HMO - Regence.com

Transcription

HMO - Regence.com
Regence BlueAdvantage HMO
HMO Plan Provider Directory
This directory provides a list of Regence BlueAdvantage HMO’s network providers.
This directory is for Davis, Salt Lake, Utah and Weber counties in Utah.
This directory is current as of February 12, 2015. Some network providers may have been added
or removed from our network after this directory was printed. We do not guarantee that each
provider is still accepting new members. To get the most up-to-date information about Regence
BlueAdvantage HMO’s network providers in your area, you can visit
www.regence.com/medicare or call our Customer Service Department at 1 (855) 522-8896, from
8:00 a.m. to 8:00 p.m., Monday through Friday (from October 1 through February 14, our
telephone hours are 8:00 a.m. to 8:00 p.m., seven days a week). TTY users should call 711.
Regence BlueCross BlueShield of Utah is a Medicare Advantage plan with a Medicare contract.
Enrollment in Regence BlueCross BlueShield of Utah depends on contract renewal.
This document is available electronically and may be available in alternate formats. Please call
Customer Service at the telephone number listed above for more information.
Regence BlueCross BlueShield of Utah
is an Independent Licensee of the Blue Cross and Blue Shield Association
Y0062_2015PROVDIR_HMO_ACCEPTED Section 1 – Introduction
This directory provides a list of Regence BlueAdvantage HMO’s network providers. To get
detailed information about your health care coverage, please see your Evidence of Coverage.
You will have to choose one of our network providers who are listed in this directory to be your
Primary Care Provider (PCP). The term “PCP” will be used throughout this directory.
Generally, you must get your health care coverage from your PCP. Your PCP is the provider
that will coordinate your medical care. You will find the PCPs in our network listed in the
“Primary Care Providers” section of this directory. PCPs may include Family Practice, General
Practice, Geriatric, and Internal Medicine doctors, and Primary Care Nurse Practitioners and
Physician Assistants. Pediatricians may also be used as a PCP if appropriate to the age of the
member.
The “network providers” listed in this directory have agreed to provide you with your health care
coverage. You may go to any of our network providers listed in this directory; however, some
services may require a referral. If you have been going to one network provider, you are not
required to continue going to that same provider. In some cases, you may get covered services
from non-network providers. Your PCP will coordinate referrals for your healthcare with our
network providers. A referral is an approval from your PCP for you to see a specialist or other
provider. In most cases, medical services obtained without a PCP referral will not be covered.
Some services may also require prior authorization from the plan. When necessary, your PCP or
referred specialist will obtain prior authorization from the plan for these services.
If your PCP determines there is a medical reason you must see an out-of-network provider, your
PCP must obtain prior approval from the plan before services are rendered. If prior plan approval
is not obtained, services will not be covered.
If you receive plan-approved care from an out-of-network provider, have the provider bill the
plan by following the instructions on the back of your ID card. If you receive a bill from an outof-network provider, submit the bill to the plan for processing. Addresses for claims submission
are listed in the Evidence of Coverage or on the back of your member ID card. You may also
contact Customer Service for assistance. The phone number and hours for Customer Service are
listed on the front of this directory.
When you travel outside the Regence BlueAdvantage HMO service area, the only services
covered are medically necessary emergency or urgent care visits, and renal dialysis services.
You must use plan providers except in emergency or urgent care situations or for out-of-area
renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor
Regence BlueAdvantage HMO will be responsible for the costs.
What is the service area for Regence BlueAdvantage HMO?
The counties in our service area are listed below:
Davis, Salt Lake, Utah and Weber counties in Utah.
1
How do you find Regence BlueAdvantage HMO providers in your
area?
To find a provider near you, identify the type of provider using the directory table of contents.
Turn to the page listed and search for providers by state, then city. Unless otherwise indicated,
all practices are accepting new patients as of the date printed on the front cover. Availability may
change. Contact Customer Service at the number provided on the cover or the provider's office
for more information.
Directory Table of Contents
 Primary Care Providers – 632 total providers Sorted by state, city, specialty, then name
page 4  Specialists – 5,001 total providers
Sorted by state, city, specialty, then name
page 37
 Mental Health Providers – 1,441 total providers
Sorted by state, city, specialty, then name
page 234
 Hospitals – 13 total providers
Sorted by state, city, then name
page 291
 Skilled Nursing Facilities – 51 total providers
Sorted by state, city, then name
page 292
 Other Providers/Facilities – 190 total providers
Sorted by state, city, specialty, then name
page 295
 Alphabetical Provider Index – Sorted by name
page 304
If you have questions about Regence BlueAdvantage HMO or require assistance in selecting a
PCP, please call our Customer Service Department at 1 (855) 522-8896, from 8:00 a.m. to
8:00 p.m., Monday through Friday (from October 1 through February 14, our telephone hours are
8:00 a.m. to 8:00 p.m., seven days a week). TTY users should call 711. Or, visit
www.regence.com/medicare.
2
Section 2 – List of Network Providers
3
UTAH
AMERICAN FORK
FAMILY PRACTICE
UTAH
AMERICAN FORK
FAMILY PRACTICE
KIMBALL, PAIGE M APRN
1175 E 50 S #241
AMERICAN FORK, 84003
(801) 492-5999
Provider ID: 100001155111
NPI: 1922380153
SUMMERS, SCOTT K APRN
1175 E 50 S #211
AMERICAN FORK, 84003
(801) 418-0870
Provider ID: 100000814252
NPI: 1174808596
INTERNAL MEDICINE
HUDDLESTON, JASON M DO
1175 E 50 S #241
AMERICAN FORK, 84003
(801) 492-5999
Provider ID: 100000116558
NPI: 1619908001
LING, YUN MD
1175 E 50 S #251
AMERICAN FORK, 84003
(801) 492-2815
Provider ID: 100000113267
NPI: 1063475341
BRIGHTON
FAMILY PRACTICE
JACKSON, SARAH APRN
12000 E BIG COTTONWOOD
CANYON
BRIGHTON, 84121
(801) 536-5712
Provider ID: 100000751688
NPI: 1992082556
February 12, 2015
Primary Care Providers
Sorted by state, city, specialty, then name
CENTERVILLE
UTAH
DRAPER
FAMILY PRACTICE
CLEARFIELD
FAMILY PRACTICE
FAMILY PRACTICE
ANDERSON, LAURA M MD
JULIEN, CRAIG KENNETH MD
26 S MAIN ST
3110 W 300 N #A
CENTERVILLE, 84014
CLEARFIELD, 84015
(801) 693-7900
(801) 614-5140
Provider ID: 100000742855
Provider ID: 100000281492
NPI: 1740270867
NPI: 1245340173
ANISMAN, DAVID E MD
INTERNAL MEDICINE
26 S MAIN ST
ARRINGTON, SARA J APRN
CENTERVILLE, 84014
3110 W 300 N #A
(801) 693-7900
CLEARFIELD, 84015
Provider ID: 100000285680
(801) 614-5140
NPI: 1346235793
Provider ID: 100000350200
CAMPBELL, AARON D MD
NPI: 1093960668
26 S MAIN ST
CENTERVILLE, 84014
DRAPER
(801) 693-7900
FAMILY PRACTICE
Provider ID: 100000932422
NPI: 1841444759
ANDERS, SCOTT G MD
MORRILL, ARNOLD BRETT DO 74 E KIMBALLS LN #300
DRAPER, 84020
26 S MAIN ST
CENTERVILLE, 84014
(801) 572-0311
Provider ID: 100000590144
(801) 693-7900
NPI: 1194838128
Provider ID: 100000099048
NPI: 1548252950
BANK, STACEY MD
11760 S 700 E #111
INTERNAL MEDICINE
DRAPER, 84020
CANGA-SIAO, CYNTHIA R MD (801) 576-8855
26 S MAIN ST
Provider ID: 100000260506
CENTERVILLE, 84014
NPI: 1790797959
(801) 693-7900
CHURCH, RYAN DENNIS APRN
Provider ID: 100001144041
74 E KIMBALLS LN #210
NPI: 1669497558
DRAPER, 84020
PHAM, MARIAN HONG MD
(801) 566-3062
26 S MAIN ST
Provider ID: 100000869262
CENTERVILLE, 84014
NPI: 1912909714
(801) 693-7900
CLUNY, JOYLYN APRN
Provider ID: 100000318358
11724 S STATE ST
NPI: 1285667980
DRAPER, 84020
(801) 576-2000
Provider ID: 100001107386
NPI: 1578603932
4
UTAH
DRAPER
FAMILY PRACTICE
Primary Care Providers
Sorted by state, city, specialty, then name
PRATER, SUSAN E MD
11724 S STATE ST
DRAPER, 84020
DRAPER (cont'd)
(801) 576-2000
FAMILY PRACTICE (cont'd)
Provider ID: 100000980555
NPI: 1841430733
DENBLEYKER, JENNIFER JANE
SCHAAT, TIMOTHY J MD
MD
11760 S 700 E #111
11724 S STATE ST
DRAPER, 84020
DRAPER, 84020
(801) 576-8855
(801) 576-2000
Provider ID: 100000547467
Provider ID: 100001048016
NPI: 1912032640
NPI: 1033141270
SCHELLENBERG, MATTHEW M
FURNESS, TODD W DO
DO
11760 S 700 E #111
11760 S 700 E #111
DRAPER, 84020
DRAPER, 84020
(801) 576-8855
(801) 576-8855
Provider ID: 100001018311
Provider ID: 100000741212
NPI: 1285941310
NPI: 1386855021
GROGAN, MARGARET ELLEN 74 E KIMBALLS LN #260
APRN
DRAPER, 84020
11724 S STATE ST
(801) 545-8480
DRAPER, 84020
Provider ID: 100000741212
(801) 576-2000
NPI: 1386855021
Provider ID: 100001152681
74 E KIMBALLS LN #300
NPI: 1962669853
DRAPER, 84020
JACK, DAVID BRUCE MD
(801) 545-8480
11760 S 700 E #111
Provider ID: 100000741212
DRAPER, 84020
NPI: 1386855021
(801) 576-8855
SMITH-HOLMEN, BARBARA E
Provider ID: 100000547465
APRN
NPI: 1255434296
74 E KIMBALLS LN #300
LITCHMAN, MICHELLE L
DRAPER, 84020
APRN
(801) 572-0311
11724 S STATE ST
Provider ID: 100000595393
DRAPER, 84020
NPI: 1568665784
(801) 576-2000
GENERAL PRACTICE
Provider ID: 100001152702
NPI: 1518045806
NELSON, TODD ROBERT MD
LOBSIGER, JACQUELINE A
11724 S STATE ST
APRN
DRAPER, 84020
11724 S STATE ST
(801) 576-2000
DRAPER, 84020
Provider ID: 100001152052
(801) 576-2000
NPI: 1902917495
Provider ID: 100001152717
NPI: 1497774525
UTAH (cont'd)
5
UTAH
DRAPER
INTERNAL MEDICINE
PRICE, LYNN SUZANNE MD
11724 S STATE ST
DRAPER, 84020
(801) 576-2000
Provider ID: 100001152012
NPI: 1669583134
INTERNAL MEDICINE
BARMAN, THOMAS FRANCIS
MD
11724 S STATE ST
DRAPER, 84020
(801) 576-2000
Provider ID: 100001151909
NPI: 1881704286
BENNETT, RICHARD WAYNE
MD
11760 S 700 E #111
DRAPER, 84020
(801) 576-8855
Provider ID: 100000560721
NPI: 1407871510
74 E KIMBALLS LN #300
DRAPER, 84020
(801) 572-0311
Provider ID: 100000560721
NPI: 1407871510
BULAJ, ZANETA JADWIGA MD
11724 S STATE ST
DRAPER, 84020
(801) 576-2000
Provider ID: 100001152117
NPI: 1598869026
CATE JR, THOMAS R MD
11724 S STATE ST
DRAPER, 84020
(801) 576-2000
Provider ID: 100001151949
NPI: 1275643611
HANSEN, MATTHEW
CHRISTIAN MD
11724 S STATE ST
DRAPER, 84020
(801) 576-2000
Provider ID: 100001151994
NPI: 1598860041
February 12, 2015
UTAH
DRAPER
INTERNAL MEDICINE
Primary Care Providers
Sorted by state, city, specialty, then name
VELLINGA, JONATHAN L MD
11760 S 700 E #111
DRAPER, 84020
DRAPER (cont'd)
(801) 576-8855
INTERNAL MEDICINE (cont'd)
Provider ID: 100000715956
NPI: 1225291727
HARRISON, REID CHAMBERS 74 E KIMBALLS LN #300
MD
DRAPER, 84020
11724 S STATE ST
(801) 572-0311
DRAPER, 84020
Provider ID: 100000715956
(801) 576-2000
NPI: 1225291727
Provider ID: 100000934337
YARRISH,
DANIEL WALTER
NPI: 1356373500
MD
NORRIS, JENNIFER LYN MD
11724 S STATE ST
11724 S STATE ST
DRAPER, 84020
DRAPER, 84020
(801) 576-2000
(801) 576-2000
Provider ID: 100001152097
Provider ID: 100001151975
NPI: 1235240110
NPI: 1932210895
PEDIATRICS
ROBERTS, PHILIP LEONARD
MD
COLEBY, CRAIG A MD
74 E KIMBALLS LN #300
11724 S STATE ST
DRAPER, 84020
DRAPER, 84020
(801) 572-0311
(801) 576-2000
Provider ID: 100000562354
Provider ID: 100000934241
NPI: 1013012418
NPI: 1386825024
TSCHETTER, KEVIN WILLIAM PENNINGTON, MARY JANE MD
MD
11724 S STATE ST
11760 S 700 E #111
DRAPER, 84020
DRAPER, 84020
(801) 576-2000
(801) 576-8855
Provider ID: 100000934244
Provider ID: 100000564681
NPI: 1205868452
NPI: 1912922923
FARMINGTON
74 E KIMBALLS LN #300
DRAPER, 84020
INTERNAL MEDICINE
(801) 572-0311
BARTHOLOMEW, BRYAN R DO
Provider ID: 100000564681
140 N UNION AVE #300
NPI: 1912922923
FARMINGTON, 84025
(801) 294-9333
Provider ID: 100000501068
NPI: 1407956121
UTAH (cont'd)
February 12, 2015
6
UTAH
KAYSVILLE FAMILY PRACTICE
HAMMOND, GREGORY DEAN
MD
140 N UNION AVE #300
FARMINGTON, 84025
(801) 294-9333
Provider ID: 100000478635
NPI: 1942374020
SOUTHWORTH, SCOTT
ERNEST MD
140 N UNION AVE #300
FARMINGTON, 84025
(801) 294-9333
Provider ID: 100000501058
NPI: 1972602910
HERRIMAN
FAMILY PRACTICE
OLSON, KAREN J APRN
5746 W 13400 S #200
HERRIMAN, 84096
(801) 987-7500
Provider ID: 100000876278
NPI: 1215154232
INTERNAL MEDICINE
GOURDE, THERESA D MD
5746 W 13400 S #200
HERRIMAN, 84096
(801) 987-7500
Provider ID: 100000862940
NPI: 1487688685
KAYSVILLE
FAMILY PRACTICE
BEUS, MICHAEL LYNN MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000087711
NPI: 1770569543
FIFE, JASON ROY DO
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000098566
NPI: 1790761740
UTAH
KAYSVILLE
FAMILY PRACTICE
UTAH (cont'd)
KAYSVILLE (cont'd)
FAMILY PRACTICE (cont'd)
KIRKHAM, MICHAEL DON MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000087218
NPI: 1861478638
LEE, GARY DAVID MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000090227
NPI: 1760468706
MORRELL, STEPHEN LYNN
MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000095497
NPI: 1801872601
MORRIS, JARED A MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000533129
NPI: 1992952287
SCHAELLING, MICHAEL PAUL
MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000090174
NPI: 1861478737
STEWART, RYAN LEE MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000099547
NPI: 1649207606
Primary Care Providers
Sorted by state, city, specialty, then name
YEATES, MICHAEL C DO
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000748630
NPI: 1336394410
INTERNAL MEDICINE
BURTENSHAW, BRUCE
FRANCIS MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000089103
NPI: 1609852656
TAYLOR, ROY R MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000087136
NPI: 1285610063
PEDIATRICS
EVANS, RYAN NEWELL MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000090306
NPI: 1659357606
FORBUSH, NATHAN G MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000108242
NPI: 1962439851
HOAGLAND, JASON ROY MD
380 N 400 W
KAYSVILLE, 84037
(801) 547-9806
Provider ID: 100000095234
NPI: 1871579813
7
UTAH
LAYTON
FAMILY PRACTICE
KEARNS
FAMILY PRACTICE
COSGRAVE, MICHAEL L DO
5662 S COUGAR LN #311
KEARNS, 84118
(801) 912-8210
Provider ID: 100000940519
NPI: 1720252117
LAYTON
FAMILY PRACTICE
ALLRED, MICHAEL G MD
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000097300
NPI: 1811973829
ANDERSON, MARC OLSEN MD
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000089934
NPI: 1154307197
BAXTER, MARK EPHRAIM MD
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000092604
NPI: 1437135290
BERKEL, HEATHER M APRN
124 S FAIRFIELD RD
LAYTON, 84041
(801) 927-3080
Provider ID: 100000874657
NPI: 1326372764
1492 W ANTELOPE DR #203
LAYTON, 84041
(801) 773-7500
Provider ID: 100000874657
NPI: 1326372764
February 12, 2015
UTAH
LAYTON
FAMILY PRACTICE
Primary Care Providers
Sorted by state, city, specialty, then name
UTAH
LAYTON
FAMILY PRACTICE
KENDELL, PATRICK J MD
SCHAELLING, MICHAEL PAUL
2121 N 1700 W
MD
LAYTON,
84041
2121 N 1700 W
LAYTON (cont'd)
LAYTON, 84041
(801) 773-4840
FAMILY PRACTICE (cont'd)
Provider ID: 100001094168
(801) 773-4840
NPI: 1225324973
Provider ID: 100000849710
BEUS, MICHAEL LYNN MD
NPI: 1861478737
KIRKHAM, MARK D MD
2121 N 1700 W #B
2121 N 1700 W #B
SIMPSON, KIMBERLY E APRN
LAYTON, 84041
LAYTON, 84041
124 S FAIRFIELD RD
(801) 773-4840
LAYTON, 84041
(801)
773-4840
Provider ID: 100000087711
Provider
ID:
100000111568
(801) 927-3080
NPI: 1770569543
NPI: 1689650459
Provider ID: 100000813573
BISHOP, SCOTT R MD
NPI: 1235488917
KIRKHAM, MICHAEL DON MD
2121 N 1700 W
2121 N 1700 W #B
STELTER, CASEY LAWRENCE
LAYTON, 84041
LAYTON, 84041
MD
(801) 773-4840
2950 N CHURCH ST #200
(801)
773-4840
Provider ID: 100000313525
LAYTON, 84040
Provider
ID:
100000087219
NPI: 1962493486
NPI: 1861478638
(801) 546-9441
BURNINGHAM, TED HOWARD
Provider ID: 100000100989
LENTHE, MARK R DO
MD
NPI: 1073607222
2121 N 1700 W
2121 N 1700 W #B
LAYTON, 84041
STEWART, RYAN LEE MD
LAYTON, 84041
2121 N 1700 W #B
(801)
773-4840
(801) 773-4840
LAYTON, 84041
Provider
ID:
100000266579
Provider ID: 100000089984
NPI:
1831188358
(801) 773-4840
NPI: 1174509129
Provider ID: 100000099549
MORRIS, JARED A MD
FOWERS, JODY L APRN
NPI: 1649207606
2121 N 1700 W #B
2950 N CHURCH ST #200
LAYTON, 84041
WALLIN, RICHARD KEITH MD
LAYTON, 84040
2121 N 1700 W #B
(801)
773-4840
(801) 546-9441
LAYTON, 84041
Provider
ID:
100000533127
Provider ID: 100000345068
NPI:
1992952287
(801) 773-4840
NPI: 1992915052
Provider ID: 100000089555
OLSON, KAREN J APRN
FRANCIS JR, JOSEPH ALLEN
NPI: 1518943471
124 S FAIRFIELD RD
MD
LAYTON, 84041
WEEKS, JONATHAN ANDREW
124 S FAIRFIELD RD
MD
(801)
927-3080
LAYTON, 84041
2950 N CHURCH ST #200
Provider
ID:
100000876278
(801) 927-3080
LAYTON, 84040
NPI:
1215154232
Provider ID: 100000780188
(801) 546-9441
POTTER, STEVEN J MD
NPI: 1437268414
Provider ID: 100000096397
124 S FAIRFIELD RD
HOBBS, RACHEL B MD
NPI: 1649364803
LAYTON, 84041
2121 N 1700 W #B
WHITTIER, CASSIE L MD
(801) 927-3080
LAYTON, 84041
2121 N 1700 W
Provider
ID:
100000972238
(801) 773-4840
LAYTON, 84041
NPI:
1407922446
Provider ID: 100000097310
(801) 773-4840
NPI: 1275519126
Provider ID: 100001090278
NPI: 1992084768
UTAH (cont'd)
February 12, 2015
8
UTAH
LAYTON
FAMILY PRACTICE
UTAH (cont'd)
LAYTON (cont'd)
FAMILY PRACTICE (cont'd)
YATES, JAY REESE MD
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000091365
NPI: 1427034297
YEATES, MICHAEL C DO
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000620386
NPI: 1336394410
Primary Care Providers
Sorted by state, city, specialty, then name
COLES, ANDREW E MD
1492 W ANTELOPE DR #203
LAYTON, 84041
(801) 773-7500
Provider ID: 100000756243
NPI: 1982721106
COLES, CATHERINE M MD
1492 W ANTELOPE DR #203
LAYTON, 84041
(801) 773-7500
Provider ID: 100000755138
NPI: 1679782031
DEREMER, KATHLEEN ROSE
MD
2950 N CHURCH ST #101A
LAYTON, 84040
(801) 771-7750
Provider ID: 100000351419
NPI: 1437267192
JANOWSKI, DOMINIKA G MD
1492 W ANTELOPE DR #203
LAYTON, 84041
(801) 773-7500
Provider ID: 100001046332
NPI: 1922230770
NELSON, CHADD D DO
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000108248
NPI: 1619904679
TAYLOR, ROY R MD
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000087139
NPI: 1285610063
INTERNAL MEDICINE
ARRINGTON, SARA J APRN
1492 W ANTELOPE DR #203
LAYTON, 84041
(801) 773-7500
Provider ID: 100000350200
NPI: 1093960668
BIDDULPH, GLEN F MD
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000572923
NPI: 1518999275
BURTENSHAW, BRUCE
FRANCIS MD
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000089106
NPI: 1609852656
PEDIATRICS
CHECKETTS, DARIN DAVID DO
BAUR, NISHA R DO
2121 N 1700 W #B
2121 N 1700 W
LAYTON, 84041
LAYTON, 84041
(801) 773-4840
(801) 773-4840
Provider ID: 100000095435
Provider ID: 100000522505
NPI: 1639158512
NPI: 1780838789
9
UTAH
LEHI
INTERNAL MEDICINE
EBERHARD, BRENT KEITH MD
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000098501
NPI: 1679559629
FORBUSH, NATHAN G MD
2121 N 1700 W #B
LAYTON, 84041
(801) 773-4840
Provider ID: 100000108243
NPI: 1962439851
TRIPP, GEORGE A MD
2121 N 1700 W
LAYTON, 84041
(801) 773-4840
Provider ID: 100000968125
NPI: 1306062526
LEHI
FAMILY PRACTICE
HUNTER, JUDD D APRN
3300 RUNNING CREEK WAY
#H200
LEHI, 84043
(801) 766-4214
Provider ID: 100000550268
NPI: 1831428705
SHARP, RICHARD KEITH MD
3300 RUNNING CREEK WAY
#B100
LEHI, 84043
(801) 766-4214
Provider ID: 100000768706
NPI: 1508817453
INTERNAL MEDICINE
STAHELI, JOHN KENT MD
3300 RUNNING CREEK WAY
#H200
LEHI, 84043
(801) 766-4214
Provider ID: 100000087186
NPI: 1275591620
February 12, 2015
UTAH
MIDVALE
FAMILY PRACTICE
Primary Care Providers
Sorted by state, city, specialty, then name
KOTTARATHIL, THOMAS
JOHN MD
7495 S STATE ST
MIDVALE
MIDVALE, 84047
(801) 213-9400
FAMILY PRACTICE
Provider ID: 100000085230
ANDERSON, LAURA M MD
NPI: 1205911997
7495 S STATE ST
SHAKERI, MEHRNOOSH MD
MIDVALE, 84047
7495 S STATE ST
(801) 213-9400
MIDVALE, 84047
Provider ID: 100000742855
(801) 213-9400
NPI: 1740270867
Provider ID: 100000094113
MAGILL, MICHAEL KEVIN MD
NPI: 1386719821

STONEBURNER, HUGH MILAM
7495 S STATE ST
MD
MIDVALE, 84047
7495 S STATE ST
(801) 213-9400
MIDVALE, 84047
Provider ID: 100000092721
(801) 567-7300
NPI: 1215976386
Provider ID: 100000085339
YAROSHCHUK, LARISA
NPI: 1003991498
BORISOVNA MD
7495 S STATE ST
PEDIATRICS
MIDVALE, 84047
BROWNSTEIN, ELLIE SUE MD
(801) 213-9400
7495 S STATE ST
Provider ID: 100000099142
MIDVALE, 84047
NPI: 1427148014
(801) 213-9400
Provider ID: 100000092759
INTERNAL MEDICINE
NPI: 1760572341
ANDERSON, RICHARD L MD
CLINE,
JEFFREY WADE MD
7495 S STATE ST
7495
S
STATE
ST
MIDVALE, 84047
MIDVALE, 84047
(801) 213-9400
(801) 213-9400
Provider ID: 100000985018
Provider ID: 100000101407
NPI: 1861522070
NPI: 1184714776
DAY, JULIE LOUISE MD
7495 S STATE ST
OGDEN
MIDVALE, 84047
FAMILY PRACTICE
(801) 213-9400
Provider ID: 100000088946
ARCHULETA, ELAINE E APRN
NPI: 1831274521
5405 S 500 E #204
OGDEN, 84405
ISENBERG, PHILIP N MD
7495 S STATE ST
(801) 479-0184
MIDVALE, 84047
Provider ID: 100000991250
NPI: 1760556310
(801) 213-9400
Provider ID: 100000274228
NPI: 1134315872
UTAH (cont'd)
February 12, 2015
10
UTAH
OGDEN
FAMILY PRACTICE
BLEDSOE, JAMES A DO
5740 CRESTWOOD DR
OGDEN, 84405
(801) 479-7771
Provider ID: 100000571213
NPI: 1669467544
BRUCE, STEPHEN JAMES MD
5740 CRESTWOOD DR
OGDEN, 84405
(801) 479-7771
Provider ID: 100000571121
NPI: 1841269321
CATON, CHARLES ALLEN MD
698 12TH ST
OGDEN, 84404
(801) 621-3466
Provider ID: 100000804265
NPI: 1750341210
CRANER, ADAM CRAIG APRN
5405 S 500 E #100A
OGDEN, 84405
(801) 475-7966
Provider ID: 100000349527
NPI: 1952326357
5740 CRESTWOOD DR
OGDEN, 84405
(801) 479-7771
Provider ID: 100000349527
NPI: 1952326357
DUNN, JESSICA A APRN
698 12TH ST
OGDEN, 84404
(801) 621-3466
Provider ID: 100000940477
NPI: 1396024618
FOWERS, JODY L APRN
5495 S 500 E #320
OGDEN, 84405
(801) 476-4200
Provider ID: 100000345068
NPI: 1992915052
This provider is not accepting
new patients at this time
UTAH
OGDEN
FAMILY PRACTICE
UTAH (cont'd)
OGDEN (cont'd)
FAMILY PRACTICE (cont'd)
HEMMERSMEIER, JOHN
MATTHEW MD
5740 CRESTWOOD DR
OGDEN, 84405
(801) 479-7771
Provider ID: 100000571080
NPI: 1073582995
JENKINS, HANS C DO
5405 S 500 E #100A
OGDEN, 84405
(801) 475-7966
Provider ID: 100000758523
NPI: 1316932866
MANNING, SHILOH D APRN
698 12TH ST
OGDEN, 84404
(801) 621-3466
Provider ID: 100000866549
NPI: 1972536001
MCCLELLAN, BRUCE CLARK
MD
5740 CRESTWOOD DR
OGDEN, 84405
(801) 479-7771
Provider ID: 100000571225
NPI: 1386731883
MICONI-CORREA, LISA M
APRN
5740 CRESTWOOD DR
OGDEN, 84405
(801) 479-7771
Provider ID: 100000959674
NPI: 1376830414
STALLINGS, SCOTT MANLEY
MD
698 12TH ST
OGDEN, 84404
(801) 621-3466
Provider ID: 100000804268
NPI: 1700818259
Primary Care Providers
Sorted by state, city, specialty, then name
WAYMENT, NADYA P MD
5405 S 500 E #100A
OGDEN, 84405
(801) 475-7966
Provider ID: 100000315680
NPI: 1821274655
WILSON, DIANE HALES MD
698 12TH ST
OGDEN, 84404
(801) 621-3466
Provider ID: 100000804273
NPI: 1013932185
WOOLMAN, MICHAEL DENNIS
MD
5740 CRESTWOOD DR
OGDEN, 84405
(801) 479-7771
Provider ID: 100000571203
NPI: 1508833450
INTERNAL MEDICINE
BENTLEY, MELISSA J MD
5405 S 500 E #203
OGDEN, 84405
(801) 475-8600
Provider ID: 100000739783
NPI: 1639354897
DEREMER, KATHLEEN ROSE
MD
5405 S 500 E #203
OGDEN, 84405
(801) 475-8600
Provider ID: 100000351419
NPI: 1437267192
HEROLD, RICHARD JOSEPH
MD
5405 S 500 E #203
OGDEN, 84405
(801) 475-8100
Provider ID: 100000598358
NPI: 1891799318
11
UTAH
OREM
FAMILY PRACTICE
MOHR, ROBERT RUSSEL MD
5405 S 500 E #100A
OGDEN, 84405
(801) 475-7966
Provider ID: 100000307018
NPI: 1750314480
5740 CRESTWOOD DR
OGDEN, 84405
(801) 479-7771
Provider ID: 100000307018
NPI: 1750314480
PEDIATRICS
LAU, ISABEL C MD
5495 S 500 E #120
OGDEN, 84405
(801) 479-0174
Provider ID: 100000313314
NPI: 1023288511
STEVENSON, KENNETH
EDWARD MD
5495 S 500 E #120
OGDEN, 84405
(801) 479-0174
Provider ID: 100000273175
NPI: 1245326065
OREM
FAMILY PRACTICE
ANDERSON, LAURA M MD
145 W UNIVERSITY PKWY
OREM, 84058
(801) 234-8600
Provider ID: 100000742855
NPI: 1740270867
BERRY, STEVEN L MD
173 N 400 W #C-11
OREM, 84057
(801) 802-7373
Provider ID: 100000300994
NPI: 1528095312
February 12, 2015
UTAH
OREM
FAMILY PRACTICE
UTAH (cont'd)
OREM (cont'd)
FAMILY PRACTICE (cont'd)
CREER, ANALEE S APRN
698 W 800 N #210
OREM, 84057
(801) 714-6412
Provider ID: 100000272744
NPI: 1689856320
750 W 800 N #442
OREM, 84057
(801) 714-6430
Provider ID: 100000272744
NPI: 1689856320
HALL, LISA B APRN
173 W 800 N #C11
OREM, 84057
(201) 802-7373
Provider ID: 100001172222
NPI: 1710186986
MASTELLER, MALCOLM C MD
145 W UNIVERSITY PKWY
OREM, 84058
(801) 234-8600
Provider ID: 100001018843
NPI: 1255368148
MCGOVERN, JOSEPH G NP
700 W 800 N #220
OREM, 84057
(801) 354-8205
Provider ID: 100000855596
NPI: 1710240734
PACE, RANDALL W MD
173 N 400 W #C-11
OREM, 84057
(801) 802-7373
Provider ID: 100000785781
NPI: 1932337466
February 12, 2015
Primary Care Providers
Sorted by state, city, specialty, then name
SPEAKMAN, ROBERT LYMAN
DO
145 W UNIVERSITY PKWY
OREM, 84058
(801) 213-9400
Provider ID: 100000099655
NPI: 1417047044
TOMCO, ABRAHAM R MD
700 W 800 N #220
OREM, 84057
(801) 354-8205
Provider ID: 100000553688
NPI: 1033320791
VANCURAN, KEITH W MD
145 W UNIVERSITY PKWY
OREM, 84058
(801) 234-8600
Provider ID: 100000927478
NPI: 1982760823
INTERNAL MEDICINE
CURZON, SEAN ROBERT DO
700 W 800 N #400
OREM, 84057
(801) 221-8811
Provider ID: 100000097198
NPI: 1780600247
DUROS, PETER MD
700 W 800 N #400
OREM, 84057
(801) 221-8811
Provider ID: 100000085884
NPI: 1669498119
FONSECA, WALSTIR H MD
700 W 800 N #400
OREM, 84057
(801) 221-8811
Provider ID: 100000090685
NPI: 1013933506
LUNCEFORD, TROY A MD
774 N 1200 W
OREM, 84057
(801) 765-7528
Provider ID: 100000243064
NPI: 1194842286
12
UTAH
PAYSON
FAMILY PRACTICE
MARSHALL, KENT GROVER
MD
700 W 800 N #400
OREM, 84057
(801) 221-8811
Provider ID: 100000087221
NPI: 1962422543
PAYSON
FAMILY PRACTICE
BOBO, CALLENE D APRN
1000 E 100 N
PAYSON, 84651
(801) 465-7045
Provider ID: 100000787631
NPI: 1265715643
CHIPMAN, STEPHEN BRET MD
97 PROFESSIONAL WAY #2
PAYSON, 84651
(801) 465-4896
Provider ID: 100000786724
NPI: 1992734057
DAVIS, NANCY ROGERS APRN
39 PROFESSIONAL WAY #2
PAYSON, 84651
(801) 465-2511
Provider ID: 100000502201
NPI: 1821101288
MONEY, NOLAN BOYCE MD
15 S 1000 E #3
PAYSON, 84651
(801) 465-4896
Provider ID: 100000738146
NPI: 1194759027
97 PROFESSIONAL WAY #2
PAYSON, 84651
(801) 465-4896
Provider ID: 100000738146
NPI: 1194759027
UTAH
PAYSON
FAMILY PRACTICE
UTAH (cont'd)
PAYSON (cont'd)
FAMILY PRACTICE (cont'd)
SKOUSEN, GALE J MD
15 S 1000 E #3
PAYSON, 84651
(801) 465-4896
Provider ID: 100000738138
NPI: 1053305391
97 PROFESSIONAL WAY #2
PAYSON, 84651
(801) 465-4896
Provider ID: 100000738138
NPI: 1053305391
TIPTON, DAVID JOHN MD
15 S 1000 E #3
PAYSON, 84651
(801) 465-4896
Provider ID: 100000738150
NPI: 1811915051
97 PROFESSIONAL WAY #2
PAYSON, 84651
(801) 465-4896
Provider ID: 100000738150
NPI: 1811915051
INTERNAL MEDICINE
BENNION, DAVID FRED MD
910 E 100 N #105
PAYSON, 84651
(801) 465-4813
Provider ID: 100000091424
NPI: 1255435244
LUNCEFORD, TROY A MD
910 E 100 N #105
PAYSON, 84651
(801) 465-4813
Provider ID: 100000243064
NPI: 1194842286
MILLER II, GARRY T DO
910 E 100 N #105
PAYSON, 84651
(801) 465-4813
Provider ID: 100000708545
NPI: 1053568592
Primary Care Providers
Sorted by state, city, specialty, then name
PROVO
FAMILY PRACTICE
BOLTZ, ARTHUR T NP
1055 N 500 W
PROVO, 84604
(801) 429-8000
Provider ID: 100001012969
NPI: 1215281118
HARRISON, HEATHER R DO
1055 N 500 W #202
PROVO, 84604
(801) 374-2367
Provider ID: 100000545485
NPI: 1487760138
HAWKS, AMY R APRN
1055 N 500 W #212
PROVO, 84604
(801) 374-2362
Provider ID: 100000552374
NPI: 1396958369
HOULE, KIM C APRN
1055 N 500 W #212
PROVO, 84604
(801) 374-2362
Provider ID: 100001172255
NPI: 1457784944
HUNTER, JUDD D APRN
1055 N 500 W #212
PROVO, 84604
(801) 374-2362
Provider ID: 100000550268
NPI: 1831428705
JONES, JUSTIN E MD
1055 N 500 W #212
PROVO, 84604
(801) 812-5033
Provider ID: 100000546879
NPI: 1760547699
LARSEN, ELIZABETH A APRN
1055 N 500 W #212
PROVO, 84604
(801) 374-2362
Provider ID: 100001172303
NPI: 1093770562
13
UTAH
PROVO
INTERNAL MEDICINE
MANNING, SHILOH D APRN
1055 N 500 W
PROVO, 84604
(801) 429-8000
Provider ID: 100000866549
NPI: 1972536001
OKERLUND, JASON DON APRN
1055 N 500 W
PROVO, 84604
(801) 429-8000
Provider ID: 100000935139
NPI: 1649313677
PICKERING, DERRICK E APRN
1055 N 500 W #122
PROVO, 84604
(801) 429-0610
Provider ID: 100001172757
NPI: 1720497597
SLADE, MARILEE C APRN
1055 N 500 W #202
PROVO, 84604
(801) 374-2367
Provider ID: 100000961434
NPI: 1235480799
INTERNAL MEDICINE
CORNIEA, ROBERT E MD
1055 N 500 W #212
PROVO, 84604
(801) 374-2362
Provider ID: 100000086609
NPI: 1447218664
DUROS, PETER MD
1055 N 500 W
PROVO, 84604
(801) 429-8000
Provider ID: 100000085884
NPI: 1669498119
JOHNSON, JEFFREY W MD
1055 N 500 W #212
PROVO, 84604
(801) 374-2362
Provider ID: 100000092651
NPI: 1285692400
February 12, 2015
UTAH
PROVO
INTERNAL MEDICINE
Primary Care Providers
Sorted by state, city, specialty, then name
UTAH
RIVERTON
INTERNAL MEDICINE
LOBSIGER, JACQUELINE A
APRN
12391 S 4000 W #100
FAMILY PRACTICE
PROVO (cont'd)
RIVERTON, 84096
PETER LLOYD
INTERNAL MEDICINE (cont'd) CHRISTENSEN,
(801) 302-1700
MD
Provider ID: 100001152713
12391 S 4000 W #100
JUAREZ, VALERIE J APRN
NPI: 1497774525
RIVERTON, 84096
1055 N 500 W
SANDERSON, MICHAEL J MD
PROVO, 84604
(801) 302-1700
12391 S 4000 W #100
Provider ID: 100000241380
(801) 429-8000
RIVERTON, 84096
NPI: 1992737159
Provider ID: 100000511059
(801) 302-1700
NPI: 1407967979
CLUNY, JOYLYN APRN
Provider ID: 100001068172
12391 S 4000 W #100
KIMBALL, CHAD B MD
NPI: 1215134663
RIVERTON, 84096
1055 N 500 W #212
PROVO, 84604
(801) 302-1700
GENERAL PRACTICE
Provider ID: 100001107386
(801) 374-2362
NELSON, TODD ROBERT MD
NPI: 1578603932
Provider ID: 100000696730
12391 S 4000 W #100
NPI: 1629247358
DEPEW, BRUCE CRAIG MD
RIVERTON, 84096
NOBUHARA, LAWRENCE KEN 12391 S 4000 W #100
(801) 302-1700
RIVERTON, 84096
MD
Provider ID: 100001152040
1055 N 500 W #212
(801) 302-1700
NPI: 1902917495
PROVO, 84604
Provider ID: 100001103853
PRICE, LYNN SUZANNE MD
NPI: 1376505214
(801) 374-2362
12391 S 4000 W #100
Provider ID: 100000086709
DEVENPORT, STEPHEN BRENT RIVERTON, 84096
NPI: 1740399385
MD
(801) 302-1700
12391 S 4000 W #100
OLSEN, RICHARD KENT MD
Provider ID: 100001152005
RIVERTON, 84096
1055 N 500 W #212
NPI: 1669583134
PROVO, 84604
(801) 302-1700
INTERNAL MEDICINE
Provider ID: 100000241394
(801) 374-2362
NPI: 1093730467
BARMAN, THOMAS FRANCIS
Provider ID: 100000087999
NPI: 1932157138
GROGAN, MARGARET ELLEN MD
12391 S 4000 W #100
APRN
STAHELI, JOHN KENT MD
RIVERTON, 84096
12391 S 4000 W #100
1055 N 500 W #212
RIVERTON, 84096
(801) 302-1700
PROVO, 84604
Provider ID: 100001151902
(801) 302-1700
(801) 374-2362
NPI: 1881704286
Provider ID: 100001152670
Provider ID: 100000087186
NPI: 1962669853
BULAJ, ZANETA JADWIGA MD
NPI: 1275591620
12391 S 4000 W #100
3650 N UNIVERSITY AVE #125
LITCHMAN, MICHELLE L
RIVERTON, 84096
PROVO, 84604
APRN
12391 S 4000 W #100
(801) 302-1700
(801) 227-7378
RIVERTON, 84096
Provider ID: 100001152110
Provider ID: 100000087186
NPI: 1598869026
NPI: 1275591620
(801) 302-1700
Provider ID: 100001152695
NPI: 1518045806
UTAH (cont'd)
February 12, 2015
RIVERTON
14
UTAH
RIVERTON
INTERNAL MEDICINE
Primary Care Providers
Sorted by state, city, specialty, then name
UTAH
SALT LAKE CITY
FAMILY PRACTICE
PETERSEN, DARLENE L MD
5460 S 3500 W
ROY, 84067
(801) 773-2838
Provider ID: 100000972593
NPI: 1376744433
RIGGS, BRANNICK BARTON
MD
5460 S 3500 W
ROY, 84067
(801) 773-2838
Provider ID: 100000976733
NPI: 1255324984
STALLINGS, SCOTT MANLEY
MD
1937 W 5700 S
ROY, 84067
(801) 773-9380
Provider ID: 100000804268
ROY
NPI: 1700818259
WILSON, DIANE HALES MD
FAMILY PRACTICE
1937 W 5700 S
CATON, CHARLES ALLEN MD ROY, 84067
1937 W 5700 S
(801) 773-9380
ROY, 84067
Provider ID: 100000804273
(801) 773-9380
NPI: 1013932185
Provider ID: 100000804265
NPI: 1750341210
SALT LAKE CITY
DUNN, JESSICA A APRN
FAMILY PRACTICE
1937 W 5700 S
ROY, 84067
ANDERSON, LAURA M MD
1525 W 2100 S
(801) 773-9380
SALT LAKE CITY, 84119
Provider ID: 100000940477
NPI: 1396024618
(801) 213-8841
Provider ID: 100000742855
FLINDERS, KURT T DO
NPI: 1740270867
3493 W 5600 S
3730
W 4700 S
ROY, 84067
SALT
LAKE CITY, 84129
(801) 773-4840
(801) 213-9200
Provider ID: 100001083509
Provider ID: 100000742855
NPI: 1780830612
NPI: 1740270867
MANNING, SHILOH D APRN
1937 W 5700 S
ROY, 84067
(801) 773-9380
Provider ID: 100000866549
NPI: 1972536001
PENNINGTON, MARY JANE MD
12391 S 4000 W #100
RIVERTON, 84096
RIVERTON (cont'd)
(801) 302-1700
INTERNAL MEDICINE (cont'd)
Provider ID: 100000085683
NPI: 1205868452
CATE JR, THOMAS R MD
WINTER, SARAH L MD
12391 S 4000 W #100
3773 W 12600 S
RIVERTON, 84096
RIVERTON, 84065
(801) 302-1700
(801) 285-4000
Provider ID: 100001151942
Provider ID: 100000358700
NPI: 1275643611
NPI: 1265429906
HANSEN, MATTHEW
WONNACOTT, MONICA C MD
CHRISTIAN MD
12391 S 4000 W #100
12391 S 4000 W #100
RIVERTON, 84096
RIVERTON, 84096
(801) 302-1700
(801) 302-1700
Provider ID: 100000241432
Provider ID: 100001151990
NPI: 1003029935
NPI: 1598860041
UTAH (cont'd)
NORRIS, JENNIFER LYN MD
12391 S 4000 W #100
RIVERTON, 84096
(801) 302-1700
Provider ID: 100001151965
NPI: 1932210895
YARRISH, DANIEL WALTER
MD
12391 S 4000 W #100
RIVERTON, 84096
(801) 302-1700
Provider ID: 100001152091
NPI: 1235240110
PEDIATRICS
COLEBY, CRAIG A MD
12391 S 4000 W #100
RIVERTON, 84096
(801) 302-1700
Provider ID: 100000545444
NPI: 1386825024
DAVIS, CARLY R MD
12391 S 4000 W #100
RIVERTON, 84096
(801) 302-1700
Provider ID: 100001131931
NPI: 1801121108
15
February 12, 2015
UTAH
SALT LAKE CITY
FAMILY PRACTICE
Primary Care Providers
Sorted by state, city, specialty, then name
BOSCH, CLARIVETTE MD
1525 W 2100 S
SALT LAKE CITY, 84119
SALT LAKE CITY (cont'd)
(801) 213-8841
FAMILY PRACTICE (cont'd)
Provider ID: 100000099140
NPI: 1245320860
AZARCON JR, JOSE DO
BOWLING, MARIANNE FNP
2295 S FOOTHILL DR
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, 84109
SALT LAKE CITY, 84112
(801) 486-3021
(801) 581-7719
Provider ID: 100000808646
Provider ID: 100001108555
NPI: 1285627455
NPI: 1366858730
6360 S 3000 E #100
50
N MEDICAL DR
SALT LAKE CITY, 84121
SALT LAKE CITY, 84132
(801) 365-1032
(801) 581-4314
Provider ID: 100000808645
Provider ID: 100001108555
NPI: 1285627455
NPI: 1366858730
BACKMAN, RICHARD LEE MD
BRUNETTI,
ROSS ANTHONY
1138 E WILMINGTON AVE
MD
SALT LAKE CITY, 84106
6360 S 3000 E #100
(801) 413-0250
SALT LAKE CITY, 84121
Provider ID: 100000096006
(801) 365-1032
NPI: 1528158151
Provider ID: 100000088438
555 FOOTHILL DR #301
NPI: 1700811023
SALT LAKE CITY, 84112
CARAGOL,
JENNIFER A MD
(801) 585-5382
1525
W
2100
S
Provider ID: 100000096006
SALT
LAKE
CITY,
84119
NPI: 1528158151
(801) 213-8841
BAIDEN, ERICA N MD
Provider ID: 100000869802
3725 W 4100 S
NPI: 1003001256
SALT LAKE CITY, 84120
CHRISTENSEN,
SHANE GLADE
(801) 965-3600
MD
Provider ID: 100000714258
6360 S 3000 E #100
NPI: 1821242108
SALT LAKE CITY, 84121
BANK, STACEY MD
(801) 365-1032
4465 S 900 E #200
Provider ID: 100000091944
SALT LAKE CITY, 84124
NPI: 1861427189
(801) 266-2777
Provider ID: 100000260506
NPI: 1790797959
BERMAN, JOSEPH HAROLD
MD
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000085237
NPI: 1780772624
UTAH (cont'd)
February 12, 2015
16
UTAH
SALT LAKE CITY
FAMILY PRACTICE
CHURCH, RYAN DENNIS APRN
1220 E 3900 S #1F
SALT LAKE CITY, 84124
(801) 262-5711
Provider ID: 100000869262
NPI: 1912909714
1220 E 3900 S #4E
SALT LAKE CITY, 84124
(801) 261-8507
Provider ID: 100000869262
NPI: 1912909714
CLARK, ALEXANDER P DO
2295 S FOOTHILL DR
SALT LAKE CITY, 84109
(801) 486-3021
Provider ID: 100000118209
NPI: 1578772109
CLUNY, JOYLYN APRN
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100001107386
NPI: 1578603932
COCHELLA, SUSAN
ELIZABETH W MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000092047
NPI: 1992895585
COLEMAN, STEPHEN DEXTER
MD
2295 S FOOTHILL DR
SALT LAKE CITY, 84109
(801) 486-3021
Provider ID: 100000085716
NPI: 1891720124
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000085716
NPI: 1891720124
UTAH
SALT LAKE CITY
FAMILY PRACTICE
Primary Care Providers
Sorted by state, city, specialty, then name
CREER, ANALEE S APRN
1160 E 3900 S #3500
SALT LAKE CITY, 84124
SALT LAKE CITY (cont'd)
(801) 743-4750
FAMILY PRACTICE (cont'd)
Provider ID: 100000272744
NPI: 1689856320
CONNER JR, THOMAS KANE
CUTLIP, CHERYLE LYNNE MD
MD
3725 W 4100 S
6360 S 3000 E #100
SALT LAKE CITY, 84120
SALT LAKE CITY, 84121
(801) 965-3600
(801) 365-1032
Provider ID: 100000093577
Provider ID: 100000094226
NPI: 1336171586
NPI: 1780619023
DALY, ANNE MARIE APRN
COOK, PAULA J MD
1525 W 2100 S
1160 E 3900 S #1000
SALT LAKE CITY, 84119
SALT LAKE CITY, 84124
(801) 887-2400
(801) 262-1771
Provider ID: 100000030526
Provider ID: 100001152122
NPI: 1457452765
NPI: 1922209386
3730 W 4700 S
COOPER, LESLIE WERDER MD SALT LAKE CITY, 84129
1138 E WILMINGTON AVE
(801) 213-9200
SALT LAKE CITY, 84106
Provider ID: 100000030525
(801) 413-0250
NPI: 1457452765
Provider ID: 100000098999
DENBLEYKER,
JENNIFER JANE
NPI: 1023122611
MD
1525 W 2100 S
3725 W 4100 S
SALT LAKE CITY, 84119
SALT LAKE CITY, 84120
(801) 213-8841
(801) 965-3600
Provider ID: 100000099000
Provider ID: 100000093705
NPI: 1023122611
NPI: 1033141270
555 FOOTHILL DR #301
DEPEW,
BRUCE CRAIG MD
SALT LAKE CITY, 84112
3725
W
4100
S
(801) 581-2000
SALT
LAKE
CITY,
84120
Provider ID: 100000098999
(801) 965-3600
NPI: 1023122611
Provider ID: 100000878761
CORSON, ROBERT MD
NPI: 1376505214
4465 S 900 E #200
DEVENPORT,
STEPHEN BRENT
SALT LAKE CITY, 84124
MD
(801) 266-2777
3725 W 4100 S
Provider ID: 100000615909
SALT LAKE CITY, 84120
NPI: 1902899545
(801) 352-5900
COX, GINA BOTTINO MD
Provider ID: 100000061143
6360 S 3000 E #100
NPI: 1093730467
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000095758
NPI: 1396770533
UTAH (cont'd)
17
UTAH
SALT LAKE CITY
FAMILY PRACTICE
DINH, AN TUONG MD
4465 S 900 E #200
SALT LAKE CITY, 84124
(801) 266-2777
Provider ID: 100000690071
NPI: 1144319997
EBORN, SHANA KINSEY MD
2295 S FOOTHILL DR
SALT LAKE CITY, 84109
(801) 486-3021
Provider ID: 100000101160
NPI: 1780615658
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000963537
NPI: 1780615658
EDWARDS, SUSAN LYNN MD
2295 S FOOTHILL DR
SALT LAKE CITY, 84109
(801) 486-3021
Provider ID: 100000087511
NPI: 1992730139
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000087512
NPI: 1992730139
FARRELL, TIMOTHY W MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000355725
NPI: 1306959747
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2628
Provider ID: 100000344418
NPI: 1306959747
February 12, 2015
UTAH
SALT LAKE CITY
FAMILY PRACTICE
UTAH (cont'd)
SALT LAKE CITY (cont'd)
FAMILY PRACTICE (cont'd)
FREDERICK, ADAM R MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000333997
NPI: 1184809949
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 585-5382
Provider ID: 100000333994
NPI: 1184809949
FULLER, DIANNE L APRN
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2205
Provider ID: 100000549220
NPI: 1124347786
GAY, CHRISTOPHER ALLAN
MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100000092255
NPI: 1205926805
GOHARI, MINA MD
1160 E 3900 S #G200
SALT LAKE CITY, 84124
(801) 268-7766
Provider ID: 100000945660
NPI: 1083824940
GOPON, TOBIAS P MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100001106681
NPI: 1508152257
February 12, 2015
Primary Care Providers
Sorted by state, city, specialty, then name
GRAZULIS, DIANA MD
6360 S 3000 E #100
SALT LAKE CITY, 84121
(509) 697-4827
Provider ID: 100000094224
NPI: 1124055710
GREENWOOD, JESSICA L MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 585-5382
Provider ID: 100000108896
NPI: 1982638250
GROGAN, MARGARET ELLEN
APRN
1160 E 3900 S #1000
SALT LAKE CITY, 84124
(801) 262-1771
Provider ID: 100001152662
NPI: 1962669853
1250 E 3900 S #250
SALT LAKE CITY, 84124
(801) 268-6283
Provider ID: 100001152685
NPI: 1962669853
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100001152665
NPI: 1962669853
HEGMANN, KURT TIMOTHY
MD
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000096212
NPI: 1457441057
HENICH, CASEY J MD
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100000810754
NPI: 1003041740
18
UTAH
SALT LAKE CITY
FAMILY PRACTICE
HENRIKSEN III, CLARENCE R
MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 585-5382
Provider ID: 100000766821
NPI: 1598919060
HENRY JR, DAN CRAIG MD
2295 S FOOTHILL DR
SALT LAKE CITY, 84109
(801) 486-3021
Provider ID: 100000092140
NPI: 1871528018
HOUCHINS, JOHN CHARLES
MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000085753
NPI: 1740211911
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100000085753
NPI: 1740211911
HUGHES, MATTHEW A MD
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000292815
NPI: 1326298563
JACKSON, HEATHER A MD
2295 S FOOTHILL DR
SALT LAKE CITY, 84109
(801) 486-3021
Provider ID: 100000306585
NPI: 1023237088
JOHNSON, CHRISTOPHER
ROGER DO
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 585-5382
Provider ID: 100000098466
NPI: 1528092202
UTAH
SALT LAKE CITY
FAMILY PRACTICE
UTAH (cont'd)
SALT LAKE CITY (cont'd)
FAMILY PRACTICE (cont'd)
JOHNSON, LAURA ANN MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2121
Provider ID: 100000098461
NPI: 1861571333
JOHNSON, MATTHEW BRENT
MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000315998
NPI: 1699787770
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000098740
NPI: 1699787770
3730 W 4700 S
SALT LAKE CITY, 84129
(801) 213-9200
Provider ID: 100000098740
NPI: 1699787770
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 585-5382
Provider ID: 100000315988
NPI: 1699787770
JOHNSON, STACY A MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-7818
Provider ID: 100000334030
NPI: 1841418050
Primary Care Providers
Sorted by state, city, specialty, then name
JONES, KYLE B MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000820390
NPI: 1568697241
555 FOOTHILL DR
SALT LAKE CITY, 84112
(801) 581-8000
Provider ID: 100000801633
NPI: 1568697241
KEENEY, CAROLINE C APRN
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-7818
Provider ID: 100000724063
NPI: 1528356276
KIRALY, BERNADETTE OTTILI
MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000093580
NPI: 1508956111
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000517748
NPI: 1508956111
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 585-5382
Provider ID: 100000093580
NPI: 1508956111
19
UTAH
SALT LAKE CITY
FAMILY PRACTICE
LARSON, KIMBERLY SUE
APRN
1050 E SOUTH TEMPLE
SALT LAKE CITY, 84102
(801) 350-4111
Provider ID: 100000618071
NPI: 1982614723
82 S 1100 E #303
SALT LAKE CITY, 84102
(801) 533-2002
Provider ID: 100000618071
NPI: 1982614723
8TH AVE AND C ST
SALT LAKE CITY, 84143
(801) 568-3480
Provider ID: 100000618071
NPI: 1982614723
LAWLOR, CYNTHIA J MD
1160 E 3900 S #G200
SALT LAKE CITY, 84124
(801) 268-7766
Provider ID: 100000866168
NPI: 1396999868
LEISER, JENNIFER PAUL MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 581-2000
Provider ID: 100000086876
NPI: 1851481469
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000255895
NPI: 1851481469
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100000086877
NPI: 1851481469
LEWIS, WESLEY JAMES MD
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000087025
NPI: 1013932144
February 12, 2015
UTAH
SALT LAKE CITY
FAMILY PRACTICE
UTAH (cont'd)
SALT LAKE CITY (cont'd)
FAMILY PRACTICE (cont'd)
LI, MARLANA M MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100001053554
NPI: 1669765327
LITCHMAN, MICHELLE L
APRN
1160 E 3900 S #1000
SALT LAKE CITY, 84124
(801) 262-1771
Provider ID: 100001152688
NPI: 1518045806
1250 E 3900 S #250
SALT LAKE CITY, 84124
(801) 268-6283
Provider ID: 100001152703
NPI: 1518045806
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100001152691
NPI: 1518045806
LOBSIGER, JACQUELINE A
APRN
1160 E 3900 S #1000
SALT LAKE CITY, 84124
(801) 262-1771
Provider ID: 100001152706
NPI: 1497774525
1250 E 3900 S #250
SALT LAKE CITY, 84124
(801) 268-6283
Provider ID: 100001152718
NPI: 1497774525
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100001152707
NPI: 1497774525
February 12, 2015
Primary Care Providers
Sorted by state, city, specialty, then name
LONGE, JAMES PATRICK MD
2295 S FOOTHILL DR
SALT LAKE CITY, 84109
(801) 486-3021
Provider ID: 100000084805
NPI: 1093730129
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000084805
NPI: 1093730129
MATHEWSON, CYNTHIA
MARIE MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000269927
NPI: 1003906611
MCCLELLAN HASTINGS,
KATHERINE W MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100001104908
NPI: 1528358363
MITCHELL, DANIELLE E MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 585-5382
Provider ID: 100000601262
NPI: 1508054768
MORRILL, ARNOLD BRETT DO
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-9900
Provider ID: 100000099049
NPI: 1548252950
20
UTAH
SALT LAKE CITY
FAMILY PRACTICE
NAPOLI, MICHELLE L MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100001108553
NPI: 1396044764
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100001108553
NPI: 1396044764
NELSON, DAVID CHRISTIAN
DO
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100000095490
NPI: 1386676526
NICELER, BROCK J MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 585-5382
Provider ID: 100000506614
NPI: 1164608113
PARKER, ROBERT GIL DO
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3479
Provider ID: 100000313251
NPI: 1699865212
3730 W 4700 S
SALT LAKE CITY, 84129
(801) 964-2300
Provider ID: 100000272948
NPI: 1699865212
PENA AYALA, ESTEBAN MD
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, 84112
(801) 585-2626
Provider ID: 100001106019
NPI: 1760502116
PETERSON, JAMES TODD MD
2295 S FOOTHILL DR
SALT LAKE CITY, 84109
(801) 486-3021
Provider ID: 100000094268
NPI: 1316962442
UTAH
SALT LAKE CITY
FAMILY PRACTICE
UTAH (cont'd)
SALT LAKE CITY (cont'd)
FAMILY PRACTICE (cont'd)
PIPPITT, KARLY A MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 585-5382
Provider ID: 100000340953
NPI: 1619155637
POHL, SUSAN D MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 585-5382
Provider ID: 100000334161
NPI: 1043271422
POOR, DAVID DEWILE MD
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000801635
NPI: 1275589699
ROHRER, JACQUELINE L MD
2295 S FOOTHILL DR
SALT LAKE CITY, 84109
(801) 486-3021
Provider ID: 100000904341
NPI: 1225296387
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000904341
NPI: 1225296387
ROMO, KRISTEN M MD
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000961817
NPI: 1407177173
Primary Care Providers
Sorted by state, city, specialty, then name
ROSENFIELD, MICAH GULICK
MD
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100000095054
NPI: 1194757336
SALARI, ALI DO
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-9900
Provider ID: 100000116141
NPI: 1598898579
SALKO, PHILIP A MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100000755233
NPI: 1700049160
SANDERS, NATALIE ANN DO
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2628
Provider ID: 100000569159
NPI: 1811949001
SANYER, OSMAN NECMI MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100000086098
NPI: 1558451179
SCHAAT, TIMOTHY J MD
4465 S 900 E #200
SALT LAKE CITY, 84124
(801) 266-2777
Provider ID: 100000547467
NPI: 1912032640
SCHELLENBERG, MATTHEW M
DO
4465 S 900 E #200
SALT LAKE CITY, 84124
(801) 266-2777
Provider ID: 100000741212
NPI: 1386855021
21
UTAH
SALT LAKE CITY
FAMILY PRACTICE
SHERIDAN, SCOTT DANIEL MD
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100000086403
NPI: 1578594925
SPEAKMAN, ROBERT LYMAN
DO
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000099656
NPI: 1417047044
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000099658
NPI: 1417047044
3730 W 4700 S
SALT LAKE CITY, 84129
(801) 964-2300
Provider ID: 100000099658
NPI: 1417047044
SPENCER, MICHELLE MADSEN
APRN
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000092680
NPI: 1386729077
STOESSER, KIRSTEN LEE MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000095993
NPI: 1831289461
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100000095993
NPI: 1831289461
STRUPP, ROBERT APRN
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2292
Provider ID: 100001068386
NPI: 1811315153
February 12, 2015
UTAH
SALT LAKE CITY
FAMILY PRACTICE
UTAH (cont'd)
SALT LAKE CITY (cont'd)
FAMILY PRACTICE (cont'd)
SULLIVAN, ERIKA A MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100001106116
NPI: 1558660795
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100001106116
NPI: 1558660795
TALEBREZA, SHAIDA MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2628
Provider ID: 100000564199
NPI: 1609951896
TAYLOR, JACK ALAN MD
2295 S FOOTHILL DR
SALT LAKE CITY, 84109
(801) 486-3021
Provider ID: 100000085921
NPI: 1467477505
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000085921
NPI: 1467477505
THOMAS, KELLY L DO
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000288572
NPI: 1861667602
TUROK, DAVID KEITH MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2719
Provider ID: 100000084874
NPI: 1568449379
February 12, 2015
Primary Care Providers
Sorted by state, city, specialty, then name
VAN HALA, SONJA NADEEN
MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100000095082
NPI: 1023108610
VASQUEZ, CARLOS A APRN
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2121
Provider ID: 100001029130
NPI: 1215376587
VOSS, WILLIAM DAVID DO
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000095602
NPI: 1447246244
WILSON, BENJAMIN J MD
1138 E WILMINGTON AVE
SALT LAKE CITY, 84106
(801) 413-0250
Provider ID: 100001106206
NPI: 1952694549
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100001106206
NPI: 1952694549
650 S KOMAS DR #200
SALT LAKE CITY, 84108
(801) 585-3828
Provider ID: 100001106211
NPI: 1952694549
WITBECK, JOHN EDWARD
TEDDY MD
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000093305
NPI: 1972522316
22
UTAH
SALT LAKE CITY
GENERAL PRACTICE
WOOD, STEPHEN DANIEL MD
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000092455
NPI: 1508881657
WOODS, JACKSON JAY MD
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000085401
NPI: 1417065475
YAROSHCHUK, LARISA
BORISOVNA MD
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000099142
NPI: 1427148014
ZIEGLER, DAVID M MD
555 FOOTHILL DR #301
SALT LAKE CITY, 84112
(801) 581-2000
Provider ID: 100000856899
NPI: 1508009929
GENERAL PRACTICE
CARLSON, KATHERINE L MD
501 S CHIPETA WAY
SALT LAKE CITY, 84108
(801) 585-1575
Provider ID: 100000902516
NPI: 1770554115
KELLY, BRIAN M APRN
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000978665
NPI: 1518307669
UTAH
SALT LAKE CITY
GENERAL PRACTICE
Primary Care Providers
Sorted by state, city, specialty, then name
PRICE, LYNN SUZANNE MD
1160 E 3900 S #1000
SALT LAKE CITY, 84124
SALT LAKE CITY (cont'd)
(801) 262-1771
GENERAL PRACTICE (cont'd)
Provider ID: 100001151998
NPI: 1669583134
NELSON, TODD ROBERT MD 1250 E 3900 S #250
1160 E 3900 S #1000
SALT LAKE CITY, 84124
SALT LAKE CITY, 84124
(801) 268-6283
(801) 262-1771
Provider ID: 100001152013
Provider ID: 100001152033
NPI: 1669583134
NPI: 1902917495
3725 W 4100 S
1250 E 3900 S #250
SALT LAKE CITY, 84120
SALT LAKE CITY, 84124
(801) 965-3600
(801) 268-6283
Provider ID: 100001152001
Provider ID: 100001152053
NPI: 1669583134
NPI: 1902917495
1525 W 2100 S
GERIATRIC MEDICINE
SALT LAKE CITY, 84119
ANDERSON, KATHERINE A MD
(801) 213-8841
50 N MEDICAL DR
Provider ID: 100000085660
SALT LAKE CITY, 84132
NPI: 1902917495
(801) 581-2628
3725 W 4100 S
Provider ID: 100000544979
SALT LAKE CITY, 84120
NPI: 1326221540
(801) 965-3600
BARALDI, CAROLE A MD
Provider ID: 100001152034
50 N MEDICAL DR
NPI: 1902917495
SALT LAKE CITY, 84132
NITZEL, CORY M MD
(801) 581-2628
50 N MEDICAL DR
Provider ID: 100000319658
SALT LAKE CITY, 84132
NPI: 1891704698
(801) 581-7553
BRUNKER, CHERIE PRATT MD
Provider ID: 100001053582
50 N MEDICAL DR
NPI: 1003017666
SALT LAKE CITY, 84132
OWEN, DAVID GARETH MD
(801) 581-2628
1525 W 2100 S
Provider ID: 100000734348
SALT LAKE CITY, 84119
NPI: 1215039961
(801) 213-8841
DEWEESE, KIP APRN
Provider ID: 100000562413
82 S 1100 E #204
NPI: 1154411775
SALT LAKE CITY, 84102
50 N MEDICAL DR
(801) 350-4602
SALT LAKE CITY, 84132
Provider ID: 100000602138
(801) 581-2121
NPI: 1063506889
Provider ID: 100000094928
NPI: 1154411775
UTAH (cont'd)
23
UTAH
SALT LAKE CITY
INTERNAL MEDICINE
RAHIMI, DANESH R MD
1160 E 3900 S #G200
SALT LAKE CITY, 84124
(801) 268-7766
Provider ID: 100000866209
NPI: 1487744553
INTERNAL MEDICINE
ABUEG, FLORENTINO
MANUEL MD
1160 E 3900 S #G200
SALT LAKE CITY, 84124
(801) 268-7766
Provider ID: 100000866155
NPI: 1649372558
BANE, JESSE DAVID MD
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100000086398
NPI: 1477584837
BARMAN, THOMAS FRANCIS
MD
1160 E 3900 S #1000
SALT LAKE CITY, 84124
(801) 262-1771
Provider ID: 100001151885
NPI: 1881704286
1250 E 3900 S #250
SALT LAKE CITY, 84124
(801) 268-6283
Provider ID: 100001151910
NPI: 1881704286
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100001151895
NPI: 1881704286
BENNETT, RICHARD WAYNE
MD
4465 S 900 E #200
SALT LAKE CITY, 84124
(801) 266-2777
Provider ID: 100000560721
NPI: 1407871510
February 12, 2015
UTAH
SALT LAKE CITY
INTERNAL MEDICINE
Primary Care Providers
Sorted by state, city, specialty, then name
CATE JR, THOMAS R MD
1160 E 3900 S #1000
SALT LAKE CITY, 84124
SALT LAKE CITY (cont'd)
(801) 262-1771
INTERNAL MEDICINE (cont'd)
Provider ID: 100001151927
NPI: 1275643611
BULAJ, ZANETA JADWIGA MD 1250 E 3900 S #250
1160 E 3900 S #1000
SALT LAKE CITY, 84124
SALT LAKE CITY, 84124
(801) 268-6283
(801) 262-1771
Provider ID: 100001151951
Provider ID: 100001152104
NPI: 1275643611
NPI: 1598869026
3725 W 4100 S
1250 E 3900 S #250
SALT LAKE CITY, 84120
SALT LAKE CITY, 84124
(801) 965-3600
(801) 268-6283
Provider ID: 100001151932
Provider ID: 100001152120
NPI: 1275643611
NPI: 1598869026
COLONNA, SARAH V MD
3725 W 4100 S
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, 84120
SALT LAKE CITY, 84112
(801) 965-3600
(801) 585-3229
Provider ID: 100001152105
Provider ID: 100001053544
NPI: 1598869026
NPI: 1689859407
CAINE, THOMAS HUGH MD
2000 CIRCLE OF HOPE DR
50 N MEDICAL DR
SALT LAKE CITY, 84112
SALT LAKE CITY, 84132
(801) 585-0100
(801) 581-7818
Provider ID: 100001053544
Provider ID: 100000087245
NPI: 1689859407
NPI: 1205926896
DAY, JULIE LOUISE MD
CASULL, KATHRYN MD
1525 W 2100 S
24 S 1100 E #304
SALT LAKE CITY, 84119
SALT LAKE CITY, 84102
(801) 887-2400
(801) 521-4500
Provider ID: 100000088946
Provider ID: 100000717473
NPI: 1831274521
NPI: 1831256635
DOANE,
JOHN ALLEN MD
3725 W 4100 S
50
N
MEDICAL
DR
SALT LAKE CITY, 84120
SALT LAKE CITY, 84132
(801) 965-3600
(801) 581-7818
Provider ID: 100000782518
Provider ID: 100000092631
NPI: 1831256635
NPI: 1871683466
DUNSON JR, WILLIAM ALBERT
MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 364-0370
Provider ID: 100000085136
NPI: 1134219728
UTAH (cont'd)
February 12, 2015
24
UTAH
SALT LAKE CITY
INTERNAL MEDICINE
ENGELEN, MEGAN J DO
2645 E PARLEYS WAY #200
SALT LAKE CITY, 84109
(801) 384-4700
Provider ID: 100000817744
NPI: 1154529246
FARRUKH, HANADI M MD
500 FOOTHILL DR
SALT LAKE CITY, 84148
(801) 581-7790
Provider ID: 100000085250
NPI: 1043300643
GANDOLFI, ROY JOSEPH MD
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100000086046
NPI: 1740211101
GONZALES, GLORIA RAYCHEL
MD
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100000095929
NPI: 1942235916
GRIFFIN, GARY SCOTT MD
82 S 1100 E #403
SALT LAKE CITY, 84102
(801) 505-5299
Provider ID: 100000753563
NPI: 1245307735
UTAH
SALT LAKE CITY
INTERNAL MEDICINE
Primary Care Providers
Sorted by state, city, specialty, then name
ISENBERG, PHILIP N MD
1525 W 2100 S
SALT LAKE CITY, 84119
SALT LAKE CITY (cont'd)
(801) 213-8841
INTERNAL MEDICINE (cont'd)
Provider ID: 100000274228
NPI: 1134315872
HANSEN, MATTHEW
3730 W 4700 S
CHRISTIAN MD
SALT LAKE CITY, 84129
1160 E 3900 S #1000
(801) 213-9200
SALT LAKE CITY, 84124
Provider ID: 100000274228
(801) 262-1771
NPI: 1134315872
Provider ID: 100001151983
JOSEPH,
LAURENE GAY MD
NPI: 1598860041
1160
E
3900
S #G200
1250 E 3900 S #250
SALT
LAKE
CITY, 84124
SALT LAKE CITY, 84124
(801) 268-7766
(801) 268-6283
Provider ID: 100000866166
Provider ID: 100001151996
NPI: 1629145123
NPI: 1598860041
KAPLAN,
DAVID A MD
3725 W 4100 S
50
N
MEDICAL
DR
SALT LAKE CITY, 84120
SALT
LAKE
CITY,
84132
(801) 965-3600
(801) 581-7818
Provider ID: 100001151986
Provider ID: 100000741722
NPI: 1598860041
NPI: 1326283417
HARRISON, REID CHAMBERS
KITHAS,
PHILIP ADAMONT MD
MD
50
N
MEDICAL
DR
3725 W 4100 S
SALT
LAKE
CITY,
84132
SALT LAKE CITY, 84120
(801) 538-6615
(801) 965-3600
Provider ID: 100000244478
Provider ID: 100000091746
NPI: 1124059837
NPI: 1356373500
LURAS,
JOHN CHRIS MD
HESS, RACHEL MD
82
S
1100
E #403
50 N MEDICAL DR
SALT
LAKE
CITY, 84102
SALT LAKE CITY, 84132
(801) 505-5299
(801) 581-7818
Provider ID: 100000277358
Provider ID: 100001053572
NPI: 1619084928
NPI: 1760456180
MILLER,
CHRISTOPHER
IQBAL, RONAK MD
WAYNE
MD
3725 W 4100 S
1525 W 2100 S
SALT LAKE CITY, 84120
SALT LAKE CITY, 84119
(801) 965-3600
(801) 213-8841
Provider ID: 100001101369
Provider ID: 100000101321
NPI: 1679746085
NPI: 1447340054
UTAH (cont'd)
25
UTAH
SALT LAKE CITY
INTERNAL MEDICINE
MILLER, THOMAS LEE MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-7818
Provider ID: 100000093127
NPI: 1356431969
MOORE, REBECCA H MD
1160 E 3900 S #G200
SALT LAKE CITY, 84124
(801) 268-7766
Provider ID: 100000866189
NPI: 1477609089
MURNIN, KELLY PATRICK MD
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000089117
NPI: 1164512778
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2121
Provider ID: 100000089118
NPI: 1164512778
MUSCI, ANTHONY GERARD
MD
2645 E PARLEYS WAY #200
SALT LAKE CITY, 84109
(801) 384-4700
Provider ID: 100000793501
NPI: 1205853173
NAMBA, ALFRED HIDESHI MD
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000088349
NPI: 1588791834
NEBEKER, JONATHAN RICH
MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 364-0370
Provider ID: 100000520338
NPI: 1609966217
February 12, 2015
UTAH
SALT LAKE CITY
INTERNAL MEDICINE
Primary Care Providers
Sorted by state, city, specialty, then name
PENDLETON, ROBERT C MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
SALT LAKE CITY (cont'd)
(801) 581-7818
INTERNAL MEDICINE (cont'd)
Provider ID: 100000094418
NPI: 1851314132
NEWMAN, JONATHAN A MD
PENROD, MICHAEL J MD
50 N MEDICAL DR
50 N MEDICAL DR
SALT LAKE CITY, 84132
SALT LAKE CITY, 84132
(801) 581-7818
(801) 581-7818
Provider ID: 100000702032
Provider ID: 100000108820
NPI: 1326290180
NPI: 1346294717
NORD, JOHN W MD
RAGLE, NATHAN J MD
50 N MEDICAL DR
50 N MEDICAL DR
SALT LAKE CITY, 84132
SALT LAKE CITY, 84132
(801) 581-7818
(801) 581-7818
Provider ID: 100000820404
Provider ID: 100000334187
NPI: 1245402817
NPI: 1942460803
NORRIS, JENNIFER LYN MD
RAHIMI, DANESH R MD
1160 E 3900 S #1000
1160 E 3900 S #G200
SALT LAKE CITY, 84124
SALT LAKE CITY, 84124
(801) 262-1771
(801) 268-7766
Provider ID: 100001151957
Provider ID: 100000866209
NPI: 1932210895
NPI: 1487744553
1250 E 3900 S #250
RONDINA, MATTHEW T MD
SALT LAKE CITY, 84124
50 N MEDICAL DR
(801) 268-6283
SALT LAKE CITY, 84132
Provider ID: 100001151978
(801) 581-7818
NPI: 1932210895
Provider ID: 100000114963
3725 W 4100 S
NPI: 1538183991
SALT LAKE CITY, 84120
SCHAECHER, KENNETH L MD
(801) 965-3600
3725 W 4100 S
Provider ID: 100001151959
SALT LAKE CITY, 84120
NPI: 1932210895
(801) 965-3600
OBERG, CHRISTINE E MD
Provider ID: 100000086862
50 N MEDICAL DR
NPI: 1245262492
SALT LAKE CITY, 84132
SCHLISMAN, ALISON K MD
(801) 581-7818
82 S 1100 E #403
Provider ID: 100000712305
SALT LAKE CITY, 84102
NPI: 1770693830
(801) 505-5299
OZBOLT, JULIA A MD
Provider ID: 100000290686
1525 W 2100 S
NPI: 1265534887
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000344683
NPI: 1205053527
UTAH (cont'd)
February 12, 2015
26
UTAH
SALT LAKE CITY
INTERNAL MEDICINE
STONEBURNER, HUGH MILAM
MD
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000085340
NPI: 1003991498
STRONG, MICHAEL BRENT MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-7818
Provider ID: 100000092360
NPI: 1154359594
STULTS, BARRY MACNEILL
MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-7818
Provider ID: 100000087615
NPI: 1659461283
555 FOOTHILL DR
SALT LAKE CITY, 84112
(801) 581-7790
Provider ID: 100000087613
NPI: 1659461283
SUPIANO, MARK A MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2628
Provider ID: 100000102173
NPI: 1083638308
SZCZESNY, LORRAINE
BERNICE MD
24 S 1100 E #304
SALT LAKE CITY, 84102
(801) 521-4500
Provider ID: 100000717482
NPI: 1518022896
TSCHETTER, KEVIN WILLIAM
MD
4465 S 900 E #200
SALT LAKE CITY, 84124
(801) 266-2777
Provider ID: 100000564681
NPI: 1912922923
UTAH
SALT LAKE CITY
INTERNAL MEDICINE
Primary Care Providers
Sorted by state, city, specialty, then name
YARRISH, DANIEL WALTER
MD
1160 E 3900 S #1000
SALT LAKE CITY (cont'd)
SALT LAKE CITY, 84124
INTERNAL MEDICINE (cont'd) (801) 262-1771
Provider ID: 100001152082
TUAN, JENNY C MD
NPI: 1235240110
50 N MEDICAL DR
1250 E 3900 S #250
SALT LAKE CITY, 84132
SALT LAKE CITY, 84124
(801) 581-7818
(801) 268-6283
Provider ID: 100000954816
Provider ID: 100001152098
NPI: 1831358175
NPI: 1235240110
VELLINGA, JONATHAN L MD 3725 W 4100 S
4465 S 900 E #200
SALT LAKE CITY, 84120
SALT LAKE CITY, 84124
(801) 965-3600
(801) 266-2777
Provider ID: 100001152085
Provider ID: 100000715956
NPI: 1235240110
NPI: 1225291727
PEDIATRICS
VINIK, RUSSELL GUY MD
50 N MEDICAL DR
ALAM, JAWARIA K MD
SALT LAKE CITY, 84132
100 MARIO CAPECCHI DR
SALT LAKE CITY, 84113
(801) 581-7818
Provider ID: 100000252419
(801) 622-1000
NPI: 1295825883
Provider ID: 100001083367
NPI: 1548554132
WANNER, NATHAN ALAN MD
50 N MEDICAL DR
50 N MEDICAL DR
SALT LAKE CITY, 84132
SALT LAKE CITY, 84132
(801) 581-2205
(801) 581-7818
Provider ID: 100001082989
Provider ID: 100000098708
NPI: 1548554132
NPI: 1720167299
WOLLER, SCOTT CHRISTOPHE BRASHER, CRAIG ALAN MD
3725 W 4100 S
MD
SALT LAKE CITY, 84120
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 965-3600
Provider ID: 100000089369
(801) 581-7818
NPI: 1760410666
Provider ID: 100000097758
NPI: 1508966326
BRINTON, JENNIFER NICOLE
GEARY MD
YARBROUGH, PETER M MD
50 N MEDICAL DR
50 N MEDICAL DR
SALT LAKE CITY, 84132
SALT LAKE CITY, 84132
(801) 581-2205
(801) 581-7818
Provider ID: 100000727162
Provider ID: 100000334338
NPI: 1457368946
NPI: 1386832202
UTAH (cont'd)
27
UTAH
SALT LAKE CITY
PEDIATRICS
BUCHI, KAREN FOUTS MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 464-8928
Provider ID: 100000087201
NPI: 1679663256
BYINGTON, CARRIE LYNN MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2205
Provider ID: 100000086452
NPI: 1851481444
CAMPBELL, KRISTINE A MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2205
Provider ID: 100000110692
NPI: 1912952615
CARBONE, PAUL S MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2205
Provider ID: 100000107677
NPI: 1194796201
ERICKSON, JEFFREY G MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2205
Provider ID: 100000108872
NPI: 1902850894
ETSY, BRITTANY MD
100 MARIO CAPECCHI DR
SALT LAKE CITY, 84113
(801) 662-3645
Provider ID: 100001100665
NPI: 1972894988
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2205
Provider ID: 100001100660
NPI: 1972894988
EYRE, ALYSON MD
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100000094099
NPI: 1508897927
February 12, 2015
UTAH
SALT LAKE CITY
PEDIATRICS
Primary Care Providers
Sorted by state, city, specialty, then name
JOLMA, CATHERINE D MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
SALT LAKE CITY (cont'd)
(801) 581-2205
PEDIATRICS (cont'd)
Provider ID: 100000111143
NPI: 1679507354
FLYNN, MICHAEL CLINTON
LAMB, SARA MUNDT MD
MD
50 N MEDICAL DR
1525 W 2100 S
SALT LAKE CITY, 84132
SALT LAKE CITY, 84119
(801) 581-7818
(801) 213-8841
Provider ID: 100000099509
Provider ID: 100000099063
NPI: 1134219744
NPI: 1306936901
LAMERE, RICHARD G MD
3730 W 4700 S
1138 E WILMINGTON AVE
SALT LAKE CITY, 84129
SALT LAKE CITY, 84106
(801) 213-9200
(801) 413-0250
Provider ID: 100000099063
Provider ID: 100000360554
NPI: 1306936901
NPI: 1578643219
GALLAGHER, EILEEN M MD
1525
W 2100 S
1250 E 3900 S #250
SALT
LAKE CITY, 84119
SALT LAKE CITY, 84124
(801) 213-8841
(801) 268-6283
Provider ID: 100000283609
Provider ID: 100001136981
NPI: 1578643219
NPI: 1285721175
LARSEN,
CHARI D MD
GELLNER, CYNTHIA L MD
100
N
MARIO
CAPECCHI DR
3730 W 4700 S
SALT
LAKE
CITY,
84113
SALT LAKE CITY, 84129
(801) 622-1234
(801) 213-9200
Provider ID: 100001083192
Provider ID: 100000111301
NPI: 1437458221
NPI: 1477584332
MARTINI,
SUSAN L MD
GOLDMAN LUTHY, JENNIFER
50
N
MEDICAL
DR
A MD
SALT
LAKE
CITY,
84132
50 N MEDICAL DR
(801) 581-2205
SALT LAKE CITY, 84132
Provider ID: 100000274418
(801) 581-2205
NPI: 1952333528
Provider ID: 100000715801
MCELLIGOTT,
KATHLEEN
NPI: 1063665032
MARIE
MD
HESTER, GABRIELLE Z MD
100 MARIO CAPECCHI DR
50 N MEDICAL DR
SALT LAKE CITY, 84113
SALT LAKE CITY, 84132
(801) 622-1000
(801) 581-2205
Provider ID: 100000092252
Provider ID: 100000703221
NPI: 1467542076
NPI: 1033363627
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2205
Provider ID: 100000092253
NPI: 1467542076
UTAH (cont'd)
February 12, 2015
28
UTAH
SALT LAKE CITY
PEDIATRICS
MILLER, CHRISTOPHER
WAYNE MD
1525 W 2100 S
SALT LAKE CITY, 84119
(801) 213-8841
Provider ID: 100000101321
NPI: 1447340054
MONTGOMERIE, BRUCE
ZINZAN MD
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100000092941
NPI: 1780615153
MURPHY, NANCY ALICE MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-3729
Provider ID: 100000095684
NPI: 1922117977
81 N MARIO CAPECCHI DR
SALT LAKE CITY, 84113
(801) 213-3599
Provider ID: 100000095684
NPI: 1922117977
NELSON, BRYAN LEE MD
6360 S 3000 E #100
SALT LAKE CITY, 84121
(801) 365-1032
Provider ID: 100000090529
NPI: 1346265477
NORLIN, ERNEST CHARLES
MD
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2205
Provider ID: 100000085505
NPI: 1154411767
PENNINGTON, MARY JANE MD
3725 W 4100 S
SALT LAKE CITY, 84120
(801) 965-3600
Provider ID: 100000950555
NPI: 1205868452
UTAH
SALT LAKE CITY
PEDIATRICS
Primary Care Providers
Sorted by state, city, specialty, then name
SOLOMON, MARGARET HOPE
MD
1525 W 2100 S
SALT LAKE CITY (cont'd)
SALT LAKE CITY, 84119
PEDIATRICS (cont'd)
(801) 213-8841
Provider ID: 100000101735
PETERSEN, SARAH C MD
NPI: 1881784411
1525 W 2100 S
STIPELMAN, CAROLE HANNAH
SALT LAKE CITY, 84119
MD
(801) 213-8841
100 MARIO CAPECCHI DR
Provider ID: 100000557111
SALT LAKE CITY, 84113
NPI: 1073786711
(801) 662-1000
SAMSON-FANG, LISA JANE MD
Provider ID: 100000716634
50 N MEDICAL DR
NPI: 1851496616
SALT LAKE CITY, 84132
50 N MEDICAL DR
(801) 581-2205
SALT LAKE CITY, 84132
Provider ID: 100001083217
(801) 581-2205
NPI: 1821188442
Provider ID: 100000716293
SHAKIB, JULIE H DO
NPI: 1851496616
50 N MEDICAL DR
WAGNER, LARS MARTIN MD
SALT LAKE CITY, 84132
100 MARIO CAPECCHI DR
(801) 581-2205
SALT LAKE CITY, 84113
Provider ID: 100000108888
(801) 622-1000
NPI: 1912950817
Provider ID: 100000095697
SHAPIRO, MARY E MD
NPI: 1730244344
3730 W 4700 S
WILKERSON, JULIE I MD
SALT LAKE CITY, 84129
3725 W 4100 S
(801) 213-9200
SALT LAKE CITY, 84120
Provider ID: 100000111302
(801) 965-3600
NPI: 1174578611
Provider ID: 100000101478
SHILLINGTON, HOLLY M MD
NPI: 1447283932
3725 W 4100 S
WINTER, SARAH L MD
SALT LAKE CITY, 84120
50 N MEDICAL DR
(801) 965-3600
SALT LAKE CITY, 84132
Provider ID: 100000923704
(801) 581-3501
NPI: 1477878825
Provider ID: 100000108890
SMITH, ELIZABETH ROWE MD
NPI: 1265429906
50 N MEDICAL DR
WORKMAN, JENNIFER K MD
SALT LAKE CITY, 84132
100 MARIO CAPECCHI DR
(801) 581-2205
SALT LAKE CITY, 84113
Provider ID: 100000559084
(801) 662-2465
NPI: 1336239961
Provider ID: 100001083230
NPI: 1144474768
UTAH (cont'd)
29
UTAH
SANDY
FAMILY PRACTICE
YOUNG, PAUL CHRISTOPHER
MD
100 MARIO CAPECCHI DR
SALT LAKE CITY, 84113
(801) 581-7877
Provider ID: 100000085555
NPI: 1649219759
50 N MEDICAL DR
SALT LAKE CITY, 84132
(801) 581-2205
Provider ID: 100000085556
NPI: 1649219759
SANDY
FAMILY PRACTICE
COSGRAVE, MICHAEL L DO
9350 S 150 E #460
SANDY, 84070
(801) 533-2002
Provider ID: 100000940519
NPI: 1720252117
GOHARI, MINA MD
1275 E FT UNION BLVD #150
SANDY, 84070
(801) 268-7766
Provider ID: 100000945660
NPI: 1083824940
LARSON, KIMBERLY SUE
APRN
9350 S 150 E #460
SANDY, 84070
(801) 533-2002
Provider ID: 100000618071
NPI: 1982614723
LAWLOR, CYNTHIA J MD
1275 E FT UNION BLVD #150
SANDY, 84070
(801) 268-7766
Provider ID: 100000866168
NPI: 1396999868
February 12, 2015
UTAH
SANDY
FAMILY PRACTICE
Primary Care Providers
Sorted by state, city, specialty, then name
RAHIMI, DANESH R MD
1275 E FT UNION BLVD #150
SANDY, 84070
SANDY (cont'd)
(801) 268-7766
FAMILY PRACTICE (cont'd)
Provider ID: 100000866209
NPI: 1487744553
VALENTINE, CHRISTOPHER B
SWITZER, NIKKI DEWAR MD
MD
9350 S 150 E #150
8706 S 700 E #105
SANDY, 84070
SANDY, 84070
(801) 350-4602
(801) 508-3160
Provider ID: 100000717481
Provider ID: 100000794209
NPI: 1851468367
NPI: 1598753501
UTAH (cont'd)
INTERNAL MEDICINE
ABUEG, FLORENTINO
MANUEL MD
1275 E FT UNION BLVD #150
SANDY, 84070
(801) 268-7766
Provider ID: 100000866155
NPI: 1649372558
JOSEPH, LAURENE GAY MD
1275 E FT UNION BLVD #150
SANDY, 84070
(801) 268-7766
Provider ID: 100000866166
NPI: 1629145123
MOORE, REBECCA H MD
1275 E FT UNION BLVD #150
SANDY, 84070
(801) 268-7766
Provider ID: 100000866189
NPI: 1477609089
POWEL, ROBERT SEAVER MD
9350 S 150 E #150
SANDY, 84070
(801) 350-4602
Provider ID: 100000751393
NPI: 1700988656
POWEL, TANYA K MD
9350 S 150 E #150
SANDY, 84070
(801) 350-4602
Provider ID: 100000761021
NPI: 1235265802
February 12, 2015
SARATOGA SPRINGS
FAMILY PRACTICE
SLATER, RYAN A MD
1305 N COMMERCE DR #120
SARATOGA SPRINGS, 84045
(801) 753-7424
Provider ID: 100000946649
NPI: 1346478476
SOUTH JORDAN
FAMILY PRACTICE
ANDERSON, LAURA M MD
5126 W DAYBREAK PKWY
SOUTH JORDAN, 84095
(801) 213-4500
Provider ID: 100000742855
NPI: 1740270867
ELY, BRIAN M DO
5126 W DAYBREAK PKWY
SOUTH JORDAN, 84095
(801) 213-4500
Provider ID: 100000963841
NPI: 1447468293
GOPON, TOBIAS P MD
5126 W DAYBREAK PKWY
SOUTH JORDAN, 84095
(801) 213-4500
Provider ID: 100001139457
NPI: 1508152257
30
UTAH
SOUTH JORDAN
GENERAL PRACTICE
JOHNSON, LAURA ANN MD
1091 W SOUTH JORDAN PKWY
#500
SOUTH JORDAN, 84095
(801) 213-9800
Provider ID: 100000520160
NPI: 1861571333
5126 W DAYBREAK PKWY
SOUTH JORDAN, 84095
(801) 213-4500
Provider ID: 100000520160
NPI: 1861571333
MACNEILL SOMERS, ALEXIS M
DO
5126 W DAYBREAK PKWY
SOUTH JORDAN, 84095
(801) 213-4500
Provider ID: 100001029141
NPI: 1346566171
POOR, DAVID DEWILE MD
5126 W DAYBREAK PKWY
SOUTH JORDAN, 84095
(801) 213-4500
Provider ID: 100000801635
NPI: 1275589699
SALARI, ALI DO
5126 W DAYBREAK PKWY
SOUTH JORDAN, 84095
(801) 213-4500
Provider ID: 100000116141
NPI: 1598898579
GENERAL PRACTICE
OWEN, DAVID GARETH MD
1091 W SOUTH JORDAN PKWY
#500
SOUTH JORDAN, 84095
(801) 213-9800
Provider ID: 100000562413
NPI: 1154411775
5126 W DAYBREAK PKWY
SOUTH JORDAN, 84095
(801) 213-4500
Provider ID: 100000562413
NPI: 1154411775
UTAH
SOUTH JORDAN
INTERNAL MEDICINE
Primary Care Providers
Sorted by state, city, specialty, then name
KHATUA, SUTAPA MD
1091 W SOUTH JORDAN PKWY
#500
SOUTH JORDAN (cont'd)
SOUTH JORDAN, 84095
(801) 213-9800
INTERNAL MEDICINE
Provider ID: 100000520170
KUNDRA, HENA MD
NPI: 1588720908
5126 W DAYBREAK PKWY
5126 W DAYBREAK PKWY
SOUTH JORDAN, 84095
SOUTH JORDAN, 84095
(801) 213-4500
(801) 213-4500
Provider ID: 100000557049
Provider ID: 100000557046
NPI: 1851358949
NPI: 1588720908
MURNIN, KELLY PATRICK MD OWAN, PATIENCE E MD
1091 W SOUTH JORDAN PKWY 5126 W DAYBREAK PKWY
#500
SOUTH JORDAN, 84095
SOUTH JORDAN, 84095
(801) 213-4500
(801) 567-7300
Provider ID: 100000801639
Provider ID: 100000089116
NPI: 1538111604
NPI: 1164512778
PETERSEN, SARAH C MD
PULGIANO, ANGELO MD
1091 W SOUTH JORDAN PKWY
1091 W SOUTH JORDAN PKWY #500
#500
SOUTH JORDAN, 84095
SOUTH JORDAN, 84095
(801) 213-9800
(801) 213-9800
Provider ID: 100000557111
Provider ID: 100000703459
NPI: 1073786711
NPI: 1952322836
5126 W DAYBREAK PKWY
5126 W DAYBREAK PKWY
SOUTH JORDAN, 84095
SOUTH JORDAN, 84095
(801) 213-4500
(801) 213-4500
Provider ID: 100000557111
Provider ID: 100000703459
NPI: 1073786711
NPI: 1952322836
WHITTEMORE, KERRY E MD
5126 W DAYBREAK PKWY
PEDIATRICS
SOUTH JORDAN, 84095
BEXFIELD, NATHAN A MD
(801) 213-4500
5126 W DAYBREAK PKWY
Provider ID: 100001036689
SOUTH JORDAN, 84095
NPI: 1942455589
(801) 213-4500
Provider ID: 100001101305
SPRINGVILLE
NPI: 1124318225
FAMILY PRACTICE
CRAWFORD, MORGAN A MD
5126 W DAYBREAK PKWY
MONEY, NOLAN BOYCE MD
SOUTH JORDAN, 84095
376 E 400 S
(801) 213-4500
SPRINGVILLE, 84663
Provider ID: 100000788306
(801) 465-4896
NPI: 1457686669
Provider ID: 100000738146
NPI: 1194759027
UTAH (cont'd)
31
UTAH
SYRACUSE
FAMILY PRACTICE
SKOUSEN, GALE J MD
376 E 400 S
SPRINGVILLE, 84663
(801) 465-4896
Provider ID: 100000738138
NPI: 1053305391
SYRACUSE
FAMILY PRACTICE
BARKER, LAYNE THOMAS MD
2038 W 1900 S
SYRACUSE, 84075
(801) 773-4840
Provider ID: 100000094323
NPI: 1992781918
BISHOP, SCOTT R MD
2038 W 1900 S
SYRACUSE, 84075
(801) 773-4840
Provider ID: 100000313525
NPI: 1962493486
BUTLER, WARREN LEROY MD
2038 W 1900 S
SYRACUSE, 84075
(801) 773-4840
Provider ID: 100000090358
NPI: 1679559694
FOOTE, STEPHEN MICHAEL
DO
2038 W 1900 S
SYRACUSE, 84075
(801) 773-4840
Provider ID: 100000094709
NPI: 1689650632
MORRIS, JARED A MD
2038 W 1900 S
SYRACUSE, 84075
(801) 773-4840
Provider ID: 100000533127
NPI: 1992952287
STEWART, RYAN LEE MD
2038 W 1900 S
SYRACUSE, 84075
(801) 773-4840
Provider ID: 100000099549
NPI: 1649207606
February 12, 2015
UTAH
SYRACUSE
PEDIATRICS
UTAH (cont'd)
SYRACUSE (cont'd)
PEDIATRICS
FORBUSH, NATHAN G MD
2038 W 1900 S
SYRACUSE, 84075
(801) 773-4840
Provider ID: 100000108243
NPI: 1962439851
NYE, NOEL CHRISTIAN DO
2038 W 1900 S
SYRACUSE, 84075
(801) 773-4840
Provider ID: 100000093638
NPI: 1437135399
OWEN, ROBERT E MD
2038 W 1900 S
SYRACUSE, 84075
(801) 773-4840
Provider ID: 100000242121
NPI: 1821212291
TAYLORSVILLE
FAMILY PRACTICE
LEWIS, RANDAL J MD
5255 S 4015 W #206
TAYLORSVILLE, 84129
(801) 912-9700
Provider ID: 100000876276
NPI: 1215964309
February 12, 2015
Primary Care Providers
Sorted by state, city, specialty, then name
UTAH
WEST JORDAN
FAMILY PRACTICE
CLUNY, JOYLYN APRN
3181 W 9000 S
WEST JORDAN, 84088
FAMILY PRACTICE
(801) 569-5600
ALLEN, BRANDON REID MD
Provider ID: 100001107386
2751 W 9000 S
NPI: 1578603932
WEST JORDAN, 84088
DAHLE, MICHELLE MARIE
(801) 352-5900
APRN
Provider ID: 100000096647
3584 W 9000 S #304
NPI: 1952333106
WEST JORDAN, 84088
3181 W 9000 S
(801) 562-3150
WEST JORDAN, 84088
Provider ID: 100000697041
(801) 569-5600
NPI: 1225197379
Provider ID: 100000748750
DEVENPORT, STEPHEN BRENT
NPI: 1952333106
MD
ANDERSEN, DANA ANDREW
2751 W 9000 S
MD
WEST JORDAN, 84088
2751 W 9000 S
(801) 352-5900
WEST JORDAN, 84088
Provider ID: 100000061142
(801) 352-5900
NPI: 1093730467
Provider ID: 100000087337
FILLMORE, RANDALL REID
NPI: 1578595724
MD
3181 W 9000 S
2751 W 9000 S
WEST JORDAN, 84088
WEST JORDAN, 84088
(801) 569-5600
(801) 352-5900
Provider ID: 100000087337
Provider ID: 100000085003
NPI: 1578595724
NPI: 1386675627
BAIDEN, ERICA N MD
3181
W 9000 S
3181 W 9000 S
WEST
JORDAN, 84088
WEST JORDAN, 84088
(801) 569-5600
(801) 569-5600
Provider ID: 100000085003
Provider ID: 100000714258
NPI: 1386675627
NPI: 1821242108
GROGAN,
MARGARET ELLEN
CHRISTENSEN, PETER LLOYD
APRN
MD
2751 W 9000 S
2751 W 9000 S
WEST JORDAN, 84088
WEST JORDAN, 84088
(801) 965-3600
(801) 352-5900
Provider ID: 100001152667
Provider ID: 100000090290
NPI: 1962669853
NPI: 1992737159
3181
W 9000 S
3181 W 9000 S
WEST
JORDAN, 84088
WEST JORDAN, 84088
(801)
569-5600
(801) 569-5600
Provider
ID: 100001152677
Provider ID: 100000748746
NPI:
1962669853
NPI: 1992737159
WEST JORDAN
32
UTAH
WEST JORDAN
FAMILY PRACTICE
Primary Care Providers
Sorted by state, city, specialty, then name
LITCHMAN, MICHELLE L
APRN
2751 W 9000 S
WEST JORDAN (cont'd)
WEST JORDAN, 84088
FAMILY PRACTICE (cont'd)
(801) 965-3600
Provider ID: 100001152692
GUERRA IV, HORACIO P MD
NPI: 1518045806
3584 W 9000 S #405
3181 W 9000 S
WEST JORDAN, 84088
WEST JORDAN, 84088
(801) 568-3480
(801) 569-5600
Provider ID: 100000854890
Provider ID: 100001152698
NPI: 1376643296
NPI: 1518045806
HOUGAARD, JONI WILKIN MD LOBSIGER, JACQUELINE A
8846 S REDWOOD RD #E121
APRN
WEST JORDAN, 84088
2751 W 9000 S
(801) 569-1999
WEST JORDAN, 84088
Provider ID: 100000741181
(801) 965-3600
NPI: 1508801606
Provider ID: 100001152710
JOHNSON, LEEANN P APRN
NPI: 1497774525
8846 S REDWOOD RD #E121
3181 W 9000 S
WEST JORDAN, 84088
WEST JORDAN, 84088
(801) 569-1999
(801) 569-5600
Provider ID: 100000741185
Provider ID: 100001152715
NPI: 1942462825
NPI: 1497774525
KING, BARI MICHELLE APRN MAASS, AMELIA S APRN
8846 S REDWOOD RD #E121
8846 S REDWOOD RD #E121
WEST JORDAN, 84088
WEST JORDAN, 84088
(801) 569-1999
(801) 569-1999
Provider ID: 100000741188
Provider ID: 100000741190
NPI: 1063445948
NPI: 1366488348
KIRSTEIN, JUDITH LEE MD
PIACITELLI, ANNLIZA L MD
8846 S REDWOOD RD #E121
8846 S REDWOOD RD #E121
WEST JORDAN, 84088
WEST JORDAN, 84088
(801) 569-1999
(801) 569-1999
Provider ID: 100000741189
Provider ID: 100000741194
NPI: 1275576027
NPI: 1205034113
LESSER, CARINA H NP
ROSENFIELD, MICAH GULICK
3181 W 9000 S
MD
WEST JORDAN, 84088
3181 W 9000 S
(801) 569-5600
WEST JORDAN, 84088
Provider ID: 100000967951
(801) 569-5600
NPI: 1114364197
Provider ID: 100000095054
NPI: 1194757336
UTAH (cont'd)
33
UTAH
WEST JORDAN
GENERAL PRACTICE
SANDERSON, MICHAEL J MD
2751 W 9000 S
WEST JORDAN, 84088
(801) 965-3600
Provider ID: 100000550860
NPI: 1215134663
3181 W 9000 S
WEST JORDAN, 84088
(801) 569-5600
Provider ID: 100000748755
NPI: 1215134663
SLACK, CARYN KENDRA MD
8846 S REDWOOD RD #E121
WEST JORDAN, 84088
(801) 569-1999
Provider ID: 100000741201
NPI: 1689619124
GENERAL PRACTICE
NELSON, TODD ROBERT MD
2751 W 9000 S
WEST JORDAN, 84088
(801) 965-3600
Provider ID: 100001152035
NPI: 1902917495
3181 W 9000 S
WEST JORDAN, 84088
(801) 569-5600
Provider ID: 100001152048
NPI: 1902917495
PRICE, LYNN SUZANNE MD
2751 W 9000 S
WEST JORDAN, 84088
(801) 965-3600
Provider ID: 100001152003
NPI: 1669583134
3181 W 9000 S
WEST JORDAN, 84088
(801) 569-5600
Provider ID: 100001152008
NPI: 1669583134
February 12, 2015
UTAH
WEST JORDAN
INTERNAL MEDICINE
Primary Care Providers
Sorted by state, city, specialty, then name
HANSEN, MATTHEW
CHRISTIAN MD
2751 W 9000 S
WEST JORDAN (cont'd)
WEST JORDAN, 84088
(801) 965-3600
INTERNAL MEDICINE
Provider ID: 100001151987
BARMAN, THOMAS FRANCIS
NPI: 1598860041
MD
3181 W 9000 S
2751 W 9000 S
WEST JORDAN, 84088
WEST JORDAN, 84088
(801) 569-5600
(801) 965-3600
Provider ID: 100001151992
Provider ID: 100001151897
NPI: 1598860041
NPI: 1881704286
JOHNSON,
KEVIN BARRUS MD
3181 W 9000 S
3570
W
9000
S #100
WEST JORDAN, 84088
WEST JORDAN, 84088
(801) 569-5600
(801) 569-2384
Provider ID: 100001151906
Provider ID: 100000327443
NPI: 1881704286
NPI: 1255456497
BULAJ, ZANETA JADWIGA MD
MEMON,
KASHIF A MD
2751 W 9000 S
3570
W
9000
S #100
WEST JORDAN, 84088
WEST JORDAN, 84088
(801) 965-3600
(801) 569-2384
Provider ID: 100001152107
Provider ID: 100001148605
NPI: 1598869026
NPI: 1932161668
3181 W 9000 S
NORRIS,
JENNIFER LYN MD
WEST JORDAN, 84088
2751
W
9000
S
(801) 569-5600
WEST
JORDAN,
84088
Provider ID: 100001152113
(801) 965-3600
NPI: 1598869026
Provider ID: 100001151962
CATE JR, THOMAS R MD
NPI: 1932210895
2751 W 9000 S
3181
W 9000 S
WEST JORDAN, 84088
WEST JORDAN, 84088
(801) 965-3600
(801) 569-5600
Provider ID: 100001151936
Provider ID: 100001151970
NPI: 1275643611
NPI: 1932210895
3181 W 9000 S
SLABODKINA, LORA Y MD
WEST JORDAN, 84088
3570 W 9000 S #100
(801) 569-5600
WEST JORDAN, 84088
Provider ID: 100001151945
(801) 569-2384
NPI: 1275643611
Provider ID: 100000805386
GOLDBERG, KENNETH
NPI: 1881646149
WILLIAM MD
3570 W 9000 S #100
WEST JORDAN, 84088
(801) 569-2384
Provider ID: 100000092947
NPI: 1356465793
UTAH (cont'd)
February 12, 2015
34
UTAH
WEST JORDAN
PEDIATRICS
TANNER, REBECCA I POLLAK
MD
3570 W 9000 S #100
WEST JORDAN, 84088
(801) 569-2384
Provider ID: 100000940516
NPI: 1629050067
YARRISH, DANIEL WALTER
MD
2751 W 9000 S
WEST JORDAN, 84088
(801) 965-3600
Provider ID: 100001152088
NPI: 1235240110
3181 W 9000 S
WEST JORDAN, 84088
(801) 569-5600
Provider ID: 100001152094
NPI: 1235240110
ZACKRISON, DAVID RANDALL
MD
3570 W 9000 S #100
WEST JORDAN, 84088
(801) 569-2384
Provider ID: 100000085292
NPI: 1346364775
PEDIATRICS
BRASHER, CRAIG ALAN MD
3181 W 9000 S
WEST JORDAN, 84088
(801) 569-5600
Provider ID: 100000849926
NPI: 1760410666
EYRE, ALYSON MD
3181 W 9000 S
WEST JORDAN, 84088
(801) 569-5600
Provider ID: 100000094099
NPI: 1508897927
MONTGOMERIE, BRUCE
ZINZAN MD
3181 W 9000 S
WEST JORDAN, 84088
(801) 569-5600
Provider ID: 100000092941
NPI: 1780615153
UTAH
WEST JORDAN
PEDIATRICS
UTAH (cont'd)
WEST JORDAN (cont'd)
PEDIATRICS (cont'd)
SHILLINGTON, HOLLY M MD
3181 W 9000 S
WEST JORDAN, 84088
(801) 569-5600
Provider ID: 100000923704
NPI: 1477878825
WILKERSON, JULIE I MD
3181 W 9000 S
WEST JORDAN, 84088
(801) 569-5600
Provider ID: 100000101478
NPI: 1447283932
WEST VALLEY CITY
FAMILY PRACTICE
ALLEN, KATHRYN MD
3540 S 4000 W #340
WEST VALLEY CITY, 84120
(801) 969-0200
Provider ID: 100000805381
NPI: 1023058278
GROGAN, MARGARET ELLEN
APRN
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001152668
NPI: 1962669853
KRILL, KATHRYN E FNP
3540 S 4000 W #340
WEST VALLEY CITY, 84120
(801) 969-0200
Provider ID: 100001166629
NPI: 1407256209
LESSER, CARINA H NP
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100000967951
NPI: 1114364197
Primary Care Providers
Sorted by state, city, specialty, then name
LEWIS, RANDAL J MD
3336 S 4155 W #240
WEST VALLEY CITY, 84120
(801) 964-3492
Provider ID: 100000876276
NPI: 1215964309
LITCHMAN, MICHELLE L
APRN
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001152693
NPI: 1518045806
LOBSIGER, JACQUELINE A
APRN
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001152712
NPI: 1497774525
VALENTINE, CHRISTOPHER B
MD
3336 S 4155 W #202
WEST VALLEY CITY, 84120
(801) 955-4685
Provider ID: 100000794209
NPI: 1598753501
GENERAL PRACTICE
NELSON, TODD ROBERT MD
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001152038
NPI: 1902917495
PRICE, LYNN SUZANNE MD
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001152004
NPI: 1669583134
35
UTAH
WEST VALLEY CITY
INTERNAL MEDICINE
INTERNAL MEDICINE
BARMAN, THOMAS FRANCIS
MD
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001151901
NPI: 1881704286
BULAJ, ZANETA JADWIGA MD
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001152108
NPI: 1598869026
CATE JR, THOMAS R MD
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001151939
NPI: 1275643611
HANSEN, MATTHEW
CHRISTIAN MD
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001151989
NPI: 1598860041
NORRIS, JENNIFER LYN MD
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001151964
NPI: 1932210895
RADWIN, MARTIN IRA MD
3336 S PIONEER PKWY #306
WEST VALLEY CITY, 84120
(801) 964-3855
Provider ID: 100001106234
NPI: 1932131182
YARRISH, DANIEL WALTER
MD
3725 W 4100 S
WEST VALLEY CITY, 84120
(801) 965-3600
Provider ID: 100001152090
NPI: 1235240110
February 12, 2015
UTAH
WEST VALLEY CITY
PEDIATRICS
Primary Care Providers
Sorted by state, city, specialty, then name
UTAH (cont'd)
WEST VALLEY CITY (cont'd)
PEDIATRICS
FREER, JOHN BRYANT MD
3336 S PIONEER PKWY #204
WEST VALLEY CITY, 84120
(801) 964-3492
Provider ID: 100000768028
NPI: 1821193947
February 12, 2015
36
UTAH
WEST VALLEY CITY PEDIATRICS
UTAH
ALPINE
CHIROPRACTIC MEDICINE
Specialists
Sorted by state, city, specialty, then name
UTAH
AMERICAN FORK
EAR NOSE THROAT- OTOLARYNGOLOGY
LINDBERG, ROBERT
LAWRENCE DC
495 W 30 N
CARDIOLOGY
ALPINE
(801) 756-0111
CARTER, MELVIN ERIC MD
Provider ID: 100000087208
CHIROPRACTIC MEDICINE 48 N 1100 E #B
NPI: 1326142530
HAYES, RANDALL WILLIAM
(801) 492-2815
MANGUM,
JARED D DC
DC
Provider ID: 100000008762
291
N
300
E
#B
12 RED PINE DR
NPI: 1700815834
(801)
692-1275
(801) 763-5991
CARDIOVASCULAR
Provider ID: 100000812018
Provider ID: 100000093640
NPI: 1578820247
DISEASES
NPI: 1467568576
321
E 300 N #B
LAWLER, WILLIAM F DC
HWANG, CHUN MD
(435)
709-8004
100 W CANYON CREST RD #2
1175 E 50 S #251
Provider
ID: 100000890546
(801) 492-0206
(801) 373-4366
NPI:
1578820247
Provider ID: 100000097517
Provider ID: 100000092569
ROACH, KEVIN N DC
NPI: 1104954262
NPI: 1649238080
789 BAMBERGER DR #A3
DERMATOLOGY
CHIROPRACTIC MEDICINE
(801) 358-4699
Provider ID: 100000794781
EBERTING, CHERYL LEE L MD ANDERSON, ADAM E DC
NPI: 1770886772
144 S MAIN ST #100
95 E 200 N
(801) 763-7107
(801) 763-8813
THOMAS, JACK R DC
Provider ID: 100000113029
Provider ID: 100000117252
495 W 30 N
NPI: 1306945308
NPI: 1477757185
(801) 756-0111
Provider ID: 100000823593
BRYAN, JOSHUA WILLIAM DC
PHYSICAL THERAPY
NPI: 1306101506
246 S 1100 E
ANDERSON, PAUL D RPT
(801) 756-8833
WILDE, LARRY GORDON DC
75 W MAIN STREET CT #100
Provider ID: 100000099771
246 S 1100 E
(801) 216-4298
NPI: 1124196167
(801) 756-8833
Provider ID: 100000267095
Provider ID: 100000090606
GRANT, JAY PAUL DC
NPI: 1063663540
NPI: 1770515934
201 W MAIN ST
MENDENHALL, WENDELL
(801) 756-6868
DERMATOLOGY
BUCK RPT
Provider ID: 100000089885
155 W CANYON CREST RD
GOODSELL, BRENT HAYNES
NPI: 1588691570
(801) 373-1053
DO
GUNN, BENJAMIN R DC
Provider ID: 100000088410
162 S 1100 E
340 W MAIN ST
NPI: 1275682262
(801) 756-9669
(801) 492-8188
Provider ID: 100000267075
ORROCK, STEVEN J RPT
Provider ID: 100000538981
NPI: 1528172863
155 W CANYON CREST RD
NPI: 1073844973
(801) 373-1053
KOFFORD, GREG WILLIAM DC
EAR NOSE THROATProvider ID: 100000092972
246 S 1100 E
OTOLARYNGOLOGY
NPI: 1629125174
(801) 756-8833
DENYS, DOUGLAS MD
Provider ID: 100000092858
1159 E 200 N #325
NPI: 1043307689
(801) 855-2930
LEE, ERIC CHARLES DC
Provider ID: 100000095285
999 E PACIFIC DR
NPI: 1831149616
(801) 756-7800
Provider ID: 100000096703
NPI: 1932329232
UTAH
AMERICAN FORK
37
February 12, 2015
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
AMERICAN FORK
AMERICAN FORK
OBSTETRICS AND GYNECOLOGY
EAR NOSE THROAT- OTOLARYNGOLOGY
UTAH (cont'd)
AMERICAN FORK (cont'd)
EAR NOSE THROATOTOLARYNGOLOGY (cont'd)
HAMILTON, SANFORD T MD
1175 E 50 S #171
(801) 418-0870
Provider ID: 100000339454
NPI: 1356488126
HERAS, HEIDI ANN MD
482 W 50 N #14
(801) 492-7662
Provider ID: 100000241525
NPI: 1619910684
ENDOCRINOLOGY,
DIABETES AND
METABOLISM
NIZAM, MOHAMMED S MD
1175 E 50 S #241
(801) 492-5999
Provider ID: 100000760965
NPI: 1326203514
GASTROENTEROLOGY
ALSOLAIMAN, MOHAMMAD
MODAR MD
1175 E 50 S #231
(801) 354-8225
Provider ID: 100000519768
NPI: 1215986484
FRANTZ, DAVID J MD
1175 E 50 S #231
(801) 354-8225
Provider ID: 100000805112
NPI: 1700092004
KAWA, CHAD B MD
1175 E 50 S #231
(801) 354-8225
Provider ID: 100001092097
NPI: 1962654681
February 12, 2015
GENERAL SURGERY
SHEFFIELD, CLARK
WHITELEY MD
1159 E 200 N #350
(801) 756-4781
Provider ID: 100000088008
NPI: 1417906181
TITTENSOR, JENNIFER J MD
1159 E 200 N #350
(801) 374-9625
Provider ID: 100000261993
NPI: 1568497634
OBSTETRICS AND
GYNECOLOGY
AAGARD, ROBERT ORR MD
1248 E 90 N #301
(801) 756-9635
Provider ID: 100000093672
NPI: 1477661379
BEAN, GREGORY H MD
1248 E 90 N #301
(801) 756-9635
Provider ID: 100000288675
NPI: 1629069695
BENNETT, DONNA L MD
NEPHROLOGY
1248 E 90 N #300
HAMMOND, TERRY CRAIG MD (801) 374-1801
1175 E 50 S #161
Provider ID: 100001041864
(801) 418-0810
NPI: 1801820253
Provider ID: 100000086383
JONES,
EVAN B DO
NPI: 1124064845
1248 E 90 N #301
KAKANI, SIDDHARTHA MD
(801) 756-9635
120 N 1220 E #14
Provider ID: 100001103375
(801) 763-0652
NPI: 1336450832
Provider ID: 100000960425
LAMOREAUX, JAMES PAUL
NPI: 1750502928
MD
1248 E 90 N #301
NEUROLOGY
(801) 756-9635
NGUYEN, THU A MD
Provider ID: 100000305220
1175 E 50 S #161
NPI: 1932212503
(801) 492-5992
MELENDEZ,
TERRY DWAIN
Provider ID: 100000249716
MD
NPI: 1649204389
1248 E 90 N #301
REYNOLDS, CHRISTOPHER
(801) 756-9635
JAY MD
Provider ID: 100000090305
52 N 1100 E
NPI: 1316050081
(801) 763-0901
MORRIS, CASSANDRA J APRN
Provider ID: 100000086746
1248 E 90 N #301
NPI: 1700843695
(801) 756-9635
TAHER, MOHAMMAD E MD
Provider ID: 100000717823
52 N 1100 E
NPI: 1174701163
(801) 763-0901
OLLERTON,
RYAN C DO
Provider ID: 100000094390
1248
E
90
N
#301
NPI: 1992762918
(801) 756-9635
Provider ID: 100000117237
NPI: 1528275898
38
Specialists
UTAH
Sorted by state, city, specialty, then name
AMERICAN FORK
OBSTETRICS AND GYNECOLOGY
UTAH (cont'd)
AMERICAN FORK (cont'd)
OBSTETRICS AND
GYNECOLOGY (cont'd)
REES, STEPHEN M MD
1248 E 90 N #300
(801) 374-1801
Provider ID: 100001042129
NPI: 1689750838
SAUNDERS, MARK THOMAS
MD
48 N 1100 E #A
(801) 692-1429
Provider ID: 100000721641
NPI: 1508828104
ONCOLOGIST/
HEMATOLOGIST
BOTT, JAY CORDELL MD
1152 E 200 N
(801) 772-0698
Provider ID: 100000090941
NPI: 1164524864
BREYER, WENDY ANNE MD
1152 E 200 N
(801) 772-0698
Provider ID: 100000095024
NPI: 1417995911
CHIPMAN, GREGORY C MD
48 N 1100 E #B
(801) 492-9934
Provider ID: 100000941040
NPI: 1457493967
RICH, NATHAN T MD
48 N 1100 E #B
(801) 492-9934
Provider ID: 100000108698
NPI: 1396778148
ONCOLOGY
NUTTALL, MARC T MD
1152 E 200 N
(801) 772-0698
Provider ID: 100000900779
NPI: 1144497322
OPHTHALMOLOGY
GUNTHER, JONATHAN B MD
12 N 1100 E
(801) 756-9627
Provider ID: 100000340694
NPI: 1023073459
HUNSAKER, JESSE NEVILLE
MD
12 N 1100 E
(801) 756-9627
Provider ID: 100000091207
NPI: 1104895507
OPTOMETRY
HOOLEY, LORI KARRIN OD
60 S 200 E
(801) 756-4731
Provider ID: 100000099502
NPI: 1780649566
HOOTON, KENNETH EUGENE
OD
60 S 200 E
(801) 756-4731
Provider ID: 100000090982
NPI: 1144285925
JOLLEY, JERALD TED OD
323 W STATE RD #A
(801) 763-9898
Provider ID: 100001166395
NPI: 1538197330
MCKELL, MARK M OD
24 W MAIN ST
(801) 756-7996
Provider ID: 100000269788
NPI: 1396853974
NICHOLLS, EDWARD R OD
323 W STATE RD #A
(801) 763-9898
Provider ID: 100001094185
NPI: 1376981175
SIMMONS, ROBERT LYNN OD
12 N 1100 E
(801) 756-9627
Provider ID: 100000088053
NPI: 1689633877
39
UTAH
AMERICAN FORK
PHYSICAL THERAPY
ORTHOPEDIC SURGERY
RICHEY, JOSEPH LEWIS MD
1184 E 80 N
(801) 373-7350
Provider ID: 100000094352
NPI: 1982708913
RITCHIE, PAUL KOHLER MD
1184 E 80 N
(801) 763-3885
Provider ID: 100000098962
NPI: 1720021678
STOCK, GORDON H MD
1184 E 80 N
(801) 429-8000
Provider ID: 100000714778
NPI: 1932149895
VAN WAGONER, L S DO
170 N 1100 E
(801) 855-3555
Provider ID: 100000088236
NPI: 1669425146
WELLS, JOHN TRACY MD
1184 E 80 N
(801) 429-8000
Provider ID: 100000094411
NPI: 1740371376
ORTHOPEDICS
HOOPES, DANIEL M MD
1184 E 80 N
(801) 429-8000
Provider ID: 100001106832
NPI: 1255505582
PHYSICAL THERAPY
BLATTER, IAN W RPT
636 E STATE RD
(801) 492-6577
Provider ID: 100000311388
NPI: 1801057567
GATENBY, RUSSELL JACK RPT
1184 E 80 N
(801) 756-7777
Provider ID: 100000087986
NPI: 1134241904
February 12, 2015
UTAH
AMERICAN FORK
PHYSICAL THERAPY
UTAH (cont'd)
Specialists
Sorted by state, city, specialty, then name
UTAH
AMERICAN FORK
VSP PROVIDERS – ROUTINE VISION
SANDERSON, MARK C MD
1184 E 80 N
(801) 763-3885
Provider ID: 100000089502
NPI: 1073604609
URGENT CARE OR WALK IN
ANDERSON, LAURA M MD
AMERICAN FORK (cont'd)
AFTER HOURS MEDICAL
476 N 900 W #C
PHYSICAL THERAPY (cont'd)
(801) 492-1611
PODIATRY
JENSEN, DAVID STALLINGS
Provider ID: 100000802453
RPT
NPI: 1740270867
GIBSON, BRANDT RYAN DPM
999 E PACIFIC DR
36 N 1100 E #B
GRAVES, JERRY G APRN
(801) 756-7800
(801) 756-0765
AFTER HOURS MEDICAL
Provider ID: 100000339988
Provider ID: 100000099064
476 N 900 W #C
NPI: 1003999533
NPI: 1841271095
(801) 492-1611
JOHNSON, DAVID NATHAN PT PHILLIPS, STANLEY J DPM
Provider ID: 100000821658
52 N 1100 E
NPI: 1659651750
1184 E 80 N
(801) 763-0901
(801) 763-3885
OLSEN, CLINTON D NP
Provider ID: 100000537743
Provider ID: 100000094231
AFTER HOURS MEDICAL
NPI: 1861612004
NPI: 1841202397
476 N 900 W #C
KELSON, SETH J RPT
(801) 492-1611
ROGERS, SCOTT F DPM
636 E STATE RD
Provider ID: 100000902717
1248 E 90 N #101
(801) 368-0473
NPI: 1225387491
(801) 756-4200
Provider ID: 100000294905
Provider ID: 100000110160
VACHAROTHONE, RACHOT K
NPI: 1831224146
NPI: 1821046418
MD
NATTER, SHARLA I PT
ROGERS, THOMAS GLEN DPM AFTER HOURS MEDICAL
1184 E 80 N
476 N 900 W #C
1248 E 90 N #101
(801) 756-7777
(801) 492-1611
(801) 756-4200
Provider ID: 100000619501
Provider ID: 100000086215
Provider ID: 100000879254
NPI: 1336454636
NPI: 1548228497
NPI: 1720069446
NIELSEN, RICHARD PAGE RPT 895 N 900 E
UROLOGY
52 N 1100 E
(801) 763-4000
REYNOLDS, BRANDON P MD
(801) 763-0901
Provider ID: 100000089413
1159 E 200 N #300
Provider ID: 100000513113
NPI: 1720069446
(801) 756-7609
NPI: 1376716787
SPORTS MEDICINE
Provider ID: 100000601471
SUMSION, JOHN ROBERT RPT
NPI: 1851404016
ANDERSON, LAURA M MD
1184 E 80 N
476 N 900 W #C
(801) 756-7777
VSP PROVIDERS – ROUTINE
(801) 492-1611
Provider ID: 100000088121
VISION
Provider ID: 100000802453
NPI: 1598887069
HOOLEY, LORI K OD
NPI: 1740270867
PLASTIC SURGERY
60 S 200 E
NIELSEN, CURTIS A DO
(801)756-4731
JENSEN, MARK H MD
476 N 900 W #C
NPI: 1780649566
1175 E 50 S #171
(801) 492-1611
HOOTON, KENNETH E OD
(801) 418-0870
Provider ID: 100000902720
60 S 200 E
Provider ID: 100000703123
NPI: 1013237502
(801)756-4731
NPI: 1184602351
SLATER, RYAN A MD
NPI: 1144285925
1184 E 80 N
(801) 763-3885
Provider ID: 100000946649
NPI: 1346478476
February 12, 2015
40
UTAH
BOUNTIFUL
ALLERGY
UTAH (cont'd)
BOUNTIFUL
ALLERGY
JONES, DOUGLAS H MD
620 MEDICAL DR #150
(801) 775-9800
Provider ID: 100000886902
NPI: 1346324761
Specialists
Sorted by state, city, specialty, then name
WEST, SCOTT H MD
520 MEDICAL DR #300
(949) 852-3400
Provider ID: 100000089314
NPI: 1225023328
630 MEDICAL DR
(801) 292-6231
Provider ID: 100000089315
NPI: 1225023328
CHIROPRACTIC MEDICINE
DEVEREAUX, BRADLEY JAY
AUDIOLOGY
DC
BARWICK, NIKI L AUD
190 W 100 S #A
1551 RENAISSANCE TOWNE DR
(801) 292-1111
#310
Provider ID: 100000098407
(801) 295-5581
NPI: 1093919359
Provider ID: 100000299293
FROGLEY, CORY MICHAEL DC
NPI: 1952571465
458 N 500 W
PERGLER, HAROLD R AUD
(801) 292-9355
425 MEDICAL DR #200
Provider ID: 100000096700
(801) 295-9644
NPI: 1033168372
Provider ID: 100000094092
GEORGE, DALLAS S DC
NPI: 1548363617
395 N 200 W
SHEPHERD, JENNIFER C AUD
(801) 295-6667
74 E 500 S #112
Provider ID: 100000309368
(801) 294-6200
NPI: 1861639163
Provider ID: 100000821099
GEORGE, DAN GINOS DC
NPI: 1356601165
395 N 200 W
TURGOOSE, AARON C AUD
(801) 295-6667
74 E 500 S #112
Provider ID: 100000087332
(801) 294-6200
NPI: 1134186182
Provider ID: 100000565819
KNIGHT, JAMES DALE DC
NPI: 1689719445
513 W 2600 S #513
(801) 292-9857
CARDIOVASCULAR
Provider ID: 100000033781
DISEASES
NPI: 1942201124
ANDING, ERIC SCOTT MD
NEUMANN,
ROGER MAX DC
520 MEDICAL DR #300
1480
ORCHARD
DR #200
(801) 292-1315
(801)
292-5611
Provider ID: 100000022294
Provider ID: 100000088774
NPI: 1487649521
NPI: 1831202282
HUMISTON, DANIEL JOHN MD
THOMPSON, MICHAEL RALPH
520 MEDICAL DR #310
DC
(801) 776-0174
143 E 400 N
Provider ID: 100000084994
(801) 295-7801
NPI: 1780679829
Provider ID: 100000088649
NPI: 1861453219
41
UTAH
BOUNTIFUL
DERMATOLOGY
TOONE, DEVON A DC
1525 N MAIN ST #100
(801) 292-1200
Provider ID: 100000090936
NPI: 1104026269
WERSLAND, KIRK ROLF DC
458 N 500 W
(801) 292-9355
Provider ID: 100000097396
NPI: 1558353979
DERMATOLOGY
BOWEN, GLEN MONTROSE MD
425 MEDICAL DR #218
(801) 298-3802
Provider ID: 100000712489
NPI: 1851311070
CURTIS, AMY V MD
425 MEDICAL DR #218
(801) 298-3802
Provider ID: 100000554339
NPI: 1841499084
DUFFY, KEITH L MD
425 MEDICAL DR #218
(801) 298-3802
Provider ID: 100000712500
NPI: 1770779050
HADLEY, MICHAEL L MD
425 MEDICAL DR #218
(801) 298-3802
Provider ID: 100000712495
NPI: 1699797811
HINCKLEY, MICHAEL R MD
425 MEDICAL DR #218
(801) 298-3802
Provider ID: 100000992044
NPI: 1760665707
NIELSEN, JOSEPH ROTH MD
415 MEDICAL DR #D200
(801) 292-6277
Provider ID: 100000093245
NPI: 1992766885
PETERSON, JOHN LOUIS MD
425 MEDICAL DR #220
(801) 295-3095
Provider ID: 100000523591
NPI: 1891729109
February 12, 2015
UTAH
BOUNTIFUL
DERMATOLOGY
Specialists
Sorted by state, city, specialty, then name
UTAH (cont'd)
GASTROENTEROLOGY
BATISTA, OSCAR A MD
BOUNTIFUL (cont'd)
620 MEDICAL DR #205
(801) 298-0057
DERMATOLOGY (cont'd)
Provider ID: 100000106235
TRISTANI-FIROUZI, PAYAM
NPI: 1962443465
MD
BOSCHERT, MARK EDWARD
425 MEDICAL DR #218
MD
(801) 298-3802
620 MEDICAL DR #205
Provider ID: 100000712535
(801) 298-0057
NPI: 1407943921
Provider ID: 100000085008
URRY, LARRY EDWIN MD
NPI: 1346252236
535 E 500 S #9
CANALE, CHRISTOPHER COPP
(801) 294-4910
MD
Provider ID: 100000089229
620 MEDICAL DR #205
NPI: 1083716955
(801) 298-0057
Provider ID: 100000259049
EAR NOSE THROATNPI: 1598952145
OTOLARYNGOLOGY
DOXEY, BRETT W MD
SKEDROS, DEMETRIOS
620 MEDICAL DR #205
GREGORY MD
(801) 298-0057
1551 RENAISSANCE TOWNE DR
Provider ID: 100000115354
#310
NPI: 1386775682
(801) 295-5581
HILBIG,
CLARKE ANDREW MD
Provider ID: 100000091250
620
MEDICAL
DR #205
NPI: 1821146242
(801) 298-0057
STOCK, CURT ROBERT MD
Provider ID: 100000098944
1551 RENAISSANCE TOWNE DR
NPI: 1861404758
#310
JONES, ROBERT G MD
(801) 295-5581
620 MEDICAL DR #205
Provider ID: 100000087423
(801) 298-0057
NPI: 1275681686
Provider ID: 100000876603
THOMPSON, SCOTT K MD
NPI: 1164465647
1551 RENAISSANCE TOWNE DR
MOORE,
DAVID RAYBURN MD
#310
620
MEDICAL
DR #205
(801) 295-5581
(801)
298-0057
Provider ID: 100000110467
Provider ID: 100000536297
NPI: 1356378095
NPI: 1215969837
WILCOX, BRYAN K MD
1551 RENAISSANCE TOWNE DR
GENERAL SURGERY
#310
CLARK, KEVIN NEWELL MD
(801) 295-5581
425 MEDICAL DR #101
Provider ID: 100000863985
(801) 295-7444
NPI: 1891795779
Provider ID: 100000091144
NPI: 1235127291
February 12, 2015
42
UTAH
BOUNTIFUL NEUROLOGY
HALVERSEN, ROY CHAD MD
79 E CENTER ST
(801) 577-7055
Provider ID: 100000729854
NPI: 1275540585
TODD, RUSSELL HAYMORE
MD
425 MEDICAL DR #101
(801) 295-7444
Provider ID: 100000088156
NPI: 1538158282
INFECTIOUS DISEASE
GUNDLAPALLI, ADISESHU VEN
MD
401 S 400 E
(801) 581-8812
Provider ID: 100000598357
NPI: 1194815795
MIDWIFERY SERVICES
ZAUGG, LAURA M CNM
620 MEDICAL DR #340
(801) 299-2229
Provider ID: 100000311608
NPI: 1598831604
NEPHROLOGY
INDAHYUNG, RUTH M MD
630 MEDICAL DR
(801) 292-6231
Provider ID: 100000773084
NPI: 1649452772
NEUROLOGY
OTTOWICZ, JOZEF ANTONI
MD
440 MEDICAL DR
(801) 677-0027
Provider ID: 100000085273
NPI: 1861484297
630 MEDICAL DR
(801) 292-6231
Provider ID: 100000285901
NPI: 1861484297
UTAH
BOUNTIFUL
NURSING SERVICES
Specialists
Sorted by state, city, specialty, then name
UTAH
BOUNTIFUL
OPHTHALMOLOGY
BALLIF, MARK GORDON MD
1551 RENAISSANCE TOWNE DR
#340
BOUNTIFUL (cont'd)
(801) 677-1122
Provider ID: 100000091864
NURSING SERVICES
NPI: 1376522573
BORSHANIAN, JOSEPH
DAYNES, TODD ELLSWORTH
KRIKOR APRN
MD
ONCOLOGIST/
630 MEDICAL DR
520 MEDICAL DR #201
HEMATOLOGIST
(801) 292-6231
(801) 294-8855
Provider ID: 100000095309
DIFIORE, KENT CHRISTOPHER
Provider ID: 100000325274
NPI: 1417917501
MD
NPI: 1053412494
520 MEDICAL DR #340
LAVASANI, TOORAN MAM
POLL, JED T MD
(801) 296-6665
APRN
1551 RENAISSANCE TOWNE DR
Provider ID: 100000092012
532 S 500 W
#340
NPI: 1649229618
(801) 299-3470
(801) 677-1122
Provider ID: 100000096171
KLEIN, REGINA C MD
Provider ID: 100000334188
NPI: 1861582470
520 MEDICAL DR #340
NPI: 1376656124
(801) 296-6665
SYKES,
SCOTT OWEN MD
OBSTETRICS AND
Provider ID: 100000084865
1551
RENAISSANCE
TOWNE DR
GYNECOLOGY
NPI: 1457300980
#340
MUSCOLINO, GINA M MD
(801) 476-0494
ONCOLOGY
620 MEDICAL DR #340
Provider ID: 100000093141
STINNETT, JASON MARK MD
(801) 299-2229
NPI: 1083693204
520 MEDICAL DR #340
Provider ID: 100000341782
WILCOX, MICHAEL BLAIR MD
(801) 296-6665
NPI: 1194825117
1551 RENAISSANCE TOWNE DR
Provider
ID:
100000033194
NIELSON, KANDICE R MD
#340
NPI:
1861501694
620 MEDICAL DR #340
(801) 677-1122
(801) 299-2229
OPHTHALMOLOGY
Provider ID: 100000095565
Provider ID: 100000809055
NPI: 1053391771
ALLDREDGE,
CLARON
NPI: 1720252513
DOUGLAS
MD
WILLIAMS,
LLOYD B MD
WARD, NATHAN CLARK MD
1551
RENAISSANCE
TOWNE
DR
140
W
500
S
1551 RENAISSANCE TOWNE DR #340
(801) 292-0479
#200
(801)
677-1122
Provider ID: 100000994673
(801) 299-2229
Provider
ID:
100000598476
NPI: 1730333741
Provider ID: 100000099056
NPI:
1841200284
WING, ROBERT WILLIAM MD
NPI: 1134114473
ARMSTRONG
II,
JOHN
DAVID
1551 RENAISSANCE TOWNE DR
620 MEDICAL DR #340
MD
#340
(801) 299-2229
1551
RENAISSANCE
TOWNE
DR
(801) 677-1122
Provider ID: 100000099056
#340
Provider ID: 100000242315
NPI: 1134114473
(801) 677-1122
NPI: 1629064027
OCCUPATIONAL MEDICINE
Provider ID: 100000085454
NPI: 1932188133
BROWN, TERRY ALLEN MD
1512 RENAISSANCE TOWNE DR
#100
(801) 295-6483
Provider ID: 100000907877
NPI: 1679510614
UTAH (cont'd)
OCCUPATIONAL THERAPY
HONEY, RONALD K OT
2280 S 750 E
(801) 455-8163
Provider ID: 100000574424
NPI: 1659401354
43
February 12, 2015
UTAH
BOUNTIFUL
OPTOMETRY
Specialists
Sorted by state, city, specialty, then name
LEISHMAN, BENJAMIN H OD
140 W 500 S
(801) 292-0479
BOUNTIFUL (cont'd)
Provider ID: 100000785091
NPI: 1942438015
OPTOMETRY
LINFORD, KEITH W OD
DANSIE, DANE FRANCE OD
1551 RENAISSANCE TOWNE DR
1551 RENAISSANCE TOWNE DR #340
#340
(801) 677-1122
(801) 677-1122
Provider ID: 100000091111
Provider ID: 100000560879
NPI: 1275512493
NPI: 1770562985
MURRAY, SHAWN PAGE OD
FARRELL, SCOTT D OD
190 S 500 W
1551 RENAISSANCE TOWNE DR
(801) 295-9200
#340
Provider ID: 100000099806
(801) 677-1122
NPI: 1437199544
Provider ID: 100000886817
NEVERS,
MARK W OD
NPI: 1306096979
140 W 500 S
GILLILAND, RODNEY N OD
(801) 292-0479
140 W 500 S
Provider ID: 100000815949
(801) 292-0479
NPI: 1366704959
Provider ID: 100000856833
PACE, DANIEL WAYNE OD
NPI: 1801800016
70 N MAIN ST #102
HADLOCK, BRENT LEE OD
(801) 292-1408
140 W 500 S
Provider ID: 100000095240
(801) 292-0479
NPI: 1447271721
Provider ID: 100001072152
ROE,
FARRELL M OD
NPI: 1578648564
140 W 500 S
HARTMAN, AARON M OD
(801) 292-0479
140 W 500 S
Provider ID: 100001047482
(801) 292-0479
NPI: 1225104110
Provider ID: 100001001086
RUDD, ADAM B OD
NPI: 1922258375
70 N MAIN ST
HIMES, RANDALL C OD
(801) 292-1408
140 W 500 S
Provider ID: 100000764378
(801) 292-0479
NPI: 1225325954
Provider ID: 100000863443
SMITH,
DOUGLAS R OD
NPI: 1144380478
311 E 500 S
KESSLER, JENNIFER L OD
(801) 295-4441
140 W 500 S
Provider ID: 100000091806
(801) 292-0479
NPI: 1487846655
Provider ID: 100000811339
WILKES JR, ROBERT MURRAY
NPI: 1811259336
OD
KNOWLES, DUANE C OD
491 S MAIN ST
140 W 500 S
(801) 295-2020
(801) 292-0479
Provider ID: 100000087239
Provider ID: 100000090445
NPI: 1093788184
NPI: 1306935523
UTAH (cont'd)
February 12, 2015
44
UTAH
BOUNTIFUL
ORTHOPEDIC SURGERY
WILKINS, COURT R OD
1551 RENAISSANCE TOWNE DR
#340
(801) 677-1122
Provider ID: 100001152860
NPI: 1780679613
ORTHOPEDIC SURGERY
EDWARDS, JOHN COVEY MD
1551 RENAISSANCE TOWNE DR
#400
(801) 295-7200
Provider ID: 100000090128
NPI: 1942341706
HESS, MICHAEL MUIR MD
1551 RENAISSANCE TOWNE DR
#400
(801) 295-7200
Provider ID: 100000091434
NPI: 1508907304
HICKMAN, JOSHUA
MCKINNON MD
1551 RENAISSANCE TOWNE DR
#400
(801) 295-7200
Provider ID: 100000097968
NPI: 1821139619
630 MEDICAL DR
(801) 299-2112
Provider ID: 100000097968
NPI: 1821139619
HUISH, STEVEN BALL MD
1551 RENAISSANCE TOWNE DR
#400
(801) 295-7200
Provider ID: 100000094331
NPI: 1508907387
JOHNSTON, ERIC CHRISTOPHE
MD
1551 RENAISSANCE TOWNE DR
#400
(801) 295-7200
Provider ID: 100000091721
NPI: 1407997273
UTAH
BOUNTIFUL
ORTHOPEDIC SURGERY
UTAH (cont'd)
BOUNTIFUL (cont'd)
ORTHOPEDIC SURGERY
(cont'd)
MURRAY, ROBERT PEPPER
MD
1551 RENAISSANCE TOWNE DR
#400
(801) 295-7200
Provider ID: 100000091759
NPI: 1306987144
630 MEDICAL DR
(801) 295-7200
Provider ID: 100000091759
NPI: 1306987144
STEVENS, DAVID W MD
1551 RENAISSANCE TOWNE DR
#400
(801) 295-7200
Provider ID: 100000081655
NPI: 1902941479
630 MEDICAL DR
(801) 298-2483
Provider ID: 100000081655
NPI: 1902941479
Specialists
Sorted by state, city, specialty, then name
PEDIATRIC EAR NOSE,
THROAT
KELLY, STEVEN MICHAEL MD
1551 RENAISSANCE TOWNE DR
#310
(801) 295-5581
Provider ID: 100000090070
NPI: 1841348240
PHYSICAL MEDICINE AND
REHABILITATION
CHEN, MICHAEL M DO
557 W 2600 S
(801) 462-2205
Provider ID: 100000595959
NPI: 1487711123
FLAMMER, MARK GORDON
MD
1551 RENAISSANCE TOWNE DR
#400
(801) 295-7200
Provider ID: 100000089847
NPI: 1730158957
OKA, JEFFERY RAY MD
1551 RENAISSANCE TOWNE DR
#400
(801) 295-7200
Provider ID: 100000311554
PAIN MANAGEMENT
NPI: 1528194826
GARG, VIKAS MD
425 MEDICAL DR #108
520 MEDICAL DR #220
(801) 292-2500
(801) 299-6824
Provider ID: 100000091868
Provider ID: 100000558648
NPI: 1528194826
NPI: 1104852599
SHEPHERD, DOUGLAS TRACEY
WESTON, RAUL K MD
MD
1551 RENAISSANCE TOWNE DR 1551 RENAISSANCE TOWNE DR
#460
#420
(801) 475-5683
(801) 295-8999
Provider ID: 100000736262
Provider ID: 100000087920
NPI: 1902066988
NPI: 1659482289
630 MEDICAL DR
PHYSICAL THERAPY
(801) 727-2069
Provider ID: 100000751092
BRAVO, ALEXANDER J RPT
NPI: 1902066988
1551 RENAISSANCE TOWNE DR
#350
(801) 295-3553
Provider ID: 100000707882
NPI: 1548552300
45
UTAH
BOUNTIFUL
PHYSICAL THERAPY
BUCHHEISTER, KLEMENTINA
TINA RPT
1551 RENAISSANCE TOWNE DR
#350
(801) 295-3553
Provider ID: 100000095803
NPI: 1447242847
FORSYTH, MARLIN M RPT
425 MEDICAL DR #104
(801) 292-5011
Provider ID: 100000091161
NPI: 1396836797
HAWKES, ROBERT ALLEN RPT
1551 RENAISSANCE TOWNE DR
#420
(801) 295-8999
Provider ID: 100000087228
NPI: 1013080753
JOLLEY, CURTIS BRIAN RPT
1551 RENAISSANCE TOWNE DR
#350
(801) 295-3553
Provider ID: 100000090299
NPI: 1548261431
LARSEN, ROBERT J RPT
1551 RENAISSANCE TOWNE DR
#420
(801) 295-8999
Provider ID: 100000090491
NPI: 1124111372
REID, KIM WAYNE RPT
1551 RENAISSANCE TOWNE DR
#350
(801) 295-3553
Provider ID: 100000090091
NPI: 1558362434
RILEY, SETH M RPT
535 E 500 S #8
(801) 298-2533
Provider ID: 100000748785
NPI: 1427033109
SONDRUP, STUART C PT
1551 RENAISSANCE TOWNE DR
#350
(801) 295-3553
Provider ID: 100000747467
NPI: 1790066124
February 12, 2015
UTAH
BOUNTIFUL
PHYSICAL THERAPY
UTAH (cont'd)
BOUNTIFUL (cont'd)
PHYSICAL THERAPY (cont'd)
THOMPSON, AMANDA PT
1551 RENAISSANCE TOWNE DR
#350
(801) 295-3553
Provider ID: 100000101816
NPI: 1588650196
PLASTIC SURGERY
CHENG, CHRISTINE ANN MD
415 MEDICAL DR #D102
(801) 298-9774
Provider ID: 100000086959
NPI: 1306848338
KJAR, JOSEPH GREGOR MD
1551 RENAISSANCE TOWNE DR
#360
(801) 295-9105
Provider ID: 100000089222
NPI: 1700952231
SELLERS, DANIEL SHANE MD
620 MEDICAL DR #310
(801) 295-6554
Provider ID: 100000092206
NPI: 1841278942
PODIATRY
ANDERSON, RYAN KEITH DPM
1551 RENAISSANCE TOWNE DR
#370
(801) 292-4425
Provider ID: 100000097892
NPI: 1053334730
425 MEDICAL DR #215
(801) 292-9222
Provider ID: 100001078618
NPI: 1053334730
596 W 750 S #200
(801) 292-4425
Provider ID: 100001078618
NPI: 1053334730
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
CLARK, SCOTT A DPM
620 MEDICAL DR #150
(801) 292-5070
Provider ID: 100000268702
NPI: 1700865748
GULSO, GREGORY J DPM
415 MEDICAL DR #C200
(801) 294-8266
Provider ID: 100000101546
NPI: 1316025323
HARPER, SPENCE DOUGLAS
DPM
620 MEDICAL DR #150
(801) 292-5070
Provider ID: 100000268711
NPI: 1851394803
MCMANAMA, CRAIG ALAN
DPM
513 W 2600 S #513
(801) 292-9202
Provider ID: 100000091378
NPI: 1659430254
OAKS, GARY N DPM
620 MEDICAL DR #150
(801) 292-5070
Provider ID: 100000754607
NPI: 1922294768
SEAGLE, BRYAN L DPM
1551 RENAISSANCE TOWNE DR
#370
(801) 292-4425
Provider ID: 100000249456
NPI: 1194799247
425 MEDICAL DR #215
(801) 292-9222
Provider ID: 100001078620
NPI: 1194799247
596 W 750 S #200
(801) 292-4425
Provider ID: 100001078620
NPI: 1194799247
SEEGMILLER, DAVID CRAIG
DPM
620 MEDICAL DR #150
(801) 292-5070
Provider ID: 100000318873
NPI: 1619914751
46
UTAH
BOUNTIFUL
UROLOGY
SEEGMILLER, RICHARD
GREGG DPM
620 MEDICAL DR #150
(801) 292-5070
Provider ID: 100000271891
NPI: 1174539449
SMITH, TERRY PAUL DPM
620 MEDICAL DR #150
(801) 292-5070
Provider ID: 100000268704
NPI: 1013972157
PULMONARY DISEASES
KLEIN, DAVID MD
630 MEDICAL DR
(801) 292-6231
Provider ID: 100000761536
NPI: 1124075437
REDDY, CHAKRAVARTHY
BATTHINA MD
401 S 400 E
(801) 581-8812
Provider ID: 100000359781
NPI: 1508962176
SADLER, WILLIAM TAYLOR
MD
415 MEDICAL DR #C202
(801) 295-8523
Provider ID: 100000091098
NPI: 1154543155
URGENT CARE OR WALK IN
JONES, DOUGLAS H MD
ROCKY MOUNTAIN ALLERGY
ASTHMA & IMMUNOLOGY
620 MEDICAL DR #150
(801) 775-9800
Provider ID: 100000886902
NPI: 1346324761
UROLOGY
HENDERSON, DAVID JAY MD
620 MEDICAL DR #300
(801) 298-3247
Provider ID: 100000321365
NPI: 1417933284
UTAH
BOUNTIFUL
UROLOGY
Specialists
Sorted by state, city, specialty, then name
UTAH
CENTERVILLE VSP PROVIDERS – ROUTINE VISION
SMITH, DOUGLAS R OD
311 E 500 S
(801)295-4441
BOUNTIFUL (cont'd)
NPI: 1558434613
UROLOGY (cont'd)
SYKES, SCOTT O MD
1551 RENAISSANCE TOWNE DR
PARKINSON, JUSTIN P MD
STE 340
425 MEDICAL DR #122
(801)677-1122
(801) 531-9453
NPI: 1083693204
Provider ID: 100000614488
WILCOX, MICHAEL B MD
NPI: 1851314066
1551 RENAISSANCE TOWNE DR
VSP PROVIDERS – ROUTINE STE 340
(801)677-1122
VISION
NPI: 1053391771
DANSIE, DANE F OD
WILKES,
ROBERT M OD
1551 RENAISSANCE TOWNE DR
491
S
MAIN
ST
STE 340
(801)295-2020
(801)677-1122
NPI: 1093788184
NPI: 1770562985
WING, ROBERT W MD
DAYNES, TODD E MD
1551 RENAISSANCE TOWNE DR
520 MEDICAL DR STE 201
STE 340
(801)294-8855
(801)677-1122
NPI: 1053412494
NPI: 1629064027
FARR, DEVIN B OD
1551 RENAISSANCE TOWNE DR
BRIGHTON
STE 340
(801)677-1122
PHYSICAL MEDICINE AND
NPI: 1750643896
REHABILITATION
LINFORD, KEITH W OD
MILLER, GREGORY JAMES MD
1551 RENAISSANCE TOWNE DR 8294 S BRIGHTON LOOP RD
STE 340
(435) 655-3205
(801)677-1122
Provider ID: 100000258714
NPI: 1275512493
NPI: 1225089790
PACE, DANIEL W OD
CENTERVILLE
70 N MAIN ST STE 102
(801)292-1408
OBSTETRICS AND
NPI: 1447271721
GYNECOLOGY
POLL, JED MD
1551 RENAISSANCE TOWNE DR ADELMAN, MARISA R MD
26 S MAIN ST
STE 340
(801) 693-7900
(801)677-1122
Provider ID: 100000796044
NPI: 1376656124
NPI: 1487847927
RUDD, ADAM B OD
70 N MAIN ST STE 102
(801)292-1408
NPI: 1225325954
UTAH (cont'd)
47
OPTOMETRY
GIBBONS, TIMOTHY LEE OD
26 S MAIN ST
(801) 693-7900
Provider ID: 100001069116
NPI: 1700967593
LARSEN, MICHAEL CRAIG OD
200 N MARKET PLACE DR
(801) 295-7118
Provider ID: 100000867060
NPI: 1720152309
VINCENT, BRYAN HARLOW
OD
26 S MAIN ST
(801) 693-7900
Provider ID: 100000089152
NPI: 1982785770
WYBROW, MASON M OD
308 N MARKET PLACE DR
(801) 294-6111
Provider ID: 100000713153
NPI: 1851466197
ORTHOPEDIC SURGERY
TASHJIAN, ROBERT Z MD
26 S MAIN ST
(801) 693-7900
Provider ID: 100000110686
NPI: 1659300044
URGENT CARE OR WALK IN
ANDERSON, LAURA M MD
UUHC COMMUNITY CLINICS
26 S MAIN ST
(801) 693-7900
Provider ID: 100000742855
NPI: 1740270867
VSP PROVIDERS – ROUTINE
VISION
WYBROW, MASON M OD
308 N MARKET PL DR
(801)294-6111
NPI: 1851466197
February 12, 2015
UTAH
CLEARFIELD
CHIROPRACTIC MEDICINE
UTAH (cont'd)
Specialists
Sorted by state, city, specialty, then name
PHYSICAL THERAPY
BRAVO, ALEXANDER J RPT
CLEARFIELD
1266 LEGEND HILLS DR #B2
(801) 776-6000
CHIROPRACTIC MEDICINE
Provider ID: 100000707882
BURGESS, JAMES L DC
NPI: 1548552300
150 S STATE ST
FLINDERS, MARK ALAN PT
OPTOMETRY
(801) 825-0134
1477 N 2000 W #A
Provider ID: 100000262051
DAVID II, JAMES R OD
(801) 773-4191
NPI: 1720263718
1448 N 2000 W #3
Provider ID: 100000094757
CANOVA, DONALD RAMON DC (801) 779-0708
NPI: 1184736951
Provider ID: 100000601091
610 N MAIN ST #5A
HARP, JENNIFER K PT
NPI: 1932289691
(801) 776-3389
1477 N 2000 W #A
Provider ID: 100000092548
FIELDEN, CLARK E OD
(801) 773-4191
NPI: 1770526394
1448 N 2000 W #3
Provider ID: 100000864007
(801) 779-0708
HALES, DARYL ELDON DC
NPI: 1609135292
Provider ID: 100000282778
360 S STATE ST #A
JOHNSON, NYLIN JEREMIAH
NPI: 1457339285
(801) 773-1821
RPT
Provider ID: 100000091318
HOLT, JUSTIN C OD
3072 W 300 N #A
NPI: 1972504892
3110 W 300 N #D
(801) 825-7500
(801) 825-9732
HALES, NATHAN E DC
Provider ID: 100000087356
Provider ID: 100000604753
360 S STATE ST #A
NPI: 1013010727
NPI: 1588634521
(801) 773-1821
JOLLEY, CURTIS BRIAN RPT
Provider ID: 100000357505
1266 LEGEND HILLS DR #B2
ORTHOPEDIC SURGERY
NPI: 1336398189
(801) 776-6000
DEE, MICHAEL SCOT MD
MAYER, STEVEN D DC
Provider ID: 100000090299
1477 N 2000 W #B
928 W 1800 N #G
NPI: 1548261431
(801) 475-5683
(801) 775-8880
REID, KIM WAYNE RPT
Provider ID: 100000922553
Provider ID: 100000094671
1266 LEGEND HILLS DR #B2
NPI: 1710106653
NPI: 1033103015
THOMAS, BRUCE EDWARD MD (801) 776-6000
PICKUP, DAVID GRANT DC
Provider ID: 100000090091
1477 N 2000 W #B
2649 N MAIN ST #110
NPI: 1558362434
(801) 475-5683
(801) 776-3800
REYNOLDS-CALL,
TAMI K RPT
Provider ID: 100000808238
Provider ID: 100000092832
1689
E
1400
S
#120
NPI: 1255422192
NPI: 1558368456
(801) 525-0007
PEDIATRIC
ORTHOPEDIC
Provider ID: 100000272855
MIDWIFERY SERVICES
SURGERY
NPI: 1992861520
CARTER, STACIE A CNM
THOMPSON, AMANDA PT
HEFLIN, JOHN A MD
3110 W 300 N #A
1266 LEGEND HILLS DR #B2
1477
N
2000
W
#B
(801) 614-5140
(801) 776-6000
(801)
475-5683
Provider ID: 100000362133
Provider ID: 100000101816
Provider
ID:
100000822814
NPI: 1710180591
NPI: 1588650196
NPI:
1588840102
3110 W 300 N #B
(801) 614-5270
Provider ID: 100000810716
NPI: 1710180591
February 12, 2015
NEUROLOGY
SHOARI, MOHAMMAD MD
3110 W 300 N #A
(801) 614-5140
Provider ID: 100000281834
NPI: 1740483395
UTAH
CLEARFIELD
PHYSICAL THERAPY
48
UTAH
CLEARFIELD
PODIATRY
UTAH (cont'd)
CLEARFIELD (cont'd)
PODIATRY
CRISON, GRETEL K DPM
3110 W 300 N #A
(801) 614-5140
Provider ID: 100000740060
NPI: 1629187547
SPORTS MEDICINE
DEE, MICHAEL SCOT MD
1477 N 2000 W #B
(801) 475-5683
Provider ID: 100000922553
NPI: 1710106653
CLINTON
VSP PROVIDERS – ROUTINE
VISION
DAVID II, JAMES R OD
1448 N 2000 W STE 03
(801)779-0708
NPI: 1932289691
FIELDEN, CLARK E OD
1448 N 2000 W STE 03
(801)779-0708
NPI: 1457339285
DRAPER
ADULT MEDICINE
NAVARRO, BENNETT ELLIS
APRN
12702 S FORT ST
(801) 654-2568
Provider ID: 100000092163
NPI: 1841267309
ALLERGY
HARRIS, DUANE JONES MD
12422 S 450 E #C
(801) 553-1900
Provider ID: 100000089594
NPI: 1275535411
Specialists
Sorted by state, city, specialty, then name
UTAH
DRAPER CARDIOVASCULAR DISEASES
EDWARDS II, THOMAS S MD
74 E KIMBALLS LN #260
(801) 571-6700
Provider ID: 100000733420
NPI: 1639163215
GANELLEN, EDWARD WAYNE
MD
AUDIOLOGY
74 E KIMBALLS LN #260
ARCENEAUX, DENISE S CCCA (801) 571-6700
74 E 11800 S #360
Provider ID: 100000733418
(801) 260-3687
NPI: 1164414017
Provider ID: 100000864018
GILMORE, PAUL S MD
NPI: 1730400037
74 E KIMBALLS LN #260
BARWICK, NIKI L AUD
(801) 571-6700
114 E 12450 S #206
Provider ID: 100000733398
(801) 576-5930
NPI: 1487621389
Provider ID: 100000299293
HACKING, SCOTT B MD
NPI: 1952571465
74 E KIMBALLS LN #260
CLARKE, MARGARET L AUD
(801) 571-6700
756 E 12200 S
Provider ID: 100000733417
(801) 328-2522
NPI: 1992712285
Provider ID: 100000558678
NIELSON, KENNETH GEORGE
NPI: 1851621098
MD
HORN, MARY LEIGH CCCA
74 E KIMBALLS LN #260
756 E 12200 S
(801) 571-6700
(801) 328-2522
Provider ID: 100000733414
Provider ID: 100000750396
NPI: 1063404929
NPI: 1184904286
ROKEACH, STEVEN ALAN MD
LEROY, MOLLY M AUD
74 E KIMBALLS LN #260
756 E 12200 S
(801) 571-6700
(801) 328-2522
Provider ID: 100000733412
Provider ID: 100000606072
NPI: 1740290212
NPI: 1033442959
SHARMA, PAWAN KUMAR MD
PEDERSEN, JENNY A AUD
74 E KIMBALLS LN #260
756 E 12200 S
(801) 571-6700
(801) 328-2522
Provider ID: 100000733410
Provider ID: 100000565491
NPI: 1114919073
NPI: 1497912190
SHARP, SALLY DEE MD
74 E KIMBALLS LN #260
CARDIOVASCULAR
(801) 571-6700
DISEASES
Provider ID: 100000733408
ADJEI-POKU, MICHAEL MD
NPI: 1841282787
74 E KIMBALLS LN #260
ZEBRACK, JAMES SCOTT MD
(801) 571-6700
74 E KIMBALLS LN #260
Provider ID: 100000730646
(801) 571-6700
NPI: 1528050465
Provider ID: 100000733405
NPI: 1003808940
WALKER, KAY BLACKBURN
MD
74 E KIMBALLS LN #360
(801) 281-1300
Provider ID: 100000087273
NPI: 1083608095
49
February 12, 2015
UTAH
DRAPER
CHIROPRACTIC MEDICINE
UTAH (cont'd)
DRAPER (cont'd)
CHIROPRACTIC MEDICINE
GOODWIN, TIMOTHY RYAN
DC
1111 E DRAPER PKWY #100
(801) 542-0058
Provider ID: 100000516933
NPI: 1447321237
HARWARD SR, RUSSELL VAL
DC
11616 S STATE ST #1502
(801) 571-2200
Provider ID: 100000089873
NPI: 1790739324
HOUGAARD, BRYCE H DC
11483 S STATE ST #F
(801) 523-8700
Provider ID: 100000093402
NPI: 1285728899
JONES, ROBERT BRUCE DC
826 E 12300 S #4
(801) 576-1155
Provider ID: 100000092142
NPI: 1255411880
LESUEUR, CARL G DC
1178 E DRAPER PKWY
(801) 553-9691
Provider ID: 100000356652
NPI: 1770715831
OLSEN, GARY DEAN DC
12433 S FORT ST
(801) 576-1086
Provider ID: 100000086102
NPI: 1023092293
SMITH, MATTHEW DAVID DC
13552 S 110 W #204
(801) 302-0280
Provider ID: 100000289210
NPI: 1770757569
VOSTI, MARK VINCENT DC
1101 E DRAPER PKWY
(801) 619-6090
Provider ID: 100000094252
NPI: 1669444303
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
DERMATOLOGY
ORME, ROBERT LYNN MD
11760 S 700 E #210
(801) 572-8043
Provider ID: 100000091146
NPI: 1174635403
EAR NOSE THROATOTOLARYNGOLOGY
ANDERSON, CRAIG W MD
756 E 12200 S
(801) 328-2522
Provider ID: 100000527460
NPI: 1871541227
BENNETT, JOHN ROMNEY MD
756 E 12200 S
(801) 328-2522
Provider ID: 100000097375
NPI: 1699800227
DAHL, MATTHEW E MD
756 E 12200 S
(801) 328-2522
Provider ID: 100000337348
NPI: 1679666556
JEPSEN, MATTHEW C MD
756 E 12200 S
(801) 328-2522
Provider ID: 100000797644
NPI: 1962486027
MILLER, STEVEN KAY MD
756 E 12200 S
(801) 328-2522
Provider ID: 100000091437
NPI: 1942313796
NIELSEN, RICHARD WENDELL
MD
756 E 12200 S
(801) 328-2522
Provider ID: 100000087103
NPI: 1427183052
SHARMA, PRAMOD KUMAR
MD
756 E 12200 S
(801) 328-2522
Provider ID: 100000095650
NPI: 1801986427
50
UTAH
DRAPER
GENERAL SURGERY
TAGGE, BRYAN CURTIS MD
756 E 12200 S
(801) 328-2522
Provider ID: 100000095517
NPI: 1164557583
THOMPSON, SCOTT K MD
114 E 12450 S #206
(801) 576-5930
Provider ID: 100000110467
NPI: 1356378095
WILCOX, BRYAN K MD
114 E 12450 S #206
(801) 576-5930
Provider ID: 100000863985
NPI: 1891795779
ENDOCRINOLOGY,
DIABETES AND
METABOLISM
AHMAD, SHAHZAD MD
11762 S STATE ST #333
(801) 508-5880
Provider ID: 100000764386
NPI: 1467533950
MATURLO, SUSAN JOY MD
11724 S STATE ST
(801) 576-2000
Provider ID: 100001087129
NPI: 1023076460
GENERAL SURGERY
CAVIN, IAN R DO
74 E KIMBALLS LN #210
(801) 566-3062
Provider ID: 100000288161
NPI: 1184647315
DAVIS, CHARLES R MD
74 E KIMBALLS LN #210
(801) 566-3062
Provider ID: 100000288154
NPI: 1326136565
HANSEN, DARRIN FRED MD
11762 S STATE ST #220
(801) 523-6177
Provider ID: 100000093585
NPI: 1952417990
UTAH
DRAPER
GENERAL SURGERY
UTAH (cont'd)
DRAPER (cont'd)
GENERAL SURGERY (cont'd)
PRECIADO, ALFONSO MD
74 E KIMBALLS LN #210
(801) 566-3062
Provider ID: 100001038083
NPI: 1962401315
Specialists
Sorted by state, city, specialty, then name
NURSING SERVICES
CHANDLER, CARRIE A APRN
11724 S STATE ST
(801) 576-2000
Provider ID: 100000991915
NPI: 1326229782
UTAH
DRAPER OPTOMETRY
HARRIS, MATHESON A MD
11820 S STATE ST #200
