| University Of Utah Specialty Services | |
|
50 N Medical Dr Salt Lake City UT 84132-0001 | |
| (801) 581-2121 | |
| Not Available |
| Full Name | University Of Utah Specialty Services |
|---|---|
| Speciality | General Practice |
| Location | 50 N Medical Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Sean Mulvihill (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8015876336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Utah Specialty Services Po Box 413028 Salt Lake City UT 84141-3028 Ph: (801) 213-3900 | University Of Utah Specialty Services 50 N Medical Dr Salt Lake City UT 84132-0001 Ph: (801) 581-2121 |
| NPI Number | 1043614811 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/22/2014 |
| Medicare PECOS PAC ID | 2961726831 |
|---|---|
| Medicare Enrollment ID | O20150123002141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043614811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rita A Paegle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063502680 PECOS PAC ID: 3375456726 Enrollment ID: I20031111000392 |
| Provider Name | Akram M Shaaban |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184714701 PECOS PAC ID: 8022912047 Enrollment ID: I20031121000374 |
| Provider Name | David Ware Branch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922012830 PECOS PAC ID: 6103721550 Enrollment ID: I20031129000009 |
| Provider Name | Peggy A Norton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063502672 PECOS PAC ID: 7012812464 Enrollment ID: I20031129000010 |
| Provider Name | Janice L.b. Byrne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629158530 PECOS PAC ID: 1658276001 Enrollment ID: I20031129000013 |
| Provider Name | Charles M Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316037930 PECOS PAC ID: 0143125096 Enrollment ID: I20031203000713 |
| Provider Name | Robert L Andres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356362875 PECOS PAC ID: 7214832161 Enrollment ID: I20031203000718 |
| Provider Name | Jan E Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164512794 PECOS PAC ID: 3678478419 Enrollment ID: I20031204000453 |
| Provider Name | Michael L Draper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992769368 PECOS PAC ID: 9830094358 Enrollment ID: I20031205000715 |
| Provider Name | Mark K Dodson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1275570467 PECOS PAC ID: 6901701432 Enrollment ID: I20031205000723 |
| Provider Name | Andrew P Soisson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790794568 PECOS PAC ID: 0840195335 Enrollment ID: I20031208000146 |
| Provider Name | Robert M Silver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306926217 PECOS PAC ID: 7113823147 Enrollment ID: I20031210000808 |
| Provider Name | Amy E Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922028166 PECOS PAC ID: 3971409806 Enrollment ID: I20031210000839 |
| Provider Name | Troy Flint Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245310143 PECOS PAC ID: 2668370719 Enrollment ID: I20031227000020 |
| Provider Name | Pamela A Hansen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1649360249 PECOS PAC ID: 5698676088 Enrollment ID: I20040119000291 |
| Provider Name | Anne M Kennedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740377795 PECOS PAC ID: 6901709153 Enrollment ID: I20040127000987 |
| Provider Name | Donna Dizon-townson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811918097 PECOS PAC ID: 1254324999 Enrollment ID: I20040407000652 |
| Provider Name | Andrea M Schindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114976537 PECOS PAC ID: 3375533722 Enrollment ID: I20040517000782 |
| Provider Name | Nancy C Rose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902826159 PECOS PAC ID: 1759364482 Enrollment ID: I20040611001145 |
| Provider Name | Renee A Vadeboncoeur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659320240 PECOS PAC ID: 6901881309 Enrollment ID: I20040621000909 |
| Provider Name | Michael Sean Esplin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205916111 PECOS PAC ID: 7810974508 Enrollment ID: I20040630001058 |
| Provider Name | Calla Holmgren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194805002 PECOS PAC ID: 8022083385 Enrollment ID: I20040831000087 |
| Provider Name | Stuart E Willick |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720169915 PECOS PAC ID: 3870569577 Enrollment ID: I20040903000475 |
| Provider Name | George M Rodgers |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1578512190 PECOS PAC ID: 2466421177 Enrollment ID: I20040929000863 |
