Jayandra Starner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871251926 PECOS PAC ID: 6800275835 Enrollment ID: I20240528000996 |
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 |