(801) 264-4420
Provider ID: 100000714159
NPI: 1912110230
HOOPES JR, PHILLIP CARL MD
11820 S STATE ST #200
(801) 568-0200
Provider ID: 100000094395
NPI: 1992794846
HOOPES SR, PHILLIP C MD
11820 S STATE ST #150
(801) 568-0200
Provider ID: 100000526138
NPI: 1629067921
11820 S STATE ST #200
(801) 568-0200
Provider ID: 100000115723
NPI: 1629067921
RIVERA, ROBERT P MD
11820 S STATE ST #200
(801) 568-0200
Provider ID: 100000736192
NPI: 1093771727
OBSTETRICS AND
GYNECOLOGY
ANDERS, KRISTA J MD
74 E KIMBALLS LN #330
INFECTIOUS DISEASE
(801) 523-3053
GELMAN, STEPHANIE SUE MD
Provider ID: 100000949401
12176 S 1000 E #H
NPI: 1841353349
(801) 748-1173
SLOAN, CARRIE LEIGH MD
Provider ID: 100000564172
74 E KIMBALLS LN #330
NPI: 1114017712
(801) 523-3053
Provider ID: 100000939034
MIDWIFERY SERVICES
NPI: 1124034012
BLAIR, VERONICA C CNM
SMITH,
LAYNE ALAN MD
74 E KIMBALLS LN #330
11724
S
STATE
ST
(801) 523-3053
(801)
576-2000
Provider ID: 100000509993
Provider ID: 100000957833
NPI: 1174774301
NPI: 1770693251
GRUBB, MICHELLE C CNM
OPTOMETRY
TWEDE, MICHAEL LAMAR MD
74 E KIMBALLS LN #330
11724 S STATE ST
BARNEY, WESTON T OD
(801) 523-3053
(801)
576-2000
11820 S STATE ST #200
Provider ID: 100001102520
Provider
ID:
100000957832
(801) 568-0200
NPI: 1467708487
NPI: 1861450140
Provider ID: 100000542973
NEUROLOGICAL SURGERY
NPI: 1427210269
OCCUPATIONAL THERAPY
PINGREE, JAMES CAMERON
DUTSON, THOMAS PAUL REDD
ROSS, KIMBERLY MCARDLE
MD
OD
OT
74 E KIMBALLS LN #210
11820 S STATE ST #200
11762 S STATE ST #120
(801) 566-3062
(801) 568-0200
(801) 501-8359
Provider ID: 100000709455
Provider ID: 100000563674
Provider ID: 100000748780
NPI: 1730249582
NPI: 1225195548
NPI: 1174524862
LINN,
STEVE H OD
NEUROLOGY
11820 S STATE ST #200
OPHTHALMOLOGY
GROVES, JEFFREY W MD
(801) 568-0200
BRADLEY, MICHAEL J MD
74 E KIMBALLS LN #360
Provider ID: 100000338991
11820 S STATE ST #200
(801) 374-2362
NPI: 1508006487
(801) 568-0200
Provider ID: 100000241502
MCINTOSH, RENEE ANNETT
Provider ID: 100000558845
NPI: 1629196399
OD
NPI: 1225131444
11820 S STATE ST #200
(801) 568-0200
Provider ID: 100000345067
NPI: 1003057894
51
February 12, 2015
UTAH
DRAPER
OPTOMETRY
UTAH (cont'd)
DRAPER (cont'd)
OPTOMETRY (cont'd)
MORTENSEN, RYAN J OD
12256 S 900 E #401
(801) 619-9494
Provider ID: 100000115313
NPI: 1003818576
PARKINSON, DAVID M OD
11820 S STATE ST #200
(801) 568-0200
Provider ID: 100000813872
NPI: 1568797652
PEIRCE, SHERMAN H OD
12357 S 450 E #2
(801) 572-9804
Provider ID: 100000269792
NPI: 1164455317
RICE, DALLIN WADE OD
1147 E DRAPER PKWY
(801) 619-9555
Provider ID: 100000096037
NPI: 1467444273
RICE, ROBERT BRADLEY OD
1147 E DRAPER PKWY
(801) 619-9555
Provider ID: 100000087244
NPI: 1740272319
YARDLEY, RICHARD IRA OD
11820 S STATE ST #200
(801) 568-0200
Provider ID: 100000097157
NPI: 1013018084
Specialists
Sorted by state, city, specialty, then name
GROEBS, ALLEN REINER MD
11800 S STATE ST #230A
(801) 747-1020
Provider ID: 100000095759
NPI: 1841228905
HAWES, JUSTIN PATRIC MD
11800 S STATE ST #230A
(801) 747-1020
Provider ID: 100000098969
NPI: 1508896226
HUNTSMAN, KADE T MD
74 E KIMBALLS LN #210
(801) 566-3062
Provider ID: 100001096990
NPI: 1730171232
LARCOM, PETER GORDON MD
11800 S STATE ST #230A
(801) 747-1020
Provider ID: 100000084815
NPI: 1821029869
WARNER, STEPHEN JOHN MD
11800 S STATE ST #230A
(801) 747-1020
Provider ID: 100000092110
NPI: 1164453106
WEST, KRISTOFFER R MD
74 E KIMBALLS LN #210
(801) 566-3062
Provider ID: 100001015774
NPI: 1285898650
ORTHOPEDICS
RICHARDS, DANIEL T DO
11724 S STATE ST
(801) 576-2000
Provider ID: 100000934341
NPI: 1649455403
ORTHOPEDIC SURGERY
PAIN MANAGEMENT
FUKUSHIMA, BRIAN WEI-LING
MD
BYRNE, ASHLEIGH A MD
11800 S STATE ST #230A
11724 S STATE ST
(801) 747-1020
(801) 576-2000
Provider ID: 100000097979
Provider ID: 100001153239
NPI: 1073543740
NPI: 1023269537
February 12, 2015
52
UTAH
DRAPER PHYSICAL THERAPY
GARG, VIKAS MD
11800 S STATE ST #350
(435) 716-9681
Provider ID: 100000998800
NPI: 1104852599
GLINES, RICHARD L MD
74 E KIMBALLS LN #230
(801) 268-7248
Provider ID: 100000866223
NPI: 1790794063
PEDIATRIC EAR NOSE,
THROAT
KELLY, STEVEN MICHAEL MD
114 E 12450 S #206
(801) 576-5930
Provider ID: 100000090070
NPI: 1841348240
PEDIATRIC NEUROLOGY
MORITA, DENISE C MD
11724 S STATE ST
(801) 576-2000
Provider ID: 100001048031
NPI: 1366640864
PHYSICAL THERAPY
AGUIRRE, DAMON L RPT
11760 S 700 E #112
(801) 432-2200
Provider ID: 100000515328
NPI: 1588730220
BAGLEY, BRENDAN JEROME
RPT
12433 S FORT ST
(801) 576-1086
Provider ID: 100000095343
NPI: 1174508154
BUDGE, EDWARD H RPT
12198 S FACTORY OUTLET DR #3
(801) 571-6600
Provider ID: 100000088279
NPI: 1417957291
CRANDALL, STEVEN G RPT
11762 S STATE ST #120
(801) 501-8359
Provider ID: 100000748781
NPI: 1154322816
UTAH
DRAPER
PHYSICAL THERAPY
Specialists
Sorted by state, city, specialty, then name
LITTLEDIKE, JASON STANLEY
RPT
12198
S FACTORY OUTLET DR #3
DRAPER (cont'd)
(801) 571-6600
Provider ID: 100000095793
PHYSICAL THERAPY (cont'd)
NPI: 1386644524
DEPOLA, MICHAEL T PT
NUMBERS, CHARLES B RPT
74 E KIMBALLS LN #200
12226 S 1000 E #1
(801) 432-2070
(801) 523-3415
Provider ID: 100000803007
Provider ID: 100000282914
NPI: 1114287612
NPI: 1437207016
FUHRIMAN, JOSHUA DAVID PT RILEY, SETH M RPT
11762 S STATE ST #120
11762 S STATE ST #120
(801) 501-8359
(801) 501-8359
Provider ID: 100000643424
Provider ID: 100000748784
NPI: 1376649400
NPI: 1427033109
FUHRIMAN, RYAN RUSSELL
ROBBINS, STEVEN EDWARD
PT
RPT
11762 S STATE ST #120
12198 S FACTORY OUTLET DR #3
(801) 501-8359
(801) 571-6600
Provider ID: 100000748782
Provider ID: 100000098177
NPI: 1609877372
NPI: 1225038474
HANSEN, DON H RPT
SCHWALBE, VALERIE A RPT
11760 S 700 E #112
11762 S STATE ST #120
(801) 432-2200
(801) 501-8359
Provider ID: 100000324660
Provider ID: 100000786592
NPI: 1326253204
NPI: 1568789345
HARWARD, JOSHUA A RPT
SHEPHERD, KEVIN L RPT
74 E KIMBALLS LN #200
12226 S 1000 E #1
(801) 432-2070
(801) 523-3415
Provider ID: 100000333229
Provider ID: 100000090199
NPI: 1922003417
NPI: 1679621254
HILL, VON OBERHANSLEY
SUMMERS, ANN PT
RPT
756 E 12200 S
12198 S FACTORY OUTLET DR #3 (801) 328-2522
(801) 571-6600
Provider ID: 100000895047
Provider ID: 100000088211
NPI: 1033344635
NPI: 1669472684
PLASTIC SURGERY
LEWIS, JOHN B PT
11613 S STATE ST
BINDRUP, JED REED MD
(801) 355-6468
11762 S STATE ST #260
Provider ID: 100001056371
(801) 316-1313
NPI: 1194913491
Provider ID: 100000088157
NPI: 1427038256
UTAH (cont'd)
53
UTAH
DRAPER
RHEUMATOLOGY
SELF, JOHN MICHAEL MD
11762 S STATE ST #260
(801) 266-3671
Provider ID: 100000098680
NPI: 1912012287
WARNOCK, STEVEN HANSEN
MD
11762 S STATE ST #220
(801) 571-2020
Provider ID: 100000088288
NPI: 1457337594
PODIATRY
ANDERSON, RYAN KEITH DPM
11762 S STATE ST #340
(801) 566-7297
Provider ID: 100000097892
NPI: 1053334730
DICKERSON, JASON BRENT
DPM
11800 S STATE ST #350
(801) 265-0600
Provider ID: 100000095625
NPI: 1528039377
ROYALL, STEVEN PAUL DPM
74 E KIMBALLS LN #350
(801) 784-1111
Provider ID: 100001078639
NPI: 1962442822
SEAGLE, BRYAN L DPM
11762 S STATE ST #340
(801) 566-7297
Provider ID: 100001078620
NPI: 1194799247
RHEUMATOLOGY
SHASKEY, DAVID JONATHAN
MD
11724 S STATE ST
(801) 576-2000
Provider ID: 100001152074
NPI: 1033220603
February 12, 2015
UTAH
DRAPER
SPEECH THERAPY
UTAH (cont'd)
DRAPER (cont'd)
SPEECH THERAPY
DEER, LAURA ANN CCCS
756 E 12200 S
(801) 328-2522
Provider ID: 100001107808
NPI: 1649487059
SPORTS MEDICINE
ANDERSON, LAURA M MD
1126 E 12300 S
(801) 545-0600
Provider ID: 100000802450
NPI: 1740270867
URGENT CARE OR WALK IN
ANDERSON, LAURA M MD
AFTER HOURS MEDICAL
1126 E 12300 S
(801) 545-0600
Provider ID: 100000802450
NPI: 1740270867
AUNE, DAVID L MD
AFTER HOURS MEDICAL
1126 E 12300 S
(801) 545-0600
Provider ID: 100000094361
NPI: 1598722340
FOSTER, CARLA
CHARBONNEAU MD
AFTER HOURS MEDICAL
1126 E 12300 S
(801) 545-0600
Provider ID: 100000887018
NPI: 1841237005
GRAVES, JERRY G APRN
AFTER HOURS MEDICAL
1126 E 12300 S
(801) 545-0600
Provider ID: 100001010522
NPI: 1659651750
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
STONE, GREGORY ALAN DO
AFTER HOURS MEDICAL
1126 E 12300 S
(801) 545-0600
Provider ID: 100001153618
NPI: 1750348330
UROLOGY
SNYDER, ORRENZO B MD
11724 S STATE ST
(801) 576-2000
Provider ID: 100000934342
NPI: 1720171259
VSP PROVIDERS – ROUTINE
VISION
FELLOWS, BRADLEY V OD
12256 S 900 E STE 403
(801)619-9494
NPI: 1841473295
MORTENSEN, RYAN J OD
12256 S 900 E STE 403
(801)619-9494
NPI: 1003818576
PEIRCE, SHERMAN H OD
12357 S 450 E STE 2
(801)572-9804
NPI: 1164455317
PETERSON, MICHAEL S OD
177 W 12300 S STE 111
(801)679-9177
NPI: 1528020955
RICE, DALLIN W OD
1147 DRAPER PKWY
(801)619-9555
NPI: 1467444273
RICE, R BRADLEY OD
1147 DRAPER PKWY
(801)619-9555
NPI: 1740272319
UTAH
FARMINGTON CHIROPRACTIC MEDICINE
EAGLE MOUNTAIN
CHIROPRACTIC MEDICINE
MILLER, JARED ALAN DC
3688 CAMPUS DR #110
(801) 789-5416
Provider ID: 100000097340
NPI: 1609825835
OPTOMETRY
BARNEY, TYLER J OD
3535 E RANCHES PKWY #C
(801) 789-3937
Provider ID: 100001087793
NPI: 1528268398
CASTLETON, KEITH J OD
8825 JEFFERSON DR
(801) 768-9316
Provider ID: 100000738201
NPI: 1730168071
PHYSICAL THERAPY
SCHULZ, SHAUN S RPT
3726 CAMPUS DR #H
(801) 789-7333
Provider ID: 100000098395
NPI: 1295783702
SUDWEEKS, MATTHEW P RPT
3726 CAMPUS DR #H
(801) 789-7333
Provider ID: 100000339470
NPI: 1861627937
FARMINGTON
AUDIOLOGY
BJARNASON, CAROLINE C
AUD
1401 N 1075 W #230
(801) 447-9456
Provider ID: 100000739853
NPI: 1336224906
CHIROPRACTIC MEDICINE
HENDRICKS, SIDNEY DEE DC
352 S 200 W #2
(801) 451-7900
Provider ID: 100000089822
NPI: 1831196633
54
UTAH
FARMINGTON
OPTOMETRY
UTAH (cont'd)
FARMINGTON (cont'd)
OPTOMETRY
BURNETT, DAVID B OD
57 N MAIN ST
(801) 447-4393
Provider ID: 100000105345
NPI: 1073520680
NICKLE, CHELLE OD
57 N MAIN ST
(801) 447-4393
Provider ID: 100000537542
NPI: 1144303983
PHYSICAL THERAPY
ARRINGTON, BRANDON IRBY
RPT
47 S 100 E
(801) 451-5985
Provider ID: 100001115944
NPI: 1992893747
SONDRUP, STUART C PT
47 S 100 E
(801) 451-5985
Provider ID: 100000747467
NPI: 1790066124
PODIATRY
GREEN, GARY ALLEN DPM
670 SHEPARD LN #102
(801) 451-7500
Provider ID: 100000091105
NPI: 1801896816
VSP PROVIDERS – ROUTINE
VISION
NICKLE, CHELLE OD
57 N MAIN ST
(801)447-4393
NPI: 1144303983
Specialists
Sorted by state, city, specialty, then name
UTAH
HARRISVILLE
OPTOMETRY
FARR WEST
OPTOMETRY
GILLILAND, RODNEY N OD
EAR NOSE THROAT460 N 325 E
OTOLARYNGOLOGY
(801) 827-9000
MAJOR, M SCOTT SCOTT MD
Provider ID: 100000856827
2850 N 2000 W
NPI: 1801800016
(801) 866-0169
HADLOCK, BRENT LEE OD
Provider ID: 100001012447
460 N 325 E
NPI: 1558394783
(801) 827-9000
Provider ID: 100001072132
OPTOMETRY
NPI: 1578648564
REED, PAUL EDWARD OD
HARTMAN,
AARON M OD
1761 N 2000 W
460
N
325
E
(801) 731-5558
(801) 827-9000
Provider ID: 100000086937
Provider ID: 100000523754
NPI: 1396792982
NPI: 1922258375
ORTHOPEDIC SURGERY
HIMES, RANDALL C OD
460 N 325 E
HIGBEE, DANIEL D DO
(801) 827-9000
2850 N 2000 W
Provider ID: 100000863431
(801) 732-1175
NPI: 1144380478
Provider ID: 100000564123
NPI: 1669702429
KESSLER, JENNIFER L OD
SUMKO, MICHAEL HENRY DO 460 N 325 E
(801) 827-9000
2850 N 2000 W
Provider ID: 100000811001
(801) 732-1175
NPI: 1811259336
Provider ID: 100000293754
NPI: 1609987270
KNOWLES, DUANE C OD
460 N 325 E
VSP PROVIDERS – ROUTINE
(801) 827-9000
VISION
Provider ID: 100000866043
REED, PAUL E OD
NPI: 1306935523
1761 N 2000 W
LEISHMAN, BENJAMIN H OD
(801)731-5558
460 N 325 E
NPI: 1396792982
(801) 827-9000
WHIPPLE, IAN OD
Provider ID: 100000785097
1761 N 2000 W
NPI: 1942438015
(801)731-5558
NEVERS, MARK W OD
NPI: 1487940466
460 N 325 E
(801) 827-9000
HARRISVILLE
Provider ID: 100000815917
NPI: 1366704959
OPHTHALMOLOGY
PURDY,
RUSSELL WILLIAM
WILLIAMS, LLOYD B MD
OD
460 N 325 E
460 N 325 E
(801) 827-9000
(801) 827-9000
Provider ID: 100000994635
Provider ID: 100000087907
NPI: 1730333741
NPI: 1295823029
55
February 12, 2015
UTAH
HARRISVILLE
OPTOMETRY
UTAH (cont'd)
HARRISVILLE (cont'd)
OPTOMETRY (cont'd)
ROE, FARRELL M OD
460 N 325 E
(801) 827-9000
Provider ID: 100001047453
NPI: 1225104110
HERRIMAN
CHIROPRACTIC MEDICINE
WARNER, TERAN A DC
5069 W 13400 S #100
(801) 253-8141
Provider ID: 100000708661
NPI: 1801193842
Specialists
Sorted by state, city, specialty, then name
VSP PROVIDERS – ROUTINE
VISION
HULET, PAUL OD
5528 W 13400 S
(801)302-3080
NPI: 1568690568
HIGHLAND
CHIROPRACTIC MEDICINE
PIERCE, DAVID GORDON DC
5337 W 11000 N
(801) 763-8662
Provider ID: 100000086401
NPI: 1639234529
OPTOMETRY
FROMM, KEVIN JAY OD
5455 W 11000 N #101
(801) 756-9357
OPTOMETRY
Provider ID: 100000093804
HULET, PAUL OD
NPI: 1659347144
5528 W 13400 S
POTTS, BRUCE T OD
(801) 302-3080
5455 W 11000 N #101
Provider ID: 100000359419
(801) 756-9357
NPI: 1568690568
Provider ID: 100000093823
NPI: 1598794281
PHYSICAL THERAPY
REESE,
WILLIAM CARLAN OD
SCHULZ, SHAUN S RPT
11038
HIGHLAND
BLVD #200
5734 W 13400 S #300
(801)
756-7150
(801) 302-7232
Provider ID: 100000729683
Provider ID: 100000098395
NPI: 1790757110
NPI: 1295783702
SUDWEEKS, MATTHEW P RPT WEAVER, STEVEN J OD
11038 HIGHLAND BLVD #200
5734 W 13400 S #300
(801) 756-7150
(801) 302-7232
Provider ID: 100000729684
Provider ID: 100000339470
NPI: 1487630588
NPI: 1861627937
11038 HIGHLAND BLVD #300
SPEECH THERAPY
(801) 756-7150
Provider ID: 100000097904
BROWNING, VICTORIA E SLP
NPI: 1487630588
6558 W CANDICE VIEW CV
(801) 493-9690
PODIATRY
Provider ID: 100000716991
SHELTON, SCOTT S DPM
NPI: 1871873356
5455 W 11000 N #203
(801) 451-6060
Provider ID: 100000770376
NPI: 1710114962
February 12, 2015
56
UTAH
HOLLADAY URGENT CARE OR WALK IN
URGENT CARE OR WALK IN
SCHULTZ, EDWARD RICHARD
MD
ON CALL DOC
5406 W 11000 N #103-412
(801) 610-9159
Provider ID: 100001105712
NPI: 1942287719
VSP PROVIDERS – ROUTINE
VISION
FROMM, KEVIN J OD
5455 W 11000 N STE 101
(801)756-9357
NPI: 1659347144
POTTS, BRUCE T OD
5455 W 11000 N STE 101
(801)756-9357
NPI: 1598794281
REESE, W CARLAN OD
11038 HIGHLAND BLVD STE 200
(801)756-7150
NPI: 1790757110
WEAVER, STEVEN J OD
11038 HIGHLAND BLVD STE 200
(801)756-7150
NPI: 1487630588
HOLLADAY
SPORTS MEDICINE
DUNN, JARED CLAUDER MD
4285 S HIGHLAND DR
(801) 278-2839
Provider ID: 100001141148
NPI: 1003823808
URGENT CARE OR WALK IN
DUNN, JARED CLAUDER MD
JCD ENTERPRISES
4285 S HIGHLAND DR
(801) 278-2839
Provider ID: 100001141148
NPI: 1003823808
UTAH
HOOPER
PODIATRY
Specialists
Sorted by state, city, specialty, then name
UTAH (cont'd)
OBSTETRICS AND
GYNECOLOGY
HOOPER
FARLEY, DUANE EARL MD
380 N 400 W
PODIATRY
(801) 547-9806
MURRAH, CHANTEL BINGHAM
Provider ID: 100000088030
DPM
NPI: 1538145586
5397 W 5100 S
OPTOMETRY
(801) 627-2122
Provider ID: 100001041199
ALLEN, SCOTT M OD
NPI: 1093791311
307 N 300 W #302
(801) 444-9977
KAYSVILLE
Provider ID: 100000112383
NPI: 1255442885
CHIROPRACTIC MEDICINE
TAYLOR, MARK ALLEN OD
ATKINSON, JASON DEMONT
128 N MAIN ST
DC
(801) 543-2525
73 E 200 N
Provider ID: 100000089943
(801) 593-8112
NPI: 1811992555
Provider ID: 100000269864
NPI: 1932106788
PHYSICAL THERAPY
GRANT, TODD NASH DC
COLLEDGE, KENNETH PAUL
280 W 200 N #A
RPT
(801) 546-2273
335 N 300 W #103
Provider ID: 100000088162
(801) 546-6868
NPI: 1265516165
Provider ID: 100000090975
THOMSON, DAVID BRYAN DC
NPI: 1861599227
459 N 300 W #13
GREENWOOD, MICHAEL
(801) 547-6688
JONATHAN RPT
Provider ID: 100000087852
275 W 200 N #9
NPI: 1902898927
(801) 778-0555
Provider ID: 100000716689
DERMATOLOGY
NPI: 1558343533
CHECKETTS, SCOTT RICHARD
JOHNSON,
NYLIN JEREMIAH
MD
RPT
380 N 400 W
1188 SPORTSPLEX DR #101
(801) 547-9806
(801) 547-1155
Provider ID: 100000090211
Provider ID: 100000087356
NPI: 1790762961
NPI: 1013010727
THOMSON, STEPHEN
LUND, REBEKAH E RPT
TALMAGE MD
1188 SPORTSPLEX DR #101
380 N 400 W
(801) 547-1155
(801) 547-9806
Provider ID: 100000338343
Provider ID: 100000519438
NPI: 1699900654
NPI: 1912960014
57
UTAH
LAYTON AUDIOLOGY
MCARTHUR, TRISHA RPT
1188 SPORTSPLEX DR #101
(801) 547-1155
Provider ID: 100000251923
NPI: 1215121728
OSTEYEE, DAVID B PT
335 N 300 W #103
(801) 546-6868
Provider ID: 100000093868
NPI: 1922171669
PODIATRY
FLITTON, TODD B DPM
380 N 400 W
(801) 547-9806
Provider ID: 100000090319
NPI: 1699751461
WARBY, DAVID HYRUM DPM
275 N 300 W #403
(801) 544-9441
Provider ID: 100000101429
NPI: 1912949421
VSP PROVIDERS – ROUTINE
VISION
GUMMOW, ALAN B OD
307 N 300 W STE 302
(801)444-9977
NPI: 1558550913
TAYLOR, MARK A OD
128 N MAIN ST
(801)543-2525
NPI: 1811992555
LAYTON
ALLERGY
JONES, DOUGLAS H MD
1660 W ANTELOPE DR #225
(801) 775-9800
Provider ID: 100000886902
NPI: 1346324761
AUDIOLOGY
BARWICK, NIKI L AUD
2255 N 1700 W #200
(801) 776-2180
Provider ID: 100000299293
NPI: 1952571465
February 12, 2015
UTAH
LAYTON
AUDIOLOGY
Specialists
Sorted by state, city, specialty, then name
UTAH (cont'd)
LAYTON (cont'd)
AUDIOLOGY (cont'd)
REDDY, BHAVANANDA T MD
2132 N 1700 W #200
(801) 776-0174
Provider ID: 100000802999
NPI: 1326130758
CHIROPRACTIC MEDICINE
BENNETT, DALE J DC
195 E GENTILE ST #7
(801) 546-3600
Provider ID: 100000091232
NPI: 1922012665
BOWDEN, COREY D DC
67 S MAIN ST #150
(801) 444-1230
Provider ID: 100000534681
NPI: 1063639359
BULLOUGH, JERRY JAY DC
360 S FORT LN #102
(801) 546-3731
Provider ID: 100000089343
NPI: 1558360198
DAHL, BRYON S DC
2335 E 3225 N
(801) 430-2933
Provider ID: 100000091649
NPI: 1336327287
CARDIOVASCULAR
FORD, RICHARD L DC
DISEASES
101 N FORT LN #101
HUMISTON, DANIEL JOHN MD (801) 546-0114
2132 N 1700 W #200
Provider ID: 100000104102
(801) 776-0174
NPI: 1760534929
Provider ID: 100000601382
JEFFERY,
RYAN C DC
NPI: 1780679829
1037 KIMBERLY DR
KIM, CHRISTOPHER Y MD
(801) 593-0999
2132 N 1700 W #200
Provider ID: 100000356556
(801) 776-0174
NPI: 1336291012
Provider ID: 100000700369
JOHNSON, WAYNE THOMAS
NPI: 1457650442
DC
OLSEN, STEPHANIE LAUREL
70 S FAIRFIELD RD #7
MD
(801) 444-1002
2132 N 1700 W #200
Provider ID: 100000091988
(801) 776-0174
NPI: 1558342105
Provider ID: 100000085290
MILLER,
BRAD L DC
NPI: 1396730404
101 N FORT LN #101
(801) 546-0114
Provider ID: 100000746865
NPI: 1609157965
DEVEREAUX, BRENDA D CCCA
975 N MAIN ST #3A
(801) 546-6309
Provider ID: 100000768195
NPI: 1245515980
SACCO, ROBERT CRAIG AUD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000089332
NPI: 1861545410
SHEPHERD, JENNIFER C AUD
70 S FAIRFIELD RD #10
(801) 444-0300
Provider ID: 100000821099
NPI: 1356601165
TURGOOSE, AARON C AUD
70 S FAIRFIELD RD #10
(801) 444-0300
Provider ID: 100000565815
NPI: 1689719445
February 12, 2015
58
UTAH
LAYTON
DERMATOLOGY
ROBB, BRANDON D DC
116 N ADAMSWOOD RD #1
(801) 547-9974
Provider ID: 100000601223
NPI: 1629383989
ROLLINS, SPENCER LYMAN
DC
1025 N MAIN ST
(801) 544-4333
Provider ID: 100000539223
NPI: 1326012881
SANDERS, R ERIC DC
180 W GORDON AVE
(801) 546-4500
Provider ID: 100000097598
NPI: 1619044179
SCOTT, MICHAEL DARREN DC
2297 N HILL FIELD RD #101
(801) 776-3200
Provider ID: 100000096450
NPI: 1346355781
THOMAS, JACK R DC
2771 N MAIN ST #202
(801) 825-7338
Provider ID: 100000972179
NPI: 1306101506
YOUNG, JAMES BRADELY DC
1410 N HILL FIELD RD #4
(801) 544-1401
Provider ID: 100000245345
NPI: 1861580888
DERMATOLOGY
CHECKETTS, SCOTT RICHARD
MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000090212
NPI: 1790762961
MARTINEAU, MICHAEL REED
MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000096573
NPI: 1790761559
UTAH
LAYTON
DERMATOLOGY
Specialists
Sorted by state, city, specialty, then name
UTAH
LAYTON NEPHROLOGY
LARSEN, WADE BRYANT MD
2121 N 1700 W #B
(801) 773-4840
LAYTON (cont'd)
Provider ID: 100000097584
NPI: 1326024191
DERMATOLOGY (cont'd)
MORRELL, DAVID GLENN MD
NEUENSCHWANDER,
2121 N 1700 W #B
BRADLEY G DO
(801) 773-4840
2121 N 1700 W
Provider ID: 100000090296
(801) 773-4840
NPI: 1720064694
Provider ID: 100000331589
OBERG, JON C MD
NPI: 1174740799
2121 N 1700 W
EAR NOSE THROAT(801) 773-4840
Provider ID: 100000544127
OTOLARYNGOLOGY
NPI: 1316035942
BITNER, JOHN B MD
WILSON,
PETER VINCEN MD
2121 N 1700 W
1580
W
ANTELOPE
DR #130
(801) 773-4840
GASTROENTEROLOGY
(801)
728-9555
Provider ID: 100000278022
KIYOMURA, ROBERT SHIGERU
Provider ID: 100000098985
NPI: 1336129543
MD
NPI: 1518998921
MELLOR, ROBERT LYNN MD 2084 N 1700 W #B
2121 N 1700 W #B
HAND SURGERY
(801) 773-9710
(801) 773-4840
Provider ID: 100000092644
ENGLISH, CHRISTOPHER S MD
Provider ID: 100000086260
NPI: 1922113380
2132 N 1700 W #230
NPI: 1023094992
POOLE, JEFFREY SCOTT MD
(801) 614-1380
OLSON, CHRISTOPHER S APRN 2132 N 1700 W #310
Provider ID: 100001143500
1600 W ANTELOPE DR
(801) 773-2268
NPI: 1912953647
(801) 262-8120
Provider ID: 100000097659
MIDWIFERY SERVICES
Provider ID: 100000779127
NPI: 1649266776
NPI: 1306997630
CARTER, STACIE A CNM
PUGH, BRIAN WILLIAM DO
RICHARDS, BRYAN LEE MD
1580 W ANTELOPE DR #290
2132 N 1700 W #310
2121 N 1700 W #B
(801) 776-0880
(801) 773-2268
(801) 773-4840
Provider ID: 100000810716
Provider ID: 100000086077
Provider ID: 100000093653
NPI: 1710180591
NPI: 1023005808
NPI: 1780660548
DEARDEN, VIVIAN M CNM
GENERAL SURGERY
SKEDROS, DEMETRIOS
1580 W ANTELOPE DR #290
GREGORY MD
HALVERSEN, ROY CHAD MD
(801) 776-0880
2255 N 1700 W #200
1201 N FAIRFIELD RD
Provider ID: 100000253239
(801) 776-2180
(801) 577-7055
NPI: 1437260510
Provider ID: 100000091250
Provider ID: 100000729854
NEPHROLOGY
NPI: 1821146242
NPI: 1275540585
STOCK, CURT ROBERT MD
JENSEN, JOSEPH WELDON DO AGARWAL, ADHISH KUMAR
MD
2255 N 1700 W #200
1580 W ANTELOPE DR #130
942 S MAIN ST
(801) 776-2180
(801) 728-9555
(801) 479-1117
Provider ID: 100000087423
Provider ID: 100000098940
Provider ID: 100000097452
NPI: 1275681686
NPI: 1164463477
NPI: 1164424750
UTAH (cont'd)
THOMPSON, SCOTT K MD
2255 N 1700 W #200
(801) 776-2180
Provider ID: 100000110467
NPI: 1356378095
VAN LEEUWEN, RICHARD N
MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000108511
NPI: 1871584482
WILCOX, BRYAN K MD
2255 N 1700 W #200
(801) 776-2180
Provider ID: 100000863985
NPI: 1891795779
59
February 12, 2015
UTAH
LAYTON
NEPHROLOGY
UTAH (cont'd)
LAYTON (cont'd)
NEPHROLOGY (cont'd)
INDAHYUNG, RUTH M MD
1600 W ANTELOPE DR
(801) 807-1000
Provider ID: 100000773084
NPI: 1649452772
MCDONALD, RYAN P MD
2132 N 1700 W #110
(801) 779-3500
Provider ID: 100000618447
NPI: 1194915561
YENCHEK, ROBERT H MD
942 S MAIN ST
(801) 593-9111
Provider ID: 100000869770
NPI: 1083890610
NEUROLOGICAL SURGERY
BANGERTER, KURT D MD
1916 N 700 W #250
(801) 479-0312
Provider ID: 100001058835
NPI: 1215948799
NEUROLOGY
HARKER, DUSTIN B MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000548207
NPI: 1225216096
SADIQ, MOHAMED
HABIBULLA MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000321474
NPI: 1164410403
SUMMERFIELD, ROBERT A E
MD
2121 N 1700 W
(801) 773-4840
Provider ID: 100001092229
NPI: 1215919659
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
UTAH
LAYTON
OBSTETRICS AND GYNECOLOGY
FARLEY, DUANE EARL MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000088031
NPI: 1538145586
FILLERUP, SHARON LEE MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000087437
OBSTETRICS AND
NPI: 1225014251
GYNECOLOGY
BITNER, MARK ROBERT MD HALL, CRAIG ROBERT MD
2121 N 1700 W #B
2121 N 1700 W #B
(801) 773-4840
(801) 773-4840
Provider ID: 100000088772
Provider ID: 100000093514
NPI: 1508842378
NPI: 1447236203
HUGHES,
WILLIAM GREGORY
BOHEEN, KAREN A DO
MD
2132 N 1700 W #300
1580 W ANTELOPE DR #290
(801) 728-0600
(801) 776-0880
Provider ID: 100000085210
Provider ID: 100000086900
NPI: 1467452383
NPI: 1881787885
CASSIERE, ERIN K MD
HURST, CRAIG LEROY MD
124 S FAIRFIELD RD
2132 N 1700 W #300
(801) 927-3077
(801) 774-8714
Provider ID: 100000808070
Provider ID: 100000091312
NPI: 1700048980
NPI: 1073554044
1580 W ANTELOPE DR #290
JOHANSSON,
JULIA WANETTA
(801) 776-0880
MD
Provider ID: 100000808070
1600 W ANTELOPE DR
NPI: 1700048980
(801) 337-5800
DAVIS, WESLEY B MD
Provider ID: 100000098307
1600 W ANTELOPE DR
NPI: 1174546998
(801) 337-5800
JOHNSON, STEVEN LOWELL
Provider ID: 100000339938
MD
NPI: 1003892480
DRAPER, MICHAEL LYNN MD 2121 N 1700 W #B
(801) 773-4840
1600 W ANTELOPE DR
Provider ID: 100000091682
(801) 807-1000
NPI: 1477539245
Provider ID: 100000096122
MEEK,
STEVEN CHARLES MD
NPI: 1992769368
2121
N
1700
W #B
DURBIN, TERESA VIRGINIA K
(801)
773-4840
MD
Provider ID: 100000091736
1580 W ANTELOPE DR #290
NPI: 1346228723
(801) 776-0880
MUSCOLINO, GINA M MD
Provider ID: 100000092511
1580 W ANTELOPE DR #290
NPI: 1609987791
(801) 776-0880
Provider ID: 100000331119
NPI: 1194825117
NURSING SERVICES
LAVASANI, TOORAN MAM
APRN
942 S MAIN ST
(801) 593-9111
Provider ID: 100000096171
NPI: 1861582470
60
Specialists
UTAH
Sorted by state, city, specialty, then name
LAYTON
OBSTETRICS AND GYNECOLOGY
UTAH (cont'd)
LAYTON (cont'd)
OBSTETRICS AND
GYNECOLOGY (cont'd)
ONCOLOGY
STINNETT, JASON MARK MD
1492 W ANTELOPE DR #125
(801) 525-3022
Provider ID: 100000033194
NPI: 1861501694
OSTLER, LESLIE A MD
1580 W ANTELOPE DR #290
(801) 776-0880
Provider ID: 100000574334
NPI: 1568683738
SUMSION, KEVIN SPAFFORD
MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000090317
NPI: 1255317053
OPHTHALMOLOGY
HESS, CHRISTIAN LEONARD
MD
2255 N 1700 W #100
(801) 773-0690
Provider ID: 100000093971
NPI: 1073505319
HOWARD, JAMES G MD
2132 N 1700 W #130
(801) 775-8222
Provider ID: 100000116201
OCCUPATIONAL THERAPY
NPI: 1033110119
DELONG, SAMUEL J OT
KNUDSEN, VICTORIA L MD
2179 N 1700 W #5
2132 N 1700 W #130
(801) 773-2633
(801) 775-8222
Provider ID: 100000697156
Provider ID: 100000781244
NPI: 1780603910
NPI: 1174574800
KWUN, ROBERT CHOI MD
ONCOLOGIST/
2132 N 1700 W #130
HEMATOLOGIST
(801) 775-8222
DIFIORE, KENT CHRISTOPHER
Provider ID: 100000094473
MD
NPI: 1457338162
1492 W ANTELOPE DR #125
NELSON,
LAURENCE MERL
(801) 525-3022
MD
Provider ID: 100000092012
2121 N 1700 W #B
NPI: 1649229618
(801) 773-4840
JOHNSON, HAROLD MARK MD
Provider ID: 100000093683
2132 N 1700 W #301
NPI: 1730165697
(801) 775-9990
PETERSON,
JARED D MD
Provider ID: 100000094543
1580
W
ANTELOPE
DR #175
NPI: 1326156191
(801) 773-2233
KLEIN, REGINA C MD
Provider ID: 100001158755
1492 W ANTELOPE DR #125
NPI: 1982834834
(801) 525-3022
SWARTZ,
MANO MD
Provider ID: 100000084865
2132
N
1700
W #130
NPI: 1457300980
(801) 775-8222
Provider ID: 100000085296
NPI: 1801870670
61
UTAH
LAYTON
OPTOMETRY
TREFT, ROBERT L MD
1580 W ANTELOPE DR #175
(801) 773-2233
Provider ID: 100000089362
NPI: 1851361539
WALLIN, TREVIN R MD
2255 N 1700 W #100
(801) 773-0690
Provider ID: 100000115381
NPI: 1396885422
WASHBURN, MICHAEL D MD
2255 N 1700 W #100
(801) 773-0690
Provider ID: 100000090783
NPI: 1548252885
WILLIAMS, LLOYD B MD
1076 LAYTON HILLS MALL
(801) 546-0255
Provider ID: 100000994672
NPI: 1730333741
WINWARD, KIRK EDWARD MD
2132 N 1700 W #130
(801) 775-8222
Provider ID: 100000087858
NPI: 1962487611
OPTOMETRY
BIGLER, RICHARD J OD
1201 N HILL FIELD RD #2046
(801) 444-7200
Provider ID: 100001166396
NPI: 1235138066
BRUDERER, PAUL CHRISTIAN
OD
2121 N 1700 W
(801) 773-4840
Provider ID: 100000095911
NPI: 1316956576
CUTLER, GARY D OD
1201 N HILL FIELD RD #2046
(801) 444-7200
Provider ID: 100001137366
NPI: 1689736126
195 E GENTILE ST #3
(801) 546-2020
Provider ID: 100000089344
NPI: 1689736126
February 12, 2015
UTAH
LAYTON
OPTOMETRY
UTAH (cont'd)
LAYTON (cont'd)
OPTOMETRY (cont'd)
DAVID II, JAMES R OD
180 W GORDON AVE #E1
(801) 546-2481
Provider ID: 100000855487
NPI: 1932289691
GIBBONS, TIMOTHY LEE OD
1492 W ANTELOPE DR #150
(801) 774-7804
Provider ID: 100001069116
NPI: 1700967593
GILLILAND, RODNEY N OD
1076 LAYTON HILLS MALL
(801) 546-0255
Provider ID: 100000856832
NPI: 1801800016
HADERLIE, SCOTT ROBERTS
OD
1150 N MAIN ST
(801) 547-9100
Provider ID: 100000087439
NPI: 1386694677
HADLOCK, BRENT LEE OD
1076 LAYTON HILLS MALL
(801) 546-0255
Provider ID: 100001072151
NPI: 1578648564
HARTMAN, AARON M OD
1076 LAYTON HILLS MALL
(801) 546-0255
Provider ID: 100001041171
NPI: 1922258375
HIMES, RANDALL C OD
1076 LAYTON HILLS MALL
(801) 546-0255
Provider ID: 100000863442
NPI: 1144380478
JENSEN, DENMARK R OD
180 W GORDON AVE #E1
(801) 546-2481
Provider ID: 100000098938
NPI: 1538127170
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
JEPSEN, NOLAN LOREN OD
1580 W ANTELOPE DR #175
(801) 773-2233
Provider ID: 100000088464
NPI: 1437129681
JOLLEY, JERALD TED OD
1201 N HILL FIELD RD #2046
(801) 444-7200
Provider ID: 100001166394
NPI: 1538197330
KESSLER, JENNIFER L OD
1076 LAYTON HILLS MALL
(801) 546-0255
Provider ID: 100000811338
NPI: 1811259336
KNOWLTON, FRANKLIN
RENNY OD
195 E GENTILE ST #3
(801) 546-2020
Provider ID: 100000089087
NPI: 1215095245
LARSEN, MICHAEL CRAIG OD
815 W 2000 N
(801) 776-4426
Provider ID: 100000093835
NPI: 1720152309
LEISHMAN, BENJAMIN H OD
1076 LAYTON HILLS MALL
(801) 546-0255
Provider ID: 100000785090
NPI: 1942438015
MORGAN, ALAN KEITH OD
1492 W ANTELOPE DR #150
(801) 774-7804
Provider ID: 100000091603
NPI: 1437230224
NEVERS, MARK W OD
1076 LAYTON HILLS MALL
(801) 546-0255
Provider ID: 100000815933
NPI: 1366704959
PURDY, RUSSELL WILLIAM
OD
1076 LAYTON HILLS MALL
(801) 546-0255
Provider ID: 100000087907
NPI: 1295823029
62
UTAH
LAYTON
ORTHOPEDIC SURGERY
REES, ALAN THOMAS OD
489 W 2275 N #B
(801) 776-2020
Provider ID: 100000090118
NPI: 1194854265
ROE, FARRELL M OD
1076 LAYTON HILLS MALL
(801) 546-0255
Provider ID: 100001047481
NPI: 1225104110
THOMPSON, DALE E OD
289 W 2275 N #2
(801) 776-2020
Provider ID: 100000256437
NPI: 1700848892
TIPTON, JEFFREY PAUL OD
1055 W HILL FIELD RD
(801) 444-7160
Provider ID: 100000096826
NPI: 1366443079
TURNER, GLEN CLAUDE OD
745 W HILL FIELD RD
(801) 546-4759
Provider ID: 100000085896
NPI: 1316044209
VINCENT, BRYAN HARLOW
OD
1492 W ANTELOPE DR #150
(801) 774-7804
Provider ID: 100000089152
NPI: 1982785770
ORTHOPEDIC SURGERY
BEAN, CHARLES PARRISH MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000091248
NPI: 1205812245
COOK, DAVID ALLEN MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000091632
NPI: 1285610048
DEE, MICHAEL SCOT MD
2950 N CHURCH ST #101B
(801) 475-5683
Provider ID: 100000922553
NPI: 1710106653
UTAH
LAYTON
ORTHOPEDIC SURGERY
Specialists
Sorted by state, city, specialty, then name
MCCANDLESS, JEREMY B MD
1580 W ANTELOPE DR #200
(801) 355-6468
LAYTON (cont'd)
Provider ID: 100000558498
NPI: 1700074127
ORTHOPEDIC SURGERY
1600 W ANTELOPE DR #101
(cont'd)
(801) 355-6468
ENGLISH, CHRISTOPHER S MD
Provider ID: 100000558498
2132 N 1700 W #230
NPI: 1700074127
(801) 614-1380
RICE, ROBERT S MD
Provider ID: 100001143500
2121 N 1700 W #B
NPI: 1912953647
(801) 773-4840
HOFMANN, AARON ADAM MD
Provider ID: 100000540424
1580 W ANTELOPE DR #200
NPI: 1730166182
(801) 355-6468
SVAGR, BOB MD
Provider ID: 100000559978
2121 N 1700 W #B
NPI: 1801986401
(801) 773-4840
1600 W ANTELOPE DR #101
Provider ID: 100000099199
(801) 355-6468
NPI: 1164408118
Provider ID: 100000559978
THOMAS,
BRUCE EDWARD MD
NPI: 1801986401
2950 N CHURCH ST #101B
JEE, KENNETH WESLEY MD
(801) 475-5683
2121 N 1700 W #B
Provider ID: 100000808238
(801) 773-4840
NPI: 1255422192
Provider ID: 100000089449
WATSON, BRENT THOMAS MD
NPI: 1679559538
2132 N 1700 W #230
LYMAN, MATTHEW H DO
(801) 773-3900
2132 N 1700 W #230
Provider ID: 100000281537
(801) 773-3900
NPI: 1225129158
Provider ID: 100000564326
ORTHOPEDICS
NPI: 1851307706
MADSEN, WES Y MD
DONIGAN, JONATHAN A MD
2121 N 1700 W #B
2121 N 1700 W #B
(801) 773-4840
(801) 773-4840
Provider ID: 100000938343
Provider ID: 100000703820
NPI: 1649396409
NPI: 1750599171
MAGEE, TREVOR H MD
PAIN MANAGEMENT
1580 W ANTELOPE DR #200
GARG, VIKAS MD
(801) 355-6468
2132 N 1700 W #307
Provider ID: 100000709717
(801) 807-7980
NPI: 1154543361
Provider ID: 100000558648
1600 W ANTELOPE DR #101
NPI: 1104852599
(801) 355-6468
Provider ID: 100000709717
GLINES, RICHARD L MD
NPI: 1154543361
1600 W ANTELOPE DR
(801) 209-7348
Provider ID: 100001056439
NPI: 1790794063
UTAH (cont'd)
63
UTAH
LAYTON
PHYSICAL MEDICINE AND
REHABILITATION
PEDIATRIC EAR NOSE,
THROAT
KELLY, STEVEN MICHAEL MD
2255 N 1700 W #200
(801) 776-2180
Provider ID: 100000090070
NPI: 1841348240
PHYSICAL MEDICINE AND
REHABILITATION
ADLER, ZOE A MD
1580 W ANTELOPE DR #200
(801) 355-6468
Provider ID: 100000810013
NPI: 1639323462
1600 W ANTELOPE DR #101
(801) 355-6468
Provider ID: 100000810013
NPI: 1639323462
BRANDT, WILLIAM
FREDERICK MD
1916 N 700 W #250
(801) 479-0312
Provider ID: 100000091960
NPI: 1760593313
DERR, MICHAEL J DO
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000787573
NPI: 1821167412
HUMPHERYS, BENJAMIN R DO
2121 N 1700 W
(801) 773-4840
Provider ID: 100000282783
NPI: 1891728036
MORGAN, BRIAN HAYDEN MD
1916 N 700 W #250
(801) 479-0312
Provider ID: 100000092134
NPI: 1598873283
SHEPHERD, DOUGLAS TRACEY
MD
1916 N 700 W #250
(801) 479-0312
Provider ID: 100000087920
NPI: 1659482289
February 12, 2015
UTAH
LAYTON
PHYSICAL THERAPY
Specialists
Sorted by state, city, specialty, then name
ITA'AEHAU, MELISSA ARLENE
RPT
1916 N 700 W #240
LAYTON (cont'd)
(801) 479-5846
Provider ID: 100000824298
PHYSICAL THERAPY
NPI: 1043319528
BAWDEN, DEVEN M RPT
505 E GENTILE ST
1916 N 700 W #120
(801) 593-8300
(801) 217-3621
Provider ID: 100000786379
Provider ID: 100000803034
NPI: 1043319528
NPI: 1316019037
JENKINS, RUSTY L PT
BLACK, ROBERT GRANT PT
1916 N 700 W #240
1916 N 700 W #240
(801) 479-5846
(801) 479-5846
Provider ID: 100000977560
Provider ID: 100000824304
NPI: 1376723106
NPI: 1457499428
505 E GENTILE ST
BOWSER, RICK ALAN RPT
(801) 593-8300
2121 N 1700 W #A
Provider ID: 100000890071
(801) 773-1350
NPI: 1376723106
Provider ID: 100000087192
JOHNSON, NYLIN JEREMIAH
NPI: 1386748846
RPT
BOYLE, BRIAN J PT
3225 W GORDON AVE #3
3225 W GORDON AVE #3
(801) 497-0800
(801) 497-0800
Provider ID: 100000087356
Provider ID: 100000850847
NPI: 1013010727
NPI: 1629078159
JUDD, ROBYN MARIE PT
CHAVEZ, ERNIE CHASIAS RPT 1916 N 700 W #240
1916 N 700 W #240
(801) 479-5846
(801) 479-5846
Provider ID: 100000824305
Provider ID: 100000824299
NPI: 1295834679
NPI: 1013016559
505 E GENTILE ST
(801) 593-8300
CRESSWELL, ASHLEE D RPT
Provider ID: 100000977561
505 E GENTILE ST
NPI: 1295834679
(801) 593-8300
Provider ID: 100000977556
KERBS, ALAN JOHN RPT
NPI: 1811201817
2179 N 1700 W #4
(801) 728-4624
GOFF, MEGAN E RPT
Provider ID: 100000095934
3225 W GORDON AVE #3
NPI: 1952485625
(801) 497-0800
Provider ID: 100000276448
LARSEN, ROYCE ANDERS RPT
NPI: 1386805836
1492 W ANTELOPE DR #100
(801) 825-8091
Provider ID: 100000088154
NPI: 1790800431
UTAH (cont'd)
February 12, 2015
64
UTAH
LAYTON
PLASTIC SURGERY
LESCHKE, KURT A RPT
2950 N CHURCH ST #102
(801) 547-9462
Provider ID: 100000285315
NPI: 1235321647
LEWIS, JOHN B PT
1492 W ANTELOPE DR #110
(801) 355-6468
Provider ID: 100001056371
NPI: 1194913491
MEADS, DAVID T RPT
2121 N 1700 W #A
(801) 773-1350
Provider ID: 100000091588
NPI: 1942304589
MERRILL, AJA E RPT
1916 N 700 W #120
(801) 217-3621
Provider ID: 100000265868
NPI: 1821198540
ROSS, VICTORIA S PT
1916 N 700 W #240
(801) 479-5846
Provider ID: 100000824307
NPI: 1679887392
SCHROEDER, GREGORY P RPT
1550 N MAIN ST #C
(801) 217-3755
Provider ID: 100000773657
NPI: 1053362152
VENDELA, TIFFANY R RPT
2950 N CHURCH ST #102
(801) 547-9462
Provider ID: 100000617012
NPI: 1932438249
WIESE, KORRYN PT
1916 N 700 W #120
(801) 217-3621
Provider ID: 100000103979
NPI: 1528036878
PLASTIC SURGERY
YATES, YORK JAY MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000097678
NPI: 1851377725
UTAH
LAYTON
PODIATRY
UTAH (cont'd)
LAYTON (cont'd)
PODIATRY
CLARK, SCOTT A DPM
1660 W ANTELOPE DR #110
(801) 825-4709
Provider ID: 100000268702
NPI: 1700865748
FLITTON, TODD B DPM
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000090320
NPI: 1699751461
HARPER, SPENCE DOUGLAS
DPM
1660 W ANTELOPE DR #110
(801) 825-4709
Provider ID: 100000268711
NPI: 1851394803
OAKS, GARY N DPM
1660 W ANTELOPE DR #110
(801) 825-4709
Provider ID: 100000754607
NPI: 1922294768
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100001116089
NPI: 1922294768
POTTER, BROOKS HAWKES
DPM
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000096985
NPI: 1629054580
RICHMAN, BRIAN HOLT DPM
1660 W ANTELOPE DR #110
(801) 825-4709
Provider ID: 100000087583
NPI: 1831124247
RUSHTON, RYAN TAYLOR
DPM
1492 W ANTELOPE DR #150
(801) 774-7804
Provider ID: 100000094786
NPI: 1013007632
Specialists
Sorted by state, city, specialty, then name
SEEGMILLER, DAVID CRAIG
DPM
1660 W ANTELOPE DR #110
(801) 825-4709
Provider ID: 100000318873
NPI: 1619914751
SEEGMILLER, RICHARD
GREGG DPM
1660 W ANTELOPE DR #110
(801) 825-4709
Provider ID: 100000271891
NPI: 1174539449
WARBY, DAVID HYRUM DPM
2950 N CHURCH ST #303
(801) 544-9441
Provider ID: 100000101429
NPI: 1912949421
PULMONARY DISEASES
ALEXANDER, GARY JAMES
MD
1600 W ANTELOPE DR
(801) 807-7120
Provider ID: 100000087865
NPI: 1265418024
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000087864
NPI: 1265418024
KLEIN, DAVID MD
1600 W ANTELOPE DR
(801) 807-1000
Provider ID: 100000761536
NPI: 1124075437
RADIATION ONCOLOGY
CLARKE, JAMES W MD
2132 N 1700 W #B101
(801) 807-7777
Provider ID: 100000360135
NPI: 1295959724
FISHER, BRANDON J MD
2132 N 1700 W #B101
(801) 807-7777
Provider ID: 100000867852
NPI: 1275789026
65
UTAH
LAYTON
SPEECH THERAPY
HANSEN, ROGER SCOTT MD
2132 N 1700 W #B101
(801) 807-7777
Provider ID: 100000319685
NPI: 1811036478
HARRIS, ROBERT ALAN MD
2132 N 1700 W #B101
(801) 807-7777
Provider ID: 100000098517
NPI: 1144369752
HAYES JR, JOHN KEITH MD
2132 N 1700 W #B101
(801) 807-7777
Provider ID: 100000089008
NPI: 1275672933
REILLY, MARK WILLIAM MD
2132 N 1700 W #B101
(801) 807-7777
Provider ID: 100000319688
NPI: 1699799981
RICHARDS, RAY STAYNER MD
2132 N 1700 W #B101
(801) 807-7777
Provider ID: 100000092044
NPI: 1063551695
ROGERS, CHARLES LELAND
MD
2132 N 1700 W #B101
(801) 807-7777
Provider ID: 100000319690
NPI: 1609915289
RHEUMATOLOGY
AUSTAD, GREGORY T MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000766885
NPI: 1558574087
SPEECH THERAPY
PLUMLEY, MARK R SLP
82 E ANTELOPE DR
(801) 928-5325
Provider ID: 100001118825
NPI: 1518140953
February 12, 2015
UTAH
LAYTON
SPORTS MEDICINE
UTAH (cont'd)
LAYTON (cont'd)
SPORTS MEDICINE
ANDERSON, LAURA M MD
1550 N MAIN ST #E
(801) 614-9030
Provider ID: 100000802460
NPI: 1740270867
DEE, MICHAEL SCOT MD
2950 N CHURCH ST #101B
(801) 475-5683
Provider ID: 100000922553
NPI: 1710106653
URGENT CARE OR WALK IN
ANDERSON, LAURA M MD
AFTER HOURS MEDICAL
1550 N MAIN ST #E
(801) 614-9030
Provider ID: 100000802460
NPI: 1740270867
GRAVES, JERRY G APRN
AFTER HOURS MEDICAL
1550 N MAIN ST #E
(801) 614-9030
Provider ID: 100000821658
NPI: 1659651750
JONES, DOUGLAS H MD
ROCKY MOUNTAIN ALLERGY
ASTHMA & IMMUNOLOGY
1660 W ANTELOPE DR #225
(801) 775-9800
Provider ID: 100000886902
NPI: 1346324761
VACHAROTHONE, RACHOT K
MD
AFTER HOURS MEDICAL
1550 N MAIN ST #E
(801) 614-9030
Provider ID: 100000086215
NPI: 1548228497
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
UROLOGY
FOOT, LAURA M MD
2121 N 1700 W
(801) 773-4840
Provider ID: 100000313528
NPI: 1831385244
OTTO, SAMUEL J MD
2950 N CHURCH ST #101A
(801) 771-7750
Provider ID: 100000359368
NPI: 1154565273
2950 N CHURCH ST #200
(801) 546-9441
Provider ID: 100000794981
NPI: 1154565273
REYNOLDS, JAMES ROBERT
MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100000097285
NPI: 1568448504
UTAH
LEHI
CHIROPRACTIC MEDICINE
JEPSEN, NOLAN L OD
1580 W ANTELOPE DR STE 175
(801)773-2233
NPI: 1437129681
KNOWLTON, FRANKLIN R OD
195 E GENTILE ST STE 3
(801)546-2020
NPI: 1215095245
REES, ALAN T OD
1706 HERITAGE PRK BLVD STE 5
(801)776-2020
NPI: 1194854265
THOMPSON, DALE E OD
1706 HERITAGE PRK BLVD STE 5
(801)776-2020
NPI: 1700848892
TREFT, ROBERT L MD
1580 W ANTELOPE DR STE 175
(801)773-2233
NPI: 1851361539
LEHI
VASCULAR SURGERY
TAYLOR, ROY ANDREW MD
2121 N 1700 W #B
(801) 773-4840
Provider ID: 100001067481
NPI: 1720038086
AUDIOLOGY
DANSIE, JOSEPH E AUD
220 N 1200 E #101
(801) 768-3500
Provider ID: 100000589558
NPI: 1972818185
VSP PROVIDERS – ROUTINE
VISION
BOWMAN, ADAM M MD
1580 W ANTELOPE DR STE 175
(801)773-2233
NPI: 1184846131
CUTLER, GARY D OD
195 E GENTILE ST STE 3
(801)546-2020
NPI: 1689736126
DAVID II, JAMES R OD
180 W GORDON AVE STE 1
(801)546-2481
NPI: 1932289691
JENSEN, DENMARK R OD
180 W GORDON AVE STE 1
(801)546-2481
NPI: 1538127170
CHIROPRACTIC MEDICINE
ALDRIDGE, MARK S DC
3300 N RUNNING CREEK WAY
#200
(801) 766-4113
Provider ID: 100000779026
NPI: 1386780906
ANDERSEN, RONALD DEAN DC
380 E MAIN ST #E
(801) 768-2939
Provider ID: 100000093001
NPI: 1841356235
BAIRD, PAUL SESSIONS DC
785 E 200 S #6A
(801) 766-4741
Provider ID: 100000098156
NPI: 1992795991
66
UTAH
LEHI
CHIROPRACTIC MEDICINE
UTAH (cont'd)
LEHI (cont'd)
CHIROPRACTIC MEDICINE
(cont'd)
HADERLIE, BRETT J DC
380 E MAIN ST #E
(801) 768-2939
Provider ID: 100000278703
NPI: 1699931774
WALKER, AARON B DC
3300 RUNNING CREEK WAY
BLDG E #200
(801) 766-4113
Provider ID: 100000351051
NPI: 1942460043
DERMATOLOGY
MACDONALD, JAMES B MD
220 N 1200 E
(801) 418-0920
Provider ID: 100001096355
NPI: 1750517736
MYERS, DAVID J MD
680 E MAIN ST #201
(801) 768-8800
Provider ID: 100000781159
NPI: 1255425252
EAR NOSE THROATOTOLARYNGOLOGY
SHIPLEY, SCOTT G MD
220 N 1200 E #101
(801) 768-3500
Provider ID: 100000545959
NPI: 1477510329
GASTROENTEROLOGY
KAWA, CHAD B MD
3300 RUNNING CREEK WAY
#B100
(801) 766-4214
Provider ID: 100001092097
NPI: 1962654681
Specialists
Sorted by state, city, specialty, then name
GENERAL SURGERY
COTTAM, DANIEL R MD
3300 RUNNING CREEK WAY
#250-D
(801) 746-2285
Provider ID: 100000601454
NPI: 1760574776
MARION, MICHAEL D MD
680 E MAIN ST
(801) 331-8554
Provider ID: 100000999433
NPI: 1942402433
HEAD AND NECK SURGERY
SHIPLEY, SCOTT G MD
220 N 1200 E #101
(801) 768-3500
Provider ID: 100000545959
NPI: 1477510329
OPHTHALMOLOGY
SMALLEY, AARON D MD
220 N 1200 E #101
(801) 341-6200
Provider ID: 100000285686
NPI: 1346467115
WILLIAMS, LLOYD B MD
1438 E MAIN ST #4
(801) 753-7999
Provider ID: 100000994633
NPI: 1730333741
OPTOMETRY
BARNEY, TYLER J OD
1438 E MAIN ST #4
(801) 753-7999
Provider ID: 100000540630
NPI: 1528268398
GILLILAND, RODNEY N OD
1438 E MAIN ST #4
(801) 753-7999
Provider ID: 100000856827
NPI: 1801800016
GRAY, ROBERT F OD
785 E 200 S #9
(801) 768-4100
Provider ID: 100000090007
NPI: 1790757904
67
UTAH
LEHI ORTHOPEDIC SURGERY
HADLOCK, BRENT LEE OD
1438 E MAIN ST #4
(801) 753-7999
Provider ID: 100001072130
NPI: 1578648564
HIMES, RANDALL C OD
1438 E MAIN ST #4
(801) 753-7999
Provider ID: 100000863430
NPI: 1144380478
KESSLER, JENNIFER L OD
1438 E MAIN ST #4
(801) 753-7999
Provider ID: 100000811001
NPI: 1811259336
KNOWLES, DUANE C OD
1438 E MAIN ST #4
(801) 753-7999
Provider ID: 100001068200
NPI: 1306935523
LEISHMAN, BENJAMIN H OD
1438 E MAIN ST #4
(801) 753-7999
Provider ID: 100000785075
NPI: 1942438015
NEVERS, MARK W OD
1438 E MAIN ST #4
(801) 753-7999
Provider ID: 100000815917
NPI: 1366704959
PICKERING, ROGER M OD
86 W MAIN ST
(801) 766-1696
Provider ID: 100000094602
NPI: 1770577058
ROE, FARRELL M OD
1438 E MAIN ST #4
(801) 753-7999
Provider ID: 100001047452
NPI: 1225104110
ORTHOPEDIC SURGERY
RITCHIE, PAUL KOHLER MD
680 E MAIN ST #200
(801) 763-3885
Provider ID: 100000098962
NPI: 1720021678
February 12, 2015
UTAH
LEHI
ORTHOPEDIC SURGERY
UTAH (cont'd)
LEHI (cont'd)
ORTHOPEDIC SURGERY
(cont'd)
WELLS, JOHN TRACY MD
680 E MAIN ST #200
(801) 763-3885
Provider ID: 100000094411
NPI: 1740371376
ORTHOPEDICS
HOOPES, DANIEL M MD
680 E MAIN ST #200
(801) 429-8000
Provider ID: 100001106832
NPI: 1255505582
PHYSICAL THERAPY
BUCHANAN, STEPHEN J RPT
3300 N RUNNING CREEK WAY
#B150
(801) 766-4244
Provider ID: 100000118128
NPI: 1942428941
JENSEN, BENJAMIN J RPT
3300 N RUNNING CREEK WAY
#B150
(801) 766-4244
Provider ID: 100000115872
NPI: 1609982818
MENDENHALL, WENDELL
BUCK RPT
680 E MAIN ST
(801) 373-1053
Provider ID: 100000088410
NPI: 1275682262
ORROCK, STEVEN J RPT
680 E MAIN ST
(801) 373-1053
Provider ID: 100000092972
NPI: 1629125174
PETERSON, BRIAN K PT
123 N CENTER ST
(801) 766-8460
Provider ID: 100000067842
NPI: 1306865027
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
UTAH
MAGNA NEUROLOGY
PLASTIC SURGERY
MARION, MICHAEL D MD
680 E MAIN ST
(801) 331-8554
Provider ID: 100000999433
NPI: 1942402433
OPTOMETRY
BEAN, BRUCE ROBERT OD
585 N STATE ST
(801) 785-8512
Provider ID: 100000099353
NPI: 1528174000
PODIATRY
PHILLIPS, STANLEY J DPM
680 E MAIN ST #100
(801) 766-0606
Provider ID: 100000094232
NPI: 1841202397
PLASTIC SURGERY
CROFTS, KIMBALL MAURICE
MD
385 W 600 N
(801) 785-8825
Provider ID: 100000090102
NPI: 1437216306
SPORTS MEDICINE
WEENIG, KARL N MD
680 E MAIN ST #200
(801) 763-3885
Provider ID: 100000098703
NPI: 1740242973
URGENT CARE OR WALK IN
ADAMS, BRYAN K APRN
UTAH VALLEY URGENT CARE
127 E MAIN ST #E
(801) 768-1555
Provider ID: 100000094382
NPI: 1578654224
VSP PROVIDERS – ROUTINE
VISION
GRAY, ROBERT F OD
785 E 200 S STE 9
(801)768-4100
NPI: 1790757904
PICKERING, ROGER M OD
86 W MAIN ST
(801)766-1696
NPI: 1770577058
LINDON
DERMATOLOGY
MYERS, DAVID J MD
385 W 600 N
(801) 768-8800
Provider ID: 100000781159
NPI: 1255425252
68
MAGNA
CHIROPRACTIC MEDICINE
SWENSON, JOSEPH
WOODRUFF DC
3564 S 7200 W #D
(801) 508-7246
Provider ID: 100000089991
NPI: 1194843698
EAR NOSE THROATOTOLARYNGOLOGY
JONES, ALAN C DO
3665 S 8400 W #110
(801) 250-9638
Provider ID: 100001124387
NPI: 1598743973
HAND SURGERY
BURROWS, JAMES DOUGLAS
MD
3665 S 8400 W #200
(801) 964-3925
Provider ID: 100000343377
NPI: 1477506913
NEUROLOGY
REISER, REBECCA H MD
3665 S 8400 W #206
(801) 352-8373
Provider ID: 100000593923
NPI: 1639336795
UTAH
MAGNA
OPTOMETRY
UTAH (cont'd)
MAGNA (cont'd)
OPTOMETRY
LARSEN, SHAUN DEAN OD
3665 S 8400 W #100
(801) 250-5745
Provider ID: 100000093724
NPI: 1073540167
Specialists
Sorted by state, city, specialty, then name
UTAH
MIDVALE OBSTETRICS AND GYNECOLOGY
UROLOGY
PARKINSON, JUSTIN P MD
3665 S 8400 W #200
(801) 955-4685
Provider ID: 100000110456
NPI: 1851314066
WIMMER, JEREMY PAUL DC
6717 S 900 E #101
(801) 268-8051
Provider ID: 100000098192
NPI: 1659318632
DERMATOLOGY
VSP PROVIDERS – ROUTINE HINCKLEY, MICHAEL R MD
602 E FORT UNION BLVD #2
VISION
(801) 313-1010
LARSEN, SHAUN D OD
Provider ID: 100000764480
3665 S 8400 W STE 100
NPI: 1760665707
ORTHOPEDIC SURGERY
(801)250-5745
JENSEN, JOSEPH DEAN MD
BELTON, CHRISTOPHER G DO
NPI: 1073540167
7396 S UNION PARK AVE #201
3665 S 8400 W #200
(801) 567-1400
MIDVALE
(801) 964-3925
Provider ID: 100000089994
Provider ID: 100000743238
NPI: 1740281500
ALLERGY
NPI: 1710920590
GLEICH, GERALD JOSEPH MD WILLIAMS, BRIAN JEFFREY
SILVERO, PETER R MD
MD
7495 S STATE ST
3665 S 8400 W #200
602 E FORT UNION BLVD #2
(801)
213-9400
(801) 964-3925
(801) 313-1010
Provider
ID:
100000245463
Provider ID: 100000593393
Provider ID: 100000098611
NPI:
1174545800
NPI: 1699844001
NPI: 1235162199
CHIROPRACTIC MEDICINE
PHYSICAL THERAPY
MIDWIFERY SERVICES
DOUGHER, ROBERT LANCE PT CAMPBELL, CRAIG D DC
JENSEN, JENNIFER J CNM
115 E FORT UNION BLVD
3665 S 8400 W #210
7852 S PIONEER ST
(801) 566-4357
(801) 250-6733
(801) 214-7650
Provider ID: 100000091718
Provider ID: 100000097087
Provider ID: 100000727103
NPI: 1013023282
NPI: 1669458220
NPI: 1962643858
HARBRECHT, CHRIS J DC
LATIMER, NOALL H RPT
SUMMERHAYS, HALEY M CNM
6717 S 900 E #101
3441 S 8400 W #E
7852 S PIONEER ST
(801) 432-7511
(801) 250-9107
(801) 214-7650
Provider ID: 100000818074
Provider ID: 100000089559
Provider ID: 100000601268
NPI: 1336351444
NPI: 1932167665
NPI: 1275842783
LAYTON, MONTE JAY DC
PLASTIC SURGERY
6717 S 900 E #101
OBSTETRICS AND
(801) 432-7511
BURROWS, JAMES DOUGLAS
GYNECOLOGY
Provider ID: 100000087078
MD
BYRNE, JANICE LB MD
NPI: 1598773863
3665 S 8400 W #200
7495 S STATE ST
(801) 964-3925
RATLIFF, JOHN MELVILLE DC (801) 213-9400
Provider ID: 100000343377
613 E FORT UNION BLVD #101
Provider ID: 100000095186
NPI: 1477506913
(801) 562-2400
NPI: 1629158530
Provider ID: 100000092753
GIBSON,
KERI L MD
NPI: 1265551030
7495 S STATE ST
(801) 213-9400
Provider ID: 100000341126
NPI: 1457548430
69
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
MIDVALE
OBSTETRICS AND GYNECOLOGY
CORRY, ROBERT H OD
7495 S STATE ST
(801) 213-9520
MIDVALE (cont'd)
Provider ID: 100000115583
NPI: 1891876686
OBSTETRICS AND
GYNECOLOGY (cont'd)
DERBY, MARIZEL MONTOYA
OD
LUIKENAAR, RIXT ANNA
7250 S UNION PARK AVE
CATHARINA MD
(801) 255-0704
7495 S STATE ST
Provider ID: 100000093832
(801) 213-9400
NPI: 1619923794
Provider ID: 100000097827
GIBBONS, TIMOTHY LEE OD
NPI: 1285688101
7495 S STATE ST
SIMONS, MARILEE M MD
(801) 213-9400
7495 S STATE ST
Provider ID: 100001069116
(801) 213-9400
NPI: 1700967593
Provider ID: 100000810662
HILL,
ANGELA DAWN OD
NPI: 1932352176
7400 S UNION PARK AVE #202
TILLY, SHANNON L MD
(801) 569-3698
7495 S STATE ST
Provider ID: 100000099523
(801) 213-9400
NPI: 1982613865
Provider ID: 100000111307
HILL, KRIS ALFRED OD
NPI: 1093767196
7400 S UNION PARK AVE #202
TOWNSON, WALTER KARL MD (801) 569-3698
7495 S STATE ST
Provider ID: 100000089702
(801) 213-9400
NPI: 1043228554
Provider ID: 100000086461
MCKAY,
MARK ALAN OD
NPI: 1548350176
7495 S STATE ST
(801) 213-9400
OCCUPATIONAL THERAPY
Provider ID: 100000091752
BURICK, MEGAN F OT
NPI: 1528149317
6770 S 900 E #205
MELLOR, JEFFERY L OD
(801) 523-6376
6911 S STATE ST
Provider ID: 100000808583
(801) 255-8525
NPI: 1871746362
Provider ID: 100001004410
OPTOMETRY
NPI: 1518975226
ABRAHAM, JAMES M OD
SMITH, CRAIG MILTON OD
7677 S MAPLE ST
7495 S STATE ST
(801) 288-0977
(801) 213-9400
Provider ID: 100000093106
Provider ID: 100000092424
NPI: 1063597342
NPI: 1073694865
ABUNDO, ROLAND ESPELETA VINCENT, BRYAN HARLOW
OD
OD
579 E FORT UNION BLVD
7495 S STATE ST
(801) 255-8500
(801) 213-9400
Provider ID: 100000093012
Provider ID: 100000089152
NPI: 1013970235
NPI: 1982785770
UTAH (cont'd)
February 12, 2015
70
UTAH
MIDVALE
PHYSICAL THERAPY
PHYSICAL THERAPY
CAMPIAN, ANDREA PT
6717 S 900 E #201
(801) 649-4690
Provider ID: 100001103421
NPI: 1194150540
ESPLIN, JARED FRANKLIN RPT
7495 S STATE ST
(801) 567-7300
Provider ID: 100000095051
NPI: 1316037914
HARRISON, JIM D RPT
6770 S 900 E #205
(801) 523-6376
Provider ID: 100000294391
NPI: 1558459321
JENSEN, TYLER J PT
6717 S 900 E #201
(801) 649-4690
Provider ID: 100001137244
NPI: 1306284062
KELLY, PATRICK M RPT
7495 S STATE ST
(801) 213-9400
Provider ID: 100000689811
NPI: 1750386702
MAYER, LLOYD L RPT
7495 S STATE ST
(801) 567-7300
Provider ID: 100000087586
NPI: 1730279340
MECHAM, CHERIANNE RPT
6717 S 900 E #201
(801) 649-4690
Provider ID: 100000522047
NPI: 1548437726
SHIRLEY, GEORGE A PT
6717 S 900 E #201
(801) 649-4690
Provider ID: 100000303176
NPI: 1942287040
SUMMERS, ANN PT
6770 S 900 E #205
(801) 523-6376
Provider ID: 100000803018
NPI: 1033344635
UTAH
MIDVALE
PHYSICAL THERAPY
UTAH (cont'd)
MIDVALE (cont'd)
PHYSICAL THERAPY (cont'd)
WEHRLI, D JARED PT
7495 S STATE ST
(801) 567-7300
Provider ID: 100000093855
NPI: 1194815787
PODIATRY
RUSHTON, RYAN TAYLOR
DPM
7495 S STATE ST
(801) 213-9400
Provider ID: 100000094786
NPI: 1013007632
SOULIER, SCOTT MARTIN
DPM
7321 S STATE ST #D
(801) 561-1011
Provider ID: 100000091287
NPI: 1043213168
Specialists
Sorted by state, city, specialty, then name
UTAH
MURRAY ONCOLOGIST/HEMATOLOGIST
ABUNDO, ROLAND E OD
579 E FORT UNION BLVD
(801)255-8500
NPI: 1013970235
HILL, ANGELA D OD
7400 S UNION PARK AVE STE 202
(801)569-3698
NPI: 1982613865
HILL, KRIS A OD
7400 S UNION PARK AVE STE 202
(801)569-3698
NPI: 1043228554
LEISHMAN, BENJAMIN H OD
7001 S 900 E STE 200
(801)561-4282
NPI: 1942438015
MARTIN, TINA C OD
7001 S 900 E STE 200
(801)561-4282
NPI: 1821189689
MURRAY
CHIROPRACTIC MEDICINE
BARBER, TODD R DC
PULMONARY DISEASES
525 W 5300 S #150
(801) 263-0530
HAMMOND, GREGORY DEAN
Provider ID: 100001151877
MD
NPI: 1730248097
613 E FORT UNION BLVD #A-102
(801) 523-7533
DERMATOLOGY
Provider ID: 100000098961
DUFFY, KEITH L MD
NPI: 1942374020
6095 S 300 E #150
URGENT CARE OR WALK IN
(801) 581-2955
Provider ID: 100000548819
ANDERSON, LAURA M MD
NPI: 1770779050
UUHC COMMUNITY CLINICS
7495 S STATE ST
ENDOCRINOLOGY,
(801) 213-9400
DIABETES AND
Provider ID: 100000742855
METABOLISM
NPI: 1740270867
GOODMAN, GORDON T MD
VSP PROVIDERS – ROUTINE 5980 S FASHION PLACE BLVD
VISION
(801) 912-8223
Provider ID: 100000338240
ABRAHAM, JAMES M OD
NPI: 1750349205
7677 S MAPLE ST
(801)288-0882
NPI: 1063597342
71
NEPHROLOGY
BJORDAHL, TERRENCE SCOTT
MD
4252 S BIRKHILL BLVD
(801) 268-5400
Provider ID: 100000248256
NPI: 1710006408
74 W VINE ST
(801) 281-5596
Provider ID: 100000248256
NPI: 1710006408
HABIB, ARSALAN NAIYER MD
4252 S BIRKHILL BLVD
(801) 268-5400
Provider ID: 100000248252
NPI: 1942336938
OCCUPATIONAL MEDICINE
BROWN, TERRY ALLEN MD
5911 FASHION PLACE BLVD
(801) 266-6483
Provider ID: 100000693488
NPI: 1679510614
ONCOLOGIST/
HEMATOLOGIST
BLEAK, SHIRLEY J APRN
5131 S COTTONWOOD ST #L2
(801) 263-3416
Provider ID: 100000307671
NPI: 1124197512
BORIC, LAMIA MD
5131 S COTTONWOOD ST #L2
(801) 263-3416
Provider ID: 100001089651
NPI: 1689881898
CALL, JUSTIN A MD
5131 S COTTONWOOD ST #L2
(801) 263-3416
Provider ID: 100000813701
NPI: 1124172697
KENDALL, STEPHAN D MD
5131 S COTTONWOOD ST #L2
(801) 263-3416
Provider ID: 100000941044
NPI: 1033293196
February 12, 2015
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
MURRAY
MURRAY VSP PROVIDERS – ROUTINE VISION
ONCOLOGIST/HEMATOLOGIST
UTAH (cont'd)
MURRAY (cont'd)
ONCOLOGIST/
HEMATOLOGIST (cont'd)
LITTON, GREGORY JAMES MD
5131 S COTTONWOOD ST #L2
(801) 263-3416
Provider ID: 100000092119
NPI: 1487603916
NIBLEY, WILLIAM ELIOTT MD
5131 S COTTONWOOD ST #L2
(801) 263-3416
Provider ID: 100000086111
NPI: 1437108974
WHISENANT, JONATHAN REED
MD
5131 S COTTONWOOD ST #L2
(801) 263-3416
Provider ID: 100000101361
NPI: 1861441974
ONCOLOGY
RUCKDESCHEL, JOHN C MD
5131 S COTTONWOOD ST #L2
(801) 263-3416
Provider ID: 100000793913
NPI: 1356380851
STINNETT, JASON MARK MD
5131 S COTTONWOOD ST #L2
(801) 263-3416
Provider ID: 100000033194
NPI: 1861501694
OPHTHALMOLOGY
CHRISTIANSEN, GREGORY A
MD
6344 S 900 E
(801) 892-8222
Provider ID: 100001011297
NPI: 1831175629
HARRIS, MATHESON A MD
6344 S 900 E
(801) 892-8222
Provider ID: 100001106661
NPI: 1912110230
February 12, 2015
WILLIAMS, LLOYD B MD
5289 S STATE ST
(801) 506-1111
Provider ID: 100000994686
NPI: 1730333741
ROE, FARRELL M OD
5289 S STATE ST
(801) 506-1111
Provider ID: 100001047488
NPI: 1225104110
OPTOMETRY
GILLILAND, RODNEY N OD
5289 S STATE ST
(801) 506-1111
Provider ID: 100000856837
NPI: 1801800016
HADLOCK, BRENT LEE OD
5289 S STATE ST
(801) 506-1111
Provider ID: 100001056083
NPI: 1578648564
HIMES, RANDALL C OD
5289 S STATE ST
(801) 506-1111
Provider ID: 100000560613
NPI: 1144380478
KESSLER, JENNIFER L OD
5289 S STATE ST
(801) 506-1111
Provider ID: 100000811342
NPI: 1811259336
LATER, DAVID NELSON OD
5959 S STATE ST
(801) 261-1113
Provider ID: 100000087752
NPI: 1710938071
LEISHMAN, BENJAMIN H OD
5289 S STATE ST
(801) 506-1111
Provider ID: 100000785096
NPI: 1942438015
MILDENSTEIN, JOAN OD
5289 S STATE ST
(801) 506-1111
Provider ID: 100000793502
NPI: 1689990517
NEVERS, MARK W OD
5289 S STATE ST
(801) 506-1111
Provider ID: 100000815945
NPI: 1366704959
PHYSICAL MEDICINE AND
REHABILITATION
MILLER, GREGORY JAMES MD
5131 S COTTONWOOD ST #L2
(801) 263-3416
Provider ID: 100000087558
NPI: 1225089790
72
PODIATRY
CARR, MATTHEW Q DPM
990 W 5380 S
(801) 463-2500
Provider ID: 100000113079
NPI: 1891717310
GROBERG, DARREN F DPM
5171 S COTTONWOOD ST #300
(801) 507-9310
Provider ID: 100000786639
NPI: 1396972469
PREECE, DANIEL L DPM
5171 S COTTONWOOD ST #300
(801) 507-9310
Provider ID: 100000759128
NPI: 1639306889
URGENT CARE OR WALK IN
BROWN, TERRY ALLEN MD
FIRSTMED MURRAY URGENT
CARE
5911 FASHION PLACE BLVD
(801) 266-6483
Provider ID: 100000693488
NPI: 1679510614
VSP PROVIDERS – ROUTINE
VISION
ANDERSON, STUART I OD
6095 FASHION BLVD STE 110
(801)262-2020
NPI: 1750342564
Specialists
UTAH
Sorted by state, city, specialty, then name
MURRAY
VSP PROVIDERS – ROUTINE VISION
UTAH (cont'd)
MURRAY (cont'd)
VSP PROVIDERS – ROUTINE
VISION (cont'd)
BROCKBANK, DAVID MD
6065 S FASHION BLVD STE 125
(801)261-0726
NPI: 1093822561
BROCKBANK, STEPHEN R OD
6065 S FASHION BLVD STE 125
(801)261-0726
NPI: 1508973397
CONKLIN, MICHAEL D OD
192 E 4500 S
(801)261-2020
NPI: 1013015650
CREWS, DEBON A OD
192 E 4500 S
(801)261-2020
NPI: 1073864385
FINDLAY, MATHEW G OD
126 E 4800 S
(801)262-2411
NPI: 1255391090
GALEHDARI, NAZANIN OD
166 E 5900 S STE B103
(801)268-3937
NPI: 1023225851
KEISER, JENNIFER OD
192 E 4500 S
(801)261-2020
NPI: 1275789208
LYNCH, BERNADETTE N OD
192 E 4500 S
(801)261-2020
NPI: 1861640658
MARTIN, JOSEPH P OD
166 E 5900 S STE B103
(801)268-3937
NPI: 1730390261
UTAH
OGDEN
AUDIOLOGY
NORTH OGDEN
AUDIOLOGY
CHIROPRACTIC MEDICINE BARWICK, NIKI L AUD
978 CHAMBERS ST #1
CASEY, ALAN CLARK DC
(801) 399-5601
3148 N 425 E
Provider ID: 100000564765
(801) 668-7670
NPI: 1952571465
Provider ID: 100000088327
BOMAN, TEL SKIDMORE AUD
NPI: 1639277163
978 CHAMBERS ST #1
(801) 399-5601
OGDEN
Provider ID: 100000089350
ADULT MEDICINE
NPI: 1972531028
BRAUNBERGER,
KERRY S AUD
BOJANOWER, DEANNA LEIGH
917
COUNTRY
HILLS
DR #5
APRN
(801)
399-9955
4403 HARRISON BLVD #1685
Provider ID: 100000096120
(801) 387-7150
NPI: 1710985965
Provider ID: 100000541459
NPI: 1780886945
CHRISTENSEN, LISA KIM AUD
5275 ADAMS AVE PKWY #B
DOUGLAS, WENDY S APRN
(801) 394-4399
5405 S 500 E #200
Provider ID: 100000087240
(801) 476-6900
NPI: 1720076565
Provider ID: 100000313900
NPI: 1427297084
CLAWSON, TERRY DERWOOD
PASKETT, MARINDA D APRN AUD
917 COUNTRY HILLS DR #5
1486 E SKYLINE DR #201
(801) 399-9955
(801) 475-4552
Provider ID: 100000088820
Provider ID: 100000271215
NPI: 1487652632
NPI: 1073783247
HARWARD, STEPHEN B AUD
ALLERGY
5349 S 500 E
ANDERSON JR, JOSEPH
(801) 479-3346
ROBERT MD
Provider ID: 100000091151
5929 FASHION POINT DR #101
NPI: 1609899459
(801) 476-0052
KENNINGTON, KODY D AUD
Provider ID: 100000975143
1100 COUNTRY HILLS DR #200
NPI: 1720080062
(801) 399-5014
LYONS, VICKI JENNIFER MD
Provider ID: 100000813875
4403 HARRISON BLVD #4640
NPI: 1982840716
(801) 387-4850
SHEPHERD, JENNIFER C AUD
Provider ID: 100000086300
3651 WALL AVE #1127
NPI: 1326013574
(801) 612-0202
SULLIVAN, TIMOTHY J MD
Provider ID: 100000821099
4403 HARRISON BLVD #4640
NPI: 1356601165
(801) 387-4850
TURGOOSE, AARON C AUD
Provider ID: 100000868425
3651 WALL AVE #1127
NPI: 1023012911
(801) 612-0202
Provider ID: 100000565818
NPI: 1689719445
73
February 12, 2015
UTAH
OGDEN
AUDIOLOGY
Specialists
Sorted by state, city, specialty, then name
GALLANT, ELLEN M MD
4403 HARRISON BLVD #3400
(801) 387-3400
OGDEN (cont'd)
Provider ID: 100000281960
NPI: 1083648786
AUDIOLOGY (cont'd)
KARWANDE, SHREEKANTH V
WEBER, LARRY DWAYNE AUD MD
2510 WASHINGTON BLVD #100 5405 S 500 E #200
(801) 627-3001
(801) 476-6900
Provider ID: 100000087544
Provider ID: 100000251531
NPI: 1174550800
NPI: 1972693570
CARDIOVASCULAR
CHIROPRACTIC MEDICINE
DISEASES
ANNIS, TIMOTHY D DC
ALMONY, GREGORY THOMAS 460 2ND ST #B
MD
(801) 621-2541
5405 S 500 E #204
Provider ID: 100000087230
(801) 479-0184
NPI: 1851441786
Provider ID: 100000871542
BENHARD, THOMAS M DC
NPI: 1023003142
1405 WASHINGTON BLVD
5475 S 500 E
(801) 394-8866
(801) 479-2111
Provider ID: 100000089507
Provider ID: 100000085217
NPI: 1851476428
NPI: 1023003142
BOOTHE,
KENNETH A DC
CRAWFORD, MICHAEL
1920
W
250
N #24
EUGENE MD
(801)
317-4757
5405 S 500 E #204
Provider ID: 100000877440
(801) 479-0184
NPI: 1366796351
Provider ID: 100000801696
BOSLEY, RYAN BENSON DC
NPI: 1699760397
3500 HARRISON BLVD #200
5475 S 500 E
(801) 627-2225
(801) 479-2111
Provider ID: 100000098188
Provider ID: 100000095946
NPI: 1013020213
NPI: 1699760397
BRIXEY,
MARK C DC
DIEHL, MICHAEL JOHN MD
134
E
4600
S
5405 S 500 E #204
(801)
627-2023
(801) 479-0184
Provider ID: 100000545419
Provider ID: 100000801694
NPI: 1295904761
NPI: 1265427371
CLAYTON, FRANK J DC
FORSTALL, PETER G MD
917 COUNTRY HILLS DR #4
5405 S 500 E #204
(801) 621-1668
(801) 479-0184
Provider ID: 100000089471
Provider ID: 100000801690
NPI: 1255405122
NPI: 1982844098
CLAYTON, JEFFERY F DC
5475 S 500 E
917 COUNTRY HILLS DR #4
(801) 479-2111
(801) 621-1668
Provider ID: 100000737384
Provider ID: 100000856892
NPI: 1982844098
NPI: 1508118803
UTAH (cont'd)
February 12, 2015
74
UTAH
OGDEN
CHIROPRACTIC MEDICINE
CONLIN, PATRICK CAMPBELL
DC
725 40TH ST
(801) 627-0880
Provider ID: 100000095415
NPI: 1417080953
COPE, DENNIS BROOKS DC
298 24TH ST #435
(801) 866-4068
Provider ID: 100000704805
NPI: 1831301373
DOXEY, ADAM THOMAS DC
876 12TH ST
(801) 399-9802
Provider ID: 100000097365
NPI: 1740357409
DOXEY, GREG D DC
690 12TH ST
(801) 399-9805
Provider ID: 100000089741
NPI: 1083633077
DOXEY, THOMAS T DC
876 12TH ST
(801) 399-9802
Provider ID: 100000110668
NPI: 1942377619
GRIFFIN, JEREMY J DC
942 CHAMBERS ST #11
(801) 475-0360
Provider ID: 100000322551
NPI: 1043310840
KOCOUR, JENNIFER L DC
1900 WASHINGTON BLVD #104
(801) 612-1085
Provider ID: 100000340256
NPI: 1841472610
LOWRY, TREVOR A DC
5640 WASATCH DR #E
(801) 476-3101
Provider ID: 100000569628
NPI: 1104837848
LUNDELL, BRIAN J DC
428 E 2600 N #4
(801) 782-0987
Provider ID: 100000689226
NPI: 1992756365
UTAH
OGDEN
CHIROPRACTIC MEDICINE
Specialists
Sorted by state, city, specialty, then name
SERMON, FREDDIE L DC
150 N WASHINGTON BLVD UNIT
H
OGDEN (cont'd)
(801) 686-0625
Provider ID: 100000681867
CHIROPRACTIC MEDICINE
NPI: 1023166436
(cont'd)
SHELTON, TIMOTHY J DC
LUNDELL, GAILEN ERIC DC
1920 W 250 N #24
3500 HARRISON BLVD #200
(801) 317-4757
(801) 622-7525
Provider ID: 100000869996
Provider ID: 100000091268
NPI: 1447285101
NPI: 1093765364
SKAGGS, DANIEL SCOTT DC
LUNDELL, KEVIN N DC
2721 N HIGHWAY 89 #100
3500 HARRISON BLVD #200
(801) 782-4454
(801) 622-7525
Provider ID: 100000093927
Provider ID: 100000565701
NPI: 1477684884
NPI: 1992036180
SONDRUP, COREY JOE DC
MCMILLAN, COLE SCOTT DC 1117 COUNTRY HILLS DR #2
5677 S 1475 E #1A
(801) 476-1752
(801) 475-9500
Provider ID: 100000088245
Provider ID: 100000096654
NPI: 1447381223
NPI: 1184619686
STANBRIDGE, DERRICK LEE
MECHAM, ALLAN LEROY DC DC
1186 E 4600 S #220
6033 FASHION POINT DR #120
(801) 475-1800
(801) 475-6800
Provider ID: 100000088529
Provider ID: 100000095317
NPI: 1528003688
NPI: 1326024977
MILLET JR, ALLAN CHARLES TANNER, JOHN G DC
DC
428 E 2600 N #4
1069 STEWART ST #1
(801) 782-0987
(801) 621-0270
Provider ID: 100000689230
Provider ID: 100000698198
NPI: 1538384268
NPI: 1861510554
TAYLOR, STEPHEN COPE DC
PARK, JAMES R DC
298 24TH ST #435C
1096 36TH ST
(801) 782-3060
(801) 393-2424
Provider ID: 100000089371
Provider ID: 100000326311
NPI: 1750478723
NPI: 1922188754
TILLEY, LANCE M DC
PHELPS, JOSHUA R DC
859 WASHINGTON BLVD #1
1900 WASHINGTON BLVD #104
(801) 621-6155
(801) 612-1085
Provider ID: 100000087238
Provider ID: 100000340259
NPI: 1356417612
NPI: 1255513107
WAHLEN, RUSSELL SCOTT DC
ROBERTS, KEVIN ARTHUR DC 1276 WALL AVE #1
917 COUNTRY HILLS DR #4
(801) 337-4000
(801) 621-1740
Provider ID: 100000090600
Provider ID: 100000091386
NPI: 1104923168
NPI: 1952412769
UTAH (cont'd)
75
UTAH
OGDEN
DERMATOLOGY
WHEELER, JEFFREY P DC
2483 HARRISON BLVD
(801) 392-2612
Provider ID: 100000242770
NPI: 1912012360
WHEELER, STEPHEN MARK
DC
2483 HARRISON BLVD
(801) 392-2612
Provider ID: 100000090791
NPI: 1720176365
5974 FASHION POINT DR #110
(801) 621-1667
Provider ID: 100000088923
NPI: 1619953254
WHEELWRIGHT, JEFF ALLYN
DC
2834 S 1900 W
(801) 829-3407
Provider ID: 100000869436
NPI: 1245302413
WHEELWRIGHT, LEW ALLYN
DC
3500 HARRISON BLVD #200
(801) 627-2225
Provider ID: 100000091323
NPI: 1194732933
WOODEN, WESLEY VAN DC
5974 FASHION POINT DR #110
(801) 621-1667
Provider ID: 100000090438
NPI: 1912984725
COLON AND RECTAL
SURGERY
FOLEY, CRAIG RALPH MD
4403 HARRISON BLVD #2855
(801) 387-2550
Provider ID: 100000090266
NPI: 1164528964
DERMATOLOGY
ALLEN, DAVID EDGAR MD
3860 JACKSON AVE #2
(801) 627-0515
Provider ID: 100000090883
NPI: 1619995107
February 12, 2015
UTAH
OGDEN
DERMATOLOGY
UTAH (cont'd)
OGDEN (cont'd)
DERMATOLOGY (cont'd)
ALLEN, DAVID MORE MD
3860 JACKSON AVE #2
(801) 627-0515
Provider ID: 100000097673
NPI: 1487672986
HANSEN, DANIEL J DO
6028 S RIDGELINE DR #102
(801) 399-3324
Provider ID: 100000338985
NPI: 1114121217
MAUGHAN, JULIE A MD
6028 S RIDGELINE DR #200
(801) 475-5210
Provider ID: 100000243428
NPI: 1114098357
MAUGHAN, WILLARD ZINN
MD
6028 S RIDGELINE DR #200
(801) 475-5210
Provider ID: 100000090800
NPI: 1235125063
SMITH, WAYNE EDWARD MD
5333 ADAMS AVE PKWY #C
(801) 479-6200
Provider ID: 100000088637
NPI: 1164404497
SUMMERS, BRADLEY KENT
MD
3860 JACKSON AVE
(801) 627-0515
Provider ID: 100000091917
NPI: 1164403259
URRY, LARRY EDWIN MD
4403 HARRISON BLVD #2635
(801) 387-3515
Provider ID: 100000089229
NPI: 1083716955
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
UTAH
OGDEN
MATERNAL AND FETAL MEDICINE
EAR NOSE THROATOTOLARYNGOLOGY
BARLOW, STEWART ELLISON
MD
5275 ADAMS AVE PKWY #B
(801) 621-0350
Provider ID: 100000091613
NPI: 1710977848
MAJOR, M SCOTT SCOTT MD
5896 S RIDGELINE DR #B
(801) 866-0169
Provider ID: 100001012445
NPI: 1558394783
OLSON, CHRISTOPHER S APRN
4401 HARRISON BLVD
(801) 387-7200
Provider ID: 100000779127
NPI: 1306997630
OWENS II, WILLIAM IRVIN MD
1100 COUNTRY HILLS DR #200
(801) 399-5014
Provider ID: 100000085681
NPI: 1528095627
GASTROENTEROLOGY
GONZALES, CHAD MICHAEL
MD
4403 HARRISON BLVD #2855
(801) 387-2550
Provider ID: 100000101046
NPI: 1669447801
LOWE, JOHN EARL MD
6028 S RIDGELINE DR #201
(801) 475-5400
Provider ID: 100000090917
NPI: 1851387195
POOLE, JEFFREY SCOTT MD
6028 S RIDGELINE DR #201
(801) 475-5400
Provider ID: 100000097659
NPI: 1649266776
PORTER, STEVEN ALEXANDER
MD
4403 HARRISON BLVD #2855
(801) 387-2550
Provider ID: 100000094457
NPI: 1740255819
76
PUGH, BRIAN WILLIAM DO
6028 S RIDGELINE DR #201
(801) 475-5400
Provider ID: 100000086077
NPI: 1023005808
SOBOTKA, DENNIS WAYNE MD
6028 S RIDGELINE DR #201
(801) 475-5400
Provider ID: 100000086694
NPI: 1932196714
TADROS, CAROLINE R MD
4403 HARRISON BLVD #2855
(801) 387-2550
Provider ID: 100000564418
NPI: 1427107770
GENERAL SURGERY
HALVERSEN, ROY CHAD MD
5526 S 500 E
(801) 577-7055
Provider ID: 100000729854
NPI: 1275540585
5540 S 1050 E
(801) 577-7055
Provider ID: 100000729854
NPI: 1275540585
INFECTIOUS DISEASE
TANVIR, FAWAD A MD
5405 S 500 E #100A
(801) 476-7500
Provider ID: 100000989683
NPI: 1164425294
5405 S 500 E #203
(801) 475-8600
Provider ID: 100000989683
NPI: 1164425294
MATERNAL AND FETAL
MEDICINE
BEAUCHAMP, LUANNA L MD
5475 S 500 E
(801) 743-4700
Provider ID: 100000852642
NPI: 1740224286
UTAH
OGDEN
NEPHROLOGY
Specialists
Sorted by state, city, specialty, then name
UTAH (cont'd)
OGDEN (cont'd)
NEPHROLOGY
AGARWAL, ADHISH KUMAR
MD
425 E 5350 S #320
(801) 479-1117
Provider ID: 100000097452
NPI: 1164424750
INDAHYUNG, RUTH M MD
5475 S 500 E
(801) 479-2111
Provider ID: 100000773084
NPI: 1649452772
MCDONALD, RYAN P MD
4780 OLD POST RD
(801) 476-3400
Provider ID: 100000618447
NPI: 1194915561
SENEKJIAN, HARRY OSHIN MD
425 E 5350 S #320
(801) 479-1117
Provider ID: 100000084989
NPI: 1760484596
NEUROLOGICAL SURGERY
BANGERTER, KURT D MD
4403 HARRISON BLVD #1815
(801) 732-5900
Provider ID: 100000734428
NPI: 1215948799
WELLING, BLAKE GAMMELL
MD
4403 HARRISON BLVD #1815
(801) 387-6520
Provider ID: 100000087932
NPI: 1710151980
WINTERS, DENNIS D MD
4403 HARRISON BLVD #1815
(801) 732-5900
Provider ID: 100000241513
NPI: 1194769604
UTAH
OGDEN
OBSTETRICS AND GYNECOLOGY
NEUROLOGY
HAMMOND, RICHARD C DO
5319 ADAMS AVE PKWY #C
(801) 394-1287
Provider ID: 100000263880
NPI: 1174541742
IMANI, JAHANGIR N MD
5315 ADAMS AVE PKWY #A
(801) 475-7707
Provider ID: 100000085635
NPI: 1063414969
VARMA, NAVIN KUMAR MD
1452 E RIDGELINE DR #151
(801) 479-7009
Provider ID: 100000085305
NPI: 1619965944
OBSTETRICS AND
GYNECOLOGY
BEAUCHAMP, LUANNA L MD
5475 S 500 E
(801) 743-4700
Provider ID: 100000852642
NPI: 1740224286
BIERER, DAVID ROY MD
1525 E 6000 S
(801) 337-5800
Provider ID: 100000087996
NPI: 1447273024
BRADSHAW, AMBER D MD
5495 S 500 E #320
(801) 476-4200
Provider ID: 100000741783
NPI: 1659589737
CASSIERE, ERIN K MD
1525 E 6000 S
(801) 337-5800
Provider ID: 100001124686
NPI: 1700048980
77
DAVIS, WESLEY B MD
1525 E 6000 S
(801) 337-5800
Provider ID: 100000339938
NPI: 1003892480
4401 HARRISON BLVD
(801) 337-5800
Provider ID: 100000339938
NPI: 1003892480
5475 S 500 E
(801) 337-5800
Provider ID: 100000339938
NPI: 1003892480
HARTMAN, ALBERT RAY MD
4403 HARRISON BLVD #4625
(801) 387-4800
Provider ID: 100000089013
NPI: 1659474757
HESS, JESSICA L APRN
5475 S 500 E
(801) 337-5800
Provider ID: 100000721365
NPI: 1982836441
HOUPE, ROBIN L MD
1525 E 6000 S
(801) 337-5800
Provider ID: 100000822695
NPI: 1285843607
HURST, BARBARA MD
5540 S 1050 E
(801) 577-7055
Provider ID: 100001172913
NPI: 1205973070
JOHANSSON, JULIA WANETTA
MD
1525 E 6000 S
(801) 337-5800
Provider ID: 100000098307
NPI: 1174546998
4401 HARRISON BLVD
(801) 337-5800
Provider ID: 100000098307
NPI: 1174546998
5475 S 500 E
(801) 337-5800
Provider ID: 100000098307
NPI: 1174546998
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
OGDEN
OBSTETRICS AND GYNECOLOGY
UTAH (cont'd)
OGDEN (cont'd)
OBSTETRICS AND
GYNECOLOGY (cont'd)
MERRILL, RODNEY STEPHEN
DO
434 E 5350 S #A
(801) 479-1641
Provider ID: 100000087892
NPI: 1265591697
SPENCER, ANDREW H MD
5475 S 500 E
(801) 743-4700
Provider ID: 100000802814
NPI: 1467647537
TRAUSCHT-VANHORN,
JENNIFER J MD
4387 HARRISON BLVD #D8
(801) 479-7721
Provider ID: 100000087628
NPI: 1306926209
OCCUPATIONAL MEDICINE
BURST, ANNETTE G MD
3500 HARRISON BLVD #200
(801) 668-2010
Provider ID: 100001081456
NPI: 1285698217
OCCUPATIONAL THERAPY
MANWILL, JOEL MARK OT
5475 S 500 E
(801) 479-2541
Provider ID: 100000296953
NPI: 1750412193
OVERSTEG, MONA D OT
1771 DOXEY ST
(801) 564-8330
Provider ID: 100000357652
NPI: 1841416914
February 12, 2015
ONCOLOGIST/
HEMATOLOGIST
HANSEN, VINCENT LEE MD
4403 HARRISON BLVD #1685
(801) 387-7150
Provider ID: 100000088980
NPI: 1528044385
JOHNSON, HAROLD MARK MD
4403 HARRISON BLVD #1685
(801) 387-7150
Provider ID: 100000094545
NPI: 1326156191
5290 S 400 E
(801) 476-1777
Provider ID: 100000094546
NPI: 1326156191
OPHTHALMOLOGY
ALLDREDGE, CLARON
DOUGLAS MD
4360 WASHINGTON BLVD
(801) 476-0494
Provider ID: 100000598475
NPI: 1841200284
ARMSTRONG II, JOHN DAVID
MD
4360 WASHINGTON BLVD
(801) 476-0494
Provider ID: 100000085454
NPI: 1932188133
BALLIF, MARK GORDON MD
4360 WASHINGTON BLVD
(801) 476-0494
Provider ID: 100000091864
NPI: 1376522573
BRODSTEIN, DAVID EDWIN
MD
875 COUNTRY HILLS DR
(801) 399-1149
Provider ID: 100000090094
NPI: 1912989518
BULLARD, MICHAEL L MD
4360 WASHINGTON BLVD
(801) 476-0494
Provider ID: 100001120151
NPI: 1326351727
78
UTAH
OGDEN
OPHTHALMOLOGY
DASTRUP, BENJAMIN T MD
875 COUNTRY HILLS DR
(801) 399-1149
Provider ID: 100000547552
NPI: 1073797809
FELT, DOUGLAS PATTERSON
MD
875 COUNTRY HILLS DR
(801) 399-1149
Provider ID: 100000088925
NPI: 1831171446
POLL, JED T MD
4360 WASHINGTON BLVD
(801) 476-0494
Provider ID: 100000334185
NPI: 1376656124
RICHARDS, BRADLEY WAYNE
MD
875 COUNTRY HILLS DR
(801) 399-1149
Provider ID: 100000089833
NPI: 1457333064
SYKES, SCOTT OWEN MD
4360 WASHINGTON BLVD
(801) 476-0494
Provider ID: 100000093143
NPI: 1083693204
TURNER, SCOTT D MD
2850 N 2000 W
(801) 731-6326
Provider ID: 100000246153
NPI: 1760607782
WILCOX, MICHAEL BLAIR MD
4360 WASHINGTON BLVD
(801) 476-0494
Provider ID: 100000095567
NPI: 1053391771
WILLIAMS, BRICE J MD
4403 HARRISON BLVD #3600
(801) 387-3550
Provider ID: 100000810412
NPI: 1154574390
WILLIAMS, LLOYD B MD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000994658
NPI: 1730333741
UTAH
OGDEN
OPTOMETRY
UTAH (cont'd)
OGDEN (cont'd)
OPTOMETRY
BARNEY, TYLER J OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000540630
NPI: 1528268398
BURNETT, DAVID B OD
298 24TH ST #315
(801) 393-4413
Provider ID: 100000308963
NPI: 1073520680
4848 S 900 W
(801) 309-4832
Provider ID: 100000308963
NPI: 1073520680
DANSIE, DANE FRANCE OD
4360 WASHINGTON BLVD
(801) 476-0494
Provider ID: 100000091884
NPI: 1770562985
DAVID II, JAMES R OD
2325 MADISON AVE
(801) 546-2481
Provider ID: 100000855505
NPI: 1932289691
3475 HARRISON BLVD
(801) 394-8885
Provider ID: 100000878763
NPI: 1932289691
DYGERT, LINCOLN JOE OD
3475 HARRISON BLVD
(801) 394-8885
Provider ID: 100000090536
NPI: 1336175298
FARRELL, SCOTT D OD
4360 WASHINGTON BLVD
(801) 476-0494
Provider ID: 100000886815
NPI: 1306096979
Specialists
Sorted by state, city, specialty, then name
FIELDEN, CLARK E OD
4403 HARRISON BLVD #3600
(801) 387-3550
Provider ID: 100000118249
NPI: 1457339285
FRISCHKNECHT, NEIL JONES
OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000801208
NPI: 1457440687
GIBSON, ROY RAYMOND OD
4949 S 900 W
(801) 621-0480
Provider ID: 100000084780
NPI: 1104816743
GILLILAND, RODNEY N OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000856827
NPI: 1801800016
HADLOCK, BRENT LEE OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100001072139
NPI: 1578648564
HARTMAN, AARON M OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000523754
NPI: 1922258375
HIMES, RANDALL C OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000560615
NPI: 1144380478
JUDKINS, MICHAEL MERLIN
OD
2325 MADISON AVE
(888) 840-3032
Provider ID: 100000789830
NPI: 1699774026
5331 S 500 E #B
(801) 479-7850
Provider ID: 100000095792
NPI: 1699774026
79
UTAH
OGDEN
OPTOMETRY
KESSLER, JENNIFER L OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000811001
NPI: 1811259336
KNOWLES, DUANE C OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000801209
NPI: 1306935523
LEISHMAN, BENJAMIN H OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000785082
NPI: 1942438015
LEWIS, STEPHEN CHARLES OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000266869
NPI: 1184653818
LINFORD, KEITH W OD
4360 WASHINGTON BLVD
(801) 476-0494
Provider ID: 100000091113
NPI: 1275512493
LUNDIN, BRUCE LEE OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000269230
NPI: 1750336152
MARTY, MICHAEL STEPHEN
OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000269248
NPI: 1497743942
MEYER, DAVID A OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000801211
NPI: 1255562740
MILDENSTEIN, JOAN OD
4283 HARRISON BLVD
(801) 479-5060
Provider ID: 100000572631
NPI: 1689990517
February 12, 2015
UTAH
OGDEN
OPTOMETRY
Specialists
Sorted by state, city, specialty, then name
UTAH
OGDEN
PEDIATRIC ORTHOPEDIC SURGERY
PICKETT, GREG MERRILL OD
1196 30TH ST
(801) 399-9873
OGDEN (cont'd)
Provider ID: 100000087236
NPI: 1639155617
OPTOMETRY (cont'd)
PURDY, RUSSELL WILLIAM
MILLET, CURTIS WAYNE OD OD
4283 HARRISON BLVD
4283 HARRISON BLVD
(801) 479-5060
(801) 479-5060
Provider ID: 100000801213
Provider ID: 100000087907
NPI: 1497844690
NPI: 1295823029
NEVERS, MARK W OD
REED, PAUL EDWARD OD
4283 HARRISON BLVD
3475 HARRISON BLVD
(801) 479-5060
(801) 394-8885
Provider ID: 100000815917
Provider ID: 100001120831
NPI: 1366704959
NPI: 1396792982
NIELSEN, SHELLY LORRAINE ROE, FARRELL M OD
OD
4283 HARRISON BLVD
4283 HARRISON BLVD
(801) 479-5060
(801) 479-5060
Provider ID: 100001047455
Provider ID: 100000801214
NPI: 1225104110
NPI: 1699864801
THOMPSON, DALE E OD
PALMER, CARRIE ANN OD
1135 W RIVERDALE RD
1018 WASHINGTON BLVD
(801) 393-9076
(801) 392-5100
Provider ID: 100000256437
Provider ID: 100000095305
NPI: 1700848892
NPI: 1265484620
WATSON,
MATTHEW L OD
4060 RIVERDALE RD
3651
WALL
AVE #1226
(801) 392-4300
(801)
621-0554
Provider ID: 100000095306
Provider ID: 100001045159
NPI: 1265484620
NPI: 1588990295
PEBLEY, MITCHELL E OD
WENOM, GREG MICHAEL OD
1018 WASHINGTON BLVD
5738 S 1475 E #100
(801) 392-5100
(801) 393-9440
Provider ID: 100000545552
Provider ID: 100000085208
NPI: 1710115332
NPI: 1356420590
PETERSON, SCOTT DAVID OD
WILKINS,
COURT R OD
3988 WASHINGTON BLVD
4360
WASHINGTON
BLVD
(801) 621-2883
(801)
476-0494
Provider ID: 100000089839
Provider ID: 100001152860
NPI: 1750351441
NPI: 1780679613
PETERSON, WALTER GERALD
WOODFIELD, DALE A OD
OD
5738 S 1475 E #100
4283 HARRISON BLVD
(801) 393-9440
(801) 479-5060
Provider ID: 100000089846
Provider ID: 100000801216
NPI: 1386612919
NPI: 1851480081
UTAH (cont'd)
February 12, 2015
80
ORTHOPEDIC SURGERY
BYCK III, DANN CONRAD MD
5782 S 500 E
(801) 917-8000
Provider ID: 100000538414
NPI: 1679565758
DEE, MICHAEL SCOT MD
5957 FASHION POINT DR #101
(801) 475-5683
Provider ID: 100000922553
NPI: 1710106653
ROCCO, JEFFREY J MD
5782 S 500 E
(801) 917-8000
Provider ID: 100000538428
NPI: 1306818190
THOMAS, BRUCE EDWARD MD
5957 FASHION POINT DR #101
(801) 475-5683
Provider ID: 100000808238
NPI: 1255422192
PAIN MANAGEMENT
GONCHAROVA, ELENA
LVOVNA MD
1276 WALL AVE #1
(801) 337-4000
Provider ID: 100001119457
NPI: 1619085339
SIMKINS, APRIL M APRN
1276 WALL AVE #1
(801) 337-4000
Provider ID: 100000099077
NPI: 1538266697
WESTON, RAUL K MD
5957 FASHION POINT DR #101
(801) 475-5683
Provider ID: 100000736262
NPI: 1902066988
PEDIATRIC ORTHOPEDIC
SURGERY
HEFLIN, JOHN A MD
5957 FASHION POINT DR #101
(801) 475-5683
Provider ID: 100000811020
NPI: 1588840102
Specialists
UTAH
Sorted by state, city, specialty, then name
OGDEN
PHYSICAL MEDICINE AND REHABILITATION
BAWDEN, DEVEN M RPT
5856 HARRISON BLVD #A
(801) 475-6415
OGDEN (cont'd)
Provider ID: 100000803034
NPI: 1316019037
PHYSICAL MEDICINE AND
BLACK,
ROBERT GRANT PT
REHABILITATION
5349 ADAMS AVE PKWY #A
ANDEN, COREY DAWN MD
(801) 479-9865
4403 HARRISON BLVD #1815
Provider ID: 100000537532
(801) 732-5900
NPI: 1457499428
Provider ID: 100000809446
CHAVEZ, ERNIE CHASIAS RPT
NPI: 1861490278
5349 ADAMS AVE PKWY #A
4403 HARRISON BLVD #1875
(801) 479-9865
(801) 732-5900
Provider ID: 100000094905
Provider ID: 100000085160
NPI: 1013016559
NPI: 1861490278
COLLEDGE, KENNETH PAUL
KOKKONEN, JEREMY J DO
RPT
5782 S 500 E
1638 N WASHINGTON BLVD #103
(801) 917-8000
(801) 782-3500
Provider ID: 100000966331
Provider ID: 100000090975
NPI: 1750549424
NPI: 1861599227
MELVILLE, BRADLEY RULON CRESSWELL, ASHLEE D RPT
MD
5349 ADAMS AVE PKWY #A
4403 HARRISON BLVD #1815
(801) 479-9865
(801) 732-5900
Provider ID: 100000601437
Provider ID: 100000809417
NPI: 1811201817
NPI: 1407867658
DAHLBERG,
CHRIS H RPT
4403 HARRISON BLVD #1875
2261
KIESEL
AVE
#320
(801) 387-2090
(801)
621-8835
Provider ID: 100000086163
Provider ID: 100000088109
NPI: 1407867658
NPI: 1366553208
YUBERO, FRANCIS XAVIER
DUFT, SHERRI E RPT
MD
2850 N 2000 W #204
4403 HARRISON BLVD #1815
(801) 731-5421
(801) 732-5900
Provider ID: 100000291152
Provider ID: 100000809423
NPI: 1780676569
NPI: 1922010925
3870
STADIUM WAY DEPT 2701
4403 HARRISON BLVD #1875
(801)
626-7712
(801) 732-5900
Provider
ID: 100000310378
Provider ID: 100000101821
NPI:
1780676569
NPI: 1922010925
FELT, JAMES GORDON RPT
PHYSICAL THERAPY
5734 S 1475 E #300
(801) 475-7628
ACEVEDO, CHARLES R RPT
Provider ID: 100000088735
5957 FASHION POINT DR #102
NPI: 1285612697
(801) 827-0200
Provider ID: 100000289844
NPI: 1134239254
UTAH (cont'd)
81
UTAH
OGDEN
PHYSICAL THERAPY
FRINKMAN, PAMELA LYNN
RPT
2850 N 2000 W #204
(801) 731-5421
Provider ID: 100000500979
NPI: 1699873364
3870 STADIUM WAY DEPT 2701
(801) 626-7712
Provider ID: 100000500980
NPI: 1699873364
GREENWOOD, MICHAEL
JONATHAN RPT
1276 WALL AVE
(801) 778-0555
Provider ID: 100000716689
NPI: 1558343533
HALL, JOHN N RPT
349 12TH ST
(801) 393-0900
Provider ID: 100000087297
NPI: 1598746984
ITA'AEHAU, MELISSA ARLENE
RPT
5349 ADAMS AVE PKWY #A
(801) 479-9865
Provider ID: 100000101688
NPI: 1043319528
JENKINS, RUSTY L PT
5349 ADAMS AVE PKWY #A
(801) 479-9865
Provider ID: 100000977559
NPI: 1376723106
JOHNSON, NYLIN JEREMIAH
RPT
698 12TH ST #B
(801) 782-0300
Provider ID: 100000087356
NPI: 1013010727
JUDD, ROBYN MARIE PT
5349 ADAMS AVE PKWY #A
(801) 479-9865
Provider ID: 100000101684
NPI: 1295834679
February 12, 2015
UTAH
OGDEN
PHYSICAL THERAPY
Specialists
Sorted by state, city, specialty, then name
UTAH (cont'd)
OGDEN (cont'd)
PHYSICAL THERAPY (cont'd)
KNIGHTON, JULIE MOTTA
RPT
5728 S 1475 E #102
(801) 479-4471
Provider ID: 100000090188
NPI: 1790744613
MERRILL, AJA E RPT
5856 HARRISON BLVD #A
(801) 475-6415
Provider ID: 100000265868
NPI: 1821198540
PEDERSEN, JAIME A PT
5349 ADAMS AVE PKWY #A
(801) 479-9865
Provider ID: 100000855922
NPI: 1851641435
PYLE, MELANIE ELISE PT
3550 HARRISON BLVD
(801) 626-8933
Provider ID: 100000099643
NPI: 1831110980
ROMNEY, FRANK F RPT
1221 E 5800 S #1
(801) 476-2000
Provider ID: 100000091878
NPI: 1801818190
ROSS, VICTORIA S PT
5349 ADAMS AVE PKWY #A
(801) 479-9865
Provider ID: 100000779326
NPI: 1679887392
SAVAGE, NATHAN J RPT
5957 FASHION POINT DR #102
(801) 827-0200
Provider ID: 100000278668
NPI: 1003099631
SMITH, MICHAEL C PT
1638 N WASHINGTON BLVD #103
(801) 782-3500
Provider ID: 100000093917
NPI: 1730286766
February 12, 2015
SNITEMAN, CLAY STEPHEN PT
2701 UNIVERSITY CIR
(801) 626-7474
Provider ID: 100000097044
NPI: 1235295049
2850 N 2000 W #204
(801) 731-5421
Provider ID: 100000292320
NPI: 1235295049
STOKES, CORBIN J RPT
349 12TH ST
(801) 393-0900
Provider ID: 100000362799
NPI: 1114154713
WEBB, BRENT A RPT
1452 E RIDGELINE DR #51
(801) 479-5777
Provider ID: 100000087815
NPI: 1154376838
WHITAKER, TIMOTHY J RPT
5782 S 500 E
(801) 917-8000
Provider ID: 100000603348
NPI: 1568796084
WIESE, KORRYN PT
5856 HARRISON BLVD #A
(801) 475-6415
Provider ID: 100000103979
NPI: 1528036878
ZUNDEL, MONTE ROD RPT
1638 N WASHINGTON BLVD #103
(801) 782-3500
Provider ID: 100000088088
NPI: 1861597957
UTAH
OGDEN
PULMONARY DISEASES
PODIATRY
AGRES, SUSAN J DPM
1322 32ND ST
(801) 475-5335
Provider ID: 100000702515
NPI: 1053560789
1679 SHADOW VALLEY DR
(801) 645-5244
Provider ID: 100000685716
NPI: 1053560789
FAWSON, LORELL BRADFORD
DPM
3590 HARRISON BLVD #G1
(801) 627-2122
Provider ID: 100000091025
NPI: 1144200155
955 CHAMBERS ST #200
Provider ID: 100001136248
NPI: 1144200155
GLOVER, DAVID BLAINE DPM
6112 S 1550 E #201
(801) 479-7505
Provider ID: 100000765219
NPI: 1740371681
MURRAH, CHANTEL BINGHAM
DPM
955 CHAMBERS ST #200
(801) 627-2122
Provider ID: 100001136283
NPI: 1093791311
WOOLLEY, MARK E DPM
6028 S RIDGELINE DR #205
(801) 409-2100
Provider ID: 100000736134
NPI: 1629213780
PLASTIC SURGERY
BARNETT, RANDALL DEAN MD
PULMONARY DISEASES
5405 S 500 E #101
ABEL, JEFFREY ALAN MD
(801) 689-3500
4403 HARRISON BLVD #3815
Provider ID: 100000085890
(801) 387-2575
NPI: 1700883600
Provider ID: 100000085672
MALAN, LEE JEPPSON MD
NPI: 1730129941
5261 ADAMS AVE PKWY
(801) 621-3591
Provider ID: 100000090617
NPI: 1033126271
82
UTAH
OGDEN
PULMONARY DISEASES
UTAH (cont'd)
OGDEN (cont'd)
PULMONARY DISEASES
(cont'd)
ANDERSON, CHRISTOPHER
KENT MD
4403 HARRISON BLVD #3815
(801) 387-2575
Provider ID: 100000084607
NPI: 1497794150
GOUCHER, GARY KENT MD
4403 HARRISON BLVD #3815
(801) 387-2575
Provider ID: 100000088719
NPI: 1043257140
GROVER, GURJEET S MD
4403 HARRISON BLVD #3815
(801) 387-2575
Provider ID: 100000810719
NPI: 1972721801
IVESTER, CHARLES THOMAS
MD
4403 HARRISON BLVD #3815
(801) 387-2575
Provider ID: 100000096474
NPI: 1376585372
KLEIN, DAVID MD
5475 S 500 E
(801) 479-2111
Provider ID: 100000761536
NPI: 1124075437
PITTMAN, JOEL ERIC MD
4403 HARRISON BLVD #3815
(801) 387-2575
Provider ID: 100000572408
NPI: 1871675132
RADIATION ONCOLOGY
CLARKE, JAMES W MD
5475 S 500 E
(801) 359-8956
Provider ID: 100000360135
NPI: 1295959724
Specialists
Sorted by state, city, specialty, then name
FISHER, BRANDON J MD
5475 S 500 E
(801) 359-8956
Provider ID: 100000867852
NPI: 1275789026
HANSEN, ROGER SCOTT MD
5475 S 500 E
(801) 359-8956
Provider ID: 100000094795
NPI: 1811036478
HARRIS, ROBERT ALAN MD
5475 S 500 E
(801) 359-8956
Provider ID: 100000098517
NPI: 1144369752
HAYES JR, JOHN KEITH MD
5475 S 500 E
(801) 359-8956
Provider ID: 100000089008
NPI: 1275672933
REILLY, MARK WILLIAM MD
5475 S 500 E
(801) 359-8956
Provider ID: 100000319688
NPI: 1699799981
RICHARDS, RAY STAYNER MD
5475 S 500 E
(801) 359-8956
Provider ID: 100000092044
NPI: 1063551695
ROGERS, CHARLES LELAND
MD
5475 S 500 E
(801) 359-8956
Provider ID: 100000096769
NPI: 1609915289
UTAH
OGDEN VASCULAR SURGERY
NEIDER, TRISTAN A SLP
978 CHAMBERS ST #1
(801) 399-5601
Provider ID: 100000313977
NPI: 1306037288
SPORTS MEDICINE
DEE, MICHAEL SCOT MD
5957 FASHION POINT DR #101
(801) 475-5683
Provider ID: 100000922553
NPI: 1710106653
THORACIC SURGERY
GRAHAM, JOSEPH EUGENE
MD
5405 S 500 E #200
(801) 476-6900
Provider ID: 100000537180
NPI: 1578638383
UROLOGY
CAMPBELL, CURTIS M MD
4403 HARRISON BLVD #4400
(801) 387-4550
Provider ID: 100000091238
NPI: 1023059557
HEATON, BRIAN WILLIAM MD
4403 HARRISON BLVD #4400
(801) 387-4550
Provider ID: 100000089817
NPI: 1245248236
OTTO, SAMUEL J MD
5405 S 500 E #100
(801) 475-8600
Provider ID: 100000794981
NPI: 1154565273
5405 S 500 E #203
SPEECH THERAPY
(801) 475-8600
HANSON, HUGH JALMER SLP
Provider ID: 100000359368
978 CHAMBERS ST #1
NPI: 1154565273
(801) 399-5601
VASCULAR SURGERY
Provider ID: 100000896626
NPI: 1275565830
GRAHAM, JOSEPH EUGENE
MD
HOWE, MARILYN K SP
2540 WASHINGTON BLVD #122 5405 S 500 E #200
(801) 476-6900
(801) 626-3670
Provider ID: 100000537180
Provider ID: 100000092964
NPI: 1578638383
NPI: 1508941543
83
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
OGDEN
VSP PROVIDERS – ROUTINE VISION
UTAH (cont'd)
OGDEN (cont'd)
VSP PROVIDERS – ROUTINE
VISION
BALLIF, MARK G MD
4360 WASHINGTON BLVD
(801)476-0494
NPI: 1376522573
BIBO, ANDREW L OD
3475 HARRISON BLVD
(801)394-8885
NPI: 1063859155
BRODSTEIN, DAVID E MD
875 COUNTRY HILLS DR
(801)399-1149
NPI: 1912989518
BURNETT, DAVID B OD
298 24TH ST STE 315
(801)393-4413
NPI: 1073520680
DANSIE, DANE F OD
4360 WASHINGTON BLVD
(801)476-0494
NPI: 1770562985
DASTRUP, BENJAMIN T MD
875 COUNTRY HILLS DR
(801)399-1149
NPI: 1073797809
DYGERT, LINCOLN J OD
3475 HARRISON BLVD
(801)394-8885
NPI: 1336175298
FARR, DEVIN B OD
4360 WASHINGTON BLVD
(801)476-0494
NPI: 1750643896
FELT, DOUGLAS P MD
875 COUNTRY HILLS DR
(801)399-1149
NPI: 1831171446
FROST, JAMES L OD
1196 30TH ST
(801)399-9873
NPI: 1740372846
February 12, 2015
HUMPHERYS, RICH H OD
1055 N WASHINGTON BLVD
(801)394-5709
NPI: 1275569444
JUDKINS, MICHAEL M OD
5331 S ADAMS AVE STE B
(801)479-7850
NPI: 1699774026
LINFORD, KEITH W OD
4360 WASHINGTON BLVD
(801)476-0494
NPI: 1275512493
PETERSON, SCOTT D OD
3988 WASHINGTON BLVD
(801)621-2883
NPI: 1750351441
PICKETT, GREG M OD
1196 30TH ST
(801)399-9873
NPI: 1639155617
POLL, JED MD
4360 WASHINGTON BLVD
(801)476-0494
NPI: 1376656124
RICHARDS, BRADLEY W MD
875 COUNTRY HILLS DR
(801)399-1149
NPI: 1457333064
RICHARDS, SCOTT C MD
875 COUNTRY HILLS DR
(801)399-1149
NPI: 1447232806
SLAUGH, GARY C OD
3475 HARRISON BLVD
(801)394-8885
NPI: 1376649152
SYKES, SCOTT O MD
4360 WASHINGTON BLVD
(801)476-0494
NPI: 1083693204
WILCOX, MICHAEL B MD
4360 WASHINGTON BLVD
(801)476-0494
NPI: 1053391771
84
UTAH
OREM
CHIROPRACTIC MEDICINE
OREM
ALLERGY
YEATES, HENRY MOYLE MD
159 N 400 W #B8
(801) 226-3600
Provider ID: 100000567978
NPI: 1649204033
CARDIOVASCULAR
DISEASES
ASAY, RONALD W MD
700 W 800 N #230
(801) 429-0620
Provider ID: 100000085214
NPI: 1578521308
BINGHAM, SCOTT EUGENE MD
700 W 800 N #230
(801) 429-0620
Provider ID: 100000092733
NPI: 1487612214
DAHL, CHARLES FRELEN MD
700 W 800 N #230
(801) 429-0620
Provider ID: 100000087824
NPI: 1912965344
CHIROPRACTIC MEDICINE
ALLEMAN, VON WADE DC
147 W 400 N
(801) 221-9060
Provider ID: 100000093324
NPI: 1467472985
BROWN, JEFFRY C DC
608 N STATE ST
(801) 226-2606
Provider ID: 100001010767
NPI: 1427335686
CARR, LOUIS STANLEY DC
207 N STATE ST
(801) 225-3481
Provider ID: 100000092487
NPI: 1700802592
FRAZIER, TROY DELANE DC
193 E 860 S
(801) 221-1151
Provider ID: 100000093271
NPI: 1770704157
UTAH
OREM
CHIROPRACTIC MEDICINE
UTAH (cont'd)
OREM (cont'd)
CHIROPRACTIC MEDICINE
(cont'd)
GURNEY, PAUL HAROLD DC
489 S OREM BLVD
(801) 234-6325
Provider ID: 100000090191
NPI: 1649328170
HANSEN, CHRISTIAN
KENNETH DC
218 E 800 S
(801) 225-2457
Provider ID: 100000099374
NPI: 1255522959
HEATH, DALE HARLAND DC
792 S 400 E
(801) 226-3383
Provider ID: 100000092379
NPI: 1124192042
HIGBEE, BENJAMIN C DC
309 N STATE ST
(801) 434-4555
Provider ID: 100000112795
NPI: 1831257500
HILL, JUSTIN A DC
309 N STATE ST
(801) 669-7189
Provider ID: 100000322040
NPI: 1083854111
LAFONTAINE, DANIEL
THOMAS DC
1704 S STATE ST
(801) 221-2999
Provider ID: 100000087658
NPI: 1346467685
RUTKOWSKI, SREVEN
RONALD DC
361 E UNIVERSITY PKWY
(801) 224-3413
Provider ID: 100000030147
NPI: 1942326988
Specialists
Sorted by state, city, specialty, then name
UTAH
OREM
MIDWIFERY SERVICES
STONE, CALVIN D DC
479 W 1400 N
(801) 221-2599
Provider ID: 100000089887
NPI: 1417097833
HAMILTON, SANFORD T MD
700 W 800 N #230
(801) 429-0620
Provider ID: 100000339454
NPI: 1356488126
DERMATOLOGY
EYRE, RUSSELL WARREN MD
486 W 800 N #201
(801) 431-0300
Provider ID: 100000092539
NPI: 1851395529
EYRE, STEVEN PAUL MD
486 W 800 N #201
(801) 431-0300
Provider ID: 100000087827
NPI: 1174520597
JENSON, KRAIG KRUEGER MD
1385 E 750 N
(801) 224-5200
Provider ID: 100000087598
NPI: 1922099324
MOSS, RICHARD LEE MD
145 W UNIVERSITY PKWY
(801) 581-2955
Provider ID: 100000088993
NPI: 1952472292
PETERSON, WARREN ALBERT
DO
1385 E 750 N
(801) 224-5200
Provider ID: 100000704508
NPI: 1134198807
GENERAL SURGERY
AFFLECK, DAVID GORDON MD
698 W 800 N #210
(801) 714-6412
Provider ID: 100000098726
NPI: 1710979653
GILL, BRIAN D MD
750 W 800 N
(801) 374-9625
Provider ID: 100000553200
NPI: 1164528717
IMMUNOLOGY
YEATES, HENRY MOYLE MD
159 N 400 W #B8
(801) 226-3600
Provider ID: 100000567978
NPI: 1649204033
MATERNAL AND FETAL
MEDICINE
BEAUCHAMP, LUANNA L MD
750 W 800 N
(801) 743-4700
Provider ID: 100000852642
NPI: 1740224286
MIDWIFERY SERVICES
COOK, JENNIFER A CNM
EAR NOSE THROAT700 W 800 N #200
OTOLARYNGOLOGY
(801) 404-5588
ENCE, BRADFORD KELLY MD
Provider ID: 100000763751
700 W 800 N #230
NPI: 1679667315
(801) 465-4805
SCHLEGELMILCH, SUE CNM
Provider ID: 100000089801
700 W 800 N #200
NPI: 1588766299
(801) 404-5588
GIBB, RANDAL BOYD MD
Provider ID: 100000766924
700 W 800 N #230
NPI: 1366580714
(801) 465-4805
WALKER, DENA R CNM
Provider ID: 100000090965
700 W 800 N #200
NPI: 1679675383
(801) 404-5588
Provider ID: 100000766919
NPI: 1750312831
85
February 12, 2015
UTAH
OREM
NEUROLOGICAL SURGERY
UTAH (cont'd)
OREM (cont'd)
NEUROLOGICAL SURGERY
BISSON, ERICA F MD
145 W UNIVERSITY PKWY
(801) 234-8600
Provider ID: 100000344349
NPI: 1750409520
NEUROLOGY
TAHER, MOHAMMAD E MD
700 W 800 N #330
(801) 763-0901
Provider ID: 100000094390
NPI: 1992762918
NURSING SERVICES
SMITH, SARAH K APRN
700 W 800 N #230
(801) 429-0620
Provider ID: 100000102946
NPI: 1700802279
OBSTETRICS AND
GYNECOLOGY
AAGARD, ROBERT ORR MD
700 W 800 N #200
(801) 374-1801
Provider ID: 100000093672
NPI: 1477661379
BEAN, GREGORY H MD
700 W 800 N #200
(801) 374-1801
Provider ID: 100000595520
NPI: 1629069695
BEAUCHAMP, LUANNA L MD
750 W 800 N
(801) 743-4700
Provider ID: 100000852642
NPI: 1740224286
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
UTAH
OREM
OBSTETRICS AND GYNECOLOGY
BENNETT, DONNA L MD
527 W 400 N #4
(801) 374-1801
Provider ID: 100000874495
NPI: 1801820253
700 W 800 N #200
(801) 756-9635
Provider ID: 100000874495
NPI: 1801820253
BOOTH, JENNIFER A APRN
527 W 400 N #4
(801) 374-1801
Provider ID: 100000102507
NPI: 1821114505
700 W 800 N #200
(801) 756-9635
Provider ID: 100000102507
NPI: 1821114505
BROBERG, JEFFREY C MD
527 W 400 N #4
(801) 374-1801
Provider ID: 100000110355
NPI: 1639150485
700 W 800 N #200
(801) 756-9635
Provider ID: 100000110355
NPI: 1639150485
DABLING, HEATHER A MD
527 W 400 N #4
(801) 374-1801
Provider ID: 100000957829
NPI: 1598931016
DREWES, PETER G MD
527 W 400 N #4
(801) 374-1801
Provider ID: 100000694112
NPI: 1275571804
700 W 800 N #200
(801) 756-9635
Provider ID: 100000694112
NPI: 1275571804
86
JACOB, SCOTT RICHARD MD
527 W 400 N #4
(801) 374-1801
Provider ID: 100000101700
NPI: 1528184611
700 W 800 N #200
(801) 374-1801
Provider ID: 100001089273
NPI: 1528184611
JUDD, THOMAS ELWYN MD
700 W 800 N #200
(801) 374-5000
Provider ID: 100000503037
NPI: 1740210756
LAMOREAUX, JAMES PAUL
MD
700 W 800 N #200
(801) 374-1801
Provider ID: 100000089601
NPI: 1932212503
MELENDEZ, TERRY DWAIN
MD
700 W 800 N #200
(801) 374-1801
Provider ID: 100000595524
NPI: 1316050081
MORRIS, CASSANDRA J APRN
700 W 800 N #200
(801) 374-1801
Provider ID: 100000717823
NPI: 1174701163
OLLERTON, RYAN C DO
700 W 800 N #200
(801) 374-1801
Provider ID: 100000595958
NPI: 1528275898
REES, STEPHEN M MD
527 W 400 N #4
(801) 374-1801
Provider ID: 100000717801
NPI: 1689750838
700 W 800 N #200
(801) 756-9635
Provider ID: 100000717801
NPI: 1689750838
Specialists
UTAH
Sorted by state, city, specialty, then name
OREM
OBSTETRICS AND GYNECOLOGY
RAMASUBRAMANIAN,
APARNA MD
145 W 1300 S
OREM (cont'd)
(801) 226-7555
Provider ID: 100001083048
OBSTETRICS AND
NPI: 1841428083
GYNECOLOGY (cont'd)
WILKINSON, JUSTIN T MD
SPENCER, ANDREW H MD
700 W 800 N #160
750 W 800 N
(801) 426-9800
(801) 743-4700
Provider ID: 100000788118
Provider ID: 100000802814
NPI: 1396937074
NPI: 1467647537
WILLIAMS, LLOYD B MD
THORPE, JEFFOREY RUEL MD 1455 S STATE ST
527 W 400 N #4
(801) 226-3044
(801) 374-1801
Provider ID: 100000994679
Provider ID: 100000090525
NPI: 1730333741
NPI: 1225153828
YOUNG,
MARIELLE P MD
700 W 800 N #200
145
W
1300
S
(801) 756-9635
(801)
226-7555
Provider ID: 100000090525
Provider ID: 100000717872
NPI: 1225153828
NPI: 1033390877
TRAUSCHT-VANHORN,
145 W UNIVERSITY PKWY
JENNIFER J MD
(801) 581-2352
1086 N 1200 W
Provider ID: 100000717859
(801) 226-5246
NPI: 1033390877
Provider ID: 100000087628
OPTOMETRY
NPI: 1306926209
OCCUPATIONAL MEDICINE ABRAHAM, JAMES M OD
542 S STATE ST
GRAZIANO, KELLI M MD
(801) 373-1711
145 W UNIVERSITY PKWY
Provider ID: 100000741253
(801) 234-8600
NPI: 1063597342
Provider ID: 100000960408
BEATY, PATRICIA ANN OD
NPI: 1568622850
175 N 400 W
(801) 224-6767
OCCUPATIONAL THERAPY
Provider ID: 100000085710
MILLER, MARY ANN OT
NPI: 1417049586
730 W 800 N #340B
BEHUNIN,
JASON PRICE MD
(801) 655-5425
1355
SANDHILL
RD
Provider ID: 100000269090
(801)
802-7101
NPI: 1154433134
Provider ID: 100000098187
OPHTHALMOLOGY
NPI: 1952401291
MONROE, JAMIE MARIA MD BROCKBANK, STEPHEN
175 N 400 W #C
RUSSELL OD
(801) 224-6767
575 E UNIVERSITY PKWY #H155
Provider ID: 100000099900
(801) 225-3920
NPI: 1619075678
Provider ID: 100000900815
NPI: 1508973397
UTAH (cont'd)
87
UTAH
OREM
OPTOMETRY
CASTLETON, KEITH J OD
575 E UNIVERSITY PKWY #H155
(801) 225-3920
Provider ID: 100000979946
NPI: 1730168071
CHRISTENSEN, NATHAN R OD
175 W CENTER ST
(801) 478-2745
Provider ID: 100000298277
NPI: 1942464284
CODNER, BILL G OD
209 N STATE ST
(801) 224-4799
Provider ID: 100000093363
NPI: 1245299338
CORRY, ROBERT H OD
145 W UNIVERSITY PKWY
(801) 226-7555
Provider ID: 100000115583
NPI: 1891876686
GIBBONS, TIMOTHY LEE OD
145 W UNIVERSITY PKWY
(801) 234-8600
Provider ID: 100001069116
NPI: 1700967593
GILLILAND, RODNEY N OD
1455 S STATE ST
(801) 226-3044
Provider ID: 100000856827
NPI: 1801800016
HADLOCK, BRENT LEE OD
1448 S STATE ST
(801) 224-0451
Provider ID: 100000087278
NPI: 1578648564
1455 S STATE ST
(801) 226-3044
Provider ID: 100001072156
NPI: 1578648564
HATCH, WILLIAM VICTOR OD
700 W 800 N #160
(801) 426-9800
Provider ID: 100000242302
NPI: 1669676086
February 12, 2015
UTAH
OREM
OPTOMETRY
Specialists
Sorted by state, city, specialty, then name
UTAH
OREM
ORTHOPEDIC SURGERY
JACKSON, ROBERT TAYLOR
MD
700 W 800 N #100
OREM (cont'd)
(801) 224-5373
Provider ID: 100000091217
OPTOMETRY (cont'd)
NPI: 1407959695
HIMES, RANDALL C OD
JOHNSON, CURTIS CARL MD
1455 S STATE ST
700 W 800 N #100
(801) 226-3044
(801) 429-8000
Provider ID: 100000863445
Provider ID: 100000093447
NPI: 1144380478
NPI: 1205939089
KESSLER, JENNIFER L OD
KIMBALL, KIRT MICHAEL MD
1455 S STATE ST
700 W 800 N #100
(801) 226-3044
(801) 429-8000
Provider ID: 100000811345
Provider ID: 100000093052
NPI: 1811259336
NPI: 1548363419
LEISHMAN, BENJAMIN H OD
LARSEN,
MITCHELL
ORTHOPEDIC SURGERY
1455 S STATE ST
WILLIAMS MD
(801) 226-3044
BACON, CARL WILLIAM MD 700 W 800 N #100
Provider ID: 100000785079
700 W 800 N #100
(801) 429-8000
NPI: 1942438015
(801) 224-5373
Provider ID: 100000099882
LEWIS, STEPHEN CHARLES OD
Provider ID: 100000089582
NPI: 1205928546
1455 S STATE ST
NPI: 1962505750
NELSON, DEVON AMMON MD
(801) 226-3044
BARKER, BRADY P MD
700 W 800 N #100
Provider ID: 100000748588
700 W 800 N #100
(801) 224-5373
NPI: 1184653818
(801) 429-8000
Provider ID: 100000091010
NEVERS, MARK W OD
Provider ID: 100000683488
NPI: 1235232307
1455 S STATE ST
NPI: 1588863880
RICHARDS, RYAN A MD
(801) 226-3044
FAUX, JONATHAN ROBERT MD 700 W 800 N #100
Provider ID: 100000815937
700 W 800 N #100
(801) 429-8000
NPI: 1366704959
(801) 429-8000
Provider ID: 100000101479
NIELSEN, SHELLY LORRAINE
Provider ID: 100000097477
NPI: 1427149178
OD
NPI: 1538250287
RICHEY, JOSEPH LEWIS MD
1455 S STATE ST
FRAZIER, MATTHEW S DO
700 W 800 N #100
(801) 226-3044
700 W 800 N #100
(801) 429-8000
Provider ID: 100000269193
(801) 429-8000
Provider ID: 100000094352
NPI: 1699864801
Provider ID: 100000340575
NPI: 1982708913
PALMER, CLAIR RAY OD
NPI: 1598977944
WALLENTINE, JEFFREY MAX
145 W UNIVERSITY PKWY
JACKSON, RICHARD TAYLOR MD
(801) 234-8600
MD
700 W 800 N #100
Provider ID: 100000087266
700 W 800 N
(801) 224-5373
NPI: 1255412045
(801) 221-8811
Provider ID: 100000089503
RHAZI, MARIA L OD
Provider ID: 100000091221
NPI: 1124121934
125 S STATE ST
NPI: 1144323163
(801) 225-4700
Provider ID: 100000111092
NPI: 1811948805
UTAH (cont'd)
February 12, 2015
ROE, FARRELL M OD
1455 S STATE ST
(801) 226-3044
Provider ID: 100001047485
NPI: 1225104110
VINCENT, BRYAN HARLOW
OD
145 W UNIVERSITY PKWY
(801) 234-8600
Provider ID: 100000089152
NPI: 1982785770
WEIR, DANIEL MARK OD
125 S STATE ST
(801) 225-4700
Provider ID: 100000089562
NPI: 1578513727
88
UTAH
OREM
ORTHOPEDICS
Specialists
Sorted by state, city, specialty, then name
UTAH
OREM
PLASTIC SURGERY
MILLS, DANIEL G RPT
601 N 1200 W
(801) 224-4131
OREM (cont'd)
Provider ID: 100000090580
NPI: 1710196944
ORTHOPEDICS
ORROCK,
STEVEN J RPT
PHYSICAL THERAPY
HOOPES, DANIEL M MD
1325 S 800 E #215
700 W 800 N #100
BLATTER, IAN W RPT
(801) 373-1053
(801) 429-8000
1275 S 800 E
Provider ID: 100000092972
Provider ID: 100001106832
(801) 224-7667
NPI: 1629125174
NPI: 1255505582
Provider ID: 100000311388
PACK, ROGER E RPT
NPI: 1801057567
412 W 800 N
OSTEOPATH
BLISS, BRANDON K RPT
(801) 235-7246
MCLANE, MELISSA LOUISE DO 252 N STATE ST
Provider ID: 100000261029
331 N 400 W
(801) 226-0599
NPI: 1033225578
(801) 224-4080
Provider ID: 100000318738
SCHULTZ,
CRAIG ALAN RPT
Provider ID: 100000097048
NPI: 1720167752
684
W
800
N
#110
NPI: 1013017029
BUSHNELL, MATTHEW F RPT (801) 224-2250
PHYSICAL MEDICINE AND 252 N STATE ST
Provider ID: 100000088317
(801) 226-0599
REHABILITATION
NPI: 1508852484
Provider
ID:
100000721012
COLLEDGE, ALAN LAWRENCE
SORENSEN, ORYSLAVA C RPT
NPI: 1033402607
MD
601 N 1200 W
HUNT, HENRY DAVID RPT
700 W 800 N #100
(801) 224-4131
147 W 400 N
(801) 224-5373
Provider ID: 100000949545
(801) 221-9060
Provider ID: 100000089209
NPI: 1881859767
Provider ID: 100000564176
NPI: 1629169370
SUMSION, WILLIAM G RPT
NPI: 1598701773
684 W 800 N #110
DANA JR, JOHN A MD
KELSON, SETH J RPT
(801) 224-2250
412 W 800 N
1275 S 800 E
(801) 235-7246
Provider ID: 100000090168
(801) 224-7667
Provider ID: 100000555397
NPI: 1659367845
Provider ID: 100000294905
NPI: 1114091105
PLASTIC SURGERY
NPI: 1831224146
KING, STUART WESLEY MD
LILLYWHITE, DANIEL R RPT BISHOP, JON BRADLEY MD
839 E 1200 S
252 N STATE ST
700 W 800 N #442
(801) 224-0891
(801)
226-0599
(801) 802-0120
Provider ID: 100000612311
Provider
ID:
100000318735
Provider ID: 100000089590
NPI: 1366518730
NPI:
1649437799
NPI: 1609818616
KING, VALTON NOBLE DO
MCKELL, JOHN S RPT
JONES, TRENTON COX MD
839 E 1200 S
504 E 770 N
1375 E 800 N #205
(801) 224-0891
(801) 224-2177
(801) 418-8172
Provider ID: 100000612312
Provider ID: 100000087072
Provider ID: 100000097117
NPI: 1457427817
NPI:
1629005301
NPI: 1386687911
OCKEY, ROBIN RAE MD
MENDENHALL,
WENDELL
412 W 800 N
BUCK RPT
(801) 235-7246
1325 S 800 E #215
Provider ID: 100000245627
(801) 373-1053
NPI: 1326046160
Provider ID: 100000088410
NPI: 1275682262
UTAH (cont'd)
SPEED, JOHN MD
145 W UNIVERSITY PKWY
(801) 213-3900
Provider ID: 100001039840
NPI: 1326138959
89
February 12, 2015
UTAH
OREM
PODIATRY
UTAH (cont'd)
OREM (cont'd)
PODIATRY
HOYAL, JAMES IRVIN DPM
1798 N STATE ST
(801) 224-6464
Provider ID: 100000095077
NPI: 1538192406
MCKELL, SCOTT ROMNEY
DPM
157 N 400 W #B-7
(801) 226-2421
Provider ID: 100000090155
NPI: 1497820054
RIDGE, GARY ROYCE DPM
157 N 400 W #B-7
(801) 226-2421
Provider ID: 100000088921
NPI: 1144267089
RADIATION ONCOLOGY
CLARKE, JAMES W MD
674 W 800 N #B10
(801) 852-0210
Provider ID: 100000360135
NPI: 1295959724
HANSEN, ROGER SCOTT MD
674 W 800 N #B10
(801) 852-0210
Provider ID: 100000094793
NPI: 1811036478
HARRIS, ROBERT ALAN MD
674 W 800 N #B10
(801) 852-0210
Provider ID: 100000098517
NPI: 1144369752
HAYES JR, JOHN KEITH MD
674 W 800 N #B10
(801) 852-0210
Provider ID: 100000089006
NPI: 1275672933
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
REILLY, MARK WILLIAM MD
674 W 800 N #B10
(801) 852-0210
Provider ID: 100000541812
NPI: 1699799981
RICHARDS, RAY STAYNER MD
674 W 800 N #B10
(801) 852-0210
Provider ID: 100000092044
NPI: 1063551695
ROGERS, CHARLES LELAND
MD
674 W 800 N #B10
(801) 852-0210
Provider ID: 100000096767
NPI: 1609915289
SPEECH THERAPY
BOUCHER, KURTT R SLP
684 W 800 N #110
(801) 224-2250
Provider ID: 100000305509
NPI: 1871750059
SPORTS MEDICINE
MINER, LONNIE JEFFERSON
MD
730 W 800 N #340B
(801) 655-5425
Provider ID: 100000513208
NPI: 1942220645
WEENIG, KARL N MD
680 W 800 N #100
(801) 373-7350
Provider ID: 100000098703
NPI: 1740242973
THORACIC SURGERY
GRAHAM, JOSEPH EUGENE
MD
698 W 800 N #210
(801) 714-6412
Provider ID: 100000537180
NPI: 1578638383
90
UTAH
OREM WOMEN'S HEALTH SERVICES
URGENT CARE OR WALK IN
ANDERSON, LAURA M MD
UUHC COMMUNITY CLINICS
145 W UNIVERSITY PKWY
(801) 234-8600
Provider ID: 100000742855
NPI: 1740270867
VASCULAR SURGERY
GRAHAM, JOSEPH EUGENE
MD
698 W 800 N #210
(801) 714-6412
Provider ID: 100000537180
NPI: 1578638383
VSP PROVIDERS – ROUTINE
VISION
ABRAHAM, JAMES M OD
542 S STATE ST
(801)373-1711
NPI: 1063597342
BROCKBANK, STEPHEN R OD
575 E UNIVERSITY PKWY STE
H155
(801)225-3920
NPI: 1508973397
CODNER, BILL G OD
209 N STATE ST
(801)224-4799
NPI: 1245299338
MENDENHALL, JESS E OD
542 S STATE ST
(801)373-1711
NPI: 1225280423
WOMEN'S HEALTH
SERVICES
JORGENSEN, CHRISTY APRN
527 W 400 N #4
(801) 374-1801
Provider ID: 100000517885
NPI: 1699927418
700 W 800 N #200
(801) 756-9635
Provider ID: 100000517885
NPI: 1699927418
Specialists
UTAH
Sorted by state, city, specialty, then name
OREM
WOMEN'S HEALTH SERVICES
UTAH (cont'd)
OREM (cont'd)
WOMEN'S HEALTH
SERVICES (cont'd)
MCSWEENEY, HEIDI APRN
527 W 400 N #4
(801) 374-1801
Provider ID: 100000111091
NPI: 1063538775
700 W 800 N #200
(801) 756-9635
Provider ID: 100000111091
NPI: 1063538775
PAYSON
ALLERGY
YEATES, HENRY MOYLE MD
39 PROFESSIONAL WAY #1
(801) 429-8000
Provider ID: 100000567978
NPI: 1649204033
AUDIOLOGY
SACCO, ROBERT CRAIG AUD
39 PROFESSIONAL WAY #1
(801) 465-4805
Provider ID: 100000089334
NPI: 1861545410
LAFFERTY, MARK C DC
55 S 100 E
(801) 465-4888
Provider ID: 100000089297
NPI: 1720111974
WRIGHT, DARIN E DC
887 E 100 N #2A
(801) 465-8800
Provider ID: 100000090373
NPI: 1316001050
DERMATOLOGY
EYRE, MICHAEL PEARSON DO
123 N 500 E
(801) 465-8001
Provider ID: 100000098738
NPI: 1063481646
PETERSON, CHAD R DO
123 N 500 E
(801) 465-8001
Provider ID: 100000284117
NPI: 1821299751
PETERSON, MICHAEL W DO
123 N 500 E
(801) 465-8001
Provider ID: 100000801760
NPI: 1770634909
PETERSON, WARREN ALBERT
DO
123 N 500 E
(801) 465-8001
Provider ID: 100000092563
NPI: 1134198807
UTAH
PAYSON NEUROLOGY
ENDOCRINOLOGY,
DIABETES AND
METABOLISM
NIZAM, MOHAMMED S MD
910 E 100 N #105
(801) 465-4813
Provider ID: 100000760965
NPI: 1326203514
GENERAL SURGERY
HILL, BRUCE BINKLEY MD
1000 E 15 S #350
(801) 465-5602
Provider ID: 100000085239
NPI: 1699715664
MEHR, DANIEL SCOTT MD
39 PROFESSIONAL WAY #3
(801) 465-4001
Provider ID: 100000098280
NPI: 1396891677
IMMUNOLOGY
YEATES, HENRY MOYLE MD
39 PROFESSIONAL WAY #1
(801) 429-8000
Provider ID: 100000567978
NPI: 1649204033
NEPHROLOGY
BARAGER JR, WILLIAM E DO
910 E 100 N #105
(801) 465-4813
CHIROPRACTIC MEDICINE
Provider ID: 100000813751
CARROLL, MILTON LEMMON
NPI: 1962444638
EAR NOSE THROATDC
KAKANI, SIDDHARTHA MD
OTOLARYNGOLOGY
675 S 100 W #4
15 S 1000 E #150
(801) 465-8177
ENCE, BRADFORD KELLY MD (801) 465-2060
Provider ID: 100000098239
39 PROFESSIONAL WAY #1
Provider ID: 100000960425
NPI: 1982704177
(801) 465-4805
NPI: 1750502928
KING, JAMES IRA DC
Provider ID: 100000089801
865 S 500 W
NPI: 1588766299
NEUROLOGY
(801) 465-4999
GIBB, RANDAL BOYD MD
REYNOLDS, CHRISTOPHER
Provider ID: 100000094250
39 PROFESSIONAL WAY #1
JAY MD
NPI: 1053411090
(801) 465-4805
50 S MEDICAL DR #4
871 S 500 W
Provider ID: 100000090965
(801) 465-4800
(801) 465-2672
NPI: 1679675383
Provider ID: 100000086748
Provider ID: 100001100853
NPI: 1700843695
NPI: 1053411090
91
February 12, 2015
UTAH
PAYSON
NEUROLOGY
UTAH (cont'd)
PAYSON (cont'd)
NEUROLOGY (cont'd)
TAHER, MOHAMMAD E MD
50 S MEDICAL DR #4
(801) 465-4800
Provider ID: 100000094390
NPI: 1992762918
OBSTETRICS AND
GYNECOLOGY
ANDERSON, CAMERON DEAN
MD
39 PROFESSIONAL WAY #4
(801) 465-3201
Provider ID: 100000692045
NPI: 1629096870
BENNETT, DONNA L MD
39 PROFESSIONAL WAY #4
(801) 465-3201
Provider ID: 100001074629
NPI: 1801820253
CROUCH, MAX J MD
15 S 1000 E #3
(801) 465-4896
Provider ID: 100000739450
NPI: 1861569261
97 PROFESSIONAL WAY #2
(801) 465-4896
Provider ID: 100000739450
NPI: 1861569261
OPHTHALMOLOGY
VALENTINE, JEREMY R MD
910 E 100 N #105
(801) 465-4813
Provider ID: 100000552575
NPI: 1013191584
OPTOMETRY
ROWLEY, BRIAN
FARNSWORTH OD
539 S 100 W
(801) 465-0355
Provider ID: 100000099295
NPI: 1588771414
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
ORTHOPEDIC SURGERY
BACON, CARL WILLIAM MD
15 S 1000 E #150
(801) 373-7350
Provider ID: 100000089582
NPI: 1962505750
BARKER, BRADY P MD
15 S 1000 E #150
(801) 373-7350
Provider ID: 100000683488
NPI: 1588863880
FAUX, JONATHAN ROBERT MD
50 S MEDICAL DR #6
(801) 429-8000
Provider ID: 100000097477
NPI: 1538250287
FRAZIER, MATTHEW S DO
15 S 1000 E #150
(801) 373-7350
Provider ID: 100000340575
NPI: 1598977944
JACKSON, RICHARD TAYLOR
MD
50 S MEDICAL DR #6
(801) 429-8000
Provider ID: 100000091221
NPI: 1144323163
JACKSON, ROBERT TAYLOR
MD
15 S 1000 E #150
(801) 373-7350
Provider ID: 100000091217
NPI: 1407959695
JOHNSON, CURTIS CARL MD
15 S 1000 E #150
(801) 373-7350
Provider ID: 100000093447
NPI: 1205939089
50 S MEDICAL DR #6
(801) 429-8000
Provider ID: 100000093447
NPI: 1205939089
92
UTAH
PAYSON
PHYSICAL MEDICINE AND
REHABILITATION
KIMBALL, KIRT MICHAEL MD
15 S 1000 E #150
(801) 373-7350
Provider ID: 100000093052
NPI: 1548363419
50 S MEDICAL DR #6
(801) 429-8000
Provider ID: 100000093052
NPI: 1548363419
LARSEN, MITCHELL
WILLIAMS MD
50 S MEDICAL DR #6
(801) 429-8000
Provider ID: 100000099882
NPI: 1205928546
RICHEY, JOSEPH LEWIS MD
50 S MEDICAL DR #6
(801) 429-8000
Provider ID: 100000094352
NPI: 1982708913
WALLENTINE, JEFFREY MAX
MD
15 S 1000 E #150
(801) 373-7350
Provider ID: 100000089503
NPI: 1124121934
ORTHOPEDICS
CARLSON, MICHAEL J MD
15 S 1000 E #150
(801) 373-7350
Provider ID: 100000794780
NPI: 1407076193
PAIN MANAGEMENT
CROUCH, BENJAMIN S DO
15 S 1000 E #150
(801) 373-7350
Provider ID: 100001028832
NPI: 1336302546
PHYSICAL MEDICINE AND
REHABILITATION
COLLEDGE, ALAN LAWRENCE
MD
15 S 1000 E #150
(801) 373-7350
Provider ID: 100000089209
NPI: 1629169370
Specialists
UTAH
Sorted by state, city, specialty, then name
PAYSON
PHYSICAL MEDICINE AND REHABILITATION
UTAH (cont'd)
PAYSON (cont'd)
PHYSICAL MEDICINE AND
REHABILITATION (cont'd)
CROUCH, BENJAMIN S DO
15 S 1000 E #150
(801) 373-7350
Provider ID: 100001028832
NPI: 1336302546
PHYSICAL THERAPY
ADAMS, LYNN GEORGE RPT
867 S 500 W
(801) 465-7979
Provider ID: 100000094703
NPI: 1265463012
871 S 500 W
(801) 465-2672
Provider ID: 100001100648
NPI: 1265463012
AVERETT, DARREN H RPT
15 S 1000 E #25
(801) 465-5610
Provider ID: 100000095160
NPI: 1548232549
MANGUM, BRAD A PT
15 S 1000 E #25
(801) 465-5610
Provider ID: 100000256405
NPI: 1316992548
PLASTIC SURGERY
JENSEN, MARK H MD
15 S 1000 E #150
(801) 375-4263
Provider ID: 100000703123
NPI: 1184602351
PODIATRY
BLACK, JOHN L DPM
875 E 100 N #7
(801) 465-1345
Provider ID: 100000099891
NPI: 1255389136
SAVAGE, DAVID T DPM
1120 E 100 N #2
(801) 465-1345
Provider ID: 100000616119
NPI: 1891789491
UTAH
PLEASANT GROVE CHIROPRACTIC MEDICINE
PLEASANT GROVE
AUDIOLOGY
DEVEREAUX, BRENDA D CCCA
872 N 2000 W #B
(801) 763-2444
PULMONARY DISEASES
Provider ID: 100000768195
AL SHURQAIRAT, TALAAT MD
NPI: 1245515980
910 E 100 N #105
(801) 465-4813
CHIROPRACTIC MEDICINE
Provider ID: 100000108904
BARRUS, JAMES SCOTT DC
NPI: 1104875574
912 N 2000 W
(801) 756-2861
SPEECH THERAPY
Provider ID: 100000087475
BOUCHER, KURTT R SLP
NPI: 1538242714
15 S 1000 E #25
BINGHAM, ERICK ROLAND DC
(801) 465-5610
559 W STATE RD
Provider ID: 100000305509
(801) 922-4310
NPI: 1871750059
Provider ID: 100000096825
SPORTS MEDICINE
NPI: 1922169812
WEENIG, KARL N MD
FREE, DAVID HARLAN DC
50 S MEDICAL DR #6
28 N 100 E
(801) 373-7350
(801) 796-7075
Provider ID: 100000098703
Provider ID: 100000092557
NPI: 1740242973
NPI: 1326045279
JENSEN, PAUL G DC
UROLOGY
196 S MAIN ST
KRONMILLER, PATRICK
(801) 785-9115
WILLIAM MD
Provider ID: 100000089837
15 S 1000 E #225
NPI: 1417013178
(801) 465-2511
JOHNSON,
JUSTIN D DC
Provider ID: 100000087044
1988
W
930
N
NPI: 1801907514
(801) 492-9300
39 PROFESSIONAL WAY #2
Provider ID: 100000865245
(801) 465-2511
NPI: 1730436791
Provider ID: 100000087041
MAKIN, DALLAS B DC
NPI: 1801907514
238 E STATE RD #11
VSP PROVIDERS – ROUTINE
(801) 709-9797
VISION
Provider ID: 100000339245
NPI: 1417195447
ROWLEY, BRIAN F OD
MILLER,
NATE D DC
539 S 100 W
1988
W
930
N
(801)465-0355
(801)
492-9300
NPI: 1588771414
Provider ID: 100000097241
NPI: 1285716738
93
February 12, 2015
UTAH
PLEASANT GROVE
CHIROPRACTIC MEDICINE
Specialists
Sorted by state, city, specialty, then name
CLARK, MATTHEW B MD
1886 W 800 N
(801) 756-5288
PLEASANT GROVE (cont'd)
Provider ID: 100001114371
NPI: 1851619076
CHIROPRACTIC MEDICINE
(cont'd)
CONWAY, DEIRDRE A MD
1446 W PLEASANT GROVE BLVD
MOULTRIE, GEOFFREY G DC
(801) 785-5100
457 E 1000 S
Provider ID: 100000821552
(801) 899-2354
NPI: 1881897908
Provider ID: 100000277012
GURTCHEFF, SHAWN E MD
NPI: 1215082615
1446 W PLEASANT GROVE BLVD
ROSQUIST, BRYON LAMAR DC (801) 785-5100
405 S 100 E #104
Provider ID: 100000763875
(801) 785-9411
NPI: 1952353930
Provider ID: 100000091857
YOUNG,
DAVID B DO
NPI: 1730221706
1886 W 800 N
STONE, SHIRL AMMON DC
(801) 756-5288
32 S MAIN ST
Provider ID: 100000352125
(801) 785-0788
NPI: 1679756852
Provider ID: 100000089788
OPTOMETRY
NPI: 1700922481
TEMPLETON, JOEL DAVID DC DAVIES, JARROD E OD
1988 W 930 N
908 N 2000 W
(801) 367-8927
(801) 492-6393
Provider ID: 100000327763
Provider ID: 100000607358
NPI: 1578768172
NPI: 1861621864
FROMM, KEVIN JAY OD
DERMATOLOGY
238 E STATE RD #4
BEZZANT, JOHN LLOYD MD
(801) 796-1054
84 S MAIN ST
Provider ID: 100000093805
(801) 785-7414
NPI: 1659347144
Provider ID: 100000089134
POTTS,
BRUCE T OD
NPI: 1730175720
238 E STATE RD #4
(801) 796-1054
MIDWIFERY SERVICES
Provider ID: 100000093824
BEDELL, LEANNE B CNM
NPI: 1598794281
1886 W 800 N
(801) 756-5288
REPRODUCTIVE
Provider ID: 100000854800
ENDOCRINOLOGY
NPI: 1790780161
CONWAY, DEIRDRE A MD
OBSTETRICS AND
1446 W PLEASANT GROVE BLVD
(801) 785-5100
GYNECOLOGY
Provider ID: 100000821552
ALLEN, DOUGLAS A DO
NPI: 1881897908
1886 W 800 N
(801) 756-5288
Provider ID: 100000352124
NPI: 1659575686
UTAH (cont'd)
February 12, 2015
94
UTAH
PROVO ADULT MEDICINE
FOULK, RUSSELL A MD
1446 W PLEASANT GROVE BLVD
(801) 785-5100
Provider ID: 100000535096
NPI: 1790734366
GURTCHEFF, SHAWN E MD
1446 W PLEASANT GROVE BLVD
(801) 785-5100
Provider ID: 100000763875
NPI: 1952353930
VSP PROVIDERS – ROUTINE
VISION
FROMM, KEVIN J OD
238 E STATE RD STE 4
(801)796-1054
NPI: 1659347144
POTTS, BRUCE T OD
238 E STATE RD STE 4
(801)796-1054
NPI: 1598794281
PRICE, ROBIN S OD
908 N 2000 W
(801)492-6393
NPI: 1932205440
WOMEN'S HEALTH
SERVICES
LEDINGHAM, DEBRA A APRN
1886 W 800 N
(801) 756-5288
Provider ID: 100001172371
NPI: 1700288727
PROVO
ADULT MEDICINE
CREAGER, JOELLE M APRN
1055 N 500 W
(801) 429-8000
Provider ID: 100000866551
NPI: 1558394692
UTAH
PROVO
ADULT MEDICINE
UTAH (cont'd)
PROVO (cont'd)
ADULT MEDICINE (cont'd)
TROTTER, DARCY T APRN
3650 N UNIVERSITY AVE #150
(801) 818-1940
Provider ID: 100000692110
NPI: 1215244967
3651 N 100 E #150
(801) 226-0737
Provider ID: 100001033970
NPI: 1215244967
TROTTER, NANCY APRN
3650 N UNIVERSITY AVE #150
(801) 818-1940
Provider ID: 100000096194
NPI: 1881682086
3651 N 100 E #150
(801) 226-0737
Provider ID: 100000096192
NPI: 1881682086
Specialists
Sorted by state, city, specialty, then name
THOMAS, CURTIS G AUD
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000283658
NPI: 1184761736
WORTHINGTON, DOUGLAS K
CCCA
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000787560
NPI: 1467460246
CARDIOLOGY
CARTER, MELVIN ERIC MD
1055 N 500 W #101
(801) 373-4366
Provider ID: 100000008762
NPI: 1700815834
CARDIOVASCULAR
DISEASES
ALLEN, MARVIN R MD
1055 N 500 W #101
(801) 373-4366
Provider ID: 100000092656
ALLERGY
NPI: 1831154566
ALTAMIRANO, HUGO
ASAY, RONALD W MD
GUILLERMO MD
1055 N 500 W #101
745 N 500 W #200
(801) 373-4366
(801) 375-9292
Provider ID: 100000085214
Provider ID: 100000096297
NPI: 1578521308
NPI: 1417938325
BINGHAM, SCOTT EUGENE MD
MATHESON, EVAN J MD
1055 N 500 W #101
745 N 500 W #200
(801) 373-4366
(801) 375-9292
Provider ID: 100000092733
Provider ID: 100000089903
NPI: 1487612214
NPI: 1649251646
CRAGUN, DAVID T MD
AUDIOLOGY
1055 N 500 W #101
(801) 373-4366
DANSIE, JOSEPH E AUD
Provider ID: 100000117490
1055 N 300 W #401
NPI: 1821005349
(801) 357-7499
DAHL, CHARLES FRELEN MD
Provider ID: 100000589558
1055 N 500 W #101
NPI: 1972818185
DEVEREAUX, BRENDA D CCCA (801) 373-4366
Provider ID: 100000087824
2545 N CANYON RD #107
NPI: 1912965344
(801) 373-1108
Provider ID: 100000768195
NPI: 1245515980
95
UTAH
PROVO
CHIROPRACTIC MEDICINE
HWANG, CHUN MD
1055 N 500 W #101
(801) 373-4366
Provider ID: 100000092569
NPI: 1649238080
NEWMAN, RODNEY H APRN
1055 N 500 W
(801) 429-8000
Provider ID: 100000094370
NPI: 1588622013
PACKER, KRAIG L APRN
1055 N 500 W
(801) 429-8000
Provider ID: 100000304160
NPI: 1518959535
SILVERSTEIN, JOSHUA R MD
1055 N 500 W #101
(801) 373-4366
Provider ID: 100000900796
NPI: 1952587743
WANG, DAVID C MD
1055 N 500 W #101
(801) 373-4366
Provider ID: 100000284146
NPI: 1649491440
WEAVER, AARON N MD
1055 N 500 W #101
(801) 373-4366
Provider ID: 100000533301
NPI: 1750594222
CHIROPRACTIC MEDICINE
BEUTLER, RONALD ARTHUR
DC
75 S 200 E #201
(801) 235-9977
Provider ID: 100000092556
NPI: 1649344490
BOWERS, MARC VINCENT DC
777 N 500 W #205
(801) 377-0898
Provider ID: 100000087395
NPI: 1851480362
BRADY, ERIC JAMES DC
777 N 500 W #205
(801) 375-2420
Provider ID: 100000092902
NPI: 1306934393
February 12, 2015
UTAH
PROVO
CHIROPRACTIC MEDICINE
UTAH (cont'd)
PROVO (cont'd)
CHIROPRACTIC MEDICINE
(cont'd)
Specialists
Sorted by state, city, specialty, then name
UTAH
PROVO
ENDOCRINOLOGY, DIABETES AND
METABOLISM
HUBER, BRAD S MD
1055 N 500 W
(801) 429-8000
Provider ID: 100000708538
NPI: 1689757973
MACDONALD, JAMES B MD
1055 N 500 W #111
(801) 374-8999
Provider ID: 100001096355
NPI: 1750517736
PARKINSON, RICHARD WHITE
MD
5314 N 250 W #220
(801) 225-8484
Provider ID: 100000093373
NPI: 1891801346
PETERSON, SAMUEL RAY MD
1055 N 500 W #111
(801) 374-8999
Provider ID: 100000097399
NPI: 1073571295
STONE, RICHARD LLOYD MD
1375 N UNIVERSITY AVE
(801) 377-4745
Provider ID: 100000088652
NPI: 1548262801
CLARK, JERRY S DC
3325 N UNIVERSITY AVE #125
(801) 374-2774
Provider ID: 100000092962
NPI: 1114082872
DRUSSEL, DUSTIN K DC
777 N 500 W #205
(801) 375-2420
Provider ID: 100000269096
NPI: 1922286194
MCCLEAN JR, GORDON
MILTON DC
385 N 500 W
(801) 373-1035
Provider ID: 100000084693
NPI: 1053408955
MCCLEAN, DEVIN D DC
385 N 500 W
(801) 373-1035
Provider ID: 100000093845
EAR NOSE THROATNPI: 1750478657
OTOLARYNGOLOGY
SALOIS, RICHARD EUGENE DC
75 S 200 E #201
BEUS, KIRT SCOTT MD
(801) 235-9977
1055 N 300 W #401
Provider ID: 100000086999
(801) 357-7499
NPI: 1023184207
Provider ID: 100000272168
NPI: 1396765871
DERMATOLOGY
1750 N WYMOUNT TERRACE DR
BRADSHAW, BRIAN RICHARD
(801) 422-2771
MD
Provider ID: 100000611103
1055 N 500 W #111
NPI: 1396765871
(801) 374-8999
DARLEY, DAVID S MD
Provider ID: 100000088015
1055 N 300 W #211
NPI: 1811955800
(801) 852-9696
DONALDSON, MARK L MD
Provider ID: 100000704214
1055 N 500 W #111
NPI: 1811151558
(801) 374-8999
1055 N 300 W #401
Provider ID: 100000089397
(801) 357-7499
NPI: 1982662102
Provider ID: 100000704214
NPI: 1811151558
February 12, 2015
96
HARVEY, JINIL K APRN
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000328192
NPI: 1790925055
MAJOR, M SCOTT SCOTT MD
1055 N 500 W
(801) 429-8000
Provider ID: 100001073451
NPI: 1558394783
PARSONS, STEPHEN P MD
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000107767
NPI: 1932146966
RIDDLE, SETH ALLRED MD
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000087973
NPI: 1598701955
ROBINS, KIPP MORENO MD
2230 N UNIVERSITY PKWY #9B
(801) 375-3175
Provider ID: 100000716100
NPI: 1396741476
SHIPLEY, SCOTT G MD
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000545960
NPI: 1477510329
ENDOCRINOLOGY,
DIABETES AND
METABOLISM
AHMAD, SHAHZAD MD
1055 N 300 W #212
(801) 356-1300
Provider ID: 100000764386
NPI: 1467533950
NIZAM, MOHAMMED S MD
1055 N 500 W #205
(801) 492-8095
Provider ID: 100000760965
NPI: 1326203514
UTAH
PROVO
FACIAL PLASTIC SURGERY
Specialists
Sorted by state, city, specialty, then name
COOK, CRAIG SHELDON MD
3550 N UNIVERSITY AVE #250
(801) 374-9625
PROVO (cont'd)
Provider ID: 100000097651
NPI: 1851347090
FACIAL PLASTIC SURGERY
FRANCIS JR, KARL M MD
GAILUSHAS, SHANE A MD
3550 N UNIVERSITY AVE #250
280 RIVER PARK DR #240
(801) 374-9625
(801) 375-4646
Provider ID: 100000343603
Provider ID: 100001113712
NPI: 1669521571
NPI: 1073786521
GARRY, DAVID PATRICK JOH
MD
GASTROENTEROLOGY
3550 N UNIVERSITY AVE #250
ALSOLAIMAN, MOHAMMAD
(801) 374-9625
MODAR MD
Provider ID: 100000092681
750 W 800 N
NPI: 1497702252
(801) 772-0775
GILL,
BRIAN D MD
Provider ID: 100000519768
3550
N
UNIVERSITY AVE #250
NPI: 1215986484
(801)
374-9625
BIESINGER II, JAMES
Provider ID: 100000553200
CHRISTIAN APRN
NPI: 1164528717
1055 N 500 W #100
HILL, BRUCE BINKLEY MD
(801) 374-1268
3550 N UNIVERSITY AVE #250
Provider ID: 100000095614
(801) 374-9625
NPI: 1205885472
Provider ID: 100000085238
BODILY, KURT OLSEN MD
NPI: 1699715664
1055 N 500 W #100
LEWIS,
AMANDA GLORIA
(801) 374-1268
APRN
Provider ID: 100000092329
1055 N 300 W #401
NPI: 1780600312
DICKINSON, THOMAS ALBERT (801) 357-7499
Provider ID: 100000099604
MD
NPI: 1467535138
1055 N 500 W #100
PETERSON, LEE M MD
(801) 374-1268
3550 N UNIVERSITY AVE #250
Provider ID: 100000085733
(801) 374-9625
NPI: 1376591354
Provider ID: 100000089491
THORPE, BRETT L MD
NPI: 1316987613
1055 N 500 W #100
RASMUSSEN,
RALPH RICHARD
(801) 374-1268
MD
Provider ID: 100000108231
1034 N 500 W
NPI: 1962432583
(801) 374-9625
GENERAL SURGERY
Provider ID: 100000097532
NPI: 1528008588
ANDERSON, CHRISTY B APRN
3550
N UNIVERSITY AVE #250
3550 N UNIVERSITY AVE #250
(801)
374-9625
(801) 374-9625
Provider
ID: 100000097532
Provider ID: 100000311375
NPI:
1528008588
NPI: 1083869101
UTAH (cont'd)
97
UTAH
PROVO
HEMATOLOGY
SORENSEN, JORY Q APRN
3550 N UNIVERSITY AVE #250
(801) 374-9625
Provider ID: 100000270615
NPI: 1376689877
WATTS, DAVID M MD
3550 N UNIVERSITY AVE #250
(801) 374-9625
Provider ID: 100000243399
NPI: 1700932068
HEAD AND NECK SURGERY
BEUS, KIRT SCOTT MD
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000272168