| Provider Name | Trece B Swanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386734911 PECOS PAC ID: 8527037241 Enrollment ID: I20040929000959 |
| Provider Name | Sandra Whitney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801823570 PECOS PAC ID: 9830158690 Enrollment ID: I20041007000180 |
| Provider Name | Richard W Kendall |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508956103 PECOS PAC ID: 4284684531 Enrollment ID: I20050125000796 |
| Provider Name | John Speed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326138959 PECOS PAC ID: 8527011808 Enrollment ID: I20050226000089 |
| Provider Name | Alan M Davis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528148426 PECOS PAC ID: 9436102712 Enrollment ID: I20050226000090 |
| Provider Name | Jeffrey P Rosenbluth |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578653192 PECOS PAC ID: 1850338971 Enrollment ID: I20050411000831 |
| Provider Name | Alexandra Eller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922188838 PECOS PAC ID: 7214977628 Enrollment ID: I20050505000200 |
| Provider Name | Julie Anne Gainer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538106414 PECOS PAC ID: 4385660240 Enrollment ID: I20051020000021 |
| Provider Name | Glenn K Schemmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689628992 PECOS PAC ID: 7517989734 Enrollment ID: I20051230000363 |
| Provider Name | Paul J Shami |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992895510 PECOS PAC ID: 9931113818 Enrollment ID: I20060131000088 |
| Provider Name | Teresa L Such-neibar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013924158 PECOS PAC ID: 4880609304 Enrollment ID: I20060220000365 |
| Provider Name | Steven Richard Edgley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770537011 PECOS PAC ID: 1153334420 Enrollment ID: I20060803000433 |
| Provider Name | Michael W Boyer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598763112 PECOS PAC ID: 0648276956 Enrollment ID: I20061010000461 |
| Provider Name | Erin Anne Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457305757 PECOS PAC ID: 9335147354 Enrollment ID: I20061129000133 |
| Provider Name | Heather Donahoe Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700860350 PECOS PAC ID: 1658472352 Enrollment ID: I20070725000324 |
| Provider Name | Arlan M Henrie |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1235168592 PECOS PAC ID: 6406933217 Enrollment ID: I20080403000322 |
| Provider Name | Thomas C Winter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225006109 PECOS PAC ID: 7810950557 Enrollment ID: I20081106000401 |
| Provider Name | Colby R Hansen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245429018 PECOS PAC ID: 5991855504 Enrollment ID: I20090602000377 |
| Provider Name | Torri D Metz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326185604 PECOS PAC ID: 9436204575 Enrollment ID: I20090826000209 |
| Provider Name | Allison Oki |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063689750 PECOS PAC ID: 8123174067 Enrollment ID: I20090918000154 |
| Provider Name | Katarina L Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568552156 PECOS PAC ID: 1456476696 Enrollment ID: I20100913000244 |
| Provider Name | Michael W Deininger |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1932115524 PECOS PAC ID: 6002704673 Enrollment ID: I20101221001195 |
| Provider Name | Douglas S Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992726509 PECOS PAC ID: 9133252455 Enrollment ID: I20110809000887 |
| Provider Name | Jeremy J. Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922394220 PECOS PAC ID: 8921267139 Enrollment ID: I20120307000728 |
| Provider Name | Ahmad S Halwani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447460274 PECOS PAC ID: 3870756539 Enrollment ID: I20120517000183 |
| Provider Name | James D Osborn |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1235364902 PECOS PAC ID: 2961658406 Enrollment ID: I20120815000758 |
| Provider Name | Heather M Curtiss |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912143140 PECOS PAC ID: 5092851493 Enrollment ID: I20120905000197 |
| Provider Name | Mary N Steinback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881958189 PECOS PAC ID: 3870745391 Enrollment ID: I20121210000053 |
| Provider Name | Tibor J Kovacsovics |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1396750899 PECOS PAC ID: 7719873926 Enrollment ID: I20130529000285 |
| Provider Name | Karen J Gibbins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457581688 PECOS PAC ID: 2668614611 Enrollment ID: I20130805000322 |
