| Western Medical Consultants | |
|
822 E Golden Pheasant Dr Draper UT 84020-8456 | |
| (801) 550-1121 | |
| (801) 935-9555 |
| Full Name | Western Medical Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 822 E Golden Pheasant Dr, Draper, Utah |
| Authorized Official Name and Position | Garth J Muir (SOLE MEMBER) |
| Authorized Official Contact | 8015501121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Medical Consultants Po Box 307 Bountiful UT 84011-0307 Ph: (801) 294-6907 | Western Medical Consultants 822 E Golden Pheasant Dr Draper UT 84020-8456 Ph: (801) 550-1121 |
| NPI Number | 1790175073 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 01/26/2015 |
| Medicare PECOS PAC ID | 0446577290 |
|---|---|
| Medicare Enrollment ID | O20150316002507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790175073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8525148-1205 (Utah) | Primary |
| Provider Name | Kellie Daugharty Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750467155 PECOS PAC ID: 7113831983 Enrollment ID: I20031117000146 |
| Provider Name | Vera Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095585 PECOS PAC ID: 8921057803 Enrollment ID: I20051213000106 |
| Provider Name | Kraig Lynn Packer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518959535 PECOS PAC ID: 3779471412 Enrollment ID: I20080520000842 |
| Provider Name | Beverly Ann Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558334979 PECOS PAC ID: 7315954880 Enrollment ID: I20101230000801 |
| Provider Name | David Mathis Thayn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386802916 PECOS PAC ID: 2961652789 Enrollment ID: I20121101000027 |
| Provider Name | Garth James Muir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326200627 PECOS PAC ID: 1052451705 Enrollment ID: I20130222000113 |
| Provider Name | Jedediah Briscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962650184 PECOS PAC ID: 5698990513 Enrollment ID: I20140709003046 |
| Provider Name | Curtis Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962806786 PECOS PAC ID: 3274859012 Enrollment ID: I20150313000586 |
| Provider Name | Kristen Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205288628 PECOS PAC ID: 8820355753 Enrollment ID: I20171201001730 |
| Provider Name | Janis Maag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982112587 PECOS PAC ID: 2466712054 Enrollment ID: I20180130000994 |
| Provider Name | Chelsea F Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326421124 PECOS PAC ID: 0143585661 Enrollment ID: I20180601002288 |
| Provider Name | Emanita C Mounga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306322441 PECOS PAC ID: 5698023331 Enrollment ID: I20180813001034 |
| Provider Name | Joni Hamblin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376007237 PECOS PAC ID: 9931441888 Enrollment ID: I20200107001649 |
| Provider Name | Cuicui Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518516210 PECOS PAC ID: 9638504756 Enrollment ID: I20200120000820 |
| Provider Name | Aubrie E.w. Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780114819 PECOS PAC ID: 1052741469 Enrollment ID: I20200427002676 |
| Provider Name | Chelsea M Dearing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801417365 PECOS PAC ID: 1355765405 Enrollment ID: I20200722000336 |
| Provider Name | Brandy Marie Tafoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306447362 PECOS PAC ID: 1850703836 Enrollment ID: I20201216000670 |
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