NPI: 1396765871
1750 N WYMOUNT TERRACE DR
(801) 422-2771
Provider ID: 100000611103
NPI: 1396765871
PARSONS, STEPHEN P MD
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000107767
NPI: 1932146966
RIDDLE, SETH ALLRED MD
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000087973
NPI: 1598701955
SHIPLEY, SCOTT G MD
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000545960
NPI: 1477510329
HEMATOLOGY
WALLENTINE, STEVEN L MD
1055 N 500 W #202
(801) 374-2367
Provider ID: 100000108237
NPI: 1790736122
February 12, 2015
UTAH
PROVO
INFECTIOUS DISEASE
UTAH (cont'd)
PROVO (cont'd)
INFECTIOUS DISEASE
ABOLNIK, IGOR ZIV MD
1055 N 500 W #202
(801) 374-2367
Provider ID: 100000093847
NPI: 1194783829
FORD, LARRY C MD
1055 N 500 W #202
(801) 374-2367
Provider ID: 100000700310
NPI: 1144434788
Specialists
Sorted by state, city, specialty, then name
KIELAR, MARIUSZ L MD
1055 N 500 W #222
(801) 377-4623
Provider ID: 100000567514
NPI: 1548588114
STEPHANZ, GERALD B MD
1055 N 500 W #222
(801) 377-4623
Provider ID: 100000086936
NPI: 1932138195
NEUROLOGICAL SURGERY
BADGER, MATTHEW
JONATHAN APRN
1055 N 300 W #400
(801) 357-7404
Provider ID: 100000096800
MIDWIFERY SERVICES
NPI: 1912029778
COOK, JENNIFER A CNM
GARDNER, PAUL KENNETH
585 N 500 W
MD
(801) 374-1801
1055 N 300 W #400
Provider ID: 100000768141
(801) 357-7404
NPI: 1679667315
Provider ID: 100000094095
SCHLEGELMILCH, SUE CNM
NPI: 1821012832
585 N 500 W
GAUFIN, LYNN MILLER MD
(801) 374-1801
1055 N 300 W #400
Provider ID: 100000766923
(801) 357-7404
NPI: 1366580714
Provider ID: 100000088562
WALKER, DENA R CNM
NPI: 1205857158
585 N 500 W
GLASSFORD, DAVID REED
(801) 374-1801
APRN
Provider ID: 100000766917
1055 N 300 W #400
NPI: 1750312831
(801) 357-7404
Provider ID: 100000092686
NEPHROLOGY
NPI: 1285854612
BARAGER JR, WILLIAM E DO
REICHMAN,
HOWARD REED
1055 N 500 W #222
MD
(801) 377-4623
1055 N 300 W #400
Provider ID: 100000813751
(801) 357-7404
NPI: 1962444638
Provider ID: 100000089668
HAMMOND, TERRY CRAIG MD
NPI: 1932123940
1055 N 500 W #222
(801) 377-4623
Provider ID: 100000086383
NPI: 1124064845
February 12, 2015
98
UTAH
PROVO
NURSING SERVICES
NEUROLOGY
ALTAMIRANO, LUCIA SCOTT
MD
3685 N 100 E #A
(801) 229-1054
Provider ID: 100000097034
NPI: 1750445698
GROVES, JEFFREY W MD
1055 N 500 W #102
(801) 429-8000
Provider ID: 100000241502
NPI: 1629196399
VINCENT, PAMELA LYNNE MD
3152 N UNIVERSITY AVE #220
(801) 229-1014
Provider ID: 100000092795
NPI: 1376544874
WATKINS, JOSEPH REED MD
1055 N 300 W #404
(801) 357-7401
Provider ID: 100000089622
NPI: 1659396695
3152 N UNIVERSITY AVE #220
(801) 229-1014
Provider ID: 100001079653
NPI: 1659396695
NEUROTOLOGY
DARLEY, DAVID S MD
1055 N 300 W #211
(801) 852-9696
Provider ID: 100000704214
NPI: 1811151558
1055 N 300 W #401
(801) 357-7499
Provider ID: 100000704214
NPI: 1811151558
NURSING SERVICES
EGAN, BRENT H APRN
1055 N 300 W #300
(801) 429-8000
Provider ID: 100000096229
NPI: 1376634998
UTAH
PROVO
NURSING SERVICES
UTAH (cont'd)
PROVO (cont'd)
NURSING SERVICES (cont'd)
HANSEN, CLARENE T APRN
1055 N 500 W #212
(801) 374-2362
Provider ID: 100000095205
NPI: 1114985553
LARSEN, STEVEN F APRN
1055 N 500 W #202
(801) 374-2367
Provider ID: 100000096015
NPI: 1699877316
OBSTETRICS AND
GYNECOLOGY
BENNETT, DONNA L MD
585 N 500 W
(801) 374-1801
Provider ID: 100000874495
NPI: 1801820253
BOOTH, JENNIFER A APRN
585 N 500 W
(801) 374-1801
Provider ID: 100000102507
NPI: 1821114505
BROADBENT, DAVID
HARRISON MD
1355 N UNIVERSITY AVE #130
(801) 373-4649
Provider ID: 100000089169
NPI: 1437225612
BROBERG, JEFFREY C MD
585 N 500 W
(801) 374-1801
Provider ID: 100000110355
NPI: 1639150485
CLARK, MATTHEW B MD
1055 N 500 W #212
(801) 374-2362
Provider ID: 100001114371
NPI: 1851619076
Specialists
Sorted by state, city, specialty, then name
DABLING, HEATHER A MD
1055 N 300 W #110
(801) 357-7377
Provider ID: 100000727999
NPI: 1598931016
585 N 500 W
(801) 374-1801
Provider ID: 100000957829
NPI: 1598931016
DREWES, PETER G MD
585 N 500 W
(801) 374-1801
Provider ID: 100000694112
NPI: 1275571804
GLENN, CLAIR JOSEPH MD
1055 N 300 W #110
(801) 357-7377
Provider ID: 100000089202
NPI: 1942302211
JACOB, SCOTT RICHARD MD
585 N 500 W
(801) 374-1801
Provider ID: 100000101700
NPI: 1528184611
LAMOREAUX, JAMES PAUL
MD
585 N 500 W
(801) 374-1801
Provider ID: 100001078234
NPI: 1932212503
OLLERTON, RYAN C DO
585 N 500 W
(801) 374-1801
Provider ID: 100001119260
NPI: 1528275898
REES, STEPHEN M MD
585 N 500 W
(801) 374-1801
Provider ID: 100000717801
NPI: 1689750838
THORPE, JEFFOREY RUEL MD
585 N 500 W
(801) 374-1801
Provider ID: 100000090525
NPI: 1225153828
99
UTAH
PROVO
OPHTHALMOLOGY
ONCOLOGIST/
HEMATOLOGIST
BOTT, JAY CORDELL MD
1055 N 500 W #202
(801) 374-2367
Provider ID: 100000090941
NPI: 1164524864
BREYER, WENDY ANNE MD
1055 N 500 W
(801) 374-2367
Provider ID: 100000095024
NPI: 1417995911
CHIPMAN, GREGORY C MD
1034 N 500 W
(801) 357-8200
Provider ID: 100000941040
NPI: 1457493967
RICH, NATHAN T MD
1034 N 500 W
(801) 357-8200
Provider ID: 100000108698
NPI: 1396778148
ONCOLOGY
NUTTALL, MARC T MD
1055 N 500 W #202
(801) 374-2367
Provider ID: 100000900779
NPI: 1144497322
OPHTHALMOLOGY
CARVER, JOHN ALAN MD
1055 N 300 W #210
(801) 357-7704
Provider ID: 100000303187
NPI: 1669435160
COOK, LORAN DAVIS MD
1055 N 300 W #204
(801) 357-7373
Provider ID: 100000088603
NPI: 1396741948
COOK, TODD MD
1055 N 300 W #204
(801) 357-7373
Provider ID: 100000096741
NPI: 1801893375
February 12, 2015
UTAH
PROVO
OPHTHALMOLOGY
UTAH (cont'd)
PROVO (cont'd)
OPHTHALMOLOGY (cont'd)
COREY, RICHARD P MD
1055 N 300 W #210
(801) 357-7704
Provider ID: 100000303185
NPI: 1568529105
DONALDSON, STEPHEN
LIVINGSTON MD
1055 N 500 W #201
(801) 373-7350
Provider ID: 100000541984
NPI: 1578552634
1275 N UNIVERSITY AVE #10
(801) 375-6565
Provider ID: 100000541984
NPI: 1578552634
ENGEN, TODD BRIAN MD
1735 N STATE ST #201
(801) 379-2900
Provider ID: 100000086988
NPI: 1295705697
GUNTHER, JONATHAN B MD
1735 N STATE ST
(801) 374-1818
Provider ID: 100000340694
NPI: 1023073459
HOWARD, JAMES G MD
1055 N 300 W #420
(801) 357-7999
Provider ID: 100000116201
NPI: 1033110119
KWUN, ROBERT CHOI MD
1055 N 300 W #420
(801) 357-7999
Provider ID: 100000094473
NPI: 1457338162
LLOYD, MICHAEL J MD
1055 N 300 W #204
(801) 357-7373
Provider ID: 100000323563
NPI: 1124239009
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
LOHNER, WILLIAM SCOTT MD
1735 N STATE ST
(801) 374-1818
Provider ID: 100000088139
NPI: 1992764187
MYERS, THOMAS DYRENG MD
280 RIVER PARK DR #220
(801) 224-3565
Provider ID: 100000097236
NPI: 1023074093
NELSON, DUANE JAMES MD
1055 N 300 W #204
(801) 357-7373
Provider ID: 100000087847
NPI: 1841296498
NOBLE, LARRY EARL MD
3200 N CANYON RD #A
(801) 375-2020
Provider ID: 100000092268
NPI: 1588734537
OLSON, PAUL FERRON MD
1055 N 300 W #204
(801) 357-7373
Provider ID: 100000085803
NPI: 1851397491
PARSONS, MATTHEW REED
MD
1735 N STATE ST
(801) 374-1818
Provider ID: 100000090035
NPI: 1063483071
SMALLEY, AARON D MD
1735 N STATE ST
(801) 374-1818
Provider ID: 100000288893
NPI: 1346467115
SWARTZ, MANO MD
1055 N 300 W #420
(801) 357-7999
Provider ID: 100000085296
NPI: 1801870670
THEURER, JAMES GARY MD
1735 N STATE ST
(801) 374-1818
Provider ID: 100000085268
NPI: 1083685101
100
UTAH
PROVO
OPTOMETRY
VALENTINE, JEREMY R MD
1055 N 500 W #201
(801) 373-7350
Provider ID: 100000552575
NPI: 1013191584
1275 N UNIVERSITY AVE #10
(801) 375-6565
Provider ID: 100000552575
NPI: 1013191584
WILKINSON, JUSTIN T MD
1735 N STATE ST
(801) 374-1818
Provider ID: 100000788118
NPI: 1396937074
WILLIAMS, LLOYD B MD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100000994660
NPI: 1730333741
WINWARD, KIRK EDWARD MD
1055 N 300 W #420
(801) 357-7999
Provider ID: 100000087858
NPI: 1962487611
OPTOMETRY
BIRD, BLAINE F OD
1055 N 300 W #204
(801) 357-7373
Provider ID: 100000899688
NPI: 1871581652
CAYWOOD, TRAER GARY OD
1355 N UNIVERSITY AVE #100
(801) 377-4333
Provider ID: 100000091769
NPI: 1164414744
DUNN, KRISTINE ALLEMAN
OD
2266 N UNIVERSITY PKWY
(801) 373-1300
Provider ID: 100000092062
NPI: 1538110473
UTAH
PROVO
OPTOMETRY
UTAH (cont'd)
PROVO (cont'd)
OPTOMETRY (cont'd)
EDMUNDS, FRANK
MIDDLETON OD
1055 N 300 W #204
(801) 357-7373
Provider ID: 100000091488
NPI: 1578560165
GILLILAND, RODNEY N OD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100000856831
NPI: 1801800016
HADLOCK, BRENT LEE OD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100001072140
NPI: 1578648564
HAGGARD JR, JOE REX OD
1055 N 300 W #204
(801) 357-7373
Provider ID: 100000540160
NPI: 1508863978
HATCH, WILLIAM VICTOR OD
1735 N STATE ST
(801) 374-1818
Provider ID: 100000242305
NPI: 1669676086
HIMES, RANDALL C OD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100000863433
NPI: 1144380478
KESSLER, JENNIFER L OD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100000811334
NPI: 1811259336
Specialists
Sorted by state, city, specialty, then name
KNOWLES, DUANE C OD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100001091227
NPI: 1306935523
LEISHMAN, BENJAMIN H OD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100000785085
NPI: 1942438015
LEWIS, STEPHEN CHARLES OD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100000269218
NPI: 1184653818
LEWIS, TODD JAY OD
2230 N UNIVERSITY PKWY #10A
(801) 373-4550
Provider ID: 100000093732
NPI: 1801856976
MCKELL, MARK M OD
1200 TOWNE CENTRE BLVD SPC
B
(801) 852-3012
Provider ID: 100000623253
NPI: 1396853974
20 N UNIVERSITY AVE
(801) 375-1333
Provider ID: 100000623253
NPI: 1396853974
MORRIS, DELL CHRISTIAN OD
1735 N STATE ST
(801) 374-1818
Provider ID: 100000087231
NPI: 1619947991
NEVERS, MARK W OD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100000815926
NPI: 1366704959
101
UTAH
PROVO
OPTOMETRY
NIELSEN, SHELLY LORRAINE
OD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100000257483
NPI: 1699864801
PLOTHOW, PHILLIP ANTHONY
OD
3651 N 100 E #250
(801) 373-3337
Provider ID: 100000090239
NPI: 1235110149
PUGH, RONALD MARK OD
2696 N UNIVERSITY AVE #100A
(801) 373-0440
Provider ID: 100000088832
NPI: 1013012715
RHAZI, MARIA L OD
2266 N UNIVERSITY PKWY
(801) 373-1300
Provider ID: 100000111093
NPI: 1811948805
RIGTRUP, CHAD LEE OD
1675 N 200 W #11A
(801) 374-2227
Provider ID: 100000101470
NPI: 1821109059
ROE, FARRELL M OD
1200 TOWNE CENTRE BLVD SPC
106
(801) 373-2254
Provider ID: 100001047459
NPI: 1225104110
SIDDOWAY, FRANK ALDEN OD
1675 N 200 W #11A
(801) 374-2227
Provider ID: 100001126046
NPI: 1255343695
WALTON, DEREK A OD
2266 N UNIVERSITY PKWY
(801) 373-1300
Provider ID: 100000878739
NPI: 1295019339
February 12, 2015
UTAH
PROVO
OPTOMETRY
Specialists
Sorted by state, city, specialty, then name
FRAZIER, MATTHEW S DO
1055 N 500 W
(801) 429-8000
PROVO (cont'd)
Provider ID: 100000340575
NPI: 1598977944
OPTOMETRY (cont'd)
1055 N 500 W #267
WINWARD, RICK W OD
(801) 373-7350
1355 N UNIVERSITY AVE #100
Provider ID: 100000340575
(801) 377-4333
NPI: 1598977944
Provider ID: 100000095940
HOLMES, STEPHANIE MARIE
NPI: 1750373411
MD
YOUNG, ADRIENNE P OD
151 S UNIVERSITY AVE
1313 S UNIVERSITY AVE
(801) 538-6709
(801) 377-9891
Provider ID: 100000247963
Provider ID: 100000106991
NPI: 1720033079
NPI: 1811329923
JACKSON, RICHARD TAYLOR
MD
ORTHOPEDIC SURGERY
BACON, CARL WILLIAM MD 1055 N 500 W
(801) 373-7350
1055 N 500 W
Provider ID: 100000091221
(801) 373-7350
NPI: 1144323163
Provider ID: 100000089582
1750
N WYMOUNT TERRACE DR
NPI: 1962505750
(801)
378-2771
1750 N WYMOUNT TERRACE DR
Provider
ID: 100000091219
(801) 422-2771
NPI:
1144323163
Provider ID: 100000089583
JACKSON, ROBERT TAYLOR
NPI: 1962505750
MD
BARKER, BRADY P MD
1055 N 500 W
1055 N 500 W
(801) 373-7350
(801) 429-8000
Provider ID: 100000091217
Provider ID: 100000683488
NPI: 1407959695
NPI: 1588863880
FAUX, JONATHAN ROBERT MD JOHNSON, CURTIS CARL MD
1055 N 500 W
1055 N 500 W
(801) 373-7350
(801) 373-7350
Provider ID: 100000093447
Provider ID: 100000097477
NPI: 1205939089
NPI: 1538250287
1130
SMITH FIELDHOUSE
1130 SMITH FIELDHOUSE
(801)
373-7350
(801) 373-7350
Provider
ID: 100000093447
Provider ID: 100000097477
NPI:
1205939089
NPI: 1538250287
UTAH (cont'd)
February 12, 2015
102
UTAH
PROVO
ORTHOPEDIC SURGERY
KIMBALL, KIRT MICHAEL MD
1055 N 500 W
(801) 373-7350
Provider ID: 100000093052
NPI: 1548363419
1130 SFH
(801) 422-1620
Provider ID: 100000093050
NPI: 1548363419
1130 SMITH FIELDHOUSE
(801) 373-7350
Provider ID: 100000093052
NPI: 1548363419
LARSEN, MITCHELL
WILLIAMS MD
1055 N 500 W
(801) 373-7350
Provider ID: 100000099882
NPI: 1205928546
1130 SMITH FIELDHOUSE
(801) 373-7350
Provider ID: 100000099882
NPI: 1205928546
MORTENSEN, WAYNE W MD
1750 N WYMOUNT TERRACE DR
(801) 422-2771
Provider ID: 100000091132
NPI: 1346256690
NELSON, DEVON AMMON MD
1055 N 500 W
(801) 373-7350
Provider ID: 100000091010
NPI: 1235232307
RICHARDS, RYAN A MD
1055 N 500 W #207
(801) 373-7350
Provider ID: 100000101479
NPI: 1427149178
RICHEY, JOSEPH LEWIS MD
1055 N 500 W
(801) 429-8000
Provider ID: 100000094352
NPI: 1982708913
SCHOW JR, DOUGLAS MD
1055 N 300 W #203
(801) 374-9053
Provider ID: 100000087281
NPI: 1811995004
UTAH
PROVO
ORTHOPEDIC SURGERY
Specialists
Sorted by state, city, specialty, then name
UTAH (cont'd)
PHYSICAL MEDICINE AND
REHABILITATION
PROVO (cont'd)
COLLEDGE, ALAN LAWRENCE
MD
ORTHOPEDIC SURGERY
1055 N 500 W
(cont'd)
(801) 429-8000
SMITH, JEFFREY RANDALL
Provider ID: 100000089209
MD
NPI: 1629169370
1750 N WYMOUNT TERRACE DR DANA JR, JOHN A MD
(801) 422-2771
280 RIVER PARK DR #120
Provider ID: 100000089732
(801) 229-2011
NPI: 1972519239
Provider ID: 100000555397
WALLENTINE, JEFFREY MAX
NPI: 1114091105
MD
FURST, SHAWN R DO
1055 N 500 W
3352 N 100 E
(801) 373-7350
(801) 356-6100
Provider ID: 100000089503
Provider ID: 100000816016
NPI: 1124121934
NPI: 1154578565
1130 SMITH FIELDHOUSE
3585 N UNIVERSITY AVE #150
(801) 224-5373
(801) 356-6100
Provider ID: 100000089503
Provider ID: 100000816016
NPI: 1124121934
NPI: 1154578565
KOKKONEN, JEREMY J DO
ORTHOPEDICS
3352 N 100 E
CARLSON, MICHAEL J MD
(801) 356-6100
1055 N 500 W
Provider ID: 100000796285
(801) 429-8000
NPI: 1750549424
Provider ID: 100000794780
3585
N UNIVERSITY AVE #150
NPI: 1407076193
(801) 356-6100
HOOPES, DANIEL M MD
Provider ID: 100000796285
1055 N 500 W BLDG C #121
NPI: 1750549424
(801) 373-7350
OCKEY, ROBIN RAE MD
Provider ID: 100001106832
280 RIVER PARK DR #120
NPI: 1255505582
(801) 229-2011
Provider ID: 100000245627
PAIN MANAGEMENT
NPI: 1326046160
LI, TAO MD
3352 N 100 E
PHYSICAL THERAPY
(801) 356-6100
ANDERSON, JAMES N PT
Provider ID: 100000256280
1055 N 500 W #122
NPI: 1376725143
(801) 429-0610
3585 N UNIVERSITY AVE #150
Provider ID: 100000112081
(801) 356-6100
NPI: 1932201647
Provider ID: 100000256280
NPI: 1376725143
103
UTAH
PROVO
PHYSICAL THERAPY
BAGLEY, DOUGLAS K RPT
1055 N 500 W #207
(801) 373-7350
Provider ID: 100000356227
NPI: 1538155411
BARNEY, MARK L PT
1675 N FREEDOM BLVD #10B
(801) 228-1935
Provider ID: 100000878750
NPI: 1346478914
BLISS, BRANDON K RPT
3303 N UNIVERSITY AVE
(801) 373-7438
Provider ID: 100000241542
NPI: 1720167752
524 W 300 N #201
(801) 370-9981
Provider ID: 100001093867
NPI: 1720167752
BUSHNELL, MATTHEW F RPT
524 W 300 N #201
(801) 370-9981
Provider ID: 100001093875
NPI: 1033402607
BUSHNELL, NED B RPT
524 W 300 N #201
(801) 370-9981
Provider ID: 100001093882
NPI: 1528050861
BUTLER, BRENT R RPT
1055 N 500 W #122
(801) 429-0610
Provider ID: 100000262644
NPI: 1083720551
JENSEN, ELIZABETH A RPT
1675 N FREEDOM BLVD #10B
(801) 228-1935
Provider ID: 100000355961
NPI: 1639321540
KNUDSEN, HOWARD A RPT
3549 N UNIVERSITY AVE #100
(801) 310-0851
Provider ID: 100000101222
NPI: 1992863906
February 12, 2015
UTAH
PROVO
PHYSICAL THERAPY
Specialists
Sorted by state, city, specialty, then name
UTAH (cont'd)
PROVO (cont'd)
PHYSICAL THERAPY (cont'd)
LILLYWHITE, DANIEL R RPT
3303 N UNIVERSITY AVE
(801) 373-7438
Provider ID: 100000272703
NPI: 1649437799
524 W 300 N #201
(801) 370-9981
Provider ID: 100001093887
NPI: 1649437799
MANGUM, BRAD A PT
1055 N 500 W #207
(801) 373-7350
Provider ID: 100000773876
NPI: 1316992548
MORTENSEN, BARTLEY BRETT
RPT
1055 N 500 W #122
(801) 429-0610
Provider ID: 100000096585
NPI: 1659473361
PETERSON, MARK H RPT
3303 N UNIVERSITY AVE
(801) 373-7438
Provider ID: 100000095150
NPI: 1528089224
SAGERS, PAUL W RPT
3210 N CANYON RD #202
(801) 374-1706
Provider ID: 100000090162
NPI: 1457378259
TAYLOR, BRADEN JUSTIN RPT
1055 N 500 W BLDG C #122
(801) 429-0610
Provider ID: 100000900809
NPI: 1598788036
TAYLOR, KIMBALL R RPT
3303 N UNIVERSITY AVE
(801) 373-7438
Provider ID: 100000330537
NPI: 1437383890
February 12, 2015
TAYLOR, ROGAN L RPT
3303 N UNIVERSITY AVE
(801) 373-7438
Provider ID: 100000089881
NPI: 1356333611
PLASTIC SURGERY
CLAYTON JR, JAMES
MAURICE MD
280 RIVER PARK DR #240
(801) 375-4646
Provider ID: 100000088782
NPI: 1265434823
JENSEN, MARK H MD
1055 N 500 W #207
(801) 373-7350
Provider ID: 100000703123
NPI: 1184602351
PETERSEN, JASON D MD
280 RIVER PARK DR #240
(801) 261-5791
Provider ID: 100000890544
NPI: 1215105804
UTAH
PROVO RHEUMATOLOGY
ROGERS, SCOTT F DPM
150 W 800 N
(801) 375-5353
Provider ID: 100000110161
NPI: 1821046418
ROGERS, THOMAS GLEN DPM
150 W 800 N
(801) 375-5353
Provider ID: 100000089415
NPI: 1720069446
PREVENTIVE MEDICINE
MINER, JOSEPH KAY MD
150 E CENTER ST #1100
(801) 374-7011
Provider ID: 100000089176
NPI: 1881652980
151 S UNIVERSITY AVE #1900
(801) 851-7000
Provider ID: 100000316008
NPI: 1881652980
PULMONARY DISEASES
AL SHURQAIRAT, TALAAT MD
PODIATRY
1806 N 1120 W
CLEGG, JARED TRUMAN DPM (801) 418-9167
Provider ID: 100000891987
1937 N 1120 W
NPI: 1104875574
(801) 373-2499
Provider ID: 100000093622
RADIATION ONCOLOGY
NPI: 1588664759
MCALLISTER, BRUCE C MD
HUMPHERYS, SCOTT BRETT
1034 N 500 W
DPM
(801) 374-2362
1928 N 1120 W
Provider ID: 100000108913
(801) 785-9015
NPI: 1144223835
Provider ID: 100000088307
1055
N 500 W #102
NPI: 1275647596
(801) 429-8000
JARAMILLO, DAVID HUGH
Provider ID: 100000108913
DPM
NPI: 1144223835
3355 N UNIVERSITY AVE #175
RHEUMATOLOGY
(801) 377-5649
Provider ID: 100000091257
CALL, STEVEN E MD
NPI: 1154437655
3651 N 100 E #150
MULLINAX, VAL GENE DPM
(801) 226-0737
1355 N UNIVERSITY AVE #125
Provider ID: 100000278096
(801) 374-3010
NPI: 1790957454
Provider ID: 100000519234
NPI: 1528179256
104
UTAH
PROVO
RHEUMATOLOGY
Specialists
Sorted by state, city, specialty, then name
LANDAU, STEWART T MD
1055 N 300 W #316
(801) 357-7530
PROVO (cont'd)
Provider ID: 100000090129
NPI: 1174559728
RHEUMATOLOGY (cont'd)
OLDROYD, RONALD IRVIN MD
MATHEWS, JEFFREY LEE MD 1055 N 300 W #316
3650 N UNIVERSITY AVE #150
(801) 357-7530
(801) 818-1940
Provider ID: 100000096766
Provider ID: 100000091299
NPI: 1043240989
NPI: 1518968015
PLATT, MCKAY LYMAN MD
SLEEP DISORDER SERVICES 1055 N 500 W #211
(801) 357-7327
ROSS, DOUGLAS SCOTT MD
Provider ID: 100000089593
1055 N 300 W #402
NPI: 1336230085
(801) 357-7878
REYNOLDS,
BRANDON P MD
Provider ID: 100000092213
1055
N
300
W
#316
NPI: 1780690198
(801) 357-7530
SPORTS MEDICINE
Provider ID: 100000601471
WEENIG, KARL N MD
NPI: 1851404016
1055 N 500 W
VSP PROVIDERS – ROUTINE
(801) 429-8000
VISION
Provider ID: 100000098703
BIRD, BLAINE F OD
NPI: 1740242973
1055 N 300 W STE 204
URGENT CARE OR WALK IN
(801)357-7373
GRAVES, JERRY G APRN
NPI: 1871581652
CENTRAL UTAH CLINIC
CAYWOOD, TRAER G OD
1055 N 500 W
1355 N UNIVERSITY AVE STE 100
(801) 429-8000
(801)377-4333
Provider ID: 100000950298
NPI: 1164414744
NPI: 1659651750
DUNN, KRISTINE A OD
1055 N 300 W STE 204
UROLOGY
(801)357-7373
CAHOON, DANIEL VERNON
NPI: 1538110473
MD
EDMUNDS, FRANKLIN M OD
1055 N 300 W #316
1055 N 300 W STE 204
(801) 357-7530
(801)357-7373
Provider ID: 100000096723
NPI: 1578560165
NPI: 1013985522
HAGGARD
JR, JOE R OD
CROWLEY, JIM D MD
1055
N
300
W
STE 204
1055 N 500 W #211
(801)357-7373
(801) 357-7327
NPI: 1508863978
Provider ID: 100000513003
LEWIS, TODD J OD
NPI: 1083697957
2230 N UNIVERSITY PKY STE 10A
(801)373-4550
NPI: 1801856976
UTAH (cont'd)
105
UTAH
PROVO WOMEN'S HEALTH SERVICES
LLOYD, MICHAEL J MD
1055 N 300 W STE 204
(801)357-7373
NPI: 1124239009
NELSON, DUANE J MD
1055 N 300 W STE 204
(801)357-7373
NPI: 1841296498
OLSON, PAUL F MD
1055 N 300 W STE 204
(801)357-7373
NPI: 1851397491
PLOTHOW, PHILLIP A OD
3651 N 100 E STE 250
(801)373-3337
NPI: 1235110149
PUGH, RONALD M OD
2696 N UNIVERSITY AVE STE
100A
(801)373-0440
NPI: 1013012715
RIGTRUP, CHAD L OD
1675 N 200 W STE 11A
(801)374-2227
NPI: 1821109059
SIDDOWAY, FRANK A OD
1675 N 200 W STE 11A
(801)374-2227
NPI: 1255343695
WINWARD, RICK W OD
1355 N UNIVERSITY AVE STE 100
(801)377-4333
NPI: 1750373411
WOMEN'S HEALTH
SERVICES
JORGENSEN, CHRISTY APRN
585 N 500 W
(801) 374-1801
Provider ID: 100000517885
NPI: 1699927418
LEDINGHAM, DEBRA A APRN
1055 N 500 W #205
(801) 429-8000
Provider ID: 100001172371
NPI: 1700288727
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
PROVO
WOMEN'S HEALTH SERVICES
UTAH (cont'd)
PROVO (cont'd)
WOMEN'S HEALTH
SERVICES (cont'd)
MCSWEENEY, HEIDI APRN
585 N 500 W
(801) 374-1801
Provider ID: 100000111091
NPI: 1063538775
TERRY, RUSSELL D DC
3898 W 13400 S #B
(801) 302-0660
Provider ID: 100000613926
NPI: 1407168867
DERMATOLOGY
HINCKLEY, MICHAEL R MD
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100000561517
NPI: 1760665707
RIVERTON
UTAH
RIVERTON NEUROLOGY
JACKSON, WILLIAM DANIEL
MD
3773 W 12600 S
(801) 662-1000
Provider ID: 100000087416
NPI: 1417036088
MOORE, DAVID RAYBURN MD
3741 W 12600 S #470
(801) 727-4280
Provider ID: 100000536300
NPI: 1215969837
OELSNER, DAVID H MD
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100000869250
NPI: 1396760765
EAR NOSE THROATOTOLARYNGOLOGY
CHIROPRACTIC MEDICINE
ALDOUS, EDWIN W MD
COLARUSSO, JOHN JOSEPH
12391 S 4000 W #100
DC
(801) 302-1700
MIDWIFERY SERVICES
12571 S PASTURE RD #E
Provider ID: 100001090333
THACKER, PAULA G CNM
(801) 878-3645
NPI: 1811928203
3409 W 12600 S #110
Provider ID: 100000246904
OLSON, CHRISTOPHER S APRN (801) 302-5777
NPI: 1891860789
3741 W 12600 S
Provider ID: 100000322482
DAY, GLENN ROBERT DC
(801) 285-4000
NPI: 1205867553
1283 W 12600 S #203
Provider ID: 100000779127
(801) 254-3344
NEPHROLOGY
NPI: 1306997630
Provider ID: 100000093318
NELSON, RAOUL DEVIN MD
ENDOCRINOLOGY,
NPI: 1134347453
3773 W 12600 S
DIABETES AND
EGBERT, DANIEL EDWARD DC
(801) 213-3599
METABOLISM
1272 W 12700 S #A
Provider ID: 100000086639
(801) 446-0383
MATURLO, SUSAN JOY MD
NPI: 1972682540
Provider ID: 100000090002
12391 S 4000 W #100
NEUROLOGY
NPI: 1003831223
(801) 302-1700
MILLER, JARED ALAN DC
FILLOUX, FRANCIS MAURICE
Provider ID: 100001087126
12569 S 2700 W #202
MD
NPI: 1023076460
(801) 641-9898
3773 W 12600 S
GASTROENTEROLOGY
Provider ID: 100000097342
(801) 213-3599
NPI: 1609825835
BOOK, LINDA SUE MD
Provider ID: 100000092837
3773 W 12600 S
NPI: 1942389515
ROSQUIST, GARY J DC, LAC
(801) 662-1000
3409 W 12600 S #200
SWOBODA, KATHRYN J MD
Provider ID: 100000356726
(801) 676-8770
3773 W 12600 S
NPI: 1033298609
Provider ID: 100000091855
(801) 213-3599
NPI: 1427078666
DOXEY, BRETT W MD
Provider ID: 100000086056
3741
W
12600
S
#470
NPI: 1003906637
STOKES, HAROLD QUINN DC
(801)
727-4280
2332 W 12600 S #2A
Provider ID: 100001072043
(801) 254-5808
NPI: 1386775682
Provider ID: 100000092530
NPI: 1669527040
February 12, 2015
106
UTAH
RIVERTON
NURSING SERVICES
UTAH (cont'd)
RIVERTON (cont'd)
NURSING SERVICES
HANNON, ANN MARIE APRN
3773 W 12600 S #300
(801) 662-1000
Provider ID: 100000096186
NPI: 1730279332
SANDERSON, SUSAN KAYE
APRN
3773 W 12600 S
(801) 581-6791
Provider ID: 100000358402
NPI: 1225107428
SANDT, DEBRA LYNN APRN
3773 W 12600 S
(801) 213-3599
Provider ID: 100000358407
NPI: 1164501631
OBSTETRICS AND
GYNECOLOGY
ANDERS, SUPHITHAYA MD
3723 W 12600 S #350
(801) 285-4800
Provider ID: 100000094763
NPI: 1558401919
BURGETT, ALTON DOUGLAS
MD
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100000098990
NPI: 1124059514
HUTCHISON, CHRISTOPHER
VANCE MD
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100000247449
NPI: 1134151384
JOLLES, CHRISTOPHER JESSE
MD
12391 S 4000 W #208
(801) 302-5360
Provider ID: 100000547455
NPI: 1841346756
Specialists
Sorted by state, city, specialty, then name
MERRELL, MONTE G MD
3723 W 12600 S #350
(801) 285-4800
Provider ID: 100000534924
NPI: 1295900165
MERRILL, ROBERT DON DO
3723 W 12600 S #350
(801) 285-4800
Provider ID: 100000099212
NPI: 1669491031
QUINN, JEFFREY DENNIS MD
3723 W 12600 S #350
(801) 285-4800
Provider ID: 100000088973
NPI: 1992845366
TWELVES, TRICIA A MD
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100000285451
NPI: 1730389297
WILSON, MATTHEW S MD
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100000794236
NPI: 1750543955
UTAH
RIVERTON
ORTHOPEDIC SURGERY
YOUNG, MARIELLE P MD
3773 W 12600 S
(801) 581-2352
Provider ID: 100000717872
NPI: 1033390877
OPTOMETRY
GERRITSEN, JEREMY P OD
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100000338084
NPI: 1538321237
GRAHAM, JESSICA PEVERLEY
OD
4019 W 12600 S #110
(801) 302-9482
Provider ID: 100000098275
NPI: 1801989868
JOHNSON, JODIE JAMES OD
2364 W 12600 S #E
(801) 446-7600
Provider ID: 100000093582
NPI: 1629001474
ORTHOPEDIC SURGERY
HARRIS, LESLIE JAMES MD
13348 S MARKET CENTER DR
OPHTHALMOLOGY
#220
DRIES, DAVID CHRISTOPHE
(801) 964-3111
MD
Provider ID: 100000241520
3773 W 12600 S
NPI: 1679587687
(801) 581-2352
HIGGINS, THOMAS F MD
Provider ID: 100000096916
3773 W 12600 S
NPI: 1407946098
(801) 662-5600
RAMASUBRAMANIAN,
Provider ID: 100000357866
APARNA MD
NPI: 1376598615
3741 W 12600 S
HOLMES,
STEPHANIE MARIE
(801) 485-1460
MD
Provider ID: 100001083048
3773 W 12600 S
NPI: 1841428083
VITALE, ALBERT THOMAS MD (801) 662-5600
Provider ID: 100000357869
3773 W 12600 S
NPI: 1720033079
(801) 581-2352
HUTCHINSON, DOUGLAS
Provider ID: 100000358690
TRUMAN MD
NPI: 1497832232
3773 W 12600 S
(801) 662-5600
Provider ID: 100000085319
NPI: 1972557825
107
February 12, 2015
UTAH
RIVERTON
ORTHOPEDIC SURGERY
UTAH (cont'd)
RIVERTON (cont'd)
ORTHOPEDIC SURGERY
(cont'd)
MACKEY, RICHARD B MD
13348 S MARKET CENTER DR
#220
(801) 964-3111
Provider ID: 100000554449
NPI: 1992923874
MUIR, TRASKE M MD
13348 S MARKET CENTER DR
#220
(801) 964-3111
Provider ID: 100000902614
NPI: 1144369935
RANDALL, ROBERT
LAWRENCE MD
3773 W 12600 S
(801) 662-5600
Provider ID: 100000358372
NPI: 1073566717
SESSIONS, WADE M MD
13348 S MARKET CENTER DR
#220
(801) 964-3111
Provider ID: 100000111053
NPI: 1659483816
SILVERO, PETER R MD
13348 S MARKET CENTER DR
#220
(801) 964-3111
Provider ID: 100000593393
NPI: 1699844001
SMITH, JOHN TAYLOR MD
3773 W 12600 S
(801) 662-5600
Provider ID: 100000358438
NPI: 1255432001
STOTTS, ALAN KENDRICK MD
3773 W 12600 S
(801) 662-5600
Provider ID: 100000358466
NPI: 1902859473
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
UTAH
RIVERTON
PEDIATRIC GASTROENTEROLOGY
WANG, ANGELA AMY MD
3773 W 12600 S
(801) 662-5600
Provider ID: 100000358694
NPI: 1922198514
ORTHOPEDICS
RICHARDS, DANIEL T DO
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100000536133
NPI: 1649455403
PEDIATRIC ALLERGY AND
IMMUNOLOGY
BOHNSACK, JOHN FRANCIS
MD
3773 W 12600 S
(801) 213-3599
Provider ID: 100000356716
NPI: 1609955277
PEDIATRIC CARDIOLOGY
COWLEY, COLLIN GEORGE
MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100000546052
NPI: 1598844169
DAY, RONALD WILLIAM MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100000546055
NPI: 1780763359
HOSKOPPAL, ARVIND K MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100001101535
NPI: 1841418233
LAL, ASHWIN K MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100001107851
NPI: 1437329976
108
MACK, GORDON K MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100000546075
NPI: 1982937058
MARTIN, MARY H MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100000808799
NPI: 1033311071
PILCHER, THOMAS A MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100000547111
NPI: 1437247582
PEDIATRIC
ENDOCRINOLOGY
COULDWELL, MARIE F MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100000358427
NPI: 1083793558
FOSTER, CAROL MARVEL MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100000357851
NPI: 1871672345
MURRAY, MARY ANN MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100000358344
NPI: 1427097237
RAMAN, VANDANA S MD
3773 W 12600 S
(801) 285-4000
Provider ID: 100000358367
NPI: 1730378456
PEDIATRIC
GASTROENTEROLOGY
POHL, JOHN F MD
3773 W 12600 S
(801) 662-1000
Provider ID: 100000358360
NPI: 1942261755
UTAH
RIVERTON
PEDIATRIC IMMUNOLOGY
UTAH (cont'd)
RIVERTON (cont'd)
PEDIATRIC IMMUNOLOGY
INMAN, CHRISTI J MD
3773 W 12600 S
(801) 213-3599
Provider ID: 100000344473
NPI: 1952412397
PEDIATRIC NEPHROLOGY
GRINSELL, MATTHEW M MD
3773 W 12600 S
(801) 213-3599
Provider ID: 100000243959
NPI: 1346364429
Specialists
Sorted by state, city, specialty, then name
PEDIATRIC ORTHOPEDIC
SURGERY
HENNESSEY, THERESA A MD
3773 W 12600 S
(801) 662-5600
Provider ID: 100000357864
NPI: 1699826693
PEDIATRIC UROLOGY
DEVRIES, CATHERINE RHU
MD
3773 W 12600 S #300
(801) 662-1000
Provider ID: 100000094765
NPI: 1144310731
PHYSICAL MEDICINE AND
REHABILITATION
PEDIATRIC NEUROLOGY
BOWEN, BRENT JAMES MD
BUTTERFIELD, RUSSELL J MD 3741 W 12600 S #480
3773 W 12600 S
(801) 716-5300
(801) 213-3599
Provider ID: 100000087582
Provider ID: 100000334580
NPI: 1780644054
NPI: 1639352321
PHYSICAL THERAPY
LLOYD, MICHAEL JOHN MD
BAKER, GREG JONATHAN PT
3773 W 12600 S
12391 S 4000 W #210
(801) 213-3599
(801) 446-0990
Provider ID: 100000087453
Provider ID: 100000256432
NPI: 1497753354
NPI: 1558348516
MORITA, DENISE C MD
DEPOLA,
MICHAEL T PT
12391 S 4000 W #100
12391
S
4000
W #210
(801) 302-1700
(801)
446-0990
Provider ID: 100001026658
Provider ID: 100000803007
NPI: 1366640864
NPI: 1114287612
SAKONJU, AI D MD
FREEMAN, KENNETH A RPT
3773 W 12600 S
3409 W 12600 S #230
(801) 213-3599
(801) 446-7171
Provider ID: 100000300193
Provider ID: 100000093607
NPI: 1902959323
NPI: 1851546782
VANORMAN, COLIN BLAIR MD
LAJOM,
JEANNE J RPT
3773 W 12600 S
12391
S
4000
W #210
(801) 213-3599
(801)
446-0990
Provider ID: 100000090362
Provider ID: 100000518816
NPI: 1225117898
NPI: 1508059643
109
UTAH
RIVERTON UROLOGY
MATHEWS, MICHAEL J RPT
13348 S MARKET CENTER DR
#130
(801) 432-8866
Provider ID: 100000708902
NPI: 1306138276
SUKER, JARED M RPT
12391 S 4000 W #210
(801) 446-0990
Provider ID: 100000336534
NPI: 1649416728
PULMONARY DISEASES
AHMED, ALI A MD
3741 W 12600 S #480
(801) 260-5864
Provider ID: 100000616985
NPI: 1013994813
DIENHART, DAVID GEORGE
MD
3741 W 12600 S #480
(801) 260-5864
Provider ID: 100000616968
NPI: 1184601940
RHEUMATOLOGY
SHASKEY, DAVID JONATHAN
MD
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100001152068
NPI: 1033220603
SPORTS MEDICINE
MATICH, ANDREA J MD
13348 S MARKET CENTER DR
#220
(801) 964-3111
Provider ID: 100000346836
NPI: 1902092133
UROLOGY
HIBBERT, DANIEL L MD
3723 W 12600 S #480
(801) 955-4685
Provider ID: 100000550408
NPI: 1275647562
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
UTAH
RIVERTON
UROLOGY
UTAH (cont'd)
RIVERTON (cont'd)
UROLOGY (cont'd)
SNOW, BRENT WALTER MD
3773 W 12600 S #300
(801) 662-1000
Provider ID: 100000089427
NPI: 1275544454
SNYDER, ORRENZO B MD
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100000748752
NPI: 1720171259
WALLIS, MICHAEL C MD
3773 W 12600 S #300
(801) 662-1000
Provider ID: 100000109809
NPI: 1558384388
VSP PROVIDERS – ROUTINE
VISION
GRAHAM, JESSICA P OD
4019 W 12600 S STE 110
(801)302-9482
NPI: 1801989868
HOWELLS, DANIEL C OD
5069 W 13400 S STE 400
(801)254-7575
NPI: 1871523654
JOHNSON, JODIE J OD
2364 W 12600 S STE E
(801)446-7600
NPI: 1629001474
ROY
CHIROPRACTIC MEDICINE
AMON, RICHARD PAUL DC
3996 S 1900 W
(801) 731-2200
Provider ID: 100000086519
NPI: 1265407282
February 12, 2015
CHILD, JEFFERY WILLIAM DC
1920 W 5200 S #5
(801) 525-0400
Provider ID: 100000030522
NPI: 1558307140
HIRSBRUNNER, WALTER
WAYNE DC
1845 W 4400 S #104
(801) 731-6800
Provider ID: 100000087128
NPI: 1073640280
KRAFTICK, KAREN ANNE DC
1778 W 5150 S #3
(801) 773-5544
Provider ID: 100000085125
NPI: 1629022082
OBSTETRICS AND
GYNECOLOGY
PENNINGTON, DAVID A MD
3493 W 5600 S
(801) 773-4840
Provider ID: 100001092130
NPI: 1609941582
OCCUPATIONAL THERAPY
SCHNEIDER, KIM OT
5991 S 3500 W #300
(801) 985-2700
Provider ID: 100000097493
NPI: 1881795797
OPHTHALMOLOGY
WILLIAMS, LLOYD B MD
5421 S 1900 W
(801) 825-9703
Provider ID: 100000994671
NPI: 1730333741
OPTOMETRY
ELLISON, JOHN W OD
5421 S 1900 W
(801) 825-9703
Provider ID: 100000968041
NPI: 1376713586
110
UTAH
ROY OPTOMETRY
GILLILAND, RODNEY N OD
5421 S 1900 W
(801) 825-9703
Provider ID: 100000856829
NPI: 1801800016
HADLOCK, BRENT LEE OD
5421 S 1900 W
(801) 825-9703
Provider ID: 100001072147
NPI: 1578648564
HARTMAN, AARON M OD
5421 S 1900 W
(801) 825-9703
Provider ID: 100000299336
NPI: 1922258375
HIMES, RANDALL C OD
5421 S 1900 W
(801) 825-9703
Provider ID: 100000863441
NPI: 1144380478
KESSLER, JENNIFER L OD
5421 S 1900 W
(801) 825-9703
Provider ID: 100000811337
NPI: 1811259336
LEISHMAN, BENJAMIN H OD
5421 S 1900 W
(801) 825-9703
Provider ID: 100000785088
NPI: 1942438015
NEVERS, MARK W OD
5421 S 1900 W
(801) 825-9703
Provider ID: 100000815932
NPI: 1366704959
PURDY, RUSSELL WILLIAM
OD
5421 S 1900 W
(801) 479-5060
Provider ID: 100000087907
NPI: 1295823029
RENCHER, STACY LYNN OD
4896 S 1900 W #1
(801) 773-2999
Provider ID: 100000087199
NPI: 1265414163
UTAH
ROY
OPTOMETRY
UTAH (cont'd)
ROY (cont'd)
OPTOMETRY (cont'd)
ROE, FARRELL M OD
5421 S 1900 W
(801) 825-9703
Provider ID: 100001047480
NPI: 1225104110
Specialists
Sorted by state, city, specialty, then name
PEDERSEN, JAIME A PT
1967 W 5700 S
(801) 774-8600
Provider ID: 100000977562
NPI: 1851641435
ROSS, VICTORIA S PT
1967 W 5700 S
(801) 774-8600
Provider ID: 100000977564
NPI: 1679887392
PODIATRY
CLARK, SCOTT A DPM
1885 W 4400 S
(801) 505-5277
Provider ID: 100000268702
NPI: 1700865748
4484 S 1900 W #1
(801) 731-3833
Provider ID: 100000268702
PHYSICAL THERAPY
NPI: 1700865748
BLACK, ROBERT GRANT PT
HARPER, SPENCE DOUGLAS
1967 W 5700 S
DPM
(801) 774-8600
1885 W 4400 S
Provider ID: 100000977553
(801) 505-5277
NPI: 1457499428
Provider ID: 100000268711
BROWN, JOSHUA C RPT
NPI: 1851394803
5991 S 3500 W #300
4484 S 1900 W #1
(801) 985-2700
(801) 731-3833
Provider ID: 100000248643
Provider ID: 100000268711
NPI: 1154515328
NPI: 1851394803
CRESSWELL, ASHLEE D RPT OAKS, GARY N DPM
1967 W 5700 S
1885 W 4400 S
(801) 774-8600
(801) 505-5277
Provider ID: 100000978977
Provider ID: 100000754607
NPI: 1811201817
NPI: 1922294768
HEPNER, BRANDON MICHAEL 3493 W 5600 S
RPT
(801) 773-4840
5991 S 3500 W #300
Provider ID: 100001116089
(801) 985-2700
NPI: 1922294768
Provider ID: 100000095483
4484 S 1900 W #1
NPI: 1245211572
(801) 731-3833
JENKINS, RUSTY L PT
Provider ID: 100000754607
1967 W 5700 S
NPI: 1922294768
(801) 774-8600
Provider ID: 100000977558
NPI: 1376723106
PEDIATRIC ORTHOPEDIC
SURGERY
HEFLIN, JOHN A MD
1937 W 5700 S
(801) 773-9380
Provider ID: 100000812534
NPI: 1588840102
111
UTAH
SALT LAKE CITY ADULT MEDICINE
SEEGMILLER, RICHARD
GREGG DPM
1885 W 4400 S
(801) 505-5277
Provider ID: 100000271891
NPI: 1174539449
4484 S 1900 W #1
(801) 731-3833
Provider ID: 100000271891
NPI: 1174539449
SMITH, TERRY PAUL DPM
1885 W 4400 S
(801) 505-5277
Provider ID: 100000268704
NPI: 1013972157
4484 S 1900 W #1
(801) 731-3833
Provider ID: 100000268704
NPI: 1013972157
VSP PROVIDERS – ROUTINE
VISION
RENCHER, STACY L OD
4896 S 1900 W
(801)773-2999
NPI: 1265414163
SALT LAKE CITY
ADOLESCENT MEDICINE
SPIGARELLI, MICHAEL G MD
50 N MEDICAL DR
(801) 581-3501
Provider ID: 100000612730
NPI: 1053369942
ADULT MEDICINE
ALLEN, NANCY A APRN
50 N MEDICAL DR
(801) 581-7763
Provider ID: 100001107046
NPI: 1063510261
BATTEN, JULIA ANNE APRN
1950 CIRCLE OF HOPE DR
(801) 585-6387
Provider ID: 100000242685
NPI: 1770673303
February 12, 2015
UTAH
SALT LAKE CITY
ADULT MEDICINE
Specialists
Sorted by state, city, specialty, then name
CHENWORTH, ERIC C DO
24 S 1100 E #201
(385) 290-1289
SALT LAKE CITY (cont'd)
Provider ID: 100000949316
NPI: 1700859907
ADULT MEDICINE (cont'd)
GLEICH, GERALD JOSEPH MD
GUDGELL, PAULINA K APRN 1525 W 2100 S
50 N MEDICAL DR
(801) 213-8841
(801) 587-0555
Provider ID: 100000318355
Provider ID: 100000590036
NPI: 1174545800
NPI: 1235450271
50 N MEDICAL DR
JENSE, SANDRA B APRN
(801) 581-2955
50 N MEDICAL DR
Provider ID: 100000096129
(801) 581-2121
NPI: 1174545800
Provider ID: 100001002891
6095 S 300 E #160
NPI: 1104258763
(801) 581-2955
KNOPF, KRISTIN E APRN
Provider ID: 100000096129
1950 CIRCLE OF HOPE DR
NPI: 1174545800
(801) 585-3229
GOURLEY, DAVID SCOTT MD
Provider ID: 100000686178
6065 S FASHION BLVD #255
NPI: 1568769255
(801) 266-4115
50 N MEDICAL DR
Provider ID: 100001067556
(801) 581-2121
NPI: 1477555712
Provider ID: 100000742623
ROGERS, CHARLES MITCHELL
NPI: 1568769255
MD
LOVEDAY, BRIGHTON A APRN 6095 S FASHION BLVD #100
50 N MEDICAL DR
(801) 263-8700
(801) 581-2121
Provider ID: 100000084768
Provider ID: 100000918251
NPI: 1912906330
NPI: 1871865071
WALKER, KAY BLACKBURN
TERRY, KAYLEEN APRN
MD
5323 S WOODROW ST #101
1121 E 3900 S #C130
(801) 261-8346
(801) 281-1300
Provider ID: 100000260493
Provider ID: 100000087273
NPI: 1992828958
NPI: 1083608095
ALLERGY
AUDIOLOGY
CHEN, KARIN MD
BERGEN, TAD S CCCA
100 MARIO CAPECCHI DR
370 E SOUTH TEMPLE #150
(801) 662-1000
(801) 302-8022
Provider ID: 100000563837
Provider ID: 100001107674
NPI: 1477877611
NPI: 1508177635
81 N MARIO CAPECCHI DR
BIRD, RICHARD M AUD
(801) 213-3599
110 E 530 S
Provider ID: 100000563837
(801) 472-4657
NPI: 1477877611
Provider ID: 100000891187
NPI: 1063767879
UTAH (cont'd)
February 12, 2015
112
UTAH
SALT LAKE CITY
AUDIOLOGY
BOHNING, SUSAN A AUD
50 N MEDICAL DR
(801) 585-3494
Provider ID: 100000096621
NPI: 1770673352
CLARKE, MARGARET L AUD
1588 E 3300 S
(801) 495-4800
Provider ID: 100000519036
NPI: 1851621098
22 S 900 E
(801) 328-2522
Provider ID: 100000519036
NPI: 1851621098
CROFTS, ALICIA KAY AUD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000098683
NPI: 1700976396
CURTIS, CHRISTOPHER L
CCCA
5872 S 900 E #175
(801) 268-3277
Provider ID: 100000856065
NPI: 1528317252
DAHLSTROM, LISA M AUD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000088240
NPI: 1326138918
DRAPER, VERA HELENE AUD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000095576
NPI: 1205878964
FOX, CALVIN BRENT AUD
1377 E 3900 S #201
(801) 272-1232
Provider ID: 100000088645
NPI: 1811938939
FOX, DAMON BRENT AUD
1377 E 3900 S #201
(801) 272-1232
Provider ID: 100000096448
NPI: 1124210703
UTAH
SALT LAKE CITY
AUDIOLOGY
Specialists
Sorted by state, city, specialty, then name
MCVICAR, STEPHANIE
BROWNING AUD
417 S WAKARA WAY #1112
SALT LAKE CITY (cont'd)
(801) 581-3506
Provider ID: 100000101381
AUDIOLOGY (cont'd)
NPI: 1144309618
HAMMOND, BROOKE AUD
MITSUNAGA, FAYE F CCCA
417 S WAKARA WAY #1112
777 E 4500 S #110
(801) 581-3506
(801) 268-6497
Provider ID: 100000254433
Provider ID: 100000712847
NPI: 1548344492
NPI: 1316283815
50 N MEDICAL DR
NAIDU, SUSAN MARIE AUD
(801) 581-2121
1308 S 1700 E #211
Provider ID: 100000116630
(435) 513-1381
NPI: 1548344492
Provider ID: 100000603940
HORN, MARY LEIGH CCCA
NPI: 1508945072
1588 E 3300 S
417 S WAKARA WAY #1112
(801) 495-4800
(801) 581-3506
Provider ID: 100000750396
Provider ID: 100000099462
NPI: 1184904286
NPI: 1508945072
22 S 900 E
NORMAN,
LEANNE M AUD
(801) 328-2522
50
N
MEDICAL
DR
Provider ID: 100000767013
(801)
581-8915
NPI: 1184904286
Provider ID: 100000753573
JAMES, BRIAN E AUD
NPI: 1972806651
50 N MEDICAL DR
OSBORNE, CHRISTINE SNOW
(801) 581-8915
AUD
Provider ID: 100000747033
5872 S 900 E #175
NPI: 1649568957
(801) 268-3277
JORGENSEN, TEEMARIE AUD
Provider ID: 100000248079
50 N MEDICAL DR
NPI: 1093880312
(801) 581-8915
PEDERSEN,
JENNY A AUD
Provider ID: 100000250364
22
S
900
E
NPI: 1447295225
(801) 328-2522
LEROY, MOLLY M AUD
Provider ID: 100000565491
1588 E 3300 S
NPI: 1497912190
(801) 485-5534
44 MARIO CAPECCHI DR
Provider ID: 100000360539
(801) 536-8808
NPI: 1033442959
Provider ID: 100000900653
22 S 900 E
NPI: 1497912190
(801) 328-2522
RANDALL, KURT DALE AUD
Provider ID: 100000358989
44 MARIO CAPECCHI DR
NPI: 1033442959
(801) 584-8215
LODZINS, DAVID H AUD
Provider ID: 100000088734
4000 S 700 E #10
NPI: 1780633511
(801) 268-4141
Provider ID: 100000299474
NPI: 1912160714
UTAH (cont'd)
113
UTAH
SALT LAKE CITY
CARDIOLOGY
SCOTT, CHARLES REX CCCA
1050 E SOUTH TEMPLE
(801) 364-8692
Provider ID: 100000088588
NPI: 1912044082
370 E SOUTH TEMPLE #150
(801) 364-8692
Provider ID: 100000088589
NPI: 1912044082
SORENSEN, TYLER D CCCA
5872 S 900 E #175
(801) 268-3277
Provider ID: 100000781688
NPI: 1669740643
STONE, KATIE S AUD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000567193
NPI: 1205910072
UDY, MITCHELL REID AUD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000318314
NPI: 1134174543
YOUNG, ALAN AUD
5642 S 900 E #1
(801) 713-0101
Provider ID: 100000541575
NPI: 1588691380
CARDIOLOGY
EIFLING, MICHAEL D MD
1160 E 3900 S #2000
(801) 266-3418
Provider ID: 100000991946
NPI: 1295921989
KENWOOD, BRUCE R DO
5979 S FASHION BLVD
(801) 263-2370
Provider ID: 100000108625
NPI: 1144279019
82 S 1100 E #103
(801) 263-2370
Provider ID: 100000108625
NPI: 1144279019
February 12, 2015
UTAH
SALT LAKE CITY
CARDIOLOGY
Specialists
Sorted by state, city, specialty, then name
UTAH (cont'd)
CARDIOVASCULAR
DISEASES
SALT LAKE CITY (cont'd)
ADJEI-POKU, MICHAEL MD
1160 E 3900 S #2000
CARDIOLOGY (cont'd)
(801) 266-3418
MASSINOPLE, DAVID S MD
Provider ID: 100000730646
5979 S FASHION BLVD
NPI: 1528050465
(801) 263-2370
3725 W 4100 S #201
Provider ID: 100000268586
(801) 676-3776
NPI: 1255541785
Provider ID: 100000730646
82 S 1100 E #103
NPI: 1528050465
(801) 263-2370
AKOUM, NAZEM W MD
Provider ID: 100000268586
50 N MEDICAL DR
NPI: 1255541785
(801) 587-0555
NATIVI NICOLAU, JOSE N MD
Provider ID: 100000333934
50 N MEDICAL DR
NPI: 1265627095
(801) 585-5122
AMOROS, ZARUHI U APRN
Provider ID: 100000803902
100 MARIO CAPECCHI DR
NPI: 1891958559
(801) 662-5400
PARK, MINJI APRN
Provider ID: 100000707682
30 N 1900 E RM 4A
NPI: 1598058844
(801) 585-7676
50 N MEDICAL DR
Provider ID: 100001126681
(801) 587-0555
NPI: 1265831390
Provider ID: 100000707682
SMITH, BRIGHAM R MD
NPI: 1598058844
50 N MEDICAL DR
BADGER, RODNEY SEYMOUR
(801) 585-0434
MD
Provider ID: 100000874030
50 N MEDICAL DR
NPI: 1558557322
(801) 585-0434
WALKER JR, JERRY DALE MD
Provider ID: 100000801647
2000 CIRCLE OF HOPE DR
NPI: 1003874439
(801) 585-0303
BARRY, WILLIAM HARVEY
Provider ID: 100000558749
MD
NPI: 1649238866
50 N MEDICAL DR
50 N MEDICAL DR
(801) 587-0555
(801) 581-7553
Provider ID: 100000086351
Provider ID: 100000595750
NPI: 1134219769
NPI: 1649238866
BRANN, WILLIAM MARCUS
WELT, FREDERICK G MD
MD
50 N MEDICAL DR
5979 S FASHION BLVD
(801) 585-0434
(801) 263-2370
Provider ID: 100001106407
Provider ID: 100000605841
NPI: 1841286531
NPI: 1912087826
82 S 1100 E #103
(801) 263-2370
Provider ID: 100000605841
NPI: 1912087826
February 12, 2015
114
UTAH
SALT LAKE CITY
CARDIOVASCULAR DISEASES
BRAY, BRUCE EARL MD
50 N MEDICAL DR
(801) 587-0555
Provider ID: 100000086817
NPI: 1124118708
BROWN, RONALD EARL MD
1160 E 3900 S #2000
(801) 266-3418
Provider ID: 100000733423
NPI: 1447242060
BULL, DAVID ANDREW MD
50 N MEDICAL DR
(801) 581-5311
Provider ID: 100000092381
NPI: 1497845085
BURLEW, BRAD S MD
1525 W 2100 S
(801) 213-8841
Provider ID: 100000113144
NPI: 1104882166
CALAME, THOMAS ROBERT
MD
82 S 1100 E #103
(801) 350-4470
Provider ID: 100000277458
NPI: 1801888748
DRAKOS, STAVROS G MD
50 N MEDICAL DR
(801) 585-5122
Provider ID: 100000794614
NPI: 1457627192
EDWARDS II, THOMAS S MD
1160 E 3900 S #2000
(801) 266-3418
Provider ID: 100000733420
NPI: 1639163215
3725 W 4100 S #201
(801) 676-3776
Provider ID: 100000733420
NPI: 1639163215
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
CARDIOVASCULAR DISEASES
CARDIOVASCULAR DISEASES
GILMORE, PAUL S MD
KARWANDE, SHREEKANTH V
1160 E 3900 S #2000
MD
(801)
266-3418
1160 E 3900 S #3500
SALT LAKE CITY (cont'd)
Provider ID: 100000733398
(801) 743-4750
NPI: 1487621389
Provider ID: 100000251531
CARDIOVASCULAR
3725 W 4100 S #201
NPI: 1972693570
DISEASES (cont'd)
(801) 676-3776
KHOR, LILLIAN L MD
ELHADDI, ADAM M MD
Provider ID: 100000733398
50 N MEDICAL DR
5979 S FASHION BLVD
NPI: 1487621389
(801) 587-0555
(801) 263-2370
GREEN, LARRY S MD
Provider ID: 100000549113
Provider ID: 100000337005
1525 W 2100 S
NPI: 1851403836
NPI: 1972713568
(801) 213-8841
KUMPATI, GANESH S MD
82 S 1100 E #103
Provider ID: 100000262144
50 N MEDICAL DR
(801) 263-2370
NPI: 1982635843
(801) 581-5311
Provider ID: 100000337005
50 N MEDICAL DR
Provider ID: 100000717501
NPI: 1972713568
(801) 587-0555
NPI: 1871508671
FREEDMAN, ROGER ALAN MD
Provider ID: 100000251600
KUTCHERA,
WILLIAM A MD
100 MARIO CAPECCHI DR
NPI: 1982635843
30
N
1900
E
RM
4A
(801) 622-1000
HACKING, SCOTT B MD
(801)
585-7676
Provider ID: 100000733274
1160 E 3900 S #2000
Provider ID: 100001156306
NPI: 1790866580
(801) 266-3418
NPI: 1649298928
1525 W 2100 S
Provider ID: 100000733417
50
N MEDICAL DR
(801) 213-8841
NPI: 1992712285
(801)
587-0555
Provider ID: 100000093062
1200 E 3900 S
Provider
ID: 100001156306
NPI: 1790866580
(801) 268-7766
NPI:
1649298928
50 N MEDICAL DR
Provider ID: 100000780751
LI, DEAN YAW MD
(801) 587-0555
NPI: 1992712285
50 N MEDICAL DR
Provider ID: 100000093063
3725 W 4100 S #201
(801) 587-0555
NPI: 1790866580
(801) 676-3776
Provider ID: 100000094051
GANELLEN, EDWARD WAYNE
Provider ID: 100000733417
NPI: 1760572374
MD
NPI: 1992712285
LUI,
CHARLES Y MD
1160 E 3900 S #2000
HAN, FREDERICK T MD
50
N
MEDICAL
DR
(801) 266-3418
50 N MEDICAL DR
(801)
585-0434
Provider ID: 100000733418
(801) 585-3229
Provider ID: 100000801650
NPI: 1164414017
Provider ID: 100000803785
NPI: 1871652305
3725 W 4100 S #201
NPI: 1427255967
MARROUCHE, NASSIR F MD
(801) 676-3776
HAWS, CHARLES WESLEY MD 1525 W 2100 S
Provider ID: 100000733418
1160 E 3900 S #2000
(801) 213-8841
NPI: 1164414017
(801) 266-3418
Provider ID: 100000702750
GILBERT, EDWARD MICHAEL
Provider ID: 100000733395
NPI: 1881708295
MD
NPI: 1396739983
50
N MEDICAL DR
50 N MEDICAL DR
3725 W 4100 S #201
(801)
587-0555
(801) 585-5122
(801) 676-3776
Provider
ID: 100000111125
Provider ID: 100000794604
Provider ID: 100000733395
NPI:
1881708295
NPI: 1003903923
NPI: 1396739983
546 E CHIPETA WAY
(801) 581-7715
Provider ID: 100000084738
NPI: 1003903923
UTAH (cont'd)
115
February 12, 2015
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
CARDIOVASCULAR DISEASES
CARDIOVASCULAR DISEASES
NIELSON, KENNETH GEORGE
MD
1160 E 3900 S #2000
SALT LAKE CITY (cont'd)
(801) 266-3418
Provider ID: 100000733414
CARDIOVASCULAR
NPI: 1063404929
DISEASES (cont'd)
3725 W 4100 S #201
MCGANN, CHRISTOPHER
(801) 676-3776
JOHN MD
Provider ID: 100000733414
1525 W 2100 S
NPI: 1063404929
(801) 585-7676
RANJAN, RAVI MD
Provider ID: 100000096175
50 N MEDICAL DR
NPI: 1477640423
(801) 587-0555
50 N MEDICAL DR
Provider ID: 100000558253
(801) 581-7553
NPI: 1467505206
Provider ID: 100000356650
ROKEACH, STEVEN ALAN MD
NPI: 1477640423
1160 E 3900 S #2000
546 E CHIPETA WAY
(801) 266-3418
(801) 581-7840
Provider ID: 100000733412
Provider ID: 100000096175
NPI: 1740290212
NPI: 1477640423
3725 W 4100 S #201
MILLER, STEPHEN LORRY MD (801) 676-3776
5292 S COLLEGE DR #201
Provider ID: 100000733412
(801) 281-4278
NPI: 1740290212
Provider ID: 100000088057
RYAN,
JOHN J MD
NPI: 1578514477
50 N MEDICAL DR
MORSHEDZADEH, JACK H MD (801) 587-0555
1525 W 2100 S
Provider ID: 100000875097
(801) 585-7676
NPI: 1902071673
Provider ID: 100000340943
SCHORLEMMER, GILBERT
NPI: 1447381447
REYNOLDS MD
50 N MEDICAL DR
1160 E 3900 S #3500
(801) 581-7553
(801) 743-4750
Provider ID: 100000340986
Provider ID: 100000094524
NPI: 1447381447
NPI: 1629060553
MUHLESTEIN, JOSEPH BRENT
SHAH,
RASHMEE U MD
MD
30
N
1900
E RM 4A
50 N MEDICAL DR
(801)
585-7676
(801) 587-0555
Provider ID: 100001119775
Provider ID: 100000089692
NPI: 1215184510
NPI: 1689683435
50 N MEDICAL DR
(801) 585-7676
Provider ID: 100001119775
NPI: 1215184510
UTAH (cont'd)
February 12, 2015
116
SHARMA, PAWAN KUMAR MD
1160 E 3900 S #2000
(801) 266-3418
Provider ID: 100000733410
NPI: 1114919073
1200 E 3900 S
(801) 268-7766
Provider ID: 100000094849
NPI: 1114919073
3725 W 4100 S #201
(801) 676-3776
Provider ID: 100000733410
NPI: 1114919073
SHARP, SALLY DEE MD
1160 E 3900 S #2000
(801) 266-3418
Provider ID: 100000733408
NPI: 1841282787
1200 E 3900 S
(801) 268-7766
Provider ID: 100000087574
NPI: 1841282787
3725 W 4100 S #201
(801) 676-3776
Provider ID: 100000733408
NPI: 1841282787
SHEAN, FREDRIC CARL MD
50 N MEDICAL DR
(801) 587-0555
Provider ID: 100000092633
NPI: 1174613798
SHEETS, MICHAEL
FREDERICK MD
1525 W 2100 S
(801) 213-9910
Provider ID: 100000086701
NPI: 1083704605
50 N MEDICAL DR
(801) 587-0555
Provider ID: 100000086702
NPI: 1083704605
SOBEK, DANE EDWARD MD
50 N MEDICAL DR
(801) 585-0434
Provider ID: 100000801657
NPI: 1043257306
Specialists
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
CARDIOVASCULAR DISEASES
WHITEHEAD, KEVIN JOHN MD
100 MARIO CAPECCHI DR
(801) 622-1000
SALT LAKE CITY (cont'd)
Provider ID: 100000094442
NPI: 1255421848
CARDIOVASCULAR
50 N MEDICAL DR
DISEASES (cont'd)
(801) 587-0555
SYMKOVIAK, GARY PAUL MD
Provider ID: 100000094443
5292 S COLLEGE DR #201
NPI: 1255421848
(801) 281-4278
546 E CHIPETA WAY
Provider ID: 100000265687
(801) 581-5533
NPI: 1841273844
Provider ID: 100000094443
SZWAJKUN, KONSTANTYN
NPI: 1255421848
YAKIV MD
WILSON, BRENT D MD
5979 S FASHION BLVD
1525 W 2100 S
(801) 263-2370
(801) 585-7676
Provider ID: 100000086013
Provider ID: 100000341023
NPI: 1508849191
NPI: 1831121938
82 S 1100 E #103
50 N MEDICAL DR
(801) 263-2370
(801) 581-7553
Provider ID: 100000086013
Provider ID: 100000341029
NPI: 1508849191
NPI: 1831121938
THORNE, JOSEPH KENT MD
ZEBRACK, JAMES SCOTT MD
1160 E 3900 S #3500
1160 E 3900 S #2000
(801) 743-4750
(801) 266-3418
Provider ID: 100000091592
Provider ID: 100000733405
NPI: 1356335970
NPI: 1003808940
WALDRON, JILL S APRN
3725 W 4100 S #201
50 N MEDICAL DR
(801) 676-3776
(801) 585-5122
Provider ID: 100000733405
Provider ID: 100000794611
NPI: 1003808940
NPI: 1083852677
ZUBAIR, IMRAN MD
WALKENHORST, ANDREA
50 N MEDICAL DR
APRN
(801) 581-2121
1160 E 3900 S #3500
Provider ID: 100000559333
(801) 743-4750
NPI: 1992798243
Provider ID: 100000886715
82 S 1100 E #402
NPI: 1306121132
(801) 746-0430
Provider ID: 100000318664
WHISENANT, BRIAN KEITH
NPI: 1992798243
MD
50 N MEDICAL DR
CHIROPRACTIC MEDICINE
(801) 585-0434
ADAMS, SAM DC
Provider ID: 100000801659
6364 S HIGHLAND DR #100
NPI: 1750359253
(801) 277-5665
Provider ID: 100000090896
NPI: 1356474100
UTAH (cont'd)
117
UTAH
SALT LAKE CITY
CHIROPRACTIC MEDICINE
ASAY, SCOTT DC
5882 S 900 E #100
(801) 685-2862
Provider ID: 100001083518
NPI: 1366748790
BACH, JOHN ADOLF DC
1473 S 600 E
(801) 487-1010
Provider ID: 100000086575
NPI: 1841241338
BEAUGEZ, CALVIN M DC
3800 W 3500 S
(801) 973-1022
Provider ID: 100000093261
NPI: 1356414585
838 W NORTH TEMPLE
(801) 973-1022
Provider ID: 100000855457
NPI: 1356414585
BINKERD, R SCOTT DC
431 E 5600 S
(801) 262-2651
Provider ID: 100000091843
NPI: 1366509168
BIRDSLEY, GALEN CLARK DC
1360 S MAIN ST
(801) 467-7141
Provider ID: 100000091562
NPI: 1467542340
BROWN, ERIC R DC
1200 E 3300 S
(801) 747-0770
Provider ID: 100000756373
NPI: 1154628865
CAMPBELL, SHAWN D DC
6982 S CANYON CREEK CIR
(801) 261-4800
Provider ID: 100000089635
NPI: 1891852257
CANADA, ANGELA D DC
5801 S FASHION BLVD #175
(801) 913-5178
Provider ID: 100000864042
NPI: 1275885055
February 12, 2015
UTAH
SALT LAKE CITY
CHIROPRACTIC MEDICINE
UTAH (cont'd)
SALT LAKE CITY (cont'd)
CHIROPRACTIC MEDICINE
(cont'd)
CARLUCCI, MALKA DC
7109 S HIGHLAND DR #203
(801) 943-0932
Provider ID: 100000605838
NPI: 1457522047
CHENEY, SPENCER D DC
1200 E 3300 S
(801) 747-0770
Provider ID: 100000765248
NPI: 1457647489
CONGER, THEODORE L DC
747 E SOUTH TEMPLE #110
(801) 530-4802
Provider ID: 100000092133
NPI: 1588676738
DAVIS, GARY BURCH DC
716 E 4500 S #N250
(801) 262-8400
Provider ID: 100000087530
NPI: 1831255736
DUDLEY, MARK DC
1053 E 2100 S
(801) 359-3995
Provider ID: 100000098345
NPI: 1689784019
FLETCHER, THOMAS R DC
5801 S FASHION BLVD #175
(801) 870-4443
Provider ID: 100000534052
NPI: 1467784181
FRIES, TIFFANI TABISH DC
1548 E 4500 S #101
(801) 676-0243
Provider ID: 100000096110
NPI: 1114977105
FUTRELL, GREGORY
DEFOREST DC
7050 S HIGHLAND DR #140
(801) 944-8700
Provider ID: 100000095855
NPI: 1124100219
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
GLASGOW, KIMBERLY K DC,
LAC
495 E 4500 S #104
(801) 281-1688
Provider ID: 100000755189
NPI: 1508192311
GRANT, JAMES I DC
2189 E 3300 S
(801) 466-7122
Provider ID: 100000111196
NPI: 1316057466
HACKER, REBECCA ANN DC
6511 S 1300 W
(801) 261-4000
Provider ID: 100000091597
NPI: 1386705846
HANSEN, WAYNE T DC
1844 E FORT UNION BLVD #10
(801) 946-4220
Provider ID: 100000572497
NPI: 1851608640
HEDSTROM, DUSTIN J DC
370 E SOUTH TEMPLE #100
(801) 363-0060
Provider ID: 100000270261
NPI: 1831383298
HILL, BRYCE C DC
1035 W BELLWOOD LN #175
(801) 967-6000
Provider ID: 100000358568
NPI: 1164681854
HOLMES, MATTHEW TURNER
DC
2645 E PARLEYS WAY
(801) 485-4455
Provider ID: 100000088250
NPI: 1346203676
JONES, RUBERT PHILLIP DC
1828 E FORT UNION BLVD
(801) 942-9000
Provider ID: 100000746710
NPI: 1821175001
KESLER, CHRISTOPHER
SCOTT DC
1760 E FORT UNION BLVD
(801) 942-7272
Provider ID: 100000089456
NPI: 1720103435
118
UTAH
SALT LAKE CITY
CHIROPRACTIC MEDICINE
LANE, MICHAEL CONRAD DC
261 E 300 S #310
(801) 322-3067
Provider ID: 100000091119
NPI: 1376637116
MADSEN, RICHARD K DC
4578 S HIGHLAND DR #250
(801) 264-1235
Provider ID: 100000091689
NPI: 1609856558
MASSENGALE, MICHAEL
LOREN DC
1951 W 4700 S #3
(801) 969-4700
Provider ID: 100000245477
NPI: 1962507848
MCGINN, GREGORY FLOY DC
1116 E 3300 S
(801) 484-2273
Provider ID: 100000089287
NPI: 1104805993
MONSON, DAN S DC
3684 S STATE ST #2
(801) 268-2901
Provider ID: 100000088205
NPI: 1518989763
MORGAN, KEVIN WALLACE
DC
2010 S 1000 E
(801) 583-0900
Provider ID: 100000091441
NPI: 1437377736
PATTON, DANIEL RAY DC
923 E EXECUTIVE PARK DR #C
(801) 262-1024
Provider ID: 100000089946
NPI: 1437278710
REHEISSE, ANDREW J DC
1360 S MAIN ST
(801) 467-7141
Provider ID: 100001129494
NPI: 1003217449
SEILER, ROBERT PETER DC
150 S 600 E #6C
(801) 230-0166
Provider ID: 100000094019
NPI: 1427111590
UTAH
SALT LAKE CITY
CHIROPRACTIC MEDICINE
UTAH (cont'd)
SALT LAKE CITY (cont'd)
CHIROPRACTIC MEDICINE
(cont'd)
SMITHERS, MICHAEL
DOUGLAS DC
7084 S 2300 E #110
(801) 942-5814
Provider ID: 100000085978
NPI: 1457312720
ULIBARRI, ISAIAH DC
1951 W 4700 S #2
(801) 674-3314
Provider ID: 100000344666
NPI: 1194962621
VANCE, LARRY ROBERT DC
6364 S HIGHLAND DR #100
(801) 277-5665
Provider ID: 100000084912
NPI: 1053444836
WOOD, MATTHEW P DC
1770 E FORT UNION BLVD #101
(801) 944-5900
Provider ID: 100000564823
NPI: 1003142241
YEAGER, STUART JOHN DC
7086 S HIGHLAND DR #50
(801) 943-3355
Provider ID: 100000085059
NPI: 1356422828
COLON AND RECTAL
SURGERY
PECHE, WILLIAM J MD
50 N MEDICAL DR
(801) 581-4314
Provider ID: 100000278862
NPI: 1578766820
ROW, DAVID MD
1250 E 3900 S #220
(801) 265-9139
Provider ID: 100000981436
NPI: 1871797118
Specialists
Sorted by state, city, specialty, then name
UTAH
SALT LAKE CITY
DERMATOLOGY
WALDRON, JILL E MD
1220 E 3900 S #4I
(801) 263-1621
Provider ID: 100000350217
NPI: 1295922052
BRIMHALL, ANGELA K DO
1548 E 4500 S #202
(801) 266-8841
Provider ID: 100000726084
NPI: 1770773061
CALLIS,
KRISTINA P MD
DERMATOLOGY
50 N MEDICAL DR
ALLEN, DAVID EDGAR MD
(801) 581-2955
50 N MEDICAL DR
Provider ID: 100000101184
(801) 581-2955
NPI: 1659397040
Provider ID: 100000090882
6095 S 300 E #160
NPI: 1619995107
(801) 581-2955
BASIC, KATHERINA K MD
Provider ID: 100000101184
50 N MEDICAL DR
NPI: 1659397040
(801) 581-2955
CLARKE, JENNIE T MD
Provider ID: 100001121502
50 N MEDICAL DR
NPI: 1457448342
(801) 581-2955
BEZZANT, JOHN LLOYD MD
Provider ID: 100001119622
50 N MEDICAL DR
NPI: 1447214655
(801) 581-2955
COTTER, MURRAY A MD
Provider ID: 100000089135
50 N MEDICAL DR
NPI: 1730175720
(801) 581-2955
BOWEN, ANNELI RIRIE MD
Provider ID: 100000117267
100 N MARIO CAPECCHI DR
NPI: 1669598744
(801) 662-2150
DUFFY, KEITH L MD
Provider ID: 100001068396
100 N MARIO CAPECCHI DR
NPI: 1437175825
(801) 662-2150
50 N MEDICAL DR
Provider ID: 100001068422
(801) 581-2507
NPI: 1770779050
Provider ID: 100000095598
2000 CIRCLE OF HOPE DR
NPI: 1437175825
(801) 581-2955
500 E CHIPETA WAY
Provider ID: 100000548819
(801) 583-2787
NPI: 1770779050
Provider ID: 100000263474
30 N 1900 E #4A330
NPI: 1437175825
(801) 581-6465
BOWEN, GLEN MONTROSE MD
Provider ID: 100000548819
2000 CIRCLE OF HOPE DR
NPI: 1770779050
(801) 581-2955
50 N MEDICAL DR
Provider ID: 100000336899
(801) 581-2507
NPI: 1851311070
Provider ID: 100000565104
NPI: 1770779050
BRADLEY, RULON RALPH MD
500 E CHIPETA WAY
166 E 5900 S #B111
(801) 583-2787
(801) 268-9672
Provider ID: 100000566770
Provider ID: 100000090976
NPI: 1770779050
NPI: 1386681005
119
February 12, 2015
UTAH
SALT LAKE CITY
DERMATOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
DERMATOLOGY (cont'd)
DUFFY, KEITH L MD (cont'd)
6095 S 300 E #160
(801) 581-2955
Provider ID: 100000548819
NPI: 1770779050
6095 S 300 E #250
(801) 581-2955
Provider ID: 100000548819
NPI: 1770779050
6095 S 300 E #270
(801) 581-2955
Provider ID: 100000548819
NPI: 1770779050
ELIASON, MARK J MD
50 N MEDICAL DR
(801) 581-2955
Provider ID: 100000340847
NPI: 1891990156
6095 S 300 E #160
(801) 581-2955
Provider ID: 100000340847
NPI: 1891990156
ELLIS, LAURIE JEAN APRN
1548 E 4500 S #202
(801) 266-8841
Provider ID: 100000097110
NPI: 1770578254
FLINT, IVAN DEAN MD
1250 E 3900 S #450
(801) 262-3600
Provider ID: 100000090113
NPI: 1962484485
GALARIA, NOREEN A MD
6095 S 300 E #270
(801) 581-2955
Provider ID: 100000117535
NPI: 1588730683
GROSSMAN, DOUGLAS MD
2000 CIRCLE OF HOPE DR
(801) 581-2955
Provider ID: 100000095202
NPI: 1124040704
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
HANSEN, C DAVID MD
100 MARIO CAPECCHI DR
(801) 662-1603
Provider ID: 100001101668
NPI: 1548366743
50 N MEDICAL DR
(801) 581-2955
Provider ID: 100000090978
NPI: 1548366743
6095 S 300 E #250
(801) 581-2955
Provider ID: 100000090978
NPI: 1548366743
HARRIS, RONALD MARK MD
50 N MEDICAL DR
(801) 581-2955
Provider ID: 100000093069
NPI: 1215033501
HINCKLEY, MICHAEL R MD
1160 E 3900 S #1000
(801) 262-1771
Provider ID: 100001151874
NPI: 1760665707
3725 W 4100 S
(801) 965-3600
Provider ID: 100000541523
NPI: 1760665707
HORSLEY, ROLFE PURDY MD
6040 S FASHION BLVD #203
(801) 266-2353
Provider ID: 100000091006
NPI: 1518949411
HULL, CHRISTOPHER
MACKAY MD
50 N MEDICAL DR
(801) 581-2955
Provider ID: 100000098813
NPI: 1477659746
6095 S 300 E #200
(801) 581-2955
Provider ID: 100000098813
NPI: 1477659746
120
UTAH
SALT LAKE CITY
DERMATOLOGY
JOHNSON, CATHERINE BOGAN
APRN
100 MARIO CAPECCHI DR
(801) 662-1603
Provider ID: 100000096914
NPI: 1952424129
50 N MEDICAL DR
(801) 581-2955
Provider ID: 100000096915
NPI: 1952424129
6095 S 300 E #200
(801) 581-2955
Provider ID: 100000096915
NPI: 1952424129
JOHNSON, JOYCE DUNN MD
1060 E 100 S #L10
(801) 328-1260
Provider ID: 100000087080
NPI: 1649245705
KLEIN, STEPHANIE Z MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000564625
NPI: 1124233242
6095 S 300 E #160
(801) 581-2955
Provider ID: 100000854606
NPI: 1124233242
KRUEGER, GERALD GENE MD
50 N MEDICAL DR
(801) 581-2955
Provider ID: 100000086799
NPI: 1578661302
6095 S 300 E #200
(801) 581-2955
Provider ID: 100000086799
NPI: 1578661302
LEACHMAN, SANCY ANN MD
2000 CIRCLE OF HOPE DR
(801) 581-2955
Provider ID: 100000086465
NPI: 1295833788
UTAH
SALT LAKE CITY
DERMATOLOGY
Specialists
Sorted by state, city, specialty, then name
PETERSEN, MARTA JEAN MD
50 N MEDICAL DR
(801) 581-2955
SALT LAKE CITY (cont'd)
Provider ID: 100000086595
NPI: 1972601508
DERMATOLOGY (cont'd)
6095 S 300 E #250
LEIFERMAN, KRISTIN MARIE
(801) 581-2955
MD
Provider ID: 100000086595
50 N MEDICAL DR
NPI: 1972601508
(801) 581-2955
POWELL, DOUGLAS LESTER
Provider ID: 100000095864
MD
NPI: 1619064110
6095 S 300 E #200
6095 S 300 E #250
(801) 581-2955
(801) 581-2955
Provider ID: 100000094197
Provider ID: 100000095864
NPI: 1043316300
NPI: 1619064110
SAMOLITIS, NANCY J MD
LEWIS, BETHANY K MD
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-2955
(801) 581-2955
Provider ID: 100000101187
Provider ID: 100000812684
NPI: 1164688230
NPI: 1215181797
SONTHEIMER, RICHARD D MD
MATIS, WENDY L MD
50 N MEDICAL DR
710 E 200 S #1B
(801) 581-2955
(801) 521-0100
Provider ID: 100000318312
Provider ID: 100000090134
NPI: 1376511600
NPI: 1407851595
SOTIRIOU, LEO C MD
MEYER, LAURENCE JOHN MD 250 E 300 S #330
50 N MEDICAL DR
(801) 521-5630
(801) 581-2955
Provider ID: 100000090937
Provider ID: 100000092877
NPI: 1801885199
NPI: 1477638666
SUMMERS, BRADLEY KENT
MOSS, RICHARD LEE MD
MD
50 N MEDICAL DR
2000 CIRCLE OF HOPE DR
(801) 581-2955
(801) 581-2955
Provider ID: 100000088993
Provider ID: 100000091914
NPI: 1952472292
NPI: 1164403259
ODELL, RICHARD HARDY MD 6095 S 300 E #250
1345 E 3900 S #110
(801) 581-2955
(801) 272-4219
Provider ID: 100000091914
Provider ID: 100000090829
NPI: 1164403259
NPI: 1215999875
SWINYER, LEONARD JAMES
MD
1548 E 4500 S #202
(801) 266-8841
Provider ID: 100000084622
NPI: 1538153234
UTAH (cont'd)
121
UTAH
SALT LAKE CITY
DERMATOLOGY
THULIN, JUSTIN FORTH MD
1151 E 3900 S #B259
(801) 266-7325
Provider ID: 100000084703
NPI: 1023057098
TOPHAM, EARL BARRY MD
1775 E 4500 S
(801) 272-4408
Provider ID: 100000090757
NPI: 1386620367
TRISTANI-FIROUZI, PAYAM
MD
50 N MEDICAL DR
(801) 581-2955
Provider ID: 100000096545
NPI: 1407943921
6095 S 300 E #250
(801) 581-2955
Provider ID: 100000096545
NPI: 1407943921
VANDERHOOFT, SHERYLL
LAND MD
100 MARIO CAPECCHI DR
(801) 581-2955
Provider ID: 100000092999
NPI: 1356426829
50 N MEDICAL DR
(801) 581-2955
Provider ID: 100000093000
NPI: 1356426829
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000092999
NPI: 1356426829
WADA, DAVID A MD
50 N MEDICAL DR
(801) 581-2507
Provider ID: 100000987411
NPI: 1043411168
WOODCOCK, JAMIE MD
6095 S 300 E #160
(801) 581-2955
Provider ID: 100001101099
NPI: 1104093392
February 12, 2015
UTAH
SALT LAKE CITY
DERMATOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
DERMATOLOGY (cont'd)
WOSETH, DOUGLAS M MD
1548 E 4500 S #202
(801) 266-8841
Provider ID: 100000107956
NPI: 1619978970
ZONE, JOHN JOSEPH MD
50 N MEDICAL DR
(801) 581-2955
Provider ID: 100000084943
NPI: 1336235068
6095 S 300 E #200
(801) 581-2955
Provider ID: 100000084943
NPI: 1336235068
ZUSSMAN, JAMIE MD
50 N MEDICAL DR
(801) 581-2507
Provider ID: 100001131217
NPI: 1174775621
6095 S 300 E #270
(801) 581-2955
Provider ID: 100001101357
NPI: 1174775621
EAR NOSE THROATOTOLARYNGOLOGY
ALT, JEREMIAH A MD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000955033
NPI: 1598968380
ANDERSON, CRAIG W MD
22 S 900 E
(801) 328-2522
Provider ID: 100000527460
NPI: 1871541227
AOKI, JON RICHARD MD
3725 W 4100 S
(801) 965-3600
Provider ID: 100000250467
NPI: 1295805265
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
UTAH
SALT LAKE CITY
EAR NOSE THROAT- OTOLARYNGOLOGY
BENNETT, JOHN ROMNEY MD
22 S 900 E
(801) 328-2522
Provider ID: 100000097375
NPI: 1699800227
BUCHMANN, LUKE O MD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000274170
NPI: 1871657056
BUTLER, JOHN EDMUND MD
4000 S 700 E #10
(801) 268-4141
Provider ID: 100000098509
NPI: 1598725350
5770 S 250 E #285
(801) 268-2822
Provider ID: 100000098509
NPI: 1598725350
DAHL, MATTHEW E MD
22 S 900 E
(801) 328-2522
Provider ID: 100000337348
NPI: 1679666556
ERROR, MARC E MD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000948947
NPI: 1720232390
GRIMMER, JOHANNES
FREDRIK MD
100 N MARIO CAPECCHI DR
(801) 662-1000
Provider ID: 100000101192
NPI: 1477643070
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000338786
NPI: 1477643070
GULL, JUSTIN D MD
4000 S 700 E #10
(801) 268-4141
Provider ID: 100000271425
NPI: 1962600338
5770 S 250 E #285
(801) 268-2822
Provider ID: 100000271425
NPI: 1962600338
122
GURGEL, RICHARD K MD
100 N MARIO CAPECCHI DR
(801) 238-6618
Provider ID: 100000794065
NPI: 1710196290
50 N MEDICAL DR
(801) 588-2700
Provider ID: 100000794064
NPI: 1710196290
HUNT, JASON P MD
50 N MEDICAL DR
(801) 581-7514
Provider ID: 100000109800
NPI: 1053334805
HUNTER, ROBERT GAIL MD
5169 S COTTONWOOD ST #310
(801) 507-3444
Provider ID: 100000092741
NPI: 1477669083
JEPSEN, MATTHEW C MD
22 S 900 E
(801) 328-2522
Provider ID: 100000797644
NPI: 1962486027
JONES, ALAN C DO
3336 PIONEER PKWY #201
(801) 250-9638
Provider ID: 100001124387
NPI: 1598743973
KENDALL, KATHERINE A MD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000779065
NPI: 1437133105
MCRAE, BRYAN R MD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100001100595
NPI: 1346407772
MILLER, STEVEN KAY MD
22 S 900 E
(801) 328-2522
Provider ID: 100000091437
NPI: 1942313796
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
ENDOCRINOLOGY, DIABETES AND
EAR NOSE THROAT- OTOLARYNGOLOGY
METABOLISM
ORLANDI, RICHARD RALPH
MD
50 N MEDICAL DR
SALT LAKE CITY (cont'd)
(801) 581-8915
Provider ID: 100000094406
EAR NOSE THROATNPI: 1790865699
OTOLARYNGOLOGY (cont'd)
PALMER, DAVID KEITH MD
MONROE, MARCUS M MD
4000 S 700 E #10
1950 CIRCLE OF HOPE DR
(801) 268-4141
(801) 587-4566
Provider ID: 100000091626
Provider ID: 100001094898
NPI: 1427018191
NPI: 1376704692
5770 S 250 E #285
50 N MEDICAL DR
(801) 268-2822
(801) 581-8915
Provider ID: 100000091626
Provider ID: 100001094898
NPI: 1427018191
NPI: 1376704692
PARK, ALBERT HYUN WOOK
MUNTZ, HARLAN RAY MD
MD
100 N MARIO CAPECCHI DR
100 N MARIO CAPECCHI DR
(801) 662-1000
(801) 662-1000
Provider ID: 100000094377
Provider ID: 100000096923
NPI: 1255421863
NPI: 1972693596
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-8915
(801) 581-8915
Provider ID: 100000360192
Provider ID: 100000274466
NPI: 1255421863
NPI: 1972693596
NIELSEN, RICHARD WENDELL SHAH, SAURABH
MD
BHARATKUMAR MD
22 S 900 E
3725 W 4100 S
(801) 328-2522
(801) 965-3600
Provider ID: 100000087103
Provider ID: 100000094270
NPI: 1427183052
NPI: 1790717957
OLSON, CHRISTOPHER S APRN SHARMA, PRAMOD KUMAR
1050 E SOUTH TEMPLE
MD
(801) 262-8120
22 S 900 E
Provider ID: 100000779127
(801) 328-2522
NPI: 1306997630
Provider ID: 100000095650
5121 S COTTONWOOD ST
NPI: 1801986427
(801) 262-8120
SHELTON,
CLOUGH MD
Provider ID: 100000779127
50
N
MEDICAL
DR
NPI: 1306997630
(801)
581-8915
8TH AVENUE & C ST
Provider ID: 100000086543
(801) 262-8120
NPI: 1891885414
Provider ID: 100000779127
STEVENS, MICHAEL HENRY
NPI: 1306997630
MD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000255907
NPI: 1699959460
UTAH (cont'd)
123
SWENSON, RANDAL WALTER
MD
4000 S 700 E #10
(801) 268-4141
Provider ID: 100000091545
NPI: 1578522959
TAGGE, BRYAN CURTIS MD
22 S 900 E
(801) 328-2522
Provider ID: 100000095518
NPI: 1164557583
WARD, PRESTON D MD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000548794
NPI: 1649396185
WILSON, KEVIN F MD
50 N MEDICAL DR
(801) 581-8915
Provider ID: 100000556110
NPI: 1780701003
ENDOCRINOLOGY,
DIABETES AND
METABOLISM
ABRAHAM, DEVAPRABU MD
1250 E 3900 S #41
(801) 581-7761
Provider ID: 100000094084
NPI: 1528158144
50 N MEDICAL DR
(801) 581-7763
Provider ID: 100000094084
NPI: 1528158144
615 S ARAPEEN DR #100
(801) 581-7761
Provider ID: 100000094084
NPI: 1528158144
BENOWITZ, BARRY ALAN MD
324 E 10TH AVE #250
(801) 408-2600
Provider ID: 100000088754
NPI: 1497707343
BRADY, BRUCE RYAN MD
470 E 3900 S #200
(801) 747-2800
Provider ID: 100000526034
NPI: 1467474676
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
ENDOCRINOLOGY, DIABETES AND METABOLISM
GROTZKE, MARISSA PAIGE
MD
50 N MEDICAL DR
SALT LAKE CITY (cont'd)
(801) 581-7763
Provider ID: 100000334463
ENDOCRINOLOGY,
NPI: 1245425032
DIABETES AND
GRUA,
JAMES RUSSELL MD
METABOLISM (cont'd)
324 E 10TH AVE #285
BRINTON, ELIOT ASHBY MD
(801) 408-5151
419 S WAKARA WAY #207B
Provider ID: 100000777317
(801) 403-7530
NPI: 1134159288
Provider ID: 100000755652
JONES, ROBERT ERROL MD
NPI: 1033209614
615 S ARAPEEN DR #100
50 N MEDICAL DR
(801) 581-7761
(801) 587-0555
Provider ID: 100000091358
Provider ID: 100000098602
NPI: 1427148022
NPI: 1033209614
MATURLO, SUSAN JOY MD
BURR, ROBERT EATON MD
3725 W 4100 S
1035 W BELLWOOD LN #160
(801) 965-3600
(801) 746-0776
Provider ID: 100001082276
Provider ID: 100000101650
NPI: 1023076460
NPI: 1770533788
MCCLAIN, DONALD ALLAN
BURTON, LAURA MAY APRN MD
50 N MEDICAL DR
615 S ARAPEEN DR #100
(801) 581-7763
(801) 581-7761
Provider ID: 100000096018
Provider ID: 100000093692
NPI: 1942390539
NPI: 1346284346
615 S ARAPEEN DR #100
MEIKLE,
ALFRED WAYNE MD
(801) 581-7761
615
S
ARAPEEN
DR #100
Provider ID: 100000096018
(801)
581-7761
NPI: 1942390539
Provider ID: 100000090668
FALAHATI-NINI, ALIREZA MD
NPI: 1285724898
470 E 3900 S #200
PHARES, PAMELA L APRN
(801) 747-2800
50 N MEDICAL DR
Provider ID: 100000266917
(801) 581-7763
NPI: 1417989971
Provider ID: 100000990787
FISHER, SIMON J MD
NPI: 1619958436
615 S ARAPEEN DR #100
(801) 581-7761
Provider ID: 100001121524
NPI: 1952327173
GRAHAM, TIMOTHY E MD
50 N MEDICAL DR
(801) 581-7763
Provider ID: 100000338457
NPI: 1134162258
UTAH (cont'd)
February 12, 2015
124
REDDY, DEEPIKA S MD
1250 E 3900 S #41
(801) 581-7761
Provider ID: 100001107702
NPI: 1407977242
50 N MEDICAL DR
(801) 581-7763
Provider ID: 100001107702
NPI: 1407977242
615 S ARAPEEN DR #100
(801) 581-7761
Provider ID: 100001107702
NPI: 1407977242
SAUCIER, BETH A APRN
50 N MEDICAL DR
(801) 581-7763
Provider ID: 100000736364
NPI: 1285679647
SCHLEGEL, AMNON MD
50 N MEDICAL DR
(801) 581-7763
Provider ID: 100000549166
NPI: 1093910796
SIMMONS, DEBRA L MD
175 N MEDICAL DR E
(801) 581-7575
Provider ID: 100000787036
NPI: 1588754063
50 N MEDICAL DR
(801) 581-7763
Provider ID: 100000787036
NPI: 1588754063
STANCHFIELD, JOHN
BARTLEY MD
1160 E 3900 S #1200
(801) 261-9651
Provider ID: 100000086096
NPI: 1134147226
SUNDARESH, VISHNU MD
50 N MEDICAL DR
(801) 581-7763
Provider ID: 100001106127
NPI: 1992026975
WELT, CORRINE K MD
50 N MEDICAL DR
(801) 581-7763
Provider ID: 100001120001
NPI: 1619967817
Specialists
Sorted by state, city, specialty, then name
GASTROENTEROLOGY
ADLER, DOUGLAS G MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000109674
NPI: 1891748687
BATISTA, OSCAR A MD
6360 S 3000 E #310
(801) 944-3144
Provider ID: 100000248212
NPI: 1962443465
BERENSON, MALCOLM MARK
MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000084774
NPI: 1396835922
BOOK, LINDA SUE MD
100 MARIO CAPECCHI DR #2650
(801) 662-2900
Provider ID: 100000085626
NPI: 1033298609
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000085626
NPI: 1033298609
BOSCHERT, MARK EDWARD
MD
6360 S 3000 E #310
(801) 944-3144
Provider ID: 100000085008
NPI: 1346252236
BOWERS, JOHN HAMPTON MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000645364
NPI: 1649283318
BOX, TERRY DEAN MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000314959
NPI: 1235142985
BOYNTON, KATHLEEN KARN
MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000263462
NPI: 1174666739
BUCHI, KENNETH O MD
24 S 1100 E #103
(801) 233-8233
Provider ID: 100000087049
NPI: 1518985696
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000787039
NPI: 1518985696
BURT, RANDALL WALTER MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100001087192
NPI: 1033209622
CANALE, CHRISTOPHER COPP
MD
6360 S 3000 E #310
(801) 944-3144
Provider ID: 100000259050
NPI: 1598952145
CLARK, HOLLY B MD
1250 E 3900 S #360
(801) 263-3041
Provider ID: 100000810405
NPI: 1376639047
CRAIG JR, RICHARD
MCINTYRE MD
1525 W 2100 S
(801) 213-8841
Provider ID: 100000093768
NPI: 1174613764
DOXEY, BRETT W MD
6360 S 3000 E #310
(801) 944-3144
Provider ID: 100000115356
NPI: 1386775682
125
UTAH
SALT LAKE CITY
GASTROENTEROLOGY
FANG, JOHN C MD
1525 W 2100 S
(801) 213-9900
Provider ID: 100000085835
NPI: 1134219736
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000085835
NPI: 1134219736
FENTON, PETER C O MD
6360 S 3000 E #310
(801) 944-3144
Provider ID: 100000096048
NPI: 1952311797
FLYNN, ANN D MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000960360
NPI: 1386790988
FRECH, EDWARD JOHN MD
6360 S 3000 E #310
(801) 944-3144
Provider ID: 100000257838
NPI: 1942496757
GALLEGOS-OROZCO, JUAN F
MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000795986
NPI: 1619909314
GAWRON, ANDREW J MD
1525 W 2100 S
(801) 213-9715
Provider ID: 100001119655
NPI: 1447412903
2000 CIRCLE OF HOPE DR
(801) 581-7802
Provider ID: 100001119655
NPI: 1447412903
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100001119655
NPI: 1447412903
February 12, 2015
UTAH
SALT LAKE CITY
GASTROENTEROLOGY
Specialists
Sorted by state, city, specialty, then name
MAXWELL, CHRISTOPHER I
MD
1250 E 3900 S #360
SALT LAKE CITY (cont'd)
(801) 263-3041
Provider ID: 100000810406
GASTROENTEROLOGY
NPI: 1114107026
(cont'd)
MOORE, DAVID RAYBURN MD
HARMSTON III, GORDON
6360 S 3000 E #310
EUGENE MD
(801) 944-3144
6360 S 3000 E #310
Provider ID: 100001103159
(801) 944-3144
NPI: 1215969837
Provider ID: 100000089995
MOORE, JOHN GREENWOOD
NPI: 1972516748
MD
JACKSON, WILLIAM DANIEL 50 N MEDICAL DR
MD
(801) 581-7802
100 MARIO CAPECCHI DR #2650
Provider ID: 100000086556
(801) 662-2900
NPI: 1720166671
Provider ID: 100000087416
OELSNER,
DAVID H MD
NPI: 1417036088
3725
W
4100
S
81 N MARIO CAPECCHI DR
(801)
965-3600
(801) 213-3599
Provider ID: 100000107713
Provider ID: 100000087416
NPI: 1396760765
NPI: 1417036088
PEDERSEN, PEDER JENS MD
JONES, ROBERT G MD
1250 E 3900 S #360
6360 S 3000 E #310
(801) 263-3041
(801) 314-4222
Provider ID: 100000810407
Provider ID: 100000107793
NPI: 1568558211
NPI: 1164465647
PETERSON,
KATHRYN ANNE
JOSEPH, RONALD D MD
MD
1250 E 3900 S #360
50 N MEDICAL DR
(801) 263-3041
(801) 581-7802
Provider ID: 100000810403
Provider ID: 100000096528
NPI: 1033205760
NPI: 1225128846
KANTH, PRIYANKA MD
RYSER, RANDALL JAMES MD
50 N MEDICAL DR
6360 S 3000 E #310
(801) 581-7802
(801) 944-3144
Provider ID: 100000986348
Provider ID: 100000091177
NPI: 1679773469
NPI: 1528071156
KARNAM, UMAPRASANNA
SAMADDER,
NILOY J MD
SUDARSANA MD
50
N
MEDICAL
DR
2295 S FOOTHILL DR
(801)
581-7802
(801) 563-5121
Provider ID: 100000705919
Provider ID: 100000276700
NPI: 1245432293
NPI: 1689623852
24 S 1100 E #103
(801) 563-5121
Provider ID: 100000276700
NPI: 1689623852
UTAH (cont'd)
February 12, 2015
126
UTAH
SALT LAKE CITY
GASTROENTEROLOGY
SOSSENHEIMER, MICHAEL
JOSEPH MD
6360 S 3000 E #310
(801) 944-3144
Provider ID: 100000093280
NPI: 1508876350
STEENBLIK, MATTHEW H MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100001106928
NPI: 1821241845
SUTTON, THOMAS L MD
100 MARIO CAPECCHI DR #2650
(801) 662-2900
Provider ID: 100000574280
NPI: 1750319232
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000574280
NPI: 1750319232
THOMASON, ISAAC R MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000881989
NPI: 1649282542
TIETZE, CHRISTOPHER
CHARLES MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000085768
NPI: 1811087448
TROWBRIDGE, DAVID
BRADLEY MD
1250 E 3900 S #360
(801) 263-3041
Provider ID: 100000810408
NPI: 1134215809
VALENTINE, JOHN F MD
50 N MEDICAL DR
(801) 581-7802
Provider ID: 100000747024
NPI: 1144263419
WILLS, JASON CORWIN MD
1250 E 3900 S #360
(801) 263-3041
Provider ID: 100000810410
NPI: 1871689554
UTAH
SALT LAKE CITY
GENERAL SURGERY
Specialists
Sorted by state, city, specialty, then name
CAMPSEN, PAUL J MD
100 MARIO CAPECCHI DR #2600
(801) 662-2950
SALT LAKE CITY (cont'd)
Provider ID: 100001001037
NPI: 1427104017
GENERAL SURGERY
50 N MEDICAL DR
AFFLECK, DAVID GORDON MD (801) 581-4314
1160 E 3900 S #3500
Provider ID: 100000763755
(801) 743-4750
NPI: 1427104017
Provider ID: 100000098726
CAVIN, IAN R DO
NPI: 1710979653
4000 S 700 E #9
ALONSO, DIANE MD
(801) 262-3564
5171 S COTTONWOOD ST #650
Provider ID: 100000288161
(801) 507-9600
NPI: 1184647315
Provider ID: 100000281953
CHACHAS, ANGELO GREGORY
NPI: 1275740607
MD
ANDTBACKA, ROBERT H MD 1050 E SOUTH TEMPLE
50 N MEDICAL DR
(801) 328-1260
(801) 581-7783
Provider ID: 100000272650
Provider ID: 100000111117
NPI: 1194726232
NPI: 1215042288
24 S 1100 E #302
BARNHART, DOUGLAS C MD
(801) 478-0010
100 MARIO CAPECCHI DR #2600
Provider ID: 100000101545
(801) 662-2950
NPI: 1194726232
Provider ID: 100000295295
CHALY, THOMAS MD
NPI: 1750398517
1950 CIRCLE OF HOPE DR
BARTON, RICHARD GENE MD (801) 585-0100
50 N MEDICAL DR
Provider ID: 100001104817
(801) 581-2121
NPI: 1558525741
Provider ID: 100000088961
50 N MEDICAL DR
NPI: 1043300676
(801) 581-4314
Provider ID: 100001104817
BELNAP, LEGRAND
NPI: 1558525741
GRANDPETTY MD
470 E 3900 S #200
COCHRAN, AMALIA LENORA
(801) 262-9782
MD
Provider ID: 100000314746
50 N MEDICAL DR
NPI: 1225060676
(801) 581-2121
Provider ID: 100000101397
BOWLES, TAWNYA L MD
NPI: 1801986492
50 N MEDICAL DR
(801) 581-4314
COLONNA, ALEXANDER L MD
Provider ID: 100000766825
50 N MEDICAL DR
NPI: 1679554141
(801) 581-2121
Provider ID: 100000814098
NPI: 1568659324
UTAH (cont'd)
127
UTAH
SALT LAKE CITY
GENERAL SURGERY
COTTAM, DANIEL R MD
1046 E 100 S
(801) 746-2885
Provider ID: 100000601454
NPI: 1760574776
CROMBIE, COURTNEY
HEATHER MD
100 MARIO CAPECCHI DR
(801) 581-2121
Provider ID: 100001094873
NPI: 1619067204
50 N MEDICAL DR #3B400
(801) 581-7719
Provider ID: 100000095672
NPI: 1619067204
DAVIS, CHARLES R MD
1200 E 3900 S
(801) 268-7111
Provider ID: 100000288154
NPI: 1326136565
4000 S 700 E #9
(801) 262-3564
Provider ID: 100000288154
NPI: 1326136565
DAYTON, MERRIL TAYLOR
MD
50 N MEDICAL DR
(801) 297-4973
Provider ID: 100000089859
NPI: 1326065004
ENNISS, TOBY M MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000563662
NPI: 1295915536
FINLAYSON, SAMUEL R MD
50 N MEDICAL DR
(801) 581-4314
Provider ID: 100000992865
NPI: 1275552424
FREEMAN, JAN S MD
540 S ARAPEEN DR #110
(801) 582-4268
Provider ID: 100000878716
NPI: 1699764027
February 12, 2015
UTAH
SALT LAKE CITY
GENERAL SURGERY
Specialists
Sorted by state, city, specialty, then name
HOLLINGSED, TIMOTHY
CHARLES MD
1160 E 3900 S #1000
SALT LAKE CITY (cont'd)
(801) 262-1771
Provider ID: 100001151876
GENERAL SURGERY (cont'd)
NPI: 1790716181
FUJITA, SHIRO MD
3725 W 4100 S
5171 S COTTONWOOD ST #650
(801) 965-3600
(801) 507-9600
Provider ID: 100000086885
Provider ID: 100000350221
NPI: 1790716181
NPI: 1205871043
HOLMAN JR, JOHN M MD
GAYOWSKI, TIMOTHY J MD
50 N MEDICAL DR
50 N MEDICAL DR
(801) 297-4973
(801) 581-2121
Provider ID: 100000086536
Provider ID: 100000262162
NPI: 1528460607
NPI: 1154515765
IBELE, ANNA R MD
GLASGOW, ROBERT EDWARD 50 N MEDICAL DR
MD
(801) 581-4314
50 N MEDICAL DR
Provider ID: 100001107689
(801) 581-7304
NPI: 1942265145
Provider ID: 100000095821
IHNAT, DANIEL M MD
NPI: 1295825891
100 MARIO CAPECCHI DR #2600
GRIFFIN, JOHN ANTHONY MD (801) 662-2950
1250 E 3900 S #220
Provider ID: 100000854389
(801) 265-9139
NPI: 1649245366
Provider ID: 100000247104
50 N MEDICAL DR
NPI: 1821014903
(801) 581-2082
HALVERSEN, ROY CHAD MD
Provider ID: 100000562963
1160 E 3900 S #4100
NPI: 1649245366
(801) 268-3800
JAY, RODNEY G MD
Provider ID: 100000090736
50 N MEDICAL DR
NPI: 1275540585
(801) 581-2292
348 E 4500 S #220
Provider ID: 100001101539
(801) 577-7055
NPI: 1225201148
Provider ID: 100000358993
KAZA, ADITYA K MD
NPI: 1275540585
100 N MARIO CAPECCHI DR
3855 S 700 E
(801) 662-5566
(801) 577-7055
Provider ID: 100000280899
Provider ID: 100000729854
NPI: 1891832150
NPI: 1275540585
50 N MEDICAL DR
HANCOCK, TERRI M APRN
(801) 581-5311
50 N MEDICAL DR
Provider ID: 100000276309
(801) 581-5311
NPI: 1891832150
Provider ID: 100000724058
KIM, BENJAMIN MD
NPI: 1245510536
1220 E 3900 S #4F
(801) 268-8223
Provider ID: 100000084769
NPI: 1487681102
UTAH (cont'd)
February 12, 2015
128
UTAH
SALT LAKE CITY
GENERAL SURGERY
KIM, ROBIN D MD
100 MARIO CAPECCHI DR #2600
(801) 662-2950
Provider ID: 100000794149
NPI: 1679519771
50 N MEDICAL DR
(801) 581-2205
Provider ID: 100000590063
NPI: 1679519771
KNITZ, DANIEL L APRN
50 N MEDICAL DR
(801) 581-4314
Provider ID: 100001143840
NPI: 1659625770
LANGELL, JOHN T MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000257695
NPI: 1376567768
LECKMAN, SCOTT ALBERT
MD
1220 E 3900 S #3G
(801) 268-4924
Provider ID: 100000092389
NPI: 1588637730
LIVERS, GREGORY L MD
24 S 1100 E #302
(801) 478-0010
Provider ID: 100000330909
NPI: 1003076779
LLOYD, ERIKA CHRISTINE MD
1434 E 4500 S #200
(801) 263-8511
Provider ID: 100000084772
NPI: 1811007891
MATSEN, CINDY B MD
2000 CIRCLE OF HOPE DR
(801) 581-7719
Provider ID: 100001104898
NPI: 1184802035
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001104903
NPI: 1184802035
UTAH
SALT LAKE CITY
GENERAL SURGERY
Specialists
Sorted by state, city, specialty, then name
MURDAY, MICHELLE ELISE
MD
1220 E 3900 S #4I
SALT LAKE CITY (cont'd)
(801) 263-1621
Provider ID: 100000101353
GENERAL SURGERY (cont'd)
NPI: 1184616468
MCKELLAR, STEPHEN H MD NAYLOR, ROBERT G MD
50 N MEDICAL DR
1434 E 4500 S #200
(801) 581-5311
(801) 263-8511
Provider ID: 100000795999
Provider ID: 100000090830
NPI: 1407821846
NPI: 1215047287
MCKINLAY, RODRICK
NELSON, EDWARD WALLER
DOUGLAS MD
MD
1160 E 3900 S #4100
100 MARIO CAPECCHI DR #2600
(801) 268-3800
(801) 662-2950
Provider ID: 100000716558
Provider ID: 100000774046
NPI: 1245245992
NPI: 1518057124
MINTZ, STEVEN JAY MD
2000 CIRCLE OF HOPE DR
24 S 1100 E #302
(801) 581-7719
(801) 478-0010
Provider ID: 100000093054
Provider ID: 100000086423
NPI: 1518057124
NPI: 1871516641
50 N MEDICAL DR
MORRIS, STEPHEN EUGENE
(801) 581-2121
MD
Provider ID: 100000300160
100 MARIO CAPECCHI DR #2600
NPI: 1518057124
(801) 662-2950
NIRULA, RAMINDER MD
Provider ID: 100000089776
50 N MEDICAL DR
NPI: 1083704696
(801) 581-2121
50 N MEDICAL DR
Provider ID: 100000249307
(801) 581-3050
NPI: 1497707178
Provider ID: 100000089777
PRECIADO, ALFONSO MD
NPI: 1083704696
1250 E 3900 S #460
MORROW, ELLEN H MD
(801) 262-3613
50 N MEDICAL DR
Provider ID: 100001038083
(801) 581-2121
NPI: 1962401315
Provider ID: 100001119723
4000 S 700 E #9
NPI: 1639365331
(801) 262-3564
MULVIHILL, SEAN JORDAN
Provider ID: 100001038083
MD
NPI: 1962401315
50 N MEDICAL DR
READING, TERESA MD
(801) 581-4314
100 MARIO CAPECCHI DR #2600
Provider ID: 100000095210
(801) 662-2950
NPI: 1346330958
Provider ID: 100000094356
NPI: 1043259781
UTAH (cont'd)
129
UTAH
SALT LAKE CITY
GENERAL SURGERY
RICHARDS, CHARLES DAVID
MD
470 E 3900 S #200
(801) 262-9782
Provider ID: 100000513757
NPI: 1033155353
RICHARDS, CHRISTINA GAIL
MD
1046 E 100 S #110
(801) 253-4103
Provider ID: 100001143970
NPI: 1922123694
ROSENTHAL, REGINA ELLEN
MD
1950 CIRCLE OF HOPE DR
(801) 281-1533
Provider ID: 100000084931
NPI: 1801939582
50 N MEDICAL DR
(801) 581-4314
Provider ID: 100001083176
NPI: 1801939582
ROW, DAVID MD
1250 E 3900 S #220
(801) 265-9139
Provider ID: 100000981436
NPI: 1871797118
SAFFLE, JEFFREY ROY MD
50 N MEDICAL DR
(801) 581-3050
Provider ID: 100000557220
NPI: 1659461275
SAVARISE, MARK THOMAS
MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000875101
NPI: 1629075551
SCAIFE, COURTNEY LYNNE
MD
2000 CIRCLE OF HOPE DR
(801) 581-7719
Provider ID: 100000097844
NPI: 1093805616
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000285848
NPI: 1093805616
February 12, 2015
UTAH
SALT LAKE CITY
GENERAL SURGERY
Specialists
Sorted by state, city, specialty, then name
STEVENS, MARK HOWARD MD
100 MARIO CAPECCHI DR #2600
(801) 662-2950
SALT LAKE CITY (cont'd)
Provider ID: 100000089656
NPI: 1770504953
GENERAL SURGERY (cont'd)
TONNA, JOSEPH E MD
SCAIFE, ERIC RICHARD MD
50 N MEDICAL DR
100 MARIO CAPECCHI DR #2600
(801) 581-2121
(801) 662-2950
Provider ID: 100001106189
Provider ID: 100000095563
NPI: 1720399975
NPI: 1902996523
VAN DER WERF, WILLEM
SERPICO, VICTORIA J APRN
JOSEPH MD
50 N MEDICAL DR
5171 S COTTONWOOD ST #650
(801) 581-4314
(801) 507-9600
Provider ID: 100000292795
Provider ID: 100000097297
NPI: 1104075092
NPI: 1275563397
SETON, GILLIAN L MD
VARGO, DANIEL JAMES MD
50 N MEDICAL DR
100 MARIO CAPECCHI DR #2600
(801) 581-2121
(801) 662-2950
Provider ID: 100000962127
Provider ID: 100000094727
NPI: 1760635817
NPI: 1801803630
SIMPER, STEVEN CHARLES
50 N MEDICAL DR
MD
(801) 581-2121
1160 E 3900 S #4100
Provider ID: 100000094728
(801) 268-3800
NPI: 1801803630
Provider ID: 100000716557
VOGLER, SARAH A MD
NPI: 1174617336
50 N MEDICAL DR
SKARDA, DAVID E MD
(801) 581-4314
100 MARIO CAPECCHI DR #2600
Provider ID: 100000801579
(801) 662-2950
NPI: 1427256395
Provider ID: 100000699989
VOLCKMANN, ERIC T MD
NPI: 1356398010
50 N MEDICAL DR
SMITH, MAUREEN B APRN
(801) 581-4314
650 E 4500 S #210
Provider ID: 100000565083
(801) 288-2634
NPI: 1710962238
Provider ID: 100000115734
WHITE, THOMAS W MD
NPI: 1730111311
50 N MEDICAL DR
SMITH, SHERMAN C MD
(801) 581-7783
1160 E 3900 S #4100
Provider ID: 100000245422
(801) 268-3800
NPI: 1831184175
Provider ID: 100000716554
YEUNG, JANICE J MD
NPI: 1134136468
50 N MEDICAL DR
SOUTHWICK, ANDREW
(801) 581-4314
WILLIAM MD
Provider ID: 100001097523
100 N MARIO CAPECCHI DR
NPI: 1891708921
(801) 662-5555
Provider ID: 100001106390
NPI: 1508956137
UTAH (cont'd)
February 12, 2015
130
UTAH
SALT LAKE CITY
GYNECOLOGIC ONCOLOGY
GENETIC MEDICINE
EIMERS, LAUREN R MS
50 N MEDICAL DR
(801) 587-9500
Provider ID: 100000978515
NPI: 1992144356
SCHINDLER, ANDREA MAILE
APRN
1950 CIRCLE OF HOPE DR
(801) 585-0100
Provider ID: 100001038999
NPI: 1114976537
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000567209
NPI: 1114976537
GYNECOLOGIC ONCOLOGY
RHODE, JENNIFER M MD
1140 E 3900 S #340
(801) 743-4730
Provider ID: 100000333158
NPI: 1992735534
SIMONS, ELISE J MD
370 E 9TH AVE #101
(801) 213-2746
Provider ID: 100001119942
NPI: 1760692198
370 N 9TH AVE
(801) 236-7803
Provider ID: 100001119917
NPI: 1760692198
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100001119917
NPI: 1760692198
SOISSON, ANDREW PATRICK
MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000097935
NPI: 1790794568
UTAH
SALT LAKE CITY
HAND SURGERY
Specialists
Sorted by state, city, specialty, then name
HILDEBRANDT, GERHARD C
MD
1950 CIRCLE OF HOPE DR
SALT LAKE CITY (cont'd)
(801) 585-2626
Provider ID: 100000849618
HAND SURGERY
NPI: 1245568633
OLSON, PATRICK R MD
PRCHAL, JOSEF T MD
5848 S FASHION BLVD #110
1950 CIRCLE OF HOPE DR
(801) 743-4500
(801) 585-2626
Provider ID: 100000810836
Provider ID: 100000702077
NPI: 1811095326
NPI: 1427008341
WILLIAMS, BENJAMIN G MD 50 N MEDICAL DR
82 S 1100 E #303
(801) 581-2507
(801) 533-2002
Provider ID: 100000702097
Provider ID: 100000964930
NPI: 1427008341
NPI: 1013184431
STEINBACH, MARY N APRN
1950 CIRCLE OF HOPE DR
HEMATOLOGY
(801) 585-0100
ATANACKOVIC, DJORDJE MD
Provider ID: 100000808740
1950 CIRCLE OF HOPE DR
NPI: 1881958189
(801) 585-0100
STEPHENS,
DEBORAH M DO
Provider ID: 100001019585
1950
CIRCLE
OF HOPE DR
NPI: 1417384694
(801) 585-2626
CAO, THAI MINH MD
Provider ID: 100001107762
1950 CIRCLE OF HOPE DR
NPI: 1952593576
(801) 585-0100
2000 CIRCLE OF HOPE DR
Provider ID: 100000285622
(801) 585-0303
NPI: 1205885894
Provider ID: 100001107762
DEININGER, MICHAEL
NPI: 1952593576
WERNER NIKOLAUS MD
HOSPICE
1950 CIRCLE OF HOPE DR
(801) 585-0100
WEI, JEN-YU DO
Provider ID: 100000763783
50 N MEDICAL DR
NPI: 1932115524
(801) 581-2121
GILCREASE, GLYNN W MD
Provider ID: 100001126750
1950 CIRCLE OF HOPE DR
NPI: 1508092198
(801) 585-3229
IMMUNOLOGY
Provider ID: 100000794058
CHENWORTH, ERIC C DO
NPI: 1275710865
24 S 1100 E #201
HALWANI, AHMAD S MD
(385) 290-1289
1950 CIRCLE OF HOPE DR
Provider ID: 100000949316
(801) 585-0100
NPI: 1700859907
Provider ID: 100000770473
NPI: 1447460274
UTAH (cont'd)
131
UTAH
SALT LAKE CITY
INFECTIOUS DISEASE
GUNDLAPALLI, ADISESHU VEN
MD
50 N MEDICAL DR
(801) 585-2031
Provider ID: 100000244105
NPI: 1194815795
500 S CHIPETA WAY
(801) 583-2787
Provider ID: 100001166327
NPI: 1194815795
INFECTIOUS DISEASE
AMBER, INA JUDITH MD
1151 E 3900 S #B299
(801) 268-6830
Provider ID: 100000085975
NPI: 1760549927
BENSON, LOWELL S MD
50 N MEDICAL DR #1A
(801) 585-2031
Provider ID: 100000715767
NPI: 1497925788
CARIELLO, PALOMA F MD
50 N MEDICAL DR #1A
(801) 585-2031
Provider ID: 100001139144
NPI: 1538321815
GOULSTON, CLAUDIA U MD
50 N MEDICAL DR #1A
(801) 585-2031
Provider ID: 100000009167
NPI: 1063464360
GRANGER, DONALD LEE MD
50 N MEDICAL DR #1A
(801) 585-2031
Provider ID: 100000090627
NPI: 1740370345
GUNDLAPALLI, ADISESHU VEN
MD
500 S CHIPETA WAY
(801) 583-2787
Provider ID: 100001166327
NPI: 1194815795
8TH AVENUE & C ST
(801) 408-7100
Provider ID: 100000358974
NPI: 1194815795
February 12, 2015
UTAH
SALT LAKE CITY
INFECTIOUS DISEASE
Specialists
Sorted by state, city, specialty, then name
UTAH
SALT LAKE CITY
MATERNAL AND FETAL MEDICINE
LEVY, DANA T MD
1525 W 2100 S
(801) 213-9900
SALT LAKE CITY (cont'd)
Provider ID: 100001058478
NPI: 1861653107
INFECTIOUS DISEASE (cont'd)
50 N MEDICAL DR #1A
HANSON, KIMBERLY E MD
(801) 585-2031
50 N MEDICAL DR #1A
Provider ID: 100001058478
(801) 585-2031
NPI: 1861653107
Provider ID: 100000278836
MAYER, JEANMARIE MD
NPI: 1093878860
50 N MEDICAL DR #1A
JONES, MAKOTO M MD
(801) 581-4946
50 N MEDICAL DR #1A
Provider ID: 100000097025
(801) 585-2031
NPI: 1821188434
Provider ID: 100000549339
MOOERS, MARY GRETCHEN
NPI: 1194837294
MD
KEESHIN, SUSAN MD
324 E 10TH AVE #285
100 N MARIO CAPECCHI DR
(801) 408-5151
(801) 581-6791
Provider ID: 100000092231
Provider ID: 100001100954
NPI: 1609823889
NPI: 1871780676
OLIVER, MARK RIDDELL MD
81 N MARIO CAPECCHI DR
1160 E 3900 S #1200
(801) 581-6791
(801) 261-9651
Provider ID: 100001100954
Provider ID: 100000092545
NPI: 1871780676
NPI: 1760400865
KIM, JONG H MD
PAVIA, ANDREW TOBIAS MD
50 N MEDICAL DR #1A
100 N MARIO CAPECCHI DR
(801) 585-2031
(801) 581-6791
Provider ID: 100000717836
Provider ID: 100000084963
NPI: 1972747962
NPI: 1417047036
KRIESEL, JOHN DOUGLAS MD 81 N MARIO CAPECCHI DR
50 N MEDICAL DR #1A
(801) 581-6791
(801) 585-2031
Provider ID: 100000084963
Provider ID: 100000086611
NPI: 1417047036
NPI: 1780774398
REIMER, LARRY GENE MD
LEUNG, DANIEL T MD
50 N MEDICAL DR #1A
50 N MEDICAL DR #1A
(801) 585-2031
(801) 585-2031
Provider ID: 100000087503
Provider ID: 100001100589
NPI: 1750314373
NPI: 1104936731
ROSADO-SANTOS, HARRY R
MD
50 N MEDICAL DR #1A
(801) 585-2031
Provider ID: 100000093201
NPI: 1669562286
UTAH (cont'd)
February 12, 2015
132
SPIVAK, ADAM M MD
50 N MEDICAL DR #1A
(801) 585-2031
Provider ID: 100000768808
NPI: 1528040433
SWAMINATHAN, SANKAR MD
50 N MEDICAL DR #1A
(801) 585-2031
Provider ID: 100000573615
NPI: 1174564108
SYDNOR-SPIVAK, EMILY R MD
50 N MEDICAL DR #1A
(801) 585-2031
Provider ID: 100000727145
NPI: 1578617999
TRACHTENBERG, JOEL
DANIEL MD
1160 E 3900 S #1200
(801) 261-9651
Provider ID: 100000097769
NPI: 1417972571
UPDIKE, WANDA SUSANNE MD
1060 E 100 S #L10
(801) 328-1260
Provider ID: 100000085382
NPI: 1518932664
MATERNAL AND FETAL
MEDICINE
ANDRES, ROBERT L MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986624
NPI: 1356362875
BEAUCHAMP, LUANNA L MD
1140 E 3900 S #390
(801) 743-4700
Provider ID: 100000852642
NPI: 1740224286
1200 E 3900 S
(801) 743-4700
Provider ID: 100000852642
NPI: 1740224286
BRANCH, DAVID W MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986636
NPI: 1922012830
Specialists
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
MATERNAL AND FETAL MEDICINE
HOLMGREN, CALLA M MD
50 N MEDICAL DR
(801) 581-2719
SALT LAKE CITY (cont'd)
Provider ID: 100000986710
NPI: 1194805002
MATERNAL AND FETAL
MEDICINE (cont'd)
JACKSON, GILBERT M MD
50 N MEDICAL DR
BYRNE, JANICE LB MD
(801) 581-2719
50 N MEDICAL DR
Provider ID: 100000986714
(801) 581-2719
NPI: 1356421259
Provider ID: 100000986649
MAJOR, HEATHER DONAHOE
NPI: 1629158530
MD
CARPENTER, JEANETTE R MD 50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-2719
(801) 581-2719
Provider ID: 100000986726
Provider ID: 100000986671
NPI: 1700860350
NPI: 1467628263
PORTER, TROY FLINT MD
CLARK, ERIN A MD
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-2719
(801) 581-2719
Provider ID: 100000986738
Provider ID: 100000986677
NPI: 1245310143
NPI: 1457305757
RICHARDS, DOUGLAS S MD
DIZON-TOWNSON, DONNA
50 N MEDICAL DR
SUSAN MD
(801) 581-2719
50 N MEDICAL DR
Provider ID: 100000986740
(801) 581-2719
NPI: 1992726509
Provider ID: 100000986691
SCHEMMER,
GLENN KENNETH
NPI: 1811918097
MD
DRAPER, MICHAEL LYNN MD 50 N MEDICAL DR
1050 E SOUTH TEMPLE
(801) 581-2719
(801) 350-4514
Provider ID: 100000986748
Provider ID: 100000096125
NPI: 1689628992
NPI: 1992769368
WEHRUM, MARK J DO
50 N MEDICAL DR
1140 E 3900 S #390
(801) 581-2719
(801) 743-4700
Provider ID: 100000986700
Provider ID: 100000777245
NPI: 1992769368
NPI: 1649299520
ESPLIN, MICHAEL SEAN MD
MIDWIFERY SERVICES
50 N MEDICAL DR
(801) 581-2719
BARNARD, PETER S CNM
Provider ID: 100000986703
1140 E 3900 S #400
NPI: 1205916111
(801) 268-6811
HEUSER, CARA C MD
Provider ID: 100001096988
50 N MEDICAL DR
NPI: 1710993753
(801) 581-2719
850 E 300 S #1
Provider ID: 100000986707
(801) 322-1214
NPI: 1568674208
Provider ID: 100001096988
NPI: 1710993753
UTAH (cont'd)
133
UTAH
SALT LAKE CITY
MIDWIFERY SERVICES
BARNES, LISA E CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000510926
NPI: 1124289798
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000510926
NPI: 1124289798
BATSON, MARGARET K CNM
24 S 1100 E #209
(801) 355-2229
Provider ID: 100001085019
NPI: 1437127735
850 E 300 S #1
(801) 322-1214
Provider ID: 100000856542
NPI: 1437127735
BLAIR, VERONICA C CNM
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000301867
NPI: 1174774301
COHEN, SUSANNA R CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000254695
NPI: 1033391552
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000254695
NPI: 1033391552
DENERIS, ANGELA CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000089466
NPI: 1235229824
555 FOOTHILL DR
(801) 585-2111
Provider ID: 100000089466
NPI: 1235229824
DUNIPACE, CAITLIN E CNM
50 N MEDICAL DR
(801) 587-9500
Provider ID: 100000727140
NPI: 1750662151
February 12, 2015
UTAH
SALT LAKE CITY
MIDWIFERY SERVICES
UTAH (cont'd)
SALT LAKE CITY (cont'd)
MIDWIFERY SERVICES
(cont'd)
ELMORE, CHRISTINA E CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000875084
NPI: 1972855948
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000875084
NPI: 1972855948
FOUGHT, THERESA MARIE
CNM
82 S 1100 E
(801) 214-7650
Provider ID: 100001121553
NPI: 1942390547
GERARD, CLAUDIA G CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000085488
NPI: 1750471355
GERMAN, LINDSEY K CNM
555 FOOTHILL DR
(801) 585-2111
Provider ID: 100001057127
NPI: 1427497296
HAGEN, SARAH J CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000280814
NPI: 1063677276
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000280814
NPI: 1063677276
555 FOOTHILL DR
(801) 585-2111
Provider ID: 100000280814
NPI: 1063677276
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
HAKE BROOKS, SARA JANE
CNM
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000097988
NPI: 1174617310
82 S 1100 E #305
(801) 964-3111
Provider ID: 100000693868
NPI: 1174617310
HUTTON, ANN PEARSON APRN

10 S 2000 E
(801) 213-4500
Provider ID: 100000088518
NPI: 1437249034
1578 W 1700 S
(801) 581-4014
Provider ID: 100000088518
NPI: 1437249034
JENSEN, JENNIFER J CNM
24 S 1100 E #201
(801) 214-7650
Provider ID: 100000727103
NPI: 1962643858
82 S 1100 E #305
(801) 964-3111
Provider ID: 100000727103
NPI: 1962643858
JOHNSON, ANNETTE I CNM
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000555260
NPI: 1871821496
KALOCZI, LISA DANIELLE
CNM
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000102032
NPI: 1154411759
LAMALFA, TONI V CNM
1525 W 2100 S
(801) 213-8841
Provider ID: 100000590066
NPI: 1154424950
134
UTAH
SALT LAKE CITY
MIDWIFERY SERVICES
LATENDRESSE, GWEN A CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000332457
NPI: 1629226808
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000332457
NPI: 1629226808
NELSON, AMY B CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000541308
NPI: 1902824980
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000111290
NPI: 1902824980
NELSON, JESSICA A NP 
1578 W 1700 S
(801) 581-4014
Provider ID: 100000747019
NPI: 1245362599
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000747019
NPI: 1245362599
PAEGLE, RITA ALINA CNM
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986729
NPI: 1063502680
PENNEY, DEBRA SUSAN CNM
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000096134
NPI: 1871683490
RICHARDSON, JILL CMN CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000747048
NPI: 1942390562
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000747048
NPI: 1942390562
This provider is not accepting
new patients at this time
UTAH
SALT LAKE CITY
MIDWIFERY SERVICES
Specialists
Sorted by state, city, specialty, then name
UTAH (cont'd)
SALT LAKE CITY (cont'd)
MIDWIFERY SERVICES
(cont'd)
ROBERTS, LEISSA A CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000087449
NPI: 1023108644
ROLLEY, JENNIFER GRACE
CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000101717
NPI: 1568552172
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000101717
NPI: 1568552172
ROSATI ALLEN, MARGARET
CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000092372
NPI: 1649337973
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000092372
NPI: 1649337973
SMITHERS, JACQUELINE M
CNM
7084 S 2300 E #110
(801) 733-0555
Provider ID: 100000086545
NPI: 1356302624
SUMMERHAYS, HALEY M CNM
24 S 1100 E #209
(801) 214-7650
Provider ID: 100000601268
NPI: 1275842783
SWANSON, TRECE BINFORD
CNM
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986876
NPI: 1386734911
THOMAS, CELESTE RICKS
CNM
1578 W 1700 S
(801) 581-4014
Provider ID: 100000101718
NPI: 1285724815
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000101718
NPI: 1285724815
555 FOOTHILL DR
(801) 581-4014
Provider ID: 100000101718
NPI: 1285724815
WHITNEY, SANDRA E CNM
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986885
NPI: 1801823570
ZEER, JENNIFER D CNM
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100001154610
NPI: 1659603579
NEPHROLOGY
ABRAHAM, JOSEPHINE D MD
50 N MEDICAL DR
(801) 581-6709
Provider ID: 100000724012
NPI: 1942260229
85 MEDICAL DR #E201
(801) 585-9686
Provider ID: 100000966059
NPI: 1942260229
ANAND, SANJIV MD
650 E 4500 S #210
(801) 288-2634
Provider ID: 100000958532
NPI: 1992991921
135
UTAH
SALT LAKE CITY
NEPHROLOGY
BARKLOW, JEFF ANTHONY
MD
650 E 4500 S #210
(801) 288-2634
Provider ID: 100000096443
NPI: 1538166640
BEDDHU, SRINIVASAN MD
50 N MEDICAL DR
(801) 581-6709
Provider ID: 100000093696
NPI: 1124118757
85 MEDICAL DR #E201
(801) 585-9686
Provider ID: 100000093695
NPI: 1124118757
BJORDAHL, TERRENCE SCOTT
MD
50 N MEDICAL DR
(801) 581-6709
Provider ID: 100000332821
NPI: 1710006408
85 MEDICAL DR #E201
(801) 581-8578
Provider ID: 100000248256
NPI: 1710006408
BOATENG, YAW A MD
85 MEDICAL DR #201
(801) 581-8573
Provider ID: 100001119456
NPI: 1477555696
85 MEDICAL DR #E201
(801) 585-9686
Provider ID: 100001119467
NPI: 1477555696
CHEUNG, ALFRED KWAN-HON
MD
50 N MEDICAL DR
(801) 581-6709
Provider ID: 100000084757
NPI: 1811087406
85 MEDICAL DR #E201
(801) 585-9686
Provider ID: 100000084756
NPI: 1811087406
February 12, 2015
UTAH
SALT LAKE CITY
NEPHROLOGY
Specialists
Sorted by state, city, specialty, then name
INDAHYUNG, RUTH M MD
1050 E SOUTH TEMPLE
(801) 350-4111
SALT LAKE CITY (cont'd)
Provider ID: 100000773084
NPI: 1649452772
NEPHROLOGY (cont'd)
3460 S PIONEER PKWY
CHO, MONIQUE E MD
(801) 964-3100
50 N MEDICAL DR
Provider ID: 100000773084
(801) 581-6709
NPI: 1649452772
Provider ID: 100001097693
JANSEN, KEVIN L MD
NPI: 1780833889
650 E 4500 S #210
85 MEDICAL DR #E201
(801) 288-2634
(801) 585-9686
Provider ID: 100000116536
Provider ID: 100001097685
NPI: 1013908995
NPI: 1780833889
KAKANI, SIDDHARTHA MD
CLINE, RICHARD CLARK MD 50 N MEDICAL DR
154 E MYRTLE AVE #204
(801) 581-6709
(801) 288-9002
Provider ID: 100000960423
Provider ID: 100000709603
NPI: 1750502928
NPI: 1245237080
KOHAN, DONALD ELLIOTT MD
GOPINATH, ARASU MD
50 N MEDICAL DR
650 E 4500 S #210
(801) 581-6709
(801) 288-2634
Provider ID: 100000085324
Provider ID: 100000321488
NPI: 1235229840
NPI: 1811902505
LAMBERT, RICHARD GARY
GREGORY, MARTIN
MD
CAMPBELL MD
650 E 4500 S #210
50 N MEDICAL DR
(801) 288-2634
(801) 581-6709
Provider ID: 100000092104
Provider ID: 100000093509
NPI: 1043217847
NPI: 1912926049
LAU,
SEY M MD
85 MEDICAL DR #E201
650
E
4500 S #210
(801) 585-9686
(801)
288-2634
Provider ID: 100000093506
Provider
ID: 100000262982
NPI: 1912926049
NPI: 1801824438
HABIB, ARSALAN NAIYER MD
MCANULTY, MELINDA JEAN
50 N MEDICAL DR
MD
(801) 581-6709
650 E 4500 S #210
Provider ID: 100000097747
(801) 288-2634
NPI: 1942336938
Provider ID: 100000085383
85 MEDICAL DR #E201
NPI: 1902803661
(801) 581-8578
MOORE,
REBECCA H MD
Provider ID: 100000248252
1160
E
3900
S #G200
NPI: 1942336938
(801) 268-7766
Provider ID: 100000866189
NPI: 1477609089
UTAH (cont'd)
February 12, 2015
136
UTAH
SALT LAKE CITY
NEPHROLOGY
MORRIS JR, DONALD ROBERT
MD
650 E 4500 S #210
(801) 288-2634
Provider ID: 100000029038
NPI: 1306806963
RAMKUMAR, NIRUPAMA MD
50 N MEDICAL DR
(801) 581-6709
Provider ID: 100000967982
NPI: 1053550509
85 MEDICAL DR #E201
(801) 585-9686
Provider ID: 100000967987
NPI: 1053550509
RAPHAEL, KALANI LUKELA
MD
50 N MEDICAL DR
(801) 581-6709
Provider ID: 100000334195
NPI: 1902982382
ROY, ABINASH CHANDRA MD
50 N MEDICAL DR
(435) 656-0857
Provider ID: 100000095834
NPI: 1295825818
85 MEDICAL DR #201
(801) 581-8578
Provider ID: 100000095834
NPI: 1295825818
SENEKJIAN, HARRY OSHIN MD
85 MEDICAL DR #E201
(801) 585-9686
Provider ID: 100000084988
NPI: 1760484596
SHIHAB, FUAD SAID MD
50 N MEDICAL DR
(801) 581-6709
Provider ID: 100000093266
NPI: 1700976321
TIEN, DAVE THANG MD
650 E 4500 S #210
(801) 288-2634
Provider ID: 100000094346
NPI: 1053319657
UTAH
SALT LAKE CITY
NEPHROLOGY
Specialists
Sorted by state, city, specialty, then name
DAILEY, ANDREW TIMOTHY
MD
50 N MEDICAL DR
SALT LAKE CITY (cont'd)
(801) 581-6909
Provider ID: 100000085294
NEPHROLOGY (cont'd)
NPI: 1881706596
WESTENFELDER, CHRISTOF
DUNCAN, NANCY S APRN
MD
175 N MEDICAL DR E
50 N MEDICAL DR
(801) 581-6909
(801) 581-6709
Provider ID: 100000736340
Provider ID: 100000085947
NPI: 1871878652
NPI: 1730279324
FANG, JAMES C MD
NEUROLOGICAL SURGERY 50 N MEDICAL DR
(801) 585-5122
BISSON, ERICA F MD
Provider ID: 100000922685
50 N MEDICAL DR
NPI: 1447217740
(801) 581-6908
FULTS
III, DANIEL WEBSTER
Provider ID: 100000344349
MD
NPI: 1750409520
100 N MARIO CAPECCHI DR
BOLLO, ROBERT J MD
(801) 662-5340
100 N MARIO CAPECCHI DR
Provider ID: 100000086525
(801) 662-5340
NPI: 1396835997
Provider ID: 100000922698
50
N MEDICAL DR
NPI: 1013129584
(801)
581-6908
50 N MEDICAL DR
Provider
ID: 100000086526
(801) 581-6908
NPI:
1396835997
Provider ID: 100000922702
HAWRYLUK, GREGORY W J
NPI: 1013129584
BROCKMEYER, DOUGLAS LEE MD
50 N MEDICAL DR
MD
(801) 581-6908
100 N MARIO CAPECCHI DR
Provider ID: 100001087245
(801) 662-5340
NPI: 1871934596
Provider ID: 100000092403
HOOD,
ROBERT SIDNEY MD
NPI: 1942390521
50
N
MEDICAL
DR
50 N MEDICAL DR
(801)
581-2121
(801) 581-6908
Provider ID: 100000767975
Provider ID: 100000541169
NPI: 1518973767
NPI: 1942390521
COULDWELL, WILLIAM
TUPPER MD
100 N MARIO CAPECCHI DR
(801) 662-5340
Provider ID: 100000096213
NPI: 1265522858
50 N MEDICAL DR
(801) 581-2453
Provider ID: 100000096214
NPI: 1265522858
UTAH (cont'd)
137
UTAH
SALT LAKE CITY
NEUROLOGICAL SURGERY
HOUSE, PAUL ANDREW MD
100 N MARIO CAPECCHI DR
(801) 662-5340
Provider ID: 100000101400
NPI: 1083704688
175 N MEDICAL DR
(801) 585-7575
Provider ID: 100000101401
NPI: 1083704688
50 N MEDICAL DR
(801) 581-6909
Provider ID: 100000101401
NPI: 1083704688
LEVITT, JODIE KAREN MD
1327 E 2100 S APT 101
(801) 363-2473
Provider ID: 100000252258
NPI: 1053325365
MACDONALD, JOEL DOUGLAS
MD
50 N MEDICAL DR
(801) 581-6908
Provider ID: 100000093189
NPI: 1487744090
5169 S COTTONWOOD ST #500
(801) 581-6908
Provider ID: 100000093189
NPI: 1487744090
MACFARLANE, JOHN
RICHARD MD
5171 S COTTONWOOD ST #950
(801) 507-9555
Provider ID: 100000089960
NPI: 1679533343
MAHAN, MARK A MD
100 N MARIO CAPECCHI DR
(801) 662-5340
Provider ID: 100001097508
NPI: 1477733426
50 N MEDICAL DR
(801) 581-6908
Provider ID: 100001096462
NPI: 1477733426
MARGETTS, JEFFREY C MD
1250 E 3900 S #200
(801) 264-9521
Provider ID: 100000087432
NPI: 1346391430
February 12, 2015
UTAH
SALT LAKE CITY
NEUROLOGICAL SURGERY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
NEUROLOGICAL SURGERY
(cont'd)
MAUGHAN, PETER H MD
5171 S COTTONWOOD ST #950
(801) 507-9555
Provider ID: 100000338996
NPI: 1700066768
MIN, WONHONG D MD
82 S 1100 E #103
(801) 350-4470
Provider ID: 100000689878
NPI: 1053304204
NATHAN, DAVID J MD
82 S 1100 E #103
(801) 350-4470
Provider ID: 100000297393
NPI: 1194731240
NEIL, JAYSON A MD
50 N MEDICAL DR
(801) 581-6908
Provider ID: 100001106750
NPI: 1194140483
PARK, MIN S MD
50 N MEDICAL DR
(801) 581-6908
Provider ID: 100001101341
NPI: 1730414749
PASSEY, LORI E APRN
5171 S COTTONWOOD ST #950
(801) 507-9555
Provider ID: 100000751211
NPI: 1982984555
PINGREE, JAMES CAMERON
MD
1220 E 3900 S #1F
(801) 262-5711
Provider ID: 100000709455
NPI: 1730249582
1220 E 3900 S #4E
(801) 261-8507
Provider ID: 100000096750
NPI: 1730249582
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
REICHMAN, MARK VERNON
MD
5171 S COTTONWOOD ST #950
(801) 507-9555
Provider ID: 100000091808
NPI: 1942260617
RICH, CHARLES CHRISTIAN
MD
5171 S COTTONWOOD ST #950
(801) 507-9555
Provider ID: 100000093751
NPI: 1851351530
RIVA-CAMBRIN, JAY K MD
100 N MARIO CAPECCHI DR
(801) 662-5340
Provider ID: 100000110696
NPI: 1639280480
50 N MEDICAL DR
(801) 581-6908
Provider ID: 100000734390
NPI: 1639280480
SANDERS, HILARY FAE APRN
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100001081741
NPI: 1972553014
SCHMIDT, MEIC HELMET MD
50 N MEDICAL DR
(801) 585-6029
Provider ID: 100000096535
NPI: 1740365436
SCHMIDT, RICHARD HALL MD
50 N MEDICAL DR
(801) 581-6908
Provider ID: 100000092645
NPI: 1235219130
SLOAN, SAMUEL A APRN
50 N MEDICAL DR
(801) 581-2292
Provider ID: 100001143752
NPI: 1962785105
TAUSSKY, PHILIPP MD
50 N MEDICAL DR
(801) 581-6909
Provider ID: 100001068541
NPI: 1982837084
138
UTAH
SALT LAKE CITY
NEUROLOGY
TIPPETS, RICHARD HAYWARD
MD
5171 S COTTONWOOD ST #950
(801) 507-9555
Provider ID: 100000091845
NPI: 1124088802
YONEMURA, KENNETH
STEPHEN MD
6360 S 3000 E #210
(435) 615-8822
Provider ID: 100000734062
NPI: 1336239920
NEUROLOGY
AFRA, PEGAH MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000249278
NPI: 1144376831
ALLRED, JULIANN W MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000717824
NPI: 1508001736
AMES, COREY S APRN
175 N MEDICAL DR E
(801) 581-6909
Provider ID: 100000332622
NPI: 1427039114
ANSARI, SAFDAR A MD
175 MEDICAL PLZ #5
(801) 585-7575
Provider ID: 100000727125
NPI: 1568697514
175 N MEDICAL DR
(801) 585-7575
Provider ID: 100000824479
NPI: 1568697514
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000727120
NPI: 1568697514
UTAH
SALT LAKE CITY
NEUROLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
NEUROLOGY (cont'd)
BANKS, DIANA DARR MD
1200 E 3900 S
(801) 268-7766
Provider ID: 100000086201
NPI: 1174543060
1250 E 3900 S #300
(801) 261-4711
Provider ID: 100000086200
NPI: 1174543060
BARINGER, JOHN RICHARD
MD
50 N MEDICAL DR
(801) 585-6032
Provider ID: 100000085656
NPI: 1285661538
BARKAN, HELEN I MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000616450
NPI: 1093898918
BLACK, EVAN G MD
1200 E 3900 S
(801) 268-7766
Provider ID: 100000088005
NPI: 1346260247
1250 E 3900 S #300
(801) 261-4711
Provider ID: 100000088004
NPI: 1346260247
BRENNAN JR, KEVIN C MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000590027
NPI: 1134144066
Specialists
Sorted by state, city, specialty, then name
BROMBERG, MARK B MD
1138 E WILMINGTON AVE
(801) 581-2221
Provider ID: 100000084916
NPI: 1164517009
175 N MEDICAL DR
(801) 585-7575
Provider ID: 100000824019
NPI: 1164517009
50 N MEDICAL DR
(801) 581-4192
Provider ID: 100000084916
NPI: 1164517009
729 S ARAPEEN DR
(801) 585-7575
Provider ID: 100000084916
NPI: 1164517009
BURNS, JAMES BANNISTER MD
50 N MEDICAL DR
(801) 585-6032
Provider ID: 100000085465
NPI: 1962421321
729 S ARAPEEN DR
(801) 585-7575
Provider ID: 100000085465
NPI: 1962421321
CHEBELEU, LIA A MD
1151 E 3900 S #B150
(801) 262-3441
Provider ID: 100000863964
NPI: 1174727739
CHUNG, LEE S MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100001082918
NPI: 1629394556
COLMAN, HOWARD MD
175 N MEDICAL DR E
(801) 581-6909
Provider ID: 100000565059
NPI: 1437258498
CORTEZ, MELISSA M MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100001097766
NPI: 1336311307
139
UTAH
SALT LAKE CITY
NEUROLOGY
DEWITT, LUCY DANA MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000099440
NPI: 1053401646
DIGRE, KATHLEEN BERNICE
MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000086562
NPI: 1962592550
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000086563
NPI: 1962592550
65 S MARIO CAPECCHI DR
(801) 581-3195
Provider ID: 100000706584
NPI: 1962592550
729 S ARAPEEN DR
(801) 585-7575
Provider ID: 100000086562
NPI: 1962592550
FILLOUX, FRANCIS MAURICE
MD
44 MARIO CAPECCHI DR
(801) 584-8239
Provider ID: 100000092839
NPI: 1942389515
FOLEY, JOHN FRANCIS MD
370 E 9TH AVE #106
(801) 408-5700
Provider ID: 100000086099
NPI: 1073538047
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000566655
NPI: 1073538047
FOSTER, NORMAN LOUIS MD
50 N MEDICAL DR
(801) 585-6387
Provider ID: 100000101762
NPI: 1033209630
729 S ARAPEEN DR
(801) 585-7575
Provider ID: 100000101762
NPI: 1033209630
February 12, 2015
UTAH
SALT LAKE CITY
NEUROLOGY
Specialists
Sorted by state, city, specialty, then name
JAMES, MARY ELENA MD
82 S 1100 E #103
(801) 819-7287
SALT LAKE CITY (cont'd)
Provider ID: 100000282093
NPI: 1710927975
NEUROLOGY (cont'd)
JENSEN, RANDY LYNN MD
FUTRELL, NANCY NIELSON
50 N MEDICAL DR
MD
(801) 581-6908
7930 S MAJESTIC RIDGE DR
Provider ID: 100000091978
(801) 263-0611
NPI: 1982794582
Provider ID: 100000091053
JOHNSON, NICHOLAS E MD
NPI: 1699791095
100 N MARIO CAPECCHI DR
GIBSON, SUMMER B MD
(801) 587-7575
175 N MEDICAL DR
Provider ID: 100000990841
(801) 585-7575
NPI: 1497969943
Provider ID: 100000949002
175 N MEDICAL DR
NPI: 1962725440
(801) 585-7575
GOLDSTEIN, MICHAEL LOUIS
Provider ID: 100000950993
MD
NPI: 1497969943
1151 E 3900 S #B150
50 N MEDICAL DR
(801) 262-3441
(801) 581-2507
Provider ID: 100000085932
Provider ID: 100001002909
NPI: 1962400580
NPI: 1497969943
GREENLEE, JOHN EDWARD
81 N MARIO CAPECCHI DR
MD
(801) 213-3599
50 N MEDICAL DR
Provider ID: 100000990841
(801) 585-0262
NPI: 1497969943
Provider ID: 100000085840
KAPLAN, VIKTORIA MD
NPI: 1093749657
370 E 9TH AVE #106
729 S ARAPEEN DR
(801) 408-5700
(801) 585-6387
Provider ID: 100000356163
Provider ID: 100000085840
NPI: 1669422457
NPI: 1093749657
KING, RICHARD D MD
HANNON, PETER M MD
50 N MEDICAL DR
175 MEDICAL PLZ #5
(801) 585-0262
(801) 585-7575
Provider ID: 100000340928
Provider ID: 100001166172
NPI: 1093830572
NPI: 1346483617
KOLB, NOAH A MD
HOUTS, THOMAS DIXON MD 175 N MEDICAL DR
1200 E 3900 S
(801) 585-7575
(801) 268-7766
Provider ID: 100000953477
Provider ID: 100000092689
NPI: 1427217264
NPI: 1467434803
6040 S FASHION BLVD #201
(801) 268-1888
Provider ID: 100000092688
NPI: 1467434803
UTAH (cont'd)
February 12, 2015
140
UTAH
SALT LAKE CITY
NEUROLOGY
LEDYARD, HOLLY K MD
175 N MEDICAL DR
(801) 585-7575
Provider ID: 100000823951
NPI: 1376651182
50 N MEDICAL DR
(801) 581-2292
Provider ID: 100000280866
NPI: 1376651182
MAJERSIK, JENNIFER J MD
175 MEDICAL PLZ #5
(801) 585-7575
Provider ID: 100000715939
NPI: 1114017134
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000292764
NPI: 1114017134
MARSHALL, SCOTT A MD
175 N MEDICAL DR
(801) 585-7575
Provider ID: 100000824481
NPI: 1659357093
MATSUO, FUMISUKE F MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000085200
NPI: 1912097528
729 S ARAPEEN DR
(801) 585-6387
Provider ID: 100000085200
NPI: 1912097528
MAULDEN, SARAH
ANNAMARIE MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000097413
NPI: 1740377191
MISKA, ROBERT MILES MD
370 E 9TH AVE #106
(801) 408-5700
Provider ID: 100000085777
NPI: 1417974346
ONOFREI, LIGIA V MD
175 N MEDICAL DR
(801) 585-7575
Provider ID: 100001104918
NPI: 1063738821
UTAH
SALT LAKE CITY
NEUROLOGY
Specialists
Sorted by state, city, specialty, then name
RIAZ, AWAIS MD
50 N MEDICAL DR
(801) 585-0262
SALT LAKE CITY (cont'd)
Provider ID: 100000099183
NPI: 1205926821
NEUROLOGY (cont'd)
ROSE, JOHN WILLIAM MD
PAZ SOLDAN, MIGUEL M MD 50 N MEDICAL DR
175 N MEDICAL DR
(801) 585-0262
(801) 585-7575
Provider ID: 100000085301
Provider ID: 100001105184
NPI: 1912947086
NPI: 1982848123
729 S ARAPEEN DR
50 N MEDICAL DR
(801) 585-7575
(801) 585-0262
Provider ID: 100000085301
Provider ID: 100001105184
NPI: 1912947086
NPI: 1982848123
SAMINEJAD, BEHRANG MD
729 S ARAPEEN DR
50 N MEDICAL DR
(801) 585-7575
(801) 585-0262
Provider ID: 100001105184
Provider ID: 100001083198
NPI: 1982848123
NPI: 1932416682
PETERSON, DAVID SCOTT MD
SANKARA,
ISHWARA R MBBS
1151 E 3900 S #B240
175
N
MEDICAL
DR
(801) 281-1788
(801)
585-7575
Provider ID: 100000095609
Provider ID: 100001106852
NPI: 1801968359
NPI: 1316154370
PULST, STEFAN M MD
SAVICA, RODOLFO MD
50 N MEDICAL DR
50 N MEDICAL DR
(801) 585-0262
(801) 585-0262
Provider ID: 100000283556
Provider ID: 100000990760
NPI: 1447376629
NPI: 1740591627
REICHERT, WALTER HUGO
SCHROCK,
LAUREN E MD
MD
50
N
MEDICAL
DR
1151 E 3900 S #B150
(801)
585-0262
(801) 262-3441
Provider ID: 100000348078
Provider ID: 100000090782
NPI: 1124162169
NPI: 1427055615
RENNER, DAVID ROMAN MD SERAFINI, RUGGERO MD
175 N MEDICAL DR
50 N MEDICAL DR
(801) 585-7575
(801) 585-0262
Provider ID: 100001107727
Provider ID: 100000096531
NPI: 1306084561
NPI: 1396835914
50
N MEDICAL DR
729 S ARAPEEN DR
(801)
585-0262
(801) 585-7575
Provider
ID: 100001107727
Provider ID: 100000096531
NPI:
1306084561
NPI: 1396835914
729 S ARAPEEN DR
(801) 585-7575
Provider ID: 100001107727
NPI: 1306084561
UTAH (cont'd)
141
UTAH
SALT LAKE CITY
NEUROLOGY
SHERMAN, JEANETTE APRN
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000961056
NPI: 1679911440
SHOARI, MOHAMMAD MD
82 S 1100 E #103
(801) 819-7287
Provider ID: 100000281834
NPI: 1740483395
SHPRECHER, DAVID R DO
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000334222
NPI: 1679692594
SINGLETON, JOHN ROBINSON
MD
175 N MEDICAL DR
(801) 585-6387
Provider ID: 100000824486
NPI: 1477580926
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000087608
NPI: 1477580926
729 S ARAPEEN DR
(801) 585-6387
Provider ID: 100000087608
NPI: 1477580926
SMITH, ALBERT GORDON MD
175 N MEDICAL DR
(801) 585-6387
Provider ID: 100000824487
NPI: 1548277197
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000085343
NPI: 1548277197
729 S ARAPEEN DR
(801) 585-7575
Provider ID: 100000085343
NPI: 1548277197
February 12, 2015
UTAH
SALT LAKE CITY
NEUROLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
NEUROLOGY (cont'd)
STEFFENS, JOHN DAVID MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000091457
NPI: 1871683409
729 S ARAPEEN DR
(801) 585-7575
Provider ID: 100000091457
NPI: 1871683409
SWOBODA, KATHRYN J MD
175 N MEDICAL DR
(801) 585-7575
Provider ID: 100000824488
NPI: 1003906637
THOEN, DENNIS DUANE MD
1151 E 3900 S #B150
(801) 262-3441
Provider ID: 100000086646
NPI: 1023014297
THOMAS, MAYA MD
5323 S WOODROW ST #203
(801) 266-5559
Provider ID: 100000094192
NPI: 1730138629
THULIN, PERLA CASSAYRE
MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000092351
NPI: 1902996531
729 S ARAPEEN DR
(801) 585-7575
Provider ID: 100000092351
NPI: 1902996531
VICKROY, JOSEPH W MD
1200 E 3900 S
(801) 263-6800
Provider ID: 100000084676
NPI: 1104818442
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
VINCENT, PAMELA LYNNE MD
4883 S BOX ELDER ST
(877) 686-6751
Provider ID: 100000722111
NPI: 1376544874
WAGNER, JEFFREY C MD
50 N MEDICAL DR
(801) 585-6387
Provider ID: 100000116917
NPI: 1033321914
WARNER, JUDITH E MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000084648
NPI: 1659461242
729 S ARAPEEN DR
(801) 585-6387
Provider ID: 100000084648
NPI: 1659461242
WILLIAMS, DOROTHY LOUISE
MD
2295 S FOOTHILL DR
(801) 486-3021
Provider ID: 100000094607
NPI: 1619992708
WOLD, JANA J MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000348096
NPI: 1265630313
ZAMRINI, EDWARD Y MD
50 N MEDICAL DR
(801) 585-6387
Provider ID: 100000104705
NPI: 1578587895
729 S ARAPEEN DR
(801) 585-7575
Provider ID: 100000104705
NPI: 1578587895
ZIMMERMAN, SUSAN
MICHELLE MD
3725 W 4100 S
(801) 965-3600
Provider ID: 100000099609
NPI: 1063444214
142
UTAH
SALT LAKE CITY
NURSING SERVICES
ZINKHAN, GEORGE M MD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000696112
NPI: 1144474156
NURSING SERVICES
ALEXANDER, GRETCHEN L
APRN
50 N MEDICAL DR
(801) 581-2267
Provider ID: 100000254251
NPI: 1508054776
ALLRED, DEANNA M APRN
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100000111890
NPI: 1295823417
BAGGALEY, SUSAN KAY APRN
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000092816
NPI: 1437249067
729 S ARAPEEN DR
(801) 585-7575
Provider ID: 100000092816
NPI: 1437249067
BAKER, JAN E APRN 
50 N MEDICAL DR #2B200
(801) 581-7647
Provider ID: 100000086779
NPI: 1164512794
BEATTIE, MIRIAM D G APRN
50 N MEDICAL DR
(801) 581-2628
Provider ID: 100000087887
NPI: 1215027842
BEHRMANN, NICOLE N APRN
50 N MEDICAL DR
(801) 581-2955
Provider ID: 100000749930
NPI: 1760632590
BITTNER, BERNADETTE JUDE
APRN
50 N MEDICAL DR
(801) 585-0255
Provider ID: 100000085044
NPI: 1578653101
This provider is not accepting
new patients at this time
UTAH
SALT LAKE CITY
NURSING SERVICES
Specialists
Sorted by state, city, specialty, then name
JAMES, KEVIN M APRN
50 N MEDICAL DR
(801) 581-4314
SALT LAKE CITY (cont'd)
Provider ID: 100000344359
NPI: 1558508440
NURSING SERVICES (cont'd)
JOHNSON, MICHAEL BYRON
BOFFELI, SHANNON LYONS
APRN
APRN
650 S KOMAS DR #208
50 N MEDICAL DR
(801) 585-1212
(801) 587-7100
Provider ID: 100000102063
Provider ID: 100000098601
NPI: 1619003449
NPI: 1861582447
JOST, DENISE LYNN APRN
CARMAN, REBECCA T APRN 50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-2121
(801) 587-0555
Provider ID: 100000094778
Provider ID: 100000305229
NPI: 1336239938
NPI: 1417101445
KLEIN, JULIA MARIE APRN
CHANDLER, CARRIE A APRN 50 N MEDICAL DR
50 N MEDICAL DR
(801) 585-0262
(801) 581-2719
Provider ID: 100000086827
Provider ID: 100000301869
NPI: 1669557351
NPI: 1326229782
729 S ARAPEEN DR
CORBETT, JACKE L APRN
(801) 585-7575
85 MEDICAL DR
Provider ID: 100000086827
(801) 585-2570
NPI: 1669557351
Provider ID: 100000095033
LAVASANI, TOORAN MAM
NPI: 1114038882
APRN
DAVIDSON, CYNTHIA R APRN 50 N MEDICAL DR
1950 CIRCLE OF HOPE DR
(801) 581-6709
(801) 585-0100
Provider ID: 100000096172
Provider ID: 100000347777
NPI: 1861582470
NPI: 1265549745
85 MEDICAL DR #E201
FISH, BRENDA ISAKSON APRN (801) 585-9686
50 N MEDICAL DR
Provider ID: 100000096171
(801) 581-7715
NPI: 1861582470
Provider ID: 100000091529
LUCKETT, CAROLYN M APRN
NPI: 1689764284
1950 CIRCLE OF HOPE DR
FU, KATY Y APRN
(801) 585-0100
50 N MEDICAL DR
Provider ID: 100000338462
(801) 581-2121
NPI: 1710126966
Provider ID: 100000102614
MOSS, LEE SCOTT APRN
NPI: 1679663272
50 N MEDICAL DR
HANNON, ANN MARIE APRN
(801) 581-4314
100 N MARIO CAPECCHI DR
Provider ID: 100000093757
(801) 662-5555
NPI: 1619067220
Provider ID: 100000096186
NPI: 1730279332
UTAH (cont'd)
143
UTAH
SALT LAKE CITY
NURSING SERVICES
MUEGGENBORG, BRENDA
SEVCIK APRN
100 MARIO CAPECCHI DR #4100
(801) 662-4700
Provider ID: 100000095662
NPI: 1154371466
MUELLER, JANET HORSLEY
APRN