| Provider Name | Michael M Green |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063665719 PECOS PAC ID: 8022276500 Enrollment ID: I20130924000572 |
| Provider Name | Djordje Atanackovic |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1417384694 PECOS PAC ID: 5193955813 Enrollment ID: I20140225001628 |
| Provider Name | Daniel M Cushman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588985014 PECOS PAC ID: 6406071794 Enrollment ID: I20140630000591 |
| Provider Name | Tiffany Kristen Weber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811212947 PECOS PAC ID: 9032331418 Enrollment ID: I20141119002502 |
| Provider Name | Kelli D Barbour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871811919 PECOS PAC ID: 7911146964 Enrollment ID: I20150114001789 |
| Provider Name | Daniel Knitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659625770 PECOS PAC ID: 1658525639 Enrollment ID: I20150116000790 |
| Provider Name | Brett David Einerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861788655 PECOS PAC ID: 6800116955 Enrollment ID: I20150728005382 |
| Provider Name | Lauren H Theilen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174802250 PECOS PAC ID: 6507095270 Enrollment ID: I20150729008580 |
| Provider Name | Alexandra E Flis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265723795 PECOS PAC ID: 9032339080 Enrollment ID: I20150804004121 |
| Provider Name | Christopher Catlett Duncan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720376536 PECOS PAC ID: 2466682943 Enrollment ID: I20150804005205 |
| Provider Name | Rebecca W Zingg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811296379 PECOS PAC ID: 5597997619 Enrollment ID: I20151014002575 |
| Provider Name | Amie Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609284637 PECOS PAC ID: 1658683560 Enrollment ID: I20160208001904 |
| Provider Name | Douglas Ball |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730381625 PECOS PAC ID: 4183939283 Enrollment ID: I20160227000038 |
| Provider Name | Martha Anice Andrea Monson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295001105 PECOS PAC ID: 5890927628 Enrollment ID: I20160614001142 |
| Provider Name | Audra Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770719239 PECOS PAC ID: 3577702299 Enrollment ID: I20160628002331 |
| Provider Name | Marcela Smid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588994727 PECOS PAC ID: 9537301080 Enrollment ID: I20160831000334 |
| Provider Name | Ibrahim Hammad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811263866 PECOS PAC ID: 8729388731 Enrollment ID: I20160902000628 |
| Provider Name | Summer N Rolin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730534587 PECOS PAC ID: 6709173461 Enrollment ID: I20160922002446 |
| Provider Name | Michael Dennis Campian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477781029 PECOS PAC ID: 5395966683 Enrollment ID: I20170619001559 |
| Provider Name | Kathryn Ann Maurer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275859654 PECOS PAC ID: 3274759295 Enrollment ID: I20170629002919 |
| Provider Name | Jessica Page |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053658708 PECOS PAC ID: 0244452274 Enrollment ID: I20170707002152 |
| Provider Name | Jeanette Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326276296 PECOS PAC ID: 6305159773 Enrollment ID: I20170710001920 |
| Provider Name | Benjamin Todd Jensen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376885988 PECOS PAC ID: 5597986893 Enrollment ID: I20170802000718 |
| Provider Name | Ziva Petrin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235541475 PECOS PAC ID: 8729203039 Enrollment ID: I20170809002605 |
| Provider Name | Michelle Debbink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386088706 PECOS PAC ID: 7012210032 Enrollment ID: I20170816003842 |
| Provider Name | Lara Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962922609 PECOS PAC ID: 4082989512 Enrollment ID: I20171009001606 |
| Provider Name | Emily Alston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285160150 PECOS PAC ID: 5799051777 Enrollment ID: I20171018002058 |
| Provider Name | Zachary Mccormick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154612273 PECOS PAC ID: 1850603788 Enrollment ID: I20171025000543 |
| Provider Name | Katherine Lynn Harris |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447588728 PECOS PAC ID: 8325348394 Enrollment ID: I20180320001118 |
| Provider Name | Brendon S Ross |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730506601 PECOS PAC ID: 5395040331 Enrollment ID: I20180511001427 |
| Provider Name | Shannon L Son |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154668598 PECOS PAC ID: 3678838943 Enrollment ID: I20180607002385 |
