| U-u Gastroenterology Division | |
|
50 N Medical Dr Salt Lake City UT 84132-0001 | |
| (801) 581-7606 | |
| Not Available |
| Full Name | U-u Gastroenterology Division |
|---|---|
| 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 |
|---|---|
| U-u Gastroenterology Division Po Box 413033 Salt Lake City UT 84141-0001 Ph: (801) 213-3800 | U-u Gastroenterology Division 50 N Medical Dr Salt Lake City UT 84132-0001 Ph: (801) 581-7606 |
| NPI Number | 1558394775 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 04/14/2009 |
| Medicare PECOS PAC ID | 4284535717 |
|---|---|
| Medicare Enrollment ID | O20040117000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558394775 | NPI | - | NPPES |
| H9627 | Medicaid | NM | |
| 100502223 | Medicaid | NV | |
| 805965000 | Medicaid | ID |
| Provider Name | Kathryn Anne Peterson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225128846 PECOS PAC ID: 0244291672 Enrollment ID: I20041020000222 |
| Provider Name | Kerin Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518197722 PECOS PAC ID: 5496891533 Enrollment ID: I20091005000133 |
| Provider Name | Kathryn R Byrne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225054364 PECOS PAC ID: 7214061118 Enrollment ID: I20100813000822 |
| Provider Name | Priyanka Kanth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679773469 PECOS PAC ID: 6901047224 Enrollment ID: I20130730000493 |
| Provider Name | Ann D Flynn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386790988 PECOS PAC ID: 2961577325 Enrollment ID: I20130909000779 |
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