50 N MEDICAL DR
(801) 581-6709
Provider ID: 100000095350
NPI: 1528158136
O'BRIEN, JULIE L APRN
50 N MEDICAL DR
(801) 581-4314
Provider ID: 100000251442
NPI: 1669551131
REED, SHELLY JENSEN APRN
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000094769
NPI: 1124118740
SANDERSON, SUSAN KAYE
APRN
50 N MEDICAL DR
(801) 585-3229
Provider ID: 100000095883
NPI: 1225107428
SANDT, DEBRA LYNN APRN
100 MARIO CAPECCHI DR
(801) 622-1000
Provider ID: 100000098460
NPI: 1164501631
SAVAGE, JULIE ELIZABETH
APRN
50 N MEDICAL DR
(801) 587-0555
Provider ID: 100000348148
NPI: 1376633990
SHEPHERD, MELISSA D APRN
50 N MEDICAL DR
(801) 585-0100
Provider ID: 100000820408
NPI: 1992822951
February 12, 2015
UTAH
SALT LAKE CITY
NURSING SERVICES
Specialists
Sorted by state, city, specialty, then name
UTAH
SALT LAKE CITY
OBSTETRICS AND GYNECOLOGY
TAYLOR, ROBYN R APRN
50 N MEDICAL DR
(801) 581-6393
SALT LAKE CITY (cont'd)
Provider ID: 100000096871
NPI: 1467542092
NURSING SERVICES (cont'd)
TOWNS, MARY T APRN
SPENCER, LEEANN W APRN
175 N MEDICAL DR E
50 N MEDICAL DR
(801) 581-6909
(801) 587-0555
Provider ID: 100000774071
Provider ID: 100000341006
NPI: 1174713788
NPI: 1508009226
1950 CIRCLE OF HOPE DR
STARK, BARBARA M APRN
(801) 581-2121
1950 CIRCLE OF HOPE DR
Provider ID: 100000243793
(801) 581-8793
NPI: 1174713788
Provider ID: 100001029117
TREUHAFT, SHELLEY R APRN
NPI: 1053401687
50 N MEDICAL DR
STEELE, JULIE STRIKE APRN
(801) 581-5311
3690 S MAIN ST
Provider ID: 100000359284
(801) 468-3690
NPI: 1831422799
Provider ID: 100000093390
VAN ATTA, JOAN KAREN APRN
NPI: 1962592592
1950 CIRCLE OF HOPE DR
50 N MEDICAL DR
(801) 585-3229
(801) 581-2205
Provider ID: 100000099007
Provider ID: 100000093390
NPI: 1497768279
NPI: 1962592592
VEIT, NANCY M APRN
STEVENS, KERIN A APRN
50 N MEDICAL DR
50 N MEDICAL DR
(801) 587-0555
(801) 581-7802
Provider ID: 100000796327
Provider ID: 100000348083
NPI: 1831332709
NPI: 1518197722
WAHOFF-STICE, DONNA
SWENSON, JORDON GLENN
MARIE APRN
APRN
615 S ARAPEEN DR #100
50 N MEDICAL DR
(801) 581-7761
(801) 581-6393
Provider ID: 100000095570
Provider ID: 100000096930
NPI: 1013007608
NPI: 1366521833
WARD, KATHERINE W APRN
SZEWCZYK, MARION
50 N MEDICAL DR
FRANCES APRN
(801) 581-4014
50 N MEDICAL DR
Provider ID: 100000098226
(801) 581-2205
NPI: 1629021647
Provider ID: 100000098411
555 FOOTHILL DR
NPI: 1073815643
(801) 585-2111
TANNER, SIDNEY L APRN
Provider ID: 100000098226
100 N MARIO CAPECCHI DR
NPI: 1629021647
(801) 662-5340
Provider ID: 100000101914
NPI: 1730279365
UTAH (cont'd)
February 12, 2015
144
WATERS, KATARINA LESJAK
APRN
50 N MEDICAL DR
(801) 581-2267
Provider ID: 100000096231
NPI: 1568552156
WHITE, HEIDI KRISTIN APRN
100 N MARIO CAPECCHI DR
(801) 662-5555
Provider ID: 100000098890
NPI: 1346330933
WINDFELDER, JESSICIAH M
APRN
50 N MEDICAL DR
(801) 581-7715
Provider ID: 100000117468
NPI: 1508064791
OBSTETRICS AND
GYNECOLOGY
ADAMS, LAN L MD
1140 E 3900 S #390
(801) 743-4700
Provider ID: 100000777232
NPI: 1750405601
ADELMAN, MARISA R MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000795980
NPI: 1487847927
AL-KHUDAIRI, AMANDA S
APRN 
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000257683
NPI: 1861613242
ALLRED, SHANI A APRN
455 E SOUTH TEMPLE
(801) 213-4000
Provider ID: 100001106961
NPI: 1700104445
82 S 1100 E
(801) 214-7650
Provider ID: 100001106961
NPI: 1700104445
This provider is not accepting
new patients at this time
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
OBSTETRICS AND GYNECOLOGY
OBSTETRICS AND GYNECOLOGY
BEAUCHAMP, LUANNA L MD
1140 E 3900 S #390
(801) 743-4700
SALT LAKE CITY (cont'd)
Provider ID: 100000852642
NPI: 1740224286
OBSTETRICS AND
1200 E 3900 S
GYNECOLOGY (cont'd)
(801) 743-4700
ANDRES, ROBERT L MD
Provider ID: 100000852642
50 N MEDICAL DR
NPI: 1740224286
(801) 581-2719
BRANCH, DAVID W MD
Provider ID: 100000986624
50 N MEDICAL DR
NPI: 1356362875
(801) 581-2719
BALL, ROBERT HENRY MD
Provider ID: 100000986636
1140 E 3900 S #390
NPI: 1922012830
(801) 743-4700
BROWN, BRYANT JEROME MD
Provider ID: 100000777233
3970 S 700 E #14
NPI: 1447215751
(801) 261-3605
BARBOUR, KELLI D MD
Provider ID: 100000089079
3195 S MAIN ST
NPI: 1629038963
(801) 581-7260
BRYNER, WALLACE
Provider ID: 100001087159
FRANKLIN MD
NPI: 1871811919
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-7647
(801) 581-7647
Provider ID: 100000272205
Provider ID: 100001087159
NPI: 1578746459
NPI: 1871811919
BURGETT, ALTON DOUGLAS
BARNEY, SPENCER P MD
MD
3970 S 700 E #14
3725 W 4100 S
(801) 261-3605
(801) 965-3600
Provider ID: 100000337332
Provider ID: 100000098990
NPI: 1972644821
NPI: 1124059514
BARTON, CHRISTOPHER D MD BYRNE, JANICE LB MD
1151 E 3900 S #B299
30 N 1900 E #2B200
(801) 685-7188
(801) 581-7746
Provider ID: 100001101453
Provider ID: 100000259277
NPI: 1699001073
NPI: 1629158530
BARTON, JEFFREY HUNTER
50 N MEDICAL DR
MD
(801) 581-2719
5063 S COTTONWOOD ST #400
Provider ID: 100000986649
(801) 507-1950
NPI: 1629158530
Provider ID: 100000090004
CANNON, CYNTHIA SUSAN MD
NPI: 1962450304
455 E SOUTH TEMPLE #202
(801) 355-9951
Provider ID: 100000093013
NPI: 1700894383
UTAH (cont'd)
145
CHAPA, RICHARD WILLIAM
MD
50 N MEDICAL DR
(801) 213-2995
Provider ID: 100000705544
NPI: 1568556298
CLARK, ERIN A MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986677
NPI: 1457305757
DANIELS, JONATHAN
PEARSON MD
6360 S 3000 E #100
(801) 365-1032
Provider ID: 100000346868
NPI: 1043214935
82 S 1100 E #305
(801) 964-3111
Provider ID: 100001005484
NPI: 1043214935
850 E 300 S #1
(801) 322-1214
Provider ID: 100000346868
NPI: 1043214935
DASSEL, MARK W MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000978504
NPI: 1538333794
555 FOOTHILL DR
(801) 581-8000
Provider ID: 100000978498
NPI: 1538333794
DIZON-TOWNSON, DONNA
SUSAN MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986691
NPI: 1811918097
DODSON, MARK KANE MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000086190
NPI: 1275570467
February 12, 2015
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
OBSTETRICS AND GYNECOLOGY
OBSTETRICS AND GYNECOLOGY
FAIRCLOTH, ERICA A MD
3970 S 700 E #14
(801) 261-3605
SALT LAKE CITY (cont'd)
Provider ID: 100000337054
NPI: 1689849523
OBSTETRICS AND
GYNECOLOGY (cont'd)
FARNSWORTH, KENT WALKER
MD
DORAIS, JESSICA A MD
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-7647
(801) 581-7647
Provider ID: 100000255845
Provider ID: 100000705576
NPI: 1811010655
NPI: 1225282395
FROERER, CHRISTIAN
675 ARAPEEN DR
DONALD MD
(801) 581-7647
5063 S COTTONWOOD ST #400
Provider ID: 100000705576
(801) 507-1950
NPI: 1225282395
Provider ID: 100000094229
DRAPER, MICHAEL LYNN MD
NPI: 1538117965
1050 E SOUTH TEMPLE
GAWRON,
LORI M MD
(801) 350-4514
50
N
MEDICAL
DR
Provider ID: 100000096125
(801)
581-7647
NPI: 1992769368
Provider ID: 100001129219
50 N MEDICAL DR
NPI: 1306002274
(801) 581-2719
555
FOOTHILL DR
Provider ID: 100000986700
(801)
585-0640
NPI: 1992769368
Provider ID: 100001129219
ELLER, ALEXANDRA
NPI: 1306002274
GROSVENOR MD
GEMMELL, LOIS JEANNE MD
50 N MEDICAL DR
455 E SOUTH TEMPLE #202
(801) 581-7647
(801) 355-9951
Provider ID: 100000101189
Provider ID: 100000086022
NPI: 1922188838
NPI: 1063420651
ERICKSON, TY BOLTEN MD
GIBBINS
JR, KAREN J MD
24 S 1100 E #209
50
N
MEDICAL
DR
(888) 258-3066
(801)
581-2719
Provider ID: 100000564667
Provider ID: 100000955096
NPI: 1083783823
NPI: 1457581688
ESPLIN, MICHAEL SEAN MD
GIBSON, KERI L MD
50 N MEDICAL DR
1525 W 2100 S
(801) 581-2719
(801) 213-8841
Provider ID: 100000986703
Provider ID: 100000341126
NPI: 1205916111
NPI: 1457548430
EVENSON, MALLORIE J MD
GIBSON,
MARK MD
5063 S COTTONWOOD ST #400
50
N
MEDICAL
DR
(801) 507-1950
(801)
581-7647
Provider ID: 100000801790
Provider ID: 100000097837
NPI: 1982864690
NPI: 1578653176
UTAH (cont'd)
February 12, 2015
146
GRAUL, ELIZABETH ANN MD
348 E 4500 S #200
(801) 262-9800
Provider ID: 100000090056
NPI: 1417074865
GURTCHEFF, SHAWN E MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000109691
NPI: 1952353930
HALL, SUSAN J APRN
1578 W 1700 S
(801) 581-4014
Provider ID: 100000990460
NPI: 1982738043
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000115643
NPI: 1982738043
HAMMOUD, AHMAD OMAR
MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000101759
NPI: 1821188426
HERRERA, CHRISTINA MD
3195 S MAIN ST
(801) 581-7260
Provider ID: 100001100447
NPI: 1679890719
50 N MEDICAL DR
(801) 581-8425
Provider ID: 100001100558
NPI: 1679890719
HEUSER, CARA C MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986707
NPI: 1568674208
HINSON, JOANNE SUMIPO MD
24 S 1100 E #210
(801) 364-4030
Provider ID: 100000786596
NPI: 1881789212
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
OBSTETRICS AND GYNECOLOGY
OBSTETRICS AND GYNECOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
OBSTETRICS AND
GYNECOLOGY (cont'd)
HOLMGREN, CALLA M MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986710
NPI: 1194805002
HSU, YVONNE MD
50 N MEDICAL DR #2B200
(801) 581-7647
Provider ID: 100000278848
NPI: 1760495055
HUNN, JESSICA R MD
1140 E 3900 S #340
(801) 743-4730
Provider ID: 100001096987
NPI: 1992978712
HURST, BARBARA MD
348 E 4500 S #200
(801) 262-9800
Provider ID: 100000093010
NPI: 1205973070
3855 S 700 E
(801) 577-7055
Provider ID: 100001172913
NPI: 1205973070
HUTCHISON, CHRISTOPHER
VANCE MD
3725 W 4100 S
(801) 965-3600
Provider ID: 100000093576
NPI: 1134151384
JACKSON, GILBERT M MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986714
NPI: 1356421259
JERIG, SEAN N MD
82 S 1100 E #305
(801) 964-3111
Provider ID: 100001106108
NPI: 1437479896
JOHNSON, JASON LYNN MD
1140 E 3900 S #340
(801) 743-4730
Provider ID: 100001090557
NPI: 1376638718
850 E 300 S #1
(801) 322-1214
Provider ID: 100000086804
NPI: 1376638718
KAELBERER, DANIEL FRED
MD
5063 S COTTONWOOD ST #400
(801) 507-1950
Provider ID: 100000268464
NPI: 1376656264
KAMYAR, MANIJEH MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000801576
NPI: 1215174651
KATZ, FELICIA R MD, BSN
1525 W 2100 S
(801) 213-8841
Provider ID: 100001107913
NPI: 1265744882
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100001119676
NPI: 1265744882
KEYE, WILLIAM R MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986719
NPI: 1407815863
LABRUM, JEFFREY MILES MD
5063 S COTTONWOOD ST #400
(801) 507-1950
Provider ID: 100000089114
NPI: 1972551224
LAINE, HANNELE M MD
455 E SOUTH TEMPLE #202
(801) 355-9951
Provider ID: 100000715718
NPI: 1083817449
147
LARKIN, RONALD MAX MD
5063 S COTTONWOOD ST #400
(801) 507-1950
Provider ID: 100000088958
NPI: 1457309213
LIN, STEPHANIE N MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000986725
NPI: 1073747176
LLOYD, L KIMBALL MD
5063 S COTTONWOOD ST #400
(801) 507-1950
Provider ID: 100000088819
NPI: 1568410959
LUIKENAAR, RIXT ANNA
CATHARINA MD
555 FOOTHILL DR #301
(801) 585-5382
Provider ID: 100000097828
NPI: 1285688101
MACLEAN, COURTNEY C MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000856904
NPI: 1386831881
555 FOOTHILL DR
(801) 581-8000
Provider ID: 100000869815
NPI: 1386831881
MACY, VICKI LEE MD
455 E SOUTH TEMPLE
(801) 213-4000
Provider ID: 100001097434
NPI: 1619985686
455 E SOUTH TEMPLE #202
(801) 355-9951
Provider ID: 100000092249
NPI: 1619985686
82 S 1100 E
(801) 214-7650
Provider ID: 100001097434
NPI: 1619985686
MAINWARING, ROBIN GAY MD
1140 E 3900 S #300
(801) 268-8222
Provider ID: 100000085999
NPI: 1043276033
February 12, 2015
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
OBSTETRICS AND GYNECOLOGY
OBSTETRICS AND GYNECOLOGY
OSTLER, LESLIE A MD
1140 E 3900 S #410
(801) 262-8666
SALT LAKE CITY (cont'd)
Provider ID: 100000963143
NPI: 1568683738
OBSTETRICS AND
1200 E 3900 S
GYNECOLOGY (cont'd)
(800) 967-2289
MAJOR, HEATHER DONAHOE
Provider ID: 100001080944
MD
NPI: 1568683738
50 N MEDICAL DR
PARK, GORDON SHERMAN MD
(801) 581-2719
1525 W 2100 S
Provider ID: 100000986726
(801) 213-8841
NPI: 1700860350
Provider ID: 100000090968
NORTON, PEGGY ANNE MD
NPI: 1881784403
50 N MEDICAL DR #2B200
3730 W 4700 S
(801) 581-7647
(801) 213-9200
Provider ID: 100000087783
Provider ID: 100000090968
NPI: 1063502672
NPI: 1881784403
NYGAARD, INGRID E MD
PETERSON, CHARLES
50 N MEDICAL DR
MATTHEW MD
(801) 581-7647
50 N MEDICAL DR
Provider ID: 100000105832
(801) 581-7647
NPI: 1790737831
Provider ID: 100000086680
50 N MEDICAL DR #2B200
NPI: 1316037930
(801) 581-7647
PITTMAN, JESSICA H MD
Provider ID: 100000105831
100 MARIO CAPECCHI DR
NPI: 1790737831
(801) 622-1000
OGLESBY, JOHN SUTHERLAND
Provider ID: 100000801628
MD
NPI: 1710131743
2295 S FOOTHILL DR
50 N MEDICAL DR
(801) 214-7650
(801) 213-2995
Provider ID: 100000502422
Provider ID: 100000712281
NPI: 1245385962
NPI: 1710131743
6360 S 3000 E #100
PORTER, TROY FLINT MD
(801) 214-7650
50 N MEDICAL DR
Provider ID: 100000502422
(801) 581-2719
NPI: 1245385962
Provider ID: 100000986738
82 S 1100 E #305
NPI: 1245310143
(801) 964-3111
RAPPLEYE,
ALAN TUNIS MD
Provider ID: 100000502422
3970
S
700
E
#14
NPI: 1245385962
(801) 261-3605
Provider ID: 100000091051
NPI: 1568431575
REYNOLDS, BRANDON L DO
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100001014983
NPI: 1710972641
UTAH (cont'd)
February 12, 2015
148
RINNE, KIRSTI CNM 
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000612694
NPI: 1033410394
ROBINSON, LUCINDA J MD
455 E SOUTH TEMPLE #202
(801) 355-9951
Provider ID: 100000090334
NPI: 1700894375
ROSE, NANCY CAROL MD
50 N MEDICAL DR
(801) 581-8425
Provider ID: 100000098047
NPI: 1902826159
ROSE, SUSAN M MD
50 N MEDICAL DR
(801) 587-9500
Provider ID: 100000987389
NPI: 1518088087
ROTH, JAMES THOMAS MD
3970 S 700 E #14
(801) 261-3605
Provider ID: 100000084822
NPI: 1104895705
ROYER, PAMELA A MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000954163
NPI: 1114161262
SALINAS, JESSICA M MD
2295 S FOOTHILL DR
(801) 214-7650
Provider ID: 100000810530
NPI: 1568662567
6360 S 3000 E #100
(801) 214-7650
Provider ID: 100000810530
NPI: 1568662567
82 S 1100 E #204
(801) 350-4602
Provider ID: 100000810530
NPI: 1568662567
82 S 1100 E #305
(801) 964-3111
Provider ID: 100000810530
NPI: 1568662567
This provider is not accepting
new patients at this time
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
OBSTETRICS AND GYNECOLOGY
OBSTETRICS AND GYNECOLOGY
SMITH, ANDREA ICOLE MD
2295 S FOOTHILL DR
(801) 214-7650
SALT LAKE CITY (cont'd)
Provider ID: 100000788090
NPI: 1831155746
OBSTETRICS AND
6360 S 3000 E #100
GYNECOLOGY (cont'd)
(801) 214-7650
SCHEMMER, GLENN KENNETH
Provider ID: 100000788090
MD
NPI: 1831155746
50 N MEDICAL DR
82 S 1100 E
(801) 581-2719
(801) 214-7650
Provider ID: 100000986748
Provider ID: 100001121573
NPI: 1689628992
NPI: 1831155746
SHARP, HOWARD TAYLOR MD 82 S 1100 E #305
50 N MEDICAL DR
(801) 964-3111
(801) 581-7647
Provider ID: 100000788090
Provider ID: 100000091284
NPI: 1831155746
NPI: 1871673772
SPENCER, ANDREW H MD
555 FOOTHILL DR
1140 E 3900 S #390
(801) 585-0640
(801) 743-4700
Provider ID: 100000091284
Provider ID: 100000802814
NPI: 1871673772
NPI: 1467647537
SILVER, ROBERT MITCHELL 1200 E 3900 S
MD
(801) 743-4700
50 N MEDICAL DR
Provider ID: 100000802814
(801) 581-2719
NPI: 1467647537
Provider ID: 100000085222
STEELE, MAX MICHAEL MD
NPI: 1306926217
370 E 9TH AVE #101
SIMONS, MARILEE M MD
(801) 408-2999
3730 W 4700 S
Provider ID: 100000090777
(801) 213-9200
NPI: 1316055502
Provider ID: 100000810662
SULLIVAN, AMY ELIZABETH
NPI: 1932352176
MD
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-7647
(801) 581-8425
Provider ID: 100000810630
Provider ID: 100000095056
NPI: 1932352176
NPI: 1922028166
SUMMERS, PAUL RICHARD MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000087605
NPI: 1588744494
555 FOOTHILL DR
(801) 585-0640
Provider ID: 100000087605
NPI: 1588744494
UTAH (cont'd)
149
TERRY, STEPHEN ROBERT MD
5063 S COTTONWOOD ST #400
(801) 507-1950
Provider ID: 100000091266
NPI: 1134177900
THACKERAY, STEVEN MILTON
MD
5063 S COTTONWOOD ST #400
(801) 507-1950
Provider ID: 100000545494
NPI: 1407813959
THOMPSON, IVANA S MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100001087536
NPI: 1134445323
TILLY, SHANNON L MD
1525 W 2100 S
(801) 213-8841
Provider ID: 100000111307
NPI: 1093767196
TRAUSCHT-VANHORN,
JENNIFER J MD
1578 W 1700 S
(801) 581-4014
Provider ID: 100000265172
NPI: 1306926209
160 S 1000 E #120
(201) 257-6789
Provider ID: 100000087628
NPI: 1306926209
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000265172
NPI: 1306926209
654 S 900 E #A
(801) 532-1586
Provider ID: 100000087628
NPI: 1306926209
TUROK, DAVID KEITH MD
461 S 400 E
(801) 539-8617
Provider ID: 100000084873
NPI: 1568449379
654 S 900 E #A
(801) 532-1586
Provider ID: 100000644771
NPI: 1568449379
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
OBSTETRICS AND GYNECOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
OBSTETRICS AND
GYNECOLOGY (cont'd)
VARNER, MICHAEL WALTER
MD
30 N 1900 E #2B200
(801) 581-7746
Provider ID: 100000086579
NPI: 1396783486
50 N MEDICAL DR
(801) 581-8425
Provider ID: 100000086580
NPI: 1396783486
VERSON, HILARY FNP
455 E SOUTH TEMPLE
(801) 213-4000
Provider ID: 100001107805
NPI: 1003119819
82 S 1100 E
(801) 214-7650
Provider ID: 100001107805
NPI: 1003119819
VOSS, STEPHEN CUMMINGS
MD
1140 E 3900 S #340
(801) 743-4730
Provider ID: 100001095376
NPI: 1982799581
850 E 300 S #1
(801) 322-1214
Provider ID: 100000086722
NPI: 1982799581
WATTS, DAREN A MD
1140 E 3900 S #340
(801) 743-4730
Provider ID: 100001095381
NPI: 1679589600
1140 E 3900 S #400
(801) 268-6811
Provider ID: 100000094672
NPI: 1679589600
850 E 300 S #1
(801) 322-1214
Provider ID: 100001095381
NPI: 1679589600
February 12, 2015
WEBER, TIFFANY K MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100001119966
NPI: 1811212947
555 FOOTHILL DR
(801) 585-0640
Provider ID: 100001119966
NPI: 1811212947
WHEELER, CATHERINE
JEANNE MD
4465 S 900 E #224
(801) 272-6100
Provider ID: 100000815024
NPI: 1720055742
4465 S 900 E #275
(801) 272-6100
Provider ID: 100000815024
NPI: 1720055742
WILSON, MATTHEW S MD
3725 W 4100 S
(801) 965-3600
Provider ID: 100000794236
NPI: 1750543955
WONG, LUCHIN F MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000794101
NPI: 1063689057
YAMASHIRO, VERNON KOYU
MD
1140 E 3900 S #400
(801) 268-6811
Provider ID: 100000093155
NPI: 1962417741
850 E 300 S #1
(801) 322-1214
Provider ID: 100001096989
NPI: 1962417741
ZEMPOLICH, KAREN ANN MD
1140 E 3900 S #340
(801) 743-4730
Provider ID: 100000254803
NPI: 1841228525
150
UTAH
SALT LAKE CITY
OCCUPATIONAL THERAPY
OCCUPATIONAL MEDICINE
BIGGS, JEREMY J MD
1525 W 2100 S
(801) 213-8841
Provider ID: 100000334974
NPI: 1679758536
BROWN, TERRY ALLEN MD
441 S REDWOOD RD
(801) 973-2588
Provider ID: 100000085827
NPI: 1679510614
CHENG, MELISSA MD
1525 W 2100 S
(801) 213-8841
Provider ID: 100000755373
NPI: 1518112358
DOWLING, ALICE MD
1735 S REDWOOD RD #115
(801) 973-4434
Provider ID: 100001139152
NPI: 1164707105
WOOD, ERIC MARSHA MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000557196
NPI: 1992719504
OCCUPATIONAL THERAPY
ANDERSON, SARAH OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000096404
NPI: 1689799264
ANDERSON, SARAH S OT
50 N MEDICAL DR
(801) 585-2119
Provider ID: 100000097927
NPI: 1871640227
BERNHARD, NICHOLE L OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000736067
NPI: 1356462394
UTAH
SALT LAKE CITY
OCCUPATIONAL THERAPY
Specialists
Sorted by state, city, specialty, then name
DINCECCO, MICHELLE J OT
50 N MEDICAL DR
(801) 581-2121
SALT LAKE CITY (cont'd)
Provider ID: 100000559125
NPI: 1699943555
OCCUPATIONAL THERAPY
(cont'd)
ECHEVERRIA, DOMINIC J OT
50 N MEDICAL DR
BIGELOW, CATHERINE OT
(801) 581-2121
50 N MEDICAL DR
Provider ID: 100000561064
(801) 581-2121
NPI: 1083875611
Provider ID: 100001000545
FALLGATTER, KIMBERLY D
NPI: 1982807947
OT
BOOK, KARA M OTR
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-2121
(801) 581-2121
Provider ID: 100000111472
Provider ID: 100000695219
NPI: 1225247604
NPI: 1649335506
FISCHER, KELLY M OT
BYARS, GABE L OT
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-2121
(801) 581-2121
Provider ID: 100000099515
Provider ID: 100000619979
NPI: 1467779363
NPI: 1083925564
FRIBERG, DANIELLE C OT
CARDELL, ELIZABETH MARIE 540 S ARAPEEN DR #200
OT
(801) 585-7448
540 S ARAPEEN DR #200
Provider ID: 100001097441
(801) 585-7448
NPI: 1295146298
Provider ID: 100000604778
GIDEON,
KATHLEEN A OT
NPI: 1851609499
50 N MEDICAL DR
CLARK, MICHELLE OT
(801) 581-2121
50 N MEDICAL DR
Provider ID: 100000601274
(801) 581-2121
NPI: 1811203136
Provider ID: 100000619982
HAGER, SUSAN J OT
NPI: 1922302967
50 N MEDICAL DR
CONNORS, BRIAN P OT
(801) 581-2121
50 N MEDICAL DR
Provider ID: 100000095451
(801) 581-2121
NPI: 1861502858
Provider ID: 100001156709
HARRIS,
JENNIFER W OT
NPI: 1487947099
50 N MEDICAL DR
DETEMPLE, KATHRINE M OT
(801) 581-2132
50 N MEDICAL DR
Provider ID: 100000096187
(801) 581-2121
NPI: 1801058771
Provider ID: 100000095013
HIEB, JULIE ANN OT
NPI: 1174738843
50 N MEDICAL DR
590 S WAKARA WAY
(801) 581-2121
(801) 587-7109
Provider ID: 100000095017
Provider ID: 100000095013
NPI: 1477763290
NPI: 1174738843
UTAH (cont'd)
151
UTAH
SALT LAKE CITY
OCCUPATIONAL THERAPY
HORN, SUSAN J OT
2224 E 3205 S
(801) 231-9207
Provider ID: 100000111181
NPI: 1467623017
HOUSMAN, DANIELLE H OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000310448
NPI: 1932364544
HUFF, KAREN ANN OT
1952 E 7000 S #100
(801) 942-3311
Provider ID: 100000243652
NPI: 1912079922
JOHNS, NANCY JANE OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000095019
NPI: 1588870174
JONES, KRISTEN N OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000267653
NPI: 1568457000
KEIZER, LANA K OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000305241
NPI: 1265677520
KOSKI, KARI JEANETTE OTR
540 S ARAPEEN DR #200
(801) 585-7448
Provider ID: 100000694833
NPI: 1225365570
KOVACIK, LAUREN A OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000854747
NPI: 1053661314
KRANTZ, LESHA OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000590077
NPI: 1437464021
February 12, 2015
UTAH
SALT LAKE CITY
OCCUPATIONAL THERAPY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
OCCUPATIONAL THERAPY
(cont'd)
LEE, EUN JIN B OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001156445
NPI: 1528243953
MANWILL, JOEL MARK OT
44 MARIO CAPECCHI DR
(801) 584-8220
Provider ID: 100000096623
NPI: 1750412193
MARSH, RHONDA K OT
50 N MEDICAL DR
(801) 581-2733
Provider ID: 100000708032
NPI: 1558486290
MCCUNE, KATHRYN A OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000736373
NPI: 1467741462
MILLER, MARY ANN OT
44 MARIO CAPECCHI DR
(801) 584-8239
Provider ID: 100000086105
NPI: 1154433134
MINNIS, ANDREA J OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000569265
NPI: 1538253455
MITCHELL, KASEY D OT
540 S ARAPEEN DR #200
(801) 585-7448
Provider ID: 100000590051
NPI: 1073827572
MOORE, SARAH M OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001139555
NPI: 1962801274
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
NOREN, CHRISTOPHER S OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000113997
NPI: 1598926123
OZAKI, SUSAN SACHIE OT
5151 S 900 E #100
(801) 261-3321
Provider ID: 100000093867
NPI: 1386645075
PAPI-BAKER, KATHLEEN M
OTR
50 N MEDICAL DR
(801) 581-2885
Provider ID: 100000093901
NPI: 1679655625
POHLMAN, BROOKE A OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000115656
NPI: 1508074204
PORTER, ADAM G OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001144084
NPI: 1003216367
RICHE, THOMAS N OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000623645
NPI: 1336443068
ROBINSON, KATHARINE A OT
350 S 400 E
(801) 946-1860
Provider ID: 100000864532
NPI: 1356697205
RODERICK, CRYSTAL A OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000887509
NPI: 1720385859
152
UTAH
SALT LAKE CITY
OCCUPATIONAL THERAPY
ROSELLO, MARC ALEXANDER
OT
1138 E WILMINGTON AVE
(801) 581-5678
Provider ID: 100000095020
NPI: 1750448593
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000095020
NPI: 1750448593
ROSS, KIMBERLY MCARDLE
OT
5151 S 900 E #100
(801) 261-3321
Provider ID: 100000093948
NPI: 1174524862
ROSS, MCKENZIE A OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001120167
NPI: 1992124556
SCHUTZ, BRIDGET M OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000978963
NPI: 1063855740
SCOTT, NEIL F OT
50 N MEDICAL DR
(801) 581-2885
Provider ID: 100000713235
NPI: 1639466683
SECKINGER, LEANNE RENE
OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000095022
NPI: 1811024672
SINCLAIR, JENNIFER R OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000245488
NPI: 1376749481
STEIMKE, HEIDI B OT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001127242
NPI: 1134537442
UTAH
SALT LAKE CITY
OCCUPATIONAL THERAPY
Specialists
Sorted by state, city, specialty, then name
UTAH
SALT LAKE CITY
ONCOLOGIST/HEMATOLOGIST
TILEY, DONNA MARIE OT
5151 S 900 E #100
(801) 261-3321
SALT LAKE CITY (cont'd)
Provider ID: 100000097058
NPI: 1194726786
OCCUPATIONAL THERAPY
(cont'd)
WALTHER, STACY L OT
50 N MEDICAL DR
STEPHENSON, STEPHANIE M
(801) 581-2121
OT
Provider ID: 100001120176
50 N MEDICAL DR
NPI: 1669871430
(801) 581-2885
WILLIAMS, LINDSAY M OT
Provider ID: 100000727169
50 N MEDICAL DR
NPI: 1649577602
(801) 581-2121
STOTTS, PAIGE PICKENS OT
Provider ID: 100001124215
50 N MEDICAL DR
NPI: 1710395447
(801) 581-2121
WOOLLEY,
HEIDI A OT
Provider ID: 100001144080
50
N
MEDICAL
DR
NPI: 1053312744
(801)
581-2121
702 E SOUTH TEMPLE #102
Provider ID: 100001131356
(801) 328-8535
NPI: 1740697051
Provider ID: 100000096103
WORKMAN, LINDEY DAWN OT
NPI: 1053312744
50 N MEDICAL DR
TAYLOR, REBECCA L OT
(801) 581-2885
50 N MEDICAL DR
Provider ID: 100000099244
(801) 581-2121
NPI: 1073663902
Provider ID: 100000245491
WRIGHT,
JOANNE OT
NPI: 1992992622
50
N
MEDICAL
DR
THOMAS, JENNIFER LYNN OT
(801)
581-2121
50 N MEDICAL DR
Provider ID: 100000101412
(801) 581-2121
NPI: 1942240502
Provider ID: 100000095060
540
S ARAPEEN DR #200
NPI: 1245381763
(801) 585-7448
THOMPSON, ROBYN M OT
Provider ID: 100000590054
50 N MEDICAL DR
NPI: 1942240502
(801) 581-2121
ONCOLOGIST/
Provider ID: 100000954810
NPI: 1972843712
HEMATOLOGIST
540 S ARAPEEN DR #200
AGARWAL, NEERAJ MD
(801) 585-7448
1950 CIRCLE OF HOPE DR
Provider ID: 100000979750
(801) 585-3229
NPI: 1972843712
Provider ID: 100000117262
THRALL, LINDSAY C OT
NPI: 1417078221
50 N MEDICAL DR
AKERLEY III, WALLACE
(801) 581-2121
LOVELL MD
Provider ID: 100000770503
1950 CIRCLE OF HOPE DR
NPI: 1568750479
(801) 585-0100
Provider ID: 100000096989
NPI: 1346330966
UTAH (cont'd)
153
BECK, ANNA CATHERINE MD
1950 CIRCLE OF HOPE DR
(801) 585-3229
Provider ID: 100000808711
NPI: 1710936265
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000820341
NPI: 1710936265
BORIC, LAMIA MD
1121 E 3900 S #C230
(801) 266-0878
Provider ID: 100001089651
NPI: 1689881898
1121 E 3900 S #C240
(801) 266-0878
Provider ID: 100001089651
NPI: 1689881898
333 S 900 E
(801) 933-6070
Provider ID: 100001089651
NPI: 1689881898
BOYER, MICHAEL W MD
1950 CIRCLE OF HOPE DR
(801) 585-2626
Provider ID: 100000339007
NPI: 1598763112
BUYS, SAUNDRA SARGENT MD
1950 CIRCLE OF HOPE DR
(801) 585-3229
Provider ID: 100000092108
NPI: 1568547255
2000 CIRCLE OF HOPE DR
(801) 585-0100
Provider ID: 100000092108
NPI: 1568547255
50 N MEDICAL DR
(801) 585-0100
Provider ID: 100000092108
NPI: 1568547255
CALL, JUSTIN A MD
3838 S 700 E #100
(801) 269-0231
Provider ID: 100000813701
NPI: 1124172697
February 12, 2015
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
ONCOLOGIST/HEMATOLOGIST
ONCOLOGIST/HEMATOLOGIST
FRAME, RICHARD NEIL MD
333 S 900 E
(801) 933-6070
SALT LAKE CITY (cont'd)
Provider ID: 100000086028
NPI: 1073563516
ONCOLOGIST/
3838 S 700 E #100
HEMATOLOGIST (cont'd)
(801) 269-0231
CANNON, LAURA JANE APRN
Provider ID: 100000086028
1950 CIRCLE OF HOPE DR
NPI: 1073563516
(801) 581-2121
82 S 1100 E #403
Provider ID: 100000242698
(801) 364-1006
NPI: 1568417376
Provider ID: 100000086028
CHANDRAMOULI, NITIN
NPI: 1073563516
BASAVIAH MD
GARRIDO-LAGUNA, IGNACIO
3838 S 700 E #100
MD
(801) 269-0231
1950 CIRCLE OF HOPE DR
Provider ID: 100000095218
(801) 585-3229
NPI: 1801845730
Provider ID: 100000736350
COHEN, ADAM L MD
NPI: 1467608554
1950 CIRCLE OF HOPE DR
GLENN, MARTHA JANE MD
(801) 585-3229
1950 CIRCLE OF HOPE DR
Provider ID: 100000702022
(801) 585-2626
NPI: 1528281375
Provider ID: 100000808753
DIFIORE, KENT CHRISTOPHER
NPI: 1104916709
MD
GREGG, XYLINA THAIS MD
3838 S 700 E #100
3838 S 700 E #100
(801) 269-0231
(801) 269-0231
Provider ID: 100000092012
Provider ID: 100000102083
NPI: 1649229618
NPI: 1972554459
DOYLE, LISA SUZANNE MD
HARKER, WILLIAM GRAYDON
1950 CIRCLE OF HOPE DR
MD
(801) 585-3229
3838 S 700 E #100
Provider ID: 100001119641
(801) 269-0231
NPI: 1255304408
Provider ID: 100000087146
2000 CIRCLE OF HOPE DR
NPI: 1679522569
(801) 585-0100
KENDALL, STEPHAN D MD
Provider ID: 100001119641
3838 S 700 E #100
NPI: 1255304408
(801) 269-0231
Provider ID: 100000941044
NPI: 1033293196
KHONG, HUNG T MD
1950 CIRCLE OF HOPE DR
(801) 585-3229
Provider ID: 100000740110
NPI: 1366586521
UTAH (cont'd)
February 12, 2015
154
KLEIN, REGINA C MD
3838 S 700 E #100
(801) 269-0231
Provider ID: 100000084865
NPI: 1457300980
KOVACSOVICS, TIBOR J MD
1950 CIRCLE OF HOPE DR
(801) 585-0100
Provider ID: 100000856901
NPI: 1396750899
KUSHNER, JAMES PAUL MD
50 N MEDICAL DR
(801) 581-8158
Provider ID: 100000084939
NPI: 1578513842
LEGANT, PATRICIA MD
164 E 5900 S #A106
(801) 263-3003
Provider ID: 100000093239
NPI: 1851365050
LITTON, GREGORY JAMES MD
3838 S 700 E #100
(801) 269-0231
Provider ID: 100000092119
NPI: 1487603916
MATSUOKA, YUKO APRN
175 N MEDICAL DR E
(801) 581-6909
Provider ID: 100000616471
NPI: 1114151115
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000562957
NPI: 1114151115
MORGAN, ROSS ERIC MD
1422 E PERRY AVE
(801) 408-5757
Provider ID: 100000087670
NPI: 1134233208
NIBLEY, WILLIAM ELIOTT MD
3838 S 700 E #100
(801) 269-0231
Provider ID: 100000086111
NPI: 1437108974
Specialists
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
ONCOLOGIST/HEMATOLOGIST
TSAI, SCHICKWANN MD
1950 CIRCLE OF HOPE DR
(801) 585-0100
SALT LAKE CITY (cont'd)
Provider ID: 100000285647
NPI: 1649220948
ONCOLOGIST/
HEMATOLOGIST (cont'd)
WEIS, JOHN RAINER MD
1950 CIRCLE OF HOPE DR
PARKER, CHARLES JOHNSON
(801) 585-0255
MD
Provider ID: 100000086587
1950 CIRCLE OF HOPE DR
NPI: 1912097502
(801) 585-2626
50 N MEDICAL DR
Provider ID: 100000702681
(801) 585-0100
NPI: 1790735686
Provider ID: 100000086588
50 N MEDICAL DR
NPI: 1912097502
(801) 581-2121
WERNER, THERESA LOUISE
Provider ID: 100000094054
MD
NPI: 1790735686
1950 CIRCLE OF HOPE DR
PRYSTAS, ELIZABETH MARY
(801) 585-3229
MD
Provider ID: 100000097755
1950 CIRCLE OF HOPE DR
NPI: 1275652000
(801) 585-3229
WHISENANT,
JONATHAN REED
Provider ID: 100001156251
MD
NPI: 1265526131
3838 S 700 E #100
324 E 10TH AVE #274
(801) 269-0231
(801) 408-5757
Provider ID: 100000101361
Provider ID: 100000093042
NPI: 1861441974
NPI: 1265526131
ONCOLOGY
RICH, NATHAN T MD
3838 S 700 E #100
GROSSMANN, KENNETH F MD
(801) 269-0231
1950 CIRCLE OF HOPE DR
Provider ID: 100000108698
(801) 585-0100
NPI: 1396778148
Provider ID: 100000340926
RODGERS, GEORGE MARION
NPI: 1083827455
MD
SHARMA, SUNIL MD
1950 CIRCLE OF HOPE DR
1950 CIRCLE OF HOPE DR
(801) 585-0100
(801) 585-0100
Provider ID: 100000763805
Provider ID: 100000340969
NPI: 1578512190
NPI: 1699775767
50 N MEDICAL DR
STINNETT, JASON MARK MD
(801) 581-2507
3838 S 700 E #100
Provider ID: 100000702695
(801) 269-0231
NPI: 1578512190
Provider ID: 100000033194
SHAMI, PAUL JEAN MD
NPI: 1861501694
1950 CIRCLE OF HOPE DR
ZEMPOLICH, KAREN ANN MD
(801) 585-0100
1140 E 3900 S #340
Provider ID: 100000763790
(801) 743-4730
NPI: 1992895510
Provider ID: 100000254803
NPI: 1841228525
UTAH (cont'd)
155
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
OPHTHALMOLOGY
ALDER, JOHN BRYANT MD
6412 S 900 E #101
(801) 262-3344
Provider ID: 100000092240
NPI: 1508829144
ALLDREDGE, CLARON
DOUGLAS MD
440 D ST #210
(801) 476-0494
Provider ID: 100000598475
NPI: 1841200284
AMBATI, BALAMURALI K MD
65 MARIO CAPECCHI DR
(801) 581-3195
Provider ID: 100000262159
NPI: 1750397576
65 S MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000815253
NPI: 1750397576
ANDERSON, RICHARD LEE MD
1002 E SOUTH TEMPLE #308
(801) 363-3355
Provider ID: 100000086649
NPI: 1295784759
ATODARIA, NEIL JITENDRA
MD
65 MARIO CAPECCHI DR
(801) 581-2353
Provider ID: 100000098906
NPI: 1619933363
BARLOW, WILLIAM R MD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000733053
NPI: 1265534853
BATRA, NIKHIL N MD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000955043
NPI: 1154550895
BELL, JAMES E MD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100001082838
NPI: 1376860668
February 12, 2015
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
Specialists
Sorted by state, city, specialty, then name
BROCKBANK, DAVID T MD
1025 E 3300 S #B
(801) 281-2020
SALT LAKE CITY (cont'd)
Provider ID: 100000865349
NPI: 1093822561
OPHTHALMOLOGY (cont'd)
6065 S FASHION BLVD #125
BENATOR, RACHEL SHARON
(801) 261-0726
MD
Provider ID: 100000606080
1025 E 3300 S #B
NPI: 1093822561
(801) 281-2020
CAMERON, ROBERT W MD
Provider ID: 100000085462
65 MARIO CAPECCHI DR
NPI: 1053316976
(801) 581-3195
BERNSTEIN, PAUL STEVEN MD
Provider ID: 100000303474
65 MARIO CAPECCHI DR
NPI: 1891930343
(801) 581-2352
CHARLTON, KEVIN HOFFMAN
Provider ID: 100000086620
MD
NPI: 1023108651
4400 S 700 E #100
BESON, JAMES L DO
(801) 264-4450
65 MARIO CAPECCHI DR
Provider ID: 100000089156
(801) 581-2352
NPI: 1699877969
Provider ID: 100001130886
CHAYA, CRAIG J MD
NPI: 1114916178
100 N MARIO CAPECCHI DR
BETTIS, DANIEL I MD
(801) 581-2352
65 MARIO CAPECCHI DR
Provider ID: 100000990094
(801) 581-2352
NPI: 1275508160
Provider ID: 100001082851
65 MARIO CAPECCHI DR
NPI: 1033435318
(801) 581-3195
BODHIREDDY, HARI MD
Provider ID: 100000332386
65 MARIO CAPECCHI DR
NPI: 1275508160
(801) 581-2352
CHORTKOFF, SUSAN C MD
Provider ID: 100001082867
65 MARIO CAPECCHI DR
NPI: 1932423605
(801) 581-2352
BOWMAN, ADAM M MD
Provider ID: 100000604784
1548 E 4500 S #105
NPI: 1861792665
(801) 424-3090
CHRISTIANSEN, GREGORY A
Provider ID: 100001129064
MD
NPI: 1184846131
617 E 3900 S
BRADLEY, MICHAEL J MD
(801) 281-2020
105 E SOUTH TEMPLE
Provider ID: 100000624049
(801) 568-0200
NPI: 1831175629
Provider ID: 100000558845
6412 S 900 E #101
NPI: 1225131444
(801) 262-3345
Provider ID: 100000808946
NPI: 1831175629
755 E 3900 S
(801) 266-2283
Provider ID: 100000802156
NPI: 1831175629
UTAH (cont'd)
February 12, 2015
156
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
CHRISTIANSEN, ROBERT
MERRILL MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100001139266
NPI: 1114991841
324 E 10TH AVE #260
(801) 408-3937
Provider ID: 100000089073
NPI: 1114991841
44 MARIO CAPECCHI DR
(801) 584-8239
Provider ID: 100000089074
NPI: 1114991841
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100001139249
NPI: 1114991841
CIONNI, ROBERT J MD
755 E 3900 S
(801) 266-2283
Provider ID: 100000114625
NPI: 1306833256
CRANDALL, ALAN SLADE MD
4400 S 700 E
(801) 264-4464
Provider ID: 100000091081
NPI: 1083704670
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000091081
NPI: 1083704670
755 E 3900 S
(801) 266-2283
Provider ID: 100000091080
NPI: 1083704670
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
OPHTHALMOLOGY (cont'd)
CRUM, ALISON V MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100001092691
NPI: 1275739096
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000810623
NPI: 1275739096
65 S MARIO CAPECCHI DR
(801) 581-3195
Provider ID: 100000810624
NPI: 1275739096
DAYNES, TODD ELLSWORTH
MD
1250 E 3900 S #310
(801) 263-2020
Provider ID: 100000690083
NPI: 1053412494
324 E 10TH AVE #260
(801) 294-8855
Provider ID: 100000244334
NPI: 1053412494
DRIES, DAVID CHRISTOPHE
MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000096916
NPI: 1407946098
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000096917
NPI: 1407946098
FARHI, PARISA MD
65 MARIO CAPECCHI DR
(801) 581-3195
Provider ID: 100000241835
NPI: 1376672717
Specialists
Sorted by state, city, specialty, then name
FASSIO, JOHN B MD
1548 E 4500 S #105
(801) 424-3090
Provider ID: 100000089042
NPI: 1689671638
4568 S HIGHLAND DR #160
(801) 424-3090
Provider ID: 100000089042
NPI: 1689671638
FENZL, CARLTON MD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100001082954
NPI: 1386958064
FEUERMAN, JASON M MD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100001082975
NPI: 1205147634
FINDLAN, THOMAS FRANCIS
DO
65 MARIO CAPECCHI DR
(801) 581-3195
Provider ID: 100000097617
NPI: 1184615072
GOFF, MITCHELL J MD
4400 S 700 E #200
(801) 264-4444
Provider ID: 100000537137
NPI: 1578595153
GOLDSMITH, JASON AIDAN
MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000096630
NPI: 1922198522
GUSHCHIN, ANNA G MD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100001100411
NPI: 1013144096
HAMMOND, MATTHEW D MD
755 E 3900 S
(801) 266-2283
Provider ID: 100000772478
NPI: 1902829799
157
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
HARRIE, ROGER PETTIT MD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000088797
NPI: 1982639787
HARRIS, MATHESON A MD
4400 S 700 E #130
(801) 264-4420
Provider ID: 100000714159
NPI: 1912110230
65 MARIO CAPECCHI DR
(801) 581-3195
Provider ID: 100000729836
NPI: 1912110230
HARTNETT, MARY E MD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000541145
NPI: 1871507020
HATCH, JOSEPH LLOYD MD
6360 S 3000 E #270
(801) 585-3937
Provider ID: 100000088248
NPI: 1720178320
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000088248
NPI: 1720178320
HOBBS, RONALD P MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000788310
NPI: 1194986786
HOFFMAN, ROBERT ORIN MD
100 N MARIO CAPECCHI DR
(801) 581-3195
Provider ID: 100000084832
NPI: 1992895593
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000084833
NPI: 1992895593
HOOPES JR, PHILLIP CARL MD
105 E SOUTH TEMPLE
(801) 568-0200
Provider ID: 100000094395
NPI: 1992794846
February 12, 2015
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
OPHTHALMOLOGY (cont'd)
HURLBUT-MILLER, PETER R
MD
4400 S 700 E #200
(801) 264-4444
Provider ID: 100000279401
NPI: 1285695940
JACKSON, ALAN ELVON MD
168 N 1950 W #201
(801) 715-3500
Provider ID: 100000780048
NPI: 1467411223
201 E 5900 S #101
(801) 268-6600
Provider ID: 100000545584
NPI: 1467411223
JACKSON, STEVEN T MD
201 E 5900 S #101
(801) 268-6600
Provider ID: 100000536083
NPI: 1447215173
JACOBY, RACHAEL S MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000868455
NPI: 1265659213
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000788259
NPI: 1265659213
JEPPSEN, PAUL S MD
4400 S 700 E #100
(801) 264-4450
Provider ID: 100000276989
NPI: 1275582033
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
JOHNSEN, JUSTIN R MD
1250 E 3900 S #310
(801) 263-2020
Provider ID: 100000543906
NPI: 1679582282
5089 S 900 E #200
(801) 281-3223
Provider ID: 100000502670
NPI: 1679582282
KANG, PAUL CLARK MD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000098909
NPI: 1487680070
KATZ, BRADLEY JAY MD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000086794
NPI: 1881784486
65 S MARIO CAPECCHI DR
(801) 581-3195
Provider ID: 100000706627
NPI: 1881784486
KATZMAN, HOWARD ALLAN
MD
1485 E 3900 S #104
(801) 424-3937
Provider ID: 100000086897
NPI: 1760492912
KIM, GENE MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000699930
NPI: 1639332372
65 MARIO CAPECCHI DR
(801) 581-3195
Provider ID: 100000699902
NPI: 1639332372
KNUDSEN, VICTORIA L MD
5169 S COTTONWOOD ST #630
(801) 312-2020
Provider ID: 100000781244
NPI: 1174574800
KWUN, ROBERT CHOI MD
5169 S COTTONWOOD ST #630
(801) 312-2020
Provider ID: 100000094473
NPI: 1457338162
158
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
MAMALIS, NICK MD
4400 S 700 E
(801) 264-4464
Provider ID: 100000087427
NPI: 1750496220
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000087427
NPI: 1750496220
MCCANN, JOHN DAVID MD
1002 E SOUTH TEMPLE #308
(801) 363-3355
Provider ID: 100001169791
NPI: 1326006917
755 E 3900 S
(801) 266-2283
Provider ID: 100000595319
NPI: 1326006917
MEHR, DOUGLAS STEWART
MD
3725 W 4100 S
(801) 965-3479
Provider ID: 100000566725
NPI: 1720070899
MIFFLIN, MARK DAVID MD
4400 S 700 E
(801) 264-4464
Provider ID: 100000014685
NPI: 1548350150
6360 S 3000 E #270
(801) 585-3937
Provider ID: 100000014685
NPI: 1548350150
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000014685
NPI: 1548350150
MILLER, COREY ALAN MD
1485 E 3900 S #103
(801) 277-1087
Provider ID: 100000089244
NPI: 1699796482
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
Specialists
Sorted by state, city, specialty, then name
POLL, JED T MD
201 E 5900 S #201
(801) 268-6408
SALT LAKE CITY (cont'd)
Provider ID: 100000721000
NPI: 1376656124
OPHTHALMOLOGY (cont'd)
RAMASUBRAMANIAN,
MOSHIRFAR, MAJID MD
APARNA MD
6360 S 3000 E #270
100 N MARIO CAPECCHI DR
(801) 585-3937
(801) 581-2352
Provider ID: 100000093184
Provider ID: 100001083048
NPI: 1700976313
NPI: 1841428083
65 MARIO CAPECCHI DR
65 MARIO CAPECCHI DR
(801) 581-2352
(801) 581-2352
Provider ID: 100000093184
Provider ID: 100001083039
NPI: 1700976313
NPI: 1841428083
OLSON, RANDALL J MD
RIVERA, ROBERT P MD
65 MARIO CAPECCHI DR
105 E SOUTH TEMPLE
(801) 581-2352
(801) 568-0200
Provider ID: 100000090983
Provider ID: 100000736192
NPI: 1518057132
NPI: 1093771727
PARKER, JARED W MD
SHAKOOR, AKBAR MD
5770 S 250 E #410
100 N MARIO CAPECCHI DR
(801) 314-4420
(801) 581-2352
Provider ID: 100000338284
Provider ID: 100000699975
NPI: 1124146253
NPI: 1669675229
PATEL, BHUPENDRA C K MD 65 MARIO CAPECCHI DR
1025 E 3300 S #B
(801) 581-2352
(801) 585-6641
Provider ID: 100001172835
Provider ID: 100000093281
NPI: 1669675229
NPI: 1366436412
SHULMAN, JULIA P MD
65 MARIO CAPECCHI DR
65 MARIO CAPECCHI DR
(801) 581-2352
(801) 581-2352
Provider ID: 100000093284
Provider ID: 100000549176
NPI: 1366436412
NPI: 1649464835
PETERSEN, DAVID BYRUM MD SIKDER, SHAMEEMA MD
4400 S 700 E #100
65 MARIO CAPECCHI DR
(801) 264-4450
(801) 581-2352
Provider ID: 100000097473
Provider ID: 100000561365
NPI: 1851482202
NPI: 1265567309
PETTEY, JEFF H MD
SMITH, ROBERT ERIC MD
100 N MARIO CAPECCHI DR
3725 W 4100 S
(801) 581-2352
(801) 965-3600
Provider ID: 100000699955
Provider ID: 100000088352
NPI: 1346494911
NPI: 1578675633
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000699949
NPI: 1346494911
UTAH (cont'd)
159
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
SMITH, STACY R MD
1548 E 4500 S #105
(801) 424-3090
Provider ID: 100000805280
NPI: 1639348899
4568 S HIGHLAND DR #160
(801) 424-3090
Provider ID: 100000276026
NPI: 1639348899
SPENCER, DAVID ARTHUR MD
6412 S 900 E #101
(801) 262-3345
Provider ID: 100000090145
NPI: 1841225828
SWARTZ, MANO MD
5169 S COTTONWOOD ST #630
(801) 312-2020
Provider ID: 100000085296
NPI: 1801870670
SYKES, SCOTT OWEN MD
201 E 5900 S #201
(801) 268-6408
Provider ID: 100000093142
NPI: 1083693204
TABIN, GEOFFREY CRAIG MD
4400 S 700 E
(801) 264-4464
Provider ID: 100000101171
NPI: 1912097544
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000101171
NPI: 1912097544
TABIN, JEAN N DEMARCHI MD
4400 S 700 E
(801) 264-4464
Provider ID: 100000101909
NPI: 1821188459
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000101909
NPI: 1821188459
February 12, 2015
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
Specialists
Sorted by state, city, specialty, then name
VITALE, ALBERT THOMAS MD
65 MARIO CAPECCHI DR
(801) 581-2352
SALT LAKE CITY (cont'd)
Provider ID: 100000097161
NPI: 1497832232
OPHTHALMOLOGY (cont'd)
65 S MARIO CAPECCHI DR
TAYLOR, KIM YOUNG MD
(801) 581-2352
4400 S 700 E
Provider ID: 100000758828
(801) 264-4464
NPI: 1497832232
Provider ID: 100000090515
WAPNER, FRANCIS JOHN MD
NPI: 1649360272
1250 E 3900 S #310
65 MARIO CAPECCHI DR
(801) 263-2020
(801) 581-2352
Provider ID: 100000084800
Provider ID: 100000090515
NPI: 1023110681
NPI: 1649360272
WARNER, JUDITH E MD
TESKE, MICHAEL PAUL MD
65 MARIO CAPECCHI DR
201 E 5900 S #201
(801) 581-2352
(801) 268-6408
Provider ID: 100000084649
Provider ID: 100000092804
NPI: 1659461242
NPI: 1376633909
WILCOX,
MICHAEL BLAIR MD
65 MARIO CAPECCHI DR
201
E
5900
S #201
(801) 581-2352
(801)
268-6408
Provider ID: 100000092807
Provider ID: 100000095566
NPI: 1376633909
NPI: 1053391771
755 E 3900 S
WILKINSON, ERNEST LEIGH
(801) 266-2283
MD
Provider ID: 100000092806
4400 S 700 E #100
NPI: 1376633909
THOMPSON, SALLY BARBARA (801) 264-4450
Provider ID: 100000091564
LYNN MD
NPI: 1962512855
5241 S STATE ST #1
WILLIAMS,
LLOYD B MD
(801) 281-3937
2190
S
HIGHLAND
DR
Provider ID: 100000099151
(801)
487-4138
NPI: 1801011499
Provider ID: 100000994651
UNGRICHT, ALBERT LON MD
NPI: 1730333741
5770 S 250 E #410
4878
S HIGHLAND DR
(801) 314-4420
(801)
272-8861
Provider ID: 100000089645
Provider
ID: 100000977188
NPI: 1346327236
NPI: 1730333741
VALENZUELA, REUBEN MD
WINWARD, KIRK EDWARD MD
65 S MARIO CAPECCHI DR
5169 S COTTONWOOD ST #630
(801) 581-3195
(801) 312-2020
Provider ID: 100001101602
Provider ID: 100000087858
NPI: 1922328103
NPI: 1962487611
UTAH (cont'd)
February 12, 2015
160
UTAH
SALT LAKE CITY
OPHTHALMOLOGY
WIROSTKO, BARBARA M MD
65 S MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000701944
NPI: 1326045261
WOLSEY, DARCY H MD
755 E 3900 S
(801) 266-2283
Provider ID: 100000306777
NPI: 1174575153
YOUNG, MARIELLE P MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000717872
NPI: 1033390877
50 N MEDICAL DR
(801) 213-3900
Provider ID: 100000717859
NPI: 1033390877
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000717859
NPI: 1033390877
ZABRISKIE, NORMAN
ANDREW MD
4400 S 700 E
(801) 264-4464
Provider ID: 100000086348
NPI: 1063502656
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000086348
NPI: 1063502656
ZAVODNI, ZACHARY J MD
755 E 3900 S
(801) 266-2283
Provider ID: 100001100838
NPI: 1235371469
UTAH
SALT LAKE CITY
OPTOMETRY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
OPTOMETRY
ANDERSON, STUART IAN OD
34 S 500 E #201
(801) 288-2020
Provider ID: 100000306793
NPI: 1750342564
6095 S FASHION BLVD #110
(801) 262-2020
Provider ID: 100000306793
NPI: 1750342564
BAKER, DONALD ROSS OD
6079 S STATE ST
(801) 685-6200
Provider ID: 100000085183
NPI: 1457438061
BAKER, DONALD WAYNE OD
5675 W 6200 S
(801) 965-0691
Provider ID: 100000246924
NPI: 1942302716
BARNEY, TYLER J OD
2190 S HIGHLAND DR
(801) 487-4138
Provider ID: 100001084926
NPI: 1528268398
BARNEY, WESTON T OD
105 E SOUTH TEMPLE
(801) 568-0200
Provider ID: 100000542973
NPI: 1427210269
BATEMAN, CAMRON J OD
201 E 5900 S #201
(801) 268-6408
Provider ID: 100000110570
NPI: 1902839905
849 E 400 S
(801) 328-2020
Provider ID: 100000110568
NPI: 1902839905
Specialists
Sorted by state, city, specialty, then name
BERNER, TERRY HERSCHEL
OD
250 E BROADWAY
(801) 322-0467
Provider ID: 100000086666
NPI: 1295716538
BIGLER, RICHARD J OD
1134 E 2100 S
(801) 463-2712
Provider ID: 100000256967
NPI: 1235138066
148 E WINCHESTER ST #CD
(801) 269-8804
Provider ID: 100000993346
NPI: 1235138066
BOGUS, WILLIAM J OD
2319 S HIGHLAND DR
(801) 485-1371
Provider ID: 100000089276
NPI: 1265414569
BOYER, DAVID LAMAR OD
3145 S HIGHLAND DR
(801) 485-4474
Provider ID: 100000085602
NPI: 1760559298
BROCKBANK, STEPHEN
RUSSELL OD
2008 S 1100 E
(801) 466-6099
Provider ID: 100000824279
NPI: 1508973397
222 S MAIN ST #110
(801) 456-2020
Provider ID: 100000886759
NPI: 1508973397
6065 S FASHION BLVD #125
(801) 261-0726
Provider ID: 100000811324
NPI: 1508973397
BROWN, MICHAEL D OD
2727 W 3500 S
(801) 968-6772
Provider ID: 100000091153
NPI: 1861541419
161
UTAH
SALT LAKE CITY
OPTOMETRY
BURESH, KARRI ANNE OD
250 E BROADWAY
(801) 322-0467
Provider ID: 100000098349
NPI: 1124009824
CARTER, RANDY BRYAN OD
755 E 3900 S
(801) 266-2283
Provider ID: 100000085486
NPI: 1174569990
CASTLETON, KEITH J OD
1818 S 300 W
(801) 401-1068
Provider ID: 100000796691
NPI: 1730168071
CONKLIN, MICHAEL D OD
192 E 4500 S
(801) 261-2020
Provider ID: 100000521598
NPI: 1013015650
350 W HOPE AVE
(801) 484-8662
Provider ID: 100000249129
NPI: 1013015650
CORRY, ROBERT H OD
1525 W 2100 S
(801) 213-8841
Provider ID: 100000115583
NPI: 1891876686
CUTLER, CRAIG J OD
849 E 400 S
(801) 328-2020
Provider ID: 100000089112
NPI: 1720056161
DEWEY, STEVEN CHARLES OD
5800 S REDWOOD RD
(801) 964-1300
Provider ID: 100000088132
NPI: 1063462810
5959 S STATE ST
(801) 261-1113
Provider ID: 100000088130
NPI: 1063462810
February 12, 2015
UTAH
SALT LAKE CITY
OPTOMETRY
Specialists
Sorted by state, city, specialty, then name
GIBBONS, TIMOTHY LEE OD
1525 W 2100 S
(801) 213-8841
SALT LAKE CITY (cont'd)
Provider ID: 100001069116
NPI: 1700967593
OPTOMETRY (cont'd)
3730 W 4700 S
DUNN, KRISTINE ALLEMAN
(801) 213-9200
OD
Provider ID: 100001069116
5800 S REDWOOD RD
NPI: 1700967593
(801) 964-1300
GILLILAND, RODNEY N OD
Provider ID: 100000550426
2190 S HIGHLAND DR
NPI: 1538110473
(801) 487-4138
DUTSON, THOMAS PAUL REDD
Provider ID: 100000856838
OD
NPI: 1801800016
105 E SOUTH TEMPLE
4878 S HIGHLAND DR
(801) 568-0200
(801) 272-8861
Provider ID: 100000563674
Provider ID: 100000856839
NPI: 1225195548
NPI: 1801800016
FARRELL, SCOTT D OD
GUMMOW, ALAN B OD
1134 E 2100 S
1905 S 300 W
(801) 463-2712
(801) 444-9977
Provider ID: 100000329446
Provider ID: 100000878802
NPI: 1306096979
NPI: 1558550913
4901 S STATE ST #B
HADLOCK, BRENT LEE OD
(801) 281-1001
2190 S HIGHLAND DR
Provider ID: 100001049657
(801) 487-4138
NPI: 1306096979
Provider ID: 100001072136
FINDLAY, MATHEW GENE OD
NPI: 1578648564
126 E 4800 S
4878 S HIGHLAND DR
(801) 262-2411
(801) 272-8861
Provider ID: 100000094255
Provider ID: 100001072153
NPI: 1255391090
NPI: 1578648564
GALEHDARI, NAZANIN OD
HEPWORTH, KURT P OD
166 E 5900 S #B103
6556 S BIG COTTONWOOD CYN
(801) 268-3937
#400
Provider ID: 100000316413
(801) 278-0438
NPI: 1023225851
Provider ID: 100000336991
GAYER, THOMAS ERIC OD
NPI: 1457531428
5770 S 250 E #410
HIMES, RANDALL C OD
(801) 314-4420
4878 S HIGHLAND DR
Provider ID: 100000085691
(801) 272-8861
NPI: 1275624751
Provider ID: 100000863446
NPI: 1144380478
HOLMES, JASON EDWARD OD
5959 S STATE ST
(801) 261-1113
Provider ID: 100000093067
NPI: 1194776005
UTAH (cont'd)
February 12, 2015
162
UTAH
SALT LAKE CITY
OPTOMETRY
HOLT, JUSTIN C OD
3203 S 2300 E
(801) 485-5820
Provider ID: 100000098604
NPI: 1588634521
JOLLEY, JERALD TED OD
1134 E 2100 S
(801) 463-2712
Provider ID: 100000903494
NPI: 1538197330
148 E WINCHESTER ST
(801) 269-8804
Provider ID: 100000266734
NPI: 1538197330
KEISER, JENNIFER OD
192 E 4500 S
(801) 261-2020
Provider ID: 100000887076
NPI: 1275789208
2178 S 900 E #4
(801) 484-2020
Provider ID: 100000607441
NPI: 1275789208
KELLER, ROBERT WARREN
OD
2535 S STATE ST
(801) 466-5611
Provider ID: 100000321276
NPI: 1376503730
KESSLER, JENNIFER L OD
2190 S HIGHLAND DR
(801) 487-4138
Provider ID: 100000811332
NPI: 1811259336
4878 S HIGHLAND DR
(801) 272-8861
Provider ID: 100000811346
NPI: 1811259336
KIMBALL, JORY T OD
2178 S 900 E #4
(801) 484-2020
Provider ID: 100000101424
NPI: 1962592782
KIMBALL, TODD EVAN OD
2178 S 900 E #4
(801) 484-2020
Provider ID: 100000093356
NPI: 1932292281
UTAH
SALT LAKE CITY
OPTOMETRY
Specialists
Sorted by state, city, specialty, then name
MCKAY, MARK ALAN OD
1525 W 2100 S
(801) 213-8841
SALT LAKE CITY (cont'd)
Provider ID: 100000091752
NPI: 1528149317
OPTOMETRY (cont'd)
3730 W 4700 S
KNOWLTON, FRANKLIN
(801) 213-9200
RENNY OD
Provider ID: 100000091752
4400 S 700 E #120
NPI: 1528149317
(801) 264-4406
6360 S 3000 E #270
Provider ID: 100000089088
(801) 585-3937
NPI: 1215095245
Provider ID: 100000091755
LEHMAN, SANDRA JOLENE OD
NPI: 1528149317
3725 W 4100 S
65 MARIO CAPECCHI DR
(801) 965-3479
(801) 581-2352
Provider ID: 100000322504
Provider ID: 100000091755
NPI: 1598708182
NPI: 1528149317
LEISHMAN, BENJAMIN H OD MEYER, DAVID A OD
2190 S HIGHLAND DR
2190 S HIGHLAND DR
(801) 487-4138
(801) 487-4138
Provider ID: 100000785078
Provider ID: 100000564404
NPI: 1942438015
NPI: 1255562740
4878 S HIGHLAND DR
4878 S HIGHLAND DR
(801) 272-8861
(801) 272-8861
Provider ID: 100000785076
Provider ID: 100001014460
NPI: 1942438015
NPI: 1255562740
MARTIN, JOSEPH PERRY OD 65 MARIO CAPECCHI DR
(801) 581-2352
166 E 5900 S #B103
Provider ID: 100001121565
(801) 268-3937
NPI: 1255562740
Provider ID: 100000727683
NPI: 1730390261
MILLET, CURTIS WAYNE OD
2190 S HIGHLAND DR
MARTY, MICHAEL STEPHEN
(801) 487-4138
OD
Provider ID: 100000092157
6525 S STATE ST
NPI: 1497844690
(801) 685-7989
4878 S HIGHLAND DR
Provider ID: 100000086571
(801) 272-8861
NPI: 1497743942
Provider ID: 100000269117
MASIHDAS, DAVID KUMAR OD
NPI: 1497844690
150 S 1000 E #100
MITCHELL, MIKE KENNETH
(801) 363-2851
OD
Provider ID: 100000093374
201 E 5900 S #101
NPI: 1821079989
(801) 268-6600
MCINTOSH, RENEE ANNETT
Provider ID: 100000687725
OD
NPI: 1851362339
105 E SOUTH TEMPLE
(801) 568-0200
Provider ID: 100000345067
NPI: 1003057894
UTAH (cont'd)
163
UTAH
SALT LAKE CITY
OPTOMETRY
MORTENSEN, SPENCER DAVID
OD
3730 W 4700 S
(801) 213-9200
Provider ID: 100000894672
NPI: 1548321078
462 E 100 S
(801) 532-5176
Provider ID: 100000093376
NPI: 1548321078
MURRAY, SHAWN PAGE OD
2290 S 1300 E
(801) 467-8989
Provider ID: 100001172775
NPI: 1437199544
5800 S REDWOOD RD
(801) 964-8100
Provider ID: 100000099806
NPI: 1437199544
NEVERS, MARK W OD
2190 S HIGHLAND DR
(801) 487-4138
Provider ID: 100000815925
NPI: 1366704959
4878 S HIGHLAND DR
(801) 272-8861
Provider ID: 100000815934
NPI: 1366704959
NIELSEN, SHELLY LORRAINE
OD
2190 S HIGHLAND DR
(801) 487-4138
Provider ID: 100000269188
NPI: 1699864801
OLAFSSON, HARALD E OD
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000091178
NPI: 1346321130
PARKINSON, DAVID M OD
105 E SOUTH TEMPLE
(801) 568-0200
Provider ID: 100000813872
NPI: 1568797652
February 12, 2015
UTAH
SALT LAKE CITY
OPTOMETRY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
OPTOMETRY (cont'd)
PARRY, DAVID HOWARD OD
1134 E 2100 S
(801) 463-2712
Provider ID: 100000266738
NPI: 1417046632
POULTER, WILLIAM C OD
201 E 5900 S #201
(801) 268-6408
Provider ID: 100000762718
NPI: 1932360690
ROBISON, SAMUEL POLLARD
OD
6556 S BIG COTTONWOOD CYN
#400
(801) 278-0438
Provider ID: 100000248552
NPI: 1982709937
ROE, FARRELL M OD
2190 S HIGHLAND DR
(801) 487-4138
Provider ID: 100001047454
NPI: 1225104110
4878 S HIGHLAND DR
(801) 272-8861
Provider ID: 100001047483
NPI: 1225104110
SMITH, CRAIG MILTON OD
1525 W 2100 S
(801) 887-2410
Provider ID: 100000092427
NPI: 1073694865
SMITHSON, KERRY LEE OD
5469 S REDWOOD RD
(801) 261-1271
Provider ID: 100000278464
NPI: 1407968969
VANLEEUWEN, CRAIG
WILLIAM OD
5770 S 250 E #410
(801) 314-4420
Provider ID: 100000089468
NPI: 1427149905
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
VINCENT, BRYAN HARLOW
OD
1525 W 2100 S
(801) 213-8841
Provider ID: 100000089152
NPI: 1982785770
3730 W 4700 S
(801) 213-9200
Provider ID: 100000089152
NPI: 1982785770
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000089154
NPI: 1982785770
WATSON, MATTHEW L OD
50 S MAIN ST #115
(801) 359-2260
Provider ID: 100000765510
NPI: 1588990295
6191 S STATE ST #126
(801) 268-0408
Provider ID: 100000735442
NPI: 1588990295
80 S RIO GRANDE ST
(801) 355-8945
Provider ID: 100000765512
NPI: 1588990295
WEIR, DANIEL MARK OD
2290 S 1300 E
(801) 467-8989
Provider ID: 100000089563
NPI: 1578513727
5800 S REDWOOD RD
(801) 964-1300
Provider ID: 100001092270
NPI: 1578513727
5959 S STATE ST
(801) 261-1113
Provider ID: 100000089564
NPI: 1578513727
WOOLDRIDGE, ROBERT P OD
201 E 5900 S #201
(801) 268-6408
Provider ID: 100000086228
NPI: 1013962828
164
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
YARDLEY, RICHARD IRA OD
105 E SOUTH TEMPLE
(801) 568-0200
Provider ID: 100000097157
NPI: 1013018084
ORTHOPEDIC SURGERY
ANNIS, PROKOPIS MD
590 S WAKARA WAY
(801) 587-5450
Provider ID: 100000966896
NPI: 1528403938
AOKI, STEPHEN KENJI MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000262121
NPI: 1295787323
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000262128
NPI: 1295787323
BEALS, TIMOTHY CAMPBELL
MD
50 N MEDICAL DR
(801) 587-7100
Provider ID: 100000092243
NPI: 1306936935
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000092243
NPI: 1306936935
BELDING, JONATHAN MD
590 S WAKARA WAY
(801) 587-5450
Provider ID: 100001131337
NPI: 1275776171
BERRY, ROBERT MICHAEL MD
5770 S 250 E #135
(801) 314-2225
Provider ID: 100000092185
NPI: 1982673505
BOLOGNESI, MICHAEL PAUL
MD
50 N MEDICAL DR
(801) 587-7100
Provider ID: 100000097940
NPI: 1649367384
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
Specialists
Sorted by state, city, specialty, then name
CABLE, MATTHEW G
2000 CIRCLE OF HOPE DR
(801) 585-0303
SALT LAKE CITY (cont'd)
Provider ID: 100001104517
NPI: 1104054832
ORTHOPEDIC SURGERY
50 N MEDICAL DR
(cont'd)
(801) 587-7100
BOURNE, MICHAEL HAL MD
Provider ID: 100001104517
1160 E 3900 S #5000
NPI: 1104054832
(801) 262-8486
590 S WAKARA WAY
Provider ID: 100000089451
(801) 587-7100
NPI: 1073505582
Provider ID: 100001104517
BRODKE, DARREL SCOTT MD
NPI: 1104054832
100 MARIO CAPECCHI DR
CARROLL, KRISTEN LEE MD
(801) 587-5451
100 MARIO CAPECCHI DR
Provider ID: 100000092867
(801) 662-5600
NPI: 1407800311
Provider ID: 100000327598
50 N MEDICAL DR
NPI: 1366407488
(801) 587-7100
CLAWSON, JUNIUS JACKSON
Provider ID: 100000092868
MD
NPI: 1407800311
5770 S 250 E #135
590 S WAKARA WAY
(801) 314-2225
(801) 587-5450
Provider ID: 100000098165
Provider ID: 100000323610
NPI: 1427018761
NPI: 1407800311
COLEMAN, DON AUBREY MD
BRYAN, NATHANIEL
50 N MEDICAL DR
ANTHONY MD
(801) 587-7100
590 S WAKARA WAY
Provider ID: 100000088928
(801) 587-7100
NPI: 1629168216
Provider ID: 100000101385
590 S WAKARA WAY
NPI: 1548204290
(801) 587-7100
BURKS, ROBERT TODNEM MD
Provider ID: 100000088928
546 S CHIPETA WAY #230
NPI: 1629168216
(801) 587-7100
COOPER, ANDREW
Provider ID: 100000086774
DEMONTMOLLIN MD
NPI: 1124118716
82 S 1100 E #303
590 S WAKARA WAY
(801) 533-2002
(801) 587-7100
Provider ID: 100000329676
Provider ID: 100000086774
NPI: 1477547164
NPI: 1124118716
CURTIS, DAVID EARL MD
1250 E 3900 S #440
(801) 261-2232
Provider ID: 100000091337
NPI: 1730222720
UTAH (cont'd)
165
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
ERICKSON, GREGORY A MD
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100001106252
NPI: 1023009370
EVANS, BRUCE GORDON MD
1160 E 3900 S #5000
(801) 262-8486
Provider ID: 100000087704
NPI: 1942292446
FELIX, BRENT ARGYLE MD
1160 E 3900 S #5000
(801) 262-8486
Provider ID: 100000088128
NPI: 1851383350
FERNEY, BRANDON J MD
5848 S FASHION BLVD #110
(801) 743-4500
Provider ID: 100000284863
NPI: 1992786115
FOGG, REED EUGENE MD
5770 S 250 E #135
(801) 314-2225
Provider ID: 100000087084
NPI: 1881663870
FUKUSHIMA, BRIAN WEI-LING
MD
5323 S WOODROW ST #200
(801) 747-1020
Provider ID: 100000097979
NPI: 1073543740
GILILLAND, JEREMY M MD
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000986908
NPI: 1881849669
February 12, 2015
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
Specialists
Sorted by state, city, specialty, then name
HEIDEN, ERIC A MD
6360 S 3000 E #210
(801) 703-8397
SALT LAKE CITY (cont'd)
Provider ID: 100000538408
NPI: 1922098334
ORTHOPEDIC SURGERY
(cont'd)
HEIDEN, KAREN D MD
6360 S 3000 E #210
GREIS, PATRICK EDWARD MD (801) 703-8397
50 N MEDICAL DR
Provider ID: 100000309751
(801) 581-2121
NPI: 1346230760
Provider ID: 100000559324
HICKMAN, JOSHUA
NPI: 1568552164
MCKINNON MD
546 S CHIPETA WAY #230
400 C ST
(801) 587-7100
(801) 295-7200
Provider ID: 100000085981
Provider ID: 100000097968
NPI: 1568552164
NPI: 1821139619
590 S WAKARA WAY
HIGGINS,
THOMAS F MD
(801) 587-7100
50
N
MEDICAL
DR
Provider ID: 100000085981
(801)
587-7100
NPI: 1568552164
Provider ID: 100000094717
GROEBS, ALLEN REINER MD
NPI: 1376598615
5323 S WOODROW ST #200
590
S WAKARA WAY
(801) 747-1020
(801)
587-7100
Provider ID: 100000095759
Provider
ID: 100000094717
NPI: 1841228905
NPI: 1376598615
HANSEN, BENJAMIN J MD
HOFMANN, AARON ADAM MD
1160 E 3900 S #5000
24 S 1100 E #101
(801) 262-8486
(801) 355-6468
Provider ID: 100000714462
Provider ID: 100000559978
NPI: 1811183536
NPI: 1801986401
HANSEN, ROBERT G MD
6360 S 3000 E #100
1250 E 3900 S #440
(801) 355-6468
(801) 261-2232
Provider ID: 100000559978
Provider ID: 100000116179
NPI: 1801986401
NPI: 1598808503
HOHL, JUSTIN B MD
HARDY, JOLENE C MD
5770 S 250 E #135
590 S WAKARA WAY
(801) 314-2225
(801) 587-7100
Provider ID: 100000802124
Provider ID: 100000558068
NPI: 1639371149
NPI: 1225228901
HORWITZ, DANIEL SCOTT MD
HAWES, JUSTIN PATRIC MD
50 N MEDICAL DR
5323 S WOODROW ST #200
(801) 587-7100
(801) 747-1020
Provider ID: 100000084882
Provider ID: 100000098969
NPI: 1174613772
NPI: 1508896226
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000084882
NPI: 1174613772
UTAH (cont'd)
February 12, 2015
166
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
HOWE, DAVID JAMES MD
82 S 1100 E #303
(801) 533-2002
Provider ID: 100000610277
NPI: 1578667226
HUNTSMAN, KADE T MD
1160 E 3900 S #5000
(801) 262-8486
Provider ID: 100000096676
NPI: 1730171232
1220 E 3900 S #1F
(801) 262-5711
Provider ID: 100001096990
NPI: 1730171232
1220 E 3900 S #4E
(801) 261-8507
Provider ID: 100001096990
NPI: 1730171232
HUTCHINSON, DOUGLAS
TRUMAN MD
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000085320
NPI: 1972557825
JACKSON, JEFFREY D MD
1160 E 3900 S #5000
(801) 262-8486
Provider ID: 100000715158
NPI: 1033123179
JACKSON, ROBERT TAYLOR
MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000091215
NPI: 1407959695
JONES, KEVIN B MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000280833
NPI: 1750599114
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000280822
NPI: 1750599114
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
Specialists
Sorted by state, city, specialty, then name
MAAK, TRAVIS G MD
100 MARIO CAPECCHI DR
(801) 662-5600
SALT LAKE CITY (cont'd)
Provider ID: 100000801625
NPI: 1689851354
ORTHOPEDIC SURGERY
590 S WAKARA WAY
(cont'd)
(801) 587-7100
JONES, ROBERT B MD
Provider ID: 100000801608
590 S WAKARA WAY
NPI: 1689851354
(801) 587-7100
MACHEN, MICHAEL S MD
Provider ID: 100001107001
100 MARIO CAPECCHI DR
NPI: 1093957565
(801) 662-5600
KUBIAK, ERIK N MD
Provider ID: 100001121682
590 S WAKARA WAY
NPI: 1366418386
(801) 587-7100
MACKEY, RICHARD B MD
Provider ID: 100000243766
100 MARIO CAPECCHI DR
NPI: 1003825753
(801) 662-5600
LARCOM, PETER GORDON MD
Provider ID: 100000521858
5323 S WOODROW ST #200
NPI: 1992923874
(801) 747-1020
590 S WAKARA WAY
Provider ID: 100000084815
(801) 587-7100
NPI: 1821029869
Provider ID: 100000573599
LAWRENCE, BRANDON D MD
NPI: 1992923874
100 MARIO CAPECCHI DR
MADOM, IAN A MD
(801) 662-5600
590 S WAKARA WAY
Provider ID: 100000555321
(801) 587-7100
NPI: 1659555670
Provider ID: 100000338478
590 S WAKARA WAY
NPI: 1194942078
(801) 587-7100
MAGEE, TREVOR H MD
Provider ID: 100000340931
24 S 1100 E #101
NPI: 1659555670
(801) 355-6468
LERMAN, DANIEL M MD
Provider ID: 100000709717
590 S WAKARA WAY
NPI: 1154543361
(801) 587-7100
6360 S 3000 E #100
Provider ID: 100000967973
(801) 355-6468
NPI: 1508032293
Provider ID: 100000709717
LINDGREN, KEVIN E MD
NPI: 1154543361
590 S WAKARA WAY
MANGELSON, JOHN J MD
(801) 587-7100
590 S WAKARA WAY
Provider ID: 100001106972
(801) 587-7100
NPI: 1467681932
Provider ID: 100001107012
NPI: 1093949620
MARIANI, E MARC MD
1160 E 3900 S #5000
(801) 262-8486
Provider ID: 100000091763
NPI: 1760474266
UTAH (cont'd)
167
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
MARTENS, ERIN J MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100001107866
NPI: 1710115027
50 N MEDICAL DR
(801) 587-7100
Provider ID: 100001106990
NPI: 1710115027
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100001106990
NPI: 1710115027
MARTIN, CHRISTOPHER
HARRIS MD
1160 E 3900 S #5000
(801) 262-8486
Provider ID: 100000085448
NPI: 1891787339
MCCANDLESS, JEREMY B MD
24 S 1100 E #101
(801) 355-6468
Provider ID: 100000558498
NPI: 1700074127
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000338480
NPI: 1700074127
6360 S 3000 E #100
(801) 355-6468
Provider ID: 100000558498
NPI: 1700074127
MCQUEEN, CRAIG HUGH MD
1250 E 3900 S #440
(801) 261-2232
Provider ID: 100000088512
NPI: 1578606562
MILLER, MICHAEL D MD
50 N MEDICAL DR
(801) 587-7100
Provider ID: 100000097831
NPI: 1114005253
MOMBERGER, NATHAN
GLENN MD
5848 S FASHION BLVD #110
(801) 743-4500
Provider ID: 100000094600
NPI: 1467486795
February 12, 2015
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
ORTHOPEDIC SURGERY
(cont'd)
NELSON, RUSSELL LEE MD
5323 S WOODROW ST #200
(801) 713-0606
Provider ID: 100000766682
NPI: 1285628966
NICKISCH, FLORIAN MD
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000116916
NPI: 1598748725
NOVAK, PETER JERRY MD
1160 E 3900 S #5000
(801) 262-8486
Provider ID: 100000086391
NPI: 1104818608
OLSON, PATRICK R MD
5848 S FASHION BLVD #110
(801) 743-4500
Provider ID: 100000810836
NPI: 1811095326
PATEL, ALPESH A MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000254703
NPI: 1639192164
PAULOS, LEON ERNEST MD
6322 S 3000 E #140
(201) 410-0709
Provider ID: 100000856845
NPI: 1992700330
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
PETERS, CHRISTOPHER LEE
MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000729843
NPI: 1407946023
50 N MEDICAL DR
(801) 587-7100
Provider ID: 100000092630
NPI: 1407946023
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000092630
NPI: 1407946023
PETRON, DAVID JAMES MD
50 N MEDICAL DR
(801) 587-7100
Provider ID: 100000086832
NPI: 1881775062
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000086832
NPI: 1881775062
PRICE, SHAWN L MD
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000558243
NPI: 1902023278
RANDALL, ROBERT
LAWRENCE MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000093192
NPI: 1073566717
50 N MEDICAL DR
(801) 587-7100
Provider ID: 100000093193
NPI: 1073566717
RASKIND, JOHN R MD
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100001019625
NPI: 1811093867
RASMUSSEN, GARY LYNN MD
5848 S FASHION BLVD #110
(801) 314-4002
Provider ID: 100000091414
NPI: 1366460420
168
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
ROSEN, MARK ALLEN MD
2295 S FOOTHILL DR
(801) 486-3021
Provider ID: 100000091833
NPI: 1609823426
5911 S FASHION BLVD #100
(801) 269-1333
Provider ID: 100000091832
NPI: 1558546739
ROTHBERG, DAVID L MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100001091822
NPI: 1285888354
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000960995
NPI: 1285888354
SALTZMAN, CHARLES LOUIS
MD
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000101947
NPI: 1962583146
SASSO, LISA M MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000567138
NPI: 1790941581
SCHOLL, MARK DAVID MD
2645 E PARLEYS WAY #5
(801) 424-5042
Provider ID: 100000607580
NPI: 1396713020
SKEDROS, JOHN GREGORY
MD
5323 S WOODROW ST #200
(801) 713-0606
Provider ID: 100000766681
NPI: 1972597730
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
ORTHOPEDIC SURGERY
(cont'd)
SMITH, JOHN TAYLOR MD
1050 E SOUTH TEMPLE
(801) 662-5600
Provider ID: 100000085478
NPI: 1255432001
44 MARIO CAPECCHI DR
(801) 584-8239
Provider ID: 100000085482
NPI: 1255432001
SMITH, MICAH W MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000849637
NPI: 1679730832
SPIKER, WILLIAM R MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100001068763
NPI: 1639324049
590 S WAKARA WAY
(801) 587-5450
Provider ID: 100000963331
NPI: 1639324049
SPINA, NICHOLAS MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100001107885
NPI: 1841422631
590 S WAKARA WAY
(801) 587-5450
Provider ID: 100001106958
NPI: 1841422631
STEVENS, PETER M MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000084827
NPI: 1881649929
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000084825
NPI: 1881649929
Specialists
Sorted by state, city, specialty, then name
STOTTS, ALAN KENDRICK MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000095713
NPI: 1902859473
44 MARIO CAPECCHI DR
(801) 584-8239
Provider ID: 100000095715
NPI: 1902859473
SULLIVAN, CHARLES L MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000251620
NPI: 1619929635
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000108846
NPI: 1619929635
SWANN, RUSSELL P MD
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100001106154
NPI: 1710115639
SYLVESTER, THOMAS J MD
590 S WAKARA WAY
(801) 587-5450
Provider ID: 100000607436
NPI: 1972764561
TASHJIAN, ROBERT Z MD
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000110686
NPI: 1659300044
TORONTO, RUSSELL ALAN MD
6322 S 3000 E #140
(201) 410-0709
Provider ID: 100000707268
NPI: 1528005618
TRAWICK, ROY HALLUM MD
5848 S FASHION BLVD #110
(801) 314-4130
Provider ID: 100000086508
NPI: 1609800945
169
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
TYSER, ANDREW R MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000801623
NPI: 1154596864
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000801598
NPI: 1154596864
WALKER, DEAN NICHOLS MD
3725 W 4100 S
(801) 965-3600
Provider ID: 100000087933
NPI: 1861424012
WANG, ANGELA AMY MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000251613
NPI: 1922198514
1525 W 2100 S
(801) 213-9900
Provider ID: 100000093762
NPI: 1922198514
50 N MEDICAL DR
(801) 587-7100
Provider ID: 100000093763
NPI: 1922198514
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000093763
NPI: 1922198514
WARNER, STEPHEN JOHN MD
5323 S WOODROW ST #200
(801) 747-1020
Provider ID: 100000092110
NPI: 1164453106
WEBBER, NICHOLAS P MD
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000338490
NPI: 1720146640
February 12, 2015
UTAH
SALT LAKE CITY
ORTHOPEDIC SURGERY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
ORTHOPEDIC SURGERY
(cont'd)
WEGNER, NICHOLAS J MD
50 N MEDICAL DR
(801) 587-7100
Provider ID: 100001106979
NPI: 1699917492
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100001106979
NPI: 1699917492
WEST, KRISTOFFER R MD
1220 E 3900 S #1F
(801) 262-5711
Provider ID: 100001015774
NPI: 1285898650
1220 E 3900 S #4E
(801) 261-8507
Provider ID: 100001015774
NPI: 1285898650
WILLIAMS, BENJAMIN G MD
82 S 1100 E #303
(801) 533-2002
Provider ID: 100000964930
NPI: 1013184431
ZIPNICK, RICHARD IRA MD
1250 E 3900 S #440
(801) 261-2232
Provider ID: 100000241522
NPI: 1215917240
ORTHOPEDICS
RICHARDS, DANIEL T DO
3725 W 4100 S
(801) 965-3479
Provider ID: 100000343009
NPI: 1649455403
PAIN MANAGEMENT
BYRNE, ASHLEIGH A MD
1160 E 3900 S #1000
(801) 262-1771
Provider ID: 100001151870
NPI: 1023269537
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
CALL-SCHMIDT, TRACY ANN
APRN
6321 S REDWOOD RD #102
(801) 685-7246
Provider ID: 100000094626
NPI: 1417941196
DUCKWORTH, HEIDI M APRN
6321 S REDWOOD RD #102
(801) 685-7246
Provider ID: 100000568796
NPI: 1043521016
GARG, VIKAS MD
2295 S FOOTHILL DR
(435) 716-9681
Provider ID: 100000998800
NPI: 1104852599
34 S 500 E #202
(801) 582-2011
Provider ID: 100001078892
NPI: 1104852599
4624 S HOLLADAY BLVD
(435) 716-9681
Provider ID: 100000998800
NPI: 1104852599
5801 S FASHION BLVD #120
(801) 262-7246
Provider ID: 100000998800
NPI: 1104852599
6053 FASHION SQUARE DR #100
(435) 716-9681
Provider ID: 100000998800
NPI: 1104852599
GLINES, RICHARD L MD
1250 E 3900 S #30
(801) 268-7725
Provider ID: 100000563139
NPI: 1790794063
MATSUMURA, KYLE SHIGERU
MD
6321 S REDWOOD RD #102
(801) 685-7246
Provider ID: 100000089513
NPI: 1619907490
PULLEY, STEVEN C MD
3838 S 700 E #300A
(801) 261-4988
Provider ID: 100000603962
NPI: 1104037878
170
UTAH
SALT LAKE CITY
PEDIATRIC CARDIOLOGY
RAJAGOPAL, ARUN MD
1200 E 3900 S
(801) 993-9530
Provider ID: 100000098486
NPI: 1942230602
6321 S REDWOOD RD #102
(801) 685-7246
Provider ID: 100000098485
NPI: 1942230602
SHAH, RAJIV RASIK MD
6321 S REDWOOD RD #102
(801) 685-7246
Provider ID: 100000097812
NPI: 1285664185
WEINSTEIN, SHARON MAE MD
546 S CHIPETA WAY #220
(801) 581-6393
Provider ID: 100000084781
NPI: 1831271352
PEDIATRIC CARDIOLOGY
ARRINGTON, CAMMON B MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000117472
NPI: 1700910114
COWLEY, COLLIN GEORGE
MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000094227
NPI: 1598844169
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000094227
NPI: 1598844169
DAY, RONALD WILLIAM MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000089652
NPI: 1780763359
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000089652
NPI: 1780763359
UTAH
SALT LAKE CITY
PEDIATRIC CARDIOLOGY
Specialists
Sorted by state, city, specialty, then name
HOFFMAN, JAMES L MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
SALT LAKE CITY (cont'd)
Provider ID: 100000703156
NPI: 1760687974
PEDIATRIC CARDIOLOGY
81 N MARIO CAPECCHI DR
(cont'd)
(801) 213-3599
ETHERIDGE, SUSAN PAYNE
Provider ID: 100000703156
MD
NPI: 1760687974
100 MARIO CAPECCHI DR #1500 HOSKOPPAL, ARVIND K MD
(801) 662-5400
100 MARIO CAPECCHI DR #1500
Provider ID: 100000085926
(801) 662-5400
NPI: 1952480527
Provider ID: 100001101534
100 N MARIO CAPECCHI DR
NPI: 1841418233
(801) 662-5400
81 N MARIO CAPECCHI DR
Provider ID: 100000777072
(801) 213-3599
NPI: 1952480527
Provider ID: 100001101534
81 N MARIO CAPECCHI DR
NPI: 1841418233
(801) 213-3599
JOU, CHUANCHAU J DO
Provider ID: 100000777072
100 MARIO CAPECCHI DR #1500
NPI: 1952480527
(801) 662-5400
GAMBOA, DAVID G MD
Provider ID: 100000555398
100 N MARIO CAPECCHI DR
NPI: 1104011998
(801) 662-5400
81 N MARIO CAPECCHI DR
Provider ID: 100000984953
(801) 213-3599
NPI: 1942414875
Provider ID: 100000555398
81 N MARIO CAPECCHI DR
NPI: 1104011998
(801) 213-3599
JUDD,
VICTORIA EVANS MD
Provider ID: 100000984953
100
MARIO
CAPECCHI DR #1500
NPI: 1942414875
(801) 662-5400
GRAY, ROBERT G MD
Provider ID: 100000091799
100 MARIO CAPECCHI DR #1500
NPI: 1790864361
(801) 662-5400
555 FOOTHILL DR #1
Provider ID: 100000118177
(801) 581-6432
NPI: 1538283932
Provider ID: 100000091798
81 N MARIO CAPECCHI DR
NPI: 1790864361
(801) 213-3599
81 N MARIO CAPECCHI DR
Provider ID: 100000118177
(801) 213-3599
NPI: 1538283932
Provider ID: 100000091799
GREEN, LARRY S MD
NPI: 1790864361
100 MARIO CAPECCHI DR
(801) 622-1000
Provider ID: 100000280893
NPI: 1982635843
UTAH (cont'd)
171
UTAH
SALT LAKE CITY
PEDIATRIC CARDIOLOGY
LAL, ASHWIN K MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100001107848
NPI: 1437329976
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100001107848
NPI: 1437329976
MART, CHRISTOPHER ROBIN
MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000098374
NPI: 1346329810
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000098374
NPI: 1346329810
MARTIN, MARY H MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000808794
NPI: 1033311071
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000808794
NPI: 1033311071
MILLER, THOMAS A DO
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100001100750
NPI: 1780883405
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100001100750
NPI: 1780883405
MINICH, LOIS LUANN MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000085178
NPI: 1578642146
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000085178
NPI: 1578642146
February 12, 2015
UTAH
SALT LAKE CITY
PEDIATRIC CARDIOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PEDIATRIC CARDIOLOGY
(cont'd)
PILCHER, THOMAS A MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000274441
NPI: 1437247582
100 N MARIO CAPECCHI DR
(801) 662-5400
Provider ID: 100000777079
NPI: 1437247582
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000777079
NPI: 1437247582
PINTO, NELANGI M MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000244070
NPI: 1871616227
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000244070
NPI: 1871616227
PUCHALSKI, MICHAEL DAVID
MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000095686
NPI: 1639258106
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000095686
NPI: 1639258106
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
SAAREL, ELIZABETH VICKERS
MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000101730
NPI: 1780763250
100 N MARIO CAPECCHI DR
(801) 662-5400
Provider ID: 100000777075
NPI: 1780763250
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000777075
NPI: 1780763250
SU, JASON THOMAS DO
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000098915
NPI: 1427137991
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000098915
NPI: 1427137991
TANI, LLOYD YASUO MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000093039
NPI: 1326127994
TRISTANI-FIROUZI, MARTIN
MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000086131
NPI: 1669551230
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000086131
NPI: 1669551230
WILLIAMS, RICHARD
VINCENT MD
100 MARIO CAPECCHI DR #1500
(801) 662-5400
Provider ID: 100000085354
NPI: 1578642047
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000085354
NPI: 1578642047
172
UTAH
SALT LAKE CITY
PEDIATRIC ENDOCRINOLOGY
PEDIATRIC EAR NOSE,
THROAT
MEIER, JEREMY D MD
100 N MARIO CAPECCHI DR
(801) 662-1000
Provider ID: 100000696831
NPI: 1225012610
PEDIATRIC
ENDOCRINOLOGY
COULDWELL, MARIE F MD
100 N MARIO CAPECCHI DR
(801) 622-2830
Provider ID: 100000097417
NPI: 1083793558
615 S ARAPEEN DR #100
(801) 313-7711
Provider ID: 100000097416
NPI: 1083793558
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000097417
NPI: 1083793558
DONALDSON, DAVID
LIVINGSTON MD
100 N MARIO CAPECCHI DR
(801) 622-2830
Provider ID: 100000089278
NPI: 1063584290
44 N MARIO CAPECCHI DR
(801) 581-1264
Provider ID: 100000089278
NPI: 1063584290
615 S ARAPEEN DR #100
(801) 313-7711
Provider ID: 100000089277
NPI: 1063584290
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100001117701
NPI: 1063584290
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
PEDIATRIC HEMATOLOGY/ONCOLOGY
PEDIATRIC ENDOCRINOLOGY
UTAH (cont'd)
PEDIATRIC
GASTROENTEROLOGY
SALT LAKE CITY (cont'd)
GUTHERY, STEPHEN
LEONARD MD
PEDIATRIC
100 MARIO CAPECCHI DR #2650
ENDOCRINOLOGY (cont'd)
(801) 662-2900
FOSTER, CAROL MARVEL MD
Provider ID: 100000096510
100 N MARIO CAPECCHI DR
NPI: 1801975370
(801) 622-2830
81 N MARIO CAPECCHI DR
Provider ID: 100000101725
(801) 213-3599
NPI: 1871672345
Provider ID: 100000096510
615 S ARAPEEN DR #100
NPI: 1801975370
(801) 581-7761
JENSEN, MICHAEL K MD
Provider ID: 100000101725
100 MARIO CAPECCHI DR #2650
NPI: 1871672345
(801) 662-2900
81 N MARIO CAPECCHI DR
Provider ID: 100000703168
(801) 213-3599
NPI: 1154480507
Provider ID: 100000101725
81 N MARIO CAPECCHI DR
NPI: 1871672345
(801) 213-3599
LINDSAY, ALAN ROB N MD
Provider ID: 100000703168
1060 E 100 S #400
NPI: 1154480507
(801) 355-4316
MIZELL JR, LOUIS LEE MD
Provider ID: 100000091389
5770 S 250 E #330
NPI: 1538281050
(801) 314-4455
MURRAY, MARY ANN MD
Provider ID: 100000086469
100 N MARIO CAPECCHI DR
NPI: 1851396964
(801) 622-2830
O'GORMAN, MOLLY ANN MD
Provider ID: 100000096640
100 MARIO CAPECCHI DR #2650
NPI: 1427097237
(801) 662-2900
615 S ARAPEEN DR #100
Provider ID: 100000084910
(801) 581-7761
NPI: 1144339391
Provider ID: 100000096640
81 N MARIO CAPECCHI DR
NPI: 1427097237
(801) 213-3599
81 N MARIO CAPECCHI DR
Provider ID: 100000084910
(801) 213-3599
NPI: 1144339391
Provider ID: 100001117280
PATEL, RAZA A MD
NPI: 1427097237
100 MARIO CAPECCHI DR #2650
(801) 662-2900
Provider ID: 100000703193
NPI: 1831340231
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000703193
NPI: 1831340231
173
POHL, JOHN F MD
100 MARIO CAPECCHI DR #2650
(801) 662-2900
Provider ID: 100000334610
NPI: 1942261755
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000334610
NPI: 1942261755
PEDIATRIC GENETICS
BATY, BONNIE J CGC
100 N MARIO CAPECCHI DR
(801) 581-8943
Provider ID: 100000760526
NPI: 1063401974
BOTTO, LORENZO D MD
100 N MARIO CAPECCHI DR
(801) 581-8943
Provider ID: 100000241867
NPI: 1982819645
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000241867
NPI: 1982819645
DENT, KARIN M CGC
100 N MARIO CAPECCHI DR
(801) 581-8943
Provider ID: 100000760528
NPI: 1528103751
PALUMBOS, JANICE C CGC
100 N MARIO CAPECCHI DR
(801) 581-8943
Provider ID: 100000760530
NPI: 1639213432
PEDIATRIC HEMATOLOGY/
ONCOLOGY
AFIFY, ZEINAB A M MD
100 MARIO CAPECCHI DR #4100
(801) 662-4700
Provider ID: 100001121708
NPI: 1174602643
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
PEDIATRIC HEMATOLOGY/ONCOLOGY
PULSIPHER, MICHAEL ALLEN
MD
100 MARIO CAPECCHI DR #4100
SALT LAKE CITY (cont'd)
(801) 662-4700
Provider ID: 100000088266
PEDIATRIC HEMATOLOGY/
NPI: 1932150315
ONCOLOGY (cont'd)
1950 CIRCLE OF HOPE DR
BOYER, MICHAEL W MD
(801) 585-0100
100 MARIO CAPECCHI DR #4100
Provider ID: 100000285626
(801) 662-4700
NPI: 1932150315
Provider ID: 100000108476
RAETZ, ELIZABETH A MD
NPI: 1598763112
100 MARIO CAPECCHI DR #4
1950 CIRCLE OF HOPE DR
(801) 662-4700
(801) 585-0100
Provider ID: 100001029139
Provider ID: 100000285620
NPI: 1306830534
NPI: 1598763112
100 MARIO CAPECCHI DR #4100
DIETZ, ANDREW C MD
(801) 662-4700
100 MARIO CAPECCHI DR #4
Provider ID: 100001121724
(801) 662-4700
NPI: 1306830534
Provider ID: 100001101393
SCHIFFMAN, JOSHUA D MD
NPI: 1700992443
100 MARIO CAPECCHI DR #4
100 MARIO CAPECCHI DR #4100
(801) 662-4700
(801) 662-4700
Provider ID: 100000290276
Provider ID: 100001107895
NPI: 1639361314
NPI: 1700992443
2000 CIRCLE OF HOPE DR
ENGEL, MICHAEL E MD
(801) 587-4745
100 MARIO CAPECCHI DR #4
Provider ID: 100000290276
(801) 662-4700
NPI: 1639361314
Provider ID: 100000566780
SPRAKER, HOLLY L MD
NPI: 1215046321
100 MARIO CAPECCHI DR #4
FLUCHEL, MARK N MD
(801) 662-4700
100 MARIO CAPECCHI DR #4
Provider ID: 100000545564
(801) 662-4700
NPI: 1235385832
Provider ID: 100000243814
WRIGHT, JENNIFER A MD
NPI: 1972723286
100 MARIO CAPECCHI DR #4
MEEKER, NATHAN D MD
(801) 662-4700
100 MARIO CAPECCHI DR #4
Provider ID: 100000245456
(801) 662-4700
NPI: 1871703140
Provider ID: 100000274283
1950 CIRCLE OF HOPE DR
NPI: 1003087735
(801) 585-3229
Provider ID: 100000990830
NPI: 1871703140
UTAH (cont'd)
February 12, 2015
174
UTAH
SALT LAKE CITY
PEDIATRIC NEPHROLOGY
PEDIATRIC IMMUNOLOGY
HILL, HARRY RAYMOND MD
100 MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000869788
NPI: 1366532962
50 N MEDICAL DR
(801) 581-2507
Provider ID: 100000869792
NPI: 1366532962
INMAN, CHRISTI J MD
100 MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000344473
NPI: 1952412397
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000344473
NPI: 1952412397
PEDIATRIC INFECTIOUS
DISEASES
BLASCHKE-BONKOWSKY,
ANNE J MD
50 N MEDICAL DR
(801) 588-2000
Provider ID: 100000108861
NPI: 1760435325
81 N MARIO CAPECCHI DR
(801) 581-6791
Provider ID: 100000108861
NPI: 1760435325
HERSH, ADAM L MD
100 N MARIO CAPECCHI DR
(801) 581-6791
Provider ID: 100000569253
NPI: 1487970554
PEDIATRIC NEPHROLOGY
GRINSELL, MATTHEW M MD
100 N MARIO CAPECCHI DR
(801) 581-7609
Provider ID: 100000243959
NPI: 1346364429
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000243959
NPI: 1346364429
UTAH
SALT LAKE CITY
PEDIATRIC NEPHROLOGY
Specialists
Sorted by state, city, specialty, then name
UTAH
SALT LAKE CITY
PEDIATRIC OPHTHALMOLOGY
BUTTERFIELD, RUSSELL J MD
100 N MARIO CAPECCHI DR
(801) 587-7575
SALT LAKE CITY (cont'd)
Provider ID: 100000334580
NPI: 1639352321
PEDIATRIC NEPHROLOGY
175 N MEDICAL DR
(cont'd)
(801) 585-7575
SEAMON, MEREDITH L MD
Provider ID: 100000824485
100 N MARIO CAPECCHI DR
NPI: 1639352321
(801) 587-7575
50 N MEDICAL DR
Provider ID: 100000824401
(801) 585-0262
NPI: 1053357251
Provider ID: 100000612717
81 N MARIO CAPECCHI DR
NPI: 1639352321
(801) 213-3599
81 N MARIO CAPECCHI DR
Provider ID: 100000824401
(801) 213-3599
NPI: 1053357251
Provider ID: 100000334580
NPI: 1639352321
PEDIATRIC NEUROLOGICAL
EKSTRAND,
JEFFREY J MD
SURGERY
100 N MARIO CAPECCHI DR
KESTLE, JOHN RICHARD WE
(801) 587-7575
MD
Provider ID: 100000248053
100 N MARIO CAPECCHI DR
NPI: 1477755155
(801) 662-5340
81 N MARIO CAPECCHI DR
Provider ID: 100001083183
(801) 213-3599
NPI: 1871683474
Provider ID: 100000248053
50 N MEDICAL DR
NPI: 1477755155
(801) 581-6908
SAKONJU, AI D MD
Provider ID: 100001083239
100 N MARIO CAPECCHI DR
NPI: 1871683474
(801) 587-7575
Provider ID: 100000300193
PEDIATRIC NEUROLOGY
NPI: 1902959323
BARKAN, HELEN I MD
81
N MARIO CAPECCHI DR
100 N MARIO CAPECCHI DR
(801)
213-3599
(801) 587-7575
Provider
ID: 100000300193
Provider ID: 100000684176
NPI:
1902959323
NPI: 1093898918
SWENEY, MATTHEW T MD
100 N MARIO CAPECCHI DR
(801) 587-7575
Provider ID: 100000703207
NPI: 1568581551
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000703207
NPI: 1568581551
UTAH (cont'd)
175
THOMPSON, JOEL ADRIAN MD
44 MARIO CAPECCHI DR
(801) 584-8239
Provider ID: 100000087802
NPI: 1912071093
ZIELINSKI, BRANDON A MD
100 N MARIO CAPECCHI DR
(801) 587-7575
Provider ID: 100000556903
NPI: 1154539112
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000556903
NPI: 1154539112
PEDIATRIC
OPHTHALMOLOGY
HARTNETT, MARY E MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000703450
NPI: 1871507020
PATEL, BHUPENDRA C K MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000684206
NPI: 1366436412
ZABRISKIE, NORMAN
ANDREW MD
100 N MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000607438
NPI: 1063502656
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
PEDIATRIC ORTHOPEDIC SURGERY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PEDIATRIC ORTHOPEDIC
SURGERY
HEFLIN, JOHN A MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000977480
NPI: 1588840102
44 MARIO CAPECCHI DR
(801) 536-8808
Provider ID: 100001101957
NPI: 1588840102
FAIRFAX RD @ VIRGINIA ST
(801) 536-3714
Provider ID: 100001151247
NPI: 1588840102
HENNESSEY, THERESA A MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000334585
NPI: 1699826693
KLATT, JOSHUA W MD
44 MARIO CAPECCHI DR
(801) 584-8239
Provider ID: 100000288468
NPI: 1063683209
PEDIATRIC ORTHOPEDICS
WOICZIK, MARCELLA R MD
100 MARIO CAPECCHI DR
(801) 662-5600
Provider ID: 100000334615
NPI: 1053408708
FAIRFAX RD & VIRGINIA ST
(801) 662-5600
Provider ID: 100000334615
NPI: 1053408708
February 12, 2015
PEDIATRIC PULMONOLOGY
MCGINLEY, BRIAN M MD
100 MARIO CAPECCHI DR
(801) 662-1780
Provider ID: 100001100686
NPI: 1790737708
100 N MARIO CAPECCHI DR
(801) 622-1790
Provider ID: 100001100712
NPI: 1790737708
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100001100712
NPI: 1790737708
TAN, CHEE C MD
100 N MARIO CAPECCHI DR
(801) 622-1790
Provider ID: 100000968145
NPI: 1114185915
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000968145
NPI: 1114185915
UCHIDA, DEREK AKIO MD
100 N MARIO CAPECCHI DR
(801) 622-1790
Provider ID: 100000093159
NPI: 1396824967
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000093159
NPI: 1396824967
UTAH
SALT LAKE CITY
PHYSICAL MEDICINE AND
REHABILITATION
MEYERS, REBECKA LOUISE
MD
100 MARIO CAPECCHI DR #2600
(801) 662-2950
Provider ID: 100000092298
NPI: 1902996515
ROLLINS, MICHAEL D MD
100 MARIO CAPECCHI DR #2600
(801) 662-2950
Provider ID: 100000117541
NPI: 1770707713
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000117541
NPI: 1770707713
PEDIATRIC UROLOGY
DEVRIES, CATHERINE RHU
MD
100 N MARIO CAPECCHI DR
(801) 662-5555
Provider ID: 100000094765
NPI: 1144310731
PHYSICAL MEDICINE AND
REHABILITATION
ADLER, ZOE A MD
24 S 1100 E #101
(801) 355-6468
Provider ID: 100000810013
NPI: 1639323462
6360 S 3000 E #100
(801) 355-6468
Provider ID: 100000810013
PEDIATRIC SURGERY
NPI: 1639323462
DOWNEY JR, EARL COURTNEY BALBIERZ, JANET MARIE MD
MD
166 E 5900 S #B106
100 MARIO CAPECCHI DR #2600
(801) 743-6444
(801) 662-2950
Provider ID: 100000030072
Provider ID: 100000095561
NPI: 1437113339
NPI: 1225119019
BOWEN, BRENT JAMES MD
FENTON, STEPHEN J MD
5770 S 250 E #235
100 MARIO CAPECCHI DR #2600
(801) 314-2362
(801) 662-2950
Provider ID: 100000087582
Provider ID: 100001101515
NPI: 1780644054
NPI: 1649490228
176
Specialists
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
PHYSICAL MEDICINE AND REHABILITATION
DAY, CARLY E MD
50 N MEDICAL DR
(801) 581-2267
SALT LAKE CITY (cont'd)
Provider ID: 100000558116
NPI: 1215149810
PHYSICAL MEDICINE AND
REHABILITATION (cont'd)
DELUIGI, ARTHUR J MD
50 N MEDICAL DR
CHO, HANNAH H MD
(801) 581-2268
2295 S FOOTHILL DR
Provider ID: 100000117533
(801) 486-3021
NPI: 1497861363
Provider ID: 100001007057
EDGLEY, STEVEN R MD
NPI: 1427258243
50 N MEDICAL DR
6360 S 3000 E #100
(801) 581-2267
(801) 365-1032
Provider ID: 100000108798
Provider ID: 100001007056
NPI: 1770537011
NPI: 1427258243
GOLDSTON
JR, EDGAR
CHUNG, MICHAEL BYUNGHAK
CLINTON
MD
MD
175 N MEDICAL DR E
5872 S 900 E #250
(801) 581-6909
(801) 314-2308
Provider ID: 100000257709
Provider ID: 100000085659
NPI: 1942492079
NPI: 1336364306
GOOCH, JUDITH LINETTE MD
CUNNIFF, JOSEPH G DO
5770 S 250 E #405
50 N MEDICAL DR
(801) 314-2100
(801) 581-2267
Provider ID: 100000781131
Provider ID: 100000616454
NPI: 1437268588
NPI: 1013980119
FAIRFAX RD @ VIRGINIA ST
CUSHMAN, DANIEL MD
(801) 536-3714
50 N MEDICAL DR
Provider ID: 100001103157
(801) 581-2267
NPI: 1437268588
Provider ID: 100001100330
GREEN,
MICHAEL M DO
NPI: 1588985014
50 N MEDICAL DR
DALL, JOEL TRACY MD
(801) 581-2267
1160 E 3900 S #5000
Provider ID: 100000978427
(801) 262-8486
NPI: 1063665719
Provider ID: 100000089968
HANSEN, COLBY R MD
NPI: 1992707657
50 N MEDICAL DR
DAVIS, ALAN M MD
(801) 581-2267
1050 E SOUTH TEMPLE
Provider ID: 100000332443
(801) 350-5111
NPI: 1245429018
Provider ID: 100000085171
81 N MARIO CAPECCHI DR
NPI: 1528148426
(801) 213-3599
50 N MEDICAL DR
Provider ID: 100000590090
(801) 350-4310
NPI: 1245429018
Provider ID: 100000085172
NPI: 1528148426
UTAH (cont'd)
177
UTAH
SALT LAKE CITY
PHYSICAL MEDICINE AND
REHABILITATION
HANSEN, PAMELA ANN MD
50 N MEDICAL DR
(801) 581-2267
Provider ID: 100000097698
NPI: 1649360249
HENRIE, ARLAN M DO
1525 W 2100 S
(801) 213-8841
Provider ID: 100000556648
NPI: 1235168592
50 N MEDICAL DR
(801) 581-2267
Provider ID: 100000556634
NPI: 1235168592
HONG, JUSTIN S MD
50 N MEDICAL DR
(801) 581-2267
Provider ID: 100000801341
NPI: 1912161431
KENDALL, RICHARD WILLIAM
DO
1355 S FOOTHILL DR
(801) 585-5678
Provider ID: 100000096727
NPI: 1508956103
50 N MEDICAL DR
(801) 581-2267
Provider ID: 100000096727
NPI: 1508956103
590 S WAKARA WAY
(801) 587-7100
Provider ID: 100000096727
NPI: 1508956103
LEWELT, AGA J MD
50 N MEDICAL DR
(801) 581-7985
Provider ID: 100000695205
NPI: 1013120294
MILLER, GREGORY JAMES MD
3838 S 700 E #100
(801) 269-0231
Provider ID: 100000087558
NPI: 1225089790
MURPHY, NANCY ALICE MD
100 N MARIO CAPECCHI DR
(801) 581-2205
Provider ID: 100000737602
NPI: 1922117977
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
PHYSICAL MEDICINE AND REHABILITATION
ROBERTS, SCOTT T MD
50 N MEDICAL DR
(801) 581-2268
SALT LAKE CITY (cont'd)
Provider ID: 100000117390
NPI: 1457480535
PHYSICAL MEDICINE AND
REHABILITATION (cont'd)
ROSENBLUTH, JEFFREY PAUL
MD
NEWBY, CYNTHIA A APRN
50 N MEDICAL DR
2730 E 3300 S
(801) 581-2267
(801) 487-0896
Provider ID: 100000095711
Provider ID: 100000314003
NPI: 1578653192
NPI: 1558484808
SAWCHUK, TERRY
3855 S 700 E
CONSTANTINE MD
(801) 268-4766
5770 S 250 E #135
Provider ID: 100000314003
(801) 314-2225
NPI: 1558484808
Provider ID: 100000086819
50 N MEDICAL DR
NPI: 1164481008
(801) 581-2267
SCHWARTZ,
MARIA A MD
Provider ID: 100000295326
5691
S
SHADY
FARM LN
NPI: 1558484808
(801)
590-8118
NEWTON, BRUCE YOUNG MD
Provider ID: 100000539246
1160 E 3900 S #5000
NPI: 1366532988
(801) 262-8486
SOHAGIA, KINJAL B MD
Provider ID: 100000090207
555 FOOTHILL DR #301
NPI: 1679565170
(801) 585-5382
OKI, ALLISON MD
Provider ID: 100000506627
50 N MEDICAL DR
NPI: 1013174523
(801) 581-2267
SPEED,
JOHN MD
Provider ID: 100000344362
50
N
MEDICAL
DR
NPI: 1063689750
(801)
581-2267
81 N MARIO CAPECCHI DR
Provider ID: 100000086172
(801) 213-3599
NPI: 1326138959
Provider ID: 100000695211
SUCH-NEIBAR, TERESA LYNN
NPI: 1063689750
PARRY, RICHARD WRIGHT MD DO
50 N MEDICAL DR
50 N MEDICAL DR
(801) 364-0370
(801) 581-2268
Provider ID: 100000085143
Provider ID: 100000101191
NPI: 1013924158
NPI: 1609955178
81
N MARIO CAPECCHI DR
RANDLE, JEFFREY GRAFF MD
(801)
213-3599
1160 E 3900 S #5000
Provider
ID: 100000695212
(801) 262-8486
NPI:
1013924158
Provider ID: 100000090149
WEBSTER, JOSEPH BRADLEY
NPI: 1063404424
MD
1525 W 2100 S
(801) 213-8841
Provider ID: 100000255896
NPI: 1386734978
UTAH (cont'd)
February 12, 2015
178
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
WITTER, DAVID M MD
3725 W 4100 S
(801) 965-3600
Provider ID: 100000108923
NPI: 1518992510
ZAMAN, FAISEL MOHAMMED
MD
5770 S 250 E #235
(801) 716-5303
Provider ID: 100000101362
NPI: 1659330504
PHYSICAL THERAPY
ABERTON, MARK JOHN RPT
1160 E 3900 S #5000
(801) 262-8486
Provider ID: 100000090010
NPI: 1295713238
ADDISON, ODESSA RENE RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000101616
NPI: 1396774253
ALBIN, STEPHANIE R RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001053590
NPI: 1528140530
ALLEN, MELISSA K PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000101920
NPI: 1861410144
ALZNER, SHARON LYNN PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000097322
NPI: 1437226693
ANDERSON, MARK DAVID PT
4624 S HOLLADAY BLVD
(801) 277-1028
Provider ID: 100000098119
NPI: 1790889889
508 E SOUTH TEMPLE #100
(801) 521-9222
Provider ID: 100000098119
NPI: 1790889889
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PHYSICAL THERAPY (cont'd)
ANYAN, WALKER R PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000099514
NPI: 1659389823
BAER, LAWRENCE LOGAN
RPT
1327 E 2100 S APT 101
(801) 484-6099
Provider ID: 100000521753
NPI: 1346234010
5323 S WOODROW ST #204
(801) 713-0610
Provider ID: 100000521753
NPI: 1346234010
823 E 400 S
(801) 363-3918
Provider ID: 100000521753
NPI: 1346234010
BALLARD, DOUGLAS JAMES
RPT
520 S WAKARA WAY #302
(801) 756-7200
Provider ID: 100000090552
NPI: 1013925197
BARCK, LYNN L RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000094957
NPI: 1164430245
546 S CHIPETA WAY #230
(801) 581-2121
Provider ID: 100000094957
NPI: 1164430245
Specialists
Sorted by state, city, specialty, then name
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
BARTLETT, STEVEN B RPT
BLACK, KRISTEN RPT
1950 E 7000 S
50 N MEDICAL DR
(801) 943-1041
(801) 581-2121
Provider ID: 100000716169
Provider ID: 100000569258
NPI: 1134334287
NPI: 1013223148
441 S REDWOOD RD
BLAKE, BEVAN D RPT
(801) 975-1403
370 E SOUTH TEMPLE #250
Provider ID: 100000323558
(801) 755-9186
NPI: 1134334287
Provider ID: 100000810855
BARTON, LANCE R PT
NPI: 1114928868
590 S WAKARA WAY
BOIS, PIERRE P RPT
(801) 581-2121
1160 E 3900 S #5000
Provider ID: 100001127257
(801) 262-8486
NPI: 1154733566
Provider ID: 100000094998
BAUERKEMPER, JESSICA N PT
NPI: 1720067796
2295 S FOOTHILL DR
BOOTH, TRAVIS S PT
(801) 486-7542
1950 E 7000 S
Provider ID: 100001137305
(801) 943-1041
NPI: 1649670878
Provider ID: 100000716171
6360 S 3000 E #125
NPI: 1134160252
(801) 947-8449
441 S REDWOOD RD
Provider ID: 100001137312
(801) 975-1403
NPI: 1649670878
Provider ID: 100000716141
BAY, BRIAN W RPT
NPI: 1134160252
4624 S HOLLADAY BLVD
BOWEN, JENNIFER L RPT
(801) 277-1028
50 N MEDICAL DR
Provider ID: 100000811695
(801) 581-2121
NPI: 1437406576
Provider ID: 100000245482
BECKSTRAND, JARED RPT
NPI: 1821264144
508 E SOUTH TEMPLE #100
BRADFORD, MISHA RPT
(801) 521-9222
50 N MEDICAL DR
Provider ID: 100000549244
(801) 581-2733
NPI: 1477871754
Provider ID: 100000094960
BELTRAMO, DAVID A PT
NPI: 1710090733
50 N MEDICAL DR
590 S WAKARA WAY
(801) 581-2121
(801) 587-7100
Provider ID: 100001127249
Provider ID: 100000094960
NPI: 1346640687
NPI: 1710090733
BENSON, DOUG W RPT
BRADY, MARGO JONES RPT
50 N MEDICAL DR
5151 S 900 E #100
(801) 581-2121
(801) 261-3321
Provider ID: 100000245478
Provider ID: 100000089763
NPI: 1437338852
NPI: 1104827849
BIDDLE JR, LYLE N RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000556295
NPI: 1699095455
179
February 12, 2015
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
Specialists
Sorted by state, city, specialty, then name
CASPER, JOHN T PT
50 N MEDICAL DR
(801) 581-2121
SALT LAKE CITY (cont'd)
Provider ID: 100000779086
NPI: 1730109760
PHYSICAL THERAPY (cont'd)
CERVANTEZ, ROBERT DANIEL
BROWN, TODD ELLIOT PT
RPT
1950 E 7000 S
2645 E PARLEYS WAY #6
(801) 943-1041
(435) 645-9095
Provider ID: 100000095130
Provider ID: 100000093874
NPI: 1093708166
NPI: 1205981628
441 S REDWOOD RD
CHRASTIL, CRYSTAL A RPT
(801) 975-1403
50 N MEDICAL DR
Provider ID: 100000716131
(801) 297-4891
NPI: 1093708166
Provider ID: 100000742884
BULANON, MILLARD E RPT
NPI: 1942597968
50 N MEDICAL DR
CHUNG,
JENNIFER ERZSEBET
(801) 581-2885
PT
Provider ID: 100000098892
50 N MEDICAL DR
NPI: 1700999752
(801) 581-2885
BUTLER, BONNIE ROSS RPT
Provider ID: 100000095809
5151 S 900 E #100
NPI: 1659480465
(801) 261-3321
CHUNG-HOON, EDWIN K PT
Provider ID: 100000093854
50
N MEDICAL DR
NPI: 1255332938
(801) 581-2121
CAMPBELL, BRANDI NICHOLE
Provider ID: 100000117546
PT
NPI: 1770997553
50 N MEDICAL DR
CLARK,
JILLIAN S RPT
(801) 581-2365
50
N
MEDICAL
DR
Provider ID: 100000095363
(801)
581-2121
NPI: 1093018822
Provider ID: 100000094964
CARSON, RANDY J RPT
NPI: 1225056591
50 N MEDICAL DR
CLARK, RANDY K PT
(801) 581-2121
1952 E 7000 S #100
Provider ID: 100000094961
(801) 942-3311
NPI: 1063525061
Provider ID: 100000751225
CARTER, DAVID S RPT
NPI: 1932494291
546 S CHIPETA WAY #230
CLARKE,
JENNIFER L PT
(801) 581-7505
50
N
MEDICAL
DR
Provider ID: 100000094962
(801)
581-2121
NPI: 1598835761
Provider ID: 100000750005
590 S WAKARA WAY
NPI: 1235412636
(801) 587-7109
COHEE, KIMBERLY PUTTUCK
Provider ID: 100000094962
RPT
NPI: 1598835761
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000094967
NPI: 1396850103
UTAH (cont'd)
February 12, 2015
180
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
CONNOR, KATHRYN E RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000278955
NPI: 1437319548
COOPER, CARRIE A PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001124153
NPI: 1992104046
CRANDALL, STEVEN G RPT
5151 S 900 E #100
(801) 261-3321
Provider ID: 100000096699
NPI: 1154322816
CUISON, AMBROSE J PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000823655
NPI: 1285915389
CZOP, JOSEPH F PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000093916
NPI: 1710165477
DAHLGREN, KRISTINA A PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000111980
NPI: 1255480539
DANGERFIELD, TAMMY
ANGELINE RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000095171
NPI: 1326178807
546 S CHIPETA WAY #230
(801) 581-2121
Provider ID: 100000095171
NPI: 1326178807
DEGRENDELE, LIBBY REESE
PT
50 N MEDICAL DR
(801) 581-2267
Provider ID: 100000097610
NPI: 1750430666
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
Specialists
Sorted by state, city, specialty, then name
FARNSWORTH, CHERYL ANN
RPT
1151 E 3900 S #B199
SALT LAKE CITY (cont'd)
(801) 685-9212
Provider ID: 100000268545
PHYSICAL THERAPY (cont'd)
NPI: 1720089485
DELAP, AMY C RPT
702 E SOUTH TEMPLE #102
6360 S 3000 E #210
(801) 328-8535
(801) 869-1975
Provider ID: 100000279295
Provider ID: 100000299609
NPI: 1720089485
NPI: 1679783013
FEIG, JOHN W RPT
DOWLING, NATHAN E RPT
6069 S HIGHLAND DR #4
50 N MEDICAL DR
(801) 944-1209
(801) 581-2121
Provider ID: 100000254307
Provider ID: 100000887516
NPI: 1245243864
NPI: 1851613426
FELIX, MITCHELL W RPT
DRENKER, CONNIE ANN PT
441 S REDWOOD RD
50 N MEDICAL DR
(801) 975-1403
(801) 581-2121
Provider ID: 100000545598
Provider ID: 100000095365
NPI: 1144213216
NPI: 1932318557
FELIX, TRAVIS D PT
DYER, DAVID M PT
4031 S MAIN ST
1160 E 3900 S #5000
(801) 263-2063
(801) 262-8486
Provider ID: 100001128990
Provider ID: 100000113752
NPI: 1124388558
NPI: 1346329042
FENSTERMAKER, CHARLES A
ERICSON, DONALD M MD
RPT
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-2267
(801) 297-4891
Provider ID: 100000954704
Provider ID: 100000742861
NPI: 1477796944
NPI: 1851673529
ESPLIN, JARED FRANKLIN RPT FINK, BARBARA PONTZER RPT
1525 W 2100 S
546 S CHIPETA WAY #230
(801) 887-2400
(801) 581-7505
Provider ID: 100000095052
Provider ID: 100000094972
NPI: 1316037914
NPI: 1003987306
50 N MEDICAL DR
590 S WAKARA WAY
(801) 581-2121
(801) 587-7109
Provider ID: 100000303485
Provider ID: 100000094972
NPI: 1316037914
NPI: 1003987306
FAILS, KIRSTEN L RPT
FLITTON, MICHAEL TAYLOR
50 N MEDICAL DR
PT
(801) 581-2121
50 N MEDICAL DR
Provider ID: 100000099907
(801) 581-2121
NPI: 1306922877
Provider ID: 100000096561
NPI: 1356485239
UTAH (cont'd)
181
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
FOULKS, MATTHEW NEIL PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000095455
NPI: 1033386016
FRAME, AMY J RPT
1138 E WILMINGTON AVE
(801) 581-2221
Provider ID: 100000094979
NPI: 1518297746
520 S WAKARA WAY #302
(801) 756-7200
Provider ID: 100000541627
NPI: 1518297746
FRY, MORGAN R RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000978547
NPI: 1912342189
FUHRIMAN, RYAN RUSSELL
PT
5151 S 900 E #100
(801) 261-3321
Provider ID: 100000098750
NPI: 1609877372
FURZE, DEREK D PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001124173
NPI: 1588072862
GARG, HINA PT
520 S WAKARA WAY
(801) 585-9135
Provider ID: 100001053597
NPI: 1255756789
GERTSCH, ZANE F RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000334984
NPI: 1275769366
February 12, 2015
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PHYSICAL THERAPY (cont'd)
GEURTS, GERALD H PT
1950 E 7000 S
(801) 943-1041
Provider ID: 100000073416
NPI: 1669465837
441 S REDWOOD RD
(801) 975-1403
Provider ID: 100000073412
NPI: 1669465837
GOUDELOCK, BRUCE T RPT
50 N MEDICAL DR
(801) 581-2885
Provider ID: 100000742670
NPI: 1932493707
GRAYBILL III, CHARLES
SHELLY RPT
50 N MEDICAL DR
(801) 581-2000
Provider ID: 100000094978
NPI: 1043325905
HALL, AARON C PT
1327 E 2100 S APT 101
(801) 484-6099
Provider ID: 100000521752
NPI: 1942294616
5323 S WOODROW ST #204
(801) 713-0610
Provider ID: 100000521752
NPI: 1942294616
823 E 400 S
(801) 363-3918
Provider ID: 100000521752
NPI: 1942294616
HANSEN, DANIEL J PT
6069 S HIGHLAND DR #4
(801) 944-1209
Provider ID: 100000786773
NPI: 1033406137
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
HANSON, TYLER MARVIN RPT
370 E SOUTH TEMPLE #250
(801) 755-9186
Provider ID: 100000810858
NPI: 1922009695
HARKNESS, STEVE H PT
1952 E 7000 S #100
(801) 942-3311
Provider ID: 100000360044
NPI: 1518069384
HARTMAN, PAUL C PT
590 S WAKARA WAY
(801) 587-7109
Provider ID: 100001101530
NPI: 1629418231
HARWARD, BRIAN R RPT
1950 CIRCLE OF HOPE DR
(801) 236-7747
Provider ID: 100000757808
NPI: 1285880302
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000757808
NPI: 1285880302
6069 S HIGHLAND DR #4
(801) 944-1209
Provider ID: 100000714243
NPI: 1285880302
HAYES, HEATHER ANNE PT
520 S WAKARA WAY #302
(801) 756-7200
Provider ID: 100000098815
NPI: 1548350143
HENRY, TIMOTHY ALAN PT
1138 E WILMINGTON AVE
(801) 581-2221
Provider ID: 100000097438
NPI: 1891865960
50 N MEDICAL DR
(801) 581-2267
Provider ID: 100000097438
NPI: 1891865960
590 S WAKARA WAY
(801) 587-7109
Provider ID: 100000097438
NPI: 1891865960
182
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
HOLDEN, THERESA ANNE RPT
44 MARIO CAPECCHI DR
(801) 584-8239
Provider ID: 100000089811
NPI: 1669565131
HOPKINS, RONDA L RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000248242
NPI: 1912194580
JABEZ, MELODY A RPT
7827 S HIGHLAND DR
(801) 938-9234
Provider ID: 100001140289
NPI: 1992956668
JACKSON, SUMMER D PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000111474
NPI: 1760700553
JARVIS, EON L PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001139621
NPI: 1003135880
JONES, D TODD RPT
50 N MEDICAL DR
(801) 581-2132
Provider ID: 100000094984
NPI: 1619011103
KAHN, JOANNA C RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000298213
NPI: 1528272515
KELLY, PATRICK M RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000623648
NPI: 1750386702
KIEFFER, KAMERON RAY PT
50 N MEDICAL DR
(801) 581-2733
Provider ID: 100000766856
NPI: 1104943299
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PHYSICAL THERAPY (cont'd)
KILBOURNE, KATHARINE H
RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000987012
NPI: 1790127884
KING, MICHAEL A RPT
5872 S 900 E #150
(801) 747-3889
Provider ID: 100000277574
NPI: 1063675304
KNAPP, LAURA D RPT
546 S CHIPETA WAY #230
(801) 581-7505
Provider ID: 100000094985
NPI: 1568577435
590 S WAKARA WAY
(801) 587-7109
Provider ID: 100000094985
NPI: 1568577435
KOHLER, KEVIN JOHN PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000097685
NPI: 1538218235
KOSZAREK, SHANNON L RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000561058
NPI: 1386957686
KREBS, TRINETTE P PT
1735 S REDWOOD RD
(888) 997-2669
Provider ID: 100000779299
NPI: 1346530128
KUNZER, ELIZABETH E PT
1840 S 1300 E
(801) 832-2671
Provider ID: 100000991195
NPI: 1013142009
Specialists
Sorted by state, city, specialty, then name
LAMARCHE, LAURA A RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000553555
NPI: 1659690394
LANENGA, AMBER LYNN PT
50 N MEDICAL DR
(801) 297-4891
Provider ID: 100000098893
NPI: 1790990372
LARSEN, MATTHEW D RPT
1837 S 4130 W #B
(801) 566-0567
Provider ID: 100000339254
NPI: 1528183878
LARSON, DAVE SCOTT PT
50 N MEDICAL DR
(801) 581-2885
Provider ID: 100000084746
NPI: 1265590566
546 S CHIPETA WAY #230
(801) 581-2121
Provider ID: 100000084746
NPI: 1265590566
590 S WAKARA WAY
(801) 587-7109
Provider ID: 100000084746
NPI: 1265590566
LARSON, ELAINE A RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000254268
NPI: 1538342472
LARSON, ROGER LEE RPT
6040 S FASHION BLVD #200
(801) 266-7534
Provider ID: 100000092615
NPI: 1699759357
LEE, JASON M RPT
1747 E NORTHWOODSIDE DR
(801) 708-9226
Provider ID: 100000756360
NPI: 1043506330
LEWIS, DEDE BLEDSOE PT
2295 S FOOTHILL DR
(801) 486-7542
Provider ID: 100000097739
NPI: 1023123627
183
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
LEWIS, JOHN B PT
24 S 1100 E #101
(801) 355-6468
Provider ID: 100001056371
NPI: 1194913491
LINGWALL, DUREECE L PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000111153
NPI: 1063638856
590 S WAKARA WAY
(801) 581-2121
Provider ID: 100000111153
NPI: 1063638856
LOBB, JASON DAVID RPT
1153 E 3900 S
(801) 262-6331
Provider ID: 100000095386
NPI: 1982706750
LONCZAK, JULIE M PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000112852
NPI: 1396959193
LOVELL, DALLEN BART RPT
4465 S 900 E #250
(801) 293-8888
Provider ID: 100000292226
NPI: 1912018110
LOWRY, AARON J RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000321090
NPI: 1407010283
LU, ELAINE T RPT
3220 S STATE ST
(801) 463-1101
Provider ID: 100000092317
NPI: 1629170238
LUNDY, CYNTHIA J HAYES
RPT
50 N MEDICAL DR
(801) 581-2132
Provider ID: 100000094988
NPI: 1295879799
February 12, 2015
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PHYSICAL THERAPY (cont'd)
MANGRUM, ALLISON RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000258928
NPI: 1841487949
MARIETTA, GAIL L RPT
5151 S 900 E #100
(801) 261-3321
Provider ID: 100000095092
NPI: 1952302630
MASON LUDLOW, MONICA
LOUISE RPT
546 S CHIPETA WAY #230
(801) 581-7505
Provider ID: 100000258706
NPI: 1659480440
MAW, SAMUEL A PT
1153 E 3900 S
(801) 262-6331
Provider ID: 100000797524
NPI: 1053670638
MAYER, LLOYD L RPT
1525 W 2100 S
(801) 213-9900
Provider ID: 100000087587
NPI: 1730279340
50 N MEDICAL DR
(801) 297-4891
Provider ID: 100000087588
NPI: 1730279340
MAZZELLA, KIMBERLY
SCHONROCK RPT
1950 E 7000 S
(801) 943-1041
Provider ID: 100000098293
NPI: 1730110982
441 S REDWOOD RD
(801) 975-1403
Provider ID: 100000502712
NPI: 1730110982
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
MCDAVID, BREANNA PT
370 E SOUTH TEMPLE #250
(801) 755-9186
Provider ID: 100001158953
NPI: 1013356435
MCGILL, DAVID J PT
1153 E 3900 S
(801) 262-6331
Provider ID: 100000875020
NPI: 1346597473
MECHAM, CHERIANNE RPT
7827 S HIGHLAND DR
(801) 938-9234
Provider ID: 100000994569
NPI: 1548437726
MEIER, WHITNEY ANNE PT
546 S CHIPETA WAY #230
(801) 581-7505
Provider ID: 100000098557
NPI: 1548359052
MENDENHALL, ERIN C PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000245529
NPI: 1528247947
MILLS, DANIEL G RPT
7827 S HIGHLAND DR
(801) 938-9234
Provider ID: 100000090581
NPI: 1710196944
MISEJKA, KRISTEN L PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001120124
NPI: 1417388018
MOELLER, MARK RAYMOND
RPT
2645 E PARLEYS WAY #6
(435) 645-9095
Provider ID: 100000352390
NPI: 1194870592
MOORE, JULIE A RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000267651
NPI: 1104092642
184
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
MORTENSEN, KELLY C RPT
1525 W 2100 S
(801) 213-8841
Provider ID: 100000706414
NPI: 1740574722
MOSS, DAVID C PT
702 E SOUTH TEMPLE #102
(801) 328-8535
Provider ID: 100000818236
NPI: 1982780102
MYSHRALL, JANET MARY PT
1220 E 3900 S #4I
(435) 901-3579
Provider ID: 100000273323
NPI: 1487769089
NELSON, MATTHEW S RPT
6360 S 3000 E #125
(801) 947-8449
Provider ID: 100000300528
NPI: 1477578441
NICKISCH, CHERYL S PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000241888
NPI: 1386628733
ORR, JOHN MICHAEL PT
5151 S 900 E #100
(801) 261-3321
Provider ID: 100000088487
NPI: 1518942291
PARKIN, CRAIG S RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000318362
NPI: 1952590804
PENN, JENNIFER E RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000623621
NPI: 1053615443
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PHYSICAL THERAPY (cont'd)
PERRY, DAPHNE ANNE RPT
50 N MEDICAL DR
(801) 581-2132
Provider ID: 100000095010
NPI: 1932244514
546 S CHIPETA WAY #230
(801) 581-2121
Provider ID: 100000095010
NPI: 1932244514
PETERSEN, BRETT W PT
590 S WAKARA WAY
(801) 581-2121
Provider ID: 100001120154
NPI: 1447662358
PETERSEN, MARILYN J RPT
1138 E WILMINGTON AVE
(801) 581-5678
Provider ID: 100000094995
NPI: 1043325988
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000094995
NPI: 1043325988
PETERSON, CYNTHIA S PT
2295 S FOOTHILL DR
(801) 486-7542
Provider ID: 100000520575
NPI: 1679659353
6360 S 3000 E #125
(801) 947-8449
Provider ID: 100000520576
NPI: 1679659353
PIERSON, JULIA L PT
520 S WAKARA WAY #302
(801) 756-7200
Provider ID: 100001154600
NPI: 1588073241
PROBERT, ERIN N RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000561049
NPI: 1871806174
Specialists
Sorted by state, city, specialty, then name
PROCINO, KAREN JOAN RPT
2645 E PARLEYS WAY #6
(435) 645-9095
Provider ID: 100000288614
NPI: 1447305875
QUILTER, TIFFANY C RPT
590 S WAKARA WAY
(801) 587-7005
Provider ID: 100000742900
NPI: 1821371949
RAUK, REVA PAULSEN PT
520 S WAKARA WAY #302
(801) 756-7200
Provider ID: 100000098529
NPI: 1306936927
REDDY, ELIZABETH
PRESCOTT RPT
50 N MEDICAL DR
(801) 581-2132
Provider ID: 100000094999
NPI: 1639213838
REICH, TODD D RPT
546 S CHIPETA WAY #230
(801) 581-2121
Provider ID: 100000095000
NPI: 1477623056
590 S WAKARA WAY
(801) 587-7109
Provider ID: 100000095000
NPI: 1477623056
RILEY, SETH M RPT
5151 S 900 E #100
(801) 261-3321
Provider ID: 100000102983
NPI: 1427033109
702 E SOUTH TEMPLE #102
(801) 328-8535
Provider ID: 100000102982
NPI: 1427033109
RIVAS, LAURA M PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000852304
NPI: 1437451978
185
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
ROBERTSON, CHRISTOPHER C
RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000954148
NPI: 1922313444
RUECKERT, MICHELLE E PT
6069 S HIGHLAND DR #4
(801) 944-1209
Provider ID: 100001119507
NPI: 1780093146
SATO, KAREN C RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000303484
NPI: 1669562260
SAVARISE, YVONNE C PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001139466
NPI: 1861732885
SCHOLL, LINDA VERNON PT
590 S WAKARA WAY
(801) 587-7109
Provider ID: 100000099205
NPI: 1215054465
SCHWALBE, VALERIE A RPT
702 E SOUTH TEMPLE #102
(801) 328-8535
Provider ID: 100000786593
NPI: 1568789345
SCHWARTZ, TODD D RPT
5151 S 900 E #100
(801) 261-3321
Provider ID: 100000334549
NPI: 1124291570
SCHWEMMER, INES PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000278965
NPI: 1518121219
SCOTT, KATHY A RPT
50 N MEDICAL DR
(801) 581-2132
Provider ID: 100000717899
NPI: 1538454806
February 12, 2015
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PHYSICAL THERAPY (cont'd)
SHELL, LLOYD W PT
50 N MEDICAL DR
(801) 585-2119
Provider ID: 100000098295
NPI: 1225213069
SHELLY, DANIEL H PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001155681
NPI: 1881095321
SHEPHERD, COLLIN K RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000544245
NPI: 1205169091
SHINGLETON, ROBERT
WILLARD RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000090263
NPI: 1639228927
SINNER, RYAN T PT
590 S WAKARA WAY
(801) 587-7109
Provider ID: 100001068795
NPI: 1750721510
SMITH, ANDREA J PT
1525 W 2100 S
(801) 213-9900
Provider ID: 100000115419
NPI: 1427189109
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000303487
NPI: 1427189109
SMITH, BLAIR A RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000283614
NPI: 1578728515
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
SORENSEN, ORYSLAVA C RPT
7827 S HIGHLAND DR
(801) 938-9234
Provider ID: 100000865615
NPI: 1881859767
STEPANEK, TERESA M RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000095006
NPI: 1548368335
STEPHENS, EMILY M RPT
50 N MEDICAL DR
(801) 581-2885
Provider ID: 100000717904
NPI: 1760777940
SUEOKA, STEPHANIE K RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000087369
NPI: 1174677520
590 S WAKARA WAY
(801) 587-7109
Provider ID: 100000087369
NPI: 1174677520
SUMMERS, ANN PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000095059
NPI: 1033344635
SWINYARD, JAMES E PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000112614
NPI: 1043426992
THACKERAY, ANNE RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001100840
NPI: 1265544803
THARPE, RACHEL L RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000544290
NPI: 1407099377
186
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
THIESZEN, JULIE LYNN RPT
150 S 600 E #3B
(801) 769-6778
Provider ID: 100000536551
NPI: 1659486256
THOMPSON, SPENCER J RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000544317
NPI: 1962727727
THURBER, JILL ANN PT
1952 E 7000 S #100
(801) 942-3311
Provider ID: 100000095049
NPI: 1336242924
TIDSWELL, JESSICA
JACOBSEN PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000099659
NPI: 1952593568
TRELA, PATRICIA A RPT
546 S CHIPETA WAY #230
(801) 581-7505
Provider ID: 100000095007
NPI: 1811002686
590 S WAKARA WAY
(801) 587-7109
Provider ID: 100000095007
NPI: 1811002686
TURNER, STACEY N PT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000537869
NPI: 1821312950
VANDERSTEEN, PAUL C RPT
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000567204
NPI: 1831406636
WALTER, CHRISTOPHER S
RPT
50 N MEDICAL DR
(801) 297-4891
Provider ID: 100000742875
NPI: 1730460486
UTAH
SALT LAKE CITY
PHYSICAL THERAPY
Specialists
Sorted by state, city, specialty, then name
WOOLF, KATHRYN L RPT
50 N MEDICAL DR
(801) 581-2121
SALT LAKE CITY (cont'd)
Provider ID: 100000590081
NPI: 1043523988
PHYSICAL THERAPY (cont'd)
WORKMAN, MICHAEL JAMES
WARING, JACQUELINE PT
RPT
50 N MEDICAL DR
4600 S HOLLADAY BLVD
(801) 581-2121
(801) 865-6944
Provider ID: 100000279040
Provider ID: 100000309925
NPI: 1245491554
NPI: 1629299185
WEBB, ADAM BOYD PT
50 N MEDICAL DR
1952 E 7000 S #100
(801) 581-2121
(801) 942-3311
Provider ID: 100000862233
Provider ID: 100000712544
NPI: 1629299185
NPI: 1720180599
WORTLEY, JAMES MOSS PT
WEBB, JAMES VINCENT PT
1950 E 7000 S
50 N MEDICAL DR
(801) 943-1041
(801) 581-2121
Provider ID: 100000095103
Provider ID: 100000096569
NPI: 1326031493
NPI: 1710044094
441 S REDWOOD RD
WHIPPLE, KEVAN L RPT
(801) 975-1403
1735 S REDWOOD RD
Provider ID: 100000095100
(888) 997-2669
NPI: 1326031493
Provider ID: 100001061688
WORTLEY, PAUL GEORGE
NPI: 1275563579
RPT
WHITE, HENRY M RPT
1950 E 7000 S
2936 S HIGHLAND DR #101
(801) 943-1041
(801) 746-8997
Provider ID: 100000716146
Provider ID: 100000095881
NPI: 1417940586
NPI: 1134153562
441 S REDWOOD RD
(801) 975-1403
WILKINSON, N NICOLE PT
Provider ID: 100000716121
50 N MEDICAL DR
NPI: 1417940586
(801) 581-2121
Provider ID: 100000099329
WORTLEY, RICHARD DON RPT
NPI: 1356630610
1950 E 7000 S
WIXOM, STEVEN MICHAEL PT (801) 943-1041
Provider ID: 100000716149
702 E SOUTH TEMPLE #102
NPI: 1689667859
(801) 328-8535
441 S REDWOOD RD
Provider ID: 100000096331
(801) 975-1403
NPI: 1093716680
Provider ID: 100000716123
WOOLDRIDGE, LOREN RPT
NPI: 1689667859
50 N MEDICAL DR
YOUNG, CHRISTINE WERTS PT
(801) 581-2121
50 N MEDICAL DR
Provider ID: 100001003634
(801) 581-2121
NPI: 1831538420
Provider ID: 100000101096
NPI: 1427259993
UTAH (cont'd)
187
UTAH
SALT LAKE CITY
PLASTIC SURGERY
PLASTIC SURGERY
AGARWAL, CORI A MD
50 N MEDICAL DR #3B400
(801) 581-7719
Provider ID: 100000118142
NPI: 1306978960
AGARWAL, JAYANT P MD
50 N MEDICAL DR
(801) 581-7719
Provider ID: 100000118147
NPI: 1508878372
50 N MEDICAL DR #3B400
(801) 581-7719
Provider ID: 100000118148
NPI: 1508878372
BENNETT III, STEPHEN HIGGS
MD
1045 E 3900 S #201
(801) 266-4212
Provider ID: 100000090629
NPI: 1013989235
CHEN, JUNE SHUSHING MD
7240 S HIGHLAND DR #175
(801) 943-0401
Provider ID: 100000099057
NPI: 1942207048
CHICK, LELAND RUSSEL MD
24 S 1100 E #302
(801) 322-1188
Provider ID: 100000086161
NPI: 1912023383
CHRISTENSEN, BRADD K MD
1377 E 3900 S #104
(801) 272-4249
Provider ID: 100000089018
NPI: 1891840914
COLE, BOYD NEIL MD
1002 E SOUTH TEMPLE #205
(801) 533-0324
Provider ID: 100000090918
NPI: 1114065893
February 12, 2015
UTAH
SALT LAKE CITY
PLASTIC SURGERY
Specialists
Sorted by state, city, specialty, then name
KEITER, JOHN EDWARD MD
6040 S FASHION BLVD #101
(801) 264-9595
SALT LAKE CITY (cont'd)
Provider ID: 100000085414
NPI: 1609070580
PLASTIC SURGERY (cont'd)
MCMULLIN, JARON H MD
CROMBIE, COURTNEY
100 MARIO CAPECCHI DR
HEATHER MD
(801) 581-2121
100 MARIO CAPECCHI DR
Provider ID: 100000788315
(801) 581-2121
NPI: 1659525640
Provider ID: 100001094873
50 N MEDICAL DR #3B400
NPI: 1619067204
(801) 581-7719
50 N MEDICAL DR #3B400
Provider ID: 100000788271
(801) 581-7719
NPI: 1659525640
Provider ID: 100000095672
PANNUCCI, CHRISTOPHER J
NPI: 1619067204
MD
FAIRBANKS, GRANT ANDREAS 100 MARIO CAPECCHI DR
MD
(801) 581-2121
1151 E 3900 S #B110
Provider ID: 100001105073
(801) 268-8838
NPI: 1083737738
Provider ID: 100000097850
1950 CIRCLE OF HOPE DR
NPI: 1013056357
(801) 587-4241
GOCIMAN, BARBU R MD
Provider ID: 100001105050
100 MARIO CAPECCHI DR
NPI: 1083737738
(801) 581-2121
50 N MEDICAL DR #3B400
Provider ID: 100000849609
(801) 581-7719
NPI: 1396900841
Provider ID: 100001105050
50 N MEDICAL DR #3B400
NPI: 1083737738
(801) 581-7719
PETERSEN, JASON D MD
Provider ID: 100000849608
5353 S 960 E #150
NPI: 1396900841
(801) 261-5791
HAUPT, RUSSELL SCOTT MD
Provider ID: 100000850118
5292 S COLLEGE DR #302
NPI: 1215105804
(801) 293-8100
ROCKWELL, WILLIAM
Provider ID: 100000092952
BRADFORD MD
NPI: 1508877119
50 N MEDICAL DR
535 E 4500 S #D140
(801) 581-7719
(801) 699-4655
Provider ID: 100000084677
Provider ID: 100000706797
NPI: 1841380466
NPI: 1508877119
50 N MEDICAL DR #3B400
KEEN, ANGELA MARGARET
(801) 581-7719
MD
Provider ID: 100000084678
6440 S WASATCH BLVD #390
NPI: 1841380466
(801) 278-9062
RODRIGUES, ROBERT L MD
Provider ID: 100000316079
3725 W 4100 S
NPI: 1487670881
(801) 965-3600
Provider ID: 100000109430
NPI: 1316910748
UTAH (cont'd)
February 12, 2015
188
UTAH
SALT LAKE CITY
PODIATRY
SANDERSON, MARK C MD
3725 W 4100 S
(801) 965-3479
Provider ID: 100000564168
NPI: 1073604609
SCHMELZER, RODNEY EVAN
MD
5089 S 900 E #100
(801) 743-0700
Provider ID: 100000755602
NPI: 1487626297
SIDDIQI, FAIZI AHMAD MD
50 N MEDICAL DR
(801) 581-7719
Provider ID: 100000096742
NPI: 1982794517
50 N MEDICAL DR #3B400
(801) 581-7719
Provider ID: 100000096744
NPI: 1982794517
THOMAS, DAVID SNOW MD
370 E 9TH AVE #200
(801) 355-0731
Provider ID: 100000091210
NPI: 1245335397
WOLTER, KEITH G MD
50 N MEDICAL DR #3B400
(801) 581-7719
Provider ID: 100000803910
NPI: 1831346535
PODIATRY
ANDERSON, GREGORY G DPM
1160 E 3900 S #5000
(801) 262-8486
Provider ID: 100000090067
NPI: 1992797492
ANDERSON, MIKOL R DPM
1250 E 3900 S #420
(801) 269-9939
Provider ID: 100000116792
NPI: 1992910905
ANDERSON, RYAN KEITH DPM
1377 E 3900 S #200
(801) 262-1172
Provider ID: 100001078618
NPI: 1053334730
UTAH
SALT LAKE CITY
PODIATRY
Specialists
Sorted by state, city, specialty, then name
DICKERSON, JASON BRENT
DPM
6360 S 3000 E #210
SALT LAKE CITY (cont'd)
(801) 265-0600
Provider ID: 100000095625
PODIATRY (cont'd)
NPI: 1528039377
BROWN, HOMER R DPM
FLEGAL, DOUGLAS CLARK
4370 S REDWOOD RD #B
DPM
(801) 967-3338
740 E 3900 S #108
Provider ID: 100000092266
(801) 266-3113
NPI: 1619965225
Provider ID: 100000088659
BURLEIGH, WILLIAM HAL
NPI: 1063680668
DPM
GROBERG, DARREN F DPM
3725 W 4100 S
1377 E 3900 S #200
(801) 965-3600
(801) 262-1172
Provider ID: 100000086184
Provider ID: 100001078626
NPI: 1023040276
NPI: 1396972469
CLARK, SCOTT A DPM
144 S 700 E
2159 S 700 E #150
(801) 532-1822
(801) 466-1333
Provider ID: 100000786639
Provider ID: 100000268702
NPI: 1396972469
NPI: 1700865748
HAMBLIN, KELLY L DPM
2178 S 900 E #1
3725 W 4100 S
(801) 505-5277
(801) 965-3600
Provider ID: 100000268702
Provider ID: 100001109077
NPI: 1700865748
NPI: 1770515926
4578 S HIGHLAND DR #380
HARPER, SPENCE DOUGLAS
(801) 505-5277
DPM
Provider ID: 100000268702
2159 S 700 E #150
NPI: 1700865748
(801) 466-1333
999 E MURRAY HOLLADAY RD
Provider ID: 100000268711
#102
NPI: 1851394803
(801) 274-9062
4578
S HIGHLAND DR #380
Provider ID: 100000268702
(801)
505-5277
NPI: 1700865748
Provider ID: 100000268711
COLLINS, TYLER LEWIS DPM
NPI: 1851394803
483 E CROWN RIDGE RD
82 S 1100 E #301
(801) 273-0100
(801) 503-0030
Provider ID: 100000087962
Provider ID: 100000268711
NPI: 1376617563
NPI: 1851394803
DAVIS, NATHAN WAYNE DPM 999 E MURRAY HOLLADAY RD
154 E MYRTLE AVE #201
#102
(801) 743-2909
(801) 274-9062
Provider ID: 100000095534
Provider ID: 100000268711
NPI: 1730165572
NPI: 1851394803
UTAH (cont'd)
189
UTAH
SALT LAKE CITY
PODIATRY
JONES, STEVEN R DPM
2361 E MURRAY HOLLADAY RD
(801) 277-8512
Provider ID: 100000089223
NPI: 1245256973
KITTERMAN, RYAN T DPM
82 S 1100 E #301
(801) 503-0030
Provider ID: 100001120196
NPI: 1174811442
LARSEN, CLARK C DPM
1377 E 3900 S #200
(801) 262-1172
Provider ID: 100001078642
NPI: 1427130335
5801 S FASHION BLVD #120
(801) 261-1391
Provider ID: 100000112397
NPI: 1427130335
LARSEN, CLINT P DPM
1377 E 3900 S #200
(801) 262-1172
Provider ID: 100001078649
NPI: 1861656332
5801 S FASHION BLVD #120
(801) 261-1391
Provider ID: 100000726147
NPI: 1861656332
MACKEY, RYAN T DPM
2825 E COTTONWOOD PKWY
#500
(855) 851-7201
Provider ID: 100000773620
NPI: 1295982668
MORITZ, MARK EDWARD DPM
1250 E 3900 S #420
(801) 269-9939
Provider ID: 100000084902
NPI: 1245297688
February 12, 2015
UTAH
SALT LAKE CITY
PODIATRY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PODIATRY (cont'd)
OAKS, GARY N DPM
2159 S 700 E #150
(801) 466-1333
Provider ID: 100000754607
NPI: 1922294768
4578 S HIGHLAND DR #380
(801) 505-5277
Provider ID: 100000754607
NPI: 1922294768
82 S 1100 E #301
(801) 503-0030
Provider ID: 100000754607
NPI: 1922294768
999 E MURRAY HOLLADAY RD
#102
(801) 274-9062
Provider ID: 100000754607
NPI: 1922294768
PREECE, DANIEL L DPM
1377 E 3900 S #200
(801) 262-1172
Provider ID: 100001078627
NPI: 1639306889
144 S 700 E
(801) 532-1822
Provider ID: 100000759128
NPI: 1639306889
ROYALL, STEVEN PAUL DPM
1377 E 3900 S #100
(801) 262-1172
Provider ID: 100000092409
NPI: 1962442822
1377 E 3900 S #200
(801) 262-1172
Provider ID: 100001078639
NPI: 1962442822
RUSHTON, RYAN TAYLOR
DPM
1525 W 2100 S
(801) 213-8841
Provider ID: 100000094786
NPI: 1013007632
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
SEAGLE, BRYAN L DPM
1377 E 3900 S #200
(801) 262-1172
Provider ID: 100001078620
NPI: 1194799247
SEEGMILLER, DAVID CRAIG
DPM
2178 S 900 E #1
(801) 505-5277
Provider ID: 100000318873
NPI: 1619914751
4578 S HIGHLAND DR #380
(801) 505-5277
Provider ID: 100000318873
NPI: 1619914751
82 S 1100 E #301
(801) 503-0030
Provider ID: 100000318873
NPI: 1619914751
SEEGMILLER, RICHARD
GREGG DPM
2159 S 700 E #150
(801) 466-1333
Provider ID: 100000271891
NPI: 1174539449
82 S 1100 E #301
(801) 503-0030
Provider ID: 100000271891
NPI: 1174539449
999 E MURRAY HOLLADAY RD
#102
(801) 274-9062
Provider ID: 100000271891
NPI: 1174539449
SHELTON, SCOTT S DPM
1377 E 3900 S #200
(801) 262-1172
Provider ID: 100001078684
NPI: 1710114962
SMITH, STANTON MILLER
DPM
5770 S 250 E #415
(801) 314-5400
Provider ID: 100000091741
NPI: 1043283856
190
UTAH
SALT LAKE CITY
PROCTOLOGY
SMITH, TERRY PAUL DPM
2159 S 700 E #150
(801) 466-1333
Provider ID: 100000268704
NPI: 1013972157
4578 S HIGHLAND DR #380
(801) 505-5277
Provider ID: 100000268704
NPI: 1013972157
82 S 1100 E #301
(801) 503-0030
Provider ID: 100000268704
NPI: 1013972157
999 E MURRAY HOLLADAY RD
#102
(801) 274-9062
Provider ID: 100000268704
NPI: 1013972157
SOULIER, SCOTT MARTIN
DPM
4578 S HIGHLAND DR #380
(801) 274-9060
Provider ID: 100000091288
NPI: 1043213168
WARBY, DAVID HYRUM DPM
1377 E 3900 S #200
(801) 262-1172
Provider ID: 100001078634
NPI: 1912949421
WILLIAMS, TREVOR RICHARD
DPM
1377 E 3900 S #200
(801) 262-1172
Provider ID: 100001078676
NPI: 1881642676
YOUNG, JON RANDAL DPM
1377 E 3900 S #200
(801) 262-1172
Provider ID: 100001078633
NPI: 1700816709
PROCTOLOGY
BOSSART, PETER WILLIAM
MD
324 E 10TH AVE #280
(801) 408-5930
Provider ID: 100000085029
NPI: 1477647246
UTAH
SALT LAKE CITY
PROCTOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PROCTOLOGY (cont'd)
HUGHES, J PRESTON MD
1250 E 3900 S #320
(801) 266-1409
Provider ID: 100000090737
NPI: 1982631123
PULMONARY DISEASES
ABEREGG, SCOTT K MD
1200 E 3900 S
(801) 268-7766
Provider ID: 100000713648
NPI: 1164434486
AHMED, ALI A MD
5801 S FASHION BLVD #280
(801) 260-5864
Provider ID: 100000616985
NPI: 1013994813
BIRD, GARRETT R MD
5980 S FASHION BLVD
(801) 263-2370
Provider ID: 100000785388
NPI: 1164638573
82 S 1100 E #103
(801) 263-2370
Provider ID: 100000785388
NPI: 1164638573
BOLTAX, JONATHAN PETER
MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000740094
NPI: 1629023692
CAHILL, BARBARA CLAIRE
MD
50 N MEDICAL DR
(801) 581-7806
Provider ID: 100000085907
NPI: 1396835989
Specialists
Sorted by state, city, specialty, then name
CARR, ELIZABETH M MD
50 N MEDICAL DR
(801) 581-7806
Provider ID: 100000734353
NPI: 1184777104
CARVETH, HOLLY JEAN MD
50 N MEDICAL DR
(801) 581-7806
Provider ID: 100000087058
NPI: 1376633966
CHOWDHARY, SANDEEP MD
1050 E SOUTH TEMPLE
(801) 350-4111
Provider ID: 100000598423
NPI: 1891726162
DIENHART, DAVID GEORGE
MD
5801 S FASHION BLVD #280
(801) 260-5864
Provider ID: 100000616968
NPI: 1184601940
ELSTAD, MARK RICHARD MD
50 N MEDICAL DR
(801) 581-7806
Provider ID: 100000086626
NPI: 1275577736
FRANCIS, KURT FRIBLEY MD
1160 E 3900 S #2000
(801) 266-3418
Provider ID: 100001019138
NPI: 1578588018
1200 E 3900 S
(801) 268-7766
Provider ID: 100000086353
NPI: 1578588018
GROVER, GURJEET S MD
3350 S 2940 E
(866) 500-7071
Provider ID: 100001093041
NPI: 1972721801
HARRIS, ESTELLE SUSAN MD
50 N MEDICAL DR
(801) 581-7806
Provider ID: 100000087531
NPI: 1558451153
191
UTAH
SALT LAKE CITY
PULMONARY DISEASES
KANNER, RICHARD ELLIOT
MD
50 N MEDICAL DR
(801) 581-7806
Provider ID: 100000085019
NPI: 1063502664
KLEIN, DAVID MD
1050 E SOUTH TEMPLE
(801) 350-4111
Provider ID: 100000761536
NPI: 1124075437
1200 E 3900 S
(801) 268-7766
Provider ID: 100000114765
NPI: 1124075437
3460 S PIONEER PKWY
(801) 964-3100
Provider ID: 100000761536
NPI: 1124075437
5979 S FASHION BLVD
(801) 263-2370
Provider ID: 100001014014
NPI: 1124075437
5980 S FASHION BLVD
(801) 263-2370
Provider ID: 100001014014
NPI: 1124075437
82 S 1100 E #103
(801) 263-2370
Provider ID: 100001014014
NPI: 1124075437
8TH AVENUE & C ST
(801) 408-7100
Provider ID: 100001100337
NPI: 1124075437
KURRUS, JEFFREY ANTON MD
1200 E 3900 S
(801) 267-7111
Provider ID: 100001002335
NPI: 1275561045
LIOU, THEODORE GEH-LU MD
50 N MEDICAL DR
(801) 581-7806
Provider ID: 100000092879
NPI: 1588754196
February 12, 2015
UTAH
SALT LAKE CITY
PULMONARY DISEASES
Specialists
Sorted by state, city, specialty, then name
REDDY, CHAKRAVARTHY
BATTHINA MD
5979 S FASHION BLVD
SALT LAKE CITY (cont'd)
(801) 263-2370
Provider ID: 100000897632
PULMONARY DISEASES
NPI: 1508962176
(cont'd)
5980 S FASHION BLVD
MARKEWITZ, BOAZ
(801) 263-2370
ALEXANDER MD
Provider ID: 100000897632
50 N MEDICAL DR
NPI: 1508962176
(801) 581-7806
82 S 1100 E #103
Provider ID: 100000094191
(801) 263-2370
NPI: 1740370352
Provider ID: 100000897632
MARTINEZ, MARK LUIS MD
NPI: 1508962176
3540 S MAIN ST
8TH AVENUE & C ST
(801) 997-9500
(801) 408-7100
Provider ID: 100001157029
Provider ID: 100000359781
NPI: 1508861964
NPI: 1508962176
MAYEUX, JENNALYN D APRN SAMUELSON, WAYNE

MITCHELL MD
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-2121
(801) 581-7806
Provider ID: 100000796030
Provider ID: 100000089002
NPI: 1447514120
NPI: 1730279357
NELSON, PATRICIA LANDON SHAH, AMRAPALI M MD
MD
1200 E 3900 S
5801 S FASHION BLVD #280
(801) 268-7766
(801) 260-5864
Provider ID: 100000897450
Provider ID: 100000616983
NPI: 1407889033
NPI: 1629051206
SUNDAR, KRISHNA MURTHY
PAINE III, ROBERT MD
MD
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-7806
(801) 581-2121
Provider ID: 100000115399
Provider ID: 100000749961
NPI: 1700968229
NPI: 1801802186
PANDITA, SUNNY MD
THOMAS-ROBERTSON,
5801 S FASHION BLVD #280
MARSHA Y APRN
(801) 260-5864
1950 CIRCLE OF HOPE DR
Provider ID: 100000616987
(801) 585-3229
NPI: 1023095809
Provider ID: 100000607419
NPI: 1275834319
RAMAN, SANJEEV M MD
50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-2121
(801) 581-7806
Provider ID: 100000742629
Provider ID: 100000334194
NPI: 1275834319
NPI: 1619121019
UTAH (cont'd)
February 12, 2015
192
UTAH
SALT LAKE CITY
RADIATION ONCOLOGY
TOPHAM, MATTHEW KENT
MD
50 N MEDICAL DR
(801) 581-7806
Provider ID: 100000270760
NPI: 1275613721
WHITAKER, JULIA F MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000881994
NPI: 1437184058
ZIMMERMAN, GUY
ALEXANDER MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000549205
NPI: 1508956194
RADIATION ONCOLOGY
AVIZONIS, VILIJA NERIS MD
3838 S 700 E #100
(801) 269-0231
Provider ID: 100000093206
NPI: 1003865932
CLARKE, JAMES W MD
1050 E SOUTH TEMPLE
(801) 350-8400
Provider ID: 100000360135
NPI: 1295959724
1250 E 3900 S #10
(801) 456-8401
Provider ID: 100000360135
NPI: 1295959724
FISCHBACH, ADA JENNIFER
MD
3838 S 700 E #100
(801) 269-0231
Provider ID: 100000085549
NPI: 1528017456
This provider is not accepting
new patients at this time
UTAH
SALT LAKE CITY
RADIATION ONCOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
RADIATION ONCOLOGY
(cont'd)
GAFFNEY, DAVID KASSLER
MD
1200 E 3900 S
(801) 585-3593
Provider ID: 100000092928
NPI: 1932289840
1950 CIRCLE OF HOPE DR
(801) 581-8793
Provider ID: 100000092928
NPI: 1932289840
50 N MEDICAL DR
(801) 581-8793
Provider ID: 100000092928
NPI: 1932289840
HANSEN, ROGER SCOTT MD
1050 E SOUTH TEMPLE
(801) 350-8400
Provider ID: 100000094794
NPI: 1811036478
1250 E 3900 S #10
(801) 456-8401
Provider ID: 100000094794
NPI: 1811036478
HARRIS, ROBERT ALAN MD
1050 E SOUTH TEMPLE
(801) 350-8400
Provider ID: 100000098517
NPI: 1144369752
1250 E 3900 S #10
(801) 456-8401
Provider ID: 100000098517
NPI: 1144369752
HAYES JR, JOHN KEITH MD
1050 E SOUTH TEMPLE
(801) 350-8400
Provider ID: 100000089007
NPI: 1275672933
1250 E 3900 S #10
(801) 456-8401
Provider ID: 100000089007
NPI: 1275672933
Specialists
Sorted by state, city, specialty, then name
HITCHCOCK, YING JIA MD
1950 CIRCLE OF HOPE DR
(801) 581-8793
Provider ID: 100000097622
NPI: 1386724292
50 N MEDICAL DR
(801) 581-8793
Provider ID: 100000097622
NPI: 1386724292
KOKENY, KRISTINE E MD
1250 E 3900 S
(801) 585-3593
Provider ID: 100000105660
NPI: 1972557882
1950 CIRCLE OF HOPE DR
(801) 581-8793
Provider ID: 100000105660
NPI: 1972557882
LEE, ROBERT JEFFREY MD
3838 S 700 E #100
(801) 269-0231
Provider ID: 100000094243
NPI: 1548219991
LLOYD, SHANE MD
1950 CIRCLE OF HOPE DR
(801) 581-8793
Provider ID: 100001097458
NPI: 1750517439
POPPE, MATTHEW M MD
1950 CIRCLE OF HOPE DR
(801) 581-8793
Provider ID: 100000558208
NPI: 1902888126
REILLY, MARK WILLIAM MD
1250 E 3900 S #10
(801) 456-8401
Provider ID: 100000319688
NPI: 1699799981
RICHARDS, RAY STAYNER MD
1050 E SOUTH TEMPLE
(801) 350-8400
Provider ID: 100000092044
NPI: 1063551695
193
UTAH
SALT LAKE CITY
RADIOLOGY / IMAGING
ROGERS, CHARLES LELAND
MD
1050 E SOUTH TEMPLE
(801) 350-8400
Provider ID: 100000096768
NPI: 1609915289
1250 E 3900 S #10
(801) 456-8401
Provider ID: 100000096768
NPI: 1609915289
SHRIEVE, DENNIS CHARLES
MD
1200 E 3900 S
(801) 585-3593
Provider ID: 100000094772
NPI: 1275580961
1950 CIRCLE OF HOPE DR
(801) 581-8793
Provider ID: 100000094772
NPI: 1275580961
50 N MEDICAL DR
(801) 581-8793
Provider ID: 100000094772
NPI: 1275580961
SKIDMORE, THOMAS B MD
1050 E SOUTH TEMPLE
(801) 350-8400
Provider ID: 100000867855
NPI: 1194905752
1250 E 3900 S #10
(801) 456-8401
Provider ID: 100000867855
NPI: 1194905752
SUNEJA, GITA MD
1950 CIRCLE OF HOPE DR
(801) 581-8793
Provider ID: 100001083203
NPI: 1902068588
RADIOLOGY / IMAGING
HANSON, BERKELEY R MD
5121 S COTTONWOOD ST
(801) 262-8120
Provider ID: 100000116565
NPI: 1932121787
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
REPRODUCTIVE ENDOCRINOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
REPRODUCTIVE
ENDOCRINOLOGY
GURTCHEFF, SHAWN E MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000109690
NPI: 1952353930
JOHNSTONE, ERICA B MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000549379
NPI: 1487773263
675 S ARAPEEN DR
(801) 581-4838
Provider ID: 100000607434
NPI: 1487773263
KUZBARI, OUMAR MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000561008
NPI: 1215124714
LINK, MEGAN H MD
50 N MEDICAL DR
(801) 581-7647
Provider ID: 100000978789
NPI: 1821230269
MILROY, COLLEEN L MD
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000117370
NPI: 1730302175
MOORE, ANDREW K MD
50 N MEDICAL DR
(801) 581-6393
Provider ID: 100000788280
NPI: 1386866572
RHEUMATOLOGY
ANDERSON, STEVEN JAY MD
1151 E 3900 S #B275
(801) 262-2452
Provider ID: 100000088664
NPI: 1275528986
February 12, 2015
BATTISTONE, MICHAEL JASON
MD
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100000085434
NPI: 1689764219
CANNON, GRANT WILSON MD
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100000091289
NPI: 1942239439
CLEGG, DANIEL ORME MD
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100000089439
NPI: 1275623860
FRECH, TRACY MINAN MD
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100000098710
NPI: 1831215227
JACKSON, CHRISTOPHER
GEORGE MD
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100000085770
NPI: 1164512760
KUNKEL, GARY ALLAN MD
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100000097973
NPI: 1598855108
MCMILLAN, SEAN E MD
154 E MYRTLE AVE #204
(801) 266-9300
Provider ID: 100000102976
NPI: 1558353821
MILLER, KARLA L MD
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100000274288
NPI: 1861671059
PENMETSA, GOPI K MD
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100001100613
NPI: 1902045271
194
UTAH
SALT LAKE CITY
SLEEP DISORDER SERVICES
SAWITZKE, ALLEN DALE MD
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100000087056
NPI: 1285724807
SHASKEY, DAVID JONATHAN
MD
1160 E 3900 S #1000
(801) 262-1771
Provider ID: 100000092496
NPI: 1033220603
1250 E 3900 S #250
(801) 268-6283
Provider ID: 100001152078
NPI: 1033220603
3725 W 4100 S
(801) 965-3600
Provider ID: 100001152064
NPI: 1033220603
STROMQUIST, DON LEONARD
MD
154 E MYRTLE AVE #204
(801) 266-9300
Provider ID: 100000091656
NPI: 1841240330
WALSH, JESSICA A MD
50 N MEDICAL DR
(801) 581-7724
Provider ID: 100000332607
NPI: 1467465401
SLEEP DISORDER SERVICES
MCGINLEY, BRIAN M MD
100 MARIO CAPECCHI DR
(801) 662-1780
Provider ID: 100001100686
NPI: 1790737708
100 N MARIO CAPECCHI DR
(801) 622-1790
Provider ID: 100001100712
NPI: 1790737708
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100001100712
NPI: 1790737708
UTAH
SALT LAKE CITY
SPEECH THERAPY
Specialists
Sorted by state, city, specialty, then name
ELLERSTON, JULIA K SLP
50 N MEDICAL DR
(801) 581-2121
SALT LAKE CITY (cont'd)
Provider ID: 100000816185
NPI: 1134436595
SPEECH THERAPY
FOYE, MARY DOBNER SP
BARKMEIER KRAEMER, JULIE 417 S WAKARA WAY #1112
M SLP
(801) 581-3506
50 N MEDICAL DR
Provider ID: 100000086139
(801) 581-2121
NPI: 1063591535
Provider ID: 100001100807
50 N MEDICAL DR
NPI: 1477794758
(801) 581-2121
BERGGREN, KIERA N SLP
Provider ID: 100000086140
50 N MEDICAL DR
NPI: 1063591535
(801) 581-2121
FUE, LAURIE DON SLP
Provider ID: 100000355781
596 E 3990 S
NPI: 1992934699
(801) 263-3194
BERRETT, WENDY A SLP
Provider ID: 100000094011
50 N MEDICAL DR
NPI: 1780939025
(801) 581-2121
FURANO, ANYA S SP
Provider ID: 100001156439
729 S ARAPEEN DR
NPI: 1811201163
(801) 581-4956
BROWN, PARDIS A SLP
Provider ID: 100000820360
50 N MEDICAL DR
NPI: 1013265008
(801) 581-2121
GALLANT, SARAH I SLP
Provider ID: 100000748828
50 N MEDICAL DR
NPI: 1669585600
(801) 581-2121
CANTOR, MARK M SP
Provider ID: 100001124197
417 S WAKARA WAY #1112
NPI: 1902154214
(801) 581-3506
HARRIS, KASSI C SLP
Provider ID: 100000099868
50 N MEDICAL DR
NPI: 1144333139
(801) 581-2121
CHRISTENSEN-MAYER,
Provider ID: 100000563779
NANCY SP
NPI: 1417276387
1138 E WILMINGTON AVE
HAVENS, JENNIFER A SLP
(801) 581-2221
50 N MEDICAL DR
Provider ID: 100000095023
(801) 581-2121
NPI: 1073622866
Provider ID: 100000739813
DEER, LAURA ANN CCCS
NPI: 1326326513
22 S 900 E
HELLER, AMANDA SLP
(801) 328-2522
50 N MEDICAL DR
Provider ID: 100001107808
(801) 581-2121
NPI: 1649487059
Provider ID: 100001083291
DOMAN, DARRIN D SLP
NPI: 1649535022
50 N MEDICAL DR
(801) 585-3330
Provider ID: 100000097371
NPI: 1487875142
UTAH (cont'd)
195
UTAH
SALT LAKE CITY
SPEECH THERAPY
HOEFNAGEL, MICHELLE L
SLP
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000344689
NPI: 1861625972
HOUTZ, DANIEL R SLP
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000116632
NPI: 1073729679
729 S ARAPEEN DR
(801) 581-4956
Provider ID: 100000116632
NPI: 1073729679
KEETCH, JESSICA SP
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001057134
NPI: 1558797704
KIRSH, JANET H SLP
417 S WAKARA WAY #1112
(801) 581-3506
Provider ID: 100000099459
NPI: 1154400620
KRASNY, LORI ELLEN SP
417 S WAKARA WAY #1112
(801) 581-3506
Provider ID: 100000093851
NPI: 1952353922
LIDGARD, JULIA V SP
417 S WAKARA WAY #1112
(801) 581-3506
Provider ID: 100000101396
NPI: 1053490524
LUNSFORD, SHELLEY E SLP
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000747071
NPI: 1861722266
MA-CHENG, DEBBIE W SP
50 N MEDICAL DR
(801) 581-2733
Provider ID: 100000742867
NPI: 1922304757
February 12, 2015
UTAH
SALT LAKE CITY
SPEECH THERAPY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
SPEECH THERAPY (cont'd)
MARTINEZ, AIDA L SLP
780 S GUARDSMAN WAY
(888) 949-4864
Provider ID: 100001031046
NPI: 1437270469
MATTSON, ANA P SLP
44 MARIO CAPECCHI DR
(801) 584-8239
Provider ID: 100000281009
NPI: 1407869696
MILSTEAD, NORMA E SP
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000095028
NPI: 1578779617
MOSMAN, KRISTIN M SLP
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000278964
NPI: 1821255654
ROY, NELSON SP
50 N MEDICAL DR
(801) 581-4232
Provider ID: 100000095029
NPI: 1467664771
SAUDER, CARA LYNN SP
50 N MEDICAL DR
(801) 581-3330
Provider ID: 100000099453
NPI: 1639399637
SCHWEITZER, LISA ANN SP
1138 E WILMINGTON AVE
(801) 581-2221
Provider ID: 100000095031
NPI: 1285847756
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
SILBERMAN, HILARY J SP
417 S WAKARA WAY #1112
(801) 581-3506
Provider ID: 100000262153
NPI: 1699940924
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000257722
NPI: 1699940924
SMITH, VIRGINIA L CCCS
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000800862
NPI: 1124098231
780 S GUARDSMAN WAY
(888) 949-4864
Provider ID: 100000116543
NPI: 1124098231
STAPLEY, MARCIA E SLP
5151 S 900 E #100
(801) 261-3321
Provider ID: 100000296490
NPI: 1992952527
TANNER, KRISTINE MARIE SP
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000096988
NPI: 1154537538
THOMAS, MARY D SP
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100001068798
NPI: 1144643164
TORGERSON, MICHAEL R SP
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000820431
NPI: 1770847881
WILSON, KRISTEN E CCCS
6013 S REDWOOD RD
(801) 255-5131
Provider ID: 100000824048
NPI: 1396975025
WOOD, JENNIFER D SP
50 N MEDICAL DR
(801) 585-3330
Provider ID: 100000097440
NPI: 1366657074
196
UTAH
SALT LAKE CITY
SPORTS MEDICINE
WRIGHT, SANDRA M SP
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000298224
NPI: 1700801149
SPORTS MEDICINE
ALBANO, JOSEPH JOHN MD
82 S 1100 E #303
(801) 533-2002
Provider ID: 100000318815
NPI: 1003836636
ANDERSON, LAURA M MD
1735 S REDWOOD RD #115
(801) 973-4434
Provider ID: 100000773577
NPI: 1740270867
3934 S 2300 E
(801) 849-8500
Provider ID: 100000802449
NPI: 1740270867
BOURNE, ROBERT BRYAN MD
1160 E 3900 S #5000
(801) 262-8486
Provider ID: 100000089453
NPI: 1487646998
COOPER, LESLIE WERDER MD
1060 E 100 S #L10
(801) 328-1260
Provider ID: 100001119501
NPI: 1023122611
420 E SOUTH TEMPLE #515
(866) 441-0532
Provider ID: 100000994578
NPI: 1023122611
DUNN, JARED CLAUDER MD
5848 S FASHION BLVD #110
(801) 743-4500
Provider ID: 100000510512
NPI: 1003823808
JOY, ELIZABETH ANNE MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000086555
NPI: 1487768131
UTAH
SALT LAKE CITY
SPORTS MEDICINE
Specialists
Sorted by state, city, specialty, then name
GRAHAM, JOSEPH EUGENE
MD
1160 E 3900 S #3500
SALT LAKE CITY (cont'd)
(801) 743-4750
Provider ID: 100000537180
SPORTS MEDICINE (cont'd)
NPI: 1578638383
KIRK, STEPHEN T MD
GRIFFITHS, ERIC R MD
82 S 1100 E #303
100 N MARIO CAPECCHI DR
(801) 533-2002
(801) 662-5566
Provider ID: 100000795573
Provider ID: 100001130910
NPI: 1578737979
NPI: 1811187958
POWELL, AMY PAULETTE MD 50 N MEDICAL DR
50 N MEDICAL DR
(801) 581-5311
(801) 581-2121
Provider ID: 100001130950
Provider ID: 100000596549
NPI: 1811187958
NPI: 1376639229
PATEL, AMIT N MD
590 S WAKARA WAY
50 N MEDICAL DR
(801) 587-7100
(801) 581-5311
Provider ID: 100000097990
Provider ID: 100000283552
NPI: 1376639229
NPI: 1669447199
RASSNER, LESLIE H MD
SCHORLEMMER, GILBERT
1250 E 3900 S #260
REYNOLDS MD
(801) 265-2000
1160 E 3900 S #3500
Provider ID: 100000695260
(801) 743-4750
NPI: 1427022938
Provider ID: 100000094524
NPI: 1629060553
THORACIC SURGERY
SELZMAN, CRAIG H MD
BARTLETT, COURTNEY E
50 N MEDICAL DR
ARNP
(801) 581-5311
50 N MEDICAL DR
Provider ID: 100000280878
(801) 581-5311
NPI: 1902991144
Provider ID: 100001121490
STRINGHAM,
JAMES CANNON
NPI: 1255748380
MD
BURCH, PHILLIP T MD
5979 S FASHION BLVD
100 N MARIO CAPECCHI DR
(801) 263-2370
(801) 662-5566
Provider ID: 100000800766
Provider ID: 100000109727
NPI: 1538182449
NPI: 1215027800
82
S 1100 E #103
ECKHAUSER, AARON W MD
(801)
263-2370
100 N MARIO CAPECCHI DR
Provider
ID: 100000800766
(801) 662-5566
NPI:
1538182449
Provider ID: 100000794055
NPI: 1083761951
UTAH (cont'd)
197
UTAH
SALT LAKE CITY
URGENT CARE OR WALK IN
THAKUR, NAVIN S MD
5979 S FASHION BLVD
(801) 263-2370
Provider ID: 100000800769
NPI: 1639146566
82 S 1100 E #103
(801) 263-2370
Provider ID: 100000800769
NPI: 1639146566
THORNE, JOSEPH KENT MD
1160 E 3900 S #3500
(801) 743-4750
Provider ID: 100000091592
NPI: 1356335970
URGENT CARE OR WALK IN
ALVEY, JUSTIN C MD
UUMC DEPT OF PEDIATRICS
100 MARIO CAPECCHI DR
(801) 622-1000
Provider ID: 100001011837
NPI: 1346248465
UUMC DEPT OF PEDIATRICS
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100001011837
NPI: 1346248465
ANDERSON, LAURA M MD
UUHC COMMUNITY CLINICS
1525 W 2100 S
(801) 213-8841
Provider ID: 100000742855
NPI: 1740270867
AMERICAN CURRENT CARE
1735 S REDWOOD RD #115
(801) 973-4434
Provider ID: 100000773577
NPI: 1740270867
UUHC COMMUNITY CLINICS
3730 W 4700 S
(801) 213-9200
Provider ID: 100000742855
NPI: 1740270867
AFTER HOURS MEDICAL
3934 S 2300 E
(801) 849-8500
Provider ID: 100000802449
NPI: 1740270867
February 12, 2015
UTAH
SALT LAKE CITY
URGENT CARE OR WALK IN
Specialists
Sorted by state, city, specialty, then name
DECHET, CHRISTOPHER BURR
MD
50 N MEDICAL DR
SALT LAKE CITY (cont'd)
(801) 581-7674
Provider ID: 100000096042
URGENT CARE OR WALK IN
NPI: 1538271861
(cont'd)
FISHER, PETER C MD
BIGGS, SEAN DAVID MD
4252 S HIGHLAND DR #200
UUHC COMMUNITY CLINICS
(801) 993-1800
1525 W 2100 S
Provider ID: 100000108311
(801) 213-8841
NPI: 1902847940
Provider ID: 100001068769
GANGE, STEVEN NORRIS MD
NPI: 1841233558
4252 S HIGHLAND DR #200
GRAVES, JERRY G APRN
(801) 993-1800
AFTER HOURS MEDICAL
Provider ID: 100000092187
3934 S 2300 E
NPI: 1790825768
(801) 849-8500
HAMILTON,
BLAKE DOUGLAS
Provider ID: 100000821658
MD
NPI: 1659651750
100 N MARIO CAPECCHI DR
VACHAROTHONE, RACHOT K
(801) 588-2000
MD
Provider ID: 100000092167
AFTER HOURS MEDICAL
NPI: 1912097510
3934 S 2300 E
50 N MEDICAL DR
(801) 849-8500
(801) 581-7674
Provider ID: 100000768282
Provider ID: 100000092168
NPI: 1548228497
NPI: 1912097510
HOPKINS, SCOTT ALAN MD
UROLOGY
4252 S HIGHLAND DR #200
BRANT, WILLIAM O MD
(801) 993-1800
50 N MEDICAL DR
Provider ID: 100000094522
(801) 581-7674
NPI: 1649310681
Provider ID: 100000347755
JOHNSON,
GARY BLAKE MD
NPI: 1467478339
1060
E
100
S
#110
CARTWRIGHT, PATRICK
(801)
531-9453
CAROL MD
Provider ID: 100000099899
100 N MARIO CAPECCHI DR
NPI: 1144223827
(801) 662-5555
181
E 5600 S #130
Provider ID: 100000086453
(801)
266-8664
NPI: 1467542050
Provider ID: 100000099899
CHILDS, LANE CLIFFORD MD
NPI: 1144223827
4252 S HIGHLAND DR #200
LOWRANCE, WILLIAM T MD
(801) 993-1800
50 N MEDICAL DR
Provider ID: 100000087851
(801) 581-7674
NPI: 1831239995
Provider ID: 100000612689
NPI: 1922155878
UTAH (cont'd)
February 12, 2015
198
UTAH
SALT LAKE CITY
UROLOGY
MIDDLETON, GEORGE
WILLIAM MD
1060 E 100 S #110
(801) 531-9453
Provider ID: 100000090733
NPI: 1851394639
181 E 5600 S #130
(801) 266-8664
Provider ID: 100000090733
NPI: 1851394639
MYERS, JEREMY B MD
50 N MEDICAL DR
(801) 581-7674
Provider ID: 100000355717
NPI: 1346396959
OOTTAMASATHIEN, SIAM N
MD
100 N MARIO CAPECCHI DR
(801) 662-5555
Provider ID: 100000241874
NPI: 1215084017
PARKINSON, JUSTIN P MD
1060 E 100 S #110
(801) 531-9453
Provider ID: 100000614488
NPI: 1851314066
SNOW, BRENT WALTER MD
100 N MARIO CAPECCHI DR
(801) 662-5555
Provider ID: 100000089427
NPI: 1275544454
SNYDER, ORRENZO B MD
3725 W 4100 S
(801) 965-3479
Provider ID: 100000563602
NPI: 1720171259
SOUTHWICK, ANDREW
WILLIAM MD
100 N MARIO CAPECCHI DR
(801) 662-5555
Provider ID: 100001106390
NPI: 1508956137
50 N MEDICAL DR
(801) 581-7674
Provider ID: 100000094344
NPI: 1508956137
UTAH
SALT LAKE CITY
UROLOGY
Specialists
Sorted by state, city, specialty, then name
UTAH (cont'd)
VASCULAR SURGERY
ALBO JR, DOMINIC J MD
SALT LAKE CITY (cont'd)
1002 E SOUTH TEMPLE #404
(801) 363-2112
UROLOGY (cont'd)
Provider ID: 100000088417
STEPHENSON, ROBERT ANSON
NPI: 1407937295
MD
50 N MEDICAL DR
50 N MEDICAL DR
(801) 585-5150
(801) 581-7674
Provider ID: 100000245556
Provider ID: 100000091391
NPI: 1407937295
NPI: 1932285426
DE HAVENON, ADAM MD
STOUT, LISA MD
175 MEDICAL PLZ #5
1060 E 100 S #110
(801) 585-7575
(801) 531-9453
Provider ID: 100001083348
Provider ID: 100000093698
NPI: 1487897898
NPI: 1548263213
ERICKSON, GRANT B MD
181 E 5600 S #130
100 MARIO CAPECCHI DR #2600
(801) 266-8664
(801) 662-2950
Provider ID: 100000093698
Provider ID: 100000854387
NPI: 1548263213
NPI: 1235398645
TAYLOR, KELLEY E APRN
GALT, SPENCER WILLIAM MD
50 N MEDICAL DR
5323 S WOODROW ST #102
(801) 581-7674
(801) 713-1010
Provider ID: 100001172859
Provider ID: 100000286324
NPI: 1659775955
NPI: 1598733586
WALLIS, MICHAEL C MD
GOODMAN, GREG ROBERT MD
100 N MARIO CAPECCHI DR
5323 S WOODROW ST #102
(801) 662-5555
(801) 713-1010
Provider ID: 100000109809
Provider ID: 100000085326
NPI: 1558384388
NPI: 1023019346
WATERMAN, BRADLEY J MD GRAHAM, JOSEPH EUGENE
1060 E 100 S #110
MD
(801) 531-9453
1160 E 3900 S #3500
Provider ID: 100000241457
(801) 743-4750
NPI: 1699718809
Provider ID: 100000537180
181 E 5600 S #130
NPI: 1578638383
(801) 266-8664
KINIKINI, DANIEL V MD
Provider ID: 100000241457
100 MARIO CAPECCHI DR #2600
NPI: 1699718809
(801) 662-2950
Provider ID: 100000854393
NPI: 1043264070
50 N MEDICAL DR
(801) 581-5311
Provider ID: 100000110701
NPI: 1043264070
199
UTAH
SALT LAKE CITY
VASCULAR SURGERY
KRAISS, LARRY WAYNE MD
100 MARIO CAPECCHI DR #2600
(801) 662-2950
Provider ID: 100000854391
NPI: 1962592576
50 N MEDICAL DR
(801) 581-2082
Provider ID: 100000086750
NPI: 1962592576
LAZARUS, HARRISON MILLER
MD
1250 E 3900 S #301
(801) 634-1360
Provider ID: 100000085251
NPI: 1407854821
MCGREEVY, JAMES MICHAEL
MD
50 N MEDICAL DR
(801) 581-4488
Provider ID: 100000085226
NPI: 1578676672
MERRELL, STEVEN WILLIAM
MD
5323 S WOODROW ST #102
(801) 713-1010
Provider ID: 100000085662
NPI: 1063452050
ORR, HEIDI H APRN
50 N MEDICAL DR
(801) 581-5311
Provider ID: 100001061399
NPI: 1720411200
SARFATI, MARK RUSSELL MD
50 N MEDICAL DR
(801) 581-5311
Provider ID: 100000085286
NPI: 1467542084
5121 W 2100 S
(801) 581-2802
Provider ID: 100000854397
NPI: 1467542084
WIRTHLIN, DOUGLAS JAMES
MD
5323 S WOODROW ST #102
(801) 713-1010
Provider ID: 100000097248
NPI: 1609816602
February 12, 2015
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
WOMEN'S HEALTH SERVICES
VSP PROVIDERS – ROUTINE VISION
UTAH (cont'd)
SALT LAKE CITY (cont'd)
VSP PROVIDERS – ROUTINE
VISION
ANDERSON, STUART I OD
34 S 500 E STE 201
(801)355-8340
NPI: 1750342564
BATEMAN, CAMRON J OD
849 E 400 S
(801)328-2020
NPI: 1902839905
BERNER, TERRY H OD
250 E 300 S
(801)322-0467
NPI: 1295716538
BOGUS, WILLIAM J OD
2319 HIGHLAND DR
(801)485-1371
NPI: 1265414569
BROCKBANK, STEPHEN R OD
222 S MAIN ST STE 110
(801)456-2020
NPI: 1508973397
BURESH, KARRI A OD
250 E 300 S
(801)322-0467
NPI: 1124009824
CUTLER, CRAIG J OD
849 E 400 S
(801)328-2020
NPI: 1720056161
GAYER, THOMAS E OD
5770 S 250 E STE 410
(801)314-4420
NPI: 1275624751
HANSEN, TERRY M OD
2828 W 4700 S STE D
(801)966-6201
NPI: 1417028952
JENSEN, DENMARK R OD
849 E 400 S
(801)328-2020
NPI: 1538127170
February 12, 2015
KATZMAN, HOWARD A MD
1485 E 3900 S STE 104
(801)424-3937
NPI: 1760492912
KEISER, JENNIFER OD
2178 S 900 E STE 4
(801)484-2020
NPI: 1275789208
KELLER, ROBERT W OD
2535 S STATE ST
(801)466-5611
NPI: 1376503730
KIMBALL, JORY T OD
2178 S 900 E STE 4
(801)484-2020
NPI: 1962592782
KIMBALL, TODD E OD
2178 S 900 E STE 4
(801)484-2020
NPI: 1932292281
KNOWLTON, FRANKLIN R OD
4400 S 700 E STE 160
(801)264-4406
NPI: 1215095245
LYNCH, BERNADETTE N OD
849 E 400 S
(801)328-2020
NPI: 1861640658
MASIHDAS, DAVID R OD
150 S 1000 E STE 100
(801)363-2851
NPI: 1639357593
MORTENSEN, SPENCER D OD
462 E 100 S
(801)532-5176
NPI: 1548321078
PARKER, JARED W MD
5770 S 250 E STE 410
(801)314-4420
NPI: 1124146253
SHOSTED, KEVIN C OD
2828 W 4700 S STE D
(801)966-6201
NPI: 1164650685
200
TORGHELE, CHERYL A OD
849 E 400 S
(801)328-2020
NPI: 1962416727
UNGRICHT, ALBERT L MD
5770 S 250 E STE 410
(801)314-4420
NPI: 1346327236
VAN LEEUWEN, CRAIG W OD
5770 S 250 E STE 410
(801)314-4420
NPI: 1427149905
WOMEN'S HEALTH
SERVICES
FRAME, KATHLEEN O APRN
50 N MEDICAL DR
(801) 581-2227
Provider ID: 100000766848
NPI: 1033490461
GITLIN, DENISE APRN
1140 E 3900 S #340
(801) 743-4730
Provider ID: 100000275827
NPI: 1487744082
KOFCHOCK, NITA ARNP
50 N MEDICAL DR
(801) 587-9500
Provider ID: 100001139193
NPI: 1174851695
ODDOU, MELANIE H APRN 
3195 S MAIN ST
(801) 581-7260
Provider ID: 100000774074
NPI: 1750668893
50 N MEDICAL DR
(801) 581-2719
Provider ID: 100000774077
NPI: 1750668893
555 FOOTHILL DR
(801) 585-0640
Provider ID: 100000774074
NPI: 1750668893
This provider is not accepting
new patients at this time
UTAH
SANDY
AUDIOLOGY
Specialists
Sorted by state, city, specialty, then name
DAVIS, RODNEY CLYDE DC
2061 E 9400 S
(801) 733-0075
SANDY
Provider ID: 100000087805
NPI: 1710988548
AUDIOLOGY
ELDREDGE, NATHAN T DC
ANDERSEN, ALLAN LAMAR
720 E NEW ENGLAND DR
AUD
(801) 523-2582
9450 S 1300 E #210
Provider ID: 100000794630
(801) 501-4305
NPI: 1235314386
Provider ID: 100000089447
HANSEN, GREGORY KIRK DC
NPI: 1194780783
8915 S 700 E #201
CHIROPRACTIC MEDICINE
(801) 619-1439
Provider ID: 100000094517
ALLRED, BRANDON KYLE DC
NPI: 1275602724
7840 S 700 E
NELSON,
SHANON DOTY DC
(801) 256-0006
11075
S
STATE
ST #9A
Provider ID: 100000093735
(801)
523-2233
NPI: 1245307701
Provider ID: 100000096973
ANDERSEN, KENNETH
NPI: 1811961089
RAYMOND DC
OLSEN, JOHN K DC
9035 S 1300 E #110
7840 S 700 E
(801) 572-5696
(801) 256-0006
Provider ID: 100000095975
Provider ID: 100000563846
NPI: 1760483986
NPI: 1982836631
AWERKAMP, BLAINE ALAN DC
RAWLINGS,
LANCE SCOTT DC
8394 S 700 E
891
E
9400
S
(801) 562-0135
(801) 569-8181
Provider ID: 100000092676
Provider ID: 100000093131
NPI: 1598722928
NPI: 1639281421
BINGHAM, CORY M DC
ROLLER, MATTHEW RAY DC
7840 S 700 E
9055 S 255 W
(801) 256-0006
(801) 810-4325
Provider ID: 100000894403
Provider ID: 100000098391
NPI: 1699913608
NPI: 1740287408
DAVIS, DOUGLAS RAY DC
SCUDERI,
RODNEY RAYMOND
720 E NEW ENGLAND DR
DC
(801) 569-8787
8915 S 700 E #201
Provider ID: 100000729881
(801) 523-6327
NPI: 1407039829
Provider ID: 100000248604
9035 S 1300 E #1B
NPI: 1548271950
(801) 569-8787
Provider ID: 100000789062
THOMAS, BRIAN J DC
NPI: 1407039829
8170 S HIGHLAND DR #E2
(801) 942-4999
Provider ID: 100000092399
NPI: 1235269366
UTAH (cont'd)
201
UTAH
SANDY
GASTROENTEROLOGY
VAN DYKE, MICHAEL H DC
880 E 9400 S #104
(801) 523-0073
Provider ID: 100000250816
NPI: 1467500041
VANCE, ADAM DUNCAN DC
8811 S 700 E
(801) 984-2000
Provider ID: 100000094806
NPI: 1841376548
DERMATOLOGY
HARRISON, PAUL EUGENE MD
10011 S CENTENNIAL PKWY #200
(801) 255-7546
Provider ID: 100000090248
NPI: 1508076928
EAR NOSE THROATOTOLARYNGOLOGY
BROWN, WESLEY R MD
385 W 9000 S
(303) 777-2731
Provider ID: 100000114602
NPI: 1932229416
OLSON, CHRISTOPHER S APRN
9660 S 1300 E
(801) 262-8120
Provider ID: 100000779127
NPI: 1306997630
GASTROENTEROLOGY
BARNETT, ROBERT K MD
9829 S 1300 E #200
(801) 495-5725
Provider ID: 100000269524
NPI: 1134119357
CUTLER, CHRISTOPHER
SCOTT MD
9829 S 1300 E #200
(801) 495-5725
Provider ID: 100000086000
NPI: 1437162013
February 12, 2015
UTAH
SANDY
GASTROENTEROLOGY
UTAH (cont'd)
SANDY (cont'd)
GASTROENTEROLOGY
(cont'd)
DESAUTELS, STEVEN GREGG
MD
9829 S 1300 E #200
(801) 495-5725
Provider ID: 100000085493
NPI: 1790891430
HEINER, ANDREW MARTIN
MD
9829 S 1300 E #200
(801) 495-5725
Provider ID: 100000093133
NPI: 1497768014
SCHMIDT, JOHN D MD
9829 S 1300 E #200
(801) 495-5725
Provider ID: 100000276154
NPI: 1972760106
GENERAL SURGERY
ALLDREDGE, O LAYTON MD
9720 S 1300 E #W110
(801) 571-9511
Provider ID: 100000091444
NPI: 1225144264
HASHIMOTO, EDWARD
GEORGE MD
9690 S 1300 E #220
(801) 571-2024
Provider ID: 100000091160
NPI: 1700879673
HAND SURGERY
WILLIAMS, BENJAMIN G MD
9350 S 150 E #400
(801) 533-2002
Provider ID: 100000964930
NPI: 1013184431
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
NEPHROLOGY
ABRAHAM, JOSEPHINE D MD
8750 S SANDY PKWY
(801) 233-8745
Provider ID: 100000966059
NPI: 1942260229
HABIB, ARSALAN NAIYER MD
8750 S SANDY PKWY
(801) 233-8745
Provider ID: 100000248252
NPI: 1942336938
MOORE, REBECCA H MD
1275 E FT UNION BLVD #150
(801) 268-7766
Provider ID: 100000866189
NPI: 1477609089
NEUROLOGY
SANDHU, SEEMA ANAND MD
9844 S 1300 E #125
(801) 501-8233
Provider ID: 100000094221
NPI: 1659380541
NURSING SERVICES
MUELLER, JANET HORSLEY
APRN
8750 S SANDY PKWY
(801) 233-8745
Provider ID: 100000095349
NPI: 1528158136
OBSTETRICS AND
GYNECOLOGY
JONES, ALICIA T MD
9600 S 1300 E #300
(801) 571-7777
Provider ID: 100000557195
NPI: 1528121779
LATER, ROBERT WENDALL
MD
9600 S 1300 E #302
(801) 571-0009
Provider ID: 100000087753
NPI: 1669567376
202
UTAH
SANDY OPHTHALMOLOGY
OGLESBY, JOHN SUTHERLAND
MD
9350 S 150 E #150
(801) 214-7650
Provider ID: 100000502422
NPI: 1245385962
SALINAS, JESSICA M MD
9350 S 150 E #150
(801) 214-7650
Provider ID: 100000810530
NPI: 1568662567
SMITH, ANDREA ICOLE MD
9350 S 150 E #150
(801) 214-7650
Provider ID: 100000788090
NPI: 1831155746
SMITH, LAYNE ALAN MD
9600 S 1300 E #305
(801) 572-5808
Provider ID: 100000094436
NPI: 1770693251
SMITH, RUSSELL ALAN MD
9600 S 1300 E #300
(801) 571-7777
Provider ID: 100000095601
NPI: 1588843536
TANNER, GREGORY CHARLES
MD
9600 S 1300 E #305
(801) 572-5808
Provider ID: 100000089022
NPI: 1598875973
OCCUPATIONAL MEDICINE
DOWLING, ALICE MD
385 W 9000 S
(801) 562-5200
Provider ID: 100001139145
NPI: 1164707105
OPHTHALMOLOGY
CHOU, STELLA Y MD
8789 S HIGHLAND DR #100
(801) 943-4999
Provider ID: 100000093703
NPI: 1649450628
UTAH
SANDY
OPHTHALMOLOGY
Specialists
Sorted by state, city, specialty, then name
BARNEY, TYLER J OD
10835 S 700 E
(801) 495-2020
SANDY (cont'd)
Provider ID: 100001107983
NPI: 1528268398
OPHTHALMOLOGY (cont'd)
834 E 9400 S #64
HOOPES JR, PHILLIP CARL MD (801) 572-9280
10835 S 700 E
Provider ID: 100001092281
(801) 495-2020
NPI: 1528268398
Provider ID: 100000525411
BIGLER, RICHARD J OD
NPI: 1992794846
10317 S STATE ST
JEPPSEN, PAUL S MD
(801) 572-4810
9565 S 700 E #101
Provider ID: 100001073949
(801) 572-3937
NPI: 1235138066
Provider ID: 100001106835
CAPSTICK, BRITTANY N OD
NPI: 1275582033
10835 S 700 E
MCCANN, JOHN DAVID MD
(801) 495-2020
9350 S 150 E #400
Provider ID: 100000849835
(801) 997-9999
NPI: 1326373408
Provider ID: 100001165560
FELLOWS, BRADLEY V OD
NPI: 1326006917
9035 S 1300 E #100
TEMPEST, MATHEW RICHAR
(801) 566-4119
MD
Provider ID: 100000087684
9720 S 1300 E #210
NPI: 1841473295
(801) 572-0631
FRISCHKNECHT, NEIL JONES
Provider ID: 100000095438
OD
NPI: 1427020221
834 E 9400 S #64
WILLIAMS, LLOYD B MD
(801) 572-9280
834 E 9400 S #64
Provider ID: 100000243534
(801) 572-9280
NPI: 1457440687
Provider ID: 100000994667
GELLER, PAUL DOUGLASS OD
NPI: 1730333741
901 E 9400 S
WIROSTKO, BARBARA M MD
(801) 561-5124
8789 S HIGHLAND DR #100
Provider ID: 100000086040
(801) 943-4999
NPI: 1659456671
Provider ID: 100000610717
GILLILAND, RODNEY N OD
NPI: 1326045261
834 E 9400 S #64
(801) 572-9280
OPTOMETRY
Provider ID: 100000856828
BARNES, SCOTT RONALD OD
NPI: 1801800016
9720 S 1300 E #210
HADLOCK,
BRENT LEE OD
(801) 572-0631
834
E
9400
S
#64
Provider ID: 100000604971
(801)
572-9280
NPI: 1215102298
Provider ID: 100001072143
NPI: 1578648564
UTAH (cont'd)
203
UTAH
SANDY
OPTOMETRY
HILL, MICHAEL STEVEN OD
10317 S STATE ST
(801) 572-4810
Provider ID: 100000098153
NPI: 1639234024
HIMES, RANDALL C OD
834 E 9400 S #64
(801) 572-9280
Provider ID: 100000863438
NPI: 1144380478
JOLLEY, JERALD TED OD
10317 S STATE ST
(801) 572-4810
Provider ID: 100000091973
NPI: 1538197330
KESSLER, JENNIFER L OD
834 E 9400 S #64
(801) 572-9280
Provider ID: 100000811341
NPI: 1811259336
LATER, DAVID NELSON OD
2165 E 9400 S
(801) 942-1919
Provider ID: 100000087752
NPI: 1710938071
LEISHMAN, BENJAMIN H OD
834 E 9400 S #64
(801) 572-9280
Provider ID: 100000760422
NPI: 1942438015
MARTY, MICHAEL STEPHEN
OD
834 E 9400 S #64
(801) 572-9280
Provider ID: 100000550631
NPI: 1497743942
MELLOR, JEFFERY L OD
9151 S QUARRY BEND DR
(801) 352-4207
Provider ID: 100000555128
NPI: 1518975226
February 12, 2015
UTAH
SANDY
OPTOMETRY
UTAH (cont'd)
SANDY (cont'd)
OPTOMETRY (cont'd)
MORRILL, DAVID KAY OD
10835 S 700 E
(801) 495-2020
Provider ID: 100000097779
NPI: 1528085016
834 E 9400 S #64
(801) 572-9280
Provider ID: 100000566597
NPI: 1528085016
MORTENSEN, RYAN J OD
9035 S 1300 E #100
(801) 566-4119
Provider ID: 100000115313
NPI: 1003818576
NEVERS, MARK W OD
834 E 9400 S #64
(801) 572-9280
Provider ID: 100000815947
NPI: 1366704959
NIELSEN, SHELLY LORRAINE
OD
834 E 9400 S #64
(801) 572-9280
Provider ID: 100000269194
NPI: 1699864801
PARRY, DAVID HOWARD OD
10317 S STATE ST
(801) 572-4810
Provider ID: 100000280728
NPI: 1417046632
PURDY, RUSSELL WILLIAM
OD
834 E 9400 S #64
(801) 572-9280
Provider ID: 100000087907
NPI: 1295823029
ROE, FARRELL M OD
834 E 9400 S #64
(801) 572-9280
Provider ID: 100001047461
NPI: 1225104110
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
STROMNESS, LYNN DAVID OD
9565 S 700 E #101
(801) 576-1145
Provider ID: 100000090099
NPI: 1073694212
TREMAYNE, GARY R OD
10450 S STATE ST #1312
(801) 572-1015
Provider ID: 100000323458
NPI: 1720121700
WEST, MICHAEL LOYAL OD
650 E UNION SQ
(801) 572-3937
Provider ID: 100000093387
NPI: 1730225608
9565 S 700 E #101
(801) 572-3937
Provider ID: 100001091370
NPI: 1730225608
WHITE, BRENDEN R OD
10835 S 700 E
(801) 495-2020
Provider ID: 100000089782
NPI: 1558357954
UTAH
SANDY
ORTHOPEDIC SURGERY
HANSEN, STEPHEN M MD
10011 S CENTENNIAL PKWY #150
(801) 676-7627
Provider ID: 100000565698
NPI: 1164491460
HOWE, DAVID JAMES MD
9350 S 150 E #460
(801) 533-2002
Provider ID: 100000610277
NPI: 1578667226
KIMBALL, GORDON RICHARD
MD
9844 S 1300 E #275
(801) 571-7061
Provider ID: 100000093368
NPI: 1578545919
SCHMIDT, DONALD ALFRED
MD
9844 S 1300 E #275
(801) 571-7061
Provider ID: 100000089125
NPI: 1811979255
SORENSEN, RUSSELL LAMAR
MD
9844 S 1300 E #250
ORTHOPEDIC SURGERY
(801) 571-1552
COOPER, ANDREW
Provider ID: 100000091305
DEMONTMOLLIN MD
NPI: 1942202106
10011 S CENTENNIAL PKWY #100 SYBROWSKY, CHRISTIAN L
(801) 233-9300
MD
Provider ID: 100000329676
9844 S 1300 E #100
NPI: 1477547164
(801) 571-9433
9350 S 150 E #460
Provider ID: 100000812324
(801) 533-2002
NPI: 1710099676
Provider ID: 100000329676
WILLIAMS, BENJAMIN G MD
NPI: 1477547164
9350 S 150 E #400
EVANS, BRUCE GORDON MD
(801) 533-2002
10011 S CENTENNIAL PKWY
Provider ID: 100000964930
(801) 262-9752
NPI: 1013184431
Provider ID: 100000087704
WINTERTON,
PAUL WILLIAM
NPI: 1942292446
MD
GORDON, ANTHONY SCOTT
10011 S CENTENNIAL PKWY #230
MD
(801) 561-3101
9844 S 1300 E #100
Provider ID: 100000088226
(801) 571-9433
NPI: 1013963651
Provider ID: 100000087685
NPI: 1811983380
204
Specialists
UTAH
Sorted by state, city, specialty, then name
SANDY
PHYSICAL MEDICINE AND REHABILITATION
UTAH (cont'd)
SANDY (cont'd)
PHYSICAL MEDICINE AND
REHABILITATION
ADELMAN, SCOTT MD
10011 S CENTENNIAL PKWY #150
(801) 676-7627
Provider ID: 100000084612
NPI: 1750351847
BOWEN, BRENT JAMES MD
9844 S 1300 E #100
(801) 716-5300
Provider ID: 100000087582
NPI: 1780644054
CHEN, MICHAEL M DO
11333 S 1000 E #102
(801) 462-2205
Provider ID: 100000595959
NPI: 1487711123
GIOVANNIELLO, MICHAEL
THOMAS MD
10011 S CENTENNIAL PKWY #150
(801) 676-7627
Provider ID: 100000096430
NPI: 1285604462
KRULL, ANGELA M MD
10011 S CENTENNIAL PKWY #150
(801) 676-7627
Provider ID: 100000115886
NPI: 1649377540
MERRILL, ANINA MD
8074 S 1300 E
(801) 561-3400
Provider ID: 100000092278
NPI: 1134111545
NEWBY, CYNTHIA A APRN
575 E 11000 S
(801) 561-8398
Provider ID: 100000314003
NPI: 1558484808
VOITANIK, SIMON
ANATOLIEVICH MD
8706 S 700 E #206
(801) 942-6000
Provider ID: 100000093275
NPI: 1093803843
PHYSICAL THERAPY
BENSON, SCOTT C RPT
9720 S 1300 E #W200
(801) 572-0690
Provider ID: 100000087075
NPI: 1447237490
BRADY, CASEY J PT
9720 S 1300 E #W200
(801) 572-0690
Provider ID: 100000721884
NPI: 1336284637
BUTLER, DAVID D RPT
885 E 9400 S
(801) 562-0066
Provider ID: 100000318690
NPI: 1477752152
CHYNOWETH, TODD RPT
850 E 9400 S #103
(801) 553-3549
Provider ID: 100000090225
NPI: 1003053596
DEPOLA, MICHAEL T PT
9720 S 1300 E #W200
(801) 572-0690
Provider ID: 100000803007
NPI: 1114287612
FRAME, AMY J RPT
8899 S 700 E #130
(801) 561-4121
Provider ID: 100000824548
NPI: 1518297746
FULLMER, LARRY DON RPT
9720 S 1300 E #W200
(801) 572-0690
Provider ID: 100000091815
NPI: 1821075912
GARRETT, TAUNYA F RPT
11075 S STATE ST #35
(801) 990-1818
Provider ID: 100000817484
NPI: 1841309853
205
UTAH
SANDY
PHYSICAL THERAPY
HARPER, CHRISTOPHER W
RPT
11333 S 1000 E #101
(801) 456-9900
Provider ID: 100000795394
NPI: 1902900426
11333 S 1000 E #101B
(801) 456-9898
Provider ID: 100000886580
NPI: 1902900426
HIRAI, STANFORD K RPT
9720 S 1300 E #W200
(801) 572-0690
Provider ID: 100000088194
NPI: 1972580074
MILLER, BRENT LEE RPT
9720 S 1300 E #W200
(801) 265-9339
Provider ID: 100000541484
NPI: 1720065840
SCHMIDT, TODD H PT
50 E 9000 S
(801) 561-9839
Provider ID: 100001002564
NPI: 1003907502
STEVENSON, TREVOR JACK
RPT
9720 S 1300 E #W200
(801) 572-0690
Provider ID: 100000097134
NPI: 1982681078
STRAND, DAVID GEORGE RPT
9844 S 1300 E #150
(801) 571-0099
Provider ID: 100000088864
NPI: 1821155219
TRUJILLO, AMY LORRAINE
RPT
8899 S 700 E #130
(801) 561-4121
Provider ID: 100000506738
NPI: 1649337049
TYLER, DAWN N RPT
9844 S 1300 E #150
(801) 571-0099
Provider ID: 100000276001
NPI: 1750544235
February 12, 2015
UTAH
SANDY
PHYSICAL THERAPY
Specialists
Sorted by state, city, specialty, then name
UTAH
SANDY
URGENT CARE OR WALK IN
KIRK, STEPHEN T MD
9350 S 150 E #460
(801) 533-2002
SANDY (cont'd)
Provider ID: 100000795573
NPI: 1578737979
PHYSICAL THERAPY (cont'd)
NIELSEN,
CURTIS A DO
PULMONARY DISEASES
VERHAAREN, STEVEN ROBERT
7998 S 1300 E
RPT
AL SHURQAIRAT, TALAAT MD (801) 255-2000
9720 S 1300 E #W200
8706 S 700 E #207
Provider ID: 100000902720
(801) 572-0690
(801) 254-2895
NPI: 1013237502
Provider ID: 100000090596
Provider ID: 100000891987
NPI: 1174500268
URGENT CARE OR WALK IN
NPI: 1104875574
WHIPPLE, KEVAN L RPT
KRUEGER, JOHN BRADFORD ANDERSON, LAURA M MD
385 W 9000 S
AMERICAN CURRENT CARE
MD
(801) 562-4382
385 W 9000 S
9660 S 1300 E
Provider ID: 100001061689
(866) 944-6046
(801) 501-2600
NPI: 1275563579
Provider ID: 100000773577
Provider ID: 100000092636
9844 S 1300 E #275
NPI: 1740270867
NPI: 1679687792
(801) 871-5228
AFTER HOURS MEDICAL
SPEECH THERAPY
Provider ID: 100000809265
7998 S 1300 E
NPI: 1275563579
WHITE, LINDA RAE SP
(801) 255-2000
11934
S
CEDAR
RIDGE
RD
Provider ID: 100000802455
PODIATRY
(801) 576-9606
NPI: 1740270867
BROWN, HOMER R DPM
Provider ID: 100000089262
AUNE, DAVID L MD
9844 S 1300 E #100
NPI: 1194798322
THE HEALTH SPOT
(801) 967-3338
10011 S CENTENNIAL PKWY #350
SPORTS
MEDICINE
Provider ID: 100000092266
(801) 566-5350
NPI: 1619965225
ALBANO, JOSEPH JOHN MD
Provider ID: 100000941905
9350 S 150 E #460
PHILLIPS, STANLEY J DPM
NPI: 1598722340
(801) 533-2002
9690 S 1300 E #120
FOSTER,
CARLA
Provider ID: 100000318815
(801) 501-4335
CHARBONNEAU
MD
NPI: 1003836636
Provider ID: 100000094235
AFTER HOURS MEDICAL
NPI: 1841202397
ANDERSON, LAURA M MD
7998 S 1300 E
RIGBY, ROBBE TRUMAN DPM 385 W 9000 S
(801) 255-2000
(866) 944-6046
1162 E SERPENTINE WAY
Provider ID: 100000887017
Provider ID: 100000773577
(801) 466-8639
NPI: 1841237005
NPI: 1740270867
Provider ID: 100000088784
GRAVES, JERRY G APRN
7998 S 1300 E
NPI: 1689778771
AFTER HOURS MEDICAL
(801) 255-2000
SCHIFFGEN, STEPHEN
7998 S 1300 E
Provider ID: 100000802455
THOMAS DPM
(801) 255-2000
NPI: 1740270867
9690 S 1300 E #120
Provider ID: 100000821658
COOPER, ANDREW
(801) 501-4335
NPI: 1659651750
DEMONTMOLLIN MD
Provider ID: 100000091303
9350 S 150 E #460
NPI: 1477556298
(801) 533-2002
Provider ID: 100000329676
NPI: 1477547164
UTAH (cont'd)
February 12, 2015
SHELTON, SCOTT S DPM
1434 E 9400 S #203
(801) 571-7911
Provider ID: 100000770376
NPI: 1710114962
206
UTAH
SANDY
URGENT CARE OR WALK IN
Specialists
Sorted by state, city, specialty, then name
UTAH
SARATOGA SPRINGS OBSTETRICS AND GYNECOLOGY
LEISHMAN, BENJAMIN H OD
1025 E 11400 S STE 104
(385)202-3937
SANDY (cont'd)
NPI: 1942438015
URGENT CARE OR WALK IN MORRILL, DAVID K OD
(cont'd)
10835 S 700 E
(801)495-2020
VACHAROTHONE, RACHOT K
NPI: 1528085016
MD
MORTENSEN, RYAN J OD
AFTER HOURS MEDICAL
9035 S 1300 E STE 100
7998 S 1300 E
(801)566-4119
(801) 255-2000
NPI: 1003818576
Provider ID: 100000086216
STROMNESS,
LYNN OD
NPI: 1548228497
9565 S 700 E STE 101
UROLOGY
(801)576-1145
NPI: 1073694212
CLARK, STANLEY CORBIN MD
WHITE, BRENDEN R OD
9690 S 1300 E #100
10835 S 700 E
(801) 571-5121
(801)495-2020
Provider ID: 100000091142
NPI: 1558357954
NPI: 1770591620
LABASKY, RICHARD FRANCIS
SANTAQUIN
MD
9600 S 1300 E #303
PHYSICAL THERAPY
(801) 501-5300
HORROCKS, BRADLEY D RPT
Provider ID: 100000084680
94 W MAIN ST #1
NPI: 1538226600
(801) 754-5700
Provider ID: 100000098540
VASCULAR SURGERY
NPI: 1679685432
JENSEN, PETER ERIK MD
7410 S CREEK RD #104
VSP PROVIDERS – ROUTINE
(801) 501-8346
VISION
Provider ID: 100000099407
ANDERSON, KENYON B OD
NPI: 1033215686
252 W MAIN ST STE C
VSP PROVIDERS – ROUTINE
(801)609-2020
NPI: 1043280555
VISION
CAPSTICK, BRITTANY N OD
SARATOGA SPRINGS
10835 S 700 E
(801)495-2020
CARDIOVASCULAR
NPI: 1326373408
DISEASES
FELLOWS, BRADLEY V OD
WEAVER, AARON N MD
9035 S 1300 E STE 100
1305 N COMMERCE DR #120
(801)566-4119
(801) 753-7424
NPI: 1841473295
Provider ID: 100000533301
GELLER, PAUL D OD
NPI: 1750594222
901 E 9400 S
(801)561-5124
NPI: 1144395203
UTAH (cont'd)
207
CHIROPRACTIC MEDICINE
GOODMAN, KENNETH
MICHAEL DC
85 E CROSSROADS BLVD
(801) 766-0507
Provider ID: 100000085304
NPI: 1700971587
KEMP, DAVID B DC
1416 N REDWOOD RD #B
(801) 753-8481
Provider ID: 100000747147
NPI: 1295045110
GENERAL SURGERY
LE, DINHKIM MD
24 W SERGEANT COURT DR #101
(801) 601-4423
Provider ID: 100000559158
NPI: 1588845101
OBSTETRICS AND
GYNECOLOGY
AAGARD, ROBERT ORR MD
41 E COMMERCE DR #2
(801) 756-9635
Provider ID: 100000517402
NPI: 1477661379
BEAN, GREGORY H MD
41 E COMMERCE DR #2
(801) 756-9635
Provider ID: 100000288675
NPI: 1629069695
CLARK, MATTHEW B MD
1305 N COMMERCE DR #120
(801) 753-7424
Provider ID: 100001114371
NPI: 1851619076
JONES, EVAN B DO
41 E COMMERCE DR #2
(801) 756-9635
Provider ID: 100001162186
NPI: 1336450832
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
SARATOGA SPRINGS
OBSTETRICS AND GYNECOLOGY
ORTHOPEDIC SURGERY
SARATOGA SPRINGS (cont'd) FAUX, JONATHAN ROBERT MD
1305 N COMMERCE DR #120
(801) 753-7424
OBSTETRICS AND
Provider ID: 100000097477
GYNECOLOGY (cont'd)
NPI: 1538250287
LAMOREAUX, JAMES PAUL
FRAZIER, MATTHEW S DO
MD
1305 N COMMERCE DR #120
41 E COMMERCE DR #2
(801) 753-7424
(801) 756-9635
Provider ID: 100000340575
Provider ID: 100000517413
NPI: 1598977944
NPI: 1932212503
MACKEY, RICHARD B MD
MELENDEZ, TERRY DWAIN
24 W SERGEANT COURT DR #101
MD
(801) 568-3480
41 E COMMERCE DR #2
Provider ID: 100000554449
(801) 756-9635
NPI: 1992923874
Provider ID: 100000090305
RICHARDS, RYAN A MD
NPI: 1316050081
1305 N COMMERCE DR #120
MORRIS, CASSANDRA J APRN (801) 753-7424
41 E COMMERCE DR #2
Provider ID: 100000101479
(801) 756-9635
NPI: 1427149178
Provider ID: 100000717823
RITCHIE, PAUL KOHLER MD
NPI: 1174701163
1305 N COMMERCE DR #120
OLLERTON, RYAN C DO
(801) 753-7424
41 E COMMERCE DR #2
Provider ID: 100000098962
(801) 756-9635
NPI: 1720021678
Provider ID: 100000117237
ORTHOPEDICS
NPI: 1528275898
THORPE, JEFFOREY RUEL MD HOOPES, DANIEL M MD
1305 N COMMERCE DR #120
41 E COMMERCE DR #2
(801) 753-7424
(801) 756-9635
Provider ID: 100001106832
Provider ID: 100000511937
NPI: 1255505582
NPI: 1225153828
UTAH (cont'd)
OPTOMETRY
CASTLETON, KEITH J OD
76 E COMMERCE DR #102
(801) 768-1900
Provider ID: 100001118102
NPI: 1730168071
WEAVER, STEVEN J OD
76 E COMMERCE DR #102
(801) 768-1900
Provider ID: 100000097905
NPI: 1487630588
February 12, 2015
PHYSICAL THERAPY
AUSTIN, TODD W RPT
24 W SERGEANT COURT DR #204
(801) 766-0103
Provider ID: 100000266415
NPI: 1932214442
PETERSON, BRIAN K PT
1305 N COMMERCE DR #100
(801) 768-3105
Provider ID: 100000067842
NPI: 1306865027
208
UTAH
SOUTH JORDAN
AUDIOLOGY
PODIATRY
ROGERS, SCOTT F DPM
76 E COMMERCE DR #204
(801) 900-1130
Provider ID: 100000879265
NPI: 1821046418
SPORTS MEDICINE
WEENIG, KARL N MD
1305 N COMMERCE DR #120
(801) 753-7424
Provider ID: 100000098703
NPI: 1740242973
URGENT CARE OR WALK IN
SLATER, RYAN A MD
CENTRAL UTAH CLINIC
1305 N COMMERCE DR #120
(801) 753-7424
Provider ID: 100000946649
NPI: 1346478476
VSP PROVIDERS – ROUTINE
VISION
REESE, W CARLAN OD
76 E COMMERCE DR STE 102
(801)768-1900
NPI: 1790757110
WEAVER, STEVEN J OD
76 E COMMERCE DR STE 102
(801)768-1900
NPI: 1487630588
SOUTH JORDAN
ADULT MEDICINE
ALLEN, NANCY A APRN
4696 W DAYBREAK RIM WAY
(801) 581-7763
Provider ID: 100001107046
NPI: 1063510261
AUDIOLOGY
ALVORD, LYNN S AUD
10588 S REDWOOD RD #B
(801) 253-7400
Provider ID: 100000361225
NPI: 1669595823
UTAH
SOUTH JORDAN
AUDIOLOGY
UTAH (cont'd)
SOUTH JORDAN (cont'd)
AUDIOLOGY (cont'd)
BERGEN, TAD S CCCA
10441 S REDWOOD RD
(801) 302-8022
Provider ID: 100000613593
NPI: 1508177635
SCOTT, CHARLES REX CCCA
10441 S REDWOOD RD
(801) 302-8022
Provider ID: 100000088587
NPI: 1912044082
CARDIOLOGY
WELT, FREDERICK G MD
5126 W DAYBREAK PKWY
(801) 585-0434
Provider ID: 100001106407
NPI: 1841286531
CARDIOVASCULAR
DISEASES
AKOUM, NAZEM W MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000333934
NPI: 1265627095
BADGER, RODNEY SEYMOUR
MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000093025
NPI: 1003874439
BULL, DAVID ANDREW MD
5126 W DAYBREAK PKWY
(801) 581-5311
Provider ID: 100000092381
NPI: 1497845085
RYAN, JOHN J MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000875097
NPI: 1902071673
Specialists
Sorted by state, city, specialty, then name
UTAH
SOUTH JORDAN
CHIROPRACTIC MEDICINE
JACQUES, FRANCOIX DC
1684 W REUNION AVE #100
(801) 562-0502
Provider ID: 100000086690
NPI: 1255429742
JOHNS, COBY LEE DC
10963 S RIVER FRONT PKWY
(801) 679-1559
Provider ID: 100000729860
NPI: 1366494007
LORENC, CALEB J DC
CHIROPRACTIC MEDICINE 10684 S RIVER FRONT PKWY
(801) 816-0332
BATEMAN, CAMERON J DC
Provider ID: 100000866986
1654 W REUNION AVE #B
NPI: 1801140900
(801) 302-9680
LUCE, JACOB A DC
Provider ID: 100000313726
10437 S 1300 W #100
NPI: 1447443452
(801) 254-1811
BOND, ROGER ARIE DC
Provider ID: 100000309390
1684 W REUNION AVE #250
NPI: 1689811457
(801) 562-0363
MALIN, THOMAS M DC
Provider ID: 100000092396
11036 S KESTREL RISE RD
NPI: 1750475810
(801) 264-1235
COOK, CURTIS EMIL DC
Provider ID: 100000089647
10358 S REDWOOD RD
NPI: 1760430359
(801) 561-4257
NEFF, BRANDON L DC
Provider ID: 100000090852
10358 S REDWOOD RD
NPI: 1972640555
(801) 254-6697
FROGLEY, SCOTT HENRY DC
Provider ID: 100000102978
10684 S RIVER FRONT PKWY
NPI: 1609839638
(801) 816-0332
PETERSON, BRAD NIEL DC
Provider ID: 100000086714
10358 S 1700 W
NPI: 1790825388
(801) 254-9400
GARCIA, PATRICK W DC
Provider ID: 100000089985
1098 W SOUTH JORDAN PKWY
NPI: 1659390417
#101
SHETLIN, ROBERT J DC
(801) 254-5800
10456 S REDWOOD RD
Provider ID: 100000606729
(801) 446-5100
NPI: 1972804946
Provider ID: 100000294274
HALL, THERON BRIGGS DC
NPI: 1649425000
3630 W SOUTH JORDAN PKWY WATT, MICHAEL SHANE DC
#102
1664 W TOWNE CENTER DR #D
(801) 302-0301
(801) 446-0800
Provider ID: 100000092198
Provider ID: 100000090648
NPI: 1376768432
NPI: 1609935956
SHAH, RASHMEE U MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100001119775
NPI: 1215184510
SHEETS, MICHAEL
FREDERICK MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000086702
NPI: 1083704605
209
February 12, 2015
UTAH
SOUTH JORDAN
DERMATOLOGY
UTAH (cont'd)
SOUTH JORDAN (cont'd)
DERMATOLOGY
BEZZANT, JOHN LLOYD MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000089135
NPI: 1730175720
DUFFY, KEITH L MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000548819
NPI: 1770779050
HANSEN, C DAVID MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000090978
NPI: 1548366743
MOSS, RICHARD LEE MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000088993
NPI: 1952472292
POWELL, DOUGLAS LESTER
MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000094197
NPI: 1043316300
WOODCOCK, JAMIE MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100001101099
NPI: 1104093392
ZUSSMAN, JAMIE MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100001101357
NPI: 1174775621
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
EAR NOSE THROATOTOLARYNGOLOGY
MCRAE, BRYAN R MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100001100595
NPI: 1346407772
ORLANDI, RICHARD RALPH
MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000094406
NPI: 1790865699
WARD, PRESTON D MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000548794
NPI: 1649396185
WILSON, KEVIN F MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000556110
NPI: 1780701003
GASTROENTEROLOGY
FLYNN, ANN D MD
5126 W DAYBREAK PKWY
(801) 213-9797
Provider ID: 100000960360
NPI: 1386790988
GAWRON, ANDREW J MD
5126 W DAYBREAK PKWY
(801) 213-9797
Provider ID: 100001119655
NPI: 1447412903
GENERAL SURGERY
HALVERSEN, ROY CHAD MD
1617 W TEMPLE LN
(801) 577-7055
Provider ID: 100000729854
NPI: 1275540585
IBELE, ANNA R MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100001107689
NPI: 1942265145
210
UTAH
SOUTH JORDAN
MIDWIFERY SERVICES
JAY, RODNEY G MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100001101539
NPI: 1225201148
VOLCKMANN, ERIC T MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000565083
NPI: 1710962238
HEMATOLOGY
GILCREASE, GLYNN W MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000794058
NPI: 1275710865
MIDWIFERY SERVICES
BARNES, LISA E CNM
5126 W DAYBREAK PKWY
(801) 213-3900
Provider ID: 100000510926
NPI: 1124289798
COHEN, SUSANNA R CNM
5126 W DAYBREAK PKWY
(801) 213-3900
Provider ID: 100000254695
NPI: 1033391552
DENERIS, ANGELA CNM
5126 W DAYBREAK PKWY
(801) 213-3900
Provider ID: 100000089466
NPI: 1235229824
ELMORE, CHRISTINA E CNM
5126 W DAYBREAK PKWY
(801) 213-3900
Provider ID: 100000875084
NPI: 1972855948
GERARD, CLAUDIA G CNM
5126 W DAYBREAK PKWY
(801) 213-3900
Provider ID: 100000085488
NPI: 1750471355
UTAH
SOUTH JORDAN
MIDWIFERY SERVICES
Specialists
Sorted by state, city, specialty, then name
UTAH
SOUTH JORDAN
OBSTETRICS AND GYNECOLOGY
ROLLEY, JENNIFER GRACE
CNM
5126 W DAYBREAK PKWY
SOUTH JORDAN (cont'd)
(801) 581-4014
Provider ID: 100000101717
MIDWIFERY SERVICES
NPI: 1568552172
(cont'd)
ROSATI ALLEN, MARGARET
HAGEN, SARAH J CNM
CNM
5126 W DAYBREAK PKWY
5126 W DAYBREAK PKWY
(801) 213-3900
(801) 213-3900
Provider ID: 100000280814
Provider ID: 100000092372
NPI: 1063677276
NPI: 1649337973
HUTTON, ANN PEARSON APRN THOMAS, CELESTE RICKS

CNM
5126 W DAYBREAK PKWY
5126 W DAYBREAK PKWY
(801) 213-3900
(801) 581-4014
Provider ID: 100000088518
Provider ID: 100000101718
NPI: 1437249034
NPI: 1285724815
LAMALFA, TONI V CNM
NEPHROLOGY
5126 W DAYBREAK PKWY
(801) 213-4500
KAKANI, SIDDHARTHA MD
Provider ID: 100000590066
5126 W DAYBREAK PKWY
NPI: 1154424950
(801) 693-7900
Provider ID: 100000960423
LATENDRESSE, GWEN A CNM
NPI: 1750502928
5126 W DAYBREAK PKWY
(801) 213-3900
NEUROLOGICAL SURGERY
Provider ID: 100000332457
BISSON, ERICA F MD
NPI: 1629226808
5126 W DAYBREAK PKWY
NELSON, AMY B CNM
(801) 213-4500
5126 W DAYBREAK PKWY
Provider ID: 100000344349
(801) 213-3900
NPI: 1750409520
Provider ID: 100000541308
MAHAN, MARK A MD
NPI: 1902824980
5126 W DAYBREAK PKWY
NELSON, JESSICA A NP 
(801) 213-4500
5126 W DAYBREAK PKWY
Provider ID: 100001096462
(801) 213-3900
NPI: 1477733426
Provider ID: 100000747019
NPI: 1245362599
NEUROLOGY
RICHARDSON, JILL CMN CNM GIBSON, SUMMER B MD
5126 W DAYBREAK PKWY
5126 W DAYBREAK PKWY
(801) 213-3900
(801) 585-7575
Provider ID: 100000747048
Provider ID: 100000949002
NPI: 1942390562
NPI: 1962725440
ROBERTS, LEISSA A CNM
5126 W DAYBREAK PKWY
(801) 213-3900
Provider ID: 100000087449
NPI: 1023108644
UTAH (cont'd)
This provider is not accepting
new patients at this time
211
NURSING SERVICES
WILLIS, ALIKA M APRN
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000757803
NPI: 1356580302
OBSTETRICS AND
GYNECOLOGY
DORAIS, JESSICA A MD
5126 W DAYBREAK PKWY
(801) 581-3834
Provider ID: 100000705576
NPI: 1225282395
GIBSON, MARK MD
5126 W DAYBREAK PKWY
(801) 581-3834
Provider ID: 100000097837
NPI: 1578653176
HALL, SUSAN J APRN
5126 W DAYBREAK PKWY
(801) 213-3900
Provider ID: 100000990460
NPI: 1982738043
HAMMOUD, AHMAD OMAR
MD
5126 W DAYBREAK PKWY
(801) 581-3834
Provider ID: 100000101759
NPI: 1821188426
HURST, BARBARA MD
1617 W TEMPLE LN
(801) 577-7055
Provider ID: 100001172913
NPI: 1205973070
KEYE, WILLIAM R MD
5126 W DAYBREAK PKWY
(801) 581-3834
Provider ID: 100000292603
NPI: 1407815863
PETERSON, CHARLES
MATTHEW MD
5126 W DAYBREAK PKWY
(801) 581-3834
Provider ID: 100000086680
NPI: 1316037930
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
SOUTH JORDAN
OBSTETRICS AND GYNECOLOGY
GELLER, PAUL DOUGLASS OD
10498 S REDWOOD RD
(801) 302-0800
SOUTH JORDAN (cont'd)
Provider ID: 100000086041
NPI: 1659456671
OBSTETRICS AND
GYNECOLOGY (cont'd)
HARDY, DALE FRANK OD
10372 S REDWOOD RD
REYNOLDS, BRANDON L DO
(801) 253-1374
5126 W DAYBREAK PKWY
Provider ID: 100000092596
(801) 213-4500
NPI: 1356343487
Provider ID: 100000616650
HEPWORTH, KURT P OD
NPI: 1710972641
1325 W SOUTH JORDAN PKWY
OPHTHALMOLOGY
TRAUSCHT-VANHORN,
#103
JENNIFER J MD
AMBATI, BALAMURALI K MD (801) 253-3080
5126 W DAYBREAK PKWY
5126 W DAYBREAK PKWY
Provider ID: 100000519345
(801) 213-3900
(801) 213-4500
NPI: 1457531428
Provider ID: 100000265172
Provider ID: 100000262159
MARTY,
MICHAEL STEPHEN
NPI: 1306926209
NPI: 1750397576
OD
11278 S JORDAN GTWY
OCCUPATIONAL MEDICINE BARLOW, WILLIAM R MD
5126 W DAYBREAK PKWY
(801) 619-6901
CHENG, MELISSA MD
(801) 213-4500
Provider ID: 100001058648
1091 W SOUTH JORDAN PKWY
Provider ID: 100000733053
NPI: 1497743942
(801) 213-9800
NPI: 1265534853
MCKAY, MARK ALAN OD
Provider ID: 100000749831
DAVIS, BRIAN RICHARD MD
1091 W SOUTH JORDAN PKWY
NPI: 1518112358
1325 W SOUTH JORDAN PKWY #500
5126 W DAYBREAK PKWY
#103
(801) 213-9800
(801) 213-4500
(801) 253-3080
Provider ID: 100000091752
Provider ID: 100000755373
Provider ID: 100000519340
NPI: 1528149317
NPI: 1518112358
NPI: 1679583470
MELLOR, JEFFERY L OD
OCCUPATIONAL THERAPY
1218 W SOUTH JORDAN PKWY
OPTOMETRY
ELLIS, KAYLYN OT
BROADHEAD, JEFFREY LYNN #A
10319 S LAC VIEUX RD
(801) 858-2020
OD
(801) 472-5381
Provider ID: 100000709652
3556 W 9800 S #104
Provider ID: 100001152727
NPI: 1518975226
(801) 676-2020
NPI: 1316388564
MORTENSEN, RYAN J OD
Provider ID: 100000095852
GILMORE, ALLYSON C OT
11506 S DISTRICT DR #100
NPI: 1306829569
10376 S JORDAN GTWY
(801) 619-9494
CORRY, ROBERT H OD
(801) 619-3670
Provider ID: 100000115313
1091 W SOUTH JORDAN PKWY
Provider ID: 100000573522
NPI: 1003818576
#500
NPI: 1518271444
(801) 213-9840
Provider ID: 100000115583
ONCOLOGIST/
NPI: 1891876686
HEMATOLOGIST
5126
W DAYBREAK PKWY
BECK, ANNA CATHERINE MD
(801)
213-4500
5126 W DAYBREAK PKWY
Provider
ID: 100000115583
(801) 213-4500
NPI:
1891876686
Provider ID: 100000808711
NPI: 1710936265
UTAH (cont'd)
February 12, 2015
BUYS, SAUNDRA SARGENT MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000092108
NPI: 1568547255
PRYSTAS, ELIZABETH MARY
MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100001156251
NPI: 1265526131
UTAH
SOUTH JORDAN
OPTOMETRY
212
UTAH
SOUTH JORDAN
OPTOMETRY
UTAH (cont'd)
SOUTH JORDAN (cont'd)
OPTOMETRY (cont'd)
PALMER, CLAIR RAY OD
1091 W SOUTH JORDAN PKWY
#500
(801) 213-9800
Provider ID: 100000087268
NPI: 1255412045
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000087268
NPI: 1255412045
SMITH, CRAIG MILTON OD
1091 W SOUTH JORDAN PKWY
#500
(801) 213-9800
Provider ID: 100000092426
NPI: 1073694865
VINCENT, BRYAN HARLOW
OD
1091 W SOUTH JORDAN PKWY
#500
(801) 213-9800
Provider ID: 100000089152
NPI: 1982785770
ORTHOPEDIC SURGERY
MAAK, TRAVIS G MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000801608
NPI: 1689851354
PHYSICAL MEDICINE AND
REHABILITATION
HENRIE, ARLAN M DO
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000556634
NPI: 1235168592
Specialists
Sorted by state, city, specialty, then name
PHYSICAL THERAPY
BLACK, JAN R RPT
10376 S JORDAN GTWY
(801) 619-3670
Provider ID: 100000096704
NPI: 1568429967
DEPOLA, MICHAEL T PT
1868 W 9800 S #200
(801) 572-0690
Provider ID: 100000803007
NPI: 1114287612
HANSEN, MATTHEW PT
10376 S JORDAN GTWY
(801) 619-3670
Provider ID: 100000113727
NPI: 1659301083
LAJOM, JEANNE J RPT
1868 W 9800 S #200
(801) 572-0690
Provider ID: 100000518816
NPI: 1508059643
NORWOOD, DREW RICHARD
RPT
1868 W 9800 S #200
(801) 572-0690
Provider ID: 100000094815
NPI: 1851378830
ORR, JOHN MICHAEL PT
1098 W SOUTH JORDAN PKWY
#101
(801) 254-5800
Provider ID: 100000960827
NPI: 1518942291
PROBERT, ERIN N RPT
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000757801
NPI: 1871806174
STEVENSON, TREVOR JACK
RPT
1868 W 9800 S #200
(801) 572-0690
Provider ID: 100000097135
NPI: 1982681078
213
UTAH
SOUTH JORDAN URGENT CARE OR WALK IN
PODIATRY
EASON, GEORGE RICHARD
DPM
2269 W BONANZA CT
(801) 750-0258
Provider ID: 100000088728
NPI: 1649244872
RUSHTON, RYAN TAYLOR
DPM
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000094786
NPI: 1013007632
REPRODUCTIVE
ENDOCRINOLOGY
JOHNSTONE, ERICA B MD
5126 W DAYBREAK PKWY
(801) 581-3834
Provider ID: 100000549379
NPI: 1487773263
SPEECH THERAPY
BENNETT, JARED L SLP
1098 W 10550 S
(801) 253-1023
Provider ID: 100000567618
NPI: 1104058163
SPORTS MEDICINE
ANDERSON, LAURA M MD
10433 S REDWOOD RD
(801) 501-0500
Provider ID: 100000802451
NPI: 1740270867
URGENT CARE OR WALK IN
ANDERSON, LAURA M MD
AFTER HOURS MEDICAL
10433 S REDWOOD RD
(801) 501-0500
Provider ID: 100000802451
NPI: 1740270867
UUHC COMMUNITY CLINICS
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000742855
NPI: 1740270867
February 12, 2015
UTAH
SOUTH JORDAN
URGENT CARE OR WALK IN
UTAH (cont'd)
SOUTH JORDAN (cont'd)
URGENT CARE OR WALK IN
(cont'd)
AUNE, DAVID L MD
AFTER HOURS MEDICAL
10433 S REDWOOD RD
(801) 501-0500
Provider ID: 100000094363
NPI: 1598722340
FOSTER, CARLA
CHARBONNEAU MD
AFTER HOURS MEDICAL
10433 S REDWOOD RD
(801) 501-0500
Provider ID: 100000887018
NPI: 1841237005
GRAVES, JERRY G APRN
AFTER HOURS MEDICAL
10433 S REDWOOD RD
(801) 501-0500
Provider ID: 100000821658
NPI: 1659651750
OLSEN, CLINTON D NP
AFTER HOURS MEDICAL
10433 S REDWOOD RD
(801) 501-0500
Provider ID: 100000977174
NPI: 1225387491
UROLOGY
BRANT, WILLIAM O MD
5126 W DAYBREAK PKWY
(801) 693-7900
Provider ID: 100001068754
NPI: 1467478339
SOUTHWICK, ANDREW
WILLIAM MD
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100000094344
NPI: 1508956137
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
TAYLOR, KELLEY E APRN
5126 W DAYBREAK PKWY
(801) 213-4500
Provider ID: 100001172859
NPI: 1659775955
UTAH
SPANISH FORK CHIROPRACTIC MEDICINE
SOUTH OGDEN
VSP PROVIDERS – ROUTINE
VISION
WENOM, GREG M OD
VASCULAR SURGERY
5738 S 1475 E STE 100
MCGREEVY, JAMES MICHAEL (801)393-9440
NPI: 1356420590
MD
5126 W DAYBREAK PKWY
SPANISH FORK
(801) 581-4488
Provider ID: 100000085226
AUDIOLOGY
NPI: 1578676672
THOMAS, CURTIS G AUD
VSP PROVIDERS – ROUTINE 325 W CENTER ST
(801) 423-5375
VISION
Provider ID: 100000283658
BROADHEAD, JEFFREY L OD
NPI: 1184761736
3556 W 9800 S STE 104
(801)676-2020
CHIROPRACTIC MEDICINE
NPI: 1306829569
ANDERSON, JAY DOYLE DC
DAVIS, BRIAN R MD
642 KIRBY LN #103
1325 W S JORDAN PKWY STE 103 (801) 798-6558
(801)253-3080
Provider ID: 100000085995
NPI: 1679583470
NPI: 1558360362
FELLOWS, BRADLEY V OD
COURTNEY, DAVID J DC
11506 DISTRICT DR STE 400
800 N 100 E
(801)495-4833
(801) 798-2482
NPI: 1841473295
Provider ID: 100000089715
GELLER, PAUL D OD
NPI: 1356358758
10498 S REDWOOD RD
DAVIS, STEVEN E DC
(801)302-0800
750 N MAIN ST
NPI: 1144395203
(801) 798-2515
HARDY, DALE F OD
Provider ID: 100000345065
10372 S REDWOOD RD
NPI: 1770735284
(801)253-1374
KEPOO, JOSEPH D DC
NPI: 1356343487
1362 E CENTER ST
HEPWORTH, KURT P OD
(801) 798-2781
1325 W S JORDAN PKWY STE 103
Provider ID: 100000115674
(801)253-3080
NPI: 1538211560
NPI: 1457531428
WALL, BRENT N DC
MELLOR, JEFFERY L OD
750 N MAIN ST
1218 W S JORDAN PKWY STE A
(801) 798-2515
(801)858-2020
Provider ID: 100000105324
NPI: 1518975226
NPI: 1346263100
MORTENSEN, RYAN J OD
11506 DISTRICT DR STE 400
(801)495-4833
NPI: 1003818576
214
UTAH
SPANISH FORK
CHIROPRACTIC MEDICINE
UTAH (cont'd)
SPANISH FORK (cont'd)
CHIROPRACTIC MEDICINE
(cont'd)
Specialists
Sorted by state, city, specialty, then name
RIDDLE, SETH ALLRED MD
325 W CENTER ST
(801) 423-5375
Provider ID: 100000087973
NPI: 1598701955
HEAD AND NECK SURGERY
WHITTAKER, DONALD JOSEPH BEUS, KIRT SCOTT MD
DC
325 W CENTER ST
1362 E CENTER ST
(801) 423-5375
(801) 798-2781
Provider ID: 100000272168
Provider ID: 100000552820
NPI: 1396765871
NPI: 1376736280
PARSONS, STEPHEN P MD
325 W CENTER ST
DERMATOLOGY
(801) 423-5375
EYRE, MICHAEL PEARSON DO
Provider ID: 100000107767
114 E 800 N
NPI: 1932146966
(801) 794-1490
RIDDLE, SETH ALLRED MD
Provider ID: 100000098738
325 W CENTER ST
NPI: 1063481646
(801) 423-5375
PETERSON, CHAD R DO
Provider ID: 100000087973
114 E 800 N
NPI: 1598701955
(801) 794-1490
OPHTHALMOLOGY
Provider ID: 100000284117
NPI: 1821299751
CALL, CONLEY B MD
PETERSON, MICHAEL W DO
78 E 900 N
114 E 800 N
(801) 794-4964
(801) 794-1490
Provider ID: 100000759707
Provider ID: 100000801760
NPI: 1073594818
NPI: 1770634909
OPTOMETRY
PETERSON, WARREN ALBERT
CHILDS, BRUCE TODD OD
DO
955 N MAIN ST
114 E 800 N
(801) 798-3557
(801) 794-1490
Provider ID: 100001002778
Provider ID: 100000092563
NPI: 1235194838
NPI: 1134198807
ESPLIN, DAVID JAMES OD
EAR NOSE THROAT59 S 400 W
OTOLARYNGOLOGY
(801) 794-3937
BEUS, KIRT SCOTT MD
Provider ID: 100000099564
325 W CENTER ST
NPI: 1740255058
(801) 423-5375
GUBLER, BOYD K OD
Provider ID: 100000272168
428 S MAIN ST
NPI: 1396765871
(801) 504-6448
PARSONS, STEPHEN P MD
Provider ID: 100000743553
325 W CENTER ST
NPI: 1568627305
(801) 423-5375
Provider ID: 100000107767
NPI: 1932146966
215
UTAH
SPANISH FORK
PHYSICAL THERAPY
HAWKINS, NATHAN J OD
59 S 400 W
(801) 794-3937
Provider ID: 100000917505
NPI: 1982837035
PUGH, RONALD MARK OD
321 W CENTER ST
(801) 798-7496
Provider ID: 100000088833
NPI: 1013012715
RHAZI, MARIA L OD
955 N MAIN ST
(801) 798-3557
Provider ID: 100000111093
NPI: 1811948805
RIGTRUP, CHAD LEE OD
955 N MAIN ST
(801) 798-3557
Provider ID: 100000101471
NPI: 1821109059
WALTON, DEREK A OD
955 N MAIN ST
(801) 798-3557
Provider ID: 100000878739
NPI: 1295019339
PHYSICAL THERAPY
BUDGE, EDWARD H RPT
77 S 400 W
(801) 798-1626
Provider ID: 100000088281
NPI: 1417957291
HENDERSON III, JAMES G RPT
462 RIVER CROSS RD
(801) 471-8936
Provider ID: 100000253685
NPI: 1699962001
HILL, VON OBERHANSLEY
RPT
77 S 400 W
(801) 798-1626
Provider ID: 100000088213
NPI: 1669472684
February 12, 2015
UTAH
SPANISH FORK
PHYSICAL THERAPY
UTAH (cont'd)
SPANISH FORK (cont'd)
PHYSICAL THERAPY (cont'd)
LITTLEDIKE, JASON STANLEY
RPT
77 S 400 W
(801) 798-1626
Provider ID: 100000095795
NPI: 1386644524
ROBBINS, STEVEN EDWARD
RPT
77 S 400 W
(801) 798-1626
Provider ID: 100000098178
NPI: 1225038474
SHELTON, WAYNE LEWIS RPT
317 W CENTER ST
(801) 798-9100
Provider ID: 100000088992
NPI: 1376562058
PODIATRY
NELSON, MICHAEL LEE DPM
65 W 200 N #1
(801) 794-3856
Provider ID: 100000093686
NPI: 1710909122
VSP PROVIDERS – ROUTINE
VISION
ESPLIN, DAVID J OD
24 N 100 E
(801)794-3937
NPI: 1740255058
JONES, DAVID I OD
57 E 1000 N
(801)798-5341
NPI: 1427087741
MENDENHALL, JESS E OD
482 S MAIN ST
(801)504-6448
NPI: 1225280423
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
PUGH, RONALD M OD
321 W CENTER ST
(801)798-7496
NPI: 1013012715
SPRINGVILLE
AUDIOLOGY
BIRD, RICHARD M AUD
380 E 400 S
(801) 472-4657
Provider ID: 100000850802
NPI: 1063767879
CHIROPRACTIC MEDICINE
NORTH, JASON W DC
1220 N MAIN ST #2
(801) 491-4195
Provider ID: 100000596004
NPI: 1003125964
OLSON, RICHARD PAUL DC
485 S MAIN ST #101
(801) 489-4990
Provider ID: 100000098264
NPI: 1265460778
DERMATOLOGY
PETERSON, CHAD R DO
732 N MAIN ST
(801) 794-1490
Provider ID: 100000284117
NPI: 1821299751
PETERSON, MICHAEL W DO
732 N MAIN ST
(801) 704-7001
Provider ID: 100000980470
NPI: 1770634909
OBSTETRICS AND
GYNECOLOGY
CROUCH, MAX J MD
376 E 400 S
(801) 465-4896
Provider ID: 100000739450
NPI: 1861569261
216
UTAH
SPRINGVILLE
PHYSICAL THERAPY
OPTOMETRY
CAYWOOD, TRAER GARY OD
374 E 400 S #1
(801) 489-5111
Provider ID: 100000091769
NPI: 1164414744
RIGTRUP, CHAD LEE OD
262 E 400 S
(801) 489-5166
Provider ID: 100000101472
NPI: 1821109059
SIDDOWAY, FRANK ALDEN OD
262 E 400 S
(801) 489-5166
Provider ID: 100001126047
NPI: 1255343695
WINWARD, RICK W OD
374 E 400 S #1
(801) 489-5111
Provider ID: 100000095940
NPI: 1750373411
PHYSICAL THERAPY
CHRISTENSEN, ALYSA C RPT
655 E 400 S #G
(801) 704-9405
Provider ID: 100000691841
NPI: 1407017536
LAMBERT, BRIAN BALLIF RPT
380 E 400 S
(801) 489-5669
Provider ID: 100000089214
NPI: 1639165707
THORPE, GREG R RPT
380 E 400 S
(801) 489-5669
Provider ID: 100000095159
NPI: 1316933500
WALKER, MARK C RPT
655 E 400 S #G
(801) 704-9405
Provider ID: 100000089902
NPI: 1881770840
UTAH
SPRINGVILLE
PODIATRY
UTAH (cont'd)
SPRINGVILLE (cont'd)
PODIATRY
OLLERTON, MATTHEW
GERALD DPM
5 E 400 N
(801) 491-3668
Provider ID: 100000093802
NPI: 1518959733
VSP PROVIDERS – ROUTINE
VISION
CAYWOOD, TRAER G OD
374 E 400 S
(801)489-5111
NPI: 1164414744
RIGTRUP, CHAD L OD
262 E 400 S
(801)489-5166
NPI: 1821109059
SIDDOWAY, FRANK A OD
262 E 400 S
(801)489-5166
NPI: 1255343695
WINWARD, RICK W OD
374 E 400 S
(801)489-5111
NPI: 1750373411
SUNSET
CHIROPRACTIC MEDICINE
FAIR, MYRON DEAN DC
2421 N MAIN ST
(801) 776-2800
Provider ID: 100000092942
NPI: 1396718268
Specialists
Sorted by state, city, specialty, then name
SYRACUSE
CHIROPRACTIC MEDICINE
ELMORE, NATHAN WESLEY
DC
1747 HERITAGE LN #B105
(801) 784-7274
Provider ID: 100000509973
NPI: 1679799902
GREEN, WILLIAM D DC
780 S 2000 W #A101
(801) 683-9553
Provider ID: 100000364246
NPI: 1871730267
PARKER, JAMES D DC
2019 W 1900 S #100
(801) 774-0266
Provider ID: 100000748321
NPI: 1992089593
RAWLIN, ERIC ROBERT DC
2019 W 1900 S #100
(801) 774-0266
Provider ID: 100000098093
NPI: 1922173657
OBSTETRICS AND
GYNECOLOGY
MILLER, RYAN D DO
2038 W 1900 S
(801) 773-4840
Provider ID: 100000811221
NPI: 1134383649
SORENSEN, TEELA
SOUTHWICK MD
2038 W 1900 S
(801) 773-4840
Provider ID: 100000089690
NPI: 1871579920
OCCUPATIONAL THERAPY
SCHNEIDER, KIM OT
736 S 2000 W #1
(801) 985-2700
Provider ID: 100000097493
NPI: 1881795797
217
UTAH
TAYLORSVILLE CHIROPRACTIC MEDICINE
OPTOMETRY
TAYLOR, MARK ALLEN OD
1792 W 1700 S #202
(801) 543-2525
Provider ID: 100000089943
NPI: 1811992555
PHYSICAL THERAPY
BROWN, JOSHUA C RPT
736 S 2000 W #1
(801) 985-2700
Provider ID: 100000248643
NPI: 1154515328
HEPNER, BRANDON MICHAEL
RPT
736 S 2000 W #1
(801) 985-2700
Provider ID: 100000095483
NPI: 1245211572
LARSEN, MATTHEW D RPT
2019 W 1900 S #200
(801) 807-1000
Provider ID: 100000088192
NPI: 1528183878
PODIATRY
POTTER, BROOKS HAWKES
DPM
2038 W 1900 S
(801) 773-4840
Provider ID: 100000096985
NPI: 1629054580
VSP PROVIDERS – ROUTINE
VISION
TAYLOR, MARK A OD
1792 W 1700 S STE 202
(801)774-8707
NPI: 1811992555
TAYLORSVILLE
CHIROPRACTIC MEDICINE
GREEN, R KENNETH K DC
2048 W 5400 S
(801) 968-5400
Provider ID: 100000092908
NPI: 1053409235
February 12, 2015
UTAH
TAYLORSVILLE
CHIROPRACTIC MEDICINE
UTAH (cont'd)
TAYLORSVILLE (cont'd)
CHIROPRACTIC MEDICINE
(cont'd)
HARRISON, ERIC J DC
2828 W 4700 S #A
(801) 966-3101
Provider ID: 100000095418
NPI: 1417037920
MARTIN, TERRY H DC
1951 W 4700 S #1
(801) 969-8197
Provider ID: 100000091634
NPI: 1447224720
OLSON, DARREN D DC
2232 W 5400 S
(801) 969-9001
Provider ID: 100000269769
NPI: 1639158876
DERMATOLOGY
HANSEN, C DAVID MD
3730 W 4700 S
(801) 581-2955
Provider ID: 100000090978
NPI: 1548366743
GENERAL SURGERY
HALVERSEN, ROY CHAD MD
5472 S 3200 W
(801) 577-7055
Provider ID: 100000729854
NPI: 1275540585
6302 S GOLD MEDAL DR
(801) 577-7055
Provider ID: 100000729854
NPI: 1275540585
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
NEPHROLOGY
BJORDAHL, TERRENCE SCOTT
MD
3730 W 4700 S
(801) 213-9200
Provider ID: 100000332821
NPI: 1710006408
3854 W 5400 S
(801) 969-6801
Provider ID: 100000248256
NPI: 1710006408
HABIB, ARSALAN NAIYER MD
3730 W 4700 S
(801) 213-9200
Provider ID: 100000097747
NPI: 1942336938
UTAH
TAYLORSVILLE
OPTOMETRY
OPTOMETRY
FRISCHKNECHT, NEIL JONES
OD
3754 W 5400 S
(801) 886-2020
Provider ID: 100000243534
NPI: 1457440687
GELLER, PAUL DOUGLASS OD
2282 W 5400 S
(801) 963-2773
Provider ID: 100000086042
NPI: 1659456671
GILLILAND, RODNEY N OD
3754 W 5400 S
(801) 964-9911
Provider ID: 100000856826
NPI: 1801800016
NURSING SERVICES
HADLOCK, BRENT LEE OD
BEHRMANN, NICOLE N APRN 3754 W 5400 S
3730 W 4700 S
(801) 964-9911
(801) 581-2955
Provider ID: 100001072160
Provider ID: 100000749930
NPI: 1578648564
NPI: 1760632590
HANSEN, TERRY MILO OD
MUELLER, JANET HORSLEY
2828 W 4700 S #D
APRN
(801) 966-6201
3854 W 5400 S
Provider ID: 100000087275
(801) 969-6801
NPI: 1417028952
Provider ID: 100000095349
HIMES, RANDALL C OD
NPI: 1528158136
3754 W 5400 S
OBSTETRICS AND
(801) 964-9911
Provider ID: 100000863448
GYNECOLOGY
NPI: 1144380478
HURST, BARBARA MD
KESSLER,
JENNIFER L OD
5472 S 3200 W
3754
W
5400
S
(801) 577-7055
(801)
964-9911
Provider ID: 100001172913
Provider ID: 100000811343
NPI: 1205973070
NPI: 1811259336
6302 S GOLD MEDAL DR
LEISHMAN, BENJAMIN H OD
(801) 577-7055
3754 W 5400 S
Provider ID: 100001172913
(801) 964-9911
NPI: 1205973070
Provider ID: 100000785093
OPHTHALMOLOGY
NPI: 1942438015
WILLIAMS, LLOYD B MD
NEVERS, MARK W OD
3754 W 5400 S
3754 W 5400 S
(801) 964-9911
(801) 964-9911
Provider ID: 100000994683
Provider ID: 100000815940
NPI: 1730333741
NPI: 1366704959
218
UTAH
TAYLORSVILLE
OPTOMETRY
UTAH (cont'd)
TAYLORSVILLE (cont'd)
OPTOMETRY (cont'd)
ROE, FARRELL M OD
3754 W 5400 S
(801) 964-9911
Provider ID: 100001040322
NPI: 1225104110
ROPER, RONALD S OD
3544 W 6200 S #104
(801) 966-2020
Provider ID: 100000509438
NPI: 1447313416
SHOSTED, KEVIN C OD
2828 W 4700 S #D
(801) 966-6201
Provider ID: 100000533115
NPI: 1164650685
PAIN MANAGEMENT
LI, TAO MD
1951 W 4700 S #2
(801) 356-6100
Provider ID: 100001094153
NPI: 1376725143
PHYSICAL THERAPY
CHURCH, KEVIN DEE RPT
5255 S 4015 W #205
(801) 957-1797
Provider ID: 100000089963
NPI: 1376678334
EREKSON, JACOB D RPT
6321 S REDWOOD RD #105
(801) 904-3089
Provider ID: 100000748392
NPI: 1407187867
HOBUSCH, FREDERICK L RPT
5547 S 4015 W #7
(801) 967-6055
Provider ID: 100000088935
NPI: 1366475337
Specialists
Sorted by state, city, specialty, then name
UTAH
WEST HAVEN VSP PROVIDERS – ROUTINE VISION
JABEZ, MELODY A RPT
5547 S 4015 W #7
(801) 967-6055
Provider ID: 100000598450
NPI: 1992956668
MIYASAKI, RODNEY ALAN
RPT
5547 S 4015 W #7
(801) 967-6055
Provider ID: 100000087292
NPI: 1073546040
PODIATRY
CAMPBELL, CRAIG JAMES
DPM
5255 S 4015 W #140
(801) 969-1434
Provider ID: 100000089255
NPI: 1841288651
PULMONARY DISEASES
MARTINEZ, MARK LUIS MD
2520 W 4700 S #2A
(801) 964-2008
Provider ID: 100000612320
NPI: 1508861964
URGENT CARE OR WALK IN
LEWIS, RANDAL J MD
PHYSICIAN GROUP OF UTAH
5255 S 4015 W #206
(801) 912-9700
Provider ID: 100000876276
NPI: 1215964309
VSP PROVIDERS – ROUTINE
VISION
GELLER, PAUL D OD
2282 W 5400 S
(801)963-2773
NPI: 1144395203
ROPER, RON S OD
3544 W 6200 S STE 104
(801)966-2020
NPI: 1447313416
219
WEST HAVEN
CHIROPRACTIC MEDICINE
TOLMAN, BRIAN WILLIAM DC
4645 MIDLAND DR #2
(801) 731-9899
Provider ID: 100000097527
NPI: 1013953363
WHETTON, CHRISTOPHER O
DC
4638 S 3500 W #6
(801) 393-8880
Provider ID: 100000747734
NPI: 1063709707
WHETTON, G RANDAL DC
4638 S 3500 W #6
(801) 393-8880
Provider ID: 100000093862
NPI: 1033176987
OPTOMETRY
PEBLEY, MITCHELL E OD
4645 MIDLAND DR #A
(801) 732-8200
Provider ID: 100000687413
NPI: 1710115332
WATSON, MATTHEW L OD
4645 MIDLAND DR #A
(801) 732-8200
Provider ID: 100000741238
NPI: 1588990295
PHYSICAL THERAPY
TENNEY, CHAD JEFFREY PT
4640 S 3500 W #3
(801) 689-0200
Provider ID: 100000796457
NPI: 1215910161
VSP PROVIDERS – ROUTINE
VISION
PEBLEY, MITCHELL E OD
4645 S MIDLAND DR STE A
(801)732-8200
NPI: 1710115332
February 12, 2015
Specialists
UTAH
UTAH
Sorted by state, city, specialty, then name
WEST HAVEN
WEST JORDAN
CARDIOVASCULAR DISEASES
VSP PROVIDERS – ROUTINE VISION
UTAH (cont'd)
CARDIOLOGY
KENWOOD, BRUCE R DO
WEST HAVEN (cont'd)
3570 W 9000 S #110
(801) 233-0140
VSP PROVIDERS – ROUTINE
Provider ID: 100000108625
VISION (cont'd)
NPI: 1144279019
WATSON, MATTHEW L OD
3584 W 9000 S #209
4645 S MIDLAND DR STE A
(801) 263-2370
(801)732-8200
Provider ID: 100000108625
NPI: 1588990295
NPI: 1144279019
MASSINOPLE, DAVID S MD
WEST JORDAN
3570 W 9000 S #110
(801) 233-0140
ALLERGY
Provider ID: 100000268586
ROGERS, CHARLES MITCHELL
NPI: 1255541785
MD
3584 W 9000 S #209
3855 W 7800 S #225
(801) 263-2370
(801) 282-8700
Provider ID: 100000268586
Provider ID: 100000084768
NPI: 1255541785
NPI: 1912906330
CARDIOVASCULAR
AUDIOLOGY
DISEASES
CLARKE, MARGARET L AUD
ADJEI-POKU, MICHAEL MD
8806 S REDWOOD RD #103
3584 W 9000 S #209
(801) 495-4800
(801) 571-6100
Provider ID: 100000736056
Provider ID: 100000730646
NPI: 1851621098
NPI: 1528050465
CRONIN, PAMELA JEANNE
8846 S REDWOOD RD #E121
AUD
(801) 676-3776
3584 W 9000 S #311
Provider ID: 100000730646
(801) 566-8304
NPI: 1528050465
Provider ID: 100000097387
BRANN,
WILLIAM MARCUS
NPI: 1639109481
MD
HORN, MARY LEIGH CCCA
3570 W 9000 S #110
8806 S REDWOOD RD #103
(801) 233-0140
(801) 495-4800
Provider ID: 100000605841
Provider ID: 100000750396
NPI: 1912087826
NPI: 1184904286
3584 W 9000 S #209
LEROY, MOLLY M AUD
(801) 263-2370
8806 S REDWOOD RD #103
Provider ID: 100000605841
(801) 495-4800
NPI: 1912087826
Provider ID: 100000360539
NPI: 1033442959
February 12, 2015
220
EDWARDS II, THOMAS S MD
3584 W 9000 S #209
(801) 571-6100
Provider ID: 100000733420
NPI: 1639163215
8846 S REDWOOD RD #E121
(801) 676-3776
Provider ID: 100000733420
NPI: 1639163215
ELHADDI, ADAM M MD
3570 W 9000 S #110
(801) 233-0140
Provider ID: 100000337005
NPI: 1972713568
3584 W 9000 S #209
(801) 263-2370
Provider ID: 100000337005
NPI: 1972713568
GANELLEN, EDWARD WAYNE
MD
3584 W 9000 S #209
(801) 571-6100
Provider ID: 100000733418
NPI: 1164414017
8846 S REDWOOD RD #E121
(801) 676-3776
Provider ID: 100000733418
NPI: 1164414017
GILMORE, PAUL S MD
3584 W 9000 S #209
(801) 571-6100
Provider ID: 100000733398
NPI: 1487621389
8846 S REDWOOD RD #E121
(801) 676-3776
Provider ID: 100000733398
NPI: 1487621389
HACKING, SCOTT B MD
3584 W 9000 S #209
(801) 571-6100
Provider ID: 100000733417
NPI: 1992712285
8846 S REDWOOD RD #E121
(801) 676-3776
Provider ID: 100000733417
NPI: 1992712285
Specialists
UTAH
Sorted by state, city, specialty, then name
WEST JORDAN
CARDIOVASCULAR DISEASES
SZWAJKUN, KONSTANTYN
YAKIV MD
3570 W 9000 S #110
WEST JORDAN (cont'd)
(801) 233-0140
Provider ID: 100000086013
CARDIOVASCULAR
NPI: 1508849191
DISEASES (cont'd)
3584 W 9000 S #209
HAWS, CHARLES WESLEY MD (801) 263-2370
3584 W 9000 S #209
Provider ID: 100000086013
(801) 571-6100
NPI: 1508849191
Provider ID: 100000733395
ZEBRACK, JAMES SCOTT MD
NPI: 1396739983
3584 W 9000 S #209
8846 S REDWOOD RD #E121
(801) 571-6100
(801) 676-3776
Provider ID: 100000733405
Provider ID: 100000733395
NPI: 1003808940
NPI: 1396739983
8846 S REDWOOD RD #E121
NIELSON, KENNETH GEORGE
(801) 676-3776
MD
Provider ID: 100000733405
3584 W 9000 S #209
NPI: 1003808940
(801) 571-6100
CHIROPRACTIC MEDICINE
Provider ID: 100000733414
NPI: 1063404929
ADAMS, ALAN JOHN DC
8846 S REDWOOD RD #E121
7555 S CENTER VIEW CT #102
(801) 676-3776
(801) 568-9222
Provider ID: 100000733414
Provider ID: 100000090264
NPI: 1063404929
NPI: 1598894685
SHARMA, PAWAN KUMAR MD ALLEN, STEPHANIE JEAN DC
3584 W 9000 S #209
1781 W 9000 S
(801) 571-6100
(801) 562-5600
Provider ID: 100000733410
Provider ID: 100000094585
NPI: 1114919073
NPI: 1437126372
8846 S REDWOOD RD #E121
BARBER, TODD R DC
(801) 676-3776
1745 W 7800 S
Provider ID: 100000733410
(801) 565-1155
NPI: 1114919073
Provider ID: 100000362062
SHARP, SALLY DEE MD
NPI: 1730248097
3584 W 9000 S #209
BERUBE, ERIC J DC
(801) 571-6100
3075 W 7800 S
Provider ID: 100000733408
(801) 565-9500
NPI: 1841282787
Provider ID: 100000090400
8846 S REDWOOD RD #E121
NPI: 1194886234
(801) 676-3776
CHAMU, RUDI DC
Provider ID: 100000733408
8541 S REDWOOD RD #D
NPI: 1841282787
(801) 233-0950
Provider ID: 100000756363
NPI: 1518273226
UTAH (cont'd)
221
UTAH
WEST JORDAN
CHIROPRACTIC MEDICINE
COLLARD, CHAD LYNN DC
9103 S 1300 W #101
(801) 569-1141
Provider ID: 100000090681
NPI: 1184707036
DRANEY, ELIZABETH CASOS
DC
7613 S JORDAN LANDING BLVD
#120
(801) 280-2548
Provider ID: 100000095085
NPI: 1063512580
EGBERT, PATRICK B DC
7669 S 1700 W
(801) 566-2449
Provider ID: 100000091903
NPI: 1750388765
GORDON, BRYAN D DC
2618 W 7800 S #200
(801) 562-1531
Provider ID: 100000094775
NPI: 1093888232
GRAY, JEFFERY SPENCER DC
1227 W 9000 S #G
(801) 748-0140
Provider ID: 100000096104
NPI: 1225114606
GUNN, HAROLD W DC
7669 S REDWOOD RD
(801) 566-2465
Provider ID: 100000093338
NPI: 1497744692
HORSLEY, ERIK S DC
3855 W 7800 S #125
(801) 280-7777
Provider ID: 100000108222
NPI: 1952341802
LAYTON, MICHAEL A DC
1781 W 9000 S
(801) 562-5600
Provider ID: 100000688732
NPI: 1861692105
PARK, ROBERT EUGENE DC
6783 S REDWOOD RD #104
(801) 268-2929
Provider ID: 100001100981
NPI: 1255471579
February 12, 2015
UTAH
WEST JORDAN
CHIROPRACTIC MEDICINE
Specialists
Sorted by state, city, specialty, then name
GULL, JUSTIN D MD
8846 S REDWOOD RD #E121
(801) 569-1999
WEST JORDAN (cont'd)
Provider ID: 100000741177
NPI: 1962600338
CHIROPRACTIC MEDICINE
(cont'd)
OLSON, CHRISTOPHER S APRN
3580 W 9000 S
WAGNER, WALTER WESTIN
(801) 262-8120
DC
Provider ID: 100000779127
6271 S DIXIE DR #12
NPI: 1306997630
(801) 966-6200
PALMER, DAVID KEITH MD
Provider ID: 100000092086
8846 S REDWOOD RD #E121
NPI: 1396894622
(801) 569-1999
WHITE, PHILLIP GORDON DC
Provider ID: 100000741191
8839 S REDWOOD RD #A1
NPI: 1427018191
(801) 566-5626
PETERSON,
BRIAN RAY MD
Provider ID: 100000088315
3584
W
9000
S
#311
NPI: 1598899262
(801) 566-8304
WOODMANSEE, DIRK
Provider ID: 100000267306
SEBASTIA DC
NPI: 1316978687
2618 W 7800 S #200
ENDOCRINOLOGY,
(801) 562-1531
Provider ID: 100000089945
DIABETES AND
NPI: 1699830786
METABOLISM
MATURLO, SUSAN JOY MD
DERMATOLOGY
FORSHA, DOUGLASS WILLIAM 3181 W 9000 S
(801) 569-5600
MD
Provider ID: 100001087127
3570 W 9000 S #220
NPI: 1023076460
(801) 569-1456
Provider ID: 100001148543
GASTROENTEROLOGY
NPI: 1285674671
BUCHI, KENNETH O MD
3584 W 9000 S #300
EAR NOSE THROAT(801) 233-8233
OTOLARYNGOLOGY
Provider ID: 100000087049
BROWN, WESLEY R MD
NPI: 1518985696
3570 W 9000 S #220
KARNAM, UMAPRASANNA
(801) 569-1456
SUDARSANA MD
Provider ID: 100001148554
3584 W 9000 S #300
NPI: 1932229416
(801) 563-5121
GILBERT, RYAN M MD
Provider ID: 100000276700
3584 W 9000 S #311
NPI: 1689623852
(801) 566-8304
Provider ID: 100000793387
NPI: 1497930234
UTAH (cont'd)
February 12, 2015
222
UTAH
WEST JORDAN NEUROLOGY
GENERAL SURGERY
KIERYN, ANNE M MD
3584 W 9000 S #304
(801) 562-3150
Provider ID: 100000980831
NPI: 1770652232
LE, DINHKIM MD
3584 W 9000 S #304
(801) 562-3150
Provider ID: 100000559158
NPI: 1588845101
MITCHELL, KRISTOFER J MD
3584 W 9000 S #304
(801) 562-3150
Provider ID: 100001052301
NPI: 1205040664
PRECIADO, ALFONSO MD
3584 W 9000 S #304
(801) 601-4423
Provider ID: 100000243287
NPI: 1962401315
SHEEN, ROBERT GORDON
APRN
3580 W 9000 S
(801) 561-8888
Provider ID: 100001165087
NPI: 1770559387
NEPHROLOGY
INDAHYUNG, RUTH M MD
3580 W 9000 S
(801) 561-8888
Provider ID: 100000773084
NPI: 1649452772
SHAH, SHEETAL RAJIV MD
3181 W 9000 S
(801) 569-5600
Provider ID: 100000793935
NPI: 1841271491
NEUROLOGY
JAMES, MARY ELENA MD
3584 W 9000 S #304
(801) 562-3150
Provider ID: 100000282093
NPI: 1710927975
UTAH
WEST JORDAN
NEUROLOGY
Specialists
Sorted by state, city, specialty, then name
UTAH
WEST JORDAN
ONCOLOGIST/HEMATOLOGIST
DRAPER, MICHAEL LYNN MD
3570 W 9000 S #210
(801) 569-2626
WEST JORDAN (cont'd)
Provider ID: 100000096123
NPI: 1992769368
NEUROLOGY (cont'd)
EMPEY, RYAN B MD
REISER, REBECCA H MD
3181 W 9000 S
3590 W 9000 S #240
(801) 569-5600
(801) 352-8373
Provider ID: 100000803375
Provider ID: 100000593923
NPI: 1154589505
NPI: 1639336795
HANSEN, SCOTT EUGENE MD
NURSING SERVICES
3570 W 9000 S #210
(801) 569-2626
BORSHANIAN, JOSEPH
Provider ID: 100000087435
KRIKOR APRN
NPI: 1164402897
3580 W 9000 S
HUTCHISON,
CHRISTOPHER
(801) 561-8888
VANCE
MD
Provider ID: 100000095309
3181 W 9000 S
NPI: 1417917501
(801) 569-5600
OBSTETRICS AND
Provider ID: 100000093576
GYNECOLOGY
NPI: 1134151384
BARNEY, MITCHELL FOWLES JARRETT, ARLEN KENT MD
MD
3570 W 9000 S #210
3570 W 9000 S #210
(801) 569-2626
(801) 569-2626
Provider ID: 100000089337
Provider ID: 100000091674
NPI: 1366421596
NPI: 1912986142
LANGER, KATHLEEN MARIE
BOUDREAUX-NIPPERT,
MD
DENISE J MD
3570 W 9000 S #210
3584 W 9000 S #206
(801) 569-2626
(801) 561-2227
Provider ID: 100000085883
Provider ID: 100000552669
NPI: 1710959416
NPI: 1497862031
MORELAND, KIMBERLY
BURGETT, ALTON DOUGLAS SMITH MD
MD
3570 W 9000 S #210
3181 W 9000 S
(801) 569-2626
(801) 569-5600
Provider ID: 100000092849
Provider ID: 100000098990
NPI: 1871572008
NPI: 1124059514
NICHOLS, JOHN MILTON DO
COLBY, SPENCER NEIL MD
3570 W 9000 S #210
3584 W 9000 S #206
(801) 569-2626
(801) 561-2227
Provider ID: 100000096805
Provider ID: 100000094373
NPI: 1114906252
NPI: 1144287699
ROTH, JAMES THOMAS MD
8846 S REDWOOD RD #E121
(801) 569-1999
Provider ID: 100000741199
NPI: 1104895705
UTAH (cont'd)
223
STEWART, GAYLE M MD
3584 W 9000 S #304
(801) 562-3150
Provider ID: 100000866083
NPI: 1255300331
WILSON, MATTHEW S MD
3181 W 9000 S
(801) 569-5600
Provider ID: 100000794236
NPI: 1750543955
OCCUPATIONAL MEDICINE
BROWN, TERRY ALLEN MD
1990 W 7800 S
(801) 256-0009
Provider ID: 100000085826
NPI: 1679510614
8822 S REDWOOD RD #E122
(801) 256-0009
Provider ID: 100000693478
NPI: 1679510614
BURST, ANNETTE G MD
6783 S REDWOOD RD #104
(801) 268-2929
Provider ID: 100000815180
NPI: 1285698217
OCCUPATIONAL THERAPY
MACKAY-CLARK, DEANNA A
OT
1755 W 7800 S
(801) 282-2200
Provider ID: 100000088333
NPI: 1851497580
ONCOLOGIST/
HEMATOLOGIST
CALL, JUSTIN A MD
3590 W 9000 S #100
(801) 562-8732
Provider ID: 100000813701
NPI: 1124172697
FRAME, RICHARD NEIL MD
3590 W 9000 S #100
(801) 562-8732
Provider ID: 100000086028
NPI: 1073563516
February 12, 2015
UTAH
WEST JORDAN
OPHTHALMOLOGY
UTAH (cont'd)
WEST JORDAN (cont'd)
OPHTHALMOLOGY
GEE, CHRISTOPHER J MD
3855 W 7800 S #100
(801) 260-0034
Provider ID: 100001150924
NPI: 1831372499
MEHR, DOUGLAS STEWART
MD
3855 W 7800 S #100
(801) 260-0034
Provider ID: 100001150927
NPI: 1720070899
WILLIAMS, LLOYD B MD
1656 W 9000 S
(801) 255-5454
Provider ID: 100000994670
NPI: 1730333741
WONG, GILBERT C MD
3895 W 7800 S #202
(801) 948-4442
Provider ID: 100000644031
NPI: 1194900498
OPTOMETRY
BAKER, DONALD WAYNE OD
7671 S 3800 W
(801) 282-4914
Provider ID: 100000089577
NPI: 1942302716
DAVIES, JARROD E OD
3590 W 9000 S #315
(801) 810-1060
Provider ID: 100000613720
NPI: 1861621864
GILLILAND, RODNEY N OD
1656 W 9000 S
(801) 255-5454
Provider ID: 100000856834
NPI: 1801800016
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
HADLOCK, BRENT LEE OD
1656 W 9000 S
(801) 255-5454
Provider ID: 100001072145
NPI: 1578648564
HIMES, RANDALL C OD
1656 W 9000 S
(801) 255-5454
Provider ID: 100000863440
NPI: 1144380478
HOLMES, JASON EDWARD OD
1553 W 9000 S
(801) 561-7300
Provider ID: 100000093066
NPI: 1194776005
KESSLER, JENNIFER L OD
1656 W 9000 S
(801) 255-5454
Provider ID: 100000811336
NPI: 1811259336
KIMBALL, JORY T OD
8806 S REDWOOD RD #101
(801) 578-2020
Provider ID: 100000101423
NPI: 1962592782
LEISHMAN, BENJAMIN H OD
1656 W 9000 S
(801) 255-5454
Provider ID: 100000785087
NPI: 1942438015
MEEK, ROBERT HARDING OD
9237 S REDWOOD RD #5A
(801) 561-2020
Provider ID: 100000092434
NPI: 1356310940
MILDENSTEIN, JOAN OD
1656 W 9000 S
(801) 255-5454
Provider ID: 100000957837
NPI: 1689990517
NEVERS, MARK W OD
1656 W 9000 S
(801) 255-5454
Provider ID: 100000815929
NPI: 1366704959
224
UTAH
WEST JORDAN
ORTHOPEDIC SURGERY
OKELBERRY, KERRY ALLEN
OD
6705 S REDWOOD RD
(801) 268-0866
Provider ID: 100000089784
NPI: 1013928118
PETERSON, WALTER GERALD
OD
1656 W 9000 S
(801) 255-5454
Provider ID: 100000961696
NPI: 1851480081
POULTER, WILLIAM C OD
7555 S CENTER VIEW CT #101
(801) 566-5683
Provider ID: 100000285000
NPI: 1932360690
ROE, FARRELL M OD
1656 W 9000 S
(801) 255-5454
Provider ID: 100001047462
NPI: 1225104110
STROMNESS, LYNN DAVID OD
9237 S REDWOOD RD #5A
(801) 561-2020
Provider ID: 100000090098
NPI: 1073694212
ORTHOPEDIC SURGERY
BECK JR, CHARLES LEONARD
MD
3584 W 9000 S #405
(801) 568-3480
Provider ID: 100000327347
NPI: 1528124815
CURTIS, DAVID EARL MD
8846 S REDWOOD RD #E121
(801) 569-1999
Provider ID: 100000741174
NPI: 1730222720
HARRIS, LESLIE JAMES MD
3584 W 9000 S #405
(801) 568-3480
Provider ID: 100000241520
NPI: 1679587687
UTAH
WEST JORDAN
ORTHOPEDIC SURGERY
Specialists
Sorted by state, city, specialty, then name
UTAH
WEST JORDAN
PHYSICAL THERAPY
BEIGHTOL, AIMEE C RPT
6783 S REDWOOD RD #104
(801) 268-2929
WEST JORDAN (cont'd)
Provider ID: 100001100991
NPI: 1932330933
ORTHOPEDIC SURGERY
(cont'd)
BENNETT, LAUREL K RPT
3181 W 9000 S #103
KHACHATRYAN, ARMEN MD
(801) 561-1061
3584 W 9000 S #405
Provider ID: 100000333990
(801) 568-3480
NPI: 1235262932
Provider ID: 100000094305
BENSON, SCOTT C RPT
NPI: 1114930781
1577 W 7000 S #100
MACKEY, RICHARD B MD
(801) 566-6301
3584 W 9000 S #405
Provider ID: 100000087074
(801) 568-3480
NPI: 1447237490
PEDIATRIC NEUROLOGY
Provider ID: 100000554449
BODEN,
ERINLEE RPT
NPI: 1992923874
LLOYD, MICHAEL JOHN MD 3181 W 9000 S #103
8541 S REDWOOD RD #A1
MARSHALL JR, STUART
(801) 561-1061
(801) 999-4857
CHARLES MD
Provider ID: 100000341268
Provider ID: 100000736943
3584 W 9000 S #405
NPI: 1932182243
NPI: 1497753354
(801) 568-3480
BOOTH, TRAVIS S PT
Provider ID: 100000102041
VANORMAN, COLIN BLAIR MD 8822 S REDWOOD RD #E122
NPI: 1447204821
8541 S REDWOOD RD #A1
(801) 566-7080
(801) 999-4857
MUIR, TRASKE M MD
Provider ID: 100000352688
Provider ID: 100000704152
3584 W 9000 S #405
NPI: 1134160252
NPI: 1225117898
(801) 568-3480
BROWN,
TODD ELLIOT PT
Provider ID: 100000902614
PHYSICAL
MEDICINE
AND
8822
S
REDWOOD
RD #E122
NPI: 1144369935
(801)
566-7080
REHABILITATION
SESSIONS, WADE M MD
Provider ID: 100000520182
FYANS, JOSEPH C MD
3584 W 9000 S #405
NPI: 1093708166
3570 W 9000 S #100
(801) 568-3480
CHRISTENSON, MARK J PT
(801) 569-2384
Provider ID: 100000111053
6783 S REDWOOD RD #104
Provider ID: 100000337020
NPI: 1659483816
(801) 268-2929
NPI: 1447431317
WEEKS, LIONEL EDWARD MD
Provider ID: 100000815181
SCHWARTZ, MARIA A MD
3584 W 9000 S #405
NPI: 1043366230
8822 S REDWOOD RD #E122
(801) 568-3480
DEPOLA,
MICHAEL T PT
(801) 566-7080
Provider ID: 100000084935
1577
W
7000
S #100
Provider ID: 100000751613
NPI: 1851461339
(801)
566-6301
NPI: 1366532988
Provider ID: 100000803007
PAIN MANAGEMENT
PHYSICAL THERAPY
NPI: 1114287612
BYRNE, ASHLEIGH A MD
BAKER, GREG JONATHAN PT GEURTS, GERALD H PT
3181 W 9000 S
1577 W 7000 S #100
8822 S REDWOOD RD #E122
(801) 569-5600
(801) 566-6301
(801) 566-7080
Provider ID: 100001012949
Provider ID: 100000256432
Provider ID: 100000526278
NPI: 1023269537
NPI: 1558348516
NPI: 1669465837
UTAH (cont'd)
DAVIS, CRAIG W MD
2751 W 9000 S
(801) 965-3600
Provider ID: 100000725843
NPI: 1861643330
3181 W 9000 S
(801) 569-5600
Provider ID: 100000874152
NPI: 1861643330
LI, TAO MD
3570 W 9000 S #100
(801) 356-6100
Provider ID: 100000256280
NPI: 1376725143
225
February 12, 2015
UTAH
WEST JORDAN
PHYSICAL THERAPY
UTAH (cont'd)
WEST JORDAN (cont'd)
PHYSICAL THERAPY (cont'd)
GIBSON, SEAN D PT
3181 W 9000 S #103
(801) 561-1061
Provider ID: 100000553728
NPI: 1861710667
KING, CHELSEY M PT
3181 W 9000 S #103
(801) 561-1061
Provider ID: 100000932284
NPI: 1073875803
8822 S REDWOOD RD #E122
(801) 566-7080
Provider ID: 100000855925
NPI: 1073875803
KING, MICHAEL A RPT
9301 S WIGHTS FORT RD
(801) 282-2200
Provider ID: 100000277574
NPI: 1063675304
LEISETH, AMY L RPT
3181 W 9000 S #103
(801) 561-1061
Provider ID: 100000334050
NPI: 1700919354
LUDWIG, B JAY RPT
8822 S REDWOOD RD #E122
(801) 566-7080
Provider ID: 100000352681
NPI: 1245251800
MAW, SCOTT B PT
1755 W 7800 S
(801) 282-2200
Provider ID: 100000809802
NPI: 1710945233
MAZZELLA, KIMBERLY
SCHONROCK RPT
8822 S REDWOOD RD #E122
(801) 566-7080
Provider ID: 100000716190
NPI: 1730110982
February 12, 2015
Specialists
Sorted by state, city, specialty, then name
NORWOOD, DREW RICHARD
RPT
1577 W 7000 S #100
(801) 566-6301
Provider ID: 100000094815
NPI: 1851378830
PULSIPHER, BRAD R PT
1577 W 7000 S #100
(801) 566-6301
Provider ID: 100001028663
NPI: 1073872909
ROBERTSON, CHRISTOPHER C
RPT
6783 S REDWOOD RD #104
(801) 268-2929
Provider ID: 100000823354
NPI: 1922313444
RODRIGUEZ, BRIAN J RPT
3181 W 9000 S #103
(801) 561-1061
Provider ID: 100000250507
NPI: 1336223007
WORTLEY, JAMES MOSS PT
8822 S REDWOOD RD #E122
(801) 566-7080
Provider ID: 100000716177
NPI: 1326031493
WORTLEY, PAUL GEORGE
RPT
8822 S REDWOOD RD #E122
(801) 566-7080
Provider ID: 100000716176
NPI: 1417940586
WORTLEY, RICHARD DON RPT
8822 S REDWOOD RD #E122
(801) 566-7080
Provider ID: 100000692399
NPI: 1689667859
PLASTIC SURGERY
ALLRED, BRYCE DEE MD
3584 W 9000 S #400
(801) 569-2456
Provider ID: 100000090837
NPI: 1548317589
226
UTAH
WEST JORDAN
PODIATRY
DAVIS, CRAIG W MD
2751 W 9000 S
(801) 965-3600
Provider ID: 100000725843
NPI: 1861643330
3181 W 9000 S
(801) 569-5600
Provider ID: 100000874152
NPI: 1861643330
PODIATRY
AUGER, ELIZABETH E DPM
1575 W 7000 S
(801) 619-2170
Provider ID: 100000093611
NPI: 1679590558
CLARK, FRANCIS JOSEPH DPM
3584 W 9000 S #301
(801) 255-8633
Provider ID: 100000090131
NPI: 1477649234
OAKS, GARY N DPM
8822 S REDWOOD RD #121
(801) 285-7060
Provider ID: 100000754607
NPI: 1922294768
SEEGMILLER, RICHARD
GREGG DPM
8822 S REDWOOD RD #121
(801) 285-7060
Provider ID: 100000271891
NPI: 1174539449
SMITH, TERRY PAUL DPM
8822 S REDWOOD RD #121
(801) 285-7060
Provider ID: 100000268704
NPI: 1013972157
WILLIAMS, TREVOR RICHARD
DPM
1561 W 7000 S #100
(801) 569-2696
Provider ID: 100000097805
NPI: 1881642676
UTAH
WEST JORDAN
PULMONARY DISEASES
Specialists
Sorted by state, city, specialty, then name
PFEFFER, KATHLEEN DENISE
MD
9103 S 1300 W #103
WEST JORDAN (cont'd)
(801) 432-8690
Provider ID: 100000092538
PULMONARY DISEASES
NPI: 1700986346
AL SHURQAIRAT, TALAAT MD REDDY, CHAKRAVARTHY
8819 S REDWOOD RD
BATTHINA MD
(866) 227-5337
3570 W 9000 S #110
Provider ID: 100001118148
(801) 233-0140
NPI: 1104875574
Provider ID: 100000897632
BIRD, GARRETT R MD
NPI: 1508962176
3570 W 9000 S #110
3584 W 9000 S #209
(801) 233-0140
(801) 263-2370
Provider ID: 100000785388
Provider ID: 100000897632
NPI: 1164638573
NPI: 1508962176
CHOWDHARY, SANDEEP MD
RHEUMATOLOGY
3181 W 9000 S
SHASKEY, DAVID JONATHAN
(801) 569-5600
MD
Provider ID: 100000681714
2751 W 9000 S
NPI: 1891726162
DUPONT, GREGORY PATRICK (801) 965-3600
Provider ID: 100001152065
MD
NPI: 1033220603
9103 S 1300 W #103
3181
W 9000 S
(801) 432-8690
(801)
569-5600
Provider ID: 100000086247
Provider
ID: 100001152072
NPI: 1306063425
NPI:
1033220603
FARRUKH, IMAD SAAD EL-DEI
MD
SPEECH THERAPY
3584 W 9000 S #201
TERRY, JENNIFER SLP
(801) 562-5864
7692 S 4730 W
Provider ID: 100000085247
(801) 815-7961
NPI: 1851498273
Provider ID: 100000347458
KLEIN, DAVID MD
NPI: 1568600351
3570 W 9000 S #110
SPORTS MEDICINE
(801) 233-0140
Provider ID: 100001014014
MACINTYRE, JAMES GILLIS
NPI: 1124075437
MD
3580 W 9000 S
3584 W 9000 S #405
(801) 561-8888
(801) 568-3480
Provider ID: 100000761536
Provider ID: 100000093380
NPI: 1124075437
NPI: 1871539411
8545 S REDWOOD RD #A1
MATICH, ANDREA J MD
(800) 797-5337
3584 W 9000 S #405
Provider ID: 100001061222
(801) 568-3480
NPI: 1124075437
Provider ID: 100000346836
NPI: 1902092133
UTAH (cont'd)
227
UTAH
WEST JORDAN
UROLOGY
THORACIC SURGERY
STRINGHAM, JAMES CANNON
MD
3570 W 9000 S #110
(801) 233-0140
Provider ID: 100000800766
NPI: 1538182449
3584 W 9000 S #209
(801) 263-2370
Provider ID: 100000800766
NPI: 1538182449
THAKUR, NAVIN S MD
3570 W 9000 S #110
(801) 233-0140
Provider ID: 100000800769
NPI: 1639146566
3584 W 9000 S #209
(801) 263-2370
Provider ID: 100000800769
NPI: 1639146566
URGENT CARE OR WALK IN
DEVANEY, JEFFREY S APRN
PHYSICIAN GROUP OF UTAH
3584 W 9000 S #405
(801) 568-3480
Provider ID: 100000760264
NPI: 1376716399
UROLOGY
HIBBERT, DANIEL L MD
3584 W 9000 S #401
(801) 566-0204
Provider ID: 100000329087
NPI: 1275647562
JOHNSON, GARY BLAKE MD
3584 W 9000 S #401
(844) 764-7733
Provider ID: 100001058151
NPI: 1144223827
PARKINSON, JUSTIN P MD
3584 W 9000 S #401
(844) 764-7733
Provider ID: 100001058152
NPI: 1851314066
February 12, 2015
UTAH
WEST JORDAN
VASCULAR SURGERY
UTAH (cont'd)
WEST JORDAN (cont'd)
Specialists
Sorted by state, city, specialty, then name
STROMNESS, LYNN OD
9237 REDWOOD RD STE 5A
(801)561-2020
NPI: 1073694212
VASCULAR SURGERY
WEST POINT
LAZARUS, HARRISON MILLER
VSP PROVIDERS – ROUTINE
MD
VISION
3584 W 9000 S #400
(801) 263-0778
HOLT, JUSTIN C OD
Provider ID: 100000085251
3110 W 300 N STE D
NPI: 1407854821
(801)825-9732
NPI: 1588634521
WILKINSON, CRAIG WEST MD
3570 W 9000 S #110
WEST VALLEY CITY
(801) 233-0140
Provider ID: 100000944825
CARDIOLOGY
NPI: 1467562504
KENWOOD, BRUCE R DO
VSP PROVIDERS – ROUTINE 3336 S 4155 W #203
(801) 263-2370
VISION
Provider ID: 100000108625
CASTLE, STEPHANIE A OD
NPI: 1144279019
7555 S CENTER VIEW CT STE 101
MASSINOPLE, DAVID S MD
(801)566-5683
3336 S 4155 W #203
NPI: 1679887962
(801) 263-2370
DAVIES, JARROD E OD
Provider ID: 100000268586
3590 W 9000 S STE 315
NPI: 1255541785
(801)810-1060
NPI: 1861621864
CARDIOVASCULAR
KIMBALL, JORY T OD
DISEASES
8806 S REDWOOD RD STE 100
BRANN, WILLIAM MARCUS
(801)578-2020
MD
NPI: 1962592782
3336 S 4155 W #203
MEEK, ROBERT H OD
(801) 263-2370
9237 REDWOOD RD STE 5A
Provider ID: 100000605841
(801)561-2020
NPI: 1912087826
NPI: 1356310940
ELHADDI, ADAM M MD
MEYER, DAVID A OD
3336 S 4155 W #203
6705 S REDWOOD RD
(801) 263-2370
(801)268-0866
Provider ID: 100000337005
NPI: 1255562740
NPI: 1972713568
OKELBERRY, KERRY A OD
SZWAJKUN, KONSTANTYN
6705 S REDWOOD RD
YAKIV MD
(801)268-0866
3336 S 4155 W #203
NPI: 1639264427
(801) 263-2370
POULTER, WILLIAM C OD
Provider ID: 100000086013
7555 S CENTER VIEW CT STE 101
NPI: 1508849191
(801)566-5683
NPI: 1932360690
February 12, 2015
228
UTAH
WEST VALLEY CITY
CHIROPRACTIC MEDICINE
CHIROPRACTIC MEDICINE
FROGLEY, MICHAEL R DC
1264 W VILLAGE MAIN DR UNIT
A
(801) 972-0393
Provider ID: 100000269843
NPI: 1316126741
GUTHRIE, DANIEL RUSSELL
DC
3856 W 5400 S #120
(801) 957-9696
Provider ID: 100000087216
NPI: 1972722916
KOELLIKER, BRUCE CLARK
DC
1878 W 3600 S
(801) 972-1222
Provider ID: 100000343392
NPI: 1902902539
MOLIS, GREGORY CARL DC
3378 W 3500 S
(801) 966-0342
Provider ID: 100000093371
NPI: 1730194523
MONSON, DAN S DC
3378 W 3500 S
(801) 966-5200
Provider ID: 100000088207
NPI: 1518989763
PETERSON, BRADLEY R DC
1878 W 3600 S
(801) 972-1222
Provider ID: 100000091867
NPI: 1790717817
RAWLINGS, LANCE SCOTT DC
2470 S REDWOOD RD #214
(801) 300-1422
Provider ID: 100000543833
NPI: 1639281421
SMITH, EDWARD FRANKLIN
DC
2196 W 3500 S #C7
(801) 746-7246
Provider ID: 100000097363
NPI: 1578615761
UTAH
WEST VALLEY CITY
CHIROPRACTIC MEDICINE
Specialists
Sorted by state, city, specialty, then name
UTAH
WEST VALLEY CITY NURSING SERVICES
ORTIZ, FELINA MYCHELLE
CNM
4535 S 5600 W
WEST VALLEY CITY (cont'd)
(801) 963-7335
Provider ID: 100000099647
CHIROPRACTIC MEDICINE
NPI: 1336239953
(cont'd)
GENERAL SURGERY
PENNEY, DEBRA SUSAN CNM
SNOW, MARK ALLEN DC
BECK, CATHERINE E MD
4535 S 5600 W
3536 S 5600 W #3
3336 S PIONEER PKWY #102
(801) 963-7335
(801) 955-8282
(801) 964-3925
Provider ID: 100000096134
Provider ID: 100000030611
Provider ID: 100001115712
NPI: 1871683490
NPI: 1508822917
NPI: 1922267459
ROBERTS, LEISSA A CNM
EAKIN, JEFFREY L MD
4535 S 5600 W
DERMATOLOGY
3336 S PIONEER PKWY #306
(801) 963-7335
JENSEN, JESSE D DO
(801) 964-3855
Provider ID: 100000087449
3465 S PIONEER PKWY #1
Provider ID: 100000954854
NPI: 1023108644
(801) 966-1403
NPI: 1932308822
ROSATI
ALLEN, MARGARET
Provider ID: 100001144324
MCCRAY,
DAVID
WILLIAM
MD
CNM
NPI: 1619294337
3336 S PIONEER PKWY #306
2107 W 3500 S
(801) 964-3855
EAR NOSE THROAT(801) 973-0693
Provider ID: 100000993861
OTOLARYNGOLOGY
Provider ID: 100000092372
NPI:
1073649836
NPI: 1649337973
OLSON, CHRISTOPHER S APRN
3460 S PIONEER PKWY
THOMAS, CELESTE RICKS
HAND SURGERY
(801) 262-8120
BURROWS, JAMES DOUGLAS CNM
Provider ID: 100000779127
4535 S 5600 W
MD
NPI: 1306997630
(801) 963-7335
3336 S PIONEER PKWY #102
Provider ID: 100000101718
(801) 964-3925
ENDOCRINOLOGY,
NPI: 1285724815
Provider ID: 100000343377
DIABETES AND
NPI: 1477506913
NEUROLOGY
METABOLISM
SHOARI, MOHAMMAD MD
MIDWIFERY SERVICES
BURR, ROBERT EATON MD
3336
S PIONEER PKWY #102
3725 W 4100 S
ATWOOD, LYNNE G APRN,
(801)
964-3925
(801) 746-0776
CNM
Provider
ID: 100000281834
Provider ID: 100000356389
3336 S PIONEER PKWY #301
NPI:
1740483395
NPI: 1770533788
(801) 964-3865
BURTON, LAURA MAY APRN
Provider ID: 100000301738
NURSING SERVICES
3730 W 4700 S
NPI: 1275590960
BORSHANIAN, JOSEPH
(801) 213-8843
GERARD, CLAUDIA G CNM
KRIKOR APRN
Provider ID: 100000096018
4535 S 5600 W
3460 S PIONEER PKWY
NPI: 1942390539
(801) 963-7335
(801) 964-3100
GOODMAN, GORDON T MD
Provider ID: 100000085488
Provider ID: 100000095309
3336 S PIONEER PKWY #306
NPI: 1750471355
NPI: 1417917501
(801) 964-3697
WARD, KATHERINE W APRN
Provider ID: 100000338240
4535 S 5600 W
NPI: 1750349205
(801) 963-7335
Provider ID: 100000098226
NPI: 1629021647
UTAH (cont'd)
PHARES, PAMELA L APRN
3730 W 4700 S
(801) 213-8843
Provider ID: 100000990787
NPI: 1619958436
229
February 12, 2015
Specialists
UTAH
Sorted by state, city, specialty, then name
WEST VALLEY CITY
OBSTETRICS AND GYNECOLOGY
UTAH (cont'd)
WEST VALLEY CITY (cont'd)
ONCOLOGIST/
HEMATOLOGIST
HARKER, WILLIAM GRAYDON
MD
4052 W PIONEER PKWY #101
(801) 967-1000
Provider ID: 100000087146
NPI: 1679522569
OBSTETRICS AND
GYNECOLOGY
DANIELS, JONATHAN
PEARSON MD
3336 S PIONEER PKWY #301
OPHTHALMOLOGY
(801) 964-3865
GEE, CHRISTOPHER J MD
Provider ID: 100001005484
3465 S PIONEER PKWY #4
NPI: 1043214935
(801) 964-1000
EMPEY, RYAN B MD
Provider ID: 100001150924
3725 W 4100 S
NPI: 1831372499
(801) 965-3600
MEHR, DOUGLAS STEWART
Provider ID: 100000803375
MD
NPI: 1154589505
HOMEWOOD, VIRGINIA J MD 3465 S PIONEER PKWY #4
(801) 964-1000
3336 S PIONEER PKWY #301
Provider ID: 100001150927
(801) 964-3865
NPI: 1720070899
Provider ID: 100000875098
PINGREE, MICHAEL
NPI: 1003072216
FREDERICK MD
LASH, STEPHEN D MD
3465 S 4155 W #5
3336 S PIONEER PKWY #301
(801) 966-0081
(801) 964-3865
Provider ID: 100000096844
Provider ID: 100000866087
NPI: 1982716031
NPI: 1447228572
WILLIAMS, LLOYD B MD
STEWART, GAYLE M MD
1901 W PARKWAY BLVD
3336 S PIONEER PKWY #301
(801) 972-0203
(801) 964-3865
Provider ID: 100000994676
Provider ID: 100000866083
NPI: 1730333741
NPI: 1255300331
TRAUSCHT-VANHORN,
OPTOMETRY
JENNIFER J MD
BEAGLEY, SHAWN D OD
1906 W 3600 S
3747 S 2700 W
(801) 973-9675
(801) 996-9021
Provider ID: 100000087628
Provider ID: 100000248391
NPI: 1306926209
NPI: 1982602231
OCCUPATIONAL THERAPY BOSTER, JONATHAN J OD
1901 W PARKWAY BLVD
JONES, KRISTEN N OT
(801) 972-0203
3497 W 3500 S
Provider ID: 100001105433
(801) 417-5017
NPI: 1184037285
Provider ID: 100000352637
NPI: 1568457000
February 12, 2015
230
UTAH
WEST VALLEY CITY
OPTOMETRY
BROADHEAD, JEFFREY LYNN
OD
4850 W 3500 S
(801) 967-6300
Provider ID: 100000095853
NPI: 1306829569
BRUDERER, PAUL CHRISTIAN
OD
2782 S 5600 W #101
(801) 969-9999
Provider ID: 100000095912
NPI: 1316956576
DEWEY, STEVEN CHARLES OD
4850 W 3500 S
(801) 967-6300
Provider ID: 100000088131
NPI: 1063462810
ELLISON, JOHN W OD
1901 W PARKWAY BLVD
(801) 972-0203
Provider ID: 100000968047
NPI: 1376713586
FARRELL, SCOTT D OD
4850 W 3500 S
(801) 967-6300
Provider ID: 100001100664
NPI: 1306096979
GILLILAND, RODNEY N OD
1901 W PARKWAY BLVD
(801) 972-0203
Provider ID: 100000856827
NPI: 1801800016
HADLOCK, BRENT LEE OD
1901 W PARKWAY BLVD
(801) 972-0203
Provider ID: 100001072154
NPI: 1578648564
HARTMAN, AARON M OD
1901 W PARKWAY BLVD
(801) 972-0203
Provider ID: 100000523754
NPI: 1922258375
HIMES, RANDALL C OD
1901 W PARKWAY BLVD
(801) 972-0203
Provider ID: 100000560615
NPI: 1144380478
UTAH
WEST VALLEY CITY
OPTOMETRY
Specialists
Sorted by state, city, specialty, then name
REED, PAUL EDWARD OD
1901 W PARKWAY BLVD
(801) 972-0203
WEST VALLEY CITY (cont'd)
Provider ID: 100000938311
NPI: 1396792982
OPTOMETRY (cont'd)
ROBISON, SAMUEL POLLARD
KESSLER, JENNIFER L OD
OD
1901 W PARKWAY BLVD
3180 S 5600 W
(801) 972-0203
(801) 966-8495
Provider ID: 100000811001
Provider ID: 100000088440
NPI: 1811259336
NPI: 1982709937
KNOWLES, DUANE C OD
ROE, FARRELL M OD
1901 W PARKWAY BLVD
1901 W PARKWAY BLVD
(801) 972-0203
(801) 972-0203
Provider ID: 100000866044
Provider ID: 100001047484
NPI: 1306935523
NPI: 1225104110
LEISHMAN, BENJAMIN H OD ROPER, RONALD S OD
1901 W PARKWAY BLVD
3601 S 2700 W
(801) 972-0203
(801) 966-9441
Provider ID: 100000785073
Provider ID: 100001157564
NPI: 1942438015
NPI: 1447313416
LEWIS, STEPHEN CHARLES OD YOUNG, ROGER FOERSTER OD
1901 W PARKWAY BLVD
3465 S 4155 W #5
(801) 972-0203
(801) 966-0081
Provider ID: 100000266869
Provider ID: 100000101610
NPI: 1184653818
NPI: 1366554461
MARTY, MICHAEL STEPHEN
ORTHOPEDIC SURGERY
OD
1901 W PARKWAY BLVD
BELTON, CHRISTOPHER G DO
(801) 886-2020
3336 S PIONEER PKWY #102
Provider ID: 100000269248
(801) 964-3925
NPI: 1497743942
Provider ID: 100000743238
MILDENSTEIN, JOAN OD
NPI: 1710920590
1901 W PARKWAY BLVD
SILVERO, PETER R MD
(801) 972-0203
3336 S PIONEER PKWY #102
Provider ID: 100000572631
(801) 964-3925
NPI: 1689990517
Provider ID: 100000593393
MILLET, CURTIS WAYNE OD
NPI: 1699844001
1901 W PARKWAY BLVD
PAIN MANAGEMENT
(801) 972-0203
LI, TAO MD
Provider ID: 100000880563
3336 S 4155 W #201
NPI: 1497844690
(801) 833-6569
NEVERS, MARK W OD
Provider ID: 100000256280
1901 W PARKWAY BLVD
NPI: 1376725143
(801) 972-0203
Provider ID: 100000815917
NPI: 1366704959
UTAH (cont'd)
231
UTAH
WEST VALLEY CITY
PHYSICAL THERAPY
PHYSICAL MEDICINE AND
REHABILITATION
GRANGE, TIMOTHY SCOTT
MD
4052 W PIONEER PKWY #208
(801) 955-1232
Provider ID: 100000087195
NPI: 1932169430
PHYSICAL THERAPY
BARTLETT, STEVEN B RPT
3497 W 3500 S
(801) 417-5017
Provider ID: 100000716233
NPI: 1134334287
3725 W 4100 S
(801) 679-0123
Provider ID: 100000716114
NPI: 1134334287
BOOTH, TRAVIS S PT
3497 W 3500 S
(801) 417-5017
Provider ID: 100000716235
NPI: 1134160252
3725 W 4100 S
(801) 679-0123
Provider ID: 100000716115
NPI: 1134160252
BROWN, TODD ELLIOT PT
3497 W 3500 S
(801) 417-5017
Provider ID: 100000095127
NPI: 1093708166
GEURTS, GERALD H PT
3725 W 4100 S
(801) 679-0123
Provider ID: 100000073415
NPI: 1669465837
HACKETT, AARON M PT
1791 W 2300 S
(801) 975-1600
Provider ID: 100000892546
NPI: 1215019567
February 12, 2015
UTAH
WEST VALLEY CITY
PHYSICAL THERAPY
Specialists
Sorted by state, city, specialty, then name
REYNOLDS-CALL, TAMI K RPT
1954 W PARKWAY BLVD
(801) 904-5399
WEST VALLEY CITY (cont'd)
Provider ID: 100000272855
NPI: 1992861520
PHYSICAL THERAPY (cont'd)
TAYLOR, BRADEN JUSTIN RPT
KING, CHELSEY M PT
3725 W 4100 S
3725 W 4100 S
(801) 679-0123
(801) 679-0123
Provider ID: 100000098185
Provider ID: 100000919381
NPI: 1598788036
NPI: 1073875803
WORTLEY, JAMES MOSS PT
LUDWIG, B JAY RPT
3497 W 3500 S
3497 W 3500 S
(801) 417-5017
(801) 417-5017
Provider ID: 100000095101
Provider ID: 100000090503
NPI: 1326031493
NPI: 1245251800
WORTLEY,
PAUL GEORGE
3725 W 4100 S
RPT
(801) 679-0123
3497 W 3500 S
Provider ID: 100000090505
(801) 417-5017
NPI: 1245251800
Provider ID: 100000095095
LUDWIG, KEITH JAY RPT
NPI: 1417940586
3725 W 4100 S
WORTLEY, RICHARD DON RPT
(801) 679-0123
3497 W 3500 S
Provider ID: 100000095124
(801) 417-5017
NPI: 1447323647
Provider ID: 100000095118
MARSH, TROY BENJAMIN RPT
NPI: 1689667859
4785 W 4100 S
3725 W 4100 S
(801) 955-0500
(801) 679-0123
Provider ID: 100000088049
Provider ID: 100000713857
NPI: 1144212416
NPI: 1689667859
MAZZELLA, KIMBERLY
PLASTIC SURGERY
SCHONROCK RPT
3497 W 3500 S
BURROWS, JAMES DOUGLAS
(801) 417-5017
MD
Provider ID: 100000716231
3336 S PIONEER PKWY #102
NPI: 1730110982
(801) 964-3925
3725 W 4100 S
Provider ID: 100000343377
(801) 679-0123
NPI: 1477506913
Provider ID: 100000716112
PODIATRY
NPI: 1730110982
MEIER, CHARLES WADE RPT MCMANAMA, CRAIG ALAN
DPM
4785 W 4100 S
3465 S PIONEER PKWY #3
(801) 955-0500
(801) 966-3556
Provider ID: 100000090389
Provider ID: 100000091378
NPI: 1699767954
NPI: 1659430254
UTAH (cont'd)
February 12, 2015
232
UTAH
WEST VALLEY CITY
SPORTS MEDICINE
YOUNG, JON RANDAL DPM
3336 S PIONEER PKWY #302
(801) 417-5386
Provider ID: 100000260513
NPI: 1700816709
PULMONARY DISEASES
BIRD, GARRETT R MD
3336 S 4155 W #203
(801) 263-2370
Provider ID: 100000785388
NPI: 1164638573
KLEIN, DAVID MD
3336 S 4155 W #203
(801) 263-2370
Provider ID: 100001014014
NPI: 1124075437
REDDY, CHAKRAVARTHY
BATTHINA MD
3336 S 4155 W #203
(801) 263-2370
Provider ID: 100000897632
NPI: 1508962176
RHEUMATOLOGY
SHASKEY, DAVID JONATHAN
MD
3725 W 4100 S
(801) 965-3600
Provider ID: 100001152067
NPI: 1033220603
SPORTS MEDICINE
ALLEN, KATHRYN MD
3540 S 4000 W #340
(801) 969-0200
Provider ID: 100000805381
NPI: 1023058278
ANDERSON, LAURA M MD
3451 S 5600 W #F
(801) 957-0900
Provider ID: 100000802452
NPI: 1740270867
UTAH
WEST VALLEY CITY
THORACIC SURGERY
Specialists
Sorted by state, city, specialty, then name
UTAH
WEST VALLEY CITY
VSP PROVIDERS – ROUTINE VISION
UTAH (cont'd)
VSP PROVIDERS – ROUTINE
VISION
WEST VALLEY CITY (cont'd)
BROWN, MICHAEL D OD
2727 W 3500 S
THORACIC SURGERY
(801)968-6772
STRINGHAM, JAMES CANNON
NPI: 1861541419
MD
BRUDERER, PAUL CHRISTIAN
3336 S 4155 W #203
OD
(801) 263-2370
2782 S 5600 W
Provider ID: 100000800766
(801)969-9999
NPI: 1538182449
NPI: 1316956576
THAKUR, NAVIN S MD
PINGREE, MICHAEL F MD
3336 S 4155 W #203
3465 S 4155 W STE 5
(801) 263-2370
(801)966-0081
Provider ID: 100000800769
NPI: 1982716031
NPI: 1639146566
YOUNG, ROGER F OD
URGENT CARE OR WALK IN 3465 S 4155 W STE 5
(801)966-0081
ANDERSON, LAURA M MD
NPI: 1366554461
AFTER HOURS MEDICAL
3451 S 5600 W #F
(801) 957-0900
Provider ID: 100000802452
NPI: 1740270867
GRAVES, JERRY G APRN
AFTER HOURS MEDICAL
3451 S 5600 W #F
(801) 957-0900
Provider ID: 100000821658
NPI: 1659651750
LEWIS, RANDAL J MD
PHYSICIAN GROUP OF UTAH
3336 S 4155 W #240
(801) 964-3492
Provider ID: 100000876276
NPI: 1215964309
UROLOGY
HIBBERT, DANIEL L MD
3336 S PIONEER PKWY #202
(801) 955-4685
Provider ID: 100000329087
NPI: 1275647562
PARKINSON, JUSTIN P MD
3336 S 4155 W #202
(801) 955-4685
Provider ID: 100000110456
NPI: 1851314066
233
February 12, 2015
Mental Health Providers
UTAH
Sorted by state, city, specialty, then name
ALPINE
BEHAVIORAL - SOCIAL WORK SERVICES
CARR, TERESA L LCSW
433 S 500 E
(801) 216-8000
ALPINE
Provider ID: 100000284609
NPI: 1578590857
BEHAVIORAL - SOCIAL
WORK SERVICES
CHRISTENSEN, BRENDA ANN
JOHNSON, STEVEN LEGRAND LCSW
578 E 300 S
LCSW
(801) 492-3347
100 W CANYON CREST RD
Provider ID: 100000099839
(801) 857-1050
NPI: 1659482560
Provider ID: 100000095555
HATCH, BONNIE L LCSW
NPI: 1972552032
433 S 500 E
SHERMAN, KEVIN C LCSW
(801) 216-8000
100 W CANYON CREST RD
Provider ID: 100001065979
(801) 969-4181
NPI: 1255630018
Provider ID: 100000340078
HENDRIX,
GREG K LCSW
NPI: 1730307042
433 S 500 E
AMERICAN FORK
(801) 216-8000
Provider ID: 100000116019
BEHAVIORAL - SOCIAL
NPI: 1700814282
WORK SERVICES
JARREAU-WIHONGI, LYNN ALI
ARMSTRONG, BRIAN D LCSW LCSW
433 S 500 E
796 E PACIFIC DR #A
(801) 216-8000
(801) 701-6504
Provider ID: 100000260772
Provider ID: 100000900578
NPI: 1851518104
NPI: 1144256686
796 E PACIFIC DR #A
JEFFERY, ARTHUR A LCSW
(801) 836-3877
433 S 500 E
Provider ID: 100000308159
(801) 216-8000
NPI: 1851518104
Provider ID: 100000258774
BAGGALEY, MICHAEL E LCSW
NPI: 1457577546
433 S 500 E
MOODY, SANDRA G LCSW
(801) 216-8000
789 BAMBERGER DR #A
Provider ID: 100000116033
(801) 231-7724
NPI: 1235162132
Provider ID: 100001066517
BIRCHER, DELMAR A LCSW
NPI: 1346514726
796 E PACIFIC DR #A
MURDOCK, JENNIE M LCSW
(801) 701-6504
21 N 490 W
Provider ID: 100001152830
(435) 636-9600
NPI: 1801872072
Provider ID: 100000855807
BUTTARS, HEIDI N LCSW
NPI: 1558565259
433 S 500 E
SCHREYER, FAY M LCSW
(801) 216-8000
433 S 500 E
Provider ID: 100000116029
(801) 216-8000
NPI: 1568551380
Provider ID: 100000509846
NPI: 1831339845
UTAH
February 12, 2015
234
UTAH
AMERICAN FORK
PSYCHOLOGY
STARKS, JOYCE E LCSW
433 S 500 E
(801) 216-8000
Provider ID: 100000279576
NPI: 1376704460
WEBB, ALISA LCSW
433 S 500 E
(801) 216-8000
Provider ID: 100001152900
NPI: 1558616359
PSYCHIATRY
MANOV, LUDMIL KIRILOV MD
21 N 490 W
(801) 642-2396
Provider ID: 100000989259
NPI: 1629098108
PSYCHOLOGY
ANSEL, LISA L PHD
814 BAMBERGER DR #A
(801) 772-0202
Provider ID: 100000824533
NPI: 1184970642
GENTRY, STEVEN M PHD
814 BAMBERGER DR #A
(801) 772-0202
Provider ID: 100000090292
NPI: 1407983588
MILES, GREGORY R PHD
814 BAMBERGER DR #A
(801) 772-0202
Provider ID: 100001173214
NPI: 1396148250
TAYLOR, PATRICIA ELLEN
PHD
796 E PACIFIC DR #B
(801) 494-7506
Provider ID: 100000902476
NPI: 1922158096
UTAH
BLUFFDALE
PSYCHOLOGY
UTAH (cont'd)
BLUFFDALE
PSYCHOLOGY
CHRISTENSEN, DEBORAH
AUSTIN PHD
14241 S REDWOOD RD
(801) 816-1801
Provider ID: 100000086324
NPI: 1033217229
BOUNTIFUL
BEHAVIORAL - MENTAL
HEALTH SERVICES
BERNARD, HEATHER LEE
APRN
630 MEDICAL DR
(801) 299-2186
Provider ID: 100000876307
NPI: 1104846781
BEHAVIORAL - SOCIAL
WORK SERVICES
ACORD, GABRIELLE E LCSW
505 S MAIN ST #209
(801) 918-9058
Provider ID: 100000117242
NPI: 1417907650
BRADFORD, LISA F LCSW
1355 N MAIN ST #1
(801) 259-3883
Provider ID: 100000111784
NPI: 1417007311
FELLER, KELLY C LCSW
537 W 2600 S #203
(801) 809-1049
Provider ID: 100000760479
NPI: 1134417132
FRITINGER, SUZETTE LEANN
LCSW
1355 N MAIN ST #1
(801) 259-3883
Provider ID: 100000522128
NPI: 1558401372
Mental Health Providers
Sorted by state, city, specialty, then name
HAMPTON, KATHRYN BROG
LCSW
725 N 300 E
(801) 698-6079
Provider ID: 100000340270
NPI: 1588721260
JACKSON, MELANIE H LCSW
1355 N MAIN ST #1
(801) 259-3883
Provider ID: 100000542993
NPI: 1639229131
JENSEN, TRISHA T LCSW
1355 N MAIN ST #1
(801) 259-3883
Provider ID: 100000313375
NPI: 1861533465
KEELER, KATHLEEN JOYCE
LCSW
70 N MAIN ST #103
(801) 298-5222
Provider ID: 100000087507
NPI: 1386758498
KEIL, MARTI ANN LCSW
1470 N MAIN ST #B
(801) 298-5008
Provider ID: 100000087360
NPI: 1811167273
MCFARLAND, MARYANNE C
LCSW
506 S MAIN ST
(801) 510-6864
Provider ID: 100000757488
NPI: 1609069293
STEED, LISA LCSW
1355 N MAIN ST #1
(801) 231-8914
Provider ID: 100000244147
NPI: 1164562328
VANDAM, MICHAEL L LCSW
1355 N MAIN ST #1
(801) 259-3883
Provider ID: 100000273414
NPI: 1386729994
235
UTAH
BOUNTIFUL
PSYCHIATRY
WITTWER, ANDREW WILLIAM
LCSW
415 MEDICAL DR #C100
(801) 292-2389
Provider ID: 100000748950
NPI: 1568492619
PSYCHIATRIC HOSPITAL
LAKEVIEW HOSPITAL
630 MEDICAL DR
(801) 299-2112
Provider ID: 100000267808
NPI: 1497709471
PSYCHIATRY
CULBERTSON, JOE CAMPBELL
MD
630 MEDICAL DR
(801) 299-2186
Provider ID: 100000911360
NPI: 1548286792
GARDINER, MATTHEW JAMES
MD
630 MEDICAL DR
(801) 299-2186
Provider ID: 100001016961
NPI: 1629084710
GONZALEZ, ELIA R MD
630 MEDICAL DR
(801) 299-2186
Provider ID: 100001050625
NPI: 1609979558
LUND, HEIDEE MD
630 MEDICAL DR
(801) 299-2186
Provider ID: 100001162195
NPI: 1740508340
ROUNDY, MICHAEL SCOTT
MD
630 MEDICAL DR
(801) 299-2186
Provider ID: 100001035114
NPI: 1255366696
February 12, 2015
UTAH
BOUNTIFUL
PSYCHOLOGY
Mental Health Providers
Sorted by state, city, specialty, then name
UTAH
CLEARFIELD
BEHAVIORAL - SOCIAL WORK SERVICES
HAMPTON, KATHRYN BROG
LCSW
94 E PAGES LN #A
BOUNTIFUL (cont'd)
(801) 294-0578
Provider ID: 100000095808
PSYCHOLOGY
NPI: 1588721260
MOWER, RICHARD KING PHD KAY, BRIAN G LCSW
505 S MAIN ST
94 E PAGES LN #A
(801) 292-6101
(801) 294-0578
Provider ID: 100000091641
