| Utah Endocrinology Associates Pllc | |
|
470 East 3900 South #200 Salt Lake City UT 84107-2332 | |
| (801) 747-2800 | |
| (801) 747-3022 |
| Full Name | Utah Endocrinology Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 470 East 3900 South, Salt Lake City, Utah |
| Authorized Official Name and Position | Sharon Preston (BILLING/CREDENTIALING) |
| Authorized Official Contact | 8017472800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Endocrinology Associates Pllc 470 E 3900 S Ste 200 Salt Lake City UT 84107-2332 Ph: (801) 747-2800 | Utah Endocrinology Associates Pllc 470 East 3900 South #200 Salt Lake City UT 84107-2332 Ph: (801) 747-2800 |
| NPI Number | 1417121609 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/12/2022 |
| Medicare PECOS PAC ID | 0042399172 |
|---|---|
| Medicare Enrollment ID | O20080430000866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417121609 | NPI | - | NPPES |
| Provider Name | Alireza Falahati-nini |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417989971 PECOS PAC ID: 7810964517 Enrollment ID: I20040913000890 |
| Provider Name | David Bruce Winmill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891715439 PECOS PAC ID: 3577635788 Enrollment ID: I20080703000282 |
| Provider Name | Bruce R Brady |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467474676 PECOS PAC ID: 4981730850 Enrollment ID: I20100330000815 |
| Provider Name | David B Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033423249 PECOS PAC ID: 4183879778 Enrollment ID: I20130305000566 |
| Provider Name | Stacy Ann Parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952821753 PECOS PAC ID: 7810269925 Enrollment ID: I20170824002426 |
| Provider Name | Jenny Farley Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710549928 PECOS PAC ID: 6608297924 Enrollment ID: I20200521003205 |
| Provider Name | Kevin Fluckiger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083117584 PECOS PAC ID: 7315367927 Enrollment ID: I20220621002001 |
| Provider Name | Lynae Clark Sorensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548904451 PECOS PAC ID: 0143602532 Enrollment ID: I20220802000884 |
| Provider Name | Madeline Haws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912621392 PECOS PAC ID: 2769850056 Enrollment ID: I20221117000686 |
| Provider Name | Ashley Noelle Tew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982315461 PECOS PAC ID: 9537538541 Enrollment ID: I20230214000714 |
| Provider Name | Daniel Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194411355 PECOS PAC ID: 8921458647 Enrollment ID: I20231221000773 |
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