| Provider Name | Nathan Blue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427300938 PECOS PAC ID: 0244547438 Enrollment ID: I20180806002917 |
| Provider Name | Andria Holmes Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023500188 PECOS PAC ID: 1557612058 Enrollment ID: I20180921002793 |
| Provider Name | Stacy Higley Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167827 PECOS PAC ID: 7911259197 Enrollment ID: I20181017000299 |
| Provider Name | David Paul Steinberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093705170 PECOS PAC ID: 9032178546 Enrollment ID: I20190114002000 |
| Provider Name | Alycia Barbara Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396225009 PECOS PAC ID: 5092053454 Enrollment ID: I20190208002497 |
| Provider Name | Ranae Michelle Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891276291 PECOS PAC ID: 1456691773 Enrollment ID: I20190325001735 |
| Provider Name | Aaron Conger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093100372 PECOS PAC ID: 3779862255 Enrollment ID: I20190508000410 |
| Provider Name | Ann M Bruno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881075034 PECOS PAC ID: 3375856958 Enrollment ID: I20190604000175 |
| Provider Name | Venessa A Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609295179 PECOS PAC ID: 2365751674 Enrollment ID: I20190712000612 |
| Provider Name | Graham Edward Wagner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083032858 PECOS PAC ID: 0547561185 Enrollment ID: I20191108002177 |
| Provider Name | Aurelia Renee Wann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891341574 PECOS PAC ID: 0446683882 Enrollment ID: I20191126000240 |
| Provider Name | Vanessa Elizabeth Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497212120 PECOS PAC ID: 9830523679 Enrollment ID: I20200102001671 |
| Provider Name | Ellia Ciammaichella |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669821260 PECOS PAC ID: 8921435777 Enrollment ID: I20200217004878 |
| Provider Name | Taylor Robert Burnham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841647377 PECOS PAC ID: 4688932072 Enrollment ID: I20200420002944 |
| Provider Name | Susan Elizabeth Dalton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134576937 PECOS PAC ID: 0345533550 Enrollment ID: I20200422000267 |
| Provider Name | Adam J Michalik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558713115 PECOS PAC ID: 6305197872 Enrollment ID: I20200430000101 |
| Provider Name | M Quinn Tate |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629426572 PECOS PAC ID: 4688932981 Enrollment ID: I20200508001739 |
| Provider Name | Kimberly Anne Moyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942651682 PECOS PAC ID: 3274954888 Enrollment ID: I20200608002486 |
| Provider Name | Robert Lee Dood |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1417216516 PECOS PAC ID: 2961765276 Enrollment ID: I20200609001183 |
| Provider Name | Mark Edward Sederberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255793576 PECOS PAC ID: 2769778737 Enrollment ID: I20200612000595 |
| Provider Name | Ryan P. Dunn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922458843 PECOS PAC ID: 1052603446 Enrollment ID: I20200619000884 |
| Provider Name | Sachin Apte |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1932138070 PECOS PAC ID: 2466438775 Enrollment ID: I20210407002206 |
| Provider Name | Adebayo A Adesomo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265967442 PECOS PAC ID: 8426320540 Enrollment ID: I20210514000650 |
| Provider Name | Matthew Bennet Givens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306387667 PECOS PAC ID: 9436427960 Enrollment ID: I20210514001639 |
| Provider Name | Colton Hickman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164954954 PECOS PAC ID: 4688920432 Enrollment ID: I20210527000434 |
| Provider Name | Meredith T Ehn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447223656 PECOS PAC ID: 1052393923 Enrollment ID: I20210726002764 |
| Provider Name | Elizabeth Hanna Robison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215357959 PECOS PAC ID: 4880941780 Enrollment ID: I20210818002984 |
| Provider Name | Carolyn Weaver Swenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023261237 PECOS PAC ID: 8820301344 Enrollment ID: I20210818003272 |
| Provider Name | Tyler Scott Clark |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831623826 PECOS PAC ID: 3173890449 Enrollment ID: I20210827001715 |
| Provider Name | Steven Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285258699 PECOS PAC ID: 9739586645 Enrollment ID: I20210920002714 |