Provider ID: 100000741478
NPI: 1831174515
NPI: 1154618973
MURDOCK, PAUL D PSYD
LEE, JO ANNE LCSW
503 W 2600 S #200
386 N MAIN ST
(801) 300-1735
(801) 298-2000
Provider ID: 100000864491
Provider ID: 100001153909
NPI: 1366727380
NPI: 1174755029
RANDALL, DONALD W PHD
LOVELAND, MATTHEW TROY
630 MEDICAL DR
LCSW
(801) 299-2186
94 E PAGES LN #A
Provider ID: 100001068111
(801) 294-0578
NPI: 1053346494
Provider ID: 100000598419
SANDBERG, JERRY LYNN PHD
NPI: 1326054222
1470 N MAIN ST #B
MADSEN, HILARY C LCSW
(801) 299-9026
386 N MAIN ST
Provider ID: 100000089858
(801) 298-2000
NPI: 1154400216
Provider ID: 100000992320
SOUTOR, TODD ANTHONY
NPI: 1528214327
PHD
502 PHEASANT WAY
725 S MAIN ST
(801) 298-2000
(801) 593-6892
Provider ID: 100000992320
Provider ID: 100000706781
NPI: 1528214327
NPI: 1376558064
NELSON, NEWEL I LCSW
386 N MAIN ST
CENTERVILLE
(801) 298-2000
Provider ID: 100000114091
BEHAVIORAL - SOCIAL
NPI: 1588927966
WORK SERVICES
PAREDES, ROCIO F LCSW
COOK, WILLIAM R LCSW
94 E PAGES LN #A
94 E PAGES LN #A
(801) 294-0578
(801) 294-0578
Provider ID: 100000299642
Provider ID: 100000747335
NPI: 1265681860
NPI: 1598979189
PETERSON,
PAUL J LCSW
FRITINGER, SUZETTE LEANN
94
E
PAGES
LN
#A
LCSW
(801)
294-0578
94 E PAGES LN #A
Provider ID: 100000271750
(801) 294-0578
NPI: 1528114667
Provider ID: 100000273559
NPI: 1558401372
UTAH (cont'd)
February 12, 2015
236
SOUTHERS, SONDRA J LCSW
94 E PAGES LN #A
(801) 294-0578
Provider ID: 100000249367
NPI: 1518008168
STEED, LISA LCSW
94 E PAGES LN #A
(801) 294-0578
Provider ID: 100000116504
NPI: 1164562328
THOMAS, ALISHA LCSW
94 E PAGES LN #A
(801) 294-0578
Provider ID: 100000347353
NPI: 1730393471
VANDAM, MICHAEL L LCSW
94 E PAGES LN #A
(801) 294-0578
Provider ID: 100000899133
NPI: 1386729994
PSYCHOLOGY
CUTLER, SCOTT VERNON PHD
386 N MAIN ST
(801) 298-2000
Provider ID: 100001002074
NPI: 1992918924
CLEARFIELD
BEHAVIORAL - SOCIAL
WORK SERVICES
DAWSON, PAUL W LCSW
1387 W 1800 N
(801) 779-0095
Provider ID: 100001023506
NPI: 1124305834
FROST, WILLIAM A LCSW
466 N MAIN ST #210
(801) 603-2547
Provider ID: 100000292362
NPI: 1841318359
HANSEL, JEANNE MARIE
LCSW
466 N MAIN ST #201D
(801) 915-0329
Provider ID: 100000095448
NPI: 1013051481
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
CLEARFIELD
DRAPER
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
CLEARFIELD (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
HARRAH, DAN R LCSW
466 N MAIN ST #210
(801) 603-2547
Provider ID: 100000364979
NPI: 1508008707
LEWIS, MICHELLE L LCSW
466 N MAIN ST
(801) 907-1391
Provider ID: 100000560026
NPI: 1558676338
MALBICA, KATHRYN L LCSW
466 N MAIN ST #210
(801) 603-2547
Provider ID: 100000324283
NPI: 1619128642
MURRAY, CALLIE A LCSW
370 S 500 E #160
(801) 825-4876
Provider ID: 100000243417
NPI: 1114933033
PETERSEN, DAVID HAROLD
LCSW
1477 N 2000 W #C
(801) 774-8888
Provider ID: 100000510264
NPI: 1679764989
POTOKAR, HEATHER D LCSW
189 S STATE ST #230
(801) 589-0819
Provider ID: 100000927484
NPI: 1760788491
TOLTON, DEBBIE L LCSW
466 N MAIN ST #210
(801) 603-2547
Provider ID: 100000292365
NPI: 1144286659
WATSON, SANDY KAY LCSW
466 N MAIN ST #201C
(801) 458-0445
Provider ID: 100000095458
NPI: 1396899712
WHITTAKER, JANA L LCSW
1105 S STATE ST
(801) 860-2265
Provider ID: 100000574124
NPI: 1629256714
PSYCHOLOGY
MATTSON, RONDI PHD
1785 E 1450 S #237
(801) 525-1131
Provider ID: 100000115010
NPI: 1326127721
NEWBOLD, DAVID PHD
370 S 500 E #180
(801) 776-1954
Provider ID: 100000091494
NPI: 1831376037
PEROVICH, JOHN DAVID PSYD
1785 E 1450 S #360
(801) 773-0535
Provider ID: 100000085014
NPI: 1427105493
ROSE, RACHELLE A PHD
1387 W 1800 N
(801) 779-0095
Provider ID: 100001023513
NPI: 1265448104
SCHWEBACH, ADAM J PHD
1477 N 2000 W #E
(801) 614-5866
Provider ID: 100000700551
NPI: 1780837047
SOUTOR, TODD ANTHONY
PHD
562 S 1000 E
(801) 593-6892
Provider ID: 100000706781
NPI: 1376558064
COTTONWOOD HEIGHTS
BEHAVIORAL - SOCIAL
WORK SERVICES
FIGG, KELLEY J LCSW
7050 S HIGHLAND DR #310
(801) 224-8255
Provider ID: 100001165513
NPI: 1578829875
237
PSYCHOLOGY
HUBBARD, SARAH T PHD
7050 S HIGHLAND DR #310
(801) 224-8255
Provider ID: 100000747163
NPI: 1366473159
DRAPER
BEHAVIORAL - ADDICTION
MEDICINE
COOK, PAULA J MD
11724 S STATE ST
(801) 576-2000
Provider ID: 100001152132
NPI: 1922209386
BEHAVIORAL - SOCIAL
WORK SERVICES
CHEN, JANET WHEATLEY
LCSW
12268 S 900 E #302A
(801) 718-1609
Provider ID: 100000306776
NPI: 1356588321
OAKS, LAURA B LCSW
668 E 12225 S #202
(801) 619-3569
Provider ID: 100001070618
NPI: 1356436018
TIMMINS, JOSEPH MICHAEL
LCSW
12222 S 1000 E #3
(801) 572-5727
Provider ID: 100000539105
NPI: 1780652271
12226 S 1000 E #11
(801) 987-3222
Provider ID: 100000093438
NPI: 1780652271
TREUHAFT, MARK LCSW
1111 E 12300 S #102
(801) 676-0334
Provider ID: 100000092500
NPI: 1871719799
February 12, 2015
UTAH
DRAPER
PSYCHIATRY
Mental Health Providers
Sorted by state, city, specialty, then name
UTAH
KAYSVILLE
BEHAVIORAL - SOCIAL WORK SERVICES
WHITTAKER, MARY
PSYCHIATRY
ELIZABETH LCSW
RINDFLESH,
MARK
ALAN
MD
2290 E 4500 S #210
DRAPER (cont'd)
7498 N CASTLE ROCK RD
(801) 272-3533
(801) 587-3210
Provider ID: 100000085507
PSYCHIATRY
Provider ID: 100000092355
NPI: 1023079696
CONNOLLY, MICHAEL S MD
NPI: 1710944293
PSYCHOLOGY
11724 S STATE ST
EMORY
(801) 576-2000
MCMANEMIN, JOHANNA F
Provider ID: 100000991310
PHD
BEHAVIORAL - SOCIAL
NPI: 1003014374
2040 E MURRAY HOLLADAY RD
WORK SERVICES
#220
PSYCHOLOGY
STEINECKERT, JAY LYNN
(801) 432-7623
LCSW
CHEN, STEVEN JOHN PHD
Provider ID: 100000088303
165 W CANYON CREST RD #210
12268 S 900 E #302A
NPI: 1518087485
(801) 772-0686
(801) 718-1609
HOOPER
Provider ID: 100000089483
Provider ID: 100000245010
NPI: 1659591584
NPI: 1265636765
BEHAVIORAL - SOCIAL
CHRISTENSEN, DEBORAH
FARMINGTON
WORK SERVICES
AUSTIN PHD
TUTTLE, LINDA LARSON
248 E 13800 S #4
BEHAVIORAL - SOCIAL
LCSW
(801) 816-1801
WORK SERVICES
6292 W 5100 S
Provider ID: 100000086324
WEATHERS, MELISSA LCSW
(801) 668-0490
NPI: 1033217229
722 SHEPARD LN #105
Provider ID: 100000254783
FIDLER, SCOTT WILLIAM PHD (801) 510-5756
NPI: 1972536019
668 E 12225 S #202
Provider ID: 100000731255
(801) 619-3569
KAYSVILLE
NPI: 1235429168
Provider ID: 100000099893
PSYCHOLOGY
NPI: 1164589669
BEHAVIORAL - SOCIAL
THORN, KIRK BERNELL PHD EMPEY, DALLAS BLAINE PHD
WORK SERVICES
1111 E DRAPER PKWY #102
1353 N 1075 W #202
LOVELAND, MATTHEW TROY
(801) 676-0333
(801) 644-9244
LCSW
Provider ID: 100000089281
Provider ID: 100000090165
31 W CENTER ST
NPI: 1568478741
NPI: 1316937410
(801) 660-5557
Provider ID: 100000099505
EAGLE MOUNTAIN
HOLLADAY
NPI: 1326054222
BEHAVIORAL - SOCIAL
PIERCE, WADE S LCSW
BEHAVIORAL - SOCIAL
WORK SERVICES
31 W CENTER ST
WORK SERVICES
GILLESPIE, DARREN J LCSW HENDERSON, ASHLEY J LCSW (801) 660-5557
Provider ID: 100000773343
3688 CAMPUS DR
4500 S 2180 E #185
NPI: 1659641751
(801) 661-4516
(801) 971-5187
PRITT,
STEPHEN G LCSW
Provider ID: 100000955032
Provider ID: 100000749317
447
N
300
W #7
NPI: 1205943180
NPI: 1821245572
(801) 991-0628
Provider ID: 100000780347
NPI: 1487803912
UTAH (cont'd)
February 12, 2015
238
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
KAYSVILLE
LAYTON
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
LAYTON
BEHAVIORAL - MENTAL
HEALTH SERVICES
BEHAVIORAL - SOCIAL
BERNARD, HEATHER LEE
WORK SERVICES (cont'd)
APRN
934 S MAIN ST #6
WISE, KIRT D LCSW
(801) 773-7060
31 W CENTER ST
Provider ID: 100000097594
(801) 660-5557
NPI: 1104846781
Provider ID: 100000323687
NPI: 1215182795
CUMBERLAND, MARY JANE
APRN
PSYCHOLOGY
934 S MAIN ST #6
CUNDICK, KIRT E PHD
(801) 773-7060
1417 HAIGHT CREEK DR
Provider ID: 100000570476
(801) 451-2011
NPI: 1396715504
Provider ID: 100000360679
DARIO, JOEL S APRN
NPI: 1629395181
1492 W ANTELOPE DR #205
STEWART, KATHRYN M PHD
(801) 773-7500
447 N 300 W #7
Provider ID: 100000688737
(801) 544-7413
NPI: 1275547507
Provider ID: 100000094203
1600 W ANTELOPE DR
NPI: 1033325089
(801) 807-7737
Provider ID: 100000688737
TAYLOR, JOHN ROBERT PHD
NPI: 1275547507
447 N 300 W #7
(801) 560-6490
ROBBINS, ZOE A APRN
Provider ID: 100000086165
1492 W ANTELOPE DR #205
NPI: 1659431401
(801) 773-7500
Provider ID: 100001102246
KEARNS
NPI: 1134321508
SELDEN, JONATHAN A APRN
BEHAVIORAL - SOCIAL
2317 N HILL FIELD RD #103
WORK SERVICES
(801) 525-4645
HAKES, CHRIS COREY LCSW
Provider ID: 100000797526
4700 S 2880 W #G1
NPI: 1417199506
(801) 503-8937
STEWART,
MITZY D APRN
Provider ID: 100000711960
934
S
MAIN
ST
#6
NPI: 1194785378
(801) 773-7060
Provider ID: 100001093047
NPI: 1538147418
KAYSVILLE (cont'd)
239
BEHAVIORAL - SOCIAL
WORK SERVICES
BRAUN, DANIEL S LCSW
930 W HILL FIELD RD #A
(801) 451-0475
Provider ID: 100000253615
NPI: 1184660425
BURGERT, REBECCA M LCSW
2317 N HILL FIELD RD #103
(801) 513-6868
Provider ID: 100000709645
NPI: 1780698092
CAPEL, ADAM BRIAN LCSW
2317 N HILL FIELD RD #103
(801) 641-8569
Provider ID: 100000761166
NPI: 1790761518
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000330778
NPI: 1790761518
COOK, KAREN BARBER LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000090651
NPI: 1982610135
DALLEY, JEFFREY MARVIN
LCSW
2250 N 1700 W
(801) 773-7060
Provider ID: 100000091869
NPI: 1922012251
DEVERAUX, LARA L LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000786648
NPI: 1467740001
GLOSHEN, TONYA S LCSW
890 HERITAGE PARK BLVD #104
(801) 556-8080
Provider ID: 100000733109
NPI: 1043237860
GOLD, DEBORAH L LCSW
2250 N 1700 W
(801) 773-7060
Provider ID: 100000113777
NPI: 1972518827
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
LAYTON
LAYTON
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
LAYTON (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
HALES, MARK T LCSW
2363 N HILL FIELD RD #5
(801) 389-2112
Provider ID: 100000622803
NPI: 1588716039
930 W HILL FIELD RD #A
(801) 336-3040
Provider ID: 100000336357
NPI: 1588716039
HENDRICKS, CAROL J LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000362595
NPI: 1467468421
HOOD, MARTY LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000089764
NPI: 1659386480
HOWES, SCOTT M LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000596561
NPI: 1811928526
LARSEN, JOHN D LCSW
2250 N 1700 W
(801) 773-7060
Provider ID: 100000786659
NPI: 1013154442
LARSON, DEREK R LCSW
2250 N 1700 W
(801) 773-7060
Provider ID: 100000333011
NPI: 1194731091
MCKAY, DAVID FREDERICK
LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000099259
NPI: 1609882521
February 12, 2015
MURRAY, CALLIE A LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000590068
NPI: 1114933033
NIELSEN, DOUGLAS EGON
LCSW
2363 N HILL FIELD RD #5
(801) 391-4356
Provider ID: 100001051898
NPI: 1003034240
930 W HILL FIELD RD #A
(801) 336-3040
Provider ID: 100000088148
NPI: 1003034240
PAUL, DERAI A LCSW
2317 N HILL FIELD RD #103
(801) 589-1822
Provider ID: 100000773872
NPI: 1356598635
930 W HILL FIELD RD #A
(801) 336-3040
Provider ID: 100000280459
NPI: 1356598635
PENDLEY, JANET W LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000095513
NPI: 1215942909
PERRY, SHEILA G LCSW
2250 N 1700 W
(801) 773-7060
Provider ID: 100000518989
NPI: 1235295684
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000518990
NPI: 1235295684
PETERSON, J MICHELLE M
LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000779214
NPI: 1801122411
240
REISIG, KRISTEN B LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100001150761
NPI: 1437457504
ROBERTS, TAMARA LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000243653
NPI: 1487873683
SCOTT, DENNIS MICHAEL
LCSW
1454 N HILL FIELD RD #1
(801) 593-6000
Provider ID: 100000085603
NPI: 1447340278
SIMMONS, BRAD K LCSW
930 W HILL FIELD RD #A
(801) 336-3040
Provider ID: 100000116502
NPI: 1982759908
SIRKEN, BARBARA AUDREY
LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000099506
NPI: 1932114626
THORNLEY, ROD F LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000091811
NPI: 1033125984
TOTTERER, PATRICIA R LCSW
934 S MAIN ST #6
(801) 773-7060
Provider ID: 100000262210
NPI: 1427017581
YOUNG, VICTORIA J LCSW
2317 N HILL FIELD RD #103
(801) 682-8684
Provider ID: 100000784981
NPI: 1174675458
930 W HILL FIELD RD #A
(801) 336-3040
Provider ID: 100000117113
NPI: 1174675458
UTAH
LAYTON
PSYCHIATRIC HOSPITAL
Mental Health Providers
Sorted by state, city, specialty, then name
CUNDICK, KIRT E PHD
1454 N HILL FIELD RD #3
(801) 784-6894
LAYTON (cont'd)
Provider ID: 100000808951
NPI: 1629395181
PSYCHIATRIC HOSPITAL
GOODRICH, GARY A PHD
DAVIS HOSPITAL & MEDICAL 2250 N 1700 W
CTR
(801) 451-7799
1600 W ANTELOPE DR
Provider ID: 100000089910
(801) 807-7120
NPI: 1821004821
Provider ID: 100000557179
KAY, STEVEN JAMES PHD
NPI: 1477876902
1601 N HILL FIELD RD #201
(801) 776-1303
PSYCHIATRY
Provider ID: 100000095380
MCPHERSON, OLIVER L MD
NPI: 1447210646
930 W HILL FIELD RD #A
KAY,
THERESA S PHD
(801) 336-3040
1601
N
HILL FIELD RD #201
Provider ID: 100000608259
(801)
776-1303
NPI: 1053302786
Provider ID: 100000534304
PHILIPPI, D KAY DO
NPI: 1053466169
2250 N 1700 W
KEATE, VIRGIL J PHD
(801) 773-7060
934 S MAIN ST #6
Provider ID: 100000269782
(801) 773-7060
NPI: 1881670982
Provider ID: 100000091580
RICHINS, SCOTT WARBURTON
NPI: 1437167392
APRN
MOODY,
RICHARD YOUNG
934 S MAIN ST #6
PHD
(801) 773-7060
2084 N 1700 W #6
Provider ID: 100000309138
(801) 773-7177
NPI: 1770563629
Provider ID: 100000088595
SCHENK, JULANA N MD
NPI: 1609821693
2250 N 1700 W
SOUTOR, TODD ANTHONY
(801) 773-7060
PHD
Provider ID: 100000292836
155 WASATCH DR
NPI: 1457321556
(801) 593-6892
WATTS, CHARLES W MD
Provider ID: 100000706781
1600 W ANTELOPE DR
NPI: 1376558064
(801) 807-7737
934
S MAIN ST #6
Provider ID: 100001053795
(801)
773-7060
NPI: 1306089552
Provider ID: 100000304883
PSYCHOLOGY
NPI: 1376558064
CORGIAT, MARK D PHD
1916 LAYTON HILLS PKWY #190
(801) 387-3807
Provider ID: 100000249126
NPI: 1336296003
UTAH (cont'd)
241
UTAH
LEHI
PSYCHOLOGY
LEHI
BEHAVIORAL - SOCIAL
WORK SERVICES
BAGGALEY, MICHAEL E LCSW
441 W MAIN ST #B
(801) 592-0538
Provider ID: 100001127326
NPI: 1235162132
BASSETT, DUSTIN M LCSW
170 S INTERSTATE PLZ #B350
(801) 768-1725
Provider ID: 100000261996
NPI: 1205867439
CARTER, BOBBI LYN LCSW
2610 W PEBBLE CREEK DR
(801) 244-2021
Provider ID: 100000794483
NPI: 1477790178
NELSON, HEATHER J LCSW
441 W MAIN ST
(801) 520-3160
Provider ID: 100000781165
NPI: 1861414310
PSYCHOLOGY
LYON, RACHEL E PHD
3300 RUNNING CREEK WAY
BLDG E #100
(801) 380-7000
Provider ID: 100000712810
NPI: 1437438132
PLOWMAN, SUZANNE F PHD
3300 RUNNING CREEK WAY #100
(801) 836-8215
Provider ID: 100000808633
NPI: 1720258726
UNDERWOOD, ROCK C PHD
2940 W MAPLE LOOP DR #101
(801) 440-8501
Provider ID: 100000809921
NPI: 1447322904
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
LINDON
MIDVALE
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES
LINDON
ASHTON, MONICA LCSW
6770 S 900 E #105
BEHAVIORAL - SOCIAL
(801) 305-3171
WORK SERVICES
Provider ID: 100000589738
COATES, EVAN C LCSW
NPI: 1821310087
275 W 200 N #203
BEEBE, JESSE R LCSW
(801) 610-6851
198 W 7200 S
Provider ID: 100001068849
(801) 566-4423
NPI: 1063561462
Provider ID: 100000938659
NPI: 1760401525
MAGNA
BOTT, ALICIA J LCSW
BEHAVIORAL - SOCIAL
6856 S 700 E
(888) 949-4864
WORK SERVICES
Provider ID: 100000793402
BOMAN, MICHAEL TED LCSW
NPI: 1467760116
3564 S 7200 W #C
DREDGE,
WILFORD J LCSW
(801) 250-2909
7602
S
MAIN
ST
Provider ID: 100000097240
(801)
631-7122
NPI: 1508828930
Provider ID: 100000352404
ENGLAND, L CRAIG LCSW
NPI: 1720038706
3564 S 7200 W #C
ELDER, FRANK DAVID LCSW
(801) 250-2909
198 W 7200 S #D
Provider ID: 100000094925
(801) 566-4423
NPI: 1902867856
Provider ID: 100001004902
HAKES, CHRIS COREY LCSW
NPI: 1821390790
8537 W MAGNA MAIN ST #C
FIGG,
KELLEY J LCSW
(801) 503-8937
195
W
7200
S
Provider ID: 100000711960
(888)
949-4864
NPI: 1194785378
Provider ID: 100001167780
MIDVALE
NPI: 1578829875
FROST, WILLIAM A LCSW
BEHAVIORAL - MENTAL
75 E FORT UNION BLVD #135
HEALTH SERVICES
(801) 603-2547
ASKERLUND, ROBERT N APRN
Provider ID: 100000517013
198 W 7200 S
NPI: 1841318359
(801) 566-4423
HALES, DIANNA L LCSW
Provider ID: 100000755060
180 W 7309 S
NPI: 1245551019
(888) 949-4864
YEE, THOMAS O APRN
Provider ID: 100000773841
198 W 7200 S
NPI: 1043531908
(801) 566-4423
HARRAH, DAN R LCSW
Provider ID: 100000607867
75 E FORT UNION BLVD #135
NPI: 1659456754
(801) 603-2547
Provider ID: 100000517023
NPI: 1508008707
February 12, 2015
242
HENNEFER, KENNETH LAKE
LCSW
7321 S STATE ST #AB
(801) 352-2844
Provider ID: 100000090507
NPI: 1538207154
HODSON, KRISTIN B LCSW
6770 S 900 E #105
(801) 305-3171
Provider ID: 100000351953
NPI: 1497844955
KETTLE, KIMBERLY A LCSW
180 W 7309 S
(801) 263-7100
Provider ID: 100000116441
NPI: 1871573634
KILPATRICK, LORRAINE S
LCSW
6925 S UNION PARK CTR #490
(801) 566-2622
Provider ID: 100000092373
NPI: 1528089711
KORMAN, NICOLE K LCSW
6770 S 900 E #105
(801) 783-4779
Provider ID: 100000824363
NPI: 1962794164
LARSON, ANDREA D LCSW
7575 S 900 E
(801) 208-1031
Provider ID: 100000325399
NPI: 1508828039
MALBICA, KATHRYN L LCSW
75 E FORT UNION BLVD #135
(801) 603-2547
Provider ID: 100000517043
NPI: 1619128642
NIELSEN, RACHEL B LCSW
198 W 7200 S #D
(801) 566-4423
Provider ID: 100001004508
NPI: 1437379203
PAREDES, ROCIO F LCSW
220 W 7200 S
(801) 566-5494
Provider ID: 100000747322
NPI: 1265681860
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
MIDVALE
OGDEN
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
WOLF, MARCELLA B LCSW
198 W 7200 S
(801) 566-4423
Provider ID: 100000961430
NPI: 1598772030
OGDEN
BEHAVIORAL - MENTAL
HEALTH SERVICES
BEHAVIORAL - SOCIAL
BULLOCK, RANDY A APRN
WORK SERVICES (cont'd)
PSYCHOLOGY
237 26TH ST
PEREZ, LESLIE BROSIUS LCSW ADAMS, DAVID BENNION PHD (801) 625-3700
Provider ID: 100000263050
198 W 7200 S
6925 S UNION PARK CTR #490
NPI: 1528099231
(801) 566-4423
(801) 566-2622
Provider ID: 100000588478
KRAHULEC,
ANGELA L APRN
Provider ID: 100000088804
NPI: 1417138710
237
26TH
ST
NPI: 1326080367
(801) 625-3700
RAEL, JULIE L LCSW
JENSEN, JENISE PHD
Provider ID: 100000085118
198 W 7200 S
7575 S 900 E
NPI: 1366471062
(801) 566-4423
(801) 676-8990
Provider ID: 100000876390
Provider ID: 100000338572
BEHAVIORAL - SOCIAL
NPI: 1104151232
NPI: 1366534943
WORK SERVICES
SMITH, APRIL A LCSW
KAIR, KATHRYN M PHD
ANDERSON, CRAIG C LCSW
195 W 7200 S
6925 S UNION PARK CTR #490
237 26TH ST
(888) 949-4864
(801) 304-2382
(801) 625-3700
Provider ID: 100001129884
Provider ID: 100000092841
Provider ID: 100000252287
NPI: 1275721763
NPI: 1508960063
NPI: 1528144847
TINGEY, TENILLE LCSW
MCGILL, LIZABETH A PHD
ANDERSON, SALLY M LCSW
195 W 7200 S
198 W 7200 S
3518 WASHINGTON BLVD
(888) 949-4864
(801) 566-4423
(801) 399-1600
Provider ID: 100001153941
Provider ID: 100000084740
Provider ID: 100000565759
NPI: 1144629650
NPI: 1346226420
NPI: 1396966594
TOLTON, DEBBIE L LCSW
SMITH, JULIEN TERESA PHD
ASHDOWN,
MICHELE W LCSW
75 E FORT UNION BLVD #135
7575 S 900 E
1525
LINCOLN
AVE
(801) 603-2547
(801) 676-8990
(801)
621-6510
Provider ID: 100000517068
Provider ID: 100000338619
Provider ID: 100000263950
NPI: 1144286659
NPI: 1326069022
NPI: 1497876346
WARNER, KIMBERLEY T
460
2ND ST #B
MURRAY
LCSW
(801)
698-4006
6770 S 900 E #105
BEHAVIORAL - SOCIAL
Provider
ID: 100000510273
(801) 410-0529
WORK SERVICES
NPI:
1497876346
Provider ID: 100000878616
ATKINSON, GENE W LCSW
PHILLIPS, ISAAC M LCSW
NPI: 1497960827
3670 QUINCY AVE #101
345
E
4500
S
#120
WILCOX, MICHELLE
(801) 334-7798
(801)
450-2798
CHRISTINE LCSW
Provider ID: 100000091406
Provider
ID:
100000773642
47 E 7200 S #206
NPI: 1538194972
NPI:
1558634725
(801) 783-3095
BARBER,
ALISON LCSW
Provider ID: 100000097142
237
26TH
ST
NPI: 1134197940
(801) 625-3700
Provider ID: 100000096983
NPI: 1063443778
MIDVALE (cont'd)
243
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
OGDEN
OGDEN
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
GARDNER, KATHRYN
STAUFFER LCSW
1525 LINCOLN AVE
OGDEN (cont'd)
(801) 621-6510
Provider ID: 100000096334
BEHAVIORAL - SOCIAL
NPI: 1598771685
WORK SERVICES (cont'd)
5685 S 1475 E #2B
BASSETT, KAREN LCSW
(801) 621-6032
237 26TH ST
Provider ID: 100000339992
(801) 625-3700
NPI: 1598771685
Provider ID: 100000275706
GILMORE, PATRICK DALE
NPI: 1437180148
LCSW
BEAUDOIN, MICHAEL J LCSW 4590 HARRISON BLVD #200A
237 26TH ST
(801) 479-8286
(801) 625-3689
Provider ID: 100000089682
Provider ID: 100000114352
NPI: 1972551802
NPI: 1306928080
GOSSETT, LEEANN LCSW
5333 ADAMS AVE PKWY #A
237 26TH ST
(801) 317-1895
(801) 625-3700
Provider ID: 100000861065
Provider ID: 100000117153
NPI: 1306928080
NPI: 1992826846
BURGERT, REBECCA M LCSW GREEN, M MARIE LCSW
1525 LINCOLN AVE
1276 WALL AVE
(801) 621-6510
(801) 337-4000
Provider ID: 100000741433
Provider ID: 100000099873
NPI: 1780698092
NPI: 1780771147
BURT, DAVID S LCSW
5582 S 1750 E
1525 LINCOLN AVE
(801) 476-8885
(801) 621-6510
Provider ID: 100000099873
Provider ID: 100000116829
NPI: 1780771147
NPI: 1215149224
HADLEY, NATHAN M LCSW
CARVER, DARIN RAY LCSW
2240 ADAMS AVE
237 26TH ST
(801) 393-5355
(801) 625-3700
Provider ID: 100000114828
Provider ID: 100000280269
NPI: 1265440713
NPI: 1275566390
HOPPE, BRENT W LCSW
COOK, WILLIAM R LCSW
237 26TH ST
1525 LINCOLN AVE
(801) 625-3700
(801) 621-6510
Provider ID: 100000291249
Provider ID: 100000747335
NPI: 1124248604
NPI: 1598979189
HOWES, SCOTT M LCSW
FORBES, JENNIFER L LCSW
2748 ADAMS AVE
237 26TH ST
(801) 791-9993
(801) 625-3700
Provider ID: 100000543635
Provider ID: 100000270375
NPI: 1811928526
NPI: 1013120401
UTAH (cont'd)
February 12, 2015
244
HUGGARD, ELLEN LCSW
1525 LINCOLN AVE
(801) 621-6510
Provider ID: 100000311520
NPI: 1700023264
HUNTER, ROBERT JOHN LCSW
237 26TH ST
(801) 625-3700
Provider ID: 100000102072
NPI: 1902837610
INNES, BRENT WRIGHT LCSW
3518 WASHINGTON BLVD
(801) 399-1600
Provider ID: 100000095739
NPI: 1639225956
JEWKES, STEPHANIE J LCSW
237 26TH ST
(801) 625-3700
Provider ID: 100000616600
NPI: 1598901860
KASHIWAEDA, JAYNE NAOMI
LCSW
237 26TH ST
(801) 625-3700
Provider ID: 100000097407
NPI: 1275566374
KEELER, SHANNETTE LCSW
4184 W 1975 N
(801) 732-1102
Provider ID: 100000088959
NPI: 1255497376
KHALSA, SAT M LCSW
237 26TH ST
(801) 625-3700
Provider ID: 100000084789
NPI: 1184659526
KING, FREDERICK TYRONE
LCSW
2351 GRANT AVE #100
(801) 621-8670
Provider ID: 100000093422
NPI: 1518131622
LOGAN, KAREN S LCSW
5926 FASHION POINT DR #200
(801) 391-6849
Provider ID: 100000092692
NPI: 1225179237
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
OGDEN
OGDEN
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
MYERS, H MICHELE LCSW
1708 E 5550 S #23
(801) 475-4673
OGDEN (cont'd)
Provider ID: 100000786490
NPI: 1164564613
BEHAVIORAL - SOCIAL
4155 HARRISON BLVD #200
WORK SERVICES (cont'd)
(801) 510-4790
LOPEZ, ANNA K LCSW
Provider ID: 100000096224
237 26TH ST
NPI: 1164564613
(801) 625-3700
O'NEIL, PETER WILLIAM
Provider ID: 100000254618
LCSW
NPI: 1518043843
4155 HARRISON BLVD #200
MADSEN, HILARY C LCSW
(801) 690-1142
4515 JEFFERSON AVE
Provider ID: 100000092553
(801) 298-2000
NPI: 1821170036
Provider ID: 100000992320
PALAU, M SHAWN LCSW
NPI: 1528214327
707 24TH ST #D
MASON, PATRICIA ANN LCSW (801) 399-1818
707 24TH ST #C
Provider ID: 100000098266
(801) 394-4522
NPI: 1609946540
Provider ID: 100000101666
PERRY, LEE L LCSW
NPI: 1376633701
1525 LINCOLN AVE
MCFARLAND, MARYANNE C
(801) 621-6510
LCSW
Provider ID: 100000698298
3340 HARRISON BLVD #210
NPI: 1760588818
(801) 510-6864
PHELPS, ROBIN DENISE LCSW
Provider ID: 100000757488
1525 LINCOLN AVE
NPI: 1609069293
(801) 621-6510
MELCHER, BRIAN A LCSW
Provider ID: 100000086199
268 40TH ST
NPI: 1144393596
(801) 347-1778
POTOKAR, HEATHER D LCSW
Provider ID: 100000761687
5742 S 500 E #C
NPI: 1558481051
(801) 621-6642
MITCHELL, CRAIG TULLIS
Provider ID: 100000696720
LCSW
NPI: 1760788491
5922 S 2125 E
POTTER, BURK R LCSW
(801) 626-3649
237 26TH ST
Provider ID: 100000091507
(801) 625-3700
NPI: 1720038060
Provider ID: 100000112050
MOORE, JEFFREY S LCSW
NPI: 1811906324
533 26TH ST RM 1 #100
PRITT, STEPHEN G LCSW
(385) 313-7149
1276 WALL AVE #1
Provider ID: 100000876267
(801) 337-4000
NPI: 1013233345
Provider ID: 100001038058
NPI: 1487803912
UTAH (cont'd)
245
REEDER, KLAY C LCSW
237 26TH ST
(801) 625-3700
Provider ID: 100000254973
NPI: 1407977333
RIPPON, KIMBERLY R LCSW
1525 LINCOLN AVE
(801) 621-6510
Provider ID: 100000117525
NPI: 1831246461
SAHLEEN, GARRY FREDRICK
LCSW
1525 LINCOLN AVE
(801) 621-6510
Provider ID: 100000260890
NPI: 1225189509
SENEKJIAN, BECKY LCSW
237 26TH ST
(801) 625-3700
Provider ID: 100000261314
NPI: 1528283496
SMITH, JEAN C LCSW
3544 LINCOLN AVE #3W
(801) 928-6838
Provider ID: 100000088965
NPI: 1851499123
TAYLOR, SHEILA D LCSW
670 12TH ST
(385) 312-0686
Provider ID: 100001034130
NPI: 1356524847
707 24TH ST #D
(801) 399-1818
Provider ID: 100000281911
NPI: 1356524847
WATSON, STEVEN LEE LCSW
3670 QUINCY AVE #103
(801) 621-5666
Provider ID: 100000090548
NPI: 1619905098
WEATHERS, MELISSA LCSW
920 CHAMBERS ST #16B
(801) 510-5756
Provider ID: 100000731255
NPI: 1235429168
February 12, 2015
UTAH
OGDEN
PSYCHIATRY
Mental Health Providers
Sorted by state, city, specialty, then name
UTAH
OREM
BEHAVIORAL - SOCIAL WORK SERVICES
O'CONNOR, BEVERLY PHD
533 26TH ST #100
(801) 621-7320
OGDEN (cont'd)
Provider ID: 100000089339
NPI: 1730301474
PSYCHIATRY
PRAMANN JR, ROBERT
BANKS, DUANE ROBERT MD FREDERICK PHD
2351 GRANT AVE #100
575 23RD ST
(801) 621-8670
(801) 268-1564
Provider ID: 100000740286
Provider ID: 100000252072
NPI: 1013092360
NPI: 1487622908
STAUFFER, ROBERT FERN MD RANDALL, DONALD W PHD
4699 HARRISON BLVD #301
237 26TH ST
(801) 475-0712
(801) 625-3700
Provider ID: 100000091652
Provider ID: 100000085463
NPI: 1427109685
NPI: 1053346494
RYAN, RANDY L PHD
PSYCHOLOGY
3544 LINCOLN AVE #G
CARCELLI, LAWRENCE
(801) 913-0998
ANTHONY PHD
Provider ID: 100000521168
4590 HARRISON BLVD #200A
NPI: 1578893129
(801) 479-8286
WALSH, KIMBERLY RUTH PHD
Provider ID: 100000092431
1452 E RIDGELINE DR #151
NPI: 1720141435
(801) 479-7009
ELLIOTT, CLYDE DONALD
Provider ID: 100000084791
PHD
NPI: 1699750018
4699 HARRISON BLVD #301
(801) 475-0712
OREM
Provider ID: 100000092247
NPI: 1124138631
BEHAVIORAL - ALCOHOL/
DRUG TREATMENT
KANG, CATHARINA HYUNUI
PHD
PROVO CANYON BEHAVIORAL
4699 HARRISON BLVD #301
HOSPITAL
(801) 475-0712
DBA PROVO CANYON
Provider ID: 100000093547
BEHAVIORAL HOSPITAL
NPI: 1609927466
1350 E 750 N
MAYER, GREGORY LEE PHD
(801) 852-2273
4590 HARRISON BLVD #200A
Provider ID: 100000747605
(801) 479-8286
NPI: 1598056053
Provider ID: 100000086754
BEHAVIORAL - SOCIAL
NPI: 1518048917
WORK SERVICES
NABERS, KENT ELLIS PHD
BEAMES, SYDNEY LCSW
920 CHAMBERS ST #17
1790 N STATE ST
(801) 476-6916
(801) 224-8255
Provider ID: 100000094883
Provider ID: 100001139194
NPI: 1649248683
NPI: 1023448339
UTAH (cont'd)
February 12, 2015
246
BELLISTON, NANCY L LCSW
383 N STATE ST #202
(801) 360-3166
Provider ID: 100000761012
NPI: 1841468147
879 S OREM BLVD #1
(801) 802-8608
Provider ID: 100000267397
NPI: 1841468147
BENNION, KRISTIN M LCSW
1790 N STATE ST
(801) 224-8255
Provider ID: 100000746839
NPI: 1649552662
BURR, JOHN MICHAEL LCSW
901 S OREM BLVD
(801) 225-7805
Provider ID: 100000086404
NPI: 1689797078
CAPELL, MARK JAMES LCSW
313 E 1200 S #104
(801) 377-1595
Provider ID: 100000095460
NPI: 1003934001
CASTLETON, DONNA ELAINE
LCSW
879 S OREM BLVD #1
(801) 802-8608
Provider ID: 100000270568
NPI: 1598809642
CHRISTENSEN, SUSAN S LCSW
448 W 300 S
(801) 426-8862
Provider ID: 100000085415
NPI: 1699752733
COATES, EVAN C LCSW
1790 N STATE ST
(801) 224-8255
Provider ID: 100000559421
NPI: 1063561462
COX, MICHAEL A LCSW
1790 N STATE ST
(801) 224-8255
Provider ID: 100000270417
NPI: 1780850784
Mental Health Providers
UTAH
Sorted by state, city, specialty, then name
OREM
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
OREM (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
COX, VALERIE JANE LCSW
901 S OREM BLVD
(801) 225-7805
Provider ID: 100000089084
NPI: 1740406800
CRAWFORD, HERTA AUDREY
LCSW
313 E 1200 S #101
(801) 310-0849
Provider ID: 100000092893
NPI: 1952425043
CROSSLEY, KIMBERLY ANN
LCSW
1790 N STATE ST
(801) 224-8255
Provider ID: 100000097053
NPI: 1811061823
FIGG, KELLEY J LCSW
1790 N STATE ST
(801) 224-8255
Provider ID: 100001165513
NPI: 1578829875
GEORGE, PAUL WARREN
LCSW
1790 N STATE ST
(801) 224-8255
Provider ID: 100000087338
NPI: 1891861662
GOUDIE, KYLE H LCSW
383 N STATE ST #202
(801) 360-3166
Provider ID: 100000739534
NPI: 1295857266
HARPER, STUART DONALD
LCSW
1255 N 1200 W
(801) 229-1181
Provider ID: 100000256982
NPI: 1225097900
HATCH, BONNIE L LCSW
309 N STATE ST
(801) 404-3069
Provider ID: 100000726086
NPI: 1255630018
KRAUSE, LARRY ALBERT
LCSW
1255 N 1200 W
(801) 229-1181
Provider ID: 100000089368
NPI: 1982663670
LARSON, ANDREA D LCSW
1358 W BUSINESS PARK DR
(801) 373-1197
Provider ID: 100000325399
NPI: 1508828039
LINNELL, RANDY SCOTT
LCSW
879 S OREM BLVD #1
(801) 802-8608
Provider ID: 100000805429
NPI: 1457480204
MADSEN JR, MATHEW DELL
LCSW
1471 N 1200 W
(801) 802-9464
Provider ID: 100000802926
NPI: 1073607990
MARTINEZ, SABRINA LCSW
1790 N STATE ST
(801) 224-8255
Provider ID: 100001143590
NPI: 1225457013
MCBRIDE, CHERYL LYNNE
LCSW
1790 N STATE ST
(801) 224-8255
Provider ID: 100000102124
NPI: 1891862892
O'BANION, JOY ALICE LCSW
1255 N 1200 W
(801) 229-1181
Provider ID: 100000087060
NPI: 1235198763
247
UTAH
OREM
PSYCHOLOGY
SMITH, MARY LOU LCSW
900 S STATE ST
(801) 224-3322
Provider ID: 100000089492
NPI: 1093836553
VASQUEZ, ERIN ELIZABETH
LCSW
1255 N 1200 W
(801) 229-1181
Provider ID: 100000092780
NPI: 1003875725
WISE, MARY LOU L LCSW
1790 N STATE ST
(801) 224-8255
Provider ID: 100000323571
NPI: 1427290501
PSYCHIATRIC HOSPITAL
PROVO CANYON BEHAVIORAL
HOSPITAL
DBA PROVO CANYON
BEHAVIORAL HOSPITAL
1350 E 750 N
(801) 852-2273
Provider ID: 100000747605
NPI: 1598056053
PSYCHIATRY
HARRIS, MICHAEL WILLIAM
DO
1215 S 1680 W
(801) 377-3933
Provider ID: 100000299644
NPI: 1912008590
PAULSON, DAVID LOUIS MD
361 E 1200 S #201
(801) 224-3014
Provider ID: 100000099318
NPI: 1740252196
PSYCHOLOGY
BAKER, ELIZABETH L PHD
412 W 800 N
(801) 235-7246
Provider ID: 100000604965
NPI: 1831490598
February 12, 2015
UTAH
OREM
PSYCHOLOGY
Mental Health Providers
Sorted by state, city, specialty, then name
GRANLEY, HEATH DEAN PHD
1790 N STATE ST
(801) 224-8255
OREM (cont'd)
Provider ID: 100000097021
NPI: 1073689840
PSYCHOLOGY (cont'd)
383 N STATE ST
BALAGNA, RYAN M PHD
(801) 361-7104
363 E 1200 S #201
Provider ID: 100001073044
(801) 224-2313
NPI: 1073689840
Provider ID: 100000594912
HARPER, PAUL PHD
NPI: 1346557428
1790 N STATE ST
BENNION, KARLA E PHD
(801) 224-8255
313 E 1200 S #101
Provider ID: 100000116285
(801) 234-0613
NPI: 1790907954
Provider ID: 100000269836
HAWKINS, NICOLE PHD
NPI: 1447384409
1790 N STATE ST
CHAPPUIS, MARCEL CLAUDE
(801) 224-8255
PHD
Provider ID: 100000095253
877 E 1200 S
NPI: 1427124296
(801) 691-0545
HOYAL, HEATHER D PHD
Provider ID: 100000882081
363 E 1200 S #201
NPI: 1164540472
(801) 224-2313
CHESLEY, GARRETT G PHD
Provider ID: 100000338303
412 W 800 N
NPI: 1881829679
(801) 235-7246
HUBBARD, SARAH T PHD
Provider ID: 100000315053
1790 N STATE ST
NPI: 1699912394
(801) 224-8255
CLARK, JULIE B PHD
Provider ID: 100000747163
1790 N STATE ST
NPI: 1366473159
(801) 224-8255
JENSEN, JACK L PHD
Provider ID: 100000093203
800 W UNIVERSITY PKWY #221
NPI: 1558438564
(801) 863-8375
EDGINGTON, BRADLEY LYNN
Provider ID: 100000099490
PHD
NPI: 1881695260
363 E 1200 S #201
JENSEN, JENISE PHD
(801) 224-2313
1358 W BUSINESS PARK DR
Provider ID: 100000087161
(801) 373-1197
NPI: 1073545463
Provider ID: 100000338572
FEATHERSTONE, DARIN
NPI: 1366534943
ROMNEY PHD
LIVINGSTONE, JOHN D PHD
1471 N 1200 W
1453 N 1200 W
(801) 802-9464
(801) 734-4945
Provider ID: 100000090254
Provider ID: 100000538560
NPI: 1265753214
NPI: 1710123765
UTAH (cont'd)
February 12, 2015
248
UTAH
OREM
PSYCHOLOGY
MALM, KAREN WHEELOCK
PHD
359 E 1200 S
(801) 266-2485
Provider ID: 100000084933
NPI: 1235108812
MUENCH, PEGGY A PHD
313 E 1200 S #104
(801) 234-0613
Provider ID: 100000113483
NPI: 1649491515
ROBY, CARLOS Y PHD
768 S 400 E
(801) 225-5451
Provider ID: 100000092670
NPI: 1699864090
SEAMAN, SCOTT W PHD
703 S STATE ST #1
(801) 225-9522
Provider ID: 100000252076
NPI: 1912100025
SMITH, JULIEN TERESA PHD
1358 W BUSINESS PARK DR
(801) 373-1197
Provider ID: 100000338619
NPI: 1326069022
SMITH, MELISSA H PHD
1790 N STATE ST
(801) 224-8255
Provider ID: 100000280802
NPI: 1083874671
STARLING, MARINA ALICIA
PHD
1453 N 1200 W
(801) 734-4945
Provider ID: 100000302128
NPI: 1205038528
STRINGHAM, GALE IRENE
PHD
224 N OREM BLVD
(801) 222-0603
Provider ID: 100000093444
NPI: 1760410831
UTAH
OREM
PSYCHOLOGY
UTAH (cont'd)
OREM (cont'd)
PSYCHOLOGY (cont'd)
WILLIAMS, ROBERT FOREST
PHD
703 S STATE ST #1
(801) 225-9522
Provider ID: 100000086330
NPI: 1598808842
PAYSON
BEHAVIORAL - MENTAL
HEALTH SERVICES
HIATT, STEPHEN HARVEY
APRN
1000 E 100 N
(801) 465-9201
Provider ID: 100001070644
NPI: 1750413803
PSYCHIATRIC HOSPITAL
MOUNTAIN VIEW HOSPITAL
1000 E 100 N
(801) 465-9201
Provider ID: 100001011338
NPI: 1609211333
PSYCHIATRY
ANDERSEN, JASON L DO
1000 E 100 N
(801) 465-9201
Provider ID: 100000876302
NPI: 1932293727
15 S 1000 E #3
(801) 465-4896
Provider ID: 100000738166
NPI: 1932293727
97 PROFESSIONAL WAY #2
(801) 465-4896
Provider ID: 100000738166
NPI: 1932293727
Mental Health Providers
Sorted by state, city, specialty, then name
UTAH
PROVO
BEHAVIORAL - SOCIAL WORK SERVICES
KINIKINI, LYLE M MD
1000 E 100 N
(801) 465-9201
Provider ID: 100000876304
NPI: 1487840732
97 PROFESSIONAL WAY #2
(801) 465-4896
Provider ID: 100000738164
NPI: 1487840732
PSYCHOLOGY
GILES, GERET NOLAN PHD
233 S PLEASANT GROVE BLVD
#203
(801) 785-4622
Provider ID: 100000284273
NPI: 1073656427
PECK, CHRISTOPHER E PHD
233 S PLEASANT GROVE BLVD
PSYCHOLOGY
#203
PENNINGTON, RANDAL S PHD (801) 785-4622
39 PROFESSIONAL WAY #2
Provider ID: 100000738205
(801) 223-4860
NPI: 1851672901
Provider ID: 100000102094
PROVO
NPI: 1801903786
BEHAVIORAL - MENTAL
PLEASANT GROVE
HEALTH SERVICES
BEHAVIORAL - SOCIAL
MCNEW, MICHELLE M APRN
WORK SERVICES
1165 E 300 N
GALLOWAY, KATHRYN A
(801) 377-1213
LCSW
Provider ID: 100000987250
145 S 1300 W
NPI: 1700963295
(801) 785-9400
MILES, LESLIE W APRN
Provider ID: 100000876269
3520 N UNIVERSITY AVE #225
NPI: 1053608638
(801) 368-2697
SCORESBY, KRISTEL J LCSW
Provider ID: 100000304089
459 E 1000 S
NPI: 1912005240
(801) 899-9150
750 N FREEDOM BLVD
Provider ID: 100001102222
(801) 373-4760
NPI: 1952424582
Provider ID: 100000288628
NPI: 1912005240
SILVA, MARISA T LCSW
1384 W STATE RD #21
BEHAVIORAL - SOCIAL
(801) 796-8810
WORK SERVICES
Provider ID: 100000093148
ADAMS, RICHARD L LCSW
NPI: 1679669238
315 S 100 E
WEBB, ALISA LCSW
(801) 358-4140
459 E 1000 S
Provider ID: 100000281899
(385) 209-1447
NPI: 1477756906
Provider ID: 100001152904
NPI: 1558616359
249
February 12, 2015
Mental Health Providers
UTAH
Sorted by state, city, specialty, then name
PROVO
BEHAVIORAL - SOCIAL WORK SERVICES
CARTER, MARY A LCSW
286 S 600 E #C
(801) 318-8634
PROVO (cont'd)
Provider ID: 100000330051
NPI: 1518926880
BEHAVIORAL - SOCIAL
315 S 100 E
WORK SERVICES (cont'd)
(801) 358-4140
ANDERSON, DEAN FOISY
Provider ID: 100000356364
LCSW
NPI: 1518926880
1190 N 900 E #204
COX, MICHAEL A LCSW
(801) 422-7620
3585 N UNIVERSITY AVE #350
Provider ID: 100000257041
(801) 376-7560
NPI: 1982716197
Provider ID: 100001119415
3520 N UNIVERSITY AVE #225
NPI: 1780850784
(801) 367-7505
DENSLEY, LOGAN T LCSW
Provider ID: 100000536512
3585 N UNIVERSITY AVE
NPI: 1982716197
(801) 367-6544
750 N FREEDOM BLVD
Provider ID: 100001153894
(801) 373-4760
NPI: 1255763157
Provider ID: 100000091140
EDMONDS,
RITA M LCSW
NPI: 1982716197
3707
N
CANYON
RD #2C
BELLISTON, NANCY L LCSW
(801)
225-3111
1355 N UNIVERSITY AVE #200
Provider ID: 100000092202
(801) 221-0223
NPI: 1346322633
Provider ID: 100000547504
EVANS, BRADLEY S LCSW
NPI: 1841468147
1190 N 900 E #204
BENNION, KRISTIN M LCSW
(801) 422-7620
3324 N UNIVERSITY AVE #275
Provider ID: 100000704862
(801) 935-1017
NPI: 1811004047
Provider ID: 100001126344
GARDNER,
KAREN LCSW
NPI: 1649552662
3707
N
CANYON
RD #2C
BRONSON, BARBARA J LCSW
(801)
225-3111
286 E 600 S
Provider ID: 100000787590
(801) 377-8222
NPI: 1487936571
Provider ID: 100001011354
HOWARD, KATHLEEN
NPI: 1841302056
BUTLER, BRIAN WAYNE LCSW DELYNNE LCSW
1163 E 300 N
1190 N 900 E #204
(801) 373-4765
(801) 422-7620
Provider ID: 100000094148
Provider ID: 100000684595
NPI: 1306944640
NPI: 1326146663
JOHNSON, JANIS ORTON
LCSW
226 W 2230 N #22
(801) 830-8911
Provider ID: 100000309846
NPI: 1902913817
UTAH (cont'd)
February 12, 2015
250
UTAH
PROVO
PSYCHIATRY
JOHNSON, LOUISE H LCSW
768 E 2730 N
(801) 374-1163
Provider ID: 100000088425
NPI: 1992917447
JONES, A MICHELLE LCSW
3549 N UNIVERSITY AVE #300
(801) 434-8803
Provider ID: 100000781950
NPI: 1265509269
LEE, CINDY G LCSW
286 S 600 E #C
(801) 787-9229
Provider ID: 100000258816
NPI: 1346201894
LILLY, JOHN PAUL LCSW
286 S 600 E #C
(801) 377-8222
Provider ID: 100000092438
NPI: 1023169620
MACIEL, DIANE G LCSW
315 S 100 E
(801) 358-4140
Provider ID: 100000300615
NPI: 1578786364
SHULTS, TOM R LCSW
315 S 100 E
(801) 358-4140
Provider ID: 100000274498
NPI: 1932390002
SMART, JILL S LCSW
315 S 100 E
(801) 358-4140
Provider ID: 100000111847
NPI: 1245436179
ZUNKOWSKI, EDWARD JOHN
LCSW
1190 N 900 E #204
(801) 422-7620
Provider ID: 100000256086
NPI: 1952413163
PSYCHIATRY
BUNN, WILLIAM E DO
1750 N WYMOUNT TERRACE DR
(801) 422-5778
Provider ID: 100000254998
NPI: 1578662508
UTAH
PROVO
PSYCHIATRY
Mental Health Providers
Sorted by state, city, specialty, then name
UTAH
RIVERTON
BEHAVIORAL - MENTAL HEALTH
SERVICES
JENSEN, JAY PAUL PHD
811 N UNIVERSITY AVE
(801) 377-9660
PROVO (cont'd)
Provider ID: 100000091666
NPI: 1922213438
PSYCHIATRY (cont'd)
MORRILL, JENNIFER A PHD
GRIFFIN, BRENT LUNDSTROM 3521 N UNIVERSITY AVE #175
MD
(801) 377-2014
1750 N WYMOUNT TERRACE DR
Provider ID: 100000241956
(801) 422-2771
NPI: 1881730604
Provider ID: 100000094687
PENNINGTON, RANDAL S PHD
NPI: 1023038114
280 RIVER PARK DR #200
PSYCHOLOGY
(801) 223-4860
Provider ID: 100000102094
BAKER, ELIZABETH L PHD
NPI: 1801903786
280 RIVER PARK DR #120
750
N FREEDOM BLVD
(801) 229-2011
(801)
373-4760
Provider ID: 100000604965
Provider
ID: 100000102093
NPI: 1831490598
NPI:
1801903786
CHESLEY, GARRETT G PHD
RICHARDS, R LYNN L PHD
280 RIVER PARK DR #120
1432 E 850 S
(801) 229-2011
(801) 371-8784
Provider ID: 100000315053
Provider ID: 100000089542
NPI: 1699912394
NPI: 1053408682
CLOYD JR, JAMES H PHD
3352 N 100 E
RIVERDALE
(801) 356-6100
BEHAVIORAL - SOCIAL
Provider ID: 100000113260
NPI: 1750450953
WORK SERVICES
3585 N UNIVERSITY AVE #150
HARMON, B SHANE LCSW
(801) 356-6100
5149 S 1500 W
Provider ID: 100000113260
(801) 475-0402
NPI: 1750450953
Provider ID: 100000707688
EDGINGTON, SHAWN COREY
NPI: 1700882172
PHD
KELSTROM-SMITH, CHERYL
3651 N 100 E #100
LCSW
(801) 356-0014
5149 S 1500 W
Provider ID: 100000097204
(801) 475-0402
NPI: 1457498271
Provider ID: 100000688685
GLEAVE, ROBERT L PHD
NPI: 1740335850
1500 WSC
(801) 422-3035
Provider ID: 100000091482
NPI: 1255349627
UTAH (cont'd)
251
RIVERTON
BEHAVIORAL - ADDICTION
MEDICINE
COOK, PAULA J MD
12391 S 4000 W #100
(801) 302-1700
Provider ID: 100001152127
NPI: 1922209386
BEHAVIORAL - COUNSELING
PODUNOVICH, RENEE A CMHC
12427 S PASTURE RD #104
(888) 949-4864
Provider ID: 100001107844
NPI: 1477807568
SPRATLING, AMY CMHC
12427 S PASTURE RD #104
(888) 949-4864
Provider ID: 100001107850
NPI: 1598973414
YBARRA, CORYLYN L CMHC
12427 S PASTURE RD #104
(888) 949-4864
Provider ID: 100001107868
NPI: 1013207562
BEHAVIORAL - MENTAL
HEALTH SERVICES
DARIO, JOEL S APRN
12427 S PASTURE RD #104
(888) 949-4864
Provider ID: 100001136469
NPI: 1275547507
ROBBINS, ZOE A APRN
13348 S MARKET CENTER DR
#220
(801) 964-3111
Provider ID: 100001102246
NPI: 1134321508
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
RIVERTON
RIVERTON
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
FALLIS, MARTHA LCSW
12427 S PASTURE RD #104
(888) 949-4864
RIVERTON (cont'd)
Provider ID: 100001115024
NPI: 1215984927
BEHAVIORAL - SOCIAL
FRANCIS,
WENDY K LCSW
WORK SERVICES
12427 S PASTURE RD #104
ARMSTRONG, CHRISTINE B
(888) 949-4864
LCSW
Provider ID: 100000297950
12427 S PASTURE RD #104
NPI: 1316103138
(888) 949-4864
GIBSON, ERIN M LCSW
Provider ID: 100001107779
12427 S PASTURE RD #104
NPI: 1073954715
(888) 949-4864
BEEBE, JESSE R LCSW
Provider ID: 100001124120
12427 S PASTURE RD #104
NPI: 1053752931
(888) 949-4864
GRAYSON, HOLLY I LCSW
Provider ID: 100000938659
13348 S MARKET CENTER DR
NPI: 1760401525
#220
BOTT, ALICIA J LCSW
(801) 964-3111
12427 S PASTURE RD #104
Provider ID: 100001165587
(888) 949-4864
NPI: 1992068886
Provider ID: 100001107789
HOFELING, KRISTINA M LCSW
NPI: 1467760116
3740 W MARKET CENTER DR
BRUNISHOLZ, SYLVIA J LCSW #1200
12427 S PASTURE RD #104
(801) 240-9436
(888) 949-4864
Provider ID: 100000115311
Provider ID: 100001107795
NPI: 1548390057
NPI: 1013174739
HUNT, CYNTHIA ANN LCSW
CAVIN, CHRISTOPHER D
3740 W MARKET CENTER DR
LCSW
#1200
12427 S PASTURE RD #104
(801) 240-9436
(888) 949-4864
Provider ID: 100000526113
Provider ID: 100000684575
NPI: 1851432553
NPI: 1114237807
JOHNSON, STEVEN LEGRAND
DAHL, STEVEN A LCSW
LCSW
3740 W MARKET CENTER DR
3740 W MARKET CENTER DR
#1200
#1200
(801) 240-9436
(801) 240-9436
Provider ID: 100000301728
Provider ID: 100000697019
NPI: 1972650315
NPI: 1972552032
DAUTEL, DARREN M LCSW
JONES, JAMUNA A LCSW
12427 S PASTURE RD #104
12427 S PASTURE RD #104
(888) 949-4864
(888) 949-4864
Provider ID: 100001066803
Provider ID: 100001037347
NPI: 1871916742
NPI: 1538392014
UTAH (cont'd)
February 12, 2015
252
KORMAN, NICOLE K LCSW
12427 S PASTURE RD #104
(888) 949-4864
Provider ID: 100001063980
NPI: 1962794164
LIEU, NANCY LCSW
13348 S MARKET CENTER DR
#220
(801) 964-3111
Provider ID: 100000963141
NPI: 1205124021
MORGAN, SPENCER GILES
LCSW
3740 W MARKET CENTER DR
#1200
(801) 240-9436
Provider ID: 100000089193
NPI: 1023058096
NGUON-LE, PHUONG N LCSW
13348 S MARKET CENTER DR
#220
(801) 964-3111
Provider ID: 100000972525
NPI: 1831169341
NORMAN, STEVEN A LCSW
3740 W MARKET CENTER DR
#1200
(801) 240-9436
Provider ID: 100000116654
NPI: 1548488471
OCKEY, KATHY D LCSW
3740 W MARKET CENTER DR
#1200
(801) 240-9436
Provider ID: 100000690092
NPI: 1881617041
OLIVER, S ROLAND LCSW
3740 W MARKET CENTER DR
#1200
(801) 240-9436
Provider ID: 100000526108
NPI: 1740221340
PUSEY, TANYA R LCSW
3740 W MARKET CENTER DR
#1200
(801) 240-9436
Provider ID: 100000093543
NPI: 1518901156
Mental Health Providers
UTAH
Sorted by state, city, specialty, then name
RIVERTON
BEHAVIORAL - SOCIAL WORK SERVICES
WILLIAMS, SHERI L LCSW
12427 S PASTURE RD #104
(888) 949-4864
RIVERTON (cont'd)
Provider ID: 100001117013
NPI: 1265764294
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
WOODRUFF, LAURA B LCSW
3740 W MARKET CENTER DR
REES, HELEN MICHELE LCSW #1200
3740 W MARKET CENTER DR
(801) 240-9436
#1200
Provider ID: 100000305350
(801) 240-9436
NPI: 1790921237
Provider ID: 100000526109
PSYCHIATRY
NPI: 1912174186
RICCI, JEANETTE M LCSW
CONNOLLY, MICHAEL S MD
12427 S PASTURE RD #104
12391 S 4000 W #100
(888) 949-4864
(801) 302-1700
Provider ID: 100001107846
Provider ID: 100000322460
NPI: 1114340650
NPI: 1003014374
ROTHSETIN, SARAH LCSW
STATE, RACHEL B MD
13348 S MARKET CENTER DR
3773 W 12600 S
#220
(801) 285-1285
(801) 964-3111
Provider ID: 100001139401
Provider ID: 100001164899
NPI: 1912132101
NPI: 1881938439
THATCHER, BENJAMIN T DO
SHERMAN, KEVIN C LCSW
12427 S PASTURE RD #104
3740 W MARKET CENTER DR
(888) 949-4864
#1200
Provider ID: 100000350239
(801) 240-9436
NPI: 1841310950
Provider ID: 100000311532
PSYCHOLOGY
NPI: 1730307042
BENNETT MURPHY, LAURA M
STEPHENS, CARA L LCSW
PHD
12427 S PASTURE RD #104
3773 W 12600 S
(888) 949-4864
(801) 285-1285
Provider ID: 100001016476
Provider ID: 100001127199
NPI: 1619267291
NPI: 1669898540
STONECLIFF, MELINDA K
CUNDICK,
KIRT E PHD
LCSW
3253
W
11975
S
12427 S PASTURE RD #104
(801)
349-2740
(888) 949-4864
Provider ID: 100000560867
Provider ID: 100001101303
NPI: 1629395181
NPI: 1902116254
WILKINSON, GLENDA A LCSW
12427 S PASTURE RD #104
(888) 949-4864
Provider ID: 100001090418
NPI: 1215266390
UTAH (cont'd)
253
UTAH
SALEM
PSYCHOLOGY
ROY
BEHAVIORAL - SOCIAL
WORK SERVICES
CAMMACK JR, EARL MELVIN
LCSW
4484 S 1900 W #6
(801) 732-1222
Provider ID: 100000300630
NPI: 1437398427
KASTNER, WILLIAM R LCSW
4484 S 1900 W #6
(801) 732-1222
Provider ID: 100000856000
NPI: 1982906616
PACHECO, DENICE L LCSW
1920 W 5200 S #4
(801) 628-1762
Provider ID: 100000300617
NPI: 1518102169
SALEM
BEHAVIORAL - SOCIAL
WORK SERVICES
FORD, BETTY J LCSW
251 HIGHWAY 198 #4
(801) 661-6112
Provider ID: 100000700348
NPI: 1417049636
PSYCHOLOGY
JACKSON, AARON PAUL PHD
251 STATE ROAD 198 #4
(801) 422-8031
Provider ID: 100000090038
NPI: 1336237502
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - MENTAL HEALTH
BEHAVIORAL - ADDICTION MEDICINE
SERVICES
ANDERSON, BONNIE MINTZ
APRN
650 S KOMAS DR #200
SALT LAKE CITY
(801) 581-5515
Provider ID: 100000098669
BEHAVIORAL - ADDICTION
NPI: 1881620714
MEDICINE
BAILEY, ELLOIS W APRN 
COOK, PAULA J MD
1525 W 2100 S
1250 E 3900 S #250
(801) 213-8841
(801) 268-6283
Provider ID: 100000824405
Provider ID: 100001152133
NPI: 1639432461
NPI: 1922209386
50 N MEDICAL DR
3725 W 4100 S
(801) 581-4014
(801) 965-3600
Provider ID: 100000824408
Provider ID: 100001152124
NPI: 1639432461
NPI: 1922209386
BECKSTROM, ANDREA W
BEHAVIORAL - ALCOHOL/ APRN
5965 S 900 E #240
DRUG TREATMENT
(888) 949-4864
U OF U NEUROPSYCH
Provider ID: 100000876329
INSTITUTE
NPI: 1336396928
501 E CHIPETA WAY
BENNETT,
CRYSTAL M APRN
(801) 585-1575
4460
S
HIGHLAND
DR #100
Provider ID: 100000141203
(888)
949-4864
NPI: 1487734976
Provider ID: 100001163097
BEHAVIORAL - COUNSELING
NPI: 1093066367
4460
S HIGHLAND DR #230
SPRATLING, AMY CMHC
(801)
273-6315
4460 S HIGHLAND DR #100
Provider
ID: 100001163097
(888) 949-4864
NPI:
1093066367
Provider ID: 100001100505
NPI: 1598973414
BITTLE, SHEILA P APRN, LMFT
4460 S HIGHLAND DR #230
1060 E 100 S #208
(801) 273-6315
(801) 532-7414
Provider ID: 100001100506
Provider ID: 100000090786
NPI: 1598973414
NPI: 1730143934
5005 S 900 E #120
BEHAVIORAL - MENTAL
(801) 532-7414
HEALTH SERVICES
Provider ID: 100000090786
ACREE, M K APRN
NPI: 1730143934
1020 S MAIN ST #300
BOEL, DAVID ARNP
(888) 949-4864
1020 S MAIN ST #100
Provider ID: 100001090288
(888) 949-4864
NPI: 1285736926
Provider ID: 100001141688
NPI: 1780091793
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001141688
NPI: 1780091793
UTAH (cont'd)
February 12, 2015
254
COPE, TERESA L APRN
2472 S 300 E
(888) 949-4864
Provider ID: 100001090308
NPI: 1851460513
DAISSON, STEPHEN L APRN
1020 S MAIN ST #100
(888) 949-4864
Provider ID: 100001141733
NPI: 1982941480
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001141733
NPI: 1982941480
DARIO, JOEL S APRN
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100001136469
NPI: 1275547507
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100001136469
NPI: 1275547507
DEAN, SHERLENE T APRN
650 S KOMAS DR #200
(801) 585-3828
Provider ID: 100001061430
NPI: 1871603860
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100000097335
NPI: 1871603860
DEMERS, SHAUN DANTONIO
APRN
124 S 400 E #230
(801) 328-4404
Provider ID: 100000097112
NPI: 1083681167
860 E 4500 S #302
(801) 268-0333
Provider ID: 100000097112
NPI: 1083681167
This provider is not accepting
new patients at this time
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - MENTAL HEALTH SERVICES
UTAH (cont'd)
SALT LAKE CITY (cont'd)
BEHAVIORAL - MENTAL
HEALTH SERVICES (cont'd)
DESJARDINS, MICHAEL C
APRN
5689 S REDWOOD RD UNIT 30
(801) 268-1715
Provider ID: 100000334661
NPI: 1801924766
770 E SOUTH TEMPLE #100
(801) 359-0903
Provider ID: 100001167410
NPI: 1801924766
FOSTER, NANCY ELIZABETH
APRN
1174 E GRAYSTONE WAY #6
(801) 923-8528
Provider ID: 100000320679
NPI: 1194938316
JACOBS, ROBIN M APRN
1174 E GRAYSTONE WAY #6
(801) 923-8528
Provider ID: 100000763466
NPI: 1922202282
5250 S COMMERCE DR #250
(801) 261-3500
Provider ID: 100000763466
NPI: 1922202282
LAMBOTTE, JAMIE L APRN
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000876364
NPI: 1316150337
LUCILLE, REBECCA APRN
150 S 600 E #1C
(801) 633-5458
Provider ID: 100000249699
NPI: 1417934324
OLDS, ROSE B APRN
370 E SOUTH TEMPLE #550
(801) 652-4937
Provider ID: 100000088766
NPI: 1619927795
PARKINSON, ALICE ELAINE
RICHARDS APRN
1348 S 1100 E
(801) 467-6136
Provider ID: 100000085323
NPI: 1811949951
STANHOPE, HELEN L APRN
1399 S 700 E #17B
(801) 486-8283
Provider ID: 100000109412
NPI: 1629003900
STEWART, MITZY D APRN
344 E 100 S #201
(801) 322-3222
Provider ID: 100000708906
NPI: 1538147418
VINCENT, SAMUEL B APRN
550 W 700 S
(888) 949-4864
Provider ID: 100000773838
NPI: 1538350749
WEBB, SARA M APRN
1020 S MAIN ST #100
(888) 949-4864
Provider ID: 100001156672
NPI: 1760891634
5284 S COMMERCE DR #C134
(801) 266-4643
Provider ID: 100001126659
NPI: 1760891634
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001156672
NPI: 1760891634
WILLIAMS, SUZANNE
ELIZABETH APRN
1399 S 700 E #12
(801) 486-4036
Provider ID: 100000086851
NPI: 1497770333
YEE, THOMAS O APRN
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000607867
NPI: 1659456754
255
BEHAVIORAL - PEDIATRIC
MEDICINE
RICH, CHRISTOPHER C MD
100 MARIO CAPECCHI DR
(801) 662-1000
Provider ID: 100001100770
NPI: 1245328053
BEHAVIORAL - SOCIAL
WORK SERVICES
ADAIR, CANDICE LCSW
1141 E 3900 S #A250
(888) 949-4864
Provider ID: 100001158776
NPI: 1255638417
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001158776
NPI: 1255638417
ADAMS, AMBER M LCSW
4190 S HIGHLAND DR #200
(801) 558-9005
Provider ID: 100000811004
NPI: 1598030447
ADAMS, DAVID B LCSW
5965 S 900 E #150
(888) 949-4864
Provider ID: 100000876325
NPI: 1629349915
ADAMS, GAYLE B LCSW
275 E SOUTH TEMPLE #101
(801) 531-7389
Provider ID: 100000092541
NPI: 1982610960
ADAMS, KRISTIN O LCSW
1850 S 2500 E
(888) 949-4864
Provider ID: 100001040381
NPI: 1326338047
ADAMSON, DYANA M LCSW
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001015083
NPI: 1205264769
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
ARMSTRONG, CHRISTINE B
LCSW
4460 S HIGHLAND DR #100
SALT LAKE CITY (cont'd)
(888) 949-4864
Provider ID: 100001107779
BEHAVIORAL - SOCIAL
NPI: 1073954715
WORK SERVICES (cont'd)
4460 S HIGHLAND DR #230
ALGER JAMES, JILL E LCSW
(801) 273-6315
2319 S FOOTHILL DR #100
Provider ID: 100001107779
(801) 809-7985
NPI: 1073954715
Provider ID: 100000749013
5965 S 900 E #150
NPI: 1942580881
(888) 949-4864
ALKEMA, AMANDA L LCSW
Provider ID: 100000973847
5965 S 900 E #240
NPI: 1073954715
(888) 949-4864
ARNOW KRAEMER, JENNIFER
Provider ID: 100001074961
L LCSW
NPI: 1346402229
4190 S HIGHLAND DR #200
ALLRED, COURTNEY R LCSW (801) 558-9005
650 S KOMAS DR #200
Provider ID: 100000787594
(801) 585-3828
NPI: 1891759288
Provider ID: 100001087136
ARRIETA, NELLIE M LCSW
NPI: 1033539770
2290 E 4500 S #110
ALLRED, JESSICA E LCSW
(801) 652-8813
124 S 400 E #301
Provider ID: 100000795936
(801) 856-8897
NPI: 1821026923
Provider ID: 100000869752
ASHBY, MARA L LCSW
NPI: 1609196468
275 E SOUTH TEMPLE #202
ANDERSEN, TROY CHRISTIAN (801) 573-7228
LCSW
Provider ID: 100001055999
50 N MEDICAL DR
NPI: 1518066075
(801) 585-6387
447 W BEARCAT DR
Provider ID: 100000089993
(801) 355-2846
NPI: 1992881536
Provider ID: 100000508848
NPI: 1518066075
ANDERSON, SALLY M LCSW
523 E 5300 S
AUSTIN, DONALD R LCSW
(801) 943-3353
1390 S 1100 E #101
Provider ID: 100000087143
(801) 485-9225
NPI: 1396966594
Provider ID: 100000091584
NPI: 1669509451
ANDERSON-CONN, SYLVIA K
LCSW
BABSON, BARBARA GRACE
344 E 100 S #201
LCSW
(801) 322-3222
370 E SOUTH TEMPLE #550
Provider ID: 100000604843
(801) 567-3545
NPI: 1093033383
Provider ID: 100000092250
NPI: 1881646966
UTAH (cont'd)
February 12, 2015
256
BACH-WHITEHEAD, TRUDY L
LCSW
845 E 4800 S #200
(801) 264-9522
Provider ID: 100000084885
NPI: 1265529267
BADEN, RITA BORGS LCSW
825 E 4800 S #250
(435) 659-9275
Provider ID: 100000272856
NPI: 1831252931
BAIN, ROBERT S LCSW
100 S 525 E #120
(801) 707-4150
Provider ID: 100001069678
NPI: 1124219548
2319 S FOOTHILL DR #180
(801) 707-4150
Provider ID: 100001069678
NPI: 1124219548
BANK, STEPHANIE LCSW
1433 S 1100 E
(801) 581-0422
Provider ID: 100000098336
NPI: 1588632822
BARRELL, WHITNEY J LCSW
1724 S MAIN ST
(888) 949-4864
Provider ID: 100000793949
NPI: 1093028813
5965 S 900 E #150
(888) 949-4864
Provider ID: 100000793949
NPI: 1093028813
BARRY, VERONICA J LCSW
3098 S HIGHLAND DR #202
(801) 906-0079
Provider ID: 100000716488
NPI: 1043406267
BARTON, MARGHI E LCSW
515 S 700 E #3D
(801) 556-6007
Provider ID: 100001164972
NPI: 1467857151
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
SALT LAKE CITY (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
BASSETT, ROSANNE M LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001121394
NPI: 1942562087
BEEBE, JESSE R LCSW
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100000938659
NPI: 1760401525
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100000938659
NPI: 1760401525
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000938659
NPI: 1760401525
BELNAP, BARBARA PETTY
LCSW
5645 S WATERBURY WAY
(801) 272-8818
Provider ID: 100000088629
NPI: 1336118009
BENNETT, CELESTE A LCSW
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000520482
NPI: 1932309804
4460 S HIGHLAND DR #300
(888) 949-4864
Provider ID: 100000520482
NPI: 1932309804
BENNETT, PAMELA J LCSW
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000561579
NPI: 1215196647
BENSON, LAURA D LCSW
1850 S 2500 E
(888) 949-4864
Provider ID: 100001105411
NPI: 1124224043
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001105411
NPI: 1124224043
BLAIR, SARAH E LCSW
3809 W 6200 S
(888) 949-4864
Provider ID: 100001031007
NPI: 1760770184
BOARDMAN, HALIE LCSW
447 W BEARCAT DR
(801) 355-2846
Provider ID: 100001143557
NPI: 1356640767
BONNER, JOHN L LCSW
275 E SOUTH TEMPLE #202
(801) 830-1592
Provider ID: 100001141280
NPI: 1053575332
447 W BEARCAT DR
(801) 355-2846
Provider ID: 100000558853
NPI: 1053575332
BOONE, LEWIS LELAND LCSW,
LMFT
1909 S 4250 W #B
(801) 746-5567
Provider ID: 100000086167
NPI: 1134208051
BOTT, ALICIA J LCSW
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100000793402
NPI: 1467760116
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100000793402
NPI: 1467760116
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000793402
NPI: 1467760116
257
BRADBURY, CHRISTINE M
LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000786551
NPI: 1740509413
BRADISH, NANCY LCSW
825 E 4800 S #250
(801) 268-8809
Provider ID: 100000086416
NPI: 1942340963
BRENAY, ANN C LCSW
132 S STATE ST #100
(801) 240-6522
Provider ID: 100000256908
NPI: 1992816102
BROWN, INGRID LCSW
5965 S 900 E #150
(888) 949-4864
Provider ID: 100001053865
NPI: 1891117057
BRUNISHOLZ, SYLVIA J LCSW
1060 E 100 S #105
(801) 347-0074
Provider ID: 100000525367
NPI: 1013174739
2040 E MURRAY HOLLADAY RD
#211
(801) 347-0074
Provider ID: 100000525366
NPI: 1013174739
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100000984301
NPI: 1013174739
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100000984301
NPI: 1013174739
5965 S 900 E #150
(888) 949-4864
Provider ID: 100000984301
NPI: 1013174739
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
CAMPBELL, CAMILLE LCSW
32 W WINCHESTER ST #101
(801) 263-6367
SALT LAKE CITY (cont'd)
Provider ID: 100000603624
NPI: 1477881563
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
CANNON, KAREN L LCSW
5250 S COMMERCE DR #250
BUCCIERE, ROBERT ANDREW (801) 261-3500
LCSW
Provider ID: 100000092777
650 S KOMAS DR #200
NPI: 1760545651
(801) 585-3828
CARR, CAMILIA A LCSW
Provider ID: 100000096356
550 W 700 S
NPI: 1306813498
(888) 949-4864
BUFFI, CAROL E LCSW
Provider ID: 100001165695
1415 E 2100 S
NPI: 1164860094
(801) 428-1837
5965 S 900 E #240
Provider ID: 100000738198
(888) 949-4864
NPI: 1538440474
Provider ID: 100001165695
BUIE, JERRY LEE LCSW
NPI: 1164860094
1174 E GRAYSTONE WAY #20E CASTLETON, DONNA ELAINE
(801) 595-0666
LCSW
Provider ID: 100000086034
111 E 5600 S #102
NPI: 1174599393
(801) 268-2887
BURGIN, SALLY SUE LCSW
Provider ID: 100000085205
508 E SOUTH TEMPLE #A30
NPI: 1598809642
(801) 537-5008
111 E 5600 S #318
Provider ID: 100000085640
(801) 268-2887
NPI: 1346219243
Provider ID: 100000085204
BUSCH, TERRI AMODEI LCSW
NPI: 1598809642
4055 S 700 E #102
3468 E BROCKBANK DR
(801) 264-9048
(801) 278-9890
Provider ID: 100000094237
Provider ID: 100000085206
NPI: 1558535070
NPI: 1598809642
BUTTERS, ROBERT PAUL
LCSW
740 E 3900 S #200
(801) 313-0555
Provider ID: 100000097357
NPI: 1639359615
BYWATER, MARIN J LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000876338
NPI: 1437138807
UTAH (cont'd)
February 12, 2015
258
CAVIN, CHRISTOPHER D
LCSW
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000684575
NPI: 1114237807
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100000684575
NPI: 1114237807
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100000684575
NPI: 1114237807
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000684575
NPI: 1114237807
CHIDESTER, ALAN R LCSW
1141 E 3900 S #A220
(888) 949-4864
Provider ID: 100001155630
NPI: 1386938751
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001155630
NPI: 1386938751
CHRISTENSEN, ROGER
DEVERE LCSW
650 S KOMAS DR #200
(801) 585-3828
Provider ID: 100000089052
NPI: 1275560971
CLARKE, ANGELA M LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000876349
NPI: 1669793501
COCO, M KATIE LCSW
1054 E 900 S
(801) 359-4021
Provider ID: 100000086258
NPI: 1073637583
COLLIER, CAROL G LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001094488
NPI: 1821230566
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
SALT LAKE CITY (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
COOK, JULIANN M LCSW
24 S 600 E #6
(801) 521-0699
Provider ID: 100000773561
NPI: 1831475821
COONAN, CLARE T LCSW
5667 S REDWOOD RD UNIT 6B
(801) 979-1351
Provider ID: 100000882003
NPI: 1457339384
COTTLE, SHARON E LCSW
132 S STATE ST
(801) 489-9721
Provider ID: 100000598758
NPI: 1801971759
COVER, LAURA JANE LCSW
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620471
NPI: 1821147299
650 S KOMAS DR #208
(801) 587-3103
Provider ID: 100000314680
NPI: 1821147299
CRIST, KAREN J LCSW
275 E SOUTH TEMPLE #105
(801) 484-4377
Provider ID: 100000091901
NPI: 1184681918
CUMMING, CARALEE C LCSW
501 E CHIPETA WAY
(801) 213-3900
Provider ID: 100001107072
NPI: 1154633691
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001107069
NPI: 1154633691
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100001107070
NPI: 1154633691
CUNEO HELLBERG, BIRGITTE
C LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000902624
NPI: 1255634713
DAUTEL, DARREN M LCSW
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100001066803
NPI: 1871916742
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100001066803
NPI: 1871916742
DE LA TORRE, JESUS MANUEL
LCSW
1579 W 600 S
(801) 973-0655
Provider ID: 100000087173
NPI: 1750380184
DELLA PIANA, KATHRYN M
LCSW
4516 S 700 E #185
(801) 631-0444
Provider ID: 100000938616
NPI: 1518024231
5250 S COMMERCE DR #250
(801) 261-3500
Provider ID: 100000091703
NPI: 1518024231
259
DEPAOLI, STEPHANIE R LCSW
3098 S HIGHLAND DR #202
(801) 654-1448
Provider ID: 100000898986
NPI: 1497711352
DEPRIZIO, RAY JAMES LCSW
2872 S HIGHLAND DR
(801) 485-8051
Provider ID: 100000084919
NPI: 1649239518
DEYOUNG, PATRICIA R LCSW
2319 S FOOTHILL DR #100
(801) 755-0928
Provider ID: 100000894374
NPI: 1376572149
5667 S REDWOOD RD UNIT 6B
(801) 979-1351
Provider ID: 100000892260
NPI: 1376572149
DICKMAN, THOMAS J LCSW
5250 S COMMERCE DR #250
(801) 261-3500
Provider ID: 100000870427
NPI: 1508118670
DIXON, DIRK S LCSW
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000992693
NPI: 1205148103
DOBBIN, BENSON H LCSW
370 E SOUTH TEMPLE #550
(801) 537-7070
Provider ID: 100000084733
NPI: 1396815072
DOBBS, BARBARA J LCSW
4505 S WASATCH BLVD #320
(801) 263-4002
Provider ID: 100000086435
NPI: 1265539191
DOW, RANDAL T LCSW
780 S GUARDSMAN WAY
(801) 263-7100
Provider ID: 100000112402
NPI: 1598743502
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
SALT LAKE CITY (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
DROWN, BRADLEY DAVID
LCSW
825 E 4800 S #250
(801) 261-4466
Provider ID: 100000090154
NPI: 1710075379
DUFFIN, EMILY LCSW
3809 W 6200 S
(888) 949-4864
Provider ID: 100000344521
NPI: 1033340674
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000344521
NPI: 1033340674
DUNFORD, MIRIAM M LCSW
455 E 200 S #110
(801) 466-8400
Provider ID: 100000090992
NPI: 1831212711
DWYER, ROBERT GORDON
LCSW
280 E 600 S
(888) 949-4864
Provider ID: 100000097219
NPI: 1245219773
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000097219
NPI: 1245219773
EARL, HOLLY R LCSW
1400 S FOOTHILL DR #112
(385) 313-7200
Provider ID: 100000086125
NPI: 1366516775
EKENSTAM, NADIA T LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000269762
NPI: 1487612149
February 12, 2015
ELDER, FRANK DAVID LCSW
1020 S MAIN ST #100
(801) 539-7000
Provider ID: 100001004902
NPI: 1821390790
1141 E 3900 S #A250
(888) 949-4864
Provider ID: 100001004902
NPI: 1821390790
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001004902
NPI: 1821390790
ENNISS, TIMOTHY S LCSW
1208 E 3300 S
(801) 483-1600
Provider ID: 100000243972
NPI: 1750487864
EVANGELISTA, MANUEL N
LCSW
865 E 4800 S #110
(801) 949-4230
Provider ID: 100000503246
NPI: 1467787515
EVANS-CAZIER, ANNE LCSW
1308 S 1700 E #210
(801) 582-0208
Provider ID: 100000103956
NPI: 1558457481
FALLIS, MARTHA LCSW
1020 S MAIN ST #300
(888) 949-4864
Provider ID: 100001103494
NPI: 1215984927
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100001115024
NPI: 1215984927
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100001115024
NPI: 1215984927
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001103494
NPI: 1215984927
260
FERRIS, BARBARA ANN LCSW
5250 S COMMERCE DR #250
(801) 261-3500
Provider ID: 100000560945
NPI: 1528152055
FIELDS, SUZANNE MARIE
LCSW
1104 E ASHTON AVE #212
(801) 808-0244
Provider ID: 100000778370
NPI: 1093790552
FIGG, KELLEY J LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001167780
NPI: 1578829875
FOSTER, THOMAS MAX LCSW
2180 E 4500 S #245
(801) 274-2590
Provider ID: 100000091085
NPI: 1972633667
FRANCIS, WENDY K LCSW
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000800817
NPI: 1316103138
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100000297950
NPI: 1316103138
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100000297950
NPI: 1316103138
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000297950
NPI: 1316103138
FRANCONE, STACEY MARIE
LCSW
262 E 3900 S #125
(801) 209-8690
Provider ID: 100000088436
NPI: 1356321012
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
GIBBS, SARAH A LCSW
3098 S HIGHLAND DR
(801) 562-4484
SALT LAKE CITY (cont'd)
Provider ID: 100000115608
NPI: 1326161704
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
GIBSON, ERIN M LCSW
5965 S 900 E #240
FREED, ANNE F LCSW
(888) 949-4864
4505 S WASATCH BLVD #320
Provider ID: 100001124120
(801) 556-2430
NPI: 1053752931
Provider ID: 100000350259
GILLESPIE, AMY LCSW
NPI: 1508036898
5965 S 900 E #240
FULTON, WILLIAM J LCSW
(888) 949-4864
124 S 400 E #300
Provider ID: 100000947869
(801) 359-4951
NPI: 1316272354
Provider ID: 100000092919
GOLDSTEIN,
MARVIN LCSW
NPI: 1053448670
4190 S HIGHLAND DR #211
FURSE, DANIEL D LCSW
(801) 673-2831
1020 S MAIN ST #100
Provider ID: 100000644813
(888) 949-4864
NPI: 1386621910
Provider ID: 100000777501
GONZALEZ, CANDICE E LCSW
NPI: 1154659027
780 S GUARDSMAN WAY
GALBRAITH, PATRICIA L
(888) 949-4864
LCSW
Provider ID: 100000272662
650 S KOMAS DR #200
NPI: 1801830252
(801) 581-5515
GOREY,
SUSAN H LCSW
Provider ID: 100000244796
501
S
CHIPETA
WAY
NPI: 1700992963
(801) 585-1575
GARCIA-DIAZ, ZULLY S LCSW
Provider ID: 100001155559
5965 S 900 E #240
NPI: 1679838965
(888) 949-4864
GRANT, JEFFREY RALPH
Provider ID: 100000876357
LCSW
NPI: 1417203589
4190 S HIGHLAND DR #210
GARCIA-LEAVITT, ELIZABETH (801) 274-0403
R LCSW
Provider ID: 100000091570
50 N MEDICAL DR
NPI: 1548329964
(801) 581-2121
GREEN,
RACHAL LCSW
Provider ID: 100000944725
6013
S
REDWOOD
RD
NPI: 1912108515
(801) 255-5131
GIANELO, CAROL G LCSW
Provider ID: 100001158856
124 S 400 E
NPI: 1275812166
(801) 205-4890
GRIFFITHS, JOHN KENT LCSW
Provider ID: 100000754560
4885 S 900 E #212
NPI: 1154382000
(801) 268-6558
Provider ID: 100000093018
NPI: 1841374600
UTAH (cont'd)
261
GRIMMETT, DOROTHY KAYE
LCSW
843 E MAR JANE AVE
(801) 262-1038
Provider ID: 100000087037
NPI: 1326132556
GURRISTER, LINDA CAROL
LCSW
4190 S HIGHLAND DR #210
(801) 278-8492
Provider ID: 100000089346
NPI: 1396873279
HAKES, CHRIS COREY LCSW
1151 E 3900 S #B299
(801) 990-4300
Provider ID: 100000711960
NPI: 1194785378
HALES, JAMIE L LCSW
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000800823
NPI: 1083927800
780 S GUARDSMAN WAY
(888) 949-4864
Provider ID: 100000781285
NPI: 1083927800
825 N 300 W #N221
(801) 824-0827
Provider ID: 100000561640
NPI: 1083927800
HAMILTON, MARVIN L LCSW
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001155549
NPI: 1770991374
HARDIN, TIFFANY P LCSW
5965 S 900 E #150
(888) 949-4864
Provider ID: 100000869339
NPI: 1871840272
HARRISON, BRYAN C LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000116489
NPI: 1427196799
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
HESS, LEEANNE M LCSW
1208 E 3300 S
(801) 483-1600
SALT LAKE CITY (cont'd)
Provider ID: 100000861670
NPI: 1477805372
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
HETRICK, TIFFANY M LCSW
5965 S 900 E #240
HARTMAN, MELISSA A LCSW
(888) 949-4864
1141 E 3900 S #A170
Provider ID: 100001158878
(888) 949-4864
NPI: 1073914891
Provider ID: 100001040413
HILL, SCOTT D LCSW
NPI: 1659656965
5965 S 900 E #150
HAVILI, EMILIE C LCSW
(888) 949-4864
3809 W 6200 S
Provider ID: 100000932150
(888) 949-4864
NPI: 1962845271
Provider ID: 100001083736
HILTON,
GAIL LCSW
NPI: 1649582750
4460
S
HIGHLAND
DR #100
5965 S 900 E #240
(888)
949-4864
(888) 949-4864
Provider ID: 100001139273
Provider ID: 100001083736
NPI: 1033354857
NPI: 1649582750
4460 S HIGHLAND DR #230
HAWKINS, EMILY J LCSW
(801) 273-6315
2670 S 2000 E #203
Provider ID: 100001139273
(801) 953-3096
NPI: 1033354857
Provider ID: 100001139113
HOGARTY-BAKER, NANCY M
NPI: 1356672810
LCSW
HENDERSON, ASHLEY J LCSW 5250 S COMMERCE DR #250
2180 E 4500 S #185
(801) 261-3500
(801) 308-8155
Provider ID: 100000089228
Provider ID: 100000911195
NPI: 1003973611
NPI: 1821245572
HOLBROOK, JOCELYN E
HENINGER, CAROLYN LCSW LCSW
845 E 4800 S #200
5689 S REDWOOD RD UNIT 30
(801) 264-9522
(801) 268-1715
Provider ID: 100000094103
Provider ID: 100000519753
NPI: 1891864567
NPI: 1437386547
HERMANSEN, MYRNA LCSW 5796 S 900 E #206
1141 E 3900 S #A128
(801) 879-0252
(888) 949-4864
Provider ID: 100000519749
Provider ID: 100001172926
NPI: 1437386547
NPI: 1932502648
HOLLINGSWORTH, ROGER
5965 S 900 E #240
GYLE LCSW
(888) 949-4864
1208 E 3300 S
Provider ID: 100001172926
(801) 483-1600
NPI: 1932502648
Provider ID: 100000896567
NPI: 1013234129
UTAH (cont'd)
February 12, 2015
262
HOWES, SCOTT M LCSW
2936 S HIGHLAND DR
(801) 540-4452
Provider ID: 100001001026
NPI: 1811928526
HUNT, CYNTHIA ANN LCSW
171 E 3RD AVE APT 707
(801) 680-5888
Provider ID: 100000093238
NPI: 1851432553
JACKSON, FLORIE W LCSW
1141 E 3900 S #A220
(888) 949-4864
Provider ID: 100001049496
NPI: 1245546589
4505 S WASATCH BLVD #190
(801) 455-7985
Provider ID: 100000782415
NPI: 1245546589
5965 S 900 E #150
(888) 949-4864
Provider ID: 100001049496
NPI: 1245546589
JACKSON, MARIE C LCSW
447 W BEARCAT DR
(801) 355-2846
Provider ID: 100000552869
NPI: 1700982311
JACKSON, M'LISA L LCSW
1780 W 500 S
(801) 725-4140
Provider ID: 100000616037
NPI: 1134377211
JACOBSON, KIRSTEN A LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000961398
NPI: 1730456104
JARVIS, JULIO LCSW
32 W WINCHESTER ST #101
(801) 263-6367
Provider ID: 100001149668
NPI: 1821394842
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
JONES, JAMUNA A LCSW
1850 S 2500 E
(888) 949-4864
SALT LAKE CITY (cont'd)
Provider ID: 100001037347
NPI: 1538392014
BEHAVIORAL - SOCIAL
4460 S HIGHLAND DR #100
WORK SERVICES (cont'd)
(888) 949-4864
JENSEN, SHARON JANE LCSW
Provider ID: 100001037347
1020 S MAIN ST #100
NPI: 1538392014
(888) 949-4864
5965 S 900 E #240
Provider ID: 100001142189
(888) 949-4864
NPI: 1265658520
Provider ID: 100001037347
5965 S 900 E #240
NPI: 1538392014
(888) 949-4864
JONES, LEANN GAYDON LCSW
Provider ID: 100001142189
1020 S MAIN ST #100
NPI: 1265658520
(888) 949-4864
JOHNSON, JAMES G LCSW
Provider ID: 100001143559
2040 E MURRAY HOLLADAY RD
NPI: 1962569426
#120
1355 S 1100 E
(801) 571-2691
(801) 556-7638
Provider ID: 100000785207
Provider ID: 100000095379
NPI: 1336317650
NPI: 1962569426
JOHNSON, KRISTI M LCSW
515 S 700 E #2A
340 E 100 S
(801) 935-4171
(801) 322-3222
Provider ID: 100001068689
Provider ID: 100000617818
NPI: 1962569426
NPI: 1285803916
5965 S 900 E #240
(888) 949-4864
JOHNSON, RODERICK VERNE
Provider ID: 100001143559
LCSW
NPI: 1962569426
860 E 4500 S #302
(801) 685-9600
KEENE, SUSAN LCSW
Provider ID: 100000092747
1020 S MAIN ST #100
NPI: 1780672915
(888) 949-4864
Provider ID: 100000098575
JONES, GEORGIA ANN LCSW
NPI: 1568433811
1348 S 1100 E
5965 S 900 E #240
(801) 467-6136
(888) 949-4864
Provider ID: 100000094660
Provider ID: 100000098575
NPI: 1689627416
NPI: 1568433811
50 N MEDICAL DR
(801) 581-2316
KELEN, JOYCE ARLENE LCSW
Provider ID: 100000094661
505 E 200 S #303
NPI: 1689627416
(801) 537-7523
Provider ID: 100000084936
NPI: 1609947712
UTAH (cont'd)
263
KENNINGTON, DEAN
MCCASHLA LCSW
132 S STATE ST #100
(801) 240-6522
Provider ID: 100000091072
NPI: 1043296601
KERSHISNIK, AMY L LCSW
1141 E 3900 S #A250
(888) 949-4864
Provider ID: 100001172932
NPI: 1740506187
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001172932
NPI: 1740506187
KETCHOYIAN, JENNIFER
LCSW
1141 E 3900 S #A170
(888) 949-4864
Provider ID: 100001036064
NPI: 1588972756
KLEIN, GARY J LCSW
1399 S 700 E #11B
(801) 864-7640
Provider ID: 100000558583
NPI: 1861613853
5250 S COMMERCE DR #250
(801) 261-3500
Provider ID: 100000734190
NPI: 1861613853
KOPLIN, MINAMARIA B LCSW
5872 S 900 E #185
(801) 347-0074
Provider ID: 100000779117
NPI: 1104150648
KORMAN, NICOLE K LCSW
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100001063980
NPI: 1962794164
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100001063980
NPI: 1962794164
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
SALT LAKE CITY (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
KRAVITZ, KENT C LCSW
1020 S MAIN ST #100
(888) 949-4864
Provider ID: 100001085510
NPI: 1669557245
LABRUM, TRAVIS K LCSW
1020 S MAIN ST #100
(888) 949-4864
Provider ID: 100000524727
NPI: 1326379744
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000524727
NPI: 1326379744
LAMBERT, GLEN RAY LCSW
5250 S COMMERCE DR #190
(801) 671-4089
Provider ID: 100000091240
NPI: 1003021346
LAMBERT, KATHERINE LEE
LCSW
1399 S 700 E #2
(801) 474-2349
Provider ID: 100000084664
NPI: 1730266800
LAMBERT, RICK G LCSW
3098 S HIGHLAND DR #305
(801) 467-6255
Provider ID: 100000090765
NPI: 1063528248
LAMBERT, VALERIE KAY
LCSW
1060 E 100 S #202
(801) 533-5632
Provider ID: 100000096462
NPI: 1497835375
February 12, 2015
LARSEN, LESLIE ANNE LCSW
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000094307
NPI: 1457321259
550 W 700 S
(888) 949-4864
Provider ID: 100000094307
NPI: 1457321259
LARSON, KENT GARTH LCSW
3578 W 4850 S #16
(801) 967-4560
Provider ID: 100000098436
NPI: 1073656906
LASLEY, LINDA KARON LCSW
1020 S MAIN ST #100
(801) 263-7100
Provider ID: 100000095569
NPI: 1174501019
262 E 3900 S #120
(801) 560-5499
Provider ID: 100000756521
NPI: 1174501019
LAWRENCE, BETHANY H
LCSW
650 S KOMAS DR #200
(801) 585-3828
Provider ID: 100000992875
NPI: 1336410265
LAZAR, JUDI S LCSW
2106 E CONNOR PARK CV
(801) 467-5517
Provider ID: 100000084955
NPI: 1104843804
LEAVITT, DAWN E LCSW
5965 S 900 E #150
(888) 949-4864
Provider ID: 100000092464
NPI: 1720067275
LEAVITT, VALERIE LCSW
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100001137212
NPI: 1730518747
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100001137212
NPI: 1730518747
264
LEHMAN, MARY E LCSW
4055 S 700 E #102
(801) 201-7661
Provider ID: 100000293752
NPI: 1871744060
LEITKO, CAROLYN SASICH
LCSW
4505 S WASATCH BLVD #320
(801) 842-2304
Provider ID: 100001047477
NPI: 1487676847
LEWIS, MICHELLE L LCSW
7105 S HIGHLAND DR #202
(801) 907-1391
Provider ID: 100000560026
NPI: 1558676338
LEYBAS, RYAN L LCSW
1174 E GRAYSTONE WAY #6
(801) 277-2129
Provider ID: 100000510073
NPI: 1679741623
LIEBHARDT, KAYLEE C LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000886699
NPI: 1942598362
LIEU, NANCY LCSW
4190 S HIGHLAND DR #200
(801) 558-9005
Provider ID: 100000881858
NPI: 1205124021
LINNELL, RANDY SCOTT
LCSW
111 E 5600 S #102
(801) 268-2887
Provider ID: 100000091040
NPI: 1457480204
LITTLE, VARONICA L LCSW
5965 S 900 E #240
(801) 273-6300
Provider ID: 100000824432
NPI: 1003124314
LOVEJOY, CHERYLE N LCSW
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001011939
NPI: 1982030243
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
SALT LAKE CITY (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
LOWRY, CANDACE
ELIZABETH LCSW
1054 E 900 S
(801) 561-2140
Provider ID: 100000087050
NPI: 1912923616
LUKER, BRENDA ANN LCSW
1208 E 3300 S
(801) 483-1600
Provider ID: 100000818923
NPI: 1770803421
LUKER, SARA B LCSW
780 S GUARDSMAN WAY
(888) 949-4864
Provider ID: 100000746740
NPI: 1174803092
LUNDY, BRIDGET K LCSW
650 S KOMAS DR #200
(801) 585-3828
Provider ID: 100001029142
NPI: 1508111360
LYONS, SUSAN ELIZABETH
LCSW
124 S 400 E #301
(801) 364-3723
Provider ID: 100000092575
NPI: 1003922642
MABEY, KELLY LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000914576
NPI: 1285924753
MACDOUGALL, MINDY M
LCSW
124 S 400 E #301
(801) 322-3923
Provider ID: 100000091395
NPI: 1336158872
MACFARLANE SR, JOHN
RICHARD LCSW
2180 E 4500 S #245
(801) 274-2590
Provider ID: 100000088474
NPI: 1992835680
MACWILLIAMS, ELIZABETH S
LCSW
1760 S 1100 E #4
(801) 230-3262
Provider ID: 100000242890
NPI: 1497023113
MADSEN, HILARY C LCSW
1104 E ASHTON AVE #203
(801) 298-2000
Provider ID: 100000992320
NPI: 1528214327
MAGDALEN, JAN
REDENBAUGH LCSW
2071 ASHTON CIR #101
(801) 582-2705
Provider ID: 100000091559
NPI: 1922171172
MALMSTROM, LYNETTE
MARIE LCSW
522 E 2100 S
(801) 486-4444
Provider ID: 100000091692
NPI: 1770706079
MALOOF, PAULA LOUISE
LCSW
1399 S 700 E #17
(801) 485-7441
Provider ID: 100000085966
NPI: 1548341118
MANNING, SUSIANE V LCSW
5667 S REDWOOD RD UNIT 6B
(801) 979-1351
Provider ID: 100000881880
NPI: 1336459627
MANVILLE, JOELLYN O LCSW
275 E SOUTH TEMPLE #202
(801) 609-1055
Provider ID: 100000764066
NPI: 1003186438
265
MANVILLE, RUTH PELLETT
LCSW
370 E SOUTH TEMPLE #240
(801) 328-8444
Provider ID: 100000085128
NPI: 1023235033
MARCUS, JANICE LYNN LCSW
4190 S HIGHLAND DR #210
(801) 277-8180
Provider ID: 100000091478
NPI: 1578605143
MARTINEZ, ROBERTO A LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000876376
NPI: 1184799793
MATSON, BILL RUSSELL LCSW
4055 S 700 E #102
(801) 450-8508
Provider ID: 100000086854
NPI: 1578549127
MCCLUNG, LAWRANCE H
LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000975324
NPI: 1366426132
MCQUADE, SHANNON M LCSW
535 E 4500 S #D280
(801) 853-8744
Provider ID: 100000900997
NPI: 1053587824
MESSICK, DANIEL LEE LCSW
3809 W 6200 S
(888) 949-4864
Provider ID: 100001165860
NPI: 1932257706
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001165860
NPI: 1932257706
MEYER, SANDRA A LCSW
350 S 400 E
(801) 582-5534
Provider ID: 100000292230
NPI: 1073692687
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
MOWERY, JENNIFER L LCSW
1399 S 700 E #15
(801) 483-2755
SALT LAKE CITY (cont'd)
Provider ID: 100000085430
NPI: 1467472928
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
MULLER, DON RICHARD
LCSW
MIDYETT, KRISTIN A LCSW
4460 S HIGHLAND DR #300
1141 E 3900 S #A250
(888) 949-4864
(888) 949-4864
Provider ID: 100000098495
Provider ID: 100001172937
NPI: 1083680052
NPI: 1003161738
MUSSON ROSE, DEVON T
5965 S 900 E #240
LCSW
(888) 949-4864
350 S 400 E
Provider ID: 100001172937
(801) 582-5534
NPI: 1003161738
Provider ID: 100000340179
MILLER, LESLEE LCSW
NPI: 1821281221
1415 E 2100 S
NELSON,
MICHELLE MARKAY
(801) 558-1460
LCSW
Provider ID: 100000269834
1355 S 1100 E
NPI: 1194999037
(801) 557-8960
MILLER, MICHELE GILLETTE
Provider ID: 100000095276
LCSW
NPI: 1427196849
2992 E 4430 S
NELSON, RYAN S LCSW
(801) 277-2806
68 S 600 E
Provider ID: 100000091693
(801) 322-3222
NPI: 1558549048
Provider ID: 100000604895
MITCHELL, CRAIG TULLIS
NPI: 1720307267
LCSW
NEVILLE,
CHERYL L LCSW
44 MARIO CAPECCHI DR
1020
S
MAIN
ST #100
(801) 584-8239
(888)
949-4864
Provider ID: 100000091505
Provider ID: 100001136457
NPI: 1720038060
NPI: 1316279748
MOLDOVER, RADHA C LCSW 5965 S 900 E #240
501 S CHIPETA WAY
(888) 949-4864
(801) 585-1575
Provider ID: 100001136457
Provider ID: 100000622219
NPI: 1316279748
NPI: 1174699490
NEWBOLD, EMILY K LCSW
MONSON, MARETTE LCSW
4460 S HIGHLAND DR #100
2180 E 4500 S #105
(888) 949-4864
(801) 980-1343
Provider ID: 100001156409
Provider ID: 100000785183
NPI: 1144422957
NPI: 1477839835
4460 S HIGHLAND DR #230
MOORE, LADONNA B LCSW
(801) 273-6315
522 E 2100 S
Provider ID: 100001156409
(801) 486-4444
NPI: 1144422957
Provider ID: 100000087518
NPI: 1841316189
UTAH (cont'd)
February 12, 2015
266
NGUON-LE, PHUONG N LCSW
3098 S HIGHLAND DR #313
(801) 450-7658
Provider ID: 100000253702
NPI: 1831169341
NICHOLAS, PETER M LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000947852
NPI: 1588643852
NIELSEN, RACHEL B LCSW
1020 S MAIN ST #100
(801) 539-7000
Provider ID: 100001004508
NPI: 1437379203
1141 E 3900 S #A250
(888) 949-4864
Provider ID: 100001004508
NPI: 1437379203
NIELSON, LINDA
BUTTERFIELD LCSW
2319 S FOOTHILL DR #275
(801) 467-4488
Provider ID: 100000090833
NPI: 1114075231
NIMER, JANELLE LCSW
5284 S COMMERCE DR #C134
(801) 266-4643
Provider ID: 100001040948
NPI: 1174584940
NIMER-WILSON, JANET LCSW
5284 S COMMERCE DR #C134
(801) 266-4643
Provider ID: 100001040944
NPI: 1881663219
NOLAN, SARAH R LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000911985
NPI: 1083917348
NUTTALL, CHARLES T LCSW
699 E SOUTH TEMPLE #145
(801) 906-8780
Provider ID: 100000338259
NPI: 1114151735
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
SALT LAKE CITY (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
OCKEY, DAVID M LCSW
5965 S 900 E #150
(888) 949-4864
Provider ID: 100001131994
NPI: 1376835793
OLIVER, ANDRALYN LCSW
344 E 100 S #201
(801) 322-3222
Provider ID: 100000684445
NPI: 1447579065
OLSEN, LELAND M LCSW
4505 S WASATCH BLVD #320
(801) 573-5492
Provider ID: 100000096368
NPI: 1780691964
OLSON-MORRISON, DEBRA L
LCSW
525 E 100 S #120
(801) 483-2447
Provider ID: 100000361279
NPI: 1326362369
ORD, LISA MARIE LCSW
160 S 1000 E #220
(801) 560-7549
Provider ID: 100000692385
NPI: 1831155621
65 MARIO CAPECCHI DR
(801) 581-2352
Provider ID: 100000824406
NPI: 1831155621
OTT, JAMES KEVIN LCSW
515 S 700 E #3D
(801) 556-6007
Provider ID: 100000891197
NPI: 1295807378
PACE, BRENT C LCSW
525 E 100 S #120
(801) 483-2447
Provider ID: 100000263035
NPI: 1285605204
PACE, MEGAN A LCSW
3809 W 6200 S
(888) 949-4864
Provider ID: 100001124134
NPI: 1336420231
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001124134
NPI: 1336420231
PARKER, KATHLEEN C LCSW
4505 S WASATCH BLVD #380A
(801) 671-1315
Provider ID: 100000590053
NPI: 1407028483
PARRY, ODBAYAR J LCSW
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000595281
NPI: 1841440906
PAULSEN, NANCY C LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000876384
NPI: 1528349917
PAXTON, MICHELLE ANN
LCSW
5282 S COMMERCE DR #D222
(801) 685-2110
Provider ID: 100000087756
NPI: 1427104702
PECORA, KELLY A LCSW
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000786577
NPI: 1982815858
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000359475
NPI: 1982815858
PEMBROKE, CHRISTINE A
LCSW
4505 S WASATCH BLVD #360
(801) 893-2530
Provider ID: 100000920643
NPI: 1114247467
267
PEREZ, LESLIE BROSIUS LCSW
5965 S 900 E #150
(888) 949-4864
Provider ID: 100000588478
NPI: 1417138710
PETERSON, J MICHELLE M
LCSW
5284 S COMMERCE DR #C134
(801) 266-4643
Provider ID: 100001040954
NPI: 1801122411
PHILLIPS, GAYLE LCSW
2290 E 4500 S #210
(801) 352-5714
Provider ID: 100000089407
NPI: 1720007222
PLATIS, KAREN LEE LCSW
4055 S 700 E #102
(801) 278-0499
Provider ID: 100000089200
NPI: 1073593018
5965 S 900 E #150
(801) 263-7100
Provider ID: 100000089201
NPI: 1073593018
POLTORATZSKY, VALERIE
LCSW
1355 S 1100 E
(801) 913-7394
Provider ID: 100000112304
NPI: 1932293958
5250 S COMMERCE DR #250
(801) 261-3500
Provider ID: 100000112305
NPI: 1932293958
POOR, HILLARY J LCSW
3809 W 6200 S
(888) 949-4864
Provider ID: 100001136466
NPI: 1578733150
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001136466
NPI: 1578733150
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
SALT LAKE CITY (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
PORTER, SUSAN H LCSW
3970 S 700 E #12
(801) 263-0800
Provider ID: 100000090352
NPI: 1376746503
PRENTICE, MOLLY K LCSW
1208 E 3300 S
(801) 483-1600
Provider ID: 100000338914
NPI: 1396970786
PRINCE, MOLLY GEORGE
LCSW
3098 S HIGHLAND DR #202
(801) 680-4705
Provider ID: 100000247253
NPI: 1396700548
PRUYT-MILLERBERG,
PAMELA J LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000116540
NPI: 1457331233
QUIST, DAPHNE A LCSW
1141 E 3900 S #A170
(888) 949-4864
Provider ID: 100001034537
NPI: 1356641328
RAEL, JULIE L LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000876390
NPI: 1104151232
RASHKIN, ESTHER J LCSW
370 E SOUTH TEMPLE #550
(801) 565-4855
Provider ID: 100000084808
NPI: 1053415513
February 12, 2015
READING, KARLA LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000091149
NPI: 1972582427
RECTOR, LISA L LCSW
4505 S WASATCH BLVD #190
(801) 562-4484
Provider ID: 100000773340
NPI: 1710293642
RHEES, LINDA JERI LCSW
2155 E 2100 S #A
(801) 209-2005
Provider ID: 100000517444
NPI: 1093956575
RICCI, JEANETTE M LCSW
1020 S MAIN ST #100
(888) 949-4864
Provider ID: 100001059729
NPI: 1114340650
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100001107846
NPI: 1114340650
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100001107846
NPI: 1114340650
ROCHE, VAUGHN STEWART
LCSW
699 E SOUTH TEMPLE #240
(801) 792-3869
Provider ID: 100000094420
NPI: 1649249137
ROMRELL, NATALIE LCSW
1141 E 3900 S #A220
(888) 949-4864
Provider ID: 100000116432
NPI: 1386615169
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000116432
NPI: 1386615169
268
ROSEN, DEANNA LEE LCSW
970 E MURRAY HOLLADAY RD
#2E
(801) 288-1062
Provider ID: 100000085647
NPI: 1235233883
ROTH, TERRI LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001165876
NPI: 1447513551
ROTHSETIN, SARAH LCSW
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100001139311
NPI: 1881938439
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100001139311
NPI: 1881938439
SANDERS, CAROLYN ROTH
LCSW
2046 E MURRAY HOLLADAY RD
#103
(801) 541-9078
Provider ID: 100000088658
NPI: 1841268406
SCHRADER, BRENT LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000876400
NPI: 1114952033
SCHULL, MARK S LCSW
1020 S MAIN ST #100
(888) 949-4864
Provider ID: 100000593576
NPI: 1972759504
2319 S FOOTHILL DR #100
(801) 918-4719
Provider ID: 100000812025
NPI: 1972759504
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000593576
NPI: 1972759504
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
SIMMONS, STACEY N LCSW
5965 S 900 E #150
(888) 949-4864
SALT LAKE CITY (cont'd)
Provider ID: 100001072843
NPI: 1881927119
BEHAVIORAL - SOCIAL
6013 S REDWOOD RD
WORK SERVICES (cont'd)
(801) 255-5131
SCOVILLE, BARBARA ANN
Provider ID: 100001162224
LCSW
NPI: 1881927119
5635 S WATERBURY WAY #C202 780 S GUARDSMAN WAY
(801) 278-0200
(888) 949-4864
Provider ID: 100000098641
Provider ID: 100001072843
NPI: 1538149141
NPI: 1881927119
SEELEY, WENDY J LCSW
SIMPSON, CRAIG B LCSW
4460 S HIGHLAND DR #100
5965 S 900 E #240
(888) 949-4864
(888) 949-4864
Provider ID: 100000864061
Provider ID: 100000312393
NPI: 1205129772
NPI: 1518045699
5689 S REDWOOD RD UNIT 30
SIMPSON, DAVID E LCSW
(801) 268-1715
5635 S WATERBURY WAY #C202
Provider ID: 100000699587
(801) 278-0200
NPI: 1205129772
Provider ID: 100000092256
5965 S 900 E #240
NPI: 1477632925
(888) 949-4864
SMART,
STEPHANIE A LCSW
Provider ID: 100000864061
2480
S
MAIN
ST #105
NPI: 1205129772
(801) 450-3481
SELIGER, SHERYL ANNE
Provider ID: 100000547502
LCSW
NPI: 1578876975
1446 S 900 E
SMOLIN, EMILY D LCSW
(801) 556-8760
350 S 400 E
Provider ID: 100000084751
(801) 582-5534
NPI: 1942269907
Provider ID: 100000703685
SELIN, JOHN H LCSW
NPI: 1881800209
1020 S MAIN ST #100
SORENSON,
TRAVIS D LCSW
(888) 949-4864
650
S
KOMAS
DR #200
Provider ID: 100000328059
(801)
585-3828
NPI: 1184882722
Provider ID: 100000815270
4460 HIGHLAND DR FL 2
NPI: 1396000873
(888) 949-4864
SOUTHERS, SONDRA J LCSW
Provider ID: 100000800861
699 E SOUTH TEMPLE #330
NPI: 1184882722
(801) 529-8545
SILVA, EMILY A LCSW
Provider ID: 100000242515
1141 E 3900 S #A170
NPI: 1518008168
(888) 949-4864
SPEER,
AMANDA L LCSW
Provider ID: 100001016480
501
S
CHIPETA
WAY
NPI: 1952695991
(801) 585-1575
Provider ID: 100001107923
NPI: 1740699792
UTAH (cont'd)
269
STARR, ALEXANDRA J LCSW
5242 S 4820 W
(801) 966-4251
Provider ID: 100000823779
NPI: 1295012078
STAUB, VELVET R LCSW
1850 S 2500 E
(888) 949-4864
Provider ID: 100001075009
NPI: 1770908048
STEPHENS, CARA L LCSW
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100001107855
NPI: 1619267291
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100001107855
NPI: 1619267291
5965 S 900 E #150
(888) 949-4864
Provider ID: 100001016476
NPI: 1619267291
STONECLIFF, MELINDA K
LCSW
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100001101303
NPI: 1902116254
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100001101303
NPI: 1902116254
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001101303
NPI: 1902116254
SUPIANO, KATHERINE P LCSW
1578 W 1700 S
(801) 581-4014
Provider ID: 100000248010
NPI: 1548321763
50 N MEDICAL DR
(801) 581-4014
Provider ID: 100000248010
NPI: 1548321763
February 12, 2015
Mental Health Providers
UTAH
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
BEHAVIORAL - SOCIAL WORK SERVICES
TINGEY, JENISE D LCSW
5965 S 900 E #150
(888) 949-4864
SALT LAKE CITY (cont'd)
Provider ID: 100001107431
NPI: 1194946129
BEHAVIORAL - SOCIAL
5965 S 900 E #230
WORK SERVICES (cont'd)
(888) 949-4864
SUTHERLAND, ASHLEY B
Provider ID: 100001107431
LCSW
NPI: 1194946129
1945 S 1100 E #202
TINGEY, TENILLE LCSW
(801) 657-0897
5965 S 900 E #240
Provider ID: 100000755660
(888) 949-4864
NPI: 1831416130
Provider ID: 100001153941
TABISH, JOSEPH HENRY LCSW
NPI: 1144629650
3378 S 900 E
TOLSMA, KATHERINE M
(801) 463-7520
LCSW
Provider ID: 100000090187
5801 S FASHION BLVD #250
NPI: 1295903037
(801) 596-0147
TALIAFERRO, JAMES A LCSW
Provider ID: 100001129398
44 MARIO CAPECCHI DR
NPI: 1417155227
(801) 584-8239
TREUHAFT, MARK LCSW
Provider ID: 100000091953
1414 E 4500 S #4
NPI: 1902854284
(801) 676-0334
TAYLOR, REBECCA MARIE
Provider ID: 100000092501
LCSW
NPI: 1871719799
724 E 2100 S #B
TURVILLE, APRIL NICOLE S
(801) 487-0499
LCSW
Provider ID: 100001013952
4505 S WASATCH BLVD #190
NPI: 1588979066
(801) 641-1055
THOMAS, DOUGLAS P LCSW
Provider ID: 100000716784
845 E 4800 S #200
NPI: 1568548378
(801) 264-9522
5250 S COMMERCE DR #250
Provider ID: 100001129861
(801) 261-3500
NPI: 1356327084
Provider ID: 100000246093
THOMPSON, MARGARET L
NPI: 1568548378
LCSW
UCKERMAN, CLIFTON R LCSW
420 E SOUTH TEMPLE #300
5965 S 900 E #240
(801) 521-5068
(888) 949-4864
Provider ID: 100000086130
Provider ID: 100001129849
NPI: 1497023733
NPI: 1528362852
ULIBARRI, ELEANOR M LCSW
5242 S 4820 W
(801) 966-4251
Provider ID: 100000283029
NPI: 1447237136
UTAH (cont'd)
February 12, 2015
270
URRY, KRISTIN KAROL LCSW
1399 S 700 E #3
(801) 706-6487
Provider ID: 100000098440
NPI: 1427126499
VAN DER VEUR, FREDERICK H
LCSW
1141 E 3900 S #A250
(888) 949-4864
Provider ID: 100000097914
NPI: 1780655407
VAN RUM, TRAVIS C LCSW
1020 S MAIN ST #100
(888) 949-4864
Provider ID: 100001023104
NPI: 1043511827
VASQUEZ, JEANETTE P LCSW
2180 E 4500 S #105
(801) 205-1262
Provider ID: 100000294949
NPI: 1477735504
VERCIMAK, TRINITY L LCSW
1141 E 3900 S #A170
(888) 949-4864
Provider ID: 100000559155
NPI: 1386802064
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000559155
NPI: 1386802064
VOORHEES, CAROL V LCSW
2040 E MURRAY HOLLADAY RD
#220
(801) 580-1177
Provider ID: 100001033613
NPI: 1295947604
WALTERS, JOHN L LCSW
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001022085
NPI: 1932488426
WEISS, JANE A LCSW
4505 S WASATCH BLVD #330D
(801) 273-7514
Provider ID: 100000089908
NPI: 1295725216
Mental Health Providers
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
BEHAVIORAL - SOCIAL WORK SERVICES
WOLF, JANET L LCSW
370 E SOUTH TEMPLE #550
(801) 537-7070
SALT LAKE CITY (cont'd)
Provider ID: 100000085739
NPI: 1669543864
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
WOLF, MARCELLA B LCSW
4460 S HIGHLAND DR #100
WHITE, LESLIE MCDONALD
(888) 949-4864
LCSW
Provider ID: 100000961430
4190 S HIGHLAND DR #210
NPI: 1598772030
(801) 278-8859
4460 S HIGHLAND DR #230
Provider ID: 100000089322
(801) 273-6315
NPI: 1609964659
Provider ID: 100000961430
WHITEHEAD, DEXTER S LCSW
NPI: 1598772030
845 E 4800 S #200
5965 S 900 E #240
(801) 264-9522
(888) 949-4864
Provider ID: 100000096003
Provider ID: 100000961430
NPI: 1487721841
NPI: 1598772030
WHITEHEAD, HEATHER A
WONG, STEVEN CHARLES
LCSW
LCSW
32 W WINCHESTER ST #101
2040 E MURRAY HOLLADAY RD
(801) 263-6367
#222
Provider ID: 100000096147
(801) 450-3536
NPI: 1356301154
Provider ID: 100000344173
WILCOCK, EDNA MERRY
NPI: 1982689766
LCSW
WORKMAN, MICHELLE W
925 E 900 S #27
LCSW
(801) 541-5443
132 S STATE ST #100
Provider ID: 100000101194
(801) 240-6522
NPI: 1194714766
Provider ID: 100000706809
WILKINSON, GLENDA A LCSW
NPI: 1902967474
4460 S HIGHLAND DR #100
724 E 2100 S #B
(888) 949-4864
(801) 487-0499
Provider ID: 100001090418
Provider ID: 100001080978
NPI: 1215266390
NPI: 1902967474
4460 S HIGHLAND DR #230
WRIGHT, JULIE A LCSW
(801) 273-6315
1390 S 1100 E #203
Provider ID: 100001090418
(801) 518-1720
NPI: 1215266390
Provider ID: 100000351945
WILLIAMS, SHERI L LCSW
NPI: 1922107671
4568 S HIGHLAND DR #140
(801) 505-3133
Provider ID: 100000597253
NPI: 1265764294
5965 S 900 E #240
(888) 949-4864
Provider ID: 100001117013
NPI: 1265764294
UTAH (cont'd)
271
UTAH
SALT LAKE CITY
PEDIATRIC PSYCHIATRY
YAZZIE, DENET J LCSW
1020 S MAIN ST #100
(888) 949-4864
Provider ID: 100000535743
NPI: 1881838126
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000535743
NPI: 1881838126
PEDIATRIC PSYCHIATRY
BAESE, PHILIP LUKE MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620521
NPI: 1184669848
650 S KOMAS DR #200
(801) 581-5515
Provider ID: 100000096876
NPI: 1184669848
650 S KOMAS DR #208
(801) 581-5515
Provider ID: 100000782185
NPI: 1184669848
BILDER, DEBORAH A MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620202
NPI: 1427084615
650 S KOMAS DR #200
(801) 585-3828
Provider ID: 100000097785
NPI: 1427084615
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100000097786
NPI: 1427084615
CONOVER, THOMAS GERARD
MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000622340
NPI: 1093805228
DAVID, TRACI LYNN MD
501 E CHIPETA WAY
(801) 587-3103
Provider ID: 100000314693
NPI: 1437297272
February 12, 2015
UTAH
SALT LAKE CITY
PEDIATRIC PSYCHIATRY
Mental Health Providers
Sorted by state, city, specialty, then name
KLEINSCHMIT, KRISTI KAY
MD
50 N MEDICAL DR
SALT LAKE CITY (cont'd)
(801) 583-2500
Provider ID: 100001073014
PEDIATRIC PSYCHIATRY
NPI: 1689772741
(cont'd)
650 S KOMAS DR #208
DEDRICK-ZEHNDER, JEAN E
(801) 585-1212
MD
Provider ID: 100000869762
5965 S 900 E #240
NPI: 1689772741
(888) 949-4864
LOPEZ-LARSON, MELISSA P
Provider ID: 100000116470
MD
NPI: 1770562621
501 E CHIPETA WAY
FERRE, RICHARD CHARLES
(801) 213-3900
MD
Provider ID: 100001046849
132 S STATE ST #100
NPI: 1942268446
(801) 240-6522
501 S CHIPETA WAY
Provider ID: 100000090834
(801) 585-1575
NPI: 1548283302
Provider ID: 100000620502
GILES, LISA L MD
NPI: 1942268446
100 MARIO CAPECCHI DR
MARTINI, DOMINICK R MD
(801) 662-1000
100 MARIO CAPECCHI DR
Provider ID: 100000274411
(801) 662-1000
NPI: 1841408309
Provider ID: 100000263339
GRAY, DOUGLAS DUANE MD
NPI: 1104995380
501 S CHIPETA WAY
MICKELSON, TRAVIS S MD
(801) 587-6688
100 MARIO CAPECCHI DR
Provider ID: 100000620204
(801) 662-1000
NPI: 1154429223
Provider ID: 100000705921
650 S KOMAS DR #208
NPI: 1831364249
(801) 585-1212
NITSCHE, ALLISON M MD
Provider ID: 100000741453
501 S CHIPETA WAY
NPI: 1154429223
(801) 585-1575
HINDERT, KRISTINA FALK MD
Provider ID: 100000794163
350 S 400 E
NPI: 1003091703
(801) 582-5534
SAMUDRA, KALYANI A MD
Provider ID: 100000085989
501 S CHIPETA WAY
NPI: 1003873373
(801) 585-1575
KERR, LYNNE MARGARET MD
Provider ID: 100000724218
100 N MARIO CAPECCHI DR
NPI: 1528035748
(801) 587-7575
Provider ID: 100000360634
NPI: 1578638474
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100000360634
NPI: 1578638474
UTAH (cont'd)
February 12, 2015
272
UTAH
SALT LAKE CITY
PEDIATRIC PSYCHIATRY
SHADOW, L KRISTIN K MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001012231
NPI: 1922028497
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100001029151
NPI: 1922028497
SIMON, KIRK ANTHONY MD
50 N MEDICAL DR
(801) 581-2205
Provider ID: 100000093986
NPI: 1043399611
SMITH, KYLE M MD
100 MARIO CAPECCHI DR
(801) 662-1000
Provider ID: 100000787085
NPI: 1902059157
STIEFEL, SCOTT R MD
501 E CHIPETA WAY
(801) 583-2500
Provider ID: 100001003611
NPI: 1235218801
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001014885
NPI: 1235218801
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100001155596
NPI: 1235218801
WEEKS, HOWARD RAYMOND
MD
501 S CHIPETA WAY
(801) 587-3423
Provider ID: 100000620224
NPI: 1760570915
YAU, JOSEPH KWOKFAI MD
5667 S REDWOOD RD UNIT 6B
(801) 979-1351
Provider ID: 100001034062
NPI: 1639156649
UTAH
SALT LAKE CITY
PSYCHIATRIC HOSPITAL
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PSYCHIATRIC HOSPITAL
SALT LAKE REGIONAL
MEDICAL CENTER
1050 E SOUTH TEMPLE
(801) 350-4111
Provider ID: 100000593745
NPI: 1568619963
ST MARKS HOSPITAL
1200 E 3900 S
(801) 268-7111
Provider ID: 100001028093
NPI: 1457794323
U OF U NEUROPSYCH
INSTITUTE
501 E CHIPETA WAY
(801) 585-1575
Provider ID: 100000141203
NPI: 1487734976
UNIVERSITY HOSPITAL
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000337411
NPI: 1699889576
PSYCHIATRY
ALDEN, MEREDITH MD
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000786541
NPI: 1306816483
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000727158
NPI: 1306816483
5965 S 900 E #150
(888) 949-4864
Provider ID: 100000085410
NPI: 1306816483
Mental Health Providers
Sorted by state, city, specialty, then name
ANDERSON, CLARENCE
LEROY MD
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100000089550
NPI: 1356328272
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100000089550
NPI: 1356328272
ASHWORTH, JAMES CLAUDE
MD
501 S CHIPETA WAY
(801) 587-3423
Provider ID: 100000622872
NPI: 1679514988
650 S KOMAS DR #200
(801) 581-5515
Provider ID: 100000088967
NPI: 1679514988
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100000088968
NPI: 1679514988
ASLAMI, AMIE J MD
1208 E 3300 S
(801) 483-1600
Provider ID: 100000767774
NPI: 1083685796
BANKS, DUANE ROBERT MD
845 E 4800 S #200
(801) 264-9522
Provider ID: 100000094784
NPI: 1013092360
BARTEL, ROXANNE LYNETTE
MD
501 S CHIPETA WAY
(801) 587-6688
Provider ID: 100000622241
NPI: 1104903897
BINGMAN, JANA D MD
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100000256316
NPI: 1801073663
273
UTAH
SALT LAKE CITY
PSYCHIATRY
BIRCH, ROBERT DIX DO
501 S CHIPETA WAY #1214
(801) 587-3218
Provider ID: 100000086784
NPI: 1245220805
BOTTS, ELIZABETH L MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001120023
NPI: 1124262886
BURRIS, MARY K MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001107060
NPI: 1306807359
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100000727737
NPI: 1306807359
BUSHNELL, LOWRY AVON MD
50 N MEDICAL DR
(801) 585-1575
Provider ID: 100000686186
NPI: 1285692780
501 S CHIPETA WAY
(801) 585-1578
Provider ID: 100000686186
NPI: 1285692780
CARLSON, PAUL J MD
50 N MEDICAL DR
(801) 581-7951
Provider ID: 100000285611
NPI: 1962515643
CHAN, BENJAMIN R MD
501 E CHIPETA WAY
(801) 585-1575
Provider ID: 100000709381
NPI: 1952528374
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000622800
NPI: 1952528374
650 S KOMAS DR #200
(801) 585-3828
Provider ID: 100000557120
NPI: 1952528374
February 12, 2015
UTAH
SALT LAKE CITY
PSYCHIATRY
Mental Health Providers
Sorted by state, city, specialty, then name
FREIMER, MARTIN MD
1050 E SOUTH TEMPLE
(801) 350-4111
SALT LAKE CITY (cont'd)
Provider ID: 100001100672
NPI: 1902962293
PSYCHIATRY (cont'd)
1430 E 4500 S
CONNOLLY, MICHAEL S MD
(801) 790-4958
3725 W 4100 S
Provider ID: 100000770463
(801) 965-3479
NPI: 1902962293
Provider ID: 100000270488
50 N MEDICAL DR
NPI: 1003014374
(801) 581-7951
CULBERTSON, JOE CAMPBELL
Provider ID: 100000770463
MD
NPI: 1902962293
370 E SOUTH TEMPLE #550
729 S ARAPEEN DR
(801) 355-9770
(801) 585-7575
Provider ID: 100000086378
Provider ID: 100000856906
NPI: 1548286792
NPI: 1902962293
4883 S BOX ELDER ST
GIBBS, PAULA KAYE MD
(877) 686-6751
501 E CHIPETA WAY
Provider ID: 100001073948
(801) 583-2500
NPI: 1548286792
Provider ID: 100000087523
DAVIS, MARC JEROME MD
NPI: 1396754495
1174 E GRAYSTONE WAY
GILLEY HENSLEY, LAURA B
(801) 900-3331
MD
Provider ID: 100001046362
50 N MEDICAL DR
NPI: 1427161447
(801) 585-1575
1200 E 3900 S
Provider ID: 100000740126
(801) 268-7766
NPI: 1386775476
Provider ID: 100000991285
501 S CHIPETA WAY
NPI: 1427161447
(801) 585-1575
DEBRY, SPENCER C MD
Provider ID: 100000712702
1200 E 3900 S
NPI: 1386775476
(801) 268-7766
HEJAZI, JAMAL SEYED MD
Provider ID: 100001041855
845 E 4800 S #200
NPI: 1194797738
(801) 264-9522
DEDRICK-ZEHNDER, JEAN E
Provider ID: 100000090526
MD
NPI: 1558332437
5965 S 900 E #240
HOWELL, ELIZABETH FULTON
(888) 949-4864
MD
Provider ID: 100000116470
501 S CHIPETA WAY
NPI: 1770562621
(801) 585-1575
FRANCIS, KRISTIN C MD
Provider ID: 100000620221
501 S CHIPETA WAY
NPI: 1326052440
(801) 585-1575
Provider ID: 100001155621
NPI: 1912157249
UTAH (cont'd)
February 12, 2015
274
UTAH
SALT LAKE CITY
PSYCHIATRY
HOWSLEY, JESSICA Z MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001151696
NPI: 1366768251
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100001120025
NPI: 1366768251
HUNZIKER, JASON WILLIAM
MD
50 N MEDICAL DR
(801) 581-7951
Provider ID: 100000096639
NPI: 1619067212
501 E CHIPETA WAY
(801) 583-2500
Provider ID: 100000096637
NPI: 1619067212
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620284
NPI: 1619067212
JAVELLANA, CARMELA
JARDEL MD
860 E 4500 S #302
(801) 268-0333
Provider ID: 100000085580
NPI: 1215031778
JEPPSEN, ERNEST A MD
1200 E 3900 S
(801) 268-7111
Provider ID: 100000093171
NPI: 1891759254
1694 E 6485 S
(801) 266-7565
Provider ID: 100000093171
NPI: 1891759254
KONDO, DOUGLAS G MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620206
NPI: 1083703284
UTAH
SALT LAKE CITY
PSYCHIATRY
Mental Health Providers
Sorted by state, city, specialty, then name
LOWRY, MICHAEL ROY MD
50 N MEDICAL DR
(801) 581-7951
SALT LAKE CITY (cont'd)
Provider ID: 100000881995
NPI: 1932116662
PSYCHIATRY (cont'd)
501 S CHIPETA WAY
KREITSCHITZ, SEBASTIAN MD (801) 583-2500
501 S CHIPETA WAY
Provider ID: 100000620503
(801) 585-1575
NPI: 1932116662
Provider ID: 100000622285
MARKLEY, LAURA A MD
NPI: 1598891616
650 S KOMAS DR #208
650 S KOMAS DR #208
(801) 585-1212
(801) 585-1212
Provider ID: 100000297704
Provider ID: 100000291275
NPI: 1679635916
NPI: 1598891616
MCCARTHEY, RACHELE M MD
LAMBERT, KEVIN DEL MD
501 S CHIPETA WAY
1399 S 700 E #5B
(801) 585-1575
(801) 953-1286
Provider ID: 100000620526
Provider ID: 100000089696
NPI: 1700933538
NPI: 1043429749
650 S KOMAS DR #208
LEWIS, BENJAMIN R MD
(801) 585-1212
501 S CHIPETA WAY
Provider ID: 100000296525
(801) 585-1575
NPI: 1700933538
Provider ID: 100000810645
MCMAHON, WILLIAM MARTIN
NPI: 1043455025
MD
LIN, ANNE GIN WE MD
501 S CHIPETA WAY
501 S CHIPETA WAY
(801) 585-1575
(801) 585-1575
Provider ID: 100000622591
Provider ID: 100000620146
NPI: 1063553626
NPI: 1790883874
650 S KOMAS DR #200
650 S KOMAS DR #208
(801) 585-3828
(801) 585-1212
Provider ID: 100001061435
Provider ID: 100000099557
NPI: 1063553626
NPI: 1790883874
650 S KOMAS DR #208
LINES, ROBIN E MD
(801) 587-3102
1050 E SOUTH TEMPLE
Provider ID: 100000314708
(801) 350-4593
NPI: 1063553626
Provider ID: 100001172872
MICKELSEN, RICHARD W MD
NPI: 1912169434
4460 HIGHLAND DR FL 2
LOFFLER, PETER MAX MD
(888) 949-4864
4505 S WASATCH BLVD #380
Provider ID: 100000116453
(801) 274-0354
NPI: 1740250372
Provider ID: 100000788558
MILLER, ARTHUR JOHN MD
NPI: 1376605436
5965 S 900 E #240
845 E 4800 S #200
(888) 949-4864
(801) 264-9522
Provider ID: 100000823054
Provider ID: 100000096659
NPI: 1659342921
NPI: 1376605436
UTAH (cont'd)
275
UTAH
SALT LAKE CITY
PSYCHIATRY
MOENCH, MATTHEW L MD
50 N MEDICAL DR
(801) 585-1575
Provider ID: 100000686188
NPI: 1376641456
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620495
NPI: 1376641456
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100000110784
NPI: 1376641456
MOULTON, DAVID L MD
50 N MEDICAL DR
(801) 581-7951
Provider ID: 100000794072
NPI: 1558332353
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000794159
NPI: 1558332353
NEUMAN, MARK DAVID MD
1208 E 3300 S
(801) 483-1600
Provider ID: 100000095035
NPI: 1194824961
NITSCHE, ALLISON M MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000794161
NPI: 1003091703
O'DONOHOE, JENNIFER G MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000815264
NPI: 1811141500
OLDROYD, JULIE H MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000717884
NPI: 1386899482
PHAM, DUY MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620207
NPI: 1346404233
February 12, 2015
UTAH
SALT LAKE CITY
PSYCHIATRY
Mental Health Providers
Sorted by state, city, specialty, then name
RINDFLESH, MARK ALAN MD
501 S CHIPETA WAY
(801) 585-1575
SALT LAKE CITY (cont'd)
Provider ID: 100000620487
NPI: 1710944293
PSYCHIATRY (cont'd)
SCHMIDT, LEONARD JAMES
PIERSON, MATTHEW D MD
MD
501 S CHIPETA WAY
50 N MEDICAL DR
(801) 585-1575
(801) 581-7951
Provider ID: 100001117027
Provider ID: 100000084735
NPI: 1356584213
NPI: 1720178346
RAJA, IMRAN M MD
501 S CHIPETA WAY
501 S CHIPETA WAY
(801) 585-1575
(801) 585-1575
Provider ID: 100000869764
Provider ID: 100000794165
NPI: 1720178346
NPI: 1649424409
SERAFINI, RUGGERO MD
REDD, AMASA MASON MD
175 N MEDICAL DR
501 S CHIPETA WAY
(801) 585-7575
(801) 587-6688
Provider ID: 100001107727
Provider ID: 100000619986
NPI: 1306084561
NPI: 1215027834
50 N MEDICAL DR
REID, THOMAS MICHAEL MD (801) 585-0262
845 E 4800 S #200
Provider ID: 100001107727
(801) 264-9522
NPI: 1306084561
Provider ID: 100000706166
729 S ARAPEEN DR
NPI: 1053381194
(801) 585-7575
Provider ID: 100001107727
REIMHERR, FREDERICK
NPI: 1306084561
WILLIAM MD
1522 S 1100 E
SHADOW, L KRISTIN K MD
(801) 467-1200
501 S CHIPETA WAY
Provider ID: 100000768283
(801) 585-1575
NPI: 1740259795
Provider ID: 100001012231
NPI: 1922028497
RICH, ANNE M MD
650 S KOMAS DR #208
50 N MEDICAL DR
(801) 585-1212
(801) 581-7951
Provider ID: 100001029151
Provider ID: 100000249358
NPI: 1922028497
NPI: 1346276888
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000795493
NPI: 1346276888
RICH, CHRISTOPHER C MD
100 MARIO CAPECCHI DR
(801) 662-1000
Provider ID: 100001100770
NPI: 1245328053
UTAH (cont'd)
February 12, 2015
276
UTAH
SALT LAKE CITY
PSYCHIATRY
SHEA, PATRICK W MD
501 E CHIPETA WAY
(801) 583-2500
Provider ID: 100001124131
NPI: 1629203104
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001101572
NPI: 1629203104
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100001101568
NPI: 1629203104
SINGH, GAGANDEEP MD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000101091
NPI: 1831248525
SMITH, AMY S MD
501 E CHIPETA WAY
(801) 583-2500
Provider ID: 100001029149
NPI: 1508917048
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001029144
NPI: 1508917048
650 S KOMAS DR #200
(801) 585-3828
Provider ID: 100001029149
NPI: 1508917048
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100001029145
NPI: 1508917048
STATE, RACHEL B MD
100 MARIO CAPECCHI DR
(801) 662-1000
Provider ID: 100001139401
NPI: 1912132101
81 N MARIO CAPECCHI DR
(801) 213-3599
Provider ID: 100001139401
NPI: 1912132101
UTAH
SALT LAKE CITY
PSYCHIATRY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PSYCHIATRY (cont'd)
STEINMANN, MARY E MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000713214
NPI: 1386828606
TCACIUC, ISABELLA OSCAR
HEDWIG MD
1141 E 3900 S #A250
(888) 949-4864
Provider ID: 100000099559
NPI: 1245201870
THATCHER, BENJAMIN T DO
1020 S MAIN ST #100
(888) 949-4864
Provider ID: 100000350239
NPI: 1841310950
4460 HIGHLAND DR FL 2
(888) 949-4864
Provider ID: 100000350239
NPI: 1841310950
4460 S HIGHLAND DR #100
(888) 949-4864
Provider ID: 100001107862
NPI: 1841310950
4460 S HIGHLAND DR #230
(801) 273-6315
Provider ID: 100001107862
NPI: 1841310950
THIELKING, PAUL D MD
50 N MEDICAL DR
(801) 581-7951
Provider ID: 100000278864
NPI: 1124036595
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000622587
NPI: 1124036595
TOMB, DAVID ALAN MD
50 N MEDICAL DR
(801) 581-7951
Provider ID: 100000097160
NPI: 1639269269
Mental Health Providers
Sorted by state, city, specialty, then name
VO, MICHELLE L MD
50 N MEDICAL DR
(801) 581-7951
Provider ID: 100000990551
NPI: 1053558825
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000991122
NPI: 1053558825
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100001029152
NPI: 1053558825
VOSS, MICHAEL J DO
50 N MEDICAL DR
(801) 581-7951
Provider ID: 100000974857
NPI: 1790985992
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620506
NPI: 1790985992
WALLACE, ROBERT DUNCAN
MD
1200 E 3900 S
(801) 268-7766
Provider ID: 100001066961
NPI: 1134133200
2972 S DEVONSHIRE CIR
(801) 486-7940
Provider ID: 100000088547
NPI: 1134133200
WALLIS, KENNETH CRAIG MD
5965 S 900 E #240
(888) 949-4864
Provider ID: 100000086198
NPI: 1649243692
WEIR, RACHEL ANNE MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620524
NPI: 1487779955
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100000716896
NPI: 1487779955
277
UTAH
SALT LAKE CITY
PSYCHOLOGY
WIESE, JULIE ANN MD
845 E 4800 S #200
(801) 264-9522
Provider ID: 100000692000
NPI: 1417931296
WILSON, AMY L MD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001117032
NPI: 1427200898
PSYCHIATRY, GERIATRIC
FREIMER, MARTIN MD
1050 E SOUTH TEMPLE
(801) 350-4111
Provider ID: 100001100672
NPI: 1902962293
PSYCHOLOGY
ANIS, JOYCE PHD
2825 E COTTONWOOD PKWY
#500
(801) 680-4211
Provider ID: 100000084847
NPI: 1063480572
BAILEY, BECKY J PHD
508 E SOUTH TEMPLE #225
(801) 521-6234
Provider ID: 100000092276
NPI: 1700818911
BALLOU, CAROL ANN PHD
1399 S 700 E #7
(801) 483-3068
Provider ID: 100000085072
NPI: 1912967647
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620163
NPI: 1912967647
BARNETT, KATHY W PHD
2040 E MURRAY HOLLADAY RD
#211
(801) 272-5083
Provider ID: 100000363915
NPI: 1710151592
February 12, 2015
UTAH
SALT LAKE CITY
PSYCHOLOGY
Mental Health Providers
Sorted by state, city, specialty, then name
BOWEN, JULIE MCDERMAID
PHD
501 S CHIPETA WAY
SALT LAKE CITY (cont'd)
(801) 585-1575
Provider ID: 100000622221
PSYCHOLOGY (cont'd)
NPI: 1780802066
BEALL, LAWRENCE DALTON BRILL, LORI K PHD
PHD
2290 E 4500 S #210
32 W WINCHESTER ST #100
(801) 719-7036
(801) 263-6367
Provider ID: 100000772917
Provider ID: 100000567235
NPI: 1902139603
NPI: 1790745768
BROCKBANK, LAURA LYN
32 W WINCHESTER ST #101
PHD
(801) 263-6367
1399 S 700 E #7
Provider ID: 100000086482
(801) 483-3068
NPI: 1790745768
Provider ID: 100000092880
BECKSTEAD, ARVEL LEE PHD
NPI: 1780720888
1433 S 1100 E
501 S CHIPETA WAY
(801) 581-0422
(801) 585-1575
Provider ID: 100000098355
Provider ID: 100000620469
NPI: 1952364622
NPI: 1780720888
BENNETT MURPHY, LAURA M BUNKER, DOUGLAS BRYAN
PHD
PHD
100 MARIO CAPECCHI DR
1008 S 1300 E
(801) 662-1000
(801) 583-7184
Provider ID: 100001127199
Provider ID: 100000084856
NPI: 1669898540
NPI: 1194789297
4460 S HIGHLAND DR #100
BURR, ROBERT B PHD
(888) 949-4864
100 MARIO CAPECCHI DR
Provider ID: 100001074990
(801) 662-1000
NPI: 1669898540
Provider ID: 100000978380
BOELENS, DENISE MARIE PHD
NPI: 1306895677
5801 S FASHION BLVD #250
CAMERON,
JOANNE BROWN
(801) 596-0147
PHD
Provider ID: 100000776927
4505 S WASATCH BLVD #380
NPI: 1023077062
(801) 277-7543
BONE, JONATHAN D PHD
Provider ID: 100000084843
50 N MEDICAL DR
NPI: 1851409049
(801) 581-2121
CAPLIN, DEIRDRE ANNE
Provider ID: 100000553553
LEVSTEK PHD
NPI: 1649436916
100 MARIO CAPECCHI DR
501 E CHIPETA WAY
(801) 662-1000
(801) 583-2500
Provider ID: 100000330630
Provider ID: 100000985028
NPI: 1649360231
NPI: 1649436916
UTAH (cont'd)
February 12, 2015
278
UTAH
SALT LAKE CITY
PSYCHOLOGY
CHEN, STEVEN JOHN PHD
136 S MAIN ST #409
(801) 718-1609
Provider ID: 100000245011
NPI: 1265636765
CLARK, CLAIRE H PHD
150 S 600 E #8B
(801) 359-6459
Provider ID: 100000090980
NPI: 1396850095
CLARK, ELAINE PHD
501 S CHIPETA WAY
(801) 587-6688
Provider ID: 100000620216
NPI: 1770612863
CLAUSON, JOSHUA G PSYD
699 E SOUTH TEMPLE #120
(801) 419-0401
Provider ID: 100000746088
NPI: 1255540977
CONNELLY, JULIA PHD
501 E CHIPETA WAY
(801) 412-2919
Provider ID: 100000314676
NPI: 1396915609
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620294
NPI: 1396915609
CONNOR, SUSAN PHD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000622314
NPI: 1588606503
COURTNEY JR, ROBERT J PHD
30 N 1900 E #1B620
(801) 581-6228
Provider ID: 100000093962
NPI: 1912048323
50 N MEDICAL DR
(801) 581-6228
Provider ID: 100000093962
NPI: 1912048323
UTAH
SALT LAKE CITY
PSYCHOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PSYCHOLOGY (cont'd)
CZAJKOWSKI, LAURA ANNE
PHD
375 E CHIPETA WAY #A200
(801) 581-2016
Provider ID: 100000084896
NPI: 1417047002
50 N MEDICAL DR
(801) 297-4891
Provider ID: 100000084896
NPI: 1417047002
DALRYMPLE, PAUL F PHD
1060 E 100 S #303
(801) 359-1113
Provider ID: 100000091022
NPI: 1174732218
DAVIES, MATTHEW V PHD
5383 S 900 E #290
(801) 263-3335
Provider ID: 100000089875
NPI: 1053409342
DAVIS, JEREMY J PHD
50 N MEDICAL DR
(801) 581-2267
Provider ID: 100000736335
NPI: 1922394220
DEMING, ANNIE M PHD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001166539
NPI: 1386945566
DERBRIDGE, CHRISTINA M
PHD
30 N 1900 E #1B620
(801) 581-6228
Provider ID: 100001104823
NPI: 1023423381
Mental Health Providers
Sorted by state, city, specialty, then name
DEVRIES, MELISSA L PHD
1850 S 2500 E
(888) 949-4864
Provider ID: 100001071453
NPI: 1306136353
230 S 500 E #100
(801) 532-1484
Provider ID: 100000714893
NPI: 1306136353
DEWITT, MARY J PHD
1104 E ASHTON AVE #108
(801) 510-4547
Provider ID: 100000728429
NPI: 1730149295
555 FOOTHILL DR #301
(801) 585-5382
Provider ID: 100000086365
NPI: 1730149295
DUFF, KEVIN M PHD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000506852
NPI: 1295720969
EARLE-BOYER, ELIZABETH A
PHD
1545 E 3300 S
(801) 478-2780
Provider ID: 100000094725
NPI: 1558351007
EASTVOLD, ANGELA D PHD
50 N MEDICAL DR
(801) 585-0262
Provider ID: 100000724065
NPI: 1659652717
ELDER, A KYLE PHD
6013 S REDWOOD RD
(801) 255-5131
Provider ID: 100000824058
NPI: 1881651115
ETRINGER, BRUCE DENNIS
PHD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000275688
NPI: 1013923655
279
UTAH
SALT LAKE CITY
PSYCHOLOGY
FORD, ARIEL C PHD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001101519
NPI: 1255757845
FORTENBERRY, KATHERINE T
PHD
1138 E WILMINGTON AVE
(801) 413-0250
Provider ID: 100000736344
NPI: 1982902185
555 FOOTHILL DR #301
(801) 585-5382
Provider ID: 100000736344
NPI: 1982902185
GAGE, CAROL F PHD
1399 S 700 E #15
(801) 487-2357
Provider ID: 100000087262
NPI: 1962479121
GARCIA, RYAN M PHD
1060 E 100 S #100
(801) 410-0888
Provider ID: 100000994336
NPI: 1609167899
525 E 100 S #120
(801) 483-2447
Provider ID: 100000701238
NPI: 1609167899
GARDNER, BEVERLY K PHD
1545 E 3300 S
(801) 478-2780
Provider ID: 100000086533
NPI: 1629058623
GARRETT, KELLY D PHD
525 E 100 S #120
(801) 483-2447
Provider ID: 100000563885
NPI: 1245251776
GILL, J D PHD
501 CHIPETA WAY #125B
(801) 587-3211
Provider ID: 100000090644
NPI: 1538230297
February 12, 2015
UTAH
SALT LAKE CITY
PSYCHOLOGY
Mental Health Providers
Sorted by state, city, specialty, then name
HARRIS, EMILY M PHD
4460 S HIGHLAND DR #100
(888) 949-4864
SALT LAKE CITY (cont'd)
Provider ID: 100000947837
NPI: 1578892501
PSYCHOLOGY (cont'd)
4460 S HIGHLAND DR #230
GILL, JOHN HAROLD PHD
(801) 273-6315
501 S CHIPETA WAY #1258
Provider ID: 100000947837
(801) 587-3212
NPI: 1578892501
Provider ID: 100000090721
5965 S 900 E #240
NPI: 1871683219
(888) 949-4864
GOLDSMITH, DENISE FITZ
Provider ID: 100000947837
PHD
NPI: 1578892501
5383 S 900 E #290
HATCH, MARGARET ASHLEY
(801) 263-3335
PHD
Provider ID: 100000085918
4190 S HIGHLAND DR #210
NPI: 1639263163
(801) 278-0069
GOLDSMITH, DOUGLAS F PHD
Provider ID: 100000092770
350 S 400 E
NPI: 1811078199
(801) 582-5534
HENRY, NANCY J PHD
Provider ID: 100000110909
30 N 1900 E #1B620
NPI: 1376570820
(801) 581-6228
GOLDSTEIN, SAM J PHD
Provider ID: 100000736367
230 S 500 E #100
NPI: 1558662452
(801) 532-1484
HILL, DIANE PHD
Provider ID: 100000084784
4505 S WASATCH BLVD #360
NPI: 1790745248
(801) 440-2430
GREGORY, KENT HARRY PHD
Provider ID: 100000091639
1545 E 3300 S
NPI: 1710045679
(801) 478-2780
HOLMES, BRITT F PSYD
Provider ID: 100000096266
501 S CHIPETA WAY
NPI: 1821015504
(801) 585-1575
HALLETT, CHRISTOPHER
Provider ID: 100000770485
BRENDAN PHD
NPI: 1467612689
525 E 100 S #120
HOUSTON, RYAN F PHD
(801) 483-2447
1208 E 3300 S
Provider ID: 100000246844
(801) 483-1600
NPI: 1134107881
Provider ID: 100000323898
HAMMERS, DUSTIN B PHD
NPI: 1811137318
50 N MEDICAL DR
HOYT, WENDY DAWN PHD
(801) 585-0262
1174 E GRAYSTONE WAY #8
Provider ID: 100000717830
(801) 910-5759
NPI: 1356593297
Provider ID: 100000299479
HANSEN, K GENE PHD
NPI: 1306066436
1545 E 3300 S
(801) 478-2780
Provider ID: 100000254530
NPI: 1760469555
UTAH (cont'd)
February 12, 2015
280
UTAH
SALT LAKE CITY
PSYCHOLOGY
JACOBS, JULIA W PSYD
231 E 400 S #340
(801) 363-1189
Provider ID: 100000856581
NPI: 1912274309
JACOBSON, BRUCE KENNETH
PHD
4190 S HIGHLAND DR #211
(801) 272-0614
Provider ID: 100000085764
NPI: 1417913575
JAMESON, PENNY BROOKE
PHD
1801 S 2600 E
(801) 350-0118
Provider ID: 100000093081
NPI: 1134125776
JENSEN, JENISE PHD
160 S 1000 E #330
(801) 355-0195
Provider ID: 100000862779
NPI: 1366534943
JOHNSON-JULIAN SR, ANNICE
MYNNETTE PHD
525 E 100 S #120
(801) 483-2447
Provider ID: 100000097099
NPI: 1639146764
KAHN, JAMES STEPHEN PHD
501 E CHIPETA WAY
(949) 852-3400
Provider ID: 100000084818
NPI: 1750458238
675 E 2100 S #250
(801) 484-3862
Provider ID: 100001141007
NPI: 1750458238
KELLEY, CARRIE L PHD
275 E SOUTH TEMPLE #101
(801) 999-0639
Provider ID: 100000349044
NPI: 1780737528
KING, KATHLEEN STROMAN
PHD
4190 S HIGHLAND DR #210
(801) 943-7897
Provider ID: 100000085730
NPI: 1598742231
UTAH
SALT LAKE CITY
PSYCHOLOGY
Mental Health Providers
Sorted by state, city, specialty, then name
MAHONEY, KAREN S PHD
150 S 600 E #1C
(801) 699-8151
SALT LAKE CITY (cont'd)
Provider ID: 100000543005
NPI: 1457673089
PSYCHOLOGY (cont'd)
MANSOUR, EMMA L PHD
KLEIN, NANCI CAROL PHD
525 E 100 S #120
505 E 200 S #303
(801) 483-2447
(801) 350-0116
Provider ID: 100001129683
Provider ID: 100000085781
NPI: 1043611486
NPI: 1699861997
MARKHAM, TY JUAN PHD
KOCHERHANS, JEFF CROFT
50 N MEDICAL DR
PHD
(801) 581-2121
1208 E 3300 S
Provider ID: 100000285815
(801) 483-1600
NPI: 1285799254
Provider ID: 100000089598
546 S CHIPETA WAY #230
NPI: 1700836996
(801) 581-2121
KOLES, MITCHELL R PHD
Provider ID: 100000085020
505 E 200 S #303
NPI: 1285799254
(801) 350-0121
MATHEWS, JULIA ANN PHD
Provider ID: 100000085114
2118 E 3900 S #100
NPI: 1942365630
(801) 277-7524
LEWIS JR, MORRIS N PHD
Provider ID: 100000087153
1116 S MERCEDES WAY
NPI: 1356390975
(801) 673-4841
44 MARIO CAPECCHI DR
Provider ID: 100000095065
(801) 584-8239
NPI: 1740274299
Provider ID: 100000087152
LIEBRODER, BARBARA
NPI: 1356390975
THOMAS PHD
MCCOWIN, STEVEN E PHD
3970 S 700 E #12
4568 S HIGHLAND DR #100
(801) 263-0800
(801) 350-1305
Provider ID: 100000090550
Provider ID: 100001158183
NPI: 1144206707
NPI: 1861765554
LLEWELYN, RON J PSYD
MEJIA, JUAN A PHD
1208 E 3300 S
529 N CORTEZ ST
(801) 483-1600
(801) 328-4500
Provider ID: 100001153877
Provider ID: 100000089545
NPI: 1801838602
NPI: 1831150374
LOMBARDI, WENDY JOY PHD MERIDETH, RICHARD I PHD
50 N MEDICAL DR
501 S CHIPETA WAY
(801) 585-0262
(801) 585-1575
Provider ID: 100000085061
Provider ID: 100001120028
NPI: 1114017720
NPI: 1932230224
MACKENZIE, JUSTIN J PHD
MILES, MARGO ELLEN PHD
30 N 1900 E #1B620
150 S 600 E #10D
(801) 581-6228
(801) 328-9204
Provider ID: 100000911379
Provider ID: 100000093729
NPI: 1205172392
NPI: 1326190158
UTAH (cont'd)
281
UTAH
SALT LAKE CITY
PSYCHOLOGY
MOORE, ANNE M PHD
30 N 1900 E #1B620
(801) 581-6228
Provider ID: 100000260789
NPI: 1881735298
50 N MEDICAL DR
(801) 581-6228
Provider ID: 100000260789
NPI: 1881735298
MORGAN, TIFFANI D PSYD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001107056
NPI: 1437308681
MORRIS, MARGARET WILSON
PHD
150 S 600 E #1C
(801) 386-2991
Provider ID: 100000267557
NPI: 1467423798
MORRIS, STEPHEN B PHD
3167 E LOUISE AVE
(801) 485-2362
Provider ID: 100000091408
NPI: 1407896756
MORRISON, ANTHONY CARL
PHD
525 E 100 S #120
(801) 483-2447
Provider ID: 100000087241
NPI: 1245299056
MOWER, RICHARD KING PHD
336 E 900 S
(801) 292-6101
Provider ID: 100000091642
NPI: 1831174515
MUSSO, ALISON JANE PHD
1545 E 3300 S
(801) 478-2780
Provider ID: 100000097180
NPI: 1346230802
845 E 4800 S #200
(801) 264-9522
Provider ID: 100000097181
NPI: 1346230802
February 12, 2015
UTAH
SALT LAKE CITY
PSYCHOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PSYCHOLOGY (cont'd)
NELSON, JANICE D PHD
2319 S FOOTHILL DR #275
(801) 466-8123
Provider ID: 100000086946
NPI: 1942391925
NGU, LE Q PHD
525 E 100 S #120
(801) 483-2447
Provider ID: 100000554505
NPI: 1245456797
NILSSON, DAVID E PHD
2150 S 1300 E #500
(801) 532-1475
Provider ID: 100000091176
NPI: 1326008053
NOSANCHUK, MELVIN F PHD
1646 E KENSINGTON AVE
(801) 467-4875
Provider ID: 100000086059
NPI: 1265467831
NOYES, BRIGG B PHD
160 S 1000 E #310
(801) 716-7003
Provider ID: 100000345334
NPI: 1083842488
NOYES, LINNEA SMITH PHD
204 N CANYON RD
(801) 364-8894
Provider ID: 100000095362
NPI: 1528285186
OKIFUJI, AKIKO PHD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000095639
NPI: 1386723856
546 S CHIPETA WAY #220
(801) 581-6393
Provider ID: 100000095638
NPI: 1386723856
February 12, 2015
Mental Health Providers
Sorted by state, city, specialty, then name
OLSON, CHRISANA B PHD
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000280919
NPI: 1013115724
OSTER, RANDAL ALLEN PHD
2040 E MURRAY HOLLADAY RD
#211
(801) 272-5083
Provider ID: 100000087313
NPI: 1184650467
PARSONS, ALISON P PHD
2040 E MURRAY HOLLADAY RD
#222
(801) 803-1091
Provider ID: 100000266398
NPI: 1841375680
POULSEN, BRUCE CRAIG PHD
1399 S 700 E #11
(801) 910-0153
Provider ID: 100000511875
NPI: 1376669085
POULTON, JAMES L PHD
850 E 300 S #10
(801) 350-0117
Provider ID: 100000091622
NPI: 1710028378
POWERS, CHRISTOPHER J
PHD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001124070
NPI: 1801186994
PRAMANN JR, ROBERT
FREDERICK PHD
525 E 4500 S #F125
(801) 268-1564
Provider ID: 100000252072
NPI: 1487622908
PRICE, LINDA MARGARET
PHD
2118 E 3900 S #100
(801) 277-3620
Provider ID: 100000086254
NPI: 1497753057
282
UTAH
SALT LAKE CITY
PSYCHOLOGY
RAKKE, BETH KATHLEEN PHD
1545 E 3300 S
(801) 478-2780
Provider ID: 100000093944
NPI: 1285624734
RANKS, DAVID M PHD
925 E 900 S
(801) 808-1971
Provider ID: 100000244146
NPI: 1851314082
RAVARINO, JONATHAN M PHD
201 S 1460 E RM 426
(801) 918-5275
Provider ID: 100000598829
NPI: 1881926269
REILLY, DEANNA LYNN PHD
501 E CHIPETA WAY
(801) 587-3230
Provider ID: 100000095729
NPI: 1649249731
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620189
NPI: 1649249731
REYES, CARLA JEAN PHD
4568 S HIGHLAND DR #100
(801) 232-5363
Provider ID: 100000086990
NPI: 1588829634
RICH, MARTINA RENEE PHD
30 N 1900 E #1B620
(801) 581-6228
Provider ID: 100000260800
NPI: 1053452672
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000285823
NPI: 1053452672
RICHARDS, R LYNN L PHD
501 S CHIPETA WAY #1250
(801) 587-3215
Provider ID: 100000089541
NPI: 1053408682
ROBINSON, KRISTIN E PHD
3725 W 4100 S
(801) 965-3600
Provider ID: 100001026560
NPI: 1104804194
UTAH
SALT LAKE CITY
PSYCHOLOGY
Mental Health Providers
Sorted by state, city, specialty, then name
SCHNEIMAN, RICHARD SAUL
PHD
5635 S WATERBURY WAY #C202
SALT LAKE CITY (cont'd)
(801) 278-0200
Provider ID: 100000084630
PSYCHOLOGY (cont'd)
NPI: 1427128461
ROBISON, JENNIFER
SCHREINER, MICHAEL A PHD
FORDHAM PHD
1414 E 4500 S #4
501 S CHIPETA WAY #1250
(801) 424-1311
(801) 587-3214
Provider ID: 100000086073
Provider ID: 100000088316
NPI: 1518015965
NPI: 1932329554
SHEPPARD, STEPHEN RAY
ROSS, STEVEN MATTHEW PHD PHD
50 N MEDICAL DR
30 N 1900 E #1B620
(801) 581-7951
(801) 581-6228
Provider ID: 100000084708
Provider ID: 100000260794
NPI: 1063592962
NPI: 1831230259
501 S CHIPETA WAY
50 N MEDICAL DR
(801) 585-1575
(801) 581-6228
Provider ID: 100000622588
Provider ID: 100000096036
NPI: 1063592962
NPI: 1831230259
ROTH, NATALIE HEERSINK
SHULIMSON, AHARON DAVID
PHD
PHD
44 MARIO CAPECCHI DR
1111 E BRICKYARD RD #205
(801) 584-8239
(801) 467-4210
Provider ID: 100000099410
Provider ID: 100000084959
NPI: 1699727164
NPI: 1255496931
SANDOR, COLLEEN MARIE
SMITH, ALLISON M PHD
PHD
501 S CHIPETA WAY
124 S 400 E #300
(801) 585-1575
(801) 891-8627
Provider ID: 100000991141
Provider ID: 100000084972
NPI: 1134566904
NPI: 1750597712
SMITH, JULIEN TERESA PHD
SCHENKENBERG, THOMAS
231 E 400 S #340
PHD
(801) 363-1189
50 N MEDICAL DR
Provider ID: 100000856579
(801) 585-0262
NPI: 1326069022
Provider ID: 100000086765
SPEER, LESLIE A PHD
NPI: 1811087430
650 S KOMAS DR #208
729 S ARAPEEN DR
(801) 585-1212
(801) 585-6387
Provider ID: 100000335854
Provider ID: 100000086765
NPI: 1659526804
NPI: 1811087430
STERNBERG, DANIEL PAUL
PHD
150 S 600 E #4C
(801) 364-2779
Provider ID: 100000084974
NPI: 1215900915
UTAH (cont'd)
283
UTAH
SALT LAKE CITY
PSYCHOLOGY
STOECKEL, AMANDA H PHD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001120043
NPI: 1194132423
STRATTON, PAUL M PHD
455 E 200 S #110
(801) 450-1128
Provider ID: 100000357097
NPI: 1730122318
535 E 4500 S #D280
(801) 853-8744
Provider ID: 100001172327
NPI: 1730122318
SUGERMAN, LISA M PHD
10 W BROADWAY #820
(801) 716-4284
Provider ID: 100000606386
NPI: 1619287208
SZYKULA, STEVEN A PHD
1208 E 3300 S
(801) 483-1600
Provider ID: 100000084749
NPI: 1942224829
TATTI, ANNE F PSYD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001101579
NPI: 1164847109
THOMAS JR, ROBERT JAY PHD
675 E 2100 S #250
(801) 867-8550
Provider ID: 100000093059
NPI: 1215011408
THORNHILL, DEBORAH
DENISE PHD
715 E 3900 S #202
(801) 261-5141
Provider ID: 100000086767
NPI: 1013975853
TYLER, ANN H PHD
4505 S WASATCH BLVD #380
(801) 277-7543
Provider ID: 100000087663
NPI: 1013928415
February 12, 2015
UTAH
SALT LAKE CITY
PSYCHOLOGY
UTAH (cont'd)
SALT LAKE CITY (cont'd)
PSYCHOLOGY (cont'd)
VOIGT, STEPHANIE E PSYD
1545 E 3300 S
(801) 478-2780
Provider ID: 100001106541
NPI: 1861837494
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100001100795
NPI: 1861837494
WADDELL, KATHRYN J PHD
525 E 100 S #120
(801) 483-2447
Provider ID: 100000684468
NPI: 1891833257
WAHI, SHALINI PHD
650 S KOMAS DR #208
(801) 587-3102
Provider ID: 100000102038
NPI: 1942308036
WARBURTON, JANET
RAMPTON PHD
675 E 2100 S #250
(801) 484-6149
Provider ID: 100000090845
NPI: 1659446078
WEEKS, AMANDA MILLER
PHD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000684096
NPI: 1295791234
WEHL, CHRIS K PHD
505 E 200 S #303
(801) 350-3503
Provider ID: 100000092809
NPI: 1184619561
February 12, 2015
Mental Health Providers
Sorted by state, city, specialty, then name
UTAH
SANDY
BEHAVIORAL - SOCIAL WORK SERVICES
WOOLLEY, MATTHEW M PHD
501 S CHIPETA WAY
(801) 585-1575
Provider ID: 100000620499
NPI: 1871691956
650 S KOMAS DR #208
(801) 585-1212
Provider ID: 100000101144
NPI: 1871691956
YELSA, ERIC ALLEN PHD
1545 E 3300 S
(801) 842-3156
Provider ID: 100000092861
NPI: 1093775298
50 N MEDICAL DR
(801) 581-2121
Provider ID: 100000524123
NPI: 1093775298
BOOTH, ALISON L LCSW
833 E 9400 S
(801) 566-2556
Provider ID: 100000114700
NPI: 1447297254
DECKER, DANIEL C LCSW
833 E 9400 S
(801) 566-2556
Provider ID: 100000709359
NPI: 1528353703
DUSOE, MICHAEL E LCSW
8465 S 700 E
(801) 233-8577
Provider ID: 100000084686
NPI: 1477664670
ELLIOTT, LOUISE D LCSW
833 E 9400 S
(801) 566-2556
Provider ID: 100000241724
SANDY
NPI: 1457544280
BEHAVIORAL - SOCIAL
GRANT, RYAN K LCSW
WORK SERVICES
11075 S STATE ST #3
(801) 942-2729
AUNE, CYNTHIA HARRIS
Provider ID: 100000808424
LCSW
NPI: 1750352225
9980 S 300 W #200
GREEN,
JOLENE M LCSW
(801) 523-6344
8160
S
HIGHLAND
DR #206
Provider ID: 100000095304
(801)
943-6582
NPI: 1992886238
Provider ID: 100000092209
BERRIO, JESSICA A LCSW
NPI: 1942352695
833 E 9400 S
HAMILTON, RYAN W LCSW
(801) 566-2556
11075 S STATE ST #14
Provider ID: 100000857754
(801) 676-8796
NPI: 1548475353
Provider ID: 100000520580
BEYERS, PERRIANN PARKS
NPI: 1295065712
LCSW
HANSEN,
CHERYL LCSW
9192 S 300 W #19
833
E
9400
S
(801) 558-7054
(801)
566-2556
Provider ID: 100000098729
Provider ID: 100000605754
NPI: 1629005665
NPI: 1881995082
BIESINGER, ANGELA L LCSW
HANSON, NANCY C LCSW
833 E 9400 S
8160 S HIGHLAND DR #204
(801) 566-2556
(801) 942-4444
Provider ID: 100000114697
Provider ID: 100000086788
NPI: 1427098334
NPI: 1992758767
284
Mental Health Providers
UTAH
Sorted by state, city, specialty, then name
SANDY
BEHAVIORAL - SOCIAL WORK SERVICES
RESCHKE, GAYLE A LCSW
833 E 9400 S
(801) 566-2556
SANDY (cont'd)
Provider ID: 100001108252
NPI: 1679851778
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
SANDERS, ASHLEY A LCSW
833 E 9400 S
JARMAN, MARY LCSW
(801) 566-2556
11075 S STATE ST #30
Provider ID: 100000114727
(801) 671-1020
NPI: 1922069244
Provider ID: 100000566869
SHERMAN, KEVIN C LCSW
NPI: 1881648574
833 E 9400 S
LAMBSON, MELISSA B LCSW
(801) 566-2556
9140 S STATE ST #101
Provider ID: 100000311532
(801) 867-1041
NPI: 1730307042
Provider ID: 100000769365
SORENSON,
STEVEN OSCAR
NPI: 1831414036
LCSW
LARSEN, JOANN LCSW
9035 S 700 E #206
833 E 9400 S
(801) 518-2308
(801) 566-2556
Provider ID: 100000318688
Provider ID: 100000296211
NPI: 1588759450
NPI: 1972755940
STEED, GREGORY KENT LCSW
LAYTON, CHRISTINE LCSW
833 E 9400 S
833 E 9400 S
(801) 566-2556
(801) 566-2556
Provider ID: 100000273116
Provider ID: 100000285478
NPI: 1750328191
NPI: 1497705875
STINSON, SHERILYN CLARKE
LEWIS, JAMES BAKER LCSW LCSW
9035 S 700 E #200
833 E 9400 S
(801) 673-1447
(801) 566-2556
Provider ID: 100000090657
Provider ID: 100000526104
NPI: 1720203995
NPI: 1013962448
MIDGLEY, LYDIA L LCSW
THOMSEN, JEANA K LCSW
11075 S STATE ST #30
9035 S 1300 E #B120
(801) 755-5531
(801) 341-2001
Provider ID: 100000797895
Provider ID: 100000878678
NPI: 1730382847
NPI: 1871887901
MITCHELL, DORANN C LCSW WRIGLEY, CARRIE MAXWELL
11075 S STATE ST #30
LCSW
(801) 518-3497
9055 S 1300 E #24
Provider ID: 100000784953
(801) 676-3142
NPI: 1801819677
Provider ID: 100000343078
NIELSEN, KERRI W LCSW
NPI: 1336189240
833 E 9400 S
(801) 566-2556
Provider ID: 100000708510
NPI: 1992097414
UTAH (cont'd)
285
UTAH
SANDY
PSYCHOLOGY
PEDIATRIC PSYCHIATRY
YAU, JOSEPH KWOKFAI MD
2215 E HIGH RIDGE LN
(801) 619-9796
Provider ID: 100000093097
NPI: 1639156649
PSYCHIATRY
MEASOM, MICHAEL OWEN
MD
8465 S 700 E
(801) 233-8577
Provider ID: 100000095243
NPI: 1861479701
PSYCHOLOGY
CLOYD JR, JAMES H PHD
11333 S 1000 E #102
(801) 462-2205
Provider ID: 100000604535
NPI: 1750450953
GALE, JENNIFER SANTOSUSSO
PHD
9678 S 700 E #102
(801) 576-6444
Provider ID: 100000324655
NPI: 1942473517
PRAMANN JR, ROBERT
FREDERICK PHD
8575 S 700 E
(801) 268-1564
Provider ID: 100000252072
NPI: 1487622908
RICHARDS, STANLEY E PHD
833 E 9400 S
(801) 566-2556
Provider ID: 100000088378
NPI: 1205876133
RODGERS, KENNETH C PHD
8160 S HIGHLAND DR #102
(801) 943-3319
Provider ID: 100000090784
NPI: 1134306558
February 12, 2015
UTAH
SANDY
PSYCHOLOGY
Mental Health Providers
Sorted by state, city, specialty, then name
UTAH
SOUTH OGDEN
BEHAVIORAL - SOCIAL WORK SERVICES
BERRIO, JESSICA A LCSW
10421 S JORDAN GTWY #600
(801) 669-6104
SANDY (cont'd)
Provider ID: 100001121625
NPI: 1548475353
PSYCHOLOGY (cont'd)
BROWN, LAURA P LCSW
SHEFFIELD, JEFFREY C PHD 881 W BAXTER DR
11075 S STATE ST #28
(801) 835-4564
(801) 501-8444
Provider ID: 100000789067
Provider ID: 100000262413
NPI: 1144469727
NPI: 1851352595
DALANHESE, ROSELENE S
LCSW
SOUTH JORDAN
1206 W SOUTH JORDAN PKWY
BEHAVIORAL - COUNSELING #D
(801) 302-3801
MCCARTER, WENDY J CMHC
Provider ID: 100000359227
1206 W SOUTH JORDAN PKWY
NPI: 1821187246
#D
(801) 302-3801
JOHNSON, JAMES G LCSW
Provider ID: 100001129579
873 W BAXTER DR
NPI: 1568782597
(801) 657-0163
Provider ID: 100000800764
BEHAVIORAL - MENTAL
NPI: 1336317650
HEALTH SERVICES
KASTNER, WILLIAM R LCSW
BAILEY, ELLOIS W APRN 
1206 W SOUTH JORDAN PKWY
1091 W SOUTH JORDAN PKWY #D
#500
(801) 302-3801
(801) 213-9800
Provider ID: 100000947396
Provider ID: 100000824405
NPI: 1982906616
NPI: 1639432461
873 W BAXTER DR
(801) 657-0163
BEHAVIORAL - SOCIAL
Provider ID: 100000863992
WORK SERVICES
NPI: 1982906616
ALLRED, DEBORAH D LCSW METCALF, JANET B LCSW
1206 W SOUTH JORDAN PKWY 10421 S JORDAN GTWY #600
#D
(801) 661-1264
(801) 302-3801
Provider ID: 100000525235
Provider ID: 100001165686
NPI: 1063436228
NPI: 1780007641
RILEY JR, FREDERICK R LCSW
ANDRUS, MARLIN V LCSW
873 W BAXTER DR
1196 W SOUTH JORDAN PKWY
(801) 657-0163
#A3
Provider ID: 100000334092
(801) 253-3169
NPI: 1457572570
Provider ID: 100000097273
ROSS,
ERICA LCSW
NPI: 1215085691
1206 W SOUTH JORDAN PKWY
#D
(801) 302-3801
Provider ID: 100001165868
NPI: 1750601365
UTAH (cont'd)
February 12, 2015
286
SMITH JR, VEON G LCSW
9528 S CALEDONIA CIR
(801) 282-1374
Provider ID: 100000090841
NPI: 1093745184
SUPIANO, KATHERINE P LCSW
5126 W DAYBREAK PKWY
(801) 213-3900
Provider ID: 100000248010
NPI: 1548321763
WEBER, DAVID O LCSW
2337 W PHEASANT BEND CIR
(801) 253-0770
Provider ID: 100000086406
NPI: 1093154304
9910 S REDWOOD RD
(801) 253-0770
Provider ID: 100000736264
NPI: 1093154304
PSYCHOLOGY
OSTER, RANDAL ALLEN PHD
11175 S REDWOOD RD
(801) 484-9911
Provider ID: 100000087311
NPI: 1184650467
THOMPSON, FRANCES L PSYD
10808 S RIVER FRONT PKWY #314
(801) 984-2877
Provider ID: 100000747557
NPI: 1700073624
SOUTH OGDEN
BEHAVIORAL - SOCIAL
WORK SERVICES
CAZIER, JANET LCSW
1464 E RIDGELINE DR #101
(801) 391-8141
Provider ID: 100000684088
NPI: 1174697080
This provider is not accepting
new patients at this time
Mental Health Providers
UTAH
Sorted by state, city, specialty, then name
SPANISH FORK
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
SPANISH FORK
BEHAVIORAL - SOCIAL
WORK SERVICES
SMART, JILL S LCSW
31 E 1600 N
(801) 358-4082
Provider ID: 100000111847
NPI: 1245436179
SPRINGVILLE
BEHAVIORAL - SOCIAL
WORK SERVICES
COTTLE, SHARON E LCSW
1672 W 700 S #D
(801) 489-9721
Provider ID: 100000278161
NPI: 1801971759
DAVIS, SYLVIA RIOS LCSW
14 N MAIN ST
(801) 489-0124
Provider ID: 100000092460
NPI: 1609887215
HUGHES, LISA B LCSW
14 N MAIN ST
(801) 489-0124
Provider ID: 100000098565
NPI: 1730237249
LITTLE, TAMARA A LCSW
330 E 400 S #1
(801) 592-0885
Provider ID: 100000311528
NPI: 1639348576
PSYCHIATRY
ANDERSEN, JASON L DO
376 E 400 S
(801) 465-4896
Provider ID: 100000738166
NPI: 1932293727
PSYCHOLOGY
BIESINGER, RICK T PHD
1220 N MAIN ST #4
(801) 804-1028
Provider ID: 100000292234
NPI: 1659554566
JACKSON, AARON PAUL PHD
14 N MAIN ST
(801) 422-8031
Provider ID: 100000090039
NPI: 1336237502
THORN, KIRK BERNELL PHD
376 E 400 S #1
(801) 676-0333
Provider ID: 100000089282
NPI: 1568478741
UTAH
TAYLORSVILLE
PSYCHOLOGY
PSYCHOLOGY
ROWDEN, TRAMPAS J PHD
780 S 2000 W #A102
(801) 425-1970
Provider ID: 100000761566
NPI: 1275805509
TAYLORSVILLE
BEHAVIORAL - MENTAL
HEALTH SERVICES
WEBB, SARA M APRN
5667 S REDWOOD RD UNIT 5B
(801) 718-9322
Provider ID: 100001168261
NPI: 1760891634
BEHAVIORAL - SOCIAL
WORK SERVICES
BEHAVIORAL - SOCIAL
FLOREZ, MONICA E LCSW
5689 S REDWOOD RD UNIT 27A
WORK SERVICES
(801) 266-2485
ANSON, MARC L LCSW
Provider ID: 100001155763
1141 W 3090 S
NPI: 1548561418
(385) 439-1926
JOHNSON,
JANIS ORTON
Provider ID: 100000866074
LCSW
NPI: 1144486895
FITZGERALD, NANETTE LCSW 2520 W 4700 S #2A
(801) 830-8911
780 S 2000 W #A102
Provider ID: 100000309846
(801) 425-1970
NPI: 1902913817
Provider ID: 100000864428
MADISON, CATHE L LCSW
NPI: 1518218023
5691 S REDWOOD RD UNIT 15
NEWBERRY, DIANA L LCSW
(801) 281-4084
1747 HERITAGE LN #B103
Provider ID: 100000507251
(801) 525-6975
NPI: 1245207331
Provider ID: 100000281983
YOUNGSTROM,
GLEN L LCSW
NPI: 1629049218
2880
W
4700
S
#G1
POTTER, KIRBY IAN LCSW
(801) 990-4300
1747 HERITAGE LN #B103
Provider ID: 100001113699
(801) 525-6975
NPI: 1851690986
Provider ID: 100000087005
NPI: 1275746950
PSYCHOLOGY
SAUNDERS, ALAN T LCSW
ANSON, DAVID ALAN PHD
780 S 2000 W #A102
5691 S REDWOOD RD UNIT 16
(801) 425-1970
(801) 265-3895
Provider ID: 100000521723
Provider ID: 100000782420
NPI: 1750617429
NPI: 1992776223
SYRACUSE
287
February 12, 2015
UTAH
TAYLORSVILLE
PSYCHOLOGY
UTAH (cont'd)
TAYLORSVILLE (cont'd)
PSYCHOLOGY (cont'd)
DODGION, DAVID A PHD
5691 S REDWOOD RD UNIT 15
(801) 281-4084
Provider ID: 100000086720
NPI: 1538137328
HARRIS, TED ALLEN PHD
5691 S REDWOOD RD UNIT 16
(801) 265-3895
Provider ID: 100000087879
NPI: 1033186382
MALM, KAREN WHEELOCK
PHD
5689 S REDWOOD RD UNIT 27A
(801) 266-2485
Provider ID: 100000084933
NPI: 1235108812
WEST JORDAN
BEHAVIORAL - ADDICTION
MEDICINE
COOK, PAULA J MD
2751 W 9000 S
(801) 965-3600
Provider ID: 100001152125
NPI: 1922209386
3181 W 9000 S
(801) 569-5600
Provider ID: 100001152130
NPI: 1922209386
BEHAVIORAL - MENTAL
HEALTH SERVICES
LEMMON, KRISTIE A APRN
9235 S REDWOOD RD #A
(801) 568-2898
Provider ID: 100000274903
NPI: 1306817457
February 12, 2015
Mental Health Providers
Sorted by state, city, specialty, then name
UTAH
WEST JORDAN
BEHAVIORAL - SOCIAL WORK SERVICES
ROBBINS, ZOE A APRN
3590 W 9000 S #120
(801) 352-8373
Provider ID: 100001102246
NPI: 1134321508
3590 W 9000 S #240
(801) 352-8373
Provider ID: 100001102246
NPI: 1134321508
STANHOPE, HELEN L APRN
1575 W 7000 S #A
(801) 486-8283
Provider ID: 100000109411
NPI: 1629003900
LIEU, NANCY LCSW
3590 W 9000 S #120
(801) 352-8373
Provider ID: 100000963141
NPI: 1205124021
LUNA, JANETTE M LCSW
7601 S REDWOOD RD BLDG E
(801) 233-8670
Provider ID: 100000750490
NPI: 1427223601
MORGAN, SPENCER GILES
LCSW
9263 S REDWOOD RD #B
(801) 566-0749
Provider ID: 100000089195
BEHAVIORAL - SOCIAL
NPI: 1023058096
WORK SERVICES
NGUON-LE, PHUONG N LCSW
BOWMAN, DEBRA L LCSW
3590 W 9000 S #120
9263 S REDWOOD RD #B
(801) 352-8373
(801) 566-0749
Provider ID: 100000972525
Provider ID: 100000691439
NPI: 1831169341
NPI: 1992814164
3590 W 9000 S #240
CURRY, SHAUNTELE E LCSW
(801) 352-8373
9263 S REDWOOD RD #B
Provider ID: 100000972525
(801) 566-0749
NPI: 1831169341
Provider ID: 100000597348
NYLUND JENSON, NATALIE L
NPI: 1528088986
LCSW
DAHL, STEVEN A LCSW
7601 S REDWOOD RD BLDG E
8541 S REDWOOD RD #C
(801) 233-8670
(801) 878-4220
Provider ID: 100000571088
Provider ID: 100001038464
NPI: 1437478534
NPI: 1972650315
OWEN, BETTY J LCSW
FORSYTHE, KIM A LCSW
9263 S REDWOOD RD #B
9263 S REDWOOD RD #B
(801) 566-0749
(801) 566-0749
Provider ID: 100000098045
Provider ID: 100000329723
NPI: 1295877512
NPI: 1417199175
PETERSON, J MICHELLE M
GOLDSTEIN, MARVIN LCSW LCSW
7601 S REDWOOD RD BLDG E
9263 S REDWOOD RD #B
(801) 233-8670
(801) 566-0749
Provider ID: 100000706747
Provider ID: 100000568718
NPI: 1386621910
NPI: 1801122411
JOHNSON, TOD A LCSW
SCHREYER, FAY M LCSW
9263 S REDWOOD RD #B
9263 S REDWOOD RD #B
(801) 566-0749
(801) 566-0749
Provider ID: 100000107792
Provider ID: 100000315576
NPI: 1629089180
NPI: 1831339845
288
UTAH
WEST JORDAN
PSYCHIATRY
Mental Health Providers
Sorted by state, city, specialty, then name
UTAH
WEST VALLEY CITY
BEHAVIORAL - SOCIAL WORK SERVICES
HEDIN, KERRY CHARLES
LCSW
5698 W GLEN EAGLE DR
BEHAVIORAL - SOCIAL
WEST JORDAN (cont'd)
(801) 969-4181
WORK SERVICES
Provider ID: 100000099760
PSYCHIATRY
BRIGHT, JEFFREY C LCSW
NPI: 1700831583
638 N 2400 W
HEJAZI, JAMAL SEYED MD
HENNESSY,
REBECCA M LCSW
(801) 900-3004
7601 S REDWOOD RD BLDG E
5698
W
GLEN
EAGLE DR
Provider ID: 100000590128
(801) 233-8670
(801)
969-4181
NPI: 1275869745
Provider ID: 100000686998
Provider ID: 100000795075
NPI: 1558332437
NPI: 1043497431
WEST VALLEY CITY
REID, THOMAS MICHAEL MD
HESS, LEEANNE M LCSW
7601 S REDWOOD RD BLDG E
BEHAVIORAL - ADDICTION 3725 W 4100 S
(801) 233-8670
MEDICINE
(801) 483-1600
Provider ID: 100001166150
Provider ID: 100000861671
COOK, PAULA J MD
NPI: 1053381194
NPI: 1477805372
3725 W 4100 S
(801) 965-3600
JUDD, JEFFREY S LCSW
PSYCHOLOGY
Provider ID: 100001152126
5698 W GLEN EAGLE DR
BURNHAM, T LEE PHD
NPI:
1922209386
(801) 969-4181
9263 S REDWOOD RD #B
Provider ID: 100000283306
(801) 566-0749
BEHAVIORAL - SOCIAL
NPI: 1801043047
Provider ID: 100000248649
WORK SERVICES
KARREN, STEWART LLOYD
NPI: 1356303218
BUTCHER, ANDREW LCSW
LCSW
CLOYD JR, JAMES H PHD
5698 W GLEN EAGLE DR
5698 W GLEN EAGLE DR
3570 W 9000 S #200
(801) 969-4181
(801) 969-4181
(801) 833-6569
Provider ID: 100000283294
Provider ID: 100000099759
Provider ID: 100000113260
NPI: 1285843417
NPI: 1366549271
NPI: 1750450953
CAPRAI-FINDLAY, PAULETTE LIEU, NANCY LCSW
MACNAMARA, SUSAN
LCSW
4052 W PIONEER PKWY #105
ELIZABETH PHD
3940 W 4100 S
(801) 964-3111
9263 S REDWOOD RD #B
(801) 966-3700
Provider ID: 100000963141
(801) 566-0749
Provider ID: 100000092132
NPI: 1205124021
Provider ID: 100000317321
NPI: 1174639231
MOLENI, FISI M LCSW
NPI: 1437390473
DAVIS, DEBORAH A LCSW
5698 W GLEN EAGLE DR
NGU, LE Q PHD
5698 W GLEN EAGLE DR
(801) 969-4181
1575 W 7000 S
(801) 969-4181
Provider ID: 100000115759
(801) 875-2128
Provider ID: 100000243545
NPI: 1588622336
Provider ID: 100000690095
NPI: 1851362529
NGUON-LE,
PHUONG N LCSW
NPI: 1245456797
ENNISS, TIMOTHY S LCSW
4052
W
PIONEER
PKWY #109
RYAN, RANDY L PHD
3725 W 4100 S
(801)
912-8230
8823 S REDWOOD RD #B
(801) 483-1600
Provider ID: 100000972525
(801) 913-0098
Provider ID: 100000243953
NPI: 1831169341
Provider ID: 100000521168
NPI: 1750487864
OCKEY, DAVID M LCSW
NPI: 1578893129
3148 S 1100 W
(888) 949-4864
Provider ID: 100001131994
NPI: 1376835793
UTAH (cont'd)
WEST POINT
289
February 12, 2015
Mental Health Providers
UTAH
Sorted by state, city, specialty, then name
WEST VALLEY CITY
BEHAVIORAL - SOCIAL WORK SERVICES
UTAH (cont'd)
WEST VALLEY CITY (cont'd)
BEHAVIORAL - SOCIAL
WORK SERVICES (cont'd)
PAREDES, ROCIO F LCSW
3441 S DECKER LAKE DR #108
(801) 554-2554
Provider ID: 100000894392
NPI: 1265681860
PRENTICE, MOLLY K LCSW
3725 W 4100 S
(801) 483-1600
Provider ID: 100000338914
NPI: 1396970786
ROTHSETIN, SARAH LCSW
4052 W PIONEER PKWY #105
(801) 964-3111
Provider ID: 100001164899
NPI: 1881938439
UCKERMAN, CLIFTON R LCSW
3148 S 1100 W
(888) 949-4864
Provider ID: 100001129849
NPI: 1528362852
WEBB, JACKIE ROPER LCSW
5698 W GLEN EAGLE DR
(801) 969-4181
Provider ID: 100000283283
NPI: 1013968494
WILDER, MARY J LCSW
5698 W GLEN EAGLE DR
(801) 969-4181
Provider ID: 100000117238
NPI: 1073547121
ZIMMERMAN, LORNA LCSW
5698 W GLEN EAGLE DR
(801) 969-4181
Provider ID: 100000099758
NPI: 1003929431
February 12, 2015
PSYCHIATRIC HOSPITAL
JORDAN VALLEY MEDICAL
CENTER
DBA JORDAN VALLEY MEDICAL
CTR - WEST VALLEY CAMPUS
3460 S PIONEER PKWY
(801) 964-3100
Provider ID: 100000728186
NPI: 1396036695
PSYCHIATRY
JOHNSON, GLEN ERIC MD
3940 W 4100 S
(801) 966-3700
Provider ID: 100000086097
NPI: 1326157298
LINES, ROBIN E MD
4052 W PIONEER PKWY #105
(801) 964-3111
Provider ID: 100001172872
NPI: 1912169434
PSYCHOLOGY
RISHE, HARVEY LAWRENCE
PHD
3940 W 4100 S
(801) 966-3700
Provider ID: 100000092641
NPI: 1396762118
290
UTAH
WEST VALLEY CITY
PSYCHOLOGY
UTAH
BOUNTIFUL
LAKEVIEW HOSPITAL
Hospitals
Sorted by state, city, then name
UTAH
WEST VALLEY CITY
JORDAN VALLEY MEDICAL CENTER
UTAH
SALT LAKE CITY
HUNTSMAN CANCER
BOUNTIFUL
HOSPITAL
LAKEVIEW HOSPITAL
1950 CIRCLE OF HOPE DR
630 MEDICAL DR
(801) 581-2121
(801) 299-2112
Provider ID: 100000155929
Provider ID: 100000155331
NPI: 1588656870
NPI: 1528010451
SALT LAKE REGIONAL
MEDICAL CENTER
DRAPER
1050 E SOUTH TEMPLE
LONE PEAK HOSPITAL
(801) 350-4111
11925 S STATE ST
Provider ID: 100000155610
(801) 545-8000
NPI: 1417988833
Provider ID: 100000960376
ST
MARKS HOSPITAL
NPI: 1770821571
DBA COLUMBIA ST MARKS
1200 E 3900 S
LAYTON
(801) 268-7111
DAVIS HOSPITAL & MEDICAL
Provider ID: 100000000423
CTR
NPI: 1164469243
1600 W ANTELOPE DR
UNIVERSITY HOSPITAL
(801) 807-1000
50 N MEDICAL DR
Provider ID: 100000154987
(801) 581-2121
NPI: 1548205818
Provider ID: 100000155929
OGDEN
NPI: 1588656870
UNIVERSITY
OF UTAH ORTHO
OGDEN REGIONAL MEDICAL
CTR
CENTER
590 S WAKARA WAY
5475 S 500 E
(801) 581-2121
(801) 479-2111
Provider ID: 100000155929
Provider ID: 100000155031
NPI: 1588656870
NPI: 1720031636
OREM
TIMPANOGOS REGIONAL
HOSPITAL
750 W 800 N
(800) 260-4905
Provider ID: 100000133195
NPI: 1497702195
WEST VALLEY CITY
JORDAN VALLEY MEDICAL
CENTER
DBA JORDAN VALLEY MEDICAL
CTR - WEST VALLEY CAMPUS
3460 S PIONEER PKWY
(801) 964-3100
Provider ID: 100000155069
NPI: 1366440620
WEST JORDAN
JORDAN VALLEY MEDICAL
CENTER
3580 W 9000 S
(801) 561-8888
Provider ID: 100000155064
NPI: 1033159603
PAYSON
MOUNTAIN VIEW HOSPITAL
1000 E 100 N
(801) 465-7000
Provider ID: 100000155343
NPI: 1487607669
291
February 12, 2015
UTAH
AMERICAN FORK
HERITAGE CARE CENTER
UTAH
AMERICAN FORK
HERITAGE CARE CENTER
350 E 300 N
Provider ID: 100000141173
NPI: 1366443020
STONEHENGE OF AMERICAN
FORK
538 S 500 E
Provider ID: 100000864092
NPI: 1255612487
BOUNTIFUL
AVALON CARE CENTER
523 N MAIN ST
Provider ID: 100000141155
NPI: 1285635920
LAKEVIEW HOSPITAL
630 MEDICAL DR
Provider ID: 100000267809
NPI: 1689628661
LCC OF BOUNTIFUL
460 W 2600 S
Provider ID: 100000154975
NPI: 1720032147
NORTH CANYON CARE
CENTER
350 S 400 E
Provider ID: 100000158894
SOUTH DAVIS COMMUNITY
HOSPITAL
401 S 400 E
Provider ID: 100000267816
NPI: 1174566384
CLEARFIELD
BEAVER VALLEY HOSPITAL
DBA ROCKY MOUNTAIN CARE CLEARFIELD
1481 E 1450 S
(801) 397-4401
Provider ID: 100001161361
NPI: 1629075361
February 12, 2015
Skilled Nursing Facilities (SNF)
Sorted by state, city, then name
THATCHER BROOK
REHABILITATION & CARE
1795 CHELEMES WAY
Provider ID: 100000329830
NPI: 1649454703
DRAPER
DRAPER REHAB & CARE
CENTER
12702 S FORT ST
Provider ID: 100000155377
NPI: 1023215373
LAYTON
LEGACY HEALTHCARE OF
LAYTON
DBA LEGACY VILLAGE OF
LAYTON
1203 N FAIRFIELD RD
(801) 924-5927
Provider ID: 100000617002
NPI: 1134442825
UTAH
OREM STONEHENGE OF OREM
MANORCARE HEALTH
SERVICES
5540 S 1050 E
Provider ID: 100000300918
NPI: 1801831391
MT OGDEN HEALTH & REHAB
CENTER
DBA WASHINGTON HEIGHTS
HEALTH
375 E 5350 S
(801) 479-5700
Provider ID: 100000159579
NPI: 1295768802
OGDEN REGIONAL MEDICAL
CENTER
5475 S 500 E
Provider ID: 100000267811
NPI: 1568416543
OREM
AHC OF OREM
DBA ASPEN RIDGE OF UTAH
VALLEY
OGDEN
1992 S COLUMBIA LN
ASPEN CARE CENTER
(801) 724-6500
2325 MADISON AVE
Provider ID: 100000362857
Provider ID: 100000155374
NPI: 1033357462
NPI: 1467450775
HUENEME HEALTHCARE
CRESTWOOD CARE CENTER DBA OREM REHABILITATION &
3665 BRINKER AVE
NURSING CTR
Provider ID: 100000257785
575 E 1400 S
NPI: 1417186693
(801) 225-4741
DESERET HEALTH & REHAB
Provider ID: 100000155848
AT OGDEN
NPI: 1861665200
524 E 800 N
ORCHARD PARK CARE
Provider ID: 100000915624
CENTER
NPI: 1306105184
740 N 300 E
GEORGE E WAHLEN OGDEN
Provider ID: 100000155364
VET
NPI: 1053396689
1102 N 1200 W
STONEHENGE OF OREM
Provider ID: 100000538128
435 W CENTER ST
NPI: 1114253275
Provider ID: 100000318583
KINDRED NURSING & REHABNPI: 1922278142
WASATCH CARE
3430 HARRISON BLVD
Provider ID: 100000000377
NPI: 1467472241
292
UTAH
PAYSON
MOUNTAIN VIEW HOSPITAL
Skilled Nursing Facilities (SNF)
Sorted by state, city, then name
UTAH
SALT LAKE CITY
WOODLAND PARK CARE CENTER
ASPEN RIDGE TRANSITIONAL
REHAB
963 E 6600 S
PAYSON
Provider ID: 100000156492
MOUNTAIN VIEW HOSPITAL
NPI: 1477586956
1000 E 100 N
ASPEN RIDGE WEST
Provider ID: 100000155345
TRANSITIONAL REHAB
NPI: 1295789279
5323 S MURRAY BLVD
MOUNTAIN VIEW NURSING
Provider ID: 100000270920
DBA PARKWAY HEALTH CENTER
NPI: 1487846028
55 S PROFESSIONAL WAY
AVALON CARE CENTER VA
(801) 465-9211
SALT LAKE CITY
Provider ID: 100000155373
DBA AVALON CARE CENTER VA
NPI: 1336144153
SALT LAKE II
700 FOOTHILL BLVD
PLEASANT GROVE
(801) 584-1900
ALPINE VALLEY CARE
Provider ID: 100000156164
CENTER
NPI: 1972754133
25 ALPINE AVE
AVALON VALLEY CARE
Provider ID: 100000155787
CENTER
NPI: 1013994516
2472 S 300 E
Provider ID: 100000155319
RIVERTON
NPI: 1700870896
COUNTRY LIFE CARE CENTER
BEAVER VALLEY HOSPITAL
13747 S REDWOOD RD
DBA ROCKY MOUNTAIN CARE Provider ID: 100000814505
COTTAGE ON VINE
NPI: 1639446297
835 E VINE ST
ROCKY MOUNTAIN CARE
(801) 693-3801
RIVERTON
Provider ID: 100001161380
3419 W 12600 S
NPI: 1710217773
Provider ID: 100000545683
BENNION
CARE CENTER
NPI: 1063742021
6246 S REDWOOD RD
Provider ID: 100000141159
SALT LAKE CITY
NPI: 1750382412
ARLINGTON HILLS CARE
CANYON RIM CARE CENTER
CENTER
2730
E 3300 S
165 S 1000 E
Provider
ID: 100000155185
Provider ID: 100000156239
NPI:
1639170384
NPI: 1801806393
EMERICARE
ASPEN PARK
DBA EMERITUS AT SALT LAKE
REHABILITATION
CITY
1430 E 4500 S
76 S 500 E
Provider ID: 100000157040
(801) 359-0050
NPI: 1629129689
Provider ID: 100000694637
NPI: 1891003182
UTAH (cont'd)
293
GARDEN TERRACE
ALZHEIMER'S CTR
1201 E 4500 S
Provider ID: 100000154976
NPI: 1225061229
HIGHLAND CARE CENTER
4285 S HIGHLAND DR
Provider ID: 100000155426
NPI: 1164651444
HOLLADAY HEALTH CARE
CENTER
4782 S HOLLADAY BLVD
Provider ID: 100000155817
NPI: 1710040795
PARAMOUNT HEALTH &
REHAB
DBA ALTA CARE &
REHABILITATION CTR
4035 S 500 E
(801) 262-9181
Provider ID: 100000317957
NPI: 1649481987
ST JOSEPH VILLA
DBA ST JOSEPH VILLA
451 E BISHOP FEDERAL LN
(801) 487-7557
Provider ID: 100000605020
NPI: 1255634879
ST MARKS HOSPITAL
1200 E 3900 S
Provider ID: 100000154977
NPI: 1811934904
TULIP TREE HOLDINGS
DBA MT OLYMPUS
REHABILITATION CTR
2200 E 3300 S
(801) 486-2096
Provider ID: 100000363866
NPI: 1902130222
WOODLAND PARK CARE
CENTER
3855 S 700 E
Provider ID: 100000141172
NPI: 1336140094
February 12, 2015
Skilled Nursing Facilities (SNF)
UTAH
Sorted by state, city, then name
SOUTH JORDAN
COMPASS REHABILITATION CENTER
UTAH (cont'd)
SOUTH JORDAN
COMPASS REHABILITATION
CENTER
1371 W SOUTH JORDAN PKWY
Provider ID: 100000708930
NPI: 1134424617
SOUTH OGDEN
MOUNTAIN VIEW HEALTH
SERVICES
5865 WASATCH DR
Provider ID: 100000155354
NPI: 1386744183
TAYLORSVILLE
LEGACY VILLAGE
HEALTHCARE
3251 W 5400 S
Provider ID: 100000539329
NPI: 1881866499
WEST JORDAN
COPPER RIDGE HEALTH CARE
3706 W 9000 S
Provider ID: 100000571492
NPI: 1538492947
WEST VALLEY CITY
ROCKY MOUNTAIN CARE
4090 W PIONEER PKWY
Provider ID: 100000155521
NPI: 1053318881
February 12, 2015
294
UTAH
WEST VALLEY CITY ROCKY MOUNTAIN CARE
Other Provider/Facilities
UTAH
UTAH
Sorted by state, city, specialty, then name
AMERICAN FORK
LAYTON DURABLE MEDICAL EQUIPMENT
AMBULATORY SURGICAL SERVICES
UTAH
AMERICAN FORK
AMBULATORY SURGICAL
SERVICES
AMERICAN FORK SURGICAL
CENTER
1175 E 50 S
Provider ID: 100000162038
NPI: 1437205028
DIALYSIS SERVICES
AMERICAN FORK DIALYSIS
CENTER
120 N 1220 E #14
Provider ID: 100000253836
NPI: 1316037971
HOME HEALTH SERVICES
DIGNITY HOME HEALTH &
HOSPICE
686 E 110 S UNIT 202
Provider ID: 100000248164
NPI: 1932110046
DIGNITY HOME HEALTH OF
UTAH
686 E 110 S UNIT 202
Provider ID: 100000736612
NPI: 1346542453
HOSPICE
DIGNITY HOME HEALTH &
HOSPICE
686 E 110 S UNIT 202
Provider ID: 100000160939
NPI: 1932110046
BOUNTIFUL
AMBULATORY SURGICAL
SERVICES
LAKEVIEW ENDOSCOPY
CENTER
DBA BOUNTIFUL SURGERY CTR
620 MEDICAL DR #200
(801) 299-6760
Provider ID: 100000160842
NPI: 1669415451
MOUNTAINWEST SURGICAL
CENTER
1551 RENAISSANCE TOWNE DR
#200
Provider ID: 100000622491
NPI: 1003119470
DIALYSIS SERVICES
LAKESIDE DIALYSIS
532 S 500 W
Provider ID: 100000155670
NPI: 1508965617
HOME HEALTH SERVICES
ROCKY MOUNTAIN CARE
350 E 300 S #100
Provider ID: 100000155514
NPI: 1386642965
SOUTH DAVIS COMMUNITY
HOSPITAL
401 S 400 E
Provider ID: 100000354543
NPI: 1275560062
URGENT CARE OR WALK IN
FIRSTMED NORTH URGENT
CARE
1512 RENAISSANCE TOWNE DR
#100
Provider ID: 100000157112
NPI: 1952327785
CLEARFIELD
HOME HEALTH SERVICES
HARMONY HOME HEALTH
SERVICES
1424 LEGEND HILLS DR #110
Provider ID: 100000318219
NPI: 1629025192
DRAPER
AMBULATORY SURGICAL
SERVICES
EYESURG OF UTAH
11820 S STATE ST #150
Provider ID: 100000000477
NPI: 1629069281
HOME INFUSION THERAPY
SERVICES
HOME HEALTH SERVICES
CNS PROFESSIONAL SERVICE
620 MEDICAL DR #150
DILL HOLDINGS
Provider ID: 100000156304
DBA ONECARE HOME HEALTH
NPI: 1639127079
11576 S STATE ST #101A
(801) 542-7384
HOSPICE
Provider ID: 100000924594
SOUTH DAVIS COMMUNITY
NPI: 1518217090
HOSPITAL
401 S 400 E
LAYTON
Provider ID: 100000992366
DIALYSIS SERVICES
NPI: 1215970835
FARMINGTON BAY DIALYSIS
HOSPITAL, LONG TERM
CENTER
ACUTE CARE
984 S MAIN ST
SOUTH DAVIS COMMUNITY
Provider ID: 100000156548
HOSPITAL
NPI: 1487753901
401 S 400 E
DURABLE MEDICAL
Provider ID: 100000155192
EQUIPMENT
NPI: 1982647103
LEGACY HOME MEDICAL
360 S FORT LN #2A
Provider ID: 100000271179
NPI: 1386831873
295
February 12, 2015
Other Provider/Facilities
UTAH
Sorted by state, city, specialty, then name
LAYTON
DURABLE MEDICAL EQUIPMENT
UTAH (cont'd)
LAYTON (cont'd)
DURABLE MEDICAL
EQUIPMENT (cont'd)
MEDSOURCE
3075 N FAIRFIELD RD #A
Provider ID: 100000155547
NPI: 1164417366
VALLEY MEDICAL
EQUIPMENT
DBA VALLEY HOME MEDICAL
731 MCCORMICK WAY #1
(801) 544-8866
Provider ID: 100000155632
NPI: 1760443204
HOME HEALTH SERVICES
DIGNITY HOME HEALTH OF
UTAH
347 W GORDON AVE #1
Provider ID: 100000739786
NPI: 1346542453
INTERMOUNTAIN HOME
HEALTH
DBA SUMMIT HOME HEALTH
LAYTON
2086 N ROBBINS DR #B
(801) 542-7150
Provider ID: 100000338120
NPI: 1790833861
LEGACY HEALTH CARE
3135 N FAIRFIELD RD #A
Provider ID: 100000311440
NPI: 1952417214
SILVER LAKE HEALTHCARE
DBA SYMBII HOME HEALTH &
HOSPICE
1916 N 700 W #210
(801) 433-0344
Provider ID: 100000804210
NPI: 1417248147
February 12, 2015
UTAH
MURRAY
URGENT CARE OR WALK IN
REHABILITATION SERVICES
PROSTHETIC/ORTHOTIC
SERVICES
DAVIS HOSPITAL & MEDICAL
CTR
NATIONAL DME
1600 W ANTELOPE DR
7757 S ALLEN ST
Provider ID: 100000352466
Provider ID: 100000155619
NPI: 1811037484
NPI: 1487646360
SLEEP DISORDER SERVICES
SLEEP DISORDER SERVICES
PRECISION DIAGNOSTIC
PRECISION DIAGNOSTIC
SERVICES
SERVICES
2307 N HILL FIELD RD #102
613 E FORT UNION BLVD #A102
Provider ID: 100000156284
Provider ID: 100000156284
NPI: 1871691246
NPI: 1871691246
LINDON
URGENT CARE OR WALK IN
TRI CITY MEDICAL CLINIC
275 W 200 N #100
Provider ID: 100000774105
NPI: 1497976245
MIDVALE
DURABLE MEDICAL
EQUIPMENT
APRIA HEALTHCARE
6952 S HIGH TECH DR #A
Provider ID: 100000131362
NPI: 1598874687
JENCO PROSTHETICS &
ORTHOTICS
7026 S COMMERCE PARK DR #2
Provider ID: 100000689870
NPI: 1205155777
NATIONAL DME
7757 S ALLEN ST
Provider ID: 100000155619
NPI: 1487646360
VALLEY MEDICAL
EQUIPMENT
DBA VALLEY HOME MEDICAL
6973 S 300 W
(801) 563-0202
Provider ID: 100000155633
NPI: 1275594020
296
MURRAY
DURABLE MEDICAL
EQUIPMENT
NATIONAL SEATING &
MOBILITY
6553 S COTTONWOOD ST
Provider ID: 100000296293
NPI: 1710149299
HOME HEALTH SERVICES
DIGNITY HOME HEALTH OF
UTAH
971 E 5600 S APT 106
Provider ID: 100000739787
NPI: 1346542453
HARMONY HOME HEALTH
SERVICES
5650 S GREEN ST
Provider ID: 100000155096
NPI: 1184770547
URGENT CARE OR WALK IN
FIRSTMED MURRAY URGENT
CARE
5911 FASHION PLACE BLVD
Provider ID: 100000158393
NPI: 1942345038
Other Provider/Facilities
UTAH
UTAH
Sorted by state, city, specialty, then name
OGDEN
OREM AMBULATORY SURGICAL SERVICES
AMBULATORY SURGICAL SERVICES
APRIA HEALTHCARE
206 W 36TH ST
Provider ID: 100000618042
OGDEN
NPI: 1700183886
DEBRA
LYNNS
AMBULATORY SURGICAL
1090
30TH
ST
SERVICES
Provider ID: 100000155677
ALPINE SURGICAL CENTER
NPI: 1437141702
5405 S 500 E #101
LINCARE
Provider ID: 100000156243
1596 W 2650 S #106
NPI: 1649278581
Provider ID: 100000154963
MT OGDEN SURGICAL CENTER
NPI: 1750399838
4364 WASHINGTON BLVD
NATIONAL
SEATING &
Provider ID: 100000938292
MOBILITY
NPI: 1720324296
1719 W 2900 S #102
RIDGELINE SURGICENTER
Provider ID: 100000526323
DBA RIDGELINE ENDOSCOPY
NPI: 1184863060
CENTER
OGDEN ORTHOTICS &
6028 S RIDGELINE DR #100
PROSTHETICS
(801) 475-4900
3585 HARRISON BLVD #100
Provider ID: 100001047504
Provider ID: 100000155475
NPI: 1710315619
NPI: 1013990068
DIALYSIS SERVICES
PERFECT FEET
5728 S 1475 E #102
BONNEVILLE DIALYSIS
Provider ID: 100000156384
5575 S 500 E
NPI: 1376524991
Provider ID: 100000155625
SHIELDS ORTHO PROSTH
NPI: 1003915513
SERVICE
MARK LINDSAY DIALYSIS
5687 HARRISON BLVD
CENTER
Provider ID: 100000288902
1151 COUNTRY HILLS DR
NPI: 1629027560
Provider ID: 100000512775
NPI: 1013144872
HOME HEALTH SERVICES
PLEASANT VIEW DIALYSIS
ACCESS HOME CARE &
CENTER
HOSPICE
2715 N HWY 89
4933 S 1500 W #2
Provider ID: 100000259397
Provider ID: 100000160911
NPI: 1609058528
APPLEGATE HOME HEALTH
DURABLE MEDICAL
1492 E RIDGELINE DR #1
EQUIPMENT
Provider ID: 100000274985
NPI: 1649223256
ALPINE HOME MEDICAL
EQUIPMENT
HOSPICE
4669 HARRISON BLVD
ACCESS HOME CARE &
Provider ID: 100000155660
HOSPICE
NPI: 1780882605
4933 S 1500 W #2
Provider ID: 100000296881
UTAH (cont'd)
297
PROSTHETIC/ORTHOTIC
SERVICES
DEBRA LYNNS
1090 30TH ST
Provider ID: 100000155677
NPI: 1437141702
OGDEN ORTHOTICS &
PROSTHETICS
3585 HARRISON BLVD #100
Provider ID: 100000155475
NPI: 1013990068
PERFECT FEET
5728 S 1475 E #102
Provider ID: 100000156384
NPI: 1376524991
SHIELDS ORTHO PROSTH
SERVICE
5687 HARRISON BLVD
Provider ID: 100000288902
NPI: 1629027560
RADIOLOGY, DIAGNOSTIC
MOUNTAIN MEDICAL
IMAGING
1486 E SKYLINE DR #101
Provider ID: 100000156192
NPI: 1083654016
REHABILITATION SERVICES
OGDEN REGIONAL MEDICAL
CENTER
5475 S 500 E
Provider ID: 100000267812
NPI: 1376597351
OREM
AMBULATORY SURGICAL
SERVICES
CATARACT & LASIK CENTER
OF UTAH
175 N 400 W
Provider ID: 100000155372
NPI: 1164613790
February 12, 2015
Other Provider/Facilities
UTAH
UTAH
Sorted by state, city, specialty, then name
OREM
PROVO DURABLE MEDICAL EQUIPMENT
DURABLE MEDICAL EQUIPMENT
UTAH (cont'd)
OREM (cont'd)
DURABLE MEDICAL
EQUIPMENT
ADVANCE MED SRV
DBA PETERSEN MEDICAL
1268 S 1380 W
(801) 373-1010
Provider ID: 100000155845
NPI: 1164519856
LINCARE
1442 W BUSINESS PARK DR
Provider ID: 100000154958
NPI: 1396814992
NABBIE
DBA VILLAGE SHOEMAKER
55 W CENTER ST
(801) 224-1470
Provider ID: 100000161062
NPI: 1740219914
ORTHOPEDIC SERVICES OF
UTAH
1095 S 800 E #1
Provider ID: 100000155098
NPI: 1467513358
415 E 1550 N
Provider ID: 100000155099
NPI: 1467513358
VALLEY MEDICAL
EQUIPMENT
DBA VALLEY HOME MEDICAL
538 COMMERCE RD
(801) 225-9979
Provider ID: 100000155634
NPI: 1194786202
HOME HEALTH SERVICES
ALPHA HOME HEALTH CARE
278 W CENTER ST
Provider ID: 100000303068
NPI: 1861662819
A-PLUS HOME CARE
1443 N 1200 W
Provider ID: 100000551704
NPI: 1003809369
February 12, 2015
FIRST CHOICE HOME HEALTH
1371 W 1250 S
Provider ID: 100000523964
NPI: 1609884576
HOME HEALTH SPECIALISTS
DBA KIDS ONLY HOME HEALTH
495 S OREM BLVD
(801) 359-5437
Provider ID: 100000524984
NPI: 1811226772
SILVER LAKE HEALTHCARE
DBA SYMBII HOME HEALTH &
HOSPICE
413 N OREM BLVD
(801) 655-4272
Provider ID: 100000804210
NPI: 1417248147
PROSTHETIC/ORTHOTIC
SERVICES
NORTHWEST ORTHOTICS
PROSTHETICS
1988 W 930 N #C
Provider ID: 100000338051
NPI: 1295979649
URGENT CARE OR WALK IN
TRI CITY MEDICAL CLINIC
830 N 2000 W
Provider ID: 100000157624
NPI: 1043421753
PROVO
AMBULATORY SURGICAL
SERVICES
HOSPITAL-OUTPATIENT
CENTRAL UTAH SURGICAL
TIMPANOGOS REGIONAL
CENTER
HOSPITAL
1067 N 500 W
750 W 800 N
Provider ID: 100000155841
Provider ID: 100000133195
NPI: 1962463950
NPI: 1497702195
RIVERWOODS
INTERVENTIONAL
PAYSON
RADIOLOGY
DIALYSIS SERVICES
3152 N UNIVERSITY AVE #100
Provider ID: 100000161622
PAYSON REGIONAL DIALYSIS
NPI: 1477646479
CENTER
RIVERWOODS SURGERY
15 S 1000 E #50
CENTER
Provider ID: 100000318324
320 RIVER PARK DR #125
NPI: 1306094438
Provider ID: 100000157098
PLEASANT GROVE
NPI: 1538100649
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
NORTHWEST ORTHOTICS
ALPINE HOME MEDICAL
PROSTHETICS
EQUIPMENT
1988 W 930 N #C
1481 N STATE ST
Provider ID: 100000338051
Provider ID: 100000155661
NPI: 1295979649
NPI: 1942427349
NORTHWEST ORTHOTICS
PROSTHETICS
1675 N 200 W #12C
Provider ID: 100000155508
NPI: 1912991738
298
UTAH
PROVO
HOME HEALTH SERVICES
UTAH (cont'd)
PROVO (cont'd)
HOME HEALTH SERVICES
UTAH HOME HEALTH &
HOSPICE
1849 N 1120 W
Provider ID: 100000159188
NPI: 1811088420
Other Provider/Facilities
Sorted by state, city, specialty, then name
UTAH
SALT LAKE CITY DURABLE MEDICAL EQUIPMENT
ROY
DURABLE MEDICAL
EQUIPMENT
ADVANCE MED SRV
DBA PETERSEN MEDICAL
5434 S 1900 W #3
(801) 728-3333
Provider ID: 100000327806
NPI: 1134387921
KOLFF DIALYSIS
85 MEDICAL DR RM 201
Provider ID: 100000155626
NPI: 1326147422
DURABLE MEDICAL
EQUIPMENT
ADVANCED CARE HOME
MEDICAL
6182 S STRATLER ST
Provider ID: 100000155617
NPI: 1760573836
SALT LAKE CITY
HOSPICE
AFFINITY MEDICAL GROUP
UTAH HOME HEALTH &
AMBULATORY SURGICAL
395 W IRONWOOD DR
HOSPICE
SERVICES
Provider ID: 100000151136
1849 N 1120 W
NPI: 1932285954
FAMILY SURGICAL SUITE
Provider ID: 100000159188
AHC MEDICAL SUPPLY
151 E 5600 S #104
NPI: 1811088420
5323 S MURRAY BLVD
Provider ID: 100000283252
PHARMACY
Provider ID: 100000310732
NPI: 1811146384
NPI: 1922272434
B H PHARMACY
LAKEVIEW ENDOSCOPY
ALL
MED MEDICAL SUPPLY
286 W CENTER ST
CENTER
4232
S
500 W
Provider ID: 100000155407
6360 S 3000 E #320
Provider
ID: 100000155440
NPI: 1427119593
Provider ID: 100001152741
NPI:
1407912256
NPI: 1952720674
PROSTHETIC/ORTHOTIC
ST
MARKS OUTPATIENT SURG ALPINE HOME MEDICAL
SERVICES
EQUIPMENT
CTR
HANGER PROSTHETICS &
4030 S STATE ST
1250 E 3900 S #100
ORTHOTICS
Provider ID: 100000155659
Provider ID: 100000154979
1355 N UNIVERSITY AVE #160
NPI: 1033173646
NPI: 1174587984
Provider ID: 100000324603
CAROLS
MASTECTOMY
SURGICARE CENTER OF UTAH
NPI: 1215170451
SHOPPE
755 E 3900 S
NORTHWEST ORTHOTICS
3165 S MAIN ST
Provider ID: 100000155333
PROSTHETICS
Provider ID: 100000989662
NPI: 1366550170
1675 N 200 W #12C
NPI: 1801222401
WASATCH ENDOSCOPY
Provider ID: 100000155508
DESERET MEDICAL
CENTER
NPI: 1912991738
560 W FINE DR
1220 E 3900 S #1B
Provider ID: 100000155668
Provider
ID:
100000154982
URGENT CARE OR WALK IN
NPI: 1780728535
NPI: 1881701290
RIVERWOODS URGENT CARE
DIABETES
SPECIALTY
280 RIVER PARK DR #120
DIALYSIS SERVICES
CENTER
Provider ID: 100000714809
INTERMOUNTAIN PEDS
3793 S STATE ST
NPI: 1801894035
DIALYSIS
Provider ID: 100000155995
85 MEDICAL DR
NPI: 1841279155
Provider ID: 100000156504
FITWELL OF PPMC
NPI: 1235238379
50 S 900 E #1
Provider ID: 100000155572
NPI: 1528041662
299
February 12, 2015
Other Provider/Facilities
UTAH
Sorted by state, city, specialty, then name
SALT LAKE CITY
DURABLE MEDICAL EQUIPMENT
UTAH (cont'd)
SALT LAKE CITY (cont'd)
DURABLE MEDICAL
EQUIPMENT (cont'd)
JQ MEDICAL
6910 S HIGHLAND DR #4
Provider ID: 100000155665
NPI: 1619960663
KCI USA
1765 S 900 W #88
Provider ID: 100000155035
NPI: 1366439507
LINCARE
1735 S REDWOOD RD #130
Provider ID: 100000154960
NPI: 1760490940
5882 S 900 E #104
Provider ID: 100000154961
NPI: 1619915303
MEDICOR
2469 E FORT UNION BLVD #100
Provider ID: 100000155480
NPI: 1053318709
MEDWAY MEDICAL
1837 S 4130 W #B
Provider ID: 100000155972
NPI: 1962438358
SHIELDS ORTHO PROSTH
SERVICE
2785 E 3300 S
Provider ID: 100000155204
NPI: 1346245065
UNIVERSITY HOSPITAL
675 S ARAPEEN DR
Provider ID: 100000155897
NPI: 1952462723
WASATCH ORTHOTICS &
PEDORTHICS
887 E VINE ST
Provider ID: 100000155967
NPI: 1164418505
February 12, 2015
UTAH
SALT LAKE CITY
HOME HEALTH SERVICES
ENCOMPASS HOME HEALTH
OF THE WEST
DBA ALPINE HOME CARE
990 W BELLWOOD LN
(801) 474-5500
Provider ID: 100000742005
NPI: 1114208550
FAMILY PRACTICE
FIRST CHOICE HOME HEALTH
MATRIX MEDICAL NETWORK 5296 S COMMERCE DR #204
OF UTAH
Provider ID: 100000155991
686 N SADDLE HILL RD
NPI: 1124036249
Provider ID: 100000959449
HOME CAREGIVERS HOME
NPI: 1366737579
HEALTH
HOME HEALTH SERVICES DBA CANYON HOME CARE
450 S 900 E #100
A STEP FORWARD
(801) 485-6166
5284 S COMMERCE DR #C124
Provider ID: 100000161008
Provider ID: 100000261438
NPI: 1306899265
NPI: 1457496275
HOME
HEALTH SPECIALISTS
AHC HOME HEALTH CARE OF
DBA
HORIZON
HOME HEALTH
MURRAY
2835
E
3300
S
DBA ASPEN RIDGE HOME
(801) 474-0000
HEALTH
Provider ID: 100000772903
5323 S MURRAY BLVD
NPI: 1326315672
(801) 713-3248
INTERMOUNTAIN HOME
Provider ID: 100000161848
HEALTH
NPI: 1184778607
DBA SUMMIT HOME HEALTH
APPLEGATE HOME HEALTH
5882 S 900 E #101
5251 S GREEN ST #150
(801) 542-7150
Provider ID: 100000274985
Provider ID: 100000160746
NPI: 1649223256
NPI: 1528037264
AT HOME NURSING CARE
LIFE
CARE AT HOME OF UTAH
5278 S PINEMONT DR #A120
4141
S
HIGHLAND DR #202
Provider ID: 100000770289
Provider
ID: 100000335392
NPI: 1154604635
NPI:
1992708945
CAREGIVER SUPPORT
MAXIM HEALTHCARE
NETWORK
SERVICES
310 E 4500 S #200
4424 S 700 E #240
Provider ID: 100000156341
Provider ID: 100000156505
NPI: 1083610869
NPI: 1043273865
CORAM HEALTHCARE CORP
MILLCREEK
HOME HEALTH
OF UT
1398
E
LUCK
LN
120 W VINE ST #140
Provider ID: 100000157293
Provider ID: 100000253820
NPI: 1558307793
EMERGENCY MEDICINE
ST MARKS HOSPITAL
1200 E 3900 S
Provider ID: 100000249414
NPI: 1164469243
300
UTAH
SALT LAKE CITY
HOME HEALTH SERVICES
UTAH (cont'd)
SALT LAKE CITY (cont'd)
HOME HEALTH SERVICES
(cont'd)
SILVER LAKE HEALTHCARE
DBA SYMBII HOME HEALTH &
HOSPICE
451 E BISHOP FEDERAL LN
(801) 433-0344
Provider ID: 100000804210
NPI: 1184914772
Other Provider/Facilities
Sorted by state, city, specialty, then name
MYRIAD GENETIC
LABORATORIES
320 S WAKARA WAY
Provider ID: 100000155589
NPI: 1669484473
MRI - FREE STANDING
FACILITY
MILLCREEK IMAGING
3738 S 900 E
Provider ID: 100000156469
NPI: 1487643904
OPTOMETRY
HOME INFUSION THERAPY MORAN EYE CENTER
65 MARIO CAPECCHI DR
SERVICES
Provider ID: 100000156374
CNS PROFESSIONAL SERVICE
NPI: 1194910281
1255 E 3900 S #108
PROSTHETIC/ORTHOTIC
Provider ID: 100000156304
SERVICES
NPI: 1639127079
CORAM HEALTHCARE CORP CAROLS MASTECTOMY
SHOPPE
OF UT
3165 S MAIN ST
120 W VINE ST #140
Provider ID: 100000989662
Provider ID: 100000155814
NPI: 1801222401
NPI: 1316046915
HANGER PROSTHETICS &
HOSPICE
ORTHOTICS
APPLEGATE HOME HEALTH
5292 S COLLEGE DR #103
5251 S GREEN ST #150
Provider ID: 100000155657
Provider ID: 100000274985
NPI: 1417066333
NPI: 1649223256
DBA WASATCH ORTHOTICS &
PROSTHETICS
HOSPITAL-OUTPATIENT
887 E VINE ST
SALT LAKE REGIONAL
(801) 893-8777
MEDICAL CENTER
Provider ID: 100000817774
1050 E SOUTH TEMPLE
NPI: 1255608501
Provider ID: 100000155610
SHIELDS ORTHO PROSTH
NPI: 1417988833
SERVICE
2785 E 3300 S
LABORATORY
Provider ID: 100000155204
ARUP LABORATORIES
NPI: 1346245065
500 E CHIPETA WAY
WASATCH ORTHOTICS &
Provider ID: 100001005761
PEDORTHICS
NPI: 1376548271
887 E VINE ST
Provider ID: 100000155967
NPI: 1164418505
301
UTAH
SALT LAKE CITY SLEEP DISORDER SERVICES
RADIOLOGY, DIAGNOSTIC
MILLCREEK IMAGING
3738 S 900 E
Provider ID: 100000156469
NPI: 1487643904
MOUNTAIN MEDICAL
IMAGING
5323 S WOODROW ST #100
Provider ID: 100000156190
NPI: 1427005586
REHABILITATION SERVICES
DESERET HEALTH & REHAB
AT FEDERAL HEIGHTS
41 S 900 E
Provider ID: 100000894368
NPI: 1063756328
SALT LAKE REGIONAL
MEDICAL CENTER
1050 E SOUTH TEMPLE
Provider ID: 100000267814
NPI: 1386728665
ST MARKS HOSPITAL
1200 E 3900 S
Provider ID: 100000789123
NPI: 1972879609
UNIVERSITY HOSPITAL
50 N MEDICAL DR
Provider ID: 100000267818
NPI: 1881708766
SLEEP DISORDER SERVICES
PRECISION DIAGNOSTIC
SERVICES
5242 S COLLEGE DR #206
Provider ID: 100000156284
NPI: 1871691246
PRECISION HEALTH SERVICES
4885 S 900 E #107
Provider ID: 100000599694
NPI: 1184828816
February 12, 2015
UTAH
SALT LAKE CITY
URGENT CARE OR WALK IN
Other Provider/Facilities
Sorted by state, city, specialty, then name
UTAH (cont'd)
SALT LAKE CITY (cont'd)
URGENT CARE OR WALK IN
FIRSTMED EAST URGENT
CARE
1950 E 7000 S
Provider ID: 100000156461
NPI: 1356359780
SANDY
AMBULATORY SURGICAL
SERVICES
GRANITE PEAKS ENDOSCOPY
10150 S PETUNIA WAY
Provider ID: 100000245609
NPI: 1083758320
SOUTH TOWNE SURGERY
CENTER
10011 S CENTENNIAL PKWY #100
Provider ID: 100000155097
NPI: 1598772634
DIALYSIS SERVICES
SOUTH VALLEY DIALYSIS
8750 S SANDY PARKWAY
Provider ID: 100000155620
NPI: 1508965625
DURABLE MEDICAL
EQUIPMENT
WESTERN DIABETIC SUPPLY
9883 S 500 W
Provider ID: 100000157022
NPI: 1427015718
HOME HEALTH SERVICES
HEALTHSOUTH REHAB
HOSPITAL
8074 S 1300 E
Provider ID: 100000333675
NPI: 1063481828
February 12, 2015
UTAH
WEST JORDAN DURABLE MEDICAL EQUIPMENT
LIFE CHOICE HOME HEALTH
CARE
3066 E GRANITE SLOPE LN
Provider ID: 100000733810
NPI: 1841428810
INTERNAL MEDICINE
AFTER HOURS MEDICAL
DBA MEDALLUS MEDICAL
7998 S 1300 E
(801) 255-2000
Provider ID: 100000156349
NPI: 1366559791
RADIOLOGY, DIAGNOSTIC
WASATCH IMAGING
9844 S 1300 E #175
Provider ID: 100000155673
NPI: 1679645139
EMERGENCY MEDICINE
SOUTH JORDAN HEALTH
CENTER
5126 W DAYBREAK PKWY
Provider ID: 100000155929
NPI: 1588656870
HOME HEALTH SERVICES
MIDAS CREEK HOME HEALTH
3212 W WINTER CREEK CIR
Provider ID: 100000254439
NPI: 1164597464
MULTISPECIALTY CLINIC
SOUTH JORDAN HEALTH
CENTER
5126 W DAYBREAK PKWY
Provider ID: 100000155929
NPI: 1588656870
REHABILITATION SERVICES
TAYLORSVILLE
DESERET HEALTH & REHAB
AT CROSSLANDS
DIALYSIS SERVICES
575 E 11000 S
WEST VALLEY DIALYSIS
Provider ID: 100000894362
CENTER
NPI: 1790029056
5400 S 3854 W
HEALTHSOUTH REHAB
Provider ID: 100000268504
HOSPITAL
NPI: 1588747638
8074 S 1300 E
Provider ID: 100000310498
DURABLE MEDICAL
NPI: 1467425173
EQUIPMENT
RED ROCK MEDICAL SUPPLY
SOUTH JORDAN
3587 W 4700 S
AMBULATORY SURGICAL
Provider ID: 100000811210
NPI: 1396018545
SERVICES
SALT LAKE ENDOSCOPY
WEST JORDAN
1235 W SOUTH MEADOW CIR
Provider ID: 100000155511
DURABLE MEDICAL
NPI: 1609896216
EQUIPMENT
REHAB SPECIALISTS
DURABLE MEDICAL
8145 S REDWOOD RD #A
EQUIPMENT
Provider ID: 100000248125
UNIVERSITY HOSPITAL
NPI: 1861689614
1091 W S JORDAN PKWY
Provider ID: 100000155899
NPI: 1578652160
302
UTAH
WEST JORDAN
HOSPITAL-OUTPATIENT
Other Provider/Facilities
Sorted by state, city, specialty, then name
UTAH
WOODS CROSS DURABLE MEDICAL EQUIPMENT
UTAH (cont'd)
HOME HEALTH SERVICES
CNS COMMUNITY HOSPICE
WEST JORDAN (cont'd)
DBA CNS HOME HEALTH
2830 S REDWOOD RD #A
HOSPITAL-OUTPATIENT
(801) 233-6100
JORDAN VALLEY MEDICAL
Provider ID: 100000155046
CENTER
NPI: 1275581597
3580 W 9000 S
LOVE HOME HEALTH
Provider ID: 100000155064
1405 W 2200 S #200
NPI: 1033159603
Provider ID: 100000156899
NPI: 1467487785
REHABILITATION SERVICES
HOME INFUSION THERAPY
JORDAN VALLEY MEDICAL
SERVICES
CENTER
3580 W 9000 S
CRITICAL CARE SYSTEMS
Provider ID: 100000754263
DBA CRITICAL CARE SERVICES A
NPI: 1144490160
WALGREENS AFFILIATE
URGENT CARE OR WALK IN 2233 S PRESIDENTS DR #B
(801) 978-9600
FIRSTMED WEST URGENT
Provider ID: 100000252420
CARE
NPI: 1588692164
8822 S REDWOOD RD #E122
INFUSION
INNOVATIONS
Provider ID: 100000156352
DBA
AMERITA
INC
NPI: 1467478297
2446 S PROGRESS DR
(801) 908-6100
WEST VALLEY CITY
Provider ID: 100000155675
AMBULATORY SURGICAL
NPI: 1023192390
SERVICES
INTERNAL MEDICINE
UTAH SURGICAL CENTER
AFTER HOURS MEDICAL
3715 W 4100 S #100
DBA MEDALLUS MEDICAL
Provider ID: 100000567584
3451 S 5600 W #F
NPI: 1063720365
(801) 957-0900
DURABLE MEDICAL
Provider ID: 100000156351
NPI: 1679675417
EQUIPMENT
BRADEN PARTNERS
LABORATORY
DBA PACIFIC PULMONARY
QUEST DIAGNOSTICS
SERVICES
3489 W 2100 S #200
2724 S 3600 W #A
Provider ID: 100000154901
(801) 969-0165
NPI: 1386662914
Provider ID: 100000574639
NPI: 1588993356
PROSTHETIC/ORTHOTIC
SERVICES
PEAK PROSTHETIC DESIGNS
1751 W 2410 S #20
Provider ID: 100000159332
NPI: 1245209519
303
URGENT CARE OR WALK IN
AFTER HOURS MEDICAL
DBA MEDALLUS MEDICAL
3451 S 5600 W #F
(801) 957-0900
Provider ID: 100000156351
NPI: 1679675417
WOODS CROSS
AIR AMBULANCE
CLASSIC LIFEGUARD
2244 THUNDERBIRD DR
Provider ID: 100000155414
NPI: 1003855446
DBA CLASSIC LIFEGUARD
2244 S 1640 W
(801) 295-5700
Provider ID: 100001126089
NPI: 1326482712
DURABLE MEDICAL
EQUIPMENT
LINCARE
DBA HOME OX OF UTAH
577 W 1350 S #C
(801) 294-5759
Provider ID: 100000156334
NPI: 1952465189
TOTAL RESPIRATORY CARE
1593 W 2350 S #C
Provider ID: 100000155650
NPI: 1376508291
February 12, 2015
Alphabetical Provider Index
A STEP FORWARD
ALLRED, BRYCE DEE MD
AGARWAL, ADHISH KUMAR MD ....................59, 77
A
AGARWAL, CORI A MD .........................................187
A STEP FORWARD ................................................... 300 AGARWAL, JAYANT P MD ....................................187
AAGARD, ROBERT ORR MD ..................... 38, 86, 207 AGARWAL, NEERAJ MD ........................................153
ABEL, JEFFREY ALAN MD ...................................... 82 AGRES, SUSAN J DPM ..............................................82
ABEREGG, SCOTT K MD ....................................... 191 AGUIRRE, DAMON L RPT ........................................52
ABERTON, MARK JOHN RPT ................................ 178 AHC HOME HEALTH CARE OF
ABOLNIK, IGOR ZIV MD ......................................... 98 MURRAY ...................................................................300
ABRAHAM, DEVAPRABU MD .............................. 123 AHC MEDICAL SUPPLY ..........................................299
ABRAHAM, JAMES M OD .................................. 70, 87 AHC OF OREM ..........................................................292
ABRAHAM, JAMES M OD ................................... 71, 90 AHMAD, SHAHZAD MD .....................................50, 96
ABRAHAM, JOSEPHINE D MD ..................... 135, 202 AHMED, ALI A MD ..........................................109, 191
ABUEG, FLORENTINO MANUEL MD .............. 23, 30 AKERLEY III, WALLACE LOVELL MD.................153
ABUNDO, ROLAND E OD ......................................... 71 AKOUM, NAZEM W MD .................................114, 209
ABUNDO, ROLAND ESPELETA OD ....................... 70 AL SHURQAIRAT, TALAAT MD .....93, 104, 206, 227
ACCESS HOME CARE & HOSPICE ........................ 297 ALAM, JAWARIA K MD ...........................................27
ACEVEDO, CHARLES R RPT ................................... 81 ALBANO, JOSEPH JOHN MD .........................196, 206
ACORD, GABRIELLE E LCSW .............................. 235 ALBIN, STEPHANIE R RPT.....................................178
ACREE, M K APRN .................................................. 254 ALBO JR, DOMINIC J MD .......................................199
ADAIR, CANDICE LCSW ........................................ 255 ALDEN, MEREDITH MD .........................................273
ADAMS, ALAN JOHN DC ....................................... 221 ALDER, JOHN BRYANT MD ..................................155
ADAMS, AMBER M LCSW ..................................... 255 ALDOUS, EDWIN W MD .........................................106
ADAMS, BRYAN K APRN ........................................ 68 ALDRIDGE, MARK S DC ..........................................66
ADAMS, DAVID B LCSW ....................................... 255 ALEXANDER, GARY JAMES MD ............................65
ADAMS, DAVID BENNION PHD ........................... 243 ALEXANDER, GRETCHEN L APRN ......................142
ADAMS, GAYLE B LCSW ...................................... 255 ALGER JAMES, JILL E LCSW ................................256
ADAMS, KRISTIN O LCSW .................................... 255 ALKEMA, AMANDA L LCSW ................................256
ADAMS, LAN L MD ................................................. 144 AL-KHUDAIRI, AMANDA S APRN .......................144
ADAMS, LYNN GEORGE RPT ................................. 93 ALL MED MEDICAL SUPPLY .................................299
ADAMS, RICHARD L LCSW .................................. 249 ALLDREDGE, CLARON DOUGLAS
ADAMS, SAM DC .................................................... 117 MD ..................................................................43, 78, 155
ADAMSON, DYANA M LCSW ............................... 255 ALLDREDGE, O LAYTON MD ...............................202
ADDISON, ODESSA RENE RPT ............................. 178 ALLEMAN, VON WADE DC .....................................84
ADELMAN, MARISA R MD ............................. 47, 144 ALLEN, BRANDON REID MD ..................................32
ADELMAN, SCOTT MD .......................................... 205 ALLEN, DAVID EDGAR MD ............................75, 119
ADJEI-POKU, MICHAEL MD ................... 49, 114, 220 ALLEN, DAVID MORE MD.......................................76
ADLER, DOUGLAS G MD ...................................... 125 ALLEN, DOUGLAS A DO ..........................................94
ADLER, ZOE A MD ............................................ 63, 176 ALLEN, KATHRYN MD ....................................35, 232
ADVANCE MED SRV ....................................... 298, 299 ALLEN, MARVIN R MD ............................................95
ADVANCED CARE HOME MEDICAL ................... 299 ALLEN, MELISSA K PT ...........................................178
AFFINITY MEDICAL GROUP ................................. 299 ALLEN, NANCY A APRN ................................111, 208
AFFLECK, DAVID GORDON MD .................... 85, 127 ALLEN, SCOTT M OD ...............................................57
AFIFY, ZEINAB A M MD ........................................ 173 ALLEN, STEPHANIE JEAN DC ..............................221
AFRA, PEGAH MD ................................................... 138 ALLRED, BRANDON KYLE DC .............................201
AFTER HOURS MEDICAL ............................... 302, 303 ALLRED, BRYCE DEE MD .....................................226
February 12, 2015
304
Alphabetical Provider Index
ALLRED, COURTNEY R LCSW
AOKI, STEPHEN KENJI MD
ALLRED, COURTNEY R LCSW ............................. 256
ANDERSON, BONNIE MINTZ APRN ....................254
ALLRED, DEANNA M APRN ................................. 142
ANDERSON, CAMERON DEAN MD .......................92
ALLRED, DEBORAH D LCSW ............................... 286
ANDERSON, CHRISTOPHER KENT ALLRED, JESSICA E LCSW ................................... 256
MD ................................................................................83
ALLRED, JULIANN W MD ..................................... 138
ANDERSON, CHRISTY B APRN ..............................97
ALLRED, MICHAEL G MD ......................................... 7
ANDERSON, CLARENCE LEROY MD ..................273
ALLRED, SHANI A APRN ....................................... 144
ANDERSON, CRAIG C LCSW.................................243
ALMONY, GREGORY THOMAS MD ...................... 74
ANDERSON, CRAIG W MD ..............................50, 122
ALONSO, DIANE MD .............................................. 127
ANDERSON, DEAN FOISY LCSW .........................250
ALPHA HOME HEALTH CARE .............................. 298
ANDERSON, GREGORY G DPM ............................188
ANDERSON, JAMES N PT.......................................103
ALPINE HOME MEDICAL EQUIPMENT ............................................. 297, 298, 299
ANDERSON, JAY DOYLE DC ................................214
ALPINE SURGICAL CENTER ................................. 297
ANDERSON, KATHERINE A MD.............................23
ALPINE VALLEY CARE CENTER .......................... 293
ANDERSON, KENYON B OD ..................................207
ALSOLAIMAN, MOHAMMAD MODAR ANDERSON, LAURA M MD ..4, 10, 11, 15, 30, 40, 47, MD.......................................................................... 38, 97
54, 66, 71, 90, 196, 197, 206, 213, 232, 233
ALT, JEREMIAH A MD ........................................... 122
ANDERSON, MARC OLSEN MD ................................7
ALTAMIRANO, HUGO GUILLERMO ANDERSON, MARK DAVID PT .............................178
MD................................................................................ 95
ANDERSON, MIKOL R DPM ..................................188
ALTAMIRANO, LUCIA SCOTT MD ........................ 98
ANDERSON, PAUL D RPT ........................................37
ALVEY, JUSTIN C MD ............................................ 197
ANDERSON, RICHARD L MD ..................................10
ALVORD, LYNN S AUD.......................................... 208
ANDERSON, RICHARD LEE MD ...........................155
ALZNER, SHARON LYNN PT ................................ 178
ANDERSON, RYAN KEITH DPM ...............46, 53, 188
AMBATI, BALAMURALI K MD .................... 155, 212
ANDERSON, SALLY M LCSW .......................243, 256
AMBER, INA JUDITH MD ...................................... 131
ANDERSON, SARAH OT .........................................150
AMERICAN FORK DIALYSIS CENTER ................ 295
ANDERSON, SARAH S OT ......................................150
AMERICAN FORK SURGICAL ANDERSON, STEVEN JAY MD ..............................194
CENTER .................................................................... 295
ANDERSON, STUART I OD ...............................72, 200
AMES, COREY S APRN ........................................... 138
ANDERSON, STUART IAN OD ..............................161
AMON, RICHARD PAUL DC .................................. 110
ANDERSON-CONN, SYLVIA K LCSW .................256
AMOROS, ZARUHI U APRN .................................. 114
ANDING, ERIC SCOTT MD.......................................41
ANAND, SANJIV MD............................................... 135
ANDRES, ROBERT L MD ................................132, 145
ANDEN, COREY DAWN MD .................................... 81
ANDRUS, MARLIN V LCSW ..................................286
ANDERS, KRISTA J MD ............................................ 51
ANDTBACKA, ROBERT H MD ..............................127
ANDERS, SCOTT G MD .............................................. 4
ANIS, JOYCE PHD ....................................................277
ANDERS, SUPHITHAYA MD ................................. 107
ANISMAN, DAVID E MD ............................................4
ANDERSEN, ALLAN LAMAR AUD ...................... 201
ANNIS, PROKOPIS MD............................................164
ANDERSEN, DANA ANDREW MD ......................... 32
ANNIS, TIMOTHY D DC ...........................................74
ANDERSEN, JASON L DO .............................. 249, 287
ANSARI, SAFDAR A MD.........................................138
ANDERSEN, KENNETH RAYMOND ANSEL, LISA L PHD ................................................234
DC .............................................................................. 201
ANSON, DAVID ALAN PHD ...................................287
ANDERSEN, RONALD DEAN DC............................ 66
ANSON, MARC L LCSW .........................................287
ANDERSEN, TROY CHRISTIAN LCSW ................ 256
ANYAN, WALKER R PT ..........................................179
ANDERSON JR, JOSEPH ROBERT MD ................... 73
AOKI, JON RICHARD MD .......................................122
ANDERSON, ADAM E DC ........................................ 37
AOKI, STEPHEN KENJI MD ...................................164
305
February 12, 2015
Alphabetical Provider Index
A-PLUS HOME CARE
BANKS, DIANA DARR MD
A-PLUS HOME CARE ............................................... 298 AVALON VALLEY CARE CENTER .......................293
APPLEGATE HOME HEALTH................. 297, 300, 301 AVERETT, DARREN H RPT ......................................93
APRIA HEALTHCARE ..................................... 296, 297 AVIZONIS, VILIJA NERIS MD ...............................192
ARCENEAUX, DENISE S CCCA .............................. 49 AWERKAMP, BLAINE ALAN DC ..........................201
ARCHULETA, ELAINE E APRN .............................. 10 AZARCON JR, JOSE DO ............................................16
ARLINGTON HILLS CARE CENTER ..................... 293
B
ARMSTRONG II, JOHN DAVID MD .................. 43, 78
ARMSTRONG, BRIAN D LCSW ............................. 234 B H PHARMACY .......................................................299
ARMSTRONG, CHRISTINE B LCSW ............ 252, 256 BABSON, BARBARA GRACE LCSW ....................256
BACH, JOHN ADOLF DC ........................................117
ARNOW KRAEMER, JENNIFER L
LCSW ......................................................................... 256 BACH-WHITEHEAD, TRUDY L LCSW .................256
ARRIETA, NELLIE M LCSW .................................. 256 BACKMAN, RICHARD LEE MD ..............................16
ARRINGTON, BRANDON IRBY RPT ...................... 55 BACON, CARL WILLIAM MD ....................88, 92, 102
ARRINGTON, CAMMON B MD ............................. 170 BADEN, RITA BORGS LCSW .................................256
ARRINGTON, SARA J APRN .................................. 4, 9 BADGER, MATTHEW JONATHAN
ARUP LABORATORIES ........................................... 301 APRN ............................................................................98
ASAY, RONALD W MD ...................................... 84, 95 BADGER, RODNEY SEYMOUR MD .............114, 209
ASAY, SCOTT DC .................................................... 117 BAER, LAWRENCE LOGAN RPT ..........................179
ASHBY, MARA L LCSW ......................................... 256 BAESE, PHILIP LUKE MD ......................................271
ASHDOWN, MICHELE W LCSW ........................... 243 BAGGALEY, MICHAEL E LCSW ...................234, 241
ASHTON, MONICA LCSW ...................................... 242 BAGGALEY, SUSAN KAY APRN ..........................142
ASHWORTH, JAMES CLAUDE MD ...................... 273 BAGLEY, BRENDAN JEROME RPT ........................52
ASKERLUND, ROBERT N APRN ........................... 242 BAGLEY, DOUGLAS K RPT ...................................103
ASLAMI, AMIE J MD ............................................... 273 BAIDEN, ERICA N MD ........................................16, 32
ASPEN CARE CENTER ............................................ 292 BAILEY, BECKY J PHD ...........................................277
ASPEN PARK REHABILITATION .......................... 293 BAILEY, ELLOIS W APRN ..............................254, 286
BAIN, ROBERT S LCSW ..........................................256
ASPEN RIDGE TRANSITIONAL
REHAB ...................................................................... 293 BAIRD, PAUL SESSIONS DC ....................................66
BAKER, DONALD ROSS OD ..................................161
ASPEN RIDGE WEST TRANSITIONAL
REHAB ...................................................................... 293 BAKER, DONALD WAYNE OD .....................161, 224
AT HOME NURSING CARE ..................................... 300 BAKER, ELIZABETH L PHD...........................247, 251
ATANACKOVIC, DJORDJE MD............................. 131 BAKER, GREG JONATHAN PT ......................109, 225
ATKINSON, GENE W LCSW .................................. 243 BAKER, JAN E APRN...............................................142
ATKINSON, JASON DEMONT DC ........................... 57 BALAGNA, RYAN M PHD ......................................248
ATODARIA, NEIL JITENDRA MD ......................... 155 BALBIERZ, JANET MARIE MD .............................176
ATWOOD, LYNNE G APRN, CNM ........................ 229 BALL, ROBERT HENRY MD ..................................145
AUGER, ELIZABETH E DPM ................................. 226 BALLARD, DOUGLAS JAMES RPT.......................179
AUNE, CYNTHIA HARRIS LCSW ......................... 284 BALLIF, MARK G MD ................................................84
AUNE, DAVID L MD ................................. 54, 206, 214 BALLIF, MARK GORDON MD ...........................43, 78
AUSTAD, GREGORY T MD ...................................... 65 BALLOU, CAROL ANN PHD ..................................277
AUSTIN, DONALD R LCSW ................................... 256 BANE, JESSE DAVID MD .........................................23
AUSTIN, TODD W RPT ........................................... 208 BANGERTER, KURT D MD ................................60, 77
AVALON CARE CENTER ........................................ 292 BANK, STACEY MD ..............................................4, 16
BANK, STEPHANIE LCSW .....................................256
AVALON CARE CENTER VA SALT
LAKE CITY ............................................................... 293 BANKS, DIANA DARR MD.....................................139
February 12, 2015
306
Alphabetical Provider Index
BANKS, DUANE ROBERT MD
BELNAP, BARBARA PETTY LCSW
BANKS, DUANE ROBERT MD ...................... 246, 273
BASSETT, ROSANNE M LCSW ..............................257
BARAGER JR, WILLIAM E DO .......................... 91, 98
BATEMAN, CAMERON J DC ..................................209
BARALDI, CAROLE A MD ....................................... 23
BATEMAN, CAMRON J OD ....................................161
BARBER, ALISON LCSW ....................................... 243
BATEMAN, CAMRON J OD .....................................200
BARBER, TODD R DC ....................................... 71, 221
BATISTA, OSCAR A MD ...................................42, 125
BARBOUR, KELLI D MD ........................................ 145
BATRA, NIKHIL N MD ............................................155
BARCK, LYNN L RPT ............................................. 179
BATSON, MARGARET K CNM ..............................133
BARINGER, JOHN RICHARD MD ......................... 139
BATTEN, JULIA ANNE APRN ................................ 111
BARKAN, HELEN I MD .................................. 139, 175
BATTISTONE, MICHAEL JASON MD ...................194
BARKER, BRADY P MD ............................. 88, 92, 102
BATY, BONNIE J CGC .............................................173
BARKER, LAYNE THOMAS MD ............................. 31
BAUERKEMPER, JESSICA N PT ............................179
BARKLOW, JEFF ANTHONY MD ......................... 135
BAUR, NISHA R DO .....................................................9
BARKMEIER KRAEMER, JULIE M SLP ................ 195
BAWDEN, DEVEN M RPT...................................64, 81
BARLOW, STEWART ELLISON MD ....................... 76
BAXTER, MARK EPHRAIM MD ................................7
BARLOW, WILLIAM R MD ............................ 155, 212
BAY, BRIAN W RPT.................................................179
BARMAN, THOMAS FRANCIS MD .. 5, 14, 23, 34, 35
BEAGLEY, SHAWN D OD.......................................230
BARNARD, PETER S CNM ..................................... 133
BEALL, LAWRENCE DALTON PHD .....................278
BARNES, LISA E CNM .................................... 133, 210
BEALS, TIMOTHY CAMPBELL MD ......................164
BARNES, SCOTT RONALD OD ............................. 203
BEAMES, SYDNEY LCSW ......................................246
BARNETT, KATHY W PHD .................................... 277
BEAN, BRUCE ROBERT OD .....................................68
BARNETT, RANDALL DEAN MD ........................... 82
BEAN, CHARLES PARRISH MD ..............................62
BARNETT, ROBERT K MD ..................................... 201
BEAN, GREGORY H MD .............................38, 86, 207
BARNEY, MARK L PT ............................................. 103
BEATTIE, MIRIAM D G APRN ...............................142
BARNEY, MITCHELL FOWLES MD ..................... 223
BEATY, PATRICIA ANN OD ....................................87
BARNEY, SPENCER P MD ..................................... 145
BEAUCHAMP, LUANNA L MD .....76, 77, 85, 86, 132, BARNEY, TYLER J OD ................. 54, 67, 79, 161, 203
145
BARNEY, WESTON T OD ................................. 51, 161
BEAUDOIN, MICHAEL J LCSW .............................244
BARNHART, DOUGLAS C MD .............................. 127
BEAUGEZ, CALVIN M DC ......................................117
BARRELL, WHITNEY J LCSW ............................... 256
BEAVER VALLEY HOSPITAL ........................292, 293
BARRUS, JAMES SCOTT DC ................................... 93
BECK JR, CHARLES LEONARD MD .....................224
BARRY, VERONICA J LCSW ................................. 256
BECK, ANNA CATHERINE MD .....................153, 212
BARRY, WILLIAM HARVEY MD.......................... 114
BECK, CATHERINE E MD ......................................229
BARTEL, ROXANNE LYNETTE MD ..................... 273
BECKSTEAD, ARVEL LEE PHD ............................278
BARTHOLOMEW, BRYAN R DO .............................. 6
BECKSTRAND, JARED RPT ...................................179
BARTLETT, COURTNEY E ARNP ......................... 197
BECKSTROM, ANDREA W APRN .........................254
BARTLETT, STEVEN B RPT .......................... 179, 231
BEDDHU, SRINIVASAN MD ..................................135
BARTON, CHRISTOPHER D MD ........................... 145
BEDELL, LEANNE B CNM .......................................94
BARTON, JEFFREY HUNTER MD ......................... 145
BEEBE, JESSE R LCSW ...........................242, 252, 257
BARTON, LANCE R PT ........................................... 179
BEHRMANN, NICOLE N APRN .....................142, 218
BARTON, MARGHI E LCSW .................................. 256
BEHUNIN, JASON PRICE MD ..................................87
BARTON, RICHARD GENE MD ............................. 127
BEIGHTOL, AIMEE C RPT ......................................225
BARWICK, NIKI L AUD .......................... 41, 49, 57, 73
BELDING, JONATHAN MD ....................................164
BASIC, KATHERINA K MD .................................... 119
BELL, JAMES E MD .................................................155
BASSETT, DUSTIN M LCSW ................................. 241
BELLISTON, NANCY L LCSW .......................246, 250
BASSETT, KAREN LCSW ....................................... 244
BELNAP, BARBARA PETTY LCSW ......................257
307
February 12, 2015
Alphabetical Provider Index
BELNAP, LEGRAND GRANDPETTY
BLACK, ROBERT GRANT PT
BELNAP, LEGRAND GRANDPETTY
BEUS, MICHAEL LYNN MD...................................6, 8
MD.............................................................................. 127
BEUTLER, RONALD ARTHUR DC ..........................95
BELTON, CHRISTOPHER G DO ...................... 69, 231
BEXFIELD, NATHAN A MD .....................................31
BELTRAMO, DAVID A PT ...................................... 179
BEYERS, PERRIANN PARKS LCSW .....................284
BENATOR, RACHEL SHARON MD ...................... 156
BEZZANT, JOHN LLOYD MD ..................94, 119, 210
BENHARD, THOMAS M DC ..................................... 74
BIBO, ANDREW L OD ................................................84
BENNETT III, STEPHEN HIGGS MD ..................... 187
BIDDLE JR, LYLE N RPT ........................................179
BENNETT MURPHY, LAURA M PHD .......... 253, 278
BIDDULPH, GLEN F MD .............................................9
BENNETT, CELESTE A LCSW ............................... 257
BIERER, DAVID ROY MD.........................................77
BENNETT, CRYSTAL M APRN ............................. 254
BIESINGER II, JAMES CHRISTIAN BENNETT, DALE J DC .............................................. 58
APRN ............................................................................97
BENNETT, DONNA L MD ....................... 38, 86, 92, 99
BIESINGER, ANGELA L LCSW ..............................284
BENNETT, JARED L SLP ........................................ 213
BIESINGER, RICK T PHD ........................................287
BENNETT, JOHN ROMNEY MD ...................... 50, 122
BIGELOW, CATHERINE OT ...................................151
BENNETT, LAUREL K RPT .................................... 225
BIGGS, JEREMY J MD .............................................150
BENNETT, PAMELA J LCSW ................................. 257
BIGGS, SEAN DAVID MD .......................................198
BENNETT, RICHARD WAYNE MD ..................... 5, 23
BIGLER, RICHARD J OD ...........................61, 161, 203
BENNION CARE CENTER ....................................... 293
BILDER, DEBORAH A MD .....................................271
BENNION, DAVID FRED MD ................................... 13
BINDRUP, JED REED MD .........................................53
BENNION, KARLA E PHD ...................................... 248
BINGHAM, CORY M DC .........................................201
BENNION, KRISTIN M LCSW ........................ 246, 250
BINGHAM, ERICK ROLAND DC .............................93
BENOWITZ, BARRY ALAN MD ............................ 123
BINGHAM, SCOTT EUGENE MD ......................84, 95
BENSON, DOUG W RPT ......................................... 179
BINGMAN, JANA D MD ..........................................273
BENSON, LAURA D LCSW .................................... 257
BINKERD, R SCOTT DC ..........................................117
BENSON, LOWELL S MD ....................................... 131
BIRCH, ROBERT DIX DO ........................................273
BENSON, SCOTT C RPT ................................. 205, 225
BIRCHER, DELMAR A LCSW ................................234
BENTLEY, MELISSA J MD ....................................... 11
BIRD, BLAINE F OD ................................................100
BERENSON, MALCOLM MARK MD .................... 125
BIRD, BLAINE F OD .................................................105
BERGEN, TAD S CCCA ................................... 112, 209
BIRD, GARRETT R MD ...........................191, 227, 232
BERGGREN, KIERA N SLP ..................................... 195
BIRD, RICHARD M AUD .................................112, 216
BERKEL, HEATHER M APRN .................................... 7
BIRDSLEY, GALEN CLARK DC ............................117
BERMAN, JOSEPH HAROLD MD ............................ 16
BISHOP, JON BRADLEY MD ....................................89
BERNARD, HEATHER LEE APRN ................ 235, 239
BISHOP, SCOTT R MD...........................................8, 31
BERNER, TERRY H OD ............................................ 200
BISSON, ERICA F MD ................................86, 137, 211
BERNER, TERRY HERSCHEL OD ......................... 161
BITNER, JOHN B MD .................................................59
BERNHARD, NICHOLE L OT ................................. 150
BITNER, MARK ROBERT MD ..................................60
BERNSTEIN, PAUL STEVEN MD .......................... 156
BITTLE, SHEILA P APRN, LMFT ...........................254
BERRETT, WENDY A SLP ...................................... 195
BITTNER, BERNADETTE JUDE APRN .................142
BERRIO, JESSICA A LCSW ............................ 284, 286
BJARNASON, CAROLINE C AUD ...........................54
BERRY, ROBERT MICHAEL MD .......................... 164
BJORDAHL, TERRENCE SCOTT MD ......71, 135, 218
BERRY, STEVEN L MD ............................................. 11
BLACK, EVAN G MD...............................................139
BERUBE, ERIC J DC ................................................ 221
BLACK, JAN R RPT ..................................................213
BESON, JAMES L DO .............................................. 156
BLACK, JOHN L DPM ................................................93
BETTIS, DANIEL I MD ............................................ 156
BLACK, KRISTEN RPT ............................................179
BEUS, KIRT SCOTT MD ............................. 96, 97, 215
BLACK, ROBERT GRANT PT ..................... 64, 81, 111
February 12, 2015
308
Alphabetical Provider Index
BLAIR, SARAH E LCSW
BRADY, CASEY J PT
BLAIR, SARAH E LCSW ......................................... 257
BORSHANIAN, JOSEPH KRIKOR
BLAIR, VERONICA C CNM .............................. 51, 133
APRN ............................................................43, 223, 229
BLAKE, BEVAN D RPT ........................................... 179
BOSCH, CLARIVETTE MD .......................................16
BOSCHERT, MARK EDWARD MD ..................42, 125
BLASCHKE-BONKOWSKY, ANNE J MD.............................................................................. 174
BOSLEY, RYAN BENSON DC ..................................74
BLATTER, IAN W RPT ........................................ 39, 89
BOSSART, PETER WILLIAM MD ..........................190
BLEAK, SHIRLEY J APRN ........................................ 71
BOSTER, JONATHAN J OD.....................................230
BLEDSOE, JAMES A DO ........................................... 10
BOTT, ALICIA J LCSW ............................242, 252, 257
BLISS, BRANDON K RPT ................................. 89, 103
BOTT, JAY CORDELL MD ..................................39, 99
BOARDMAN, HALIE LCSW ................................... 257
BOTTO, LORENZO D MD .......................................173
BOATENG, YAW A MD .......................................... 135
BOTTS, ELIZABETH L MD .....................................273
BOBO, CALLENE D APRN ....................................... 12
BOUCHER, KURTT R SLP...................................90, 93
BODEN, ERINLEE RPT ........................................... 225
BOUDREAUX-NIPPERT, DENISE J MD.................223
BODHIREDDY, HARI MD....................................... 156
BOURNE, MICHAEL HAL MD ...............................165
BODILY, KURT OLSEN MD ..................................... 97
BOURNE, ROBERT BRYAN MD ............................196
BOEL, DAVID ARNP ............................................... 254
BOWDEN, COREY D DC ...........................................58
BOELENS, DENISE MARIE PHD ........................... 278
BOWEN, ANNELI RIRIE MD ..................................119
BOFFELI, SHANNON LYONS APRN .................... 143
BOWEN, BRENT JAMES MD ..................109, 176, 205
BOGUS, WILLIAM J OD.......................................... 161
BOWEN, GLEN MONTROSE MD .....................41, 119
BOGUS, WILLIAM J OD........................................... 200
BOWEN, JENNIFER L RPT ......................................179
BOHEEN, KAREN A DO............................................ 60
BOWEN, JULIE MCDERMAID PHD ......................278
BOHNING, SUSAN A AUD ..................................... 112
BOWERS, JOHN HAMPTON MD ...........................125
BOHNSACK, JOHN FRANCIS MD ......................... 108
BOWERS, MARC VINCENT DC ...............................95
BOIS, PIERRE P RPT ................................................ 179
BOWLES, TAWNYA L MD .....................................127
BOJANOWER, DEANNA LEIGH APRN .................. 73
BOWLING, MARIANNE FNP ....................................16
BOLLO, ROBERT J MD ........................................... 137
BOWMAN, ADAM M MD ........................................156
BOLOGNESI, MICHAEL PAUL MD ...................... 164
BOWMAN, ADAM M MD ...........................................66
BOLTAX, JONATHAN PETER MD ........................ 191
BOWMAN, DEBRA L LCSW ...................................288
BOLTZ, ARTHUR T NP ............................................. 13
BOWSER, RICK ALAN RPT ......................................64
BOMAN, MICHAEL TED LCSW ............................ 242
BOX, TERRY DEAN MD .........................................125
BOMAN, TEL SKIDMORE AUD .............................. 73
BOYER, DAVID LAMAR OD ..................................161
BOND, ROGER ARIE DC ........................................ 209
BOYER, MICHAEL W MD...............................153, 174
BONE, JONATHAN D PHD ..................................... 278
BOYLE, BRIAN J PT...................................................64
BONNER, JOHN L LCSW ........................................ 257
BOYNTON, KATHLEEN KARN MD ......................125
BONNEVILLE DIALYSIS ......................................... 297
BRADBURY, CHRISTINE M LCSW .......................257
BOOK, KARA M OTR .............................................. 151
BRADEN PARTNERS ................................................303
BOOK, LINDA SUE MD .................................. 106, 125
BRADFORD, LISA F LCSW.....................................235
BOONE, LEWIS LELAND LCSW, BRADFORD, MISHA RPT........................................179
LMFT ......................................................................... 257
BRADISH, NANCY LCSW .......................................257
BOOTH, ALISON L LCSW ...................................... 284
BRADLEY, MICHAEL J MD .............................51, 156
BOOTH, JENNIFER A APRN .............................. 86, 99
BRADLEY, RULON RALPH MD ............................119
BOOTH, TRAVIS S PT ............................. 179, 225, 231
BRADSHAW, AMBER D MD ....................................77
BOOTHE, KENNETH A DC ....................................... 74
BRADSHAW, BRIAN RICHARD MD .......................96
BORIC, LAMIA MD ........................................... 71, 153
BRADY, BRUCE RYAN MD ...................................123
BRADY, CASEY J PT ...............................................205
309
February 12, 2015
Alphabetical Provider Index
BRADY, ERIC JAMES DC
BURLEIGH, WILLIAM HAL DPM
BRADY, ERIC JAMES DC ......................................... 95
BROWN, MICHAEL D OD ........................................233
BRADY, MARGO JONES RPT ................................ 179
BROWN, PARDIS A SLP ..........................................195
BRANCH, DAVID W MD ................................ 132, 145
BROWN, RONALD EARL MD ................................114
BRANDT, WILLIAM FREDERICK MD ................... 63
BROWN, TERRY ALLEN MD .......43, 71, 72, 150, 223
BRANN, WILLIAM MARCUS MD ......... 114, 220, 228
BROWN, TODD ELLIOT PT ....................180, 225, 231
BRANT, WILLIAM O MD................................ 198, 214
BROWN, WESLEY R MD ................................201, 222
BRASHER, CRAIG ALAN MD ............................ 27, 34
BROWNING, VICTORIA E SLP ................................56
BRAUN, DANIEL S LCSW ...................................... 239
BROWNSTEIN, ELLIE SUE MD ...............................10
BRAUNBERGER, KERRY S AUD ............................ 73
BRUCE, STEPHEN JAMES MD.................................10
BRAVO, ALEXANDER J RPT ............................. 45, 48
BRUDERER, PAUL CHRISTIAN OD ................61, 230
BRAY, BRUCE EARL MD ....................................... 114
BRUDERER, PAUL CHRISTIAN OD .......................233
BRENAY, ANN C LCSW ......................................... 257
BRUNETTI, ROSS ANTHONY MD...........................16
BRENNAN JR, KEVIN C MD .................................. 139
BRUNISHOLZ, SYLVIA J LCSW ....................252, 257
BREYER, WENDY ANNE MD ............................ 39, 99
BRUNKER, CHERIE PRATT MD ..............................23
BRIGHT, JEFFREY C LCSW ................................... 289
BRYAN, JOSHUA WILLIAM DC ..............................37
BRILL, LORI K PHD ................................................ 278
BRYAN, NATHANIEL ANTHONY MD .................165
BRIMHALL, ANGELA K DO .................................. 119
BRYNER, WALLACE FRANKLIN MD ..................145
BRINTON, ELIOT ASHBY MD ............................... 124
BUCCIERE, ROBERT ANDREW LCSW.................258
BRINTON, JENNIFER NICOLE GEARY BUCHANAN, STEPHEN J RPT .................................68
MD................................................................................ 27
BUCHHEISTER, KLEMENTINA TINA BRIXEY, MARK C DC ............................................... 74
RPT ...............................................................................45
BROADBENT, DAVID HARRISON MD .................. 99
BUCHI, KAREN FOUTS MD .....................................27
BROADHEAD, JEFFREY L OD ............................... 214
BUCHI, KENNETH O MD ................................125, 222
BROADHEAD, JEFFREY LYNN OD .............. 212, 230
BUCHMANN, LUKE O MD .....................................122
BROBERG, JEFFREY C MD ................................ 86, 99
BUDGE, EDWARD H RPT .................................52, 215
BROCKBANK, DAVID MD ........................................ 73
BUFFI, CAROL E LCSW ..........................................258
BROCKBANK, DAVID T MD ................................. 156
BUIE, JERRY LEE LCSW.........................................258
BROCKBANK, LAURA LYN PHD ......................... 278
BULAJ, ZANETA JADWIGA MD .......5, 14, 24, 34, 35
BROCKBANK, STEPHEN R OD .................. 73, 90, 200
BULANON, MILLARD E RPT .................................180
BROCKBANK, STEPHEN RUSSELL BULL, DAVID ANDREW MD .........................114, 209
OD ........................................................................ 87, 161
BULLARD, MICHAEL L MD.....................................78
BROCKMEYER, DOUGLAS LEE MD ................... 137
BULLOCK, RANDY A APRN ..................................243
BRODKE, DARREL SCOTT MD ............................. 165
BULLOUGH, JERRY JAY DC ...................................58
BRODSTEIN, DAVID E MD ....................................... 84
BUNKER, DOUGLAS BRYAN PHD .......................278
BRODSTEIN, DAVID EDWIN MD ........................... 78
BUNN, WILLIAM E DO ...........................................250
BROMBERG, MARK B MD ..................................... 139
BURCH, PHILLIP T MD ...........................................197
BRONSON, BARBARA J LCSW ............................. 250
BURESH, KARRI A OD .............................................200
BROWN, BRYANT JEROME MD ........................... 145
BURESH, KARRI ANNE OD ...................................161
BROWN, ERIC R DC ................................................ 117
BURGERT, REBECCA M LCSW .....................239, 244
BROWN, HOMER R DPM ............................... 189, 206
BURGESS, JAMES L DC ............................................48
BROWN, INGRID LCSW ......................................... 257
BURGETT, ALTON DOUGLAS MD .......107, 145, 223
BROWN, JEFFRY C DC ............................................. 84
BURGIN, SALLY SUE LCSW ..................................258
BROWN, JOSHUA C RPT ................................ 111, 217
BURICK, MEGAN F OT .............................................70
BROWN, LAURA P LCSW ...................................... 286
BURKS, ROBERT TODNEM MD ............................165
BROWN, MICHAEL D OD ...................................... 161
BURLEIGH, WILLIAM HAL DPM ..........................189
February 12, 2015
310
Alphabetical Provider Index
BURLEW, BRAD S MD
CARLSON, PAUL J MD
BURLEW, BRAD S MD ........................................... 114 CALL, JUSTIN A MD .................................71, 153, 223
BURNETT, DAVID B OD .................................... 55, 79 CALL, STEVEN E MD ..............................................104
BURNETT, DAVID B OD ........................................... 84 CALLIS, KRISTINA P MD .......................................119
BURNHAM, T LEE PHD .......................................... 289 CALL-SCHMIDT, TRACY ANN APRN ..................170
BURNINGHAM, TED HOWARD MD ........................ 8 CAMERON, JOANNE BROWN PHD ......................278
BURNS, JAMES BANNISTER MD ......................... 139 CAMERON, ROBERT W MD...................................156
BURR, JOHN MICHAEL LCSW .............................. 246 CAMMACK JR, EARL MELVIN LCSW .................253
BURR, ROBERT B PHD ........................................... 278 CAMPBELL, AARON D MD ........................................4
BURR, ROBERT EATON MD ......................... 124, 229 CAMPBELL, BRANDI NICHOLE PT ......................180
BURRIS, MARY K MD ............................................ 273 CAMPBELL, CAMILLE LCSW ...............................258
BURROWS, JAMES DOUGLAS MD .. 68, 69, 229, 232 CAMPBELL, CRAIG D DC ........................................69
BURST, ANNETTE G MD ................................. 78, 223 CAMPBELL, CRAIG JAMES DPM .........................219
BURT, DAVID S LCSW ........................................... 244 CAMPBELL, CURTIS M MD .....................................83
BURT, RANDALL WALTER MD ........................... 125 CAMPBELL, KRISTINE A MD ..................................27
BURTENSHAW, BRUCE FRANCIS MD ................ 7, 9 CAMPBELL, SHAWN D DC ....................................117
BURTON, LAURA MAY APRN ...................... 124, 229 CAMPIAN, ANDREA PT ............................................70
BUSCH, TERRI AMODEI LCSW ............................ 258 CAMPSEN, PAUL J MD ...........................................127
BUSHNELL, LOWRY AVON MD ........................... 273 CANADA, ANGELA D DC.......................................117
BUSHNELL, MATTHEW F RPT ....................... 89, 103 CANALE, CHRISTOPHER COPP MD...............42, 125
BUSHNELL, NED B RPT ......................................... 103 CANGA-SIAO, CYNTHIA R MD.................................4
BUTCHER, ANDREW LCSW .................................. 289 CANNON, CYNTHIA SUSAN MD ..........................145
BUTLER, BONNIE ROSS RPT ................................ 180 CANNON, GRANT WILSON MD ............................194
BUTLER, BRENT R RPT ......................................... 103 CANNON, KAREN L LCSW ....................................258
BUTLER, BRIAN WAYNE LCSW .......................... 250 CANNON, LAURA JANE APRN .............................154
BUTLER, DAVID D RPT ......................................... 205 CANOVA, DONALD RAMON DC ............................48
BUTLER, JOHN EDMUND MD .............................. 122 CANTOR, MARK M SP ............................................195
BUTLER, WARREN LEROY MD ............................. 31 CANYON RIM CARE CENTER ................................293
BUTTARS, HEIDI N LCSW ..................................... 234 CAO, THAI MINH MD .............................................131
BUTTERFIELD, RUSSELL J MD .................... 109, 175 CAPEL, ADAM BRIAN LCSW ................................239
BUTTERS, ROBERT PAUL LCSW ......................... 258 CAPELL, MARK JAMES LCSW ..............................246
BUYS, SAUNDRA SARGENT MD ................. 153, 212 CAPLIN, DEIRDRE ANNE LEVSTEK
BYARS, GABE L OT ................................................ 151 PHD ............................................................................278
BYCK III, DANN CONRAD MD ............................... 80 CAPRAI-FINDLAY, PAULETTE LCSW .................289
BYINGTON, CARRIE LYNN MD ............................. 27 CAPSTICK, BRITTANY N OD ................................203
BYRNE, ASHLEIGH A MD ....................... 52, 170, 225 CAPSTICK, BRITTANY N OD .................................207
BYRNE, JANICE LB MD ........................... 69, 133, 145 CARAGOL, JENNIFER A MD ...................................16
BYWATER, MARIN J LCSW .................................. 258 CARBONE, PAUL S MD ............................................27
CARCELLI, LAWRENCE ANTHONY
C
PHD ............................................................................246
CABLE, MATTHEW G .............................................. 165 CARDELL, ELIZABETH MARIE OT ......................151
CAHILL, BARBARA CLAIRE MD ......................... 191 CAREGIVER SUPPORT NETWORK .......................300
CAHOON, DANIEL VERNON MD ......................... 105 CARIELLO, PALOMA F MD ...................................131
CAINE, THOMAS HUGH MD ................................... 24 CARLSON, KATHERINE L MD ................................22
CALAME, THOMAS ROBERT MD ........................ 114 CARLSON, MICHAEL J MD ..............................92, 103
CALL, CONLEY B MD ............................................ 215 CARLSON, PAUL J MD ...........................................273
311
February 12, 2015
CARLUCCI, MALKA DC
Alphabetical Provider Index
CHRISTENSEN, SHANE GLADE MD
CARLUCCI, MALKA DC ......................................... 118
CHANDRAMOULI, NITIN BASAVIAH
CARMAN, REBECCA T APRN ............................... 143
MD ..............................................................................154
CAROLS MASTECTOMY SHOPPE ................ 299, 301
CHAPA, RICHARD WILLIAM MD .........................145
CARPENTER, JEANETTE R MD ............................ 133
CHAPPUIS, MARCEL CLAUDE PHD ....................248
CARR, CAMILIA A LCSW ...................................... 258
CHARLTON, KEVIN HOFFMAN MD ....................156
CARR, ELIZABETH M MD ..................................... 191
CHAVEZ, ERNIE CHASIAS RPT ........................64, 81
CARR, LOUIS STANLEY DC .................................... 84
CHAYA, CRAIG J MD ..............................................156
CARR, MATTHEW Q DPM ....................................... 72
CHEBELEU, LIA A MD ............................................139
CARR, TERESA L LCSW ......................................... 234
CHECKETTS, DARIN DAVID DO ..............................9
CARROLL, KRISTEN LEE MD ............................... 165
CHECKETTS, SCOTT RICHARD MD ................57, 58
CARROLL, MILTON LEMMON DC ......................... 91
CHEN, JANET WHEATLEY LCSW ........................237
CARSON, RANDY J RPT ......................................... 180
CHEN, JUNE SHUSHING MD .................................187
CARTER, BOBBI LYN LCSW ................................. 241
CHEN, KARIN MD....................................................112
CARTER, DAVID S RPT .......................................... 180
CHEN, MICHAEL M DO ....................................45, 205
CARTER, MARY A LCSW ...................................... 250
CHEN, STEVEN JOHN PHD ............................238, 278
CARTER, MELVIN ERIC MD ............................. 37, 95
CHENEY, SPENCER D DC ......................................118
CARTER, RANDY BRYAN OD .............................. 161
CHENG, CHRISTINE ANN MD .................................46
CARTER, STACIE A CNM .................................. 48, 59
CHENG, MELISSA MD ....................................150, 212
CARTWRIGHT, PATRICK CAROL MD ................ 198
CHENWORTH, ERIC C DO .............................112, 131
CARVER, DARIN RAY LCSW ................................ 244
CHESLEY, GARRETT G PHD .........................248, 251
CARVER, JOHN ALAN MD ...................................... 99
CHEUNG, ALFRED KWAN-HON MD ...................135
CARVETH, HOLLY JEAN MD................................ 191
CHICK, LELAND RUSSEL MD ...............................187
CASEY, ALAN CLARK DC ....................................... 73
CHIDESTER, ALAN R LCSW ..................................258
CASPER, JOHN T PT ................................................ 180
CHILD, JEFFERY WILLIAM DC.............................110
CASSIERE, ERIN K MD ....................................... 60, 77
CHILDS, BRUCE TODD OD ....................................215
CASTLE, STEPHANIE A OD .................................... 228
CHILDS, LANE CLIFFORD MD ..............................198
CASTLETON, DONNA ELAINE LCSW ......... 246, 258
CHIPMAN, GREGORY C MD ..............................39, 99
CASTLETON, KEITH J OD.................. 54, 87, 161, 208
CHIPMAN, STEPHEN BRET MD ..............................12
CASULL, KATHRYN MD .......................................... 24
CHO, HANNAH H MD .............................................177
CHO, MONIQUE E MD ............................................136
CATARACT & LASIK CENTER OF UTAH ......................................................................... 297
CHORTKOFF, SUSAN C MD...................................156
CATE JR, THOMAS R MD .................. 5, 15, 24, 34, 35
CHOU, STELLA Y MD .............................................202
CATON, CHARLES ALLEN MD ......................... 10, 15
CHOWDHARY, SANDEEP MD .......................191, 227
CAVIN, CHRISTOPHER D LCSW .................. 252, 258
CHRASTIL, CRYSTAL A RPT.................................180
CAVIN, IAN R DO .............................................. 50, 127
CHRISTENSEN, ALYSA C RPT ..............................216
CAYWOOD, TRAER G OD............................... 105, 217
CHRISTENSEN, BRADD K MD ..............................187
CAYWOOD, TRAER GARY OD ..................... 100, 216
CHRISTENSEN, BRENDA ANN LCSW .................234
CAZIER, JANET LCSW ........................................... 286
CHRISTENSEN, DEBORAH AUSTIN CENTRAL UTAH SURGICAL CENTER ................. 298
PHD ....................................................................235, 238
CERVANTEZ, ROBERT DANIEL RPT .................. 180
CHRISTENSEN, LISA KIM AUD ..............................73
CHACHAS, ANGELO GREGORY MD ................... 127
CHRISTENSEN, NATHAN R OD ..............................87
CHALY, THOMAS MD ............................................ 127
CHRISTENSEN, PETER LLOYD MD .................14, 32
CHAMU, RUDI DC ................................................... 221
CHRISTENSEN, ROGER DEVERE CHAN, BENJAMIN R MD ....................................... 273
LCSW .........................................................................258
CHANDLER, CARRIE A APRN ........................ 51, 143
CHRISTENSEN, SHANE GLADE MD ......................16
February 12, 2015
312
Alphabetical Provider Index
CHRISTENSEN, SUSAN S LCSW
COOK, CRAIG SHELDON MD
CHRISTENSEN, SUSAN S LCSW ........................... 246
CLOYD JR, JAMES H PHD ......................251, 285, 289
CHRISTENSEN-MAYER, NANCY SP .................... 195
CLUNY, JOYLYN APRN............................4, 14, 16, 32
CHRISTENSON, MARK J PT .................................. 225
CNS COMMUNITY HOSPICE ..................................303
CHRISTIANSEN, GREGORY A MD ................. 72, 156
CNS PROFESSIONAL SERVICE ......................295, 301
CHRISTIANSEN, ROBERT MERRILL COATES, EVAN C LCSW ................................242, 246
MD.............................................................................. 156
COCHELLA, SUSAN ELIZABETH W CHUNG, JENNIFER ERZSEBET PT ....................... 180
MD ................................................................................16
CHUNG, LEE S MD .................................................. 139
COCHRAN, AMALIA LENORA MD ......................127
CHUNG, MICHAEL BYUNGHAK MD .................. 177
COCO, M KATIE LCSW ...........................................258
CHUNG-HOON, EDWIN K PT ................................ 180
CODNER, BILL G OD.................................................87
CHURCH, KEVIN DEE RPT .................................... 219
CODNER, BILL G OD..................................................90
CHURCH, RYAN DENNIS APRN ......................... 4, 16
COHEE, KIMBERLY PUTTUCK RPT.....................180
CHYNOWETH, TODD RPT ..................................... 205
COHEN, ADAM L MD ..............................................154
CIONNI, ROBERT J MD .......................................... 156
COHEN, SUSANNA R CNM ............................133, 210
CLARK, ALEXANDER P DO .................................... 16
COLARUSSO, JOHN JOSEPH DC ...........................106
CLARK, CLAIRE H PHD ......................................... 278
COLBY, SPENCER NEIL MD ..................................223
CLARK, ELAINE PHD ............................................. 278
COLE, BOYD NEIL MD ...........................................187
CLARK, ERIN A MD ........................................ 133, 145
COLEBY, CRAIG A MD .........................................6, 15
CLARK, FRANCIS JOSEPH DPM ........................... 226
COLEMAN, DON AUBREY MD .............................165
CLARK, HOLLY B MD ............................................ 125
COLEMAN, STEPHEN DEXTER MD .......................16
CLARK, JERRY S DC ................................................. 96
COLES, ANDREW E MD .............................................9
CLARK, JILLIAN S RPT .......................................... 180
COLES, CATHERINE M MD .......................................9
CLARK, JULIE B PHD ............................................. 248
COLLARD, CHAD LYNN DC ..................................221
CLARK, KEVIN NEWELL MD ................................. 42
COLLEDGE, ALAN LAWRENCE MD ........89, 92, 103
CLARK, MATTHEW B MD ......................... 94, 99, 207
COLLEDGE, KENNETH PAUL RPT ...................57, 81
CLARK, MICHELLE OT .......................................... 151
COLLIER, CAROL G LCSW ....................................258
CLARK, RANDY K PT ............................................. 180
COLLINS, TYLER LEWIS DPM ..............................189
CLARK, SCOTT A DPM ...................... 46, 65, 111, 189
COLMAN, HOWARD MD ........................................139
CLARK, STANLEY CORBIN MD ........................... 207
COLONNA, ALEXANDER L MD ............................127
CLARKE, ANGELA M LCSW ................................. 258
COLONNA, SARAH V MD ........................................24
CLARKE, JAMES W MD ....................... 65, 83, 90, 192
COMPASS REHABILITATION CLARKE, JENNIE T MD .......................................... 119
CENTER .....................................................................294
CLARKE, JENNIFER L PT ....................................... 180
CONGER, THEODORE L DC...................................118
CLARKE, MARGARET L AUD ................. 49, 112, 220
CONKLIN, MICHAEL D OD ....................................161
CLASSIC LIFEGUARD ............................................. 303
CONKLIN, MICHAEL D OD .......................................73
CLAUSON, JOSHUA G PSYD ................................. 278
CONLIN, PATRICK CAMPBELL DC .......................74
CLAWSON, JUNIUS JACKSON MD ...................... 165
CONNELLY, JULIA PHD .........................................278
CLAWSON, TERRY DERWOOD AUD .................... 73
CONNER JR, THOMAS KANE MD ..........................17
CLAYTON JR, JAMES MAURICE MD .................. 104
CONNOLLY, MICHAEL S MD ................238, 253, 274
CLAYTON, FRANK J DC .......................................... 74
CONNOR, KATHRYN E RPT ..................................180
CLAYTON, JEFFERY F DC ....................................... 74
CONNOR, SUSAN PHD............................................278
CLEGG, DANIEL ORME MD .................................. 194
CONNORS, BRIAN P OT .........................................151
CLEGG, JARED TRUMAN DPM ............................ 104
CONOVER, THOMAS GERARD MD .....................271
CLINE, JEFFREY WADE MD ................................... 10
CONWAY, DEIRDRE A MD ......................................94
CLINE, RICHARD CLARK MD .............................. 136
COOK, CRAIG SHELDON MD ..................................97
313
February 12, 2015
Alphabetical Provider Index
COOK, CURTIS EMIL DC
CZOP, JOSEPH F PT
COOK, CURTIS EMIL DC ....................................... 209
CRAWFORD, HERTA AUDREY LCSW .................247
COOK, DAVID ALLEN MD ...................................... 62
CRAWFORD, MICHAEL EUGENE MD ...................74
COOK, JENNIFER A CNM .................................. 85, 98
CRAWFORD, MORGAN A MD .................................31
COOK, JULIANN M LCSW ..................................... 259
CREAGER, JOELLE M APRN ...................................94
COOK, KAREN BARBER LCSW ............................ 239
CREER, ANALEE S APRN ...................................12, 17
COOK, LORAN DAVIS MD ...................................... 99
CRESSWELL, ASHLEE D RPT .................... 64, 81, 111
COOK, PAULA J MD ......... 17, 237, 251, 254, 288, 289
CRESTWOOD CARE CENTER ................................292
COOK, TODD MD ...................................................... 99
CREWS, DEBON A OD ...............................................73
COOK, WILLIAM R LCSW ............................. 236, 244
CRISON, GRETEL K DPM .........................................49
COONAN, CLARE T LCSW .................................... 259
CRIST, KAREN J LCSW ...........................................259
COOPER, ANDREW DEMONTMOLLIN CRITICAL CARE SYSTEMS ....................................303
MD.............................................................. 165, 204, 206
CROFTS, ALICIA KAY AUD...................................112
COOPER, CARRIE A PT .......................................... 180
CROFTS, KIMBALL MAURICE MD ........................68
COOPER, LESLIE WERDER MD ...................... 17, 196
CROMBIE, COURTNEY HEATHER COPE, DENNIS BROOKS DC ................................... 74
MD ......................................................................127, 188
COPE, TERESA L APRN .......................................... 254
CRONIN, PAMELA JEANNE AUD .........................220
COPPER RIDGE HEALTH CARE ............................ 294
CROSSLEY, KIMBERLY ANN LCSW ...................247
CORAM HEALTHCARE CORP OF UT ........... 300, 301
CROUCH, BENJAMIN S DO ................................92, 93
CORBETT, JACKE L APRN .................................... 143
CROUCH, MAX J MD.........................................92, 216
COREY, RICHARD P MD ........................................ 100
CROWLEY, JIM D MD .............................................105
CORGIAT, MARK D PHD ....................................... 241
CRUM, ALISON V MD .............................................157
CORNIEA, ROBERT E MD ........................................ 13
CUISON, AMBROSE J PT ........................................180
CORRY, ROBERT H OD ...................... 70, 87, 161, 212
CULBERTSON, JOE CAMPBELL MD ............235, 274
CORSON, ROBERT MD ............................................. 17
CUMBERLAND, MARY JANE APRN ....................239
CORTEZ, MELISSA M MD ..................................... 139
CUMMING, CARALEE C LCSW.............................259
COSGRAVE, MICHAEL L DO .............................. 7, 29
CUNDICK, KIRT E PHD...........................239, 241, 253
COTTAM, DANIEL R MD ................................. 67, 127
CUNEO HELLBERG, BIRGITTE C COTTER, MURRAY A MD ...................................... 119
LCSW .........................................................................259
COTTLE, SHARON E LCSW ........................... 259, 287
CUNNIFF, JOSEPH G DO.........................................177
COULDWELL, MARIE F MD .......................... 108, 172
CURRY, SHAUNTELE E LCSW ..............................288
COULDWELL, WILLIAM TUPPER MD ................ 137
CURTIS, AMY V MD ..................................................41
COUNTRY LIFE CARE CENTER ............................ 293
CURTIS, CHRISTOPHER L CCCA ..........................112
COURTNEY JR, ROBERT J PHD ............................ 278
CURTIS, DAVID EARL MD.............................165, 224
COURTNEY, DAVID J DC ...................................... 214
CURZON, SEAN ROBERT DO ..................................12
COVER, LAURA JANE LCSW ................................ 259
CUSHMAN, DANIEL MD ........................................177
COWLEY, COLLIN GEORGE MD .................. 108, 170
CUTLER, CHRISTOPHER SCOTT MD...................201
COX, GINA BOTTINO MD ........................................ 17
CUTLER, CRAIG J OD .............................................161
COX, MICHAEL A LCSW ............................... 246, 250
CUTLER, CRAIG J OD ..............................................200
COX, VALERIE JANE LCSW .................................. 247
CUTLER, GARY D OD ...............................................61
CRAGUN, DAVID T MD............................................ 95
CUTLER, GARY D OD ................................................66
CRAIG JR, RICHARD MCINTYRE MD ................. 125
CUTLER, SCOTT VERNON PHD ............................236
CRANDALL, ALAN SLADE MD ............................ 156
CUTLIP, CHERYLE LYNNE MD ..............................17
CRANDALL, STEVEN G RPT ........................... 52, 180
CZAJKOWSKI, LAURA ANNE PHD ......................279
CRANER, ADAM CRAIG APRN ............................... 10
CZOP, JOSEPH F PT .................................................180
February 12, 2015
314
Alphabetical Provider Index
DABLING, HEATHER A MD
DEPAOLI, STEPHANIE R LCSW
DAVIS, DEBORAH A LCSW ...................................289
D
DAVIS, DOUGLAS RAY DC ...................................201
DABLING, HEATHER A MD .............................. 86, 99 DAVIS, GARY BURCH DC ......................................118
DAHL, BRYON S DC ................................................. 58 DAVIS, JEREMY J PHD ...........................................279
DAHL, CHARLES FRELEN MD ......................... 84, 95 DAVIS, MARC JEROME MD...................................274
DAHL, MATTHEW E MD .................................. 50, 122 DAVIS, NANCY ROGERS APRN ..............................12
DAHL, STEVEN A LCSW ................................ 252, 288 DAVIS, NATHAN WAYNE DPM ............................189
DAHLBERG, CHRIS H RPT ...................................... 81 DAVIS, RODNEY CLYDE DC .................................201
DAHLE, MICHELLE MARIE APRN ......................... 32 DAVIS, STEVEN E DC .............................................214
DAHLGREN, KRISTINA A PT ................................ 180 DAVIS, SYLVIA RIOS LCSW .................................287
DAHLSTROM, LISA M AUD .................................. 112 DAVIS, WESLEY B MD .......................................60, 77
DAILEY, ANDREW TIMOTHY MD ....................... 137 DAWSON, PAUL W LCSW ......................................236
DAISSON, STEPHEN L APRN ................................ 254 DAY, CARLY E MD .................................................177
DALANHESE, ROSELENE S LCSW ...................... 286 DAY, GLENN ROBERT DC .....................................106
DALL, JOEL TRACY MD ........................................ 177 DAY, JULIE LOUISE MD.....................................10, 24
DALLEY, JEFFREY MARVIN LCSW .................... 239 DAY, RONALD WILLIAM MD .......................108, 170
DALRYMPLE, PAUL F PHD ................................... 279 DAYNES, TODD E MD ...............................................47
DALY, ANNE MARIE APRN .................................... 17 DAYNES, TODD ELLSWORTH MD.................43, 157
DANA JR, JOHN A MD ...................................... 89, 103 DAYTON, MERRIL TAYLOR MD ..........................127
DANGERFIELD, TAMMY ANGELINE
DE HAVENON, ADAM MD .....................................199
RPT ............................................................................. 180 DE LA TORRE, JESUS MANUEL LCSW.................259
DANIELS, JONATHAN PEARSON MD ......... 145, 230 DEAN, SHERLENE T APRN ....................................254
DANSIE, DANE F OD ........................................... 47, 84 DEARDEN, VIVIAN M CNM.....................................59
DANSIE, DANE FRANCE OD ............................. 44, 79 DEBRA LYNNS ..........................................................297
DANSIE, JOSEPH E AUD .................................... 66, 95 DEBRY, SPENCER C MD ........................................274
DARIO, JOEL S APRN ............................. 239, 251, 254 DECHET, CHRISTOPHER BURR MD ....................198
DARLEY, DAVID S MD ...................................... 96, 98 DECKER, DANIEL C LCSW ....................................284
DASSEL, MARK W MD ........................................... 145 DEDRICK-ZEHNDER, JEAN E MD ................272, 274
DASTRUP, BENJAMIN T MD ................................... 78 DEE, MICHAEL SCOT MD ..........48, 49, 62, 66, 80, 83
DASTRUP, BENJAMIN T MD .................................... 84 DEER, LAURA ANN CCCS ...............................54, 195
DAUTEL, DARREN M LCSW ......................... 252, 259 DEGRENDELE, LIBBY REESE PT .........................180
DAVID II, JAMES R OD................................. 48, 62, 79 DEININGER, MICHAEL WERNER
DAVID II, JAMES R OD........................................ 49, 66 NIKOLAUS MD .......................................................131
DAVID, TRACI LYNN MD ...................................... 271 DELAP, AMY C RPT ................................................181
DAVIDSON, CYNTHIA R APRN ............................ 143 DELLA PIANA, KATHRYN M LCSW ....................259
DAVIES, JARROD E OD .................................... 94, 224 DELONG, SAMUEL J OT ...........................................61
DAVIES, JARROD E OD ........................................... 228 DELUIGI, ARTHUR J MD ........................................177
DAVIES, MATTHEW V PHD .................................. 279 DEMERS, SHAUN DANTONIO APRN ...................254
DAVIS HOSPITAL & MEDICAL CTR .... 241, 291, 296 DEMING, ANNIE M PHD.........................................279
DAVIS, ALAN M MD ............................................... 177 DENBLEYKER, JENNIFER JANE MD .................5, 17
DAVIS, BRIAN R MD ............................................... 214 DENERIS, ANGELA CNM ...............................133, 210
DAVIS, BRIAN RICHARD MD ............................... 212 DENSLEY, LOGAN T LCSW ...................................250
DAVIS, CARLY R MD ............................................... 15 DENT, KARIN M CGC .............................................173
DAVIS, CHARLES R MD ................................... 50, 127 DENYS, DOUGLAS MD .............................................37
DAVIS, CRAIG W MD ..................................... 225, 226 DEPAOLI, STEPHANIE R LCSW ............................259
315
February 12, 2015
Alphabetical Provider Index
DEPEW, BRUCE CRAIG MD
DUNFORD, MIRIAM M LCSW
DEPEW, BRUCE CRAIG MD .............................. 14, 17
DIZON-TOWNSON, DONNA SUSAN
DEPOLA, MICHAEL T PT ......... 53, 109, 205, 213, 225
MD ......................................................................133, 145
DEPRIZIO, RAY JAMES LCSW .............................. 259
DOANE, JOHN ALLEN MD .......................................24
DERBRIDGE, CHRISTINA M PHD ........................ 279
DOBBIN, BENSON H LCSW ...................................259
DERBY, MARIZEL MONTOYA OD ......................... 70
DOBBS, BARBARA J LCSW ...................................259
DEREMER, KATHLEEN ROSE MD ..................... 9, 11
DODGION, DAVID A PHD ......................................288
DERR, MICHAEL J DO .............................................. 63
DODSON, MARK KANE MD ..................................145
DESAUTELS, STEVEN GREGG MD ...................... 202
DOMAN, DARRIN D SLP ........................................195
DONALDSON, DAVID LIVINGSTON DESERET HEALTH & REHAB AT CROSSLANDS .......................................................... 302
MD ..............................................................................172
DONALDSON, MARK L MD .....................................96
DESERET HEALTH & REHAB AT FEDERAL HEIGHTS ................................................ 301
DONALDSON, STEPHEN LIVINGSTON MD ..............................................................................100
DESERET HEALTH & REHAB AT OGDEN ...................................................................... 292
DONIGAN, JONATHAN A MD .................................63
DESERET MEDICAL ................................................ 299
DORAIS, JESSICA A MD .................................146, 211
DESJARDINS, MICHAEL C APRN ......................... 255
DOUGHER, ROBERT LANCE PT .............................69
DETEMPLE, KATHRINE M OT .............................. 151
DOUGLAS, WENDY S APRN ....................................73
DEVANEY, JEFFREY S APRN ............................... 227
DOW, RANDAL T LCSW .........................................259
DEVENPORT, STEPHEN BRENT MD ......... 14, 17, 32
DOWLING, ALICE MD ....................................150, 202
DEVERAUX, LARA L LCSW .................................. 239
DOWLING, NATHAN E RPT ...................................181
DEVEREAUX, BRADLEY JAY DC .......................... 41
DOWNEY JR, EARL COURTNEY MD ...................176
DEVEREAUX, BRENDA D CCCA ............... 58, 93, 95
DOXEY, ADAM THOMAS DC ..................................74
DEVRIES, CATHERINE RHU MD .................. 109, 176
DOXEY, BRETT W MD ..............................42, 106, 125
DEVRIES, MELISSA L PHD .................................... 279
DOXEY, GREG D DC .................................................74
DEWEESE, KIP APRN ............................................... 23
DOXEY, THOMAS T DC ............................................74
DEWEY, STEVEN CHARLES OD .................. 161, 230
DOYLE, LISA SUZANNE MD .................................154
DEWITT, LUCY DANA MD .................................... 139
DRAKOS, STAVROS G MD.....................................114
DEWITT, MARY J PHD ........................................... 279
DRANEY, ELIZABETH CASOS DC .......................221
DEYOUNG, PATRICIA R LCSW ............................ 259
DRAPER REHAB & CARE CENTER .......................292
DIABETES SPECIALTY CENTER ........................... 299
DRAPER, MICHAEL LYNN MD .......60, 133, 146, 223
DICKERSON, JASON BRENT DPM ................. 53, 189
DRAPER, VERA HELENE AUD ..............................112
DICKINSON, THOMAS ALBERT MD ..................... 97
DREDGE, WILFORD J LCSW .................................242
DICKMAN, THOMAS J LCSW ............................... 259
DRENKER, CONNIE ANN PT .................................181
DIEHL, MICHAEL JOHN MD ................................... 74
DREWES, PETER G MD.......................................86, 99
DIENHART, DAVID GEORGE MD ................ 109, 191
DRIES, DAVID CHRISTOPHE MD .................107, 157
DIETZ, ANDREW C MD .......................................... 174
DROWN, BRADLEY DAVID LCSW.......................260
DIFIORE, KENT CHRISTOPHER MD ........ 43, 61, 154
DRUSSEL, DUSTIN K DC ..........................................96
DIGNITY HOME HEALTH & HOSPICE ................. 295
DUCKWORTH, HEIDI M APRN .............................170
DIGNITY HOME HEALTH OF UTAH............. 295, 296
DUDLEY, MARK DC................................................118
DIGRE, KATHLEEN BERNICE MD ....................... 139
DUFF, KEVIN M PHD ..............................................279
DILL HOLDINGS ....................................................... 295
DUFFIN, EMILY LCSW ...........................................260
DINCECCO, MICHELLE J OT ................................. 151
DUFFY, KEITH L MD...........................41, 71, 119, 210
DINH, AN TUONG MD .............................................. 17
DUFT, SHERRI E RPT ................................................81
DIXON, DIRK S LCSW ............................................ 259
DUNCAN, NANCY S APRN ....................................137
DUNFORD, MIRIAM M LCSW ...............................260
February 12, 2015
316
Alphabetical Provider Index
DUNIPACE, CAITLIN E CNM
EVANS, BRUCE GORDON MD
DUNIPACE, CAITLIN E CNM ................................ 133 ELDREDGE, NATHAN T DC...................................201
DUNN, JARED CLAUDER MD ......................... 56, 196 ELHADDI, ADAM M MD.........................115, 220, 228
DUNN, JESSICA A APRN .................................... 10, 15 ELIASON, MARK J MD ...........................................120
DUNN, KRISTINE A OD ........................................... 105 ELLER, ALEXANDRA GROSVENOR
DUNN, KRISTINE ALLEMAN OD ................. 100, 162 MD ..............................................................................146
DUNSON JR, WILLIAM ALBERT MD..................... 24 ELLERSTON, JULIA K SLP .....................................195
DUPONT, GREGORY PATRICK MD ..................... 227 ELLIOTT, CLYDE DONALD PHD ..........................246
DURBIN, TERESA VIRGINIA K MD ....................... 60 ELLIOTT, LOUISE D LCSW ....................................284
DUROS, PETER MD ............................................. 12, 13 ELLIS, KAYLYN OT ................................................212
DUSOE, MICHAEL E LCSW ................................... 284 ELLIS, LAURIE JEAN APRN...................................120
DUTSON, THOMAS PAUL REDD OD ............. 51, 162 ELLISON, JOHN W OD ....................................110, 230
DWYER, ROBERT GORDON LCSW ..................... 260 ELMORE, CHRISTINA E CNM .......................134, 210
DYER, DAVID M PT ................................................ 181 ELMORE, NATHAN WESLEY DC .........................217
DYGERT, LINCOLN J OD .......................................... 84 ELSTAD, MARK RICHARD MD .............................191
DYGERT, LINCOLN JOE OD .................................... 79 ELY, BRIAN M DO .....................................................30
EMERICARE ..............................................................293
E
EMPEY, DALLAS BLAINE PHD.............................238
EAKIN, JEFFREY L MD .......................................... 229 EMPEY, RYAN B MD.......................................223, 230
EARL, HOLLY R LCSW .......................................... 260 ENCE, BRADFORD KELLY MD .........................85, 91
EARLE-BOYER, ELIZABETH A PHD.................... 279 ENCOMPASS HOME HEALTH OF THE
EASON, GEORGE RICHARD DPM ........................ 213 WEST .........................................................................300
EASTVOLD, ANGELA D PHD ................................ 279 ENGEL, MICHAEL E MD ........................................174
EBERHARD, BRENT KEITH MD ............................... 9 ENGELEN, MEGAN J DO ..........................................24
EBERTING, CHERYL LEE L MD ............................. 37 ENGEN, TODD BRIAN MD .....................................100
EBORN, SHANA KINSEY MD .................................. 17 ENGLAND, L CRAIG LCSW ...................................242
ECHEVERRIA, DOMINIC J OT .............................. 151 ENGLISH, CHRISTOPHER S MD .......................59, 63
ECKHAUSER, AARON W MD ................................ 197 ENNISS, TIMOTHY S LCSW ...........................260, 289
EDGINGTON, BRADLEY LYNN PHD ................... 248 ENNISS, TOBY M MD ..............................................127
EDGINGTON, SHAWN COREY PHD .................... 251 EREKSON, JACOB D RPT .......................................219
EDGLEY, STEVEN R MD ........................................ 177 ERICKSON, GRANT B MD ......................................199
EDMONDS, RITA M LCSW .................................... 250 ERICKSON, GREGORY A MD ................................165
EDMUNDS, FRANK MIDDLETON OD ................. 101 ERICKSON, JEFFREY G MD .....................................27
EDMUNDS, FRANKLIN M OD ................................ 105 ERICKSON, TY BOLTEN MD .................................146
EDWARDS II, THOMAS S MD ................. 49, 114, 220 ERICSON, DONALD M MD.....................................181
EDWARDS, JOHN COVEY MD ................................ 44 ERROR, MARC E MD...............................................122
EDWARDS, SUSAN LYNN MD ................................ 17 ESPLIN, DAVID J OD ................................................216
EGAN, BRENT H APRN ............................................ 98 ESPLIN, DAVID JAMES OD ....................................215
EGBERT, DANIEL EDWARD DC ........................... 106 ESPLIN, JARED FRANKLIN RPT .....................70, 181
EGBERT, PATRICK B DC ....................................... 221 ESPLIN, MICHAEL SEAN MD ........................133, 146
EIFLING, MICHAEL D MD ..................................... 113 ETHERIDGE, SUSAN PAYNE MD .........................171
EIMERS, LAUREN R MS ......................................... 130 ETRINGER, BRUCE DENNIS PHD .........................279
EKENSTAM, NADIA T LCSW ................................ 260 ETSY, BRITTANY MD ...............................................27
EKSTRAND, JEFFREY J MD .................................. 175 EVANGELISTA, MANUEL N LCSW ......................260
ELDER, A KYLE PHD .............................................. 279 EVANS, BRADLEY S LCSW ...................................250
ELDER, FRANK DAVID LCSW ...................... 242, 260 EVANS, BRUCE GORDON MD ......................165, 204
317
February 12, 2015
Alphabetical Provider Index
FLOREZ, MONICA E LCSW
EVANS, RYAN NEWELL MD
EVANS, RYAN NEWELL MD ..................................... 7 FELT, JAMES GORDON RPT ....................................81
EVANS-CAZIER, ANNE LCSW .............................. 260 FENSTERMAKER, CHARLES A RPT ....................181
EVENSON, MALLORIE J MD ................................. 146 FENTON, PETER C O MD........................................125
EYESURG OF UTAH ................................................ 295 FENTON, STEPHEN J MD .......................................176
EYRE, ALYSON MD ............................................ 27, 34 FENZL, CARLTON MD ............................................157
EYRE, MICHAEL PEARSON DO ..................... 91, 215 FERNEY, BRANDON J MD .....................................165
EYRE, RUSSELL WARREN MD ............................... 85 FERRE, RICHARD CHARLES MD .........................272
EYRE, STEVEN PAUL MD ....................................... 85 FERRIS, BARBARA ANN LCSW ............................260
FEUERMAN, JASON M MD ....................................157
F
FIDLER, SCOTT WILLIAM PHD ............................238
FAILS, KIRSTEN L RPT .......................................... 181 FIELDEN, CLARK E OD ......................................48, 79
FAIR, MYRON DEAN DC ....................................... 217 FIELDEN, CLARK E OD .............................................49
FAIRBANKS, GRANT ANDREAS MD .................. 188 FIELDS, SUZANNE MARIE LCSW ........................260
FAIRCLOTH, ERICA A MD .................................... 146 FIFE, JASON ROY DO ..................................................6
FALAHATI-NINI, ALIREZA MD ............................ 124 FIGG, KELLEY J LCSW ...................237, 242, 247, 260
FALLGATTER, KIMBERLY D OT ......................... 151 FILLERUP, SHARON LEE MD ..................................60
FALLIS, MARTHA LCSW ............................... 252, 260 FILLMORE, RANDALL REID MD ............................32
FAMILY SURGICAL SUITE .................................... 299 FILLOUX, FRANCIS MAURICE MD ..............106, 139
FANG, JAMES C MD ............................................... 137 FINDLAN, THOMAS FRANCIS DO .......................157
FANG, JOHN C MD .................................................. 125 FINDLAY, MATHEW G OD .......................................73
FARHI, PARISA MD ................................................ 157 FINDLAY, MATHEW GENE OD.............................162
FARLEY, DUANE EARL MD .............................. 57, 60 FINK, BARBARA PONTZER RPT...........................181
FARMINGTON BAY DIALYSIS
FINLAYSON, SAMUEL R MD ................................127
CENTER .................................................................... 295 FIRST CHOICE HOME HEALTH .....................298, 300
FARNSWORTH, CHERYL ANN RPT ..................... 181 FIRSTMED EAST URGENT CARE ..........................302
FARNSWORTH, KENT WALKER MD .................. 146 FIRSTMED MURRAY URGENT CARE ..................296
FARR, DEVIN B OD .............................................. 47, 84 FIRSTMED NORTH URGENT CARE ......................295
FARRELL, SCOTT D OD ..................... 44, 79, 162, 230 FIRSTMED WEST URGENT CARE .........................303
FARRELL, TIMOTHY W MD .................................... 17 FISCHBACH, ADA JENNIFER MD.........................192
FARRUKH, HANADI M MD ..................................... 24 FISCHER, KELLY M OT ..........................................151
FARRUKH, IMAD SAAD EL-DEI MD ................... 227 FISH, BRENDA ISAKSON APRN ...........................143
FASSIO, JOHN B MD ............................................... 157 FISHER, BRANDON J MD ...................................65, 83
FAUX, JONATHAN ROBERT MD ...... 88, 92, 102, 208 FISHER, PETER C MD .............................................198
FAWSON, LORELL BRADFORD DPM ................... 82 FISHER, SIMON J MD ..............................................124
FEATHERSTONE, DARIN ROMNEY
FITWELL OF PPMC ...................................................299
PHD ............................................................................ 248
FITZGERALD, NANETTE LCSW ...........................287
FEIG, JOHN W RPT .................................................. 181
FLAMMER, MARK GORDON MD ...........................45
FELIX, BRENT ARGYLE MD ................................. 165
FLEGAL, DOUGLAS CLARK DPM ........................189
FELIX, MITCHELL W RPT ..................................... 181
FLETCHER, THOMAS R DC ...................................118
FELIX, TRAVIS D PT ............................................... 181
FLINDERS, KURT T DO ............................................15
FELLER, KELLY C LCSW ....................................... 235
FLINDERS, MARK ALAN PT ....................................48
FELLOWS, BRADLEY V OD .................................. 203
FLINT, IVAN DEAN MD ..........................................120
FELLOWS, BRADLEY V OD ..................... 54, 207, 214
FLITTON, MICHAEL TAYLOR PT .........................181
FELT, DOUGLAS P MD .............................................. 84
FLITTON, TODD B DPM .....................................57, 65
FELT, DOUGLAS PATTERSON MD ........................ 78
FLOREZ, MONICA E LCSW ....................................287
February 12, 2015
318
Alphabetical Provider Index
GAFFNEY, DAVID KASSLER MD
FLUCHEL, MARK N MD
FLUCHEL, MARK N MD ......................................... 174 FRECH, EDWARD JOHN MD .................................125
FLYNN, ANN D MD ......................................... 125, 210 FRECH, TRACY MINAN MD ..................................194
FLYNN, MICHAEL CLINTON MD ........................... 28 FREDERICK, ADAM R MD .......................................18
FOGG, REED EUGENE MD .................................... 165 FREE, DAVID HARLAN DC ......................................93
FOLEY, CRAIG RALPH MD ..................................... 75 FREED, ANNE F LCSW ...........................................261
FOLEY, JOHN FRANCIS MD .................................. 139 FREEDMAN, ROGER ALAN MD ...........................115
FONSECA, WALSTIR H MD ..................................... 12 FREEMAN, JAN S MD .............................................127
FOOT, LAURA M MD ................................................ 66 FREEMAN, KENNETH A RPT ................................109
FOOTE, STEPHEN MICHAEL DO ............................ 31 FREER, JOHN BRYANT MD .....................................36
FORBES, JENNIFER L LCSW ................................. 244 FREIMER, MARTIN MD ..................................274, 277
FORBUSH, NATHAN G MD ............................. 7, 9, 32 FRIBERG, DANIELLE C OT ....................................151
FORD, ARIEL C PHD ............................................... 279 FRIES, TIFFANI TABISH DC ..................................118
FORD, BETTY J LCSW ............................................ 253 FRINKMAN, PAMELA LYNN RPT ..........................81
FORD, LARRY C MD ................................................. 98 FRISCHKNECHT, NEIL JONES OD .........79, 203, 218
FORD, RICHARD L DC ............................................. 58 FRITINGER, SUZETTE LEANN LCSW ..........235, 236
FORSHA, DOUGLASS WILLIAM MD ................... 222 FROERER, CHRISTIAN DONALD MD ..................146
FORSTALL, PETER G MD ........................................ 74 FROGLEY, CORY MICHAEL DC .............................41
FORSYTH, MARLIN M RPT ..................................... 45 FROGLEY, MICHAEL R DC ....................................228
FORSYTHE, KIM A LCSW ...................................... 288 FROGLEY, SCOTT HENRY DC ..............................209
FORTENBERRY, KATHERINE T PHD .................. 279 FROMM, KEVIN J OD ...........................................56, 94
FOSTER, CARLA CHARBONNEAU
FROMM, KEVIN JAY OD ....................................56, 94
MD................................................................ 54, 206, 214 FROST, JAMES L OD ..................................................84
FOSTER, CAROL MARVEL MD .................... 108, 173 FROST, WILLIAM A LCSW ............................236, 242
FOSTER, NANCY ELIZABETH APRN .................. 255 FRY, MORGAN R RPT .............................................181
FOSTER, NORMAN LOUIS MD ............................. 139 FU, KATY Y APRN ...................................................143
FOSTER, THOMAS MAX LCSW ............................ 260 FUE, LAURIE DON SLP ...........................................195
FOUGHT, THERESA MARIE CNM ........................ 134 FUHRIMAN, JOSHUA DAVID PT ............................53
FOULK, RUSSELL A MD .......................................... 94 FUHRIMAN, RYAN RUSSELL PT ....................53, 181
FOULKS, MATTHEW NEIL PT .............................. 181 FUJITA, SHIRO MD ..................................................128
FOWERS, JODY L APRN ....................................... 8, 10 FUKUSHIMA, BRIAN WEI-LING MD .............52, 165
FOX, CALVIN BRENT AUD ................................... 112 FULLER, DIANNE L APRN .......................................18
FOX, DAMON BRENT AUD ................................... 112 FULLMER, LARRY DON RPT ................................205
FOYE, MARY DOBNER SP ..................................... 195 FULTON, WILLIAM J LCSW ..................................261
FRAME, AMY J RPT ........................................ 181, 205 FULTS III, DANIEL WEBSTER MD .......................137
FRAME, KATHLEEN O APRN ............................... 200 FURANO, ANYA S SP ..............................................195
FRAME, RICHARD NEIL MD ......................... 154, 223 FURNESS, TODD W DO ..............................................5
FRANCIS JR, JOSEPH ALLEN MD ............................ 8 FURSE, DANIEL D LCSW .......................................261
FRANCIS JR, KARL M MD ....................................... 97 FURST, SHAWN R DO .............................................103
FRANCIS, KRISTIN C MD ...................................... 274 FURZE, DEREK D PT ...............................................181
FRANCIS, KURT FRIBLEY MD ............................. 191 FUTRELL, GREGORY DEFOREST DC ..................118
FRANCIS, WENDY K LCSW .......................... 252, 260 FUTRELL, NANCY NIELSON MD .........................140
FRANCONE, STACEY MARIE LCSW ................... 260 FYANS, JOSEPH C MD ............................................225
FRANTZ, DAVID J MD .............................................. 38
G
FRAZIER, MATTHEW S DO ............... 88, 92, 102, 208
FRAZIER, TROY DELANE DC ................................. 84 GAFFNEY, DAVID KASSLER MD .........................193
319
February 12, 2015
Alphabetical Provider Index
GAGE, CAROL F PHD
GILMORE, PATRICK DALE LCSW
GAGE, CAROL F PHD ............................................. 279
GELLER, PAUL D OD ...............................207, 214, 219
GAILUSHAS, SHANE A MD ..................................... 97
GELLER, PAUL DOUGLASS OD ............203, 212, 218
GALARIA, NOREEN A MD ..................................... 120
GELLNER, CYNTHIA L MD .....................................28
GALBRAITH, PATRICIA L LCSW ......................... 261
GELMAN, STEPHANIE SUE MD ..............................51
GALE, JENNIFER SANTOSUSSO PHD ................. 285
GEMMELL, LOIS JEANNE MD ..............................146
GALEHDARI, NAZANIN OD .................................. 162
GENTRY, STEVEN M PHD .....................................234
GALEHDARI, NAZANIN OD ..................................... 73
GEORGE E WAHLEN OGDEN VET ........................292
GALLAGHER, EILEEN M MD .................................. 28
GEORGE, DALLAS S DC ...........................................41
GALLANT, ELLEN M MD ......................................... 74
GEORGE, DAN GINOS DC ........................................41
GALLANT, SARAH I SLP ....................................... 195
GEORGE, PAUL WARREN LCSW .........................247
GALLEGOS-OROZCO, JUAN F MD ...................... 125
GERARD, CLAUDIA G CNM ..................134, 210, 229
GALLOWAY, KATHRYN A LCSW........................ 249
GERMAN, LINDSEY K CNM ..................................134
GALT, SPENCER WILLIAM MD ............................ 199
GERRITSEN, JEREMY P OD ...................................107
GAMBOA, DAVID G MD ........................................ 171
GERTSCH, ZANE F RPT ..........................................181
GANDOLFI, ROY JOSEPH MD ................................. 24
GEURTS, GERALD H PT .........................182, 225, 231
GANELLEN, EDWARD WAYNE MD ...... 49, 115, 220
GIANELO, CAROL G LCSW ...................................261
GANGE, STEVEN NORRIS MD .............................. 198
GIBB, RANDAL BOYD MD.................................85, 91
GARCIA, PATRICK W DC ...................................... 209
GIBBINS JR, KAREN J MD......................................146
GARCIA, RYAN M PHD .......................................... 279
GIBBONS, TIMOTHY LEE OD .......47, 62, 70, 87, 162
GARCIA-DIAZ, ZULLY S LCSW............................ 261
GIBBS, PAULA KAYE MD ......................................274
GARCIA-LEAVITT, ELIZABETH R GIBBS, SARAH A LCSW .........................................261
LCSW ......................................................................... 261
GIBSON, BRANDT RYAN DPM ...............................40
GARDEN TERRACE ALZHEIMER'S GIBSON, ERIN M LCSW ..................................252, 261
CTR ............................................................................ 293
GIBSON, KERI L MD .........................................69, 146
GARDINER, MATTHEW JAMES MD .................... 235
GIBSON, MARK MD ........................................146, 211
GARDNER, BEVERLY K PHD ............................... 279
GIBSON, ROY RAYMOND OD .................................79
GARDNER, KAREN LCSW ..................................... 250
GIBSON, SEAN D PT ................................................226
GARDNER, KATHRYN STAUFFER
GIBSON, SUMMER B MD ...............................140, 211
LCSW ......................................................................... 244
GIDEON, KATHLEEN A OT ....................................151
GARDNER, PAUL KENNETH MD ........................... 98
GILBERT, EDWARD MICHAEL MD .....................115
GARG, HINA PT ....................................................... 181
GILBERT, RYAN M MD ..........................................222
GARG, VIKAS MD ................................. 45, 52, 63, 170
GILCREASE, GLYNN W MD ..........................131, 210
GARRETT, KELLY D PHD ...................................... 279
GILES, GERET NOLAN PHD ..................................249
GARRETT, TAUNYA F RPT ................................... 205
GILES, LISA L MD ...................................................272
GARRIDO-LAGUNA, IGNACIO MD ..................... 154
GILILLAND, JEREMY M MD .................................165
GARRY, DAVID PATRICK JOH MD ....................... 97
GILL, BRIAN D MD ..............................................85, 97
GATENBY, RUSSELL JACK RPT ............................ 39
GILL, J D PHD ...........................................................279
GAUFIN, LYNN MILLER MD ................................... 98
GILL, JOHN HAROLD PHD.....................................280
GAWRON, ANDREW J MD ............................. 125, 210
GILLESPIE, AMY LCSW .........................................261
GAWRON, LORI M MD ........................................... 146
GILLESPIE, DARREN J LCSW ................................238
GAY, CHRISTOPHER ALLAN MD .......................... 18
GILLEY HENSLEY, LAURA B MD ........................274
GAYER, THOMAS E OD .......................................... 200
GILLILAND, RODNEY N OD .....44, 55, 62, 67, 72, 79, GAYER, THOMAS ERIC OD ................................... 162
87, 101, 110, 162, 203, 218, 224, 230
GAYOWSKI, TIMOTHY J MD ................................ 128
GILMORE, ALLYSON C OT ....................................212
GEE, CHRISTOPHER J MD ............................. 224, 230
GILMORE, PATRICK DALE LCSW .......................244
February 12, 2015
320
Alphabetical Provider Index
GILMORE, PAUL S MD
GREENWOOD, MICHAEL
GILMORE, PAUL S MD ............................. 49, 115, 220
GOSSETT, LEEANN LCSW .....................................244
GIOVANNIELLO, MICHAEL THOMAS GOUCHER, GARY KENT MD ...................................83
MD.............................................................................. 205
GOUDELOCK, BRUCE T RPT.................................182
GITLIN, DENISE APRN ........................................... 200
GOUDIE, KYLE H LCSW.........................................247
GLASGOW, KIMBERLY K DC, LAC ..................... 118
GOULSTON, CLAUDIA U MD ................................131
GLASGOW, ROBERT EDWARD MD .................... 128
GOURDE, THERESA D MD.........................................6
GLASSFORD, DAVID REED APRN ......................... 98
GOURLEY, DAVID SCOTT MD .............................112
GLEAVE, ROBERT L PHD ...................................... 251
GRAHAM, JESSICA P OD ........................................110
GLEICH, GERALD JOSEPH MD ....................... 69, 112
GRAHAM, JESSICA PEVERLEY OD .....................107
GLENN, CLAIR JOSEPH MD .................................... 99
GRAHAM, JOSEPH EUGENE MD ......83, 90, 197, 199
GLENN, MARTHA JANE MD ................................. 154
GRAHAM, TIMOTHY E MD ...................................124
GLINES, RICHARD L MD ........................... 52, 63, 170
GRANGE, TIMOTHY SCOTT MD ..........................231
GLOSHEN, TONYA S LCSW .................................. 239
GRANGER, DONALD LEE MD...............................131
GLOVER, DAVID BLAINE DPM .............................. 82
GRANITE PEAKS ENDOSCOPY .............................302
GOCIMAN, BARBU R MD ...................................... 188
GRANLEY, HEATH DEAN PHD .............................248
GOFF, MEGAN E RPT ............................................... 64
GRANT, JAMES I DC ...............................................118
GOFF, MITCHELL J MD .......................................... 157
GRANT, JAY PAUL DC .............................................37
GOHARI, MINA MD............................................. 18, 29
GRANT, JEFFREY RALPH LCSW ..........................261
GOLD, DEBORAH L LCSW .................................... 239
GRANT, RYAN K LCSW .........................................284
GOLDBERG, KENNETH WILLIAM MD .................. 34
GRANT, TODD NASH DC .........................................57
GOLDMAN LUTHY, JENNIFER A MD ................... 28
GRAUL, ELIZABETH ANN MD ..............................146
GOLDSMITH, DENISE FITZ PHD .......................... 280
GRAVES, JERRY G APRN ....40, 54, 66, 105, 198, 206, GOLDSMITH, DOUGLAS F PHD ........................... 280
214, 233
GOLDSMITH, JASON AIDAN MD ......................... 157
GRAY, DOUGLAS DUANE MD ..............................272
GOLDSTEIN, MARVIN LCSW ....................... 261, 288
GRAY, JEFFERY SPENCER DC ..............................221
GOLDSTEIN, MICHAEL LOUIS MD ..................... 140
GRAY, ROBERT F OD ...............................................67
GOLDSTEIN, SAM J PHD ....................................... 280
GRAY, ROBERT F OD ................................................68
GOLDSTON JR, EDGAR CLINTON MD ................ 177
GRAY, ROBERT G MD ............................................171
GONCHAROVA, ELENA LVOVNA MD .................. 80
GRAYBILL III, CHARLES SHELLY GONZALES, CHAD MICHAEL MD ......................... 76
RPT .............................................................................182
GONZALES, GLORIA RAYCHEL MD ..................... 24
GRAYSON, HOLLY I LCSW ...................................252
GONZALEZ, CANDICE E LCSW............................ 261
GRAZIANO, KELLI M MD ........................................87
GONZALEZ, ELIA R MD ......................................... 235
GRAZULIS, DIANA MD ............................................18
GOOCH, JUDITH LINETTE MD ............................. 177
GREEN, GARY ALLEN DPM ....................................55
GOODMAN, GORDON T MD ........................... 71, 229
GREEN, JOLENE M LCSW ......................................284
GOODMAN, GREG ROBERT MD .......................... 199
GREEN, LARRY S MD .....................................115, 171
GOODMAN, KENNETH MICHAEL DC ................. 207
GREEN, M MARIE LCSW ........................................244
GOODRICH, GARY A PHD ..................................... 241
GREEN, MICHAEL M DO ........................................177
GOODSELL, BRENT HAYNES DO .......................... 37
GREEN, R KENNETH K DC ....................................217
GOODWIN, TIMOTHY RYAN DC ........................... 50
GREEN, RACHAL LCSW .........................................261
GOPINATH, ARASU MD ......................................... 136
GREEN, WILLIAM D DC .........................................217
GOPON, TOBIAS P MD ....................................... 18, 30
GREENLEE, JOHN EDWARD MD ..........................140
GORDON, ANTHONY SCOTT MD ........................ 204
GREENWOOD, JESSICA L MD.................................18
GORDON, BRYAN D DC ......................................... 221
GREENWOOD, MICHAEL JONATHAN GOREY, SUSAN H LCSW ....................................... 261
RPT .........................................................................57, 81
321
February 12, 2015
Alphabetical Provider Index
GREGG, XYLINA THAIS MD
HAN, FREDERICK T MD
GREGG, XYLINA THAIS MD ................................. 154 HACKER, REBECCA ANN DC ...............................118
GREGORY, KENT HARRY PHD ............................ 280 HACKETT, AARON M PT .......................................231
GREGORY, MARTIN CAMPBELL MD ................. 136 HACKING, SCOTT B MD ..........................49, 115, 220
GREIS, PATRICK EDWARD MD ........................... 166 HADERLIE, BRETT J DC ...........................................67
GRIFFIN, BRENT LUNDSTROM MD .................... 251 HADERLIE, SCOTT ROBERTS OD ..........................62
GRIFFIN, GARY SCOTT MD .................................... 24 HADLEY, MICHAEL L MD .......................................41
GRIFFIN, JEREMY J DC ............................................ 74 HADLEY, NATHAN M LCSW.................................244
GRIFFIN, JOHN ANTHONY MD ............................ 128 HADLOCK, BRENT LEE OD 44, 55, 62, 67, 72, 79, 87,
GRIFFITHS, ERIC R MD .......................................... 197 101, 110, 162, 203, 218, 224, 230
GRIFFITHS, JOHN KENT LCSW ............................ 261 HAGEN, SARAH J CNM ..................................134, 211
GRIMMER, JOHANNES FREDRIK MD ................. 122 HAGER, SUSAN J OT ...............................................151
GRIMMETT, DOROTHY KAYE LCSW ................. 261 HAGGARD JR, JOE R OD .........................................105
GRINSELL, MATTHEW M MD ...................... 109, 174 HAGGARD JR, JOE REX OD ...................................101
GROBERG, DARREN F DPM ............................ 72, 189 HAKE BROOKS, SARA JANE CNM .......................134
GROEBS, ALLEN REINER MD ........................ 52, 166 HAKES, CHRIS COREY LCSW ...............239, 242, 261
GROGAN, MARGARET ELLEN APRN .. 5, 14, 18, 32, HALES, DARYL ELDON DC .....................................48
35
HALES, DIANNA L LCSW ......................................242
GROSSMAN, DOUGLAS MD ................................. 120 HALES, JAMIE L LCSW ..........................................261
GROSSMANN, KENNETH F MD ........................... 155 HALES, MARK T LCSW ..........................................240
GROTZKE, MARISSA PAIGE MD ......................... 124 HALES, NATHAN E DC .............................................48
GROVER, GURJEET S MD ................................ 83, 191 HALL, AARON C PT ................................................182
GROVES, JEFFREY W MD ................................. 51, 98 HALL, CRAIG ROBERT MD .....................................60
GRUA, JAMES RUSSELL MD ................................ 124 HALL, JOHN N RPT ...................................................81
GRUBB, MICHELLE C CNM .................................... 51 HALL, LISA B APRN ..................................................12
GUBLER, BOYD K OD ............................................ 215 HALL, SUSAN J APRN.....................................146, 211
GUDGELL, PAULINA K APRN .............................. 112 HALL, THERON BRIGGS DC .................................209
GUERRA IV, HORACIO P MD .................................. 33 HALLETT, CHRISTOPHER BRENDAN
GULL, JUSTIN D MD ....................................... 122, 222 PHD ............................................................................280
GULSO, GREGORY J DPM ....................................... 46 HALVERSEN, ROY CHAD MD....42, 59, 76, 128, 210,
GUMMOW, ALAN B OD ......................................... 162 218
GUMMOW, ALAN B OD ............................................ 57 HALWANI, AHMAD S MD ......................................131
GUNDLAPALLI, ADISESHU VEN MD............ 42, 131 HAMBLIN, KELLY L DPM ......................................189
GUNN, BENJAMIN R DC .......................................... 37 HAMILTON, BLAKE DOUGLAS MD ....................198
GUNN, HAROLD W DC ........................................... 221 HAMILTON, MARVIN L LCSW .............................261
GUNTHER, JONATHAN B MD ......................... 39, 100 HAMILTON, RYAN W LCSW .................................284
GURGEL, RICHARD K MD ..................................... 122 HAMILTON, SANFORD T MD ............................38, 85
GURNEY, PAUL HAROLD DC ................................. 85 HAMMERS, DUSTIN B PHD ...................................280
GURRISTER, LINDA CAROL LCSW ..................... 261 HAMMOND, BROOKE AUD ...................................113
GURTCHEFF, SHAWN E MD ................... 94, 146, 194 HAMMOND, GREGORY DEAN MD ....................6, 71
GUSHCHIN, ANNA G MD ....................................... 157 HAMMOND, MATTHEW D MD .............................157
GUTHERY, STEPHEN LEONARD MD .................. 173 HAMMOND, RICHARD C DO...................................77
GUTHRIE, DANIEL RUSSELL DC ......................... 228 HAMMOND, TERRY CRAIG MD .......................38, 98
HAMMOUD, AHMAD OMAR MD .................146, 211
H
HAMPTON, KATHRYN BROG LCSW ...........235, 236
HABIB, ARSALAN NAIYER MD ..... 71, 136, 202, 218 HAN, FREDERICK T MD .........................................115
February 12, 2015
322
Alphabetical Provider Index
HANCOCK, TERRI M APRN
HAVENS, JENNIFER A SLP
HANCOCK, TERRI M APRN ................................... 128
HARMONY HOME HEALTH
SERVICES .........................................................295, 296
HANGER PROSTHETICS & ORTHOTICS...................................................... 299, 301
HARMSTON III, GORDON EUGENE
HANNON, ANN MARIE APRN ....................... 107, 143
MD ..............................................................................126
HANNON, PETER M MD ......................................... 140
HARP, JENNIFER K PT ..............................................48
HANSEL, JEANNE MARIE LCSW ......................... 236
HARPER, CHRISTOPHER W RPT ..........................205
HANSEN, BENJAMIN J MD .................................... 166
HARPER, PAUL PHD ...............................................248
HANSEN, C DAVID MD .......................... 120, 210, 218
HARPER, SPENCE DOUGLAS DPM .. 46, 65, 111, 189
HANSEN, CHERYL LCSW ...................................... 284
HARPER, STUART DONALD LCSW .....................247
HANSEN, CHRISTIAN KENNETH DC .................... 85
HARRAH, DAN R LCSW .................................237, 242
HANSEN, CLARENE T APRN .................................. 99
HARRIE, ROGER PETTIT MD ................................157
HANSEN, COLBY R MD ......................................... 177
HARRIS, DUANE JONES MD ...................................49
HANSEN, DANIEL J DO ............................................ 76
HARRIS, EMILY M PHD ..........................................280
HANSEN, DANIEL J PT ........................................... 182
HARRIS, ESTELLE SUSAN MD .............................191
HANSEN, DARRIN FRED MD .................................. 50
HARRIS, JENNIFER W OT ......................................151
HANSEN, DON H RPT ............................................... 53
HARRIS, KASSI C SLP .............................................195
HANSEN, GREGORY KIRK DC ............................. 201
HARRIS, LESLIE JAMES MD .........................107, 224
HANSEN, K GENE PHD .......................................... 280
HARRIS, MATHESON A MD ......................51, 72, 157
HANSEN, MATTHEW PT ........................................ 213
HARRIS, MICHAEL WILLIAM DO ........................247
HANSEN, MATTHEW CHRISTIAN MD . 5, 15, 25, 34, HARRIS, ROBERT ALAN MD...............65, 83, 90, 193
HARRIS, RONALD MARK MD ...............................120
35
HANSEN, PAMELA ANN MD ................................ 177
HARRIS, TED ALLEN PHD .....................................288
HANSEN, ROBERT G MD ....................................... 166
HARRISON, BRYAN C LCSW ................................261
HANSEN, ROGER SCOTT MD ............. 65, 83, 90, 193
HARRISON, ERIC J DC ............................................218
HANSEN, SCOTT EUGENE MD ............................. 223
HARRISON, HEATHER R DO ...................................13
HANSEN, STEPHEN M MD .................................... 204
HARRISON, JIM D RPT .............................................70
HANSEN, TERRY M OD .......................................... 200
HARRISON, PAUL EUGENE MD ...........................201
HANSEN, TERRY MILO OD ................................... 218
HARRISON, REID CHAMBERS MD ....................6, 25
HANSEN, VINCENT LEE MD ................................... 78
HARTMAN, AARON M OD .....44, 55, 62, 79, 110, 230
HANSEN, WAYNE T DC ......................................... 118
HARTMAN, ALBERT RAY MD ................................77
HANSON, BERKELEY R MD ................................. 193
HARTMAN, MELISSA A LCSW .............................262
HANSON, HUGH JALMER SLP ............................... 83
HARTMAN, PAUL C PT...........................................182
HANSON, KIMBERLY E MD .................................. 132
HARTNETT, MARY E MD...............................157, 175
HANSON, NANCY C LCSW ................................... 284
HARVEY, JINIL K APRN ...........................................96
HANSON, TYLER MARVIN RPT ........................... 182
HARWARD SR, RUSSELL VAL DC .........................50
HARBRECHT, CHRIS J DC ....................................... 69
HARWARD, BRIAN R RPT .....................................182
HARDIN, TIFFANY P LCSW .................................. 261
HARWARD, JOSHUA A RPT ....................................53
HARDY, DALE F OD ................................................ 214
HARWARD, STEPHEN B AUD .................................73
HARDY, DALE FRANK OD .................................... 212
HASHIMOTO, EDWARD GEORGE MD.................202
HARDY, JOLENE C MD .......................................... 166
HATCH, BONNIE L LCSW ..............................234, 247
HARKER, DUSTIN B MD .......................................... 60
HATCH, JOSEPH LLOYD MD.................................157
HARKER, WILLIAM GRAYDON MD............ 154, 230
HATCH, MARGARET ASHLEY PHD.....................280
HARKNESS, STEVE H PT ....................................... 182
HATCH, WILLIAM VICTOR OD ......................87, 101
HARMON, B SHANE LCSW ................................... 251
HAUPT, RUSSELL SCOTT MD ...............................188
HAVENS, JENNIFER A SLP ....................................195
323
February 12, 2015
Alphabetical Provider Index
HAVILI, EMILIE C LCSW
HIRSBRUNNER, WALTER WAYNE
HAVILI, EMILIE C LCSW ....................................... 262
HERAS, HEIDI ANN MD ...........................................38
HAWES, JUSTIN PATRIC MD .......................... 52, 166
HERITAGE CARE CENTER .....................................292
HAWKES, ROBERT ALLEN RPT ............................. 45
HERMANSEN, MYRNA LCSW ...............................262
HAWKINS, EMILY J LCSW .................................... 262
HEROLD, RICHARD JOSEPH MD ............................11
HAWKINS, NATHAN J OD ..................................... 215
HERRERA, CHRISTINA MD ...................................146
HAWKINS, NICOLE PHD ........................................ 248
HERSH, ADAM L MD ..............................................174
HAWKS, AMY R APRN ............................................. 13
HESS, CHRISTIAN LEONARD MD ..........................61
HAWRYLUK, GREGORY W J MD ......................... 137
HESS, JESSICA L APRN ............................................77
HAWS, CHARLES WESLEY MD ................... 115, 221
HESS, LEEANNE M LCSW ..............................262, 289
HAYES JR, JOHN KEITH MD ............... 65, 83, 90, 193
HESS, MICHAEL MUIR MD ......................................44
HAYES, HEATHER ANNE PT ................................ 182
HESS, RACHEL MD ...................................................25
HAYES, RANDALL WILLIAM DC .......................... 37
HESTER, GABRIELLE Z MD ....................................28
HEALTHSOUTH REHAB HOSPITAL ..................... 302
HETRICK, TIFFANY M LCSW ................................262
HEATH, DALE HARLAND DC ................................. 85
HEUSER, CARA C MD .....................................133, 146
HEATON, BRIAN WILLIAM MD ............................. 83
HIATT, STEPHEN HARVEY APRN ........................249
HEDIN, KERRY CHARLES LCSW ......................... 289
HIBBERT, DANIEL L MD ........................109, 227, 233
HEDSTROM, DUSTIN J DC .................................... 118
HICKMAN, JOSHUA MCKINNON MD ............44, 166
HEFLIN, JOHN A MD .......................... 48, 80, 111, 176
HIEB, JULIE ANN OT...............................................151
HEGMANN, KURT TIMOTHY MD .......................... 18
HIGBEE, BENJAMIN C DC .......................................85
HEIDEN, ERIC A MD ............................................... 166
HIGBEE, DANIEL D DO ............................................55
HEIDEN, KAREN D MD .......................................... 166
HIGGINS, THOMAS F MD...............................107, 166
HEINER, ANDREW MARTIN MD .......................... 202
HIGHLAND CARE CENTER ....................................293
HEJAZI, JAMAL SEYED MD .......................... 274, 289
HILBIG, CLARKE ANDREW MD .............................42
HELLER, AMANDA SLP ......................................... 195
HILDEBRANDT, GERHARD C MD ........................131
HEMMERSMEIER, JOHN MATTHEW HILL, ANGELA D OD .................................................71
MD................................................................................ 11
HILL, ANGELA DAWN OD .......................................70
HENDERSON III, JAMES G RPT ............................ 215
HILL, BRUCE BINKLEY MD ..............................91, 97
HENDERSON, ASHLEY J LCSW ................... 238, 262
HILL, BRYCE C DC ..................................................118
HENDERSON, DAVID JAY MD ............................... 46
HILL, DIANE PHD ....................................................280
HENDRICKS, CAROL J LCSW ............................... 240
HILL, HARRY RAYMOND MD ..............................174
HENDRICKS, SIDNEY DEE DC ............................... 54
HILL, JUSTIN A DC ....................................................85
HENDRIX, GREG K LCSW ..................................... 234
HILL, KRIS A OD .........................................................71
HENICH, CASEY J MD .............................................. 18
HILL, KRIS ALFRED OD ...........................................70
HENINGER, CAROLYN LCSW .............................. 262
HILL, MICHAEL STEVEN OD ................................203
HENNEFER, KENNETH LAKE LCSW ................... 242
HILL, SCOTT D LCSW .............................................262
HENNESSEY, THERESA A MD ..................... 109, 176
HILL, VON OBERHANSLEY RPT ....................53, 215
HENNESSY, REBECCA M LCSW .......................... 289
HILTON, GAIL LCSW ..............................................262
HENRIE, ARLAN M DO .................................. 177, 213
HIMES, RANDALL C OD......44, 55, 62, 67, 72, 79, 88, HENRIKSEN III, CLARENCE R MD ........................ 18
101, 110, 162, 203, 218, 224, 230
HENRY JR, DAN CRAIG MD .................................... 18
HINCKLEY, MICHAEL R MD .............41, 69, 106, 120
HENRY, NANCY J PHD ........................................... 280
HINDERT, KRISTINA FALK MD ...........................272
HENRY, TIMOTHY ALAN PT ................................ 182
HINSON, JOANNE SUMIPO MD ............................146
HEPNER, BRANDON MICHAEL RPT ........... 111, 217
HIRAI, STANFORD K RPT ......................................205
HEPWORTH, KURT P OD ............................... 162, 212
HIRSBRUNNER, WALTER WAYNE HEPWORTH, KURT P OD ........................................ 214
DC ...............................................................................110
February 12, 2015
324
Alphabetical Provider Index
HITCHCOCK, YING JIA MD
HUMISTON, DANIEL JOHN MD
HITCHCOCK, YING JIA MD ................................... 193
HORN, MARY LEIGH CCCA ....................49, 113, 220
HOAGLAND, JASON ROY MD .................................. 7
HORN, SUSAN J OT .................................................151
HOBBS, RACHEL B MD .............................................. 8
HORROCKS, BRADLEY D RPT ..............................207
HOBBS, RONALD P MD ......................................... 157
HORSLEY, ERIK S DC .............................................221
HOBUSCH, FREDERICK L RPT ............................. 219
HORSLEY, ROLFE PURDY MD .............................120
HODSON, KRISTIN B LCSW .................................. 242
HORWITZ, DANIEL SCOTT MD ............................166
HOEFNAGEL, MICHELLE L SLP ........................... 195
HOSKOPPAL, ARVIND K MD ........................108, 171
HOFELING, KRISTINA M LCSW ........................... 252
HOUCHINS, JOHN CHARLES MD ...........................18
HOFFMAN, JAMES L MD ....................................... 171
HOUGAARD, BRYCE H DC ......................................50
HOFFMAN, ROBERT ORIN MD ............................. 157
HOUGAARD, JONI WILKIN MD ..............................33
HOFMANN, AARON ADAM MD ..................... 63, 166
HOULE, KIM C APRN ................................................13
HOGARTY-BAKER, NANCY M LCSW ................. 262
HOUPE, ROBIN L MD ................................................77
HOHL, JUSTIN B MD ............................................... 166
HOUSE, PAUL ANDREW MD .................................137
HOLBROOK, JOCELYN E LCSW ........................... 262
HOUSMAN, DANIELLE H OT ................................151
HOLDEN, THERESA ANNE RPT ........................... 182
HOUSTON, RYAN F PHD ........................................280
HOLLADAY HEALTH CARE CENTER .................. 293
HOUTS, THOMAS DIXON MD ...............................140
HOLLINGSED, TIMOTHY CHARLES HOUTZ, DANIEL R SLP...........................................195
MD.............................................................................. 128
HOWARD, JAMES G MD...................................61, 100
HOLLINGSWORTH, ROGER GYLE HOWARD, KATHLEEN DELYNNE LCSW ......................................................................... 262
LCSW .........................................................................250
HOLMAN JR, JOHN M MD ..................................... 128
HOWE, DAVID JAMES MD.............................166, 204
HOLMES, BRITT F PSYD ........................................ 280
HOWE, MARILYN K SP.............................................83
HOLMES, JASON EDWARD OD .................... 162, 224
HOWELL, ELIZABETH FULTON MD ...................274
HOLMES, MATTHEW TURNER DC ...................... 118
HOWELLS, DANIEL C OD .......................................110
HOLMES, STEPHANIE MARIE MD ............... 102, 107
HOWES, SCOTT M LCSW .......................240, 244, 262
HOLMGREN, CALLA M MD .......................... 133, 147
HOWSLEY, JESSICA Z MD .....................................274
HOLT, JUSTIN C OD .......................................... 48, 162
HOYAL, HEATHER D PHD .....................................248
HOLT, JUSTIN C OD ................................................. 228
HOYAL, JAMES IRVIN DPM ....................................90
HOME CAREGIVERS HOME HEALTH.................. 300
HOYT, WENDY DAWN PHD ..................................280
HOME HEALTH SPECIALISTS ....................... 298, 300
HSU, YVONNE MD ..................................................147
HOMEWOOD, VIRGINIA J MD .............................. 230
HUBBARD, SARAH T PHD .............................237, 248
HONEY, RONALD K OT ........................................... 43
HUBER, BRAD S MD .................................................96
HONG, JUSTIN S MD ............................................... 177
HUDDLESTON, JASON M DO ....................................4
HOOD, MARTY LCSW ............................................ 240
HUENEME HEALTHCARE ......................................292
HOOD, ROBERT SIDNEY MD ................................ 137
HUFF, KAREN ANN OT...........................................151
HOOLEY, LORI K OD ................................................. 40
HUGGARD, ELLEN LCSW ......................................244
HOOLEY, LORI KARRIN OD ................................... 39
HUGHES, J PRESTON MD.......................................191
HOOPES JR, PHILLIP CARL MD ............. 51, 157, 203
HUGHES, LISA B LCSW ..........................................287
HOOPES SR, PHILLIP C MD ..................................... 51
HUGHES, MATTHEW A MD.....................................18
HOOPES, DANIEL M MD .............. 39, 68, 89, 103, 208
HUGHES, WILLIAM GREGORY MD .......................60
HOOTON, KENNETH E OD ....................................... 40
HUISH, STEVEN BALL MD ......................................44
HOOTON, KENNETH EUGENE OD ......................... 39
HULET, PAUL OD ......................................................56
HOPKINS, RONDA L RPT ....................................... 182
HULET, PAUL OD .......................................................56
HOPKINS, SCOTT ALAN MD ................................. 198
HULL, CHRISTOPHER MACKAY MD ..................120
HOPPE, BRENT W LCSW ....................................... 244
HUMISTON, DANIEL JOHN MD ........................41, 58
325
February 12, 2015
Alphabetical Provider Index
HUMPHERYS, BENJAMIN R DO
JENSEN, BENJAMIN J RPT
HUMPHERYS, BENJAMIN R DO ............................. 63 JACKSON, CHRISTOPHER GEORGE
HUMPHERYS, RICH H OD ........................................ 84 MD ..............................................................................194
HUMPHERYS, SCOTT BRETT DPM ..................... 104 JACKSON, FLORIE W LCSW ..................................262
HUNN, JESSICA R MD ............................................ 147 JACKSON, GILBERT M MD ............................133, 147
HUNSAKER, JESSE NEVILLE MD .......................... 39 JACKSON, HEATHER A MD.....................................18
HUNT, CYNTHIA ANN LCSW ....................... 252, 262 JACKSON, JEFFREY D MD .....................................166
HUNT, HENRY DAVID RPT ..................................... 89 JACKSON, MARIE C LCSW ....................................262
HUNT, JASON P MD ................................................ 122 JACKSON, MELANIE H LCSW...............................235
HUNTER, JUDD D APRN ...................................... 9, 13 JACKSON, M'LISA L LCSW ....................................262
HUNTER, ROBERT GAIL MD ................................ 122 JACKSON, RICHARD TAYLOR MD ..........88, 92, 102
HUNTER, ROBERT JOHN LCSW ........................... 244 JACKSON, ROBERT TAYLOR MD ....88, 92, 102, 166
HUNTSMAN CANCER HOSPITAL ......................... 291 JACKSON, SARAH APRN ...........................................4
HUNTSMAN, KADE T MD................................ 52, 166 JACKSON, STEVEN T MD ......................................158
HUNZIKER, JASON WILLIAM MD ....................... 274 JACKSON, SUMMER D PT ......................................182
HURLBUT-MILLER, PETER R MD ........................ 158 JACKSON, WILLIAM DANIEL MD ...............106, 126
HURST, BARBARA MD .................... 77, 147, 211, 218 JACOB, SCOTT RICHARD MD ...........................86, 99
HURST, CRAIG LEROY MD ..................................... 60 JACOBS, JULIA W PSYD.........................................280
JACOBS, ROBIN M APRN .......................................255
HUTCHINSON, DOUGLAS TRUMAN
MD...................................................................... 107, 166 JACOBSON, BRUCE KENNETH PHD ....................280
HUTCHISON, CHRISTOPHER VANCE
JACOBSON, KIRSTEN A LCSW .............................262
MD.............................................................. 107, 147, 223 JACOBY, RACHAEL S MD .....................................158
HUTTON, ANN PEARSON APRN .................. 134, 211 JACQUES, FRANCOIX DC ......................................209
HWANG, CHUN MD ............................................ 37, 95 JAMES, BRIAN E AUD ............................................113
JAMES, KEVIN M APRN .........................................143
I
JAMES, MARY ELENA MD ............................140, 222
IBELE, ANNA R MD ........................................ 128, 210 JAMESON, PENNY BROOKE PHD ........................280
IHNAT, DANIEL M MD ........................................... 128 JANOWSKI, DOMINIKA G MD ..................................9
IMANI, JAHANGIR N MD ......................................... 77 JANSEN, KEVIN L MD ............................................136
INDAHYUNG, RUTH M MD ......... 42, 60, 77, 136, 222 JARAMILLO, DAVID HUGH DPM .........................104
INFUSION INNOVATIONS ...................................... 303 JARMAN, MARY LCSW ..........................................285
INMAN, CHRISTI J MD ................................... 109, 174 JARREAU-WIHONGI, LYNN ALI
INNES, BRENT WRIGHT LCSW ............................ 244 LCSW .........................................................................234
INTERMOUNTAIN HOME HEALTH .............. 296, 300 JARRETT, ARLEN KENT MD .................................223
INTERMOUNTAIN PEDS DIALYSIS ...................... 299 JARVIS, EON L PT ....................................................182
IQBAL, RONAK MD .................................................. 25 JARVIS, JULIO LCSW ..............................................262
ISENBERG, PHILIP N MD ................................... 10, 25 JAVELLANA, CARMELA JARDEL MD.................274
ITA'AEHAU, MELISSA ARLENE RPT............... 64, 81 JAY, RODNEY G MD .......................................128, 210
IVESTER, CHARLES THOMAS MD ........................ 83 JEE, KENNETH WESLEY MD...................................63
JEFFERY, ARTHUR A LCSW ..................................234
J
JABEZ, MELODY A RPT ................................. 182, 219 JEFFERY, RYAN C DC...............................................58
JACK, DAVID BRUCE MD ......................................... 5 JENCO PROSTHETICS & ORTHOTICS ..................296
JACKSON, AARON PAUL PHD ..................... 253, 287 JENKINS, HANS C DO ...............................................11
JACKSON, ALAN ELVON MD ............................... 158 JENKINS, RUSTY L PT ................................ 64, 81, 111
JENSE, SANDRA B APRN .......................................112
JENSEN, BENJAMIN J RPT .......................................68
February 12, 2015
326
Alphabetical Provider Index
JENSEN, DAVID STALLINGS RPT
JONES, ROBERT G MD
JENSEN, DAVID STALLINGS RPT .......................... 40
JOHNSON, JODIE JAMES OD .................................107
JENSEN, DENMARK R OD ....................................... 62
JOHNSON, JOYCE DUNN MD ................................120
JENSEN, DENMARK R OD ................................ 66, 200
JOHNSON, JUSTIN D DC...........................................93
JENSEN, ELIZABETH A RPT ................................. 103
JOHNSON, KEVIN BARRUS MD .............................34
JENSEN, JACK L PHD ............................................. 248
JOHNSON, KRISTI M LCSW ...................................263
JENSEN, JAY PAUL PHD ........................................ 251
JOHNSON, LAURA ANN MD .............................19, 30
JENSEN, JENISE PHD .............................. 243, 248, 280
JOHNSON, LEEANN P APRN ...................................33
JENSEN, JENNIFER J CNM ............................... 69, 134
JOHNSON, LOUISE H LCSW ..................................250
JENSEN, JESSE D DO .............................................. 229
JOHNSON, MATTHEW BRENT MD ........................19
JENSEN, JOSEPH DEAN MD .................................... 69
JOHNSON, MICHAEL BYRON APRN ...................143
JENSEN, JOSEPH WELDON DO .............................. 59
JOHNSON, NICHOLAS E MD .................................140
JENSEN, MARK H MD ................................ 40, 93, 104
JOHNSON, NYLIN JEREMIAH RPT .......48, 57, 64, 81
JENSEN, MICHAEL K MD ...................................... 173
JOHNSON, RODERICK VERNE LCSW .................263
JENSEN, PAUL G DC ................................................. 93
JOHNSON, STACY A MD ..........................................19
JENSEN, PETER ERIK MD ...................................... 207
JOHNSON, STEVEN LEGRAND LCSW .........234, 252
JENSEN, RANDY LYNN MD .................................. 140
JOHNSON, STEVEN LOWELL MD ..........................60
JENSEN, SHARON JANE LCSW ............................ 263
JOHNSON, TOD A LCSW ........................................288
JENSEN, TRISHA T LCSW ...................................... 235
JOHNSON, WAYNE THOMAS DC ...........................58
JENSEN, TYLER J PT ................................................. 70
JOHNSON-JULIAN SR, ANNICE
JENSON, KRAIG KRUEGER MD ............................. 85
MYNNETTE PHD ....................................................280
JEPPSEN, ERNEST A MD ........................................ 274
JOHNSTON, ERIC CHRISTOPHE MD ......................44
JEPPSEN, PAUL S MD ..................................... 158, 203
JOHNSTONE, ERICA B MD ............................194, 213
JEPSEN, MATTHEW C MD ............................... 50, 122
JOLLES, CHRISTOPHER JESSE MD ......................107
JEPSEN, NOLAN L OD ............................................... 66
JOLLEY, CURTIS BRIAN RPT ............................45, 48
JEPSEN, NOLAN LOREN OD ................................... 62
JOLLEY, JERALD TED OD .................39, 62, 162, 203
JERIG, SEAN N MD ................................................. 147
JOLMA, CATHERINE D MD .....................................28
JEWKES, STEPHANIE J LCSW .............................. 244
JONES, A MICHELLE LCSW ..................................250
JOHANSSON, JULIA WANETTA MD................ 60, 77
JONES, ALAN C DO ...........................................68, 122
JOHNS, COBY LEE DC ............................................ 209
JONES, ALICIA T MD ..............................................202
JOHNS, NANCY JANE OT ...................................... 151
JONES, D TODD RPT ...............................................182
JOHNSEN, JUSTIN R MD ........................................ 158
JONES, DAVID I OD..................................................216
JOHNSON, ANNETTE I CNM ................................. 134
JONES, DOUGLAS H MD ........................41, 46, 57, 66
JONES, EVAN B DO ...........................................38, 207
JOHNSON, CATHERINE BOGAN APRN ......................................................................... 120
JONES, GEORGIA ANN LCSW ...............................263
JOHNSON, CHRISTOPHER ROGER DO .................. 18
JONES, JAMUNA A LCSW ..............................252, 263
JOHNSON, CURTIS CARL MD ................... 88, 92, 102
JONES, JUSTIN E MD ................................................13
JOHNSON, DAVID NATHAN PT.............................. 40
JONES, KEVIN B MD ...............................................166
JOHNSON, GARY BLAKE MD ....................... 198, 227
JONES, KRISTEN N OT ...................................151, 230
JOHNSON, GLEN ERIC MD .................................... 290
JONES, KYLE B MD ...................................................19
JOHNSON, HAROLD MARK MD ....................... 61, 78
JONES, LEANN GAYDON LCSW...........................263
JOHNSON, JAMES G LCSW ........................... 263, 286
JONES, MAKOTO M MD .........................................132
JOHNSON, JANIS ORTON LCSW .................. 250, 287
JONES, ROBERT B MD ............................................167
JOHNSON, JASON LYNN MD ................................ 147
JONES, ROBERT BRUCE DC ....................................50
JOHNSON, JEFFREY W MD ..................................... 13
JONES, ROBERT ERROL MD .................................124
JOHNSON, JODIE J OD............................................. 110
JONES, ROBERT G MD .....................................42, 126
327
February 12, 2015
Alphabetical Provider Index
KESTLE, JOHN RICHARD WE MD
JONES, RUBERT PHILLIP DC
JONES, RUBERT PHILLIP DC ................................ 118 KAWA, CHAD B MD ............................................38, 67
JONES, STEVEN R DPM ......................................... 189 KAY, BRIAN G LCSW .............................................236
JONES, TRENTON COX MD ..................................... 89 KAY, STEVEN JAMES PHD ....................................241
JORDAN VALLEY MEDICAL CENTER . 290, 291, 303 KAY, THERESA S PHD ............................................241
JORGENSEN, CHRISTY APRN ........................ 90, 105 KAZA, ADITYA K MD .............................................128
JORGENSEN, TEEMARIE AUD ............................. 113 KCI USA ......................................................................300
JOSEPH, LAURENE GAY MD ............................ 25, 30 KEATE, VIRGIL J PHD ............................................241
JOSEPH, RONALD D MD ........................................ 126 KEELER, KATHLEEN JOYCE LCSW ....................235
JOST, DENISE LYNN APRN ................................... 143 KEELER, SHANNETTE LCSW................................244
JOU, CHUANCHAU J DO ........................................ 171 KEEN, ANGELA MARGARET MD.........................188
JOY, ELIZABETH ANNE MD ................................. 196 KEENE, SUSAN LCSW ............................................263
JQ MEDICAL ............................................................. 300 KEENEY, CAROLINE C APRN .................................19
JUAREZ, VALERIE J APRN ...................................... 14 KEESHIN, SUSAN MD .............................................132
JUDD, JEFFREY S LCSW ........................................ 289 KEETCH, JESSICA SP ..............................................195
JUDD, ROBYN MARIE PT .................................. 64, 81 KEIL, MARTI ANN LCSW .......................................235
JUDD, THOMAS ELWYN MD .................................. 86 KEISER, JENNIFER OD ...........................................162
JUDD, VICTORIA EVANS MD ............................... 171 KEISER, JENNIFER OD ......................................73, 200
JUDKINS, MICHAEL M OD ....................................... 84 KEITER, JOHN EDWARD MD ................................188
JUDKINS, MICHAEL MERLIN OD .......................... 79 KEIZER, LANA K OT ...............................................151
JULIEN, CRAIG KENNETH MD ................................. 4 KELEN, JOYCE ARLENE LCSW ............................263
KELLER, ROBERT W OD .........................................200
K
KELLER, ROBERT WARREN OD ..........................162
KAELBERER, DANIEL FRED MD ......................... 147 KELLEY, CARRIE L PHD ........................................280
KAHN, JAMES STEPHEN PHD .............................. 280 KELLY, BRIAN M APRN ...........................................22
KAHN, JOANNA C RPT ........................................... 182 KELLY, PATRICK M RPT .................................70, 182
KAIR, KATHRYN M PHD ....................................... 243 KELLY, STEVEN MICHAEL MD .................45, 52, 63
KAKANI, SIDDHARTHA MD ............. 38, 91, 136, 211 KELSON, SETH J RPT ..........................................40, 89
KALOCZI, LISA DANIELLE CNM ......................... 134 KELSTROM-SMITH, CHERYL LCSW ...................251
KAMYAR, MANIJEH MD ....................................... 147 KEMP, DAVID B DC ................................................207
KANG, CATHARINA HYUNUI PHD ..................... 246 KENDALL, KATHERINE A MD .............................122
KANG, PAUL CLARK MD ...................................... 158 KENDALL, RICHARD WILLIAM DO ....................177
KANNER, RICHARD ELLIOT MD ......................... 191 KENDALL, STEPHAN D MD ............................71, 154
KANTH, PRIYANKA MD ........................................ 126 KENDELL, PATRICK J MD .........................................8
KAPLAN, DAVID A MD ............................................ 25 KENNINGTON, DEAN MCCASHLA
KAPLAN, VIKTORIA MD ....................................... 140 LCSW .........................................................................263
KARNAM, UMAPRASANNA
KENNINGTON, KODY D AUD .................................73
SUDARSANA MD ........................................... 126, 222 KENWOOD, BRUCE R DO ......................113, 220, 228
KARREN, STEWART LLOYD LCSW .................... 289 KEPOO, JOSEPH D DC.............................................214
KARWANDE, SHREEKANTH V MD ............... 74, 115 KERBS, ALAN JOHN RPT .........................................64
KASHIWAEDA, JAYNE NAOMI LCSW ................ 244 KERR, LYNNE MARGARET MD ...........................272
KASTNER, WILLIAM R LCSW ...................... 253, 286 KERSHISNIK, AMY L LCSW ..................................263
KATZ, BRADLEY JAY MD ..................................... 158 KESLER, CHRISTOPHER SCOTT DC ....................118
KATZ, FELICIA R MD, BSN ................................... 147 KESSLER, JENNIFER L OD..44, 55, 62, 67, 72, 79, 88,
KATZMAN, HOWARD A MD .................................. 200 101, 110, 162, 203, 218, 224, 231
KATZMAN, HOWARD ALLAN MD ...................... 158 KESTLE, JOHN RICHARD WE MD ........................175
February 12, 2015
328
Alphabetical Provider Index
KETCHOYIAN, JENNIFER LCSW
KRAISS, LARRY WAYNE MD
KETCHOYIAN, JENNIFER LCSW ......................... 263
KITHAS, PHILIP ADAMONT MD.............................25
KETTLE, KIMBERLY A LCSW .............................. 242
KITTERMAN, RYAN T DPM...................................189
KEYE, WILLIAM R MD ................................... 147, 211
KIYOMURA, ROBERT SHIGERU MD .....................59
KHACHATRYAN, ARMEN MD ............................. 225
KJAR, JOSEPH GREGOR MD ...................................46
KHALSA, SAT M LCSW .......................................... 244
KLATT, JOSHUA W MD ..........................................176
KHATUA, SUTAPA MD ............................................ 31
KLEIN, DAVID MD ................46, 65, 83, 191, 227, 232
KHONG, HUNG T MD ............................................. 154
KLEIN, GARY J LCSW.............................................263
KHOR, LILLIAN L MD ............................................ 115
KLEIN, JULIA MARIE APRN ..................................143
KIEFFER, KAMERON RAY PT ............................... 182
KLEIN, NANCI CAROL PHD ..................................281
KIELAR, MARIUSZ L MD ......................................... 98
KLEIN, REGINA C MD ................................43, 61, 154
KIERYN, ANNE M MD ............................................ 222
KLEIN, STEPHANIE Z MD ......................................120
KILBOURNE, KATHARINE H RPT........................ 183
KLEINSCHMIT, KRISTI KAY MD .........................272
KILPATRICK, LORRAINE S LCSW ....................... 242
KNAPP, LAURA D RPT ...........................................183
KIM, BENJAMIN MD ............................................... 128
KNIGHT, JAMES DALE DC ......................................41
KIM, CHRISTOPHER Y MD ...................................... 58
KNIGHTON, JULIE MOTTA RPT .............................82
KIM, GENE MD ........................................................ 158
KNITZ, DANIEL L APRN.........................................128
KIM, JONG H MD ..................................................... 132
KNOPF, KRISTIN E APRN.......................................112
KIM, ROBIN D MD ................................................... 128
KNOWLES, DUANE C OD.......44, 55, 67, 79, 101, 231
KIMBALL, CHAD B MD ........................................... 14
KNOWLTON, FRANKLIN R OD ........................66, 200
KIMBALL, GORDON RICHARD MD .................... 204
KNOWLTON, FRANKLIN RENNY OD ............62, 163
KIMBALL, JORY T OD .................................... 162, 224
KNUDSEN, HOWARD A RPT .................................103
KIMBALL, JORY T OD ..................................... 200, 228
KNUDSEN, VICTORIA L MD ...........................61, 158
KIMBALL, KIRT MICHAEL MD ................ 88, 92, 102
KOCHERHANS, JEFF CROFT PHD ........................281
KIMBALL, PAIGE M APRN ........................................ 4
KOCOUR, JENNIFER L DC .......................................74
KIMBALL, TODD E OD ............................................ 200
KOELLIKER, BRUCE CLARK DC ..........................228
KIMBALL, TODD EVAN OD .................................. 162
KOFCHOCK, NITA ARNP .......................................200
KINDRED NURSING & REHABKOFFORD, GREG WILLIAM DC ..............................37
WASATCH CARE..................................................... 292
KOHAN, DONALD ELLIOTT MD ..........................136
KING, BARI MICHELLE APRN ................................ 33
KOHLER, KEVIN JOHN PT .....................................183
KING, CHELSEY M PT .................................... 226, 232
KOKENY, KRISTINE E MD.....................................193
KING, FREDERICK TYRONE LCSW ..................... 244
KOKKONEN, JEREMY J DO .............................81, 103
KING, JAMES IRA DC ............................................... 91
KOLB, NOAH A MD .................................................140
KING, KATHLEEN STROMAN PHD ..................... 280
KOLES, MITCHELL R PHD .....................................281
KING, MICHAEL A RPT .................................. 183, 226
KOLFF DIALYSIS ......................................................299
KING, RICHARD D MD ........................................... 140
KONDO, DOUGLAS G MD ......................................274
KING, STUART WESLEY MD .................................. 89
KOPLIN, MINAMARIA B LCSW ............................263
KING, VALTON NOBLE DO ..................................... 89
KORMAN, NICOLE K LCSW ..................242, 252, 263
KINIKINI, DANIEL V MD ....................................... 199
KOSKI, KARI JEANETTE OTR ...............................151
KINIKINI, LYLE M MD ........................................... 249
KOSZAREK, SHANNON L RPT ..............................183
KIRALY, BERNADETTE OTTILI MD...................... 19
KOTTARATHIL, THOMAS JOHN MD .....................10
KIRK, STEPHEN T MD .................................... 197, 206
KOVACIK, LAUREN A OT ......................................151
KIRKHAM, MARK D MD ............................................ 8
KOVACSOVICS, TIBOR J MD ................................154
KIRKHAM, MICHAEL DON MD ............................ 7, 8
KRAFTICK, KAREN ANNE DC ..............................110
KIRSH, JANET H SLP .............................................. 195
KRAHULEC, ANGELA L APRN .............................243
KIRSTEIN, JUDITH LEE MD .................................... 33
KRAISS, LARRY WAYNE MD ...............................199
329
February 12, 2015
Alphabetical Provider Index
KRANTZ, LESHA OT
LAWLER, WILLIAM F DC
KRANTZ, LESHA OT ............................................... 151 LAMBERT, VALERIE KAY LCSW.........................264
KRASNY, LORI ELLEN SP ..................................... 195 LAMBOTTE, JAMIE L APRN ..................................255
KRAUSE, LARRY ALBERT LCSW ........................ 247 LAMBSON, MELISSA B LCSW ..............................285
KRAVITZ, KENT C LCSW ...................................... 264 LAMERE, RICHARD G MD .......................................28
KREBS, TRINETTE P PT ......................................... 183 LAMOREAUX, JAMES PAUL MD .......38, 86, 99, 208
KREITSCHITZ, SEBASTIAN MD ........................... 275 LANDAU, STEWART T MD ....................................105
KRIESEL, JOHN DOUGLAS MD ............................ 132 LANE, MICHAEL CONRAD DC .............................118
KRILL, KATHRYN E FNP ......................................... 35 LANENGA, AMBER LYNN PT ...............................183
KRONMILLER, PATRICK WILLIAM
LANGELL, JOHN T MD ...........................................128
MD................................................................................ 93 LANGER, KATHLEEN MARIE MD ........................223
KRUEGER, GERALD GENE MD ............................ 120 LARCOM, PETER GORDON MD ......................52, 167
KRUEGER, JOHN BRADFORD MD ....................... 206 LARKIN, RONALD MAX MD .................................147
KRULL, ANGELA M MD ........................................ 205 LARSEN, CHARI D MD .............................................28
KUBIAK, ERIK N MD .............................................. 167 LARSEN, CLARK C DPM ........................................189
KUMPATI, GANESH S MD ..................................... 115 LARSEN, CLINT P DPM ..........................................189
KUNDRA, HENA MD................................................. 31 LARSEN, ELIZABETH A APRN ...............................13
KUNKEL, GARY ALLAN MD ................................ 194 LARSEN, JOANN LCSW ..........................................285
KUNZER, ELIZABETH E PT ................................... 183 LARSEN, JOHN D LCSW .........................................240
KURRUS, JEFFREY ANTON MD ........................... 191 LARSEN, LESLIE ANNE LCSW .............................264
KUSHNER, JAMES PAUL MD ................................ 154 LARSEN, MATTHEW D RPT ..........................183, 217
KUTCHERA, WILLIAM A MD ............................... 115 LARSEN, MICHAEL CRAIG OD.........................47, 62
KUZBARI, OUMAR MD .......................................... 194 LARSEN, MITCHELL WILLIAMS MD ......88, 92, 102
KWUN, ROBERT CHOI MD ...................... 61, 100, 158 LARSEN, ROBERT J RPT ..........................................45
LARSEN, ROYCE ANDERS RPT ..............................64
L
LARSEN, SHAUN D OD..............................................69
LABASKY, RICHARD FRANCIS MD .................... 207 LARSEN, SHAUN DEAN OD ....................................69
LABRUM, JEFFREY MILES MD ............................ 147 LARSEN, STEVEN F APRN .......................................99
LABRUM, TRAVIS K LCSW ................................... 264 LARSEN, WADE BRYANT MD ................................59
LAFFERTY, MARK C DC .......................................... 91 LARSON, ANDREA D LCSW ..........................242, 247
LAFONTAINE, DANIEL THOMAS DC.................... 85 LARSON, DAVE SCOTT PT ....................................183
LAINE, HANNELE M MD ....................................... 147 LARSON, DEREK R LCSW .....................................240
LAJOM, JEANNE J RPT ................................... 109, 213 LARSON, ELAINE A RPT ........................................183
LAKESIDE DIALYSIS .............................................. 295 LARSON, KENT GARTH LCSW .............................264
LAKEVIEW ENDOSCOPY CENTER............... 295, 299 LARSON, KIMBERLY SUE APRN .....................19, 29
LAKEVIEW HOSPITAL ............................ 235, 291, 292 LARSON, ROGER LEE RPT ....................................183
LAL, ASHWIN K MD ....................................... 108, 171 LASH, STEPHEN D MD ...........................................230
LAMALFA, TONI V CNM ............................... 134, 211 LASLEY, LINDA KARON LCSW ...........................264
LAMARCHE, LAURA A RPT .................................. 183 LATENDRESSE, GWEN A CNM.....................134, 211
LAMB, SARA MUNDT MD ....................................... 28 LATER, DAVID NELSON OD ...........................72, 203
LAMBERT, BRIAN BALLIF RPT ........................... 216 LATER, ROBERT WENDALL MD ..........................202
LAMBERT, GLEN RAY LCSW ............................... 264 LATIMER, NOALL H RPT .........................................69
LAMBERT, KATHERINE LEE LCSW .................... 264 LAU, ISABEL C MD ...................................................11
LAMBERT, KEVIN DEL MD .................................. 275 LAU, SEY M MD .......................................................136
LAMBERT, RICHARD GARY MD ......................... 136 LAVASANI, TOORAN MAM APRN ...........43, 60, 143
LAMBERT, RICK G LCSW ..................................... 264 LAWLER, WILLIAM F DC ........................................37
February 12, 2015
330
Alphabetical Provider Index
LAWLOR, CYNTHIA J MD
LITCHMAN, MICHELLE L APRN
LAWLOR, CYNTHIA J MD ................................. 19, 29
LEVITT, JODIE KAREN MD ...................................137
LAWRENCE, BETHANY H LCSW ......................... 264
LEVY, DANA T MD .................................................132
LAWRENCE, BRANDON D MD ............................. 167
LEWELT, AGA J MD ................................................177
LAYTON, CHRISTINE LCSW ................................. 285
LEWIS JR, MORRIS N PHD .....................................281
LAYTON, MICHAEL A DC ..................................... 221
LEWIS, AMANDA GLORIA APRN...........................97
LAYTON, MONTE JAY DC ....................................... 69
LEWIS, BENJAMIN R MD .......................................275
LAZAR, JUDI S LCSW ............................................. 264
LEWIS, BETHANY K MD ........................................121
LAZARUS, HARRISON MILLER MD ............ 199, 228
LEWIS, DEDE BLEDSOE PT ...................................183
LCC OF BOUNTIFUL ................................................ 292
LEWIS, JAMES BAKER LCSW ...............................285
LE, DINHKIM MD ............................................ 207, 222
LEWIS, JOHN B PT .......................................53, 64, 183
LEACHMAN, SANCY ANN MD ............................. 120
LEWIS, MICHELLE L LCSW...........................237, 264
LEAVITT, DAWN E LCSW ..................................... 264
LEWIS, RANDAL J MD ........................32, 35, 219, 233
LEAVITT, VALERIE LCSW .................................... 264
LEWIS, STEPHEN CHARLES OD .......79, 88, 101, 231
LECKMAN, SCOTT ALBERT MD .......................... 128
LEWIS, TODD J OD ...................................................105
LEDINGHAM, DEBRA A APRN ....................... 94, 105
LEWIS, TODD JAY OD ............................................101
LEDYARD, HOLLY K MD ...................................... 140
LEWIS, WESLEY JAMES MD ...................................19
LEE, CINDY G LCSW .............................................. 250
LEYBAS, RYAN L LCSW ........................................264
LEE, ERIC CHARLES DC .......................................... 37
LI, DEAN YAW MD ..................................................115
LEE, EUN JIN B OT .................................................. 152
LI, MARLANA M MD.................................................20
LEE, GARY DAVID MD .............................................. 7
LI, TAO MD .......................................103, 219, 225, 231
LEE, JASON M RPT ................................................. 183
LIDGARD, JULIA V SP ............................................195
LEE, JO ANNE LCSW .............................................. 236
LIEBHARDT, KAYLEE C LCSW ............................264
LEE, ROBERT JEFFREY MD .................................. 193
LIEBRODER, BARBARA THOMAS LEGACY HEALTH CARE ........................................ 296
PHD ............................................................................281
LEGACY HEALTHCARE OF LAYTON .................. 292
LIEU, NANCY LCSW .......................252, 264, 288, 289
LEGACY HOME MEDICAL ..................................... 295
LIFE CARE AT HOME OF UTAH ............................300
LEGACY VILLAGE HEALTHCARE ....................... 294
LIFE CHOICE HOME HEALTH CARE ....................302
LEGANT, PATRICIA MD ........................................ 154
LILLY, JOHN PAUL LCSW .....................................250
LEHMAN, MARY E LCSW ..................................... 264
LILLYWHITE, DANIEL R RPT .........................89, 104
LEHMAN, SANDRA JOLENE OD .......................... 163
LIN, ANNE GIN WE MD ..........................................275
LEIFERMAN, KRISTIN MARIE MD ...................... 121
LIN, STEPHANIE N MD ...........................................147
LEISER, JENNIFER PAUL MD ................................. 19
LINCARE ............................................297, 298, 300, 303
LEISETH, AMY L RPT ............................................. 226
LINDBERG, ROBERT LAWRENCE DC ...................37
LEISHMAN, BENJAMIN H OD .. 44, 55, 62, 67, 72, 79, LINDGREN, KEVIN E MD .......................................167
88, 101, 110, 163, 203, 218, 224, 231
LINDSAY, ALAN ROB N MD .................................173
LEISHMAN, BENJAMIN H OD .......................... 71, 207
LINES, ROBIN E MD ........................................275, 290
LEITKO, CAROLYN SASICH LCSW ..................... 264
LINFORD, KEITH W OD ......................................44, 79
LEMMON, KRISTIE A APRN ................................. 288
LINFORD, KEITH W OD .......................................47, 84
LENTHE, MARK R DO ................................................ 8
LING, YUN MD .............................................................4
LERMAN, DANIEL M MD ...................................... 167
LINGWALL, DUREECE L PT ..................................183
LEROY, MOLLY M AUD .......................... 49, 113, 220
LINK, MEGAN H MD ...............................................194
LESCHKE, KURT A RPT ........................................... 64 LINN, STEVE H OD ....................................................51
LESSER, CARINA H NP ...................................... 33, 35 LINNELL, RANDY SCOTT LCSW ..................247, 264
LESUEUR, CARL G DC ............................................. 50 LIOU, THEODORE GEH-LU MD ............................191
LEUNG, DANIEL T MD ........................................... 132 LITCHMAN, MICHELLE L APRN ......5, 14, 20, 33, 35
331
February 12, 2015
LITTLE, TAMARA A LCSW
Alphabetical Provider Index
MACNEILL SOMERS, ALEXIS M DO
LITTLE, TAMARA A LCSW ................................... 287 LUIKENAAR, RIXT ANNA
LITTLE, VARONICA L LCSW ................................ 264 CATHARINA MD ..............................................70, 147
LITTLEDIKE, JASON STANLEY RPT ............. 53, 216 LUKER, BRENDA ANN LCSW ...............................265
LITTON, GREGORY JAMES MD ..................... 72, 154 LUKER, SARA B LCSW ...........................................265
LIVERS, GREGORY L MD ...................................... 128 LUNA, JANETTE M LCSW ......................................288
LIVINGSTONE, JOHN D PHD ................................ 248 LUNCEFORD, TROY A MD ................................12, 13
LLEWELYN, RON J PSYD ...................................... 281 LUND, HEIDEE MD..................................................235
LLOYD, ERIKA CHRISTINE MD ........................... 128 LUND, REBEKAH E RPT ...........................................57
LLOYD, L KIMBALL MD........................................ 147 LUNDELL, BRIAN J DC.............................................74
LLOYD, MICHAEL J MD ........................................ 100 LUNDELL, GAILEN ERIC DC...................................75
LLOYD, MICHAEL J MD ......................................... 105 LUNDELL, KEVIN N DC ...........................................75
LLOYD, MICHAEL JOHN MD ........................ 109, 225 LUNDIN, BRUCE LEE OD .........................................79
LLOYD, SHANE MD ................................................ 193 LUNDY, BRIDGET K LCSW ...................................265
LOBB, JASON DAVID RPT ..................................... 183 LUNDY, CYNTHIA J HAYES RPT .........................183
LOBSIGER, JACQUELINE A APRN ... 5, 14, 20, 33, 35 LUNSFORD, SHELLEY E SLP ................................195
LODZINS, DAVID H AUD ....................................... 113 LURAS, JOHN CHRIS MD .........................................25
LOFFLER, PETER MAX MD ................................... 275 LYMAN, MATTHEW H DO .......................................63
LOGAN, KAREN S LCSW ....................................... 244 LYNCH, BERNADETTE N OD ...........................73, 200
LOHNER, WILLIAM SCOTT MD ........................... 100 LYON, RACHEL E PHD ...........................................241
LOMBARDI, WENDY JOY PHD ............................. 281 LYONS, SUSAN ELIZABETH LCSW .....................265
LONCZAK, JULIE M PT .......................................... 183 LYONS, VICKI JENNIFER MD .................................73
LONE PEAK HOSPITAL ........................................... 291
M
LONGE, JAMES PATRICK MD ................................ 20
LOPEZ, ANNA K LCSW .......................................... 245 MAAK, TRAVIS G MD.....................................167, 213
LOPEZ-LARSON, MELISSA P MD ......................... 272 MAASS, AMELIA S APRN ........................................33
LORENC, CALEB J DC ............................................ 209 MABEY, KELLY LCSW ...........................................265
LOVE HOME HEALTH ............................................. 303 MACDONALD, JAMES B MD .............................67, 96
LOVEDAY, BRIGHTON A APRN ........................... 112 MACDONALD, JOEL DOUGLAS MD ....................137
LOVEJOY, CHERYLE N LCSW .............................. 264 MACDOUGALL, MINDY M LCSW ........................265
LOVELAND, MATTHEW TROY LCSW ........ 236, 238 MACFARLANE SR, JOHN RICHARD
LCSW .........................................................................265
LOVELL, DALLEN BART RPT ............................... 183
MACFARLANE, JOHN RICHARD MD ..................137
LOWE, JOHN EARL MD............................................ 76
MACHEN, MICHAEL S MD ....................................167
LOWRANCE, WILLIAM T MD ............................... 198
MA-CHENG, DEBBIE W SP ....................................195
LOWRY, AARON J RPT .......................................... 183
MACIEL, DIANE G LCSW .......................................250
LOWRY, CANDACE ELIZABETH
LCSW ......................................................................... 265 MACINTYRE, JAMES GILLIS MD .........................227
LOWRY, MICHAEL ROY MD ................................ 275 MACK, GORDON K MD ..........................................108
LOWRY, TREVOR A DC ........................................... 74 MACKAY-CLARK, DEANNA A OT .......................223
LU, ELAINE T RPT ................................................... 183 MACKENZIE, JUSTIN J PHD ..................................281
LUCE, JACOB A DC ................................................. 209 MACKEY, RICHARD B MD ............108, 167, 208, 225
LUCILLE, REBECCA APRN ................................... 255 MACKEY, RYAN T DPM .........................................189
LUCKETT, CAROLYN M APRN ............................ 143 MACLEAN, COURTNEY C MD ..............................147
LUDWIG, B JAY RPT ....................................... 226, 232 MACNAMARA, SUSAN ELIZABETH
PHD ............................................................................289
LUDWIG, KEITH JAY RPT ..................................... 232
MACNEILL SOMERS, ALEXIS M DO .....................30
LUI, CHARLES Y MD .............................................. 115
February 12, 2015
332
Alphabetical Provider Index
MACWILLIAMS, ELIZABETH S
MATRIX MEDICAL NETWORK OF
MACWILLIAMS, ELIZABETH S LCSW ................ 265
MARKEWITZ, BOAZ ALEXANDER
MACY, VICKI LEE MD ........................................... 147
MD ..............................................................................192
MADISON, CATHE L LCSW ................................... 287
MARKHAM, TY JUAN PHD ....................................281
MADOM, IAN A MD ................................................ 167
MARKLEY, LAURA A MD ......................................275
MADSEN JR, MATHEW DELL LCSW ................... 247
MARROUCHE, NASSIR F MD ................................115
MADSEN, HILARY C LCSW .................. 236, 245, 265
MARSH, RHONDA K OT .........................................152
MADSEN, RICHARD K DC ..................................... 118
MARSH, TROY BENJAMIN RPT ............................232
MADSEN, WES Y MD ............................................... 63
MARSHALL JR, STUART CHARLES MD ..............................................................................225
MAGDALEN, JAN REDENBAUGH MARSHALL,
KENT GROVER MD ...........................12
LCSW ......................................................................... 265
MAGEE, TREVOR H MD ................................... 63, 167
MARSHALL, SCOTT A MD.....................................140
MAGILL, MICHAEL KEVIN MD.............................. 10
MART, CHRISTOPHER ROBIN MD .......................171
MAHAN, MARK A MD .................................... 137, 211
MARTENS, ERIN J MD ............................................167
MAHONEY, KAREN S PHD .................................... 281
MARTIN, CHRISTOPHER HARRIS MD.................167
MAINWARING, ROBIN GAY MD.......................... 147
MARTIN, JOSEPH P OD..............................................73
MAJERSIK, JENNIFER J MD .................................. 140
MARTIN, JOSEPH PERRY OD ................................163
MAJOR, HEATHER DONAHOE MD .............. 133, 148
MARTIN, MARY H MD ...................................108, 171
MAJOR, M SCOTT SCOTT MD .................... 55, 76, 96
MARTIN, TERRY H DC ...........................................218
MAKIN, DALLAS B DC ............................................. 93
MARTIN, TINA C OD ..................................................71
MALAN, LEE JEPPSON MD ..................................... 82
MARTINEAU, MICHAEL REED MD .......................58
MALBICA, KATHRYN L LCSW ..................... 237, 242
MARTINEZ, AIDA L SLP.........................................196
MALIN, THOMAS M DC ......................................... 209
MARTINEZ, MARK LUIS MD.........................192, 219
MALM, KAREN WHEELOCK PHD................ 248, 288
MARTINEZ, ROBERTO A LCSW ...........................265
MARTINEZ, SABRINA LCSW ................................247
MALMSTROM, LYNETTE MARIE LCSW ......................................................................... 265
MARTINI, DOMINICK R MD ..................................272
MALOOF, PAULA LOUISE LCSW ......................... 265
MARTINI, SUSAN L MD ...........................................28
MAMALIS, NICK MD .............................................. 158
MARTY, MICHAEL STEPHEN OD..79, 163, 203, 212, MANGELSON, JOHN J MD ..................................... 167
231
MANGRUM, ALLISON RPT ................................... 184
MASIHDAS, DAVID KUMAR OD ..........................163
MANGUM, BRAD A PT ..................................... 93, 104
MASIHDAS, DAVID R OD .......................................200
MANGUM, JARED D DC ........................................... 37
MASON LUDLOW, MONICA LOUISE MANNING, SHILOH D APRN ....................... 11, 13, 15
RPT .............................................................................184
MANNING, SUSIANE V LCSW .............................. 265
MASON, PATRICIA ANN LCSW ............................245
MANORCARE HEALTH SERVICES ....................... 292
MASSENGALE, MICHAEL LOREN DC.................118
MANOV, LUDMIL KIRILOV MD ........................... 234
MASSINOPLE, DAVID S MD ..................114, 220, 228
MANSOUR, EMMA L PHD ..................................... 281
MASTELLER, MALCOLM C MD .............................12
MANVILLE, JOELLYN O LCSW ............................ 265
MATHESON, EVAN J MD .........................................95
MANVILLE, RUTH PELLETT LCSW .................... 265
MATHEWS, JEFFREY LEE MD ..............................105
MANWILL, JOEL MARK OT ............................ 78, 152
MATHEWS, JULIA ANN PHD.................................281
MARCUS, JANICE LYNN LCSW ........................... 265
MATHEWS, MICHAEL J RPT .................................109
MARGETTS, JEFFREY C MD ................................. 137
MATHEWSON, CYNTHIA MARIE MD ...................20
MARIANI, E MARC MD .......................................... 167
MATICH, ANDREA J MD ................................109, 227
MARIETTA, GAIL L RPT ........................................ 184
MATIS, WENDY L MD ............................................121
MARION, MICHAEL D MD ................................ 67, 68
MATRIX MEDICAL NETWORK OF MARK LINDSAY DIALYSIS CENTER ................... 297
UTAH .........................................................................300
333
February 12, 2015
Alphabetical Provider Index
MATSEN, CINDY B MD
MEHR, DOUGLAS STEWART MD
MATSEN, CINDY B MD .......................................... 128
MCFARLAND, MARYANNE C LCSW...........235, 245
MATSON, BILL RUSSELL LCSW .......................... 265
MCGANN, CHRISTOPHER JOHN MD ...................116
MATSUMURA, KYLE SHIGERU MD .................... 170
MCGILL, DAVID J PT ..............................................184
MATSUO, FUMISUKE F MD .................................. 140
MCGILL, LIZABETH A PHD ...................................243
MATSUOKA, YUKO APRN .................................... 154
MCGINLEY, BRIAN M MD .............................176, 194
MATTSON, ANA P SLP ........................................... 196
MCGINN, GREGORY FLOY DC .............................118
MATTSON, RONDI PHD ......................................... 237
MCGOVERN, JOSEPH G NP .....................................12
MATURLO, SUSAN JOY MD ........... 50, 106, 124, 222
MCGREEVY, JAMES MICHAEL MD .............199, 214
MAUGHAN, JULIE A MD ......................................... 76
MCINTOSH, RENEE ANNETT OD ...................51, 163
MAUGHAN, PETER H MD ...................................... 138
MCKAY, DAVID FREDERICK LCSW ...................240
MAUGHAN, WILLARD ZINN MD ........................... 76
MCKAY, MARK ALAN OD .......................70, 163, 212
MAULDEN, SARAH ANNAMARIE MD ................ 140
MCKELL, JOHN S RPT ..............................................89
MAW, SAMUEL A PT .............................................. 184
MCKELL, MARK M OD .....................................39, 101
MAW, SCOTT B PT .................................................. 226
MCKELL, SCOTT ROMNEY DPM ...........................90
MAXIM HEALTHCARE SERVICES ....................... 300
MCKELLAR, STEPHEN H MD ................................129
MAXWELL, CHRISTOPHER I MD ......................... 126
MCKINLAY, RODRICK DOUGLAS MAYER, GREGORY LEE PHD ............................... 246
MD ..............................................................................129
MAYER, JEANMARIE MD ...................................... 132
MCLANE, MELISSA LOUISE DO.............................89
MAYER, LLOYD L RPT .................................... 70, 184
MCMAHON, WILLIAM MARTIN MD ...................275
MAYER, STEVEN D DC ............................................ 48
MCMANAMA, CRAIG ALAN DPM .................46, 232
MAYEUX, JENNALYN D APRN ............................ 192
MCMANEMIN, JOHANNA F PHD ..........................238
MCMILLAN, COLE SCOTT DC ................................75
MAZZELLA, KIMBERLY SCHONROCK RPT .................................. 184, 226, 232
MCMILLAN, SEAN E MD .......................................194
MCALLISTER, BRUCE C MD ................................. 104
MCMULLIN, JARON H MD.....................................188
MCANULTY, MELINDA JEAN MD ....................... 136
MCNEW, MICHELLE M APRN ...............................249
MCARTHUR, TRISHA RPT ....................................... 57
MCPHERSON, OLIVER L MD.................................241
MCBRIDE, CHERYL LYNNE LCSW ..................... 247
MCQUADE, SHANNON M LCSW ..........................265
MCCANDLESS, JEREMY B MD ....................... 63, 167
MCQUEEN, CRAIG HUGH MD ..............................167
MCCANN, JOHN DAVID MD ......................... 158, 203
MCRAE, BRYAN R MD ...................................122, 210
MCCARTER, WENDY J CMHC .............................. 286
MCSWEENEY, HEIDI APRN .............................91, 106
MCCARTHEY, RACHELE M MD ........................... 275
MCVICAR, STEPHANIE BROWNING MCCLAIN, DONALD ALLAN MD ......................... 124
AUD ............................................................................113
MCCLEAN JR, GORDON MILTON DC ................... 96
MEADS, DAVID T RPT ..............................................64
MCCLEAN, DEVIN D DC .......................................... 96
MEASOM, MICHAEL OWEN MD ..........................285
MECHAM, ALLAN LEROY DC ................................75
MCCLELLAN HASTINGS, KATHERINE W MD .................................................. 20
MECHAM, CHERIANNE RPT ...........................70, 184
MCCLELLAN, BRUCE CLARK MD ........................ 11
MEDICOR ...................................................................300
MCCLUNG, LAWRANCE H LCSW ....................... 265
MEDSOURCE .............................................................296
MCCOWIN, STEVEN E PHD ................................... 281
MEDWAY MEDICAL ................................................300
MCCRAY, DAVID WILLIAM MD .......................... 229
MEEK, ROBERT H OD ..............................................228
MCCUNE, KATHRYN A OT ................................... 152
MEEK, ROBERT HARDING OD .............................224
MCDAVID, BREANNA PT ...................................... 184
MEEK, STEVEN CHARLES MD ...............................60
MCDONALD, RYAN P MD ................................. 60, 77
MEEKER, NATHAN D MD ......................................174
MCELLIGOTT, KATHLEEN MARIE MEHR, DANIEL SCOTT MD .....................................91
MD................................................................................ 28
MEHR, DOUGLAS STEWART MD.........158, 224, 230
February 12, 2015
334
Alphabetical Provider Index
MEIER, CHARLES WADE RPT
MOLENI, FISI M LCSW
MEIER, CHARLES WADE RPT .............................. 232
MILLER, ARTHUR JOHN MD.................................275
MEIER, JEREMY D MD ........................................... 172
MILLER, BRAD L DC.................................................58
MEIER, WHITNEY ANNE PT ................................. 184
MILLER, BRENT LEE RPT ......................................205
MEIKLE, ALFRED WAYNE MD ............................ 124
MILLER, CHRISTOPHER WAYNE MD .............25, 28
MEJIA, JUAN A PHD ............................................... 281
MILLER, COREY ALAN MD...................................158
MELCHER, BRIAN A LCSW ................................... 245
MILLER, GREGORY JAMES MD ...............47, 72, 177
MELENDEZ, TERRY DWAIN MD ............. 38, 86, 208
MILLER, JARED ALAN DC...............................54, 106
MELLOR, JEFFERY L OD ......................... 70, 203, 212
MILLER, KARLA L MD ...........................................194
MELLOR, JEFFERY L OD ........................................ 214
MILLER, LESLEE LCSW .........................................266
MELLOR, ROBERT LYNN MD ................................ 59
MILLER, MARY ANN OT ..................................87, 152
MELVILLE, BRADLEY RULON MD ....................... 81
MILLER, MICHAEL D MD ......................................167
MEMON, KASHIF A MD ........................................... 34
MILLER, MICHELE GILLETTE LCSW ..................266
MENDENHALL, ERIN C PT .................................... 184
MILLER, NATE D DC.................................................93
MENDENHALL, JESS E OD ............................... 90, 216
MILLER, RYAN D DO ..............................................217
MENDENHALL, WENDELL BUCK MILLER, STEPHEN LORRY MD ............................116
RPT ................................................................... 37, 68, 89
MILLER, STEVEN KAY MD .............................50, 122
MERIDETH, RICHARD I PHD ................................ 281
MILLER, THOMAS A DO ........................................171
MERRELL, MONTE G MD ...................................... 107
MILLER, THOMAS LEE MD .....................................25
MERRELL, STEVEN WILLIAM MD ...................... 199
MILLET JR, ALLAN CHARLES DC .........................75
MERRILL, AJA E RPT ......................................... 64, 82
MILLET, CURTIS WAYNE OD .................80, 163, 231
MERRILL, ANINA MD ............................................ 205
MILLS, DANIEL G RPT .....................................89, 184
MERRILL, ROBERT DON DO ................................ 107
MILROY, COLLEEN L MD ......................................194
MERRILL, RODNEY STEPHEN DO ......................... 78
MILSTEAD, NORMA E SP.......................................196
MESSICK, DANIEL LEE LCSW ............................. 265
MIN, WONHONG D MD ..........................................138
METCALF, JANET B LCSW ................................... 286
MINER, JOSEPH KAY MD ......................................104
MEYER, DAVID A OD ....................................... 79, 163
MINER, LONNIE JEFFERSON MD ...........................90
MEYER, DAVID A OD .............................................. 228
MINICH, LOIS LUANN MD.....................................171
MEYER, LAURENCE JOHN MD ............................ 121
MINNIS, ANDREA J OT ...........................................152
MEYER, SANDRA A LCSW .................................... 265
MINTZ, STEVEN JAY MD .......................................129
MEYERS, REBECKA LOUISE MD ......................... 176
MISEJKA, KRISTEN L PT ........................................184
MICKELSEN, RICHARD W MD ............................. 275
MISKA, ROBERT MILES MD .................................140
MICKELSON, TRAVIS S MD .................................. 272
MITCHELL, CRAIG TULLIS LCSW ...............245, 266
MICONI-CORREA, LISA M APRN ........................... 11
MITCHELL, DANIELLE E MD ..................................20
MIDAS CREEK HOME HEALTH ............................ 302
MITCHELL, DORANN C LCSW .............................285
MIDDLETON, GEORGE WILLIAM MD ................ 198
MITCHELL, KASEY D OT .......................................152
MIDGLEY, LYDIA L LCSW .................................... 285
MITCHELL, KRISTOFER J MD...............................222
MIDYETT, KRISTIN A LCSW ................................ 266
MITCHELL, MIKE KENNETH OD .........................163
MIFFLIN, MARK DAVID MD ................................. 158
MITSUNAGA, FAYE F CCCA .................................113
MILDENSTEIN, JOAN OD .................. 72, 79, 224, 231
MIYASAKI, RODNEY ALAN RPT .........................219
MILES, GREGORY R PHD ...................................... 234
MIZELL JR, LOUIS LEE MD ...................................173
MILES, LESLIE W APRN ........................................ 249
MOELLER, MARK RAYMOND RPT ......................184
MILES, MARGO ELLEN PHD ................................. 281
MOENCH, MATTHEW L MD ..................................275
MILLCREEK HOME HEALTH................................. 300
MOHR, ROBERT RUSSEL MD .................................11
MILLCREEK IMAGING............................................ 301
MOLDOVER, RADHA C LCSW ..............................266
MILLER II, GARRY T DO ......................................... 13
MOLENI, FISI M LCSW ...........................................289
335
February 12, 2015
Alphabetical Provider Index
MOLIS, GREGORY CARL DC
MURRAY, MARY ANN MD
MOLIS, GREGORY CARL DC ................................ 228
MORSHEDZADEH, JACK H MD ............................116
MOMBERGER, NATHAN GLENN MD.................. 167
MORTENSEN, BARTLEY BRETT RPT ..................104
MONEY, NOLAN BOYCE MD............................ 12, 31
MORTENSEN, KELLY C RPT .................................184
MONROE, JAMIE MARIA MD ................................. 87
MORTENSEN, RYAN J OD .......................52, 204, 212
MONROE, MARCUS M MD .................................... 123
MORTENSEN, RYAN J OD ........................54, 207, 214
MONSON, DAN S DC ...................................... 118, 228
MORTENSEN, SPENCER D OD ...............................200
MONSON, MARETTE LCSW .................................. 266
MORTENSEN, SPENCER DAVID OD ....................163
MONTGOMERIE, BRUCE ZINZAN MD ............ 28, 34
MORTENSEN, WAYNE W MD ...............................102
MOODY, RICHARD YOUNG PHD ......................... 241
MOSHIRFAR, MAJID MD........................................159
MOODY, SANDRA G LCSW ................................... 234
MOSMAN, KRISTIN M SLP ....................................196
MOOERS, MARY GRETCHEN MD ........................ 132
MOSS, DAVID C PT .................................................184
MOORE, ANDREW K MD ....................................... 194
MOSS, LEE SCOTT APRN .......................................143
MOORE, ANNE M PHD ........................................... 281
MOSS, RICHARD LEE MD ........................85, 121, 210
MOORE, DAVID RAYBURN MD ............. 42, 106, 126
MOULTON, DAVID L MD .......................................275
MOORE, JEFFREY S LCSW .................................... 245
MOULTRIE, GEOFFREY G DC .................................94
MOORE, JOHN GREENWOOD MD ....................... 126
MOUNTAIN MEDICAL IMAGING ..................297, 301
MOORE, JULIE A RPT ............................................. 184
MOUNTAIN VIEW HEALTH MOORE, LADONNA B LCSW ................................ 266
SERVICES .................................................................294
MOORE, REBECCA H MD .................. 25, 30, 136, 202
MOUNTAIN VIEW HOSPITAL ................249, 291, 293
MOORE, SARAH M OT ........................................... 152
MOUNTAIN VIEW NURSING..................................293
MORAN EYE CENTER ............................................. 301
MOUNTAINWEST SURGICAL
MORELAND, KIMBERLY SMITH MD .................. 223
CENTER .....................................................................295
MORGAN, ALAN KEITH OD.................................... 62
MOWER, RICHARD KING PHD .....................236, 281
MORGAN, BRIAN HAYDEN MD ............................. 63
MOWERY, JENNIFER L LCSW ..............................266
MORGAN, KEVIN WALLACE DC ......................... 118
MT OGDEN HEALTH & REHAB
MORGAN, ROSS ERIC MD ..................................... 154
CENTER .....................................................................292
MORGAN, SPENCER GILES LCSW .............. 252, 288
MT OGDEN SURGICAL CENTER ...........................297
MORGAN, TIFFANI D PSYD .................................. 281
MUEGGENBORG, BRENDA SEVCIK MORITA, DENISE C MD ................................... 52, 109
APRN ..........................................................................143
MORITZ, MARK EDWARD DPM ........................... 189
MUELLER, JANET HORSLEY APRN ....143, 202, 218
MORRELL, DAVID GLENN MD .............................. 59
MUENCH, PEGGY A PHD .......................................248
MORRELL, STEPHEN LYNN MD .............................. 7
MUHLESTEIN, JOSEPH BRENT MD .....................116
MORRILL, ARNOLD BRETT DO ......................... 4, 20
MUIR, TRASKE M MD.....................................108, 225
MORRILL, DAVID K OD .......................................... 207
MULLER, DON RICHARD LCSW ..........................266
MORRILL, DAVID KAY OD ................................... 204
MULLINAX, VAL GENE DPM ................................104
MORRILL, JENNIFER A PHD ................................. 251
MULVIHILL, SEAN JORDAN MD ..........................129
MORRIS JR, DONALD ROBERT MD .................... 136
MUNTZ, HARLAN RAY MD ...................................123
MORRIS, CASSANDRA J APRN ................ 38, 86, 208
MURDAY, MICHELLE ELISE MD .........................129
MORRIS, DELL CHRISTIAN OD ........................... 101
MURDOCK, JENNIE M LCSW ................................234
MORRIS, JARED A MD ..................................... 7, 8, 31
MURDOCK, PAUL D PSYD.....................................236
MORRIS, MARGARET WILSON PHD ................... 281
MURNIN, KELLY PATRICK MD ........................25, 31
MORRIS, STEPHEN B PHD ..................................... 281
MURPHY, NANCY ALICE MD .........................28, 177
MORRIS, STEPHEN EUGENE MD ......................... 129
MURRAH, CHANTEL BINGHAM DPM.............57, 82
MORRISON, ANTHONY CARL PHD ..................... 281
MURRAY, CALLIE A LCSW ...........................237, 240
MORROW, ELLEN H MD ........................................ 129
MURRAY, MARY ANN MD ............................108, 173
February 12, 2015
336
Alphabetical Provider Index
MURRAY, ROBERT PEPPER MD
NIELSON, KENNETH GEORGE MD
MURRAY, ROBERT PEPPER MD ............................ 45 NELSON, NEWEL I LCSW ......................................236
MURRAY, SHAWN PAGE OD .......................... 44, 163 NELSON, PATRICIA LANDON MD .......................192
MUSCI, ANTHONY GERARD MD ........................... 25 NELSON, RAOUL DEVIN MD ................................106
MUSCOLINO, GINA M MD ................................ 43, 60 NELSON, RUSSELL LEE MD ..................................168
MUSSO, ALISON JANE PHD .................................. 281 NELSON, RYAN S LCSW ........................................266
MUSSON ROSE, DEVON T LCSW ......................... 266 NELSON, SHANON DOTY DC ...............................201
MYERS, DAVID J MD ......................................... 67, 68 NELSON, TODD ROBERT MD ...........5, 14, 23, 33, 35
MYERS, H MICHELE LCSW ................................... 245 NEUENSCHWANDER, BRADLEY G
MYERS, JEREMY B MD .......................................... 198 DO.................................................................................59
MYERS, THOMAS DYRENG MD .......................... 100 NEUMAN, MARK DAVID MD ................................275
MYRIAD GENETIC LABORATORIES ................... 301 NEUMANN, ROGER MAX DC ..................................41
MYSHRALL, JANET MARY PT ............................. 184 NEVERS, MARK W OD 44, 55, 62, 67, 72, 80, 88, 101,
110, 163, 204, 218, 224, 231
N
NEVILLE, CHERYL L LCSW ..................................266
NABBIE ...................................................................... 298 NEWBERRY, DIANA L LCSW ................................287
NABERS, KENT ELLIS PHD ................................... 246 NEWBOLD, DAVID PHD .........................................237
NAIDU, SUSAN MARIE AUD ................................. 113 NEWBOLD, EMILY K LCSW ..................................266
NAMBA, ALFRED HIDESHI MD ............................. 25 NEWBY, CYNTHIA A APRN ..........................178, 205
NAPOLI, MICHELLE L MD ...................................... 20 NEWMAN, JONATHAN A MD .................................26
NATHAN, DAVID J MD .......................................... 138 NEWMAN, RODNEY H APRN ..................................95
NATIONAL DME ....................................................... 296 NEWTON, BRUCE YOUNG MD .............................178
NATIONAL SEATING & MOBILITY .............. 296, 297 NGU, LE Q PHD ................................................282, 289
NATIVI NICOLAU, JOSE N MD ............................. 114 NGUON-LE, PHUONG N LCSW .....252, 266, 288, 289
NATTER, SHARLA I PT ............................................ 40 NGUYEN, THU A MD ................................................38
NAVARRO, BENNETT ELLIS APRN ....................... 49 NIBLEY, WILLIAM ELIOTT MD ......................72, 154
NAYLOR, ROBERT G MD ...................................... 129 NICELER, BROCK J MD ............................................20
NEBEKER, JONATHAN RICH MD .......................... 25 NICHOLAS, PETER M LCSW .................................266
NEFF, BRANDON L DC ........................................... 209 NICHOLLS, EDWARD R OD .....................................39
NEIDER, TRISTAN A SLP ......................................... 83 NICHOLS, JOHN MILTON DO ................................223
NEIL, JAYSON A MD .............................................. 138 NICKISCH, CHERYL S PT .......................................184
NELSON, AMY B CNM ................................... 134, 211 NICKISCH, FLORIAN MD .......................................168
NELSON, BRYAN LEE MD ....................................... 28 NICKLE, CHELLE OD ................................................55
NELSON, CHADD D DO.............................................. 9 NICKLE, CHELLE OD .................................................55
NELSON, DAVID CHRISTIAN DO .......................... 20 NIELSEN, CURTIS A DO ...................................40, 206
NELSON, DEVON AMMON MD ...................... 88, 102 NIELSEN, DOUGLAS EGON LCSW.......................240
NELSON, DUANE J MD ........................................... 105 NIELSEN, JOSEPH ROTH MD ..................................41
NELSON, DUANE JAMES MD ............................... 100 NIELSEN, KERRI W LCSW .....................................285
NELSON, EDWARD WALLER MD ........................ 129 NIELSEN, RACHEL B LCSW ..........................242, 266
NELSON, HEATHER J LCSW ................................. 241 NIELSEN, RICHARD PAGE RPT ..............................40
NELSON, JANICE D PHD ........................................ 282 NIELSEN, RICHARD WENDELL MD ..............50, 123
NELSON, JESSICA A NP ................................. 134, 211 NIELSEN, SHELLY LORRAINE OD..80, 88, 101, 163,
NELSON, LAURENCE MERL MD ........................... 61 204
NELSON, MATTHEW S RPT .................................. 184 NIELSON, KANDICE R MD ......................................43
NELSON, MICHAEL LEE DPM .............................. 216 NIELSON, KENNETH GEORGE MD ........49, 116, 221
NELSON, MICHELLE MARKAY LCSW ................ 266
337
February 12, 2015
Alphabetical Provider Index
NIELSON, LINDA BUTTERFIELD
ONOFREI, LIGIA V MD
NIELSON, LINDA BUTTERFIELD
O'CONNOR, BEVERLY PHD ...................................246
LCSW ......................................................................... 266 ODDOU, MELANIE H APRN...................................200
NILSSON, DAVID E PHD ........................................ 282 ODELL, RICHARD HARDY MD .............................121
NIMER, JANELLE LCSW ........................................ 266 O'DONOHOE, JENNIFER G MD .............................275
NIMER-WILSON, JANET LCSW ............................ 266 OELSNER, DAVID H MD ................................106, 126
NIRULA, RAMINDER MD ...................................... 129 OGDEN ORTHOTICS & PROSTHETICS.................297
NITSCHE, ALLISON M MD ............................ 272, 275 OGDEN REGIONAL MEDICAL
NITZEL, CORY M MD ............................................... 23 CENTER .....................................................291, 292, 297
NIZAM, MOHAMMED S MD ........................ 38, 91, 96 OGLESBY, JOHN SUTHERLAND MD ...........148, 202
NOBLE, LARRY EARL MD .................................... 100 O'GORMAN, MOLLY ANN MD ..............................173
NOBUHARA, LAWRENCE KEN MD ....................... 14 OKA, JEFFERY RAY MD...........................................45
NOLAN, SARAH R LCSW ....................................... 266 OKELBERRY, KERRY A OD ...................................228
NORD, JOHN W MD .................................................. 26 OKELBERRY, KERRY ALLEN OD ........................224
NOREN, CHRISTOPHER S OT ............................... 152 OKERLUND, JASON DON APRN .............................13
NORLIN, ERNEST CHARLES MD ........................... 28 OKI, ALLISON MD ...................................................178
NORMAN, LEANNE M AUD .................................. 113 OKIFUJI, AKIKO PHD..............................................282
NORMAN, STEVEN A LCSW ................................. 252 OLAFSSON, HARALD E OD ...................................163
NORRIS, JENNIFER LYN MD ............ 6, 15, 26, 34, 35 OLDROYD, JULIE H MD .........................................275
NORTH CANYON CARE CENTER ......................... 292 OLDROYD, RONALD IRVIN MD ...........................105
NORTH, JASON W DC ............................................. 216 OLDS, ROSE B APRN...............................................255
NORTHWEST ORTHOTICS
OLIVER, ANDRALYN LCSW .................................267
PROSTHETICS.................................................. 298, 299 OLIVER, MARK RIDDELL MD ..............................132
NORTON, PEGGY ANNE MD ................................. 148 OLIVER, S ROLAND LCSW ....................................252
NORWOOD, DREW RICHARD RPT .............. 213, 226 OLLERTON, MATTHEW GERALD
NOSANCHUK, MELVIN F PHD ............................. 282 DPM ............................