| Provider Name | Victoria Au |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093339335 PECOS PAC ID: 4880084508 Enrollment ID: I20211210001686 |
| Provider Name | Whitney Hendrickson-cahill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306263371 PECOS PAC ID: 8729327093 Enrollment ID: I20220210001368 |
| Provider Name | Karli Victoria Fehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659995942 PECOS PAC ID: 9032504857 Enrollment ID: I20220314002144 |
| Provider Name | Carly Morgan Dahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811490642 PECOS PAC ID: 3971848102 Enrollment ID: I20220706002316 |
| Provider Name | Derrick Brett Allred |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891086443 PECOS PAC ID: 3577865484 Enrollment ID: I20220707001295 |
| Provider Name | Marc Adrian Caragea |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487158960 PECOS PAC ID: 5193158152 Enrollment ID: I20220809002670 |
| Provider Name | Lyndsey Booker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033614094 PECOS PAC ID: 2466709712 Enrollment ID: I20220818003424 |
| Provider Name | Chihyung Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497247118 PECOS PAC ID: 7618228529 Enrollment ID: I20220830003491 |
| Provider Name | Amanda Wise |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215463161 PECOS PAC ID: 3375818339 Enrollment ID: I20220912003285 |
| Provider Name | Christopher Wesley Pace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043829328 PECOS PAC ID: 7113302795 Enrollment ID: I20220917000632 |
| Provider Name | Taylor L Lendrum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598262289 PECOS PAC ID: 8820353063 Enrollment ID: I20221014000398 |
| Provider Name | Amanda Comai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790200749 PECOS PAC ID: 6901166537 Enrollment ID: I20221212001045 |
| Provider Name | Mckenna Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356918387 PECOS PAC ID: 4183093859 Enrollment ID: I20221220001573 |
| Provider Name | Allison Glinka Przybysz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407200777 PECOS PAC ID: 5092097642 Enrollment ID: I20230309002134 |
| Provider Name | Keith Franklin Lamar Polston |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831659168 PECOS PAC ID: 8325373020 Enrollment ID: I20230516001771 |
| Provider Name | Daniel J. Carson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841853918 PECOS PAC ID: 1052739869 Enrollment ID: I20230516001842 |
| Provider Name | Derek Stokes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174182562 PECOS PAC ID: 1052649589 Enrollment ID: I20230619001510 |
| Provider Name | Emily N Prendergast |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1780995803 PECOS PAC ID: 9133342694 Enrollment ID: I20230706001587 |
| Provider Name | Joseph R. Mims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184288359 PECOS PAC ID: 1355700378 Enrollment ID: I20230707002783 |
| Provider Name | Rosa Speranza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932669694 PECOS PAC ID: 9133589930 Enrollment ID: I20230712000620 |
| Provider Name | Katharine Anna Smolinski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205499944 PECOS PAC ID: 3072973049 Enrollment ID: I20230721003005 |
| Provider Name | Nicholas E. Gavern |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891255071 PECOS PAC ID: 7416375969 Enrollment ID: I20230726003768 |
| Provider Name | Alli Straubhar |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700263902 PECOS PAC ID: 2769763846 Enrollment ID: I20230830003830 |
| Provider Name | Sabrina M Bedell |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1376997122 PECOS PAC ID: 2466743430 Enrollment ID: I20230926001995 |
| Provider Name | Abigail Riddle Beyeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699462077 PECOS PAC ID: 8325494081 Enrollment ID: I20231101001012 |
| Provider Name | Derek S. Day |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972131712 PECOS PAC ID: 4284073446 Enrollment ID: I20240419003114 |
| Provider Name | Alexandra Beling |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356970206 PECOS PAC ID: 9739593690 Enrollment ID: I20240430004434 |
| Provider Name | Matthew Essman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407268402 PECOS PAC ID: 4385086057 Enrollment ID: I20240525000457 |
| Provider Name | Amelia Ni |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033773726 PECOS PAC ID: 1850795675 Enrollment ID: I20240607001048 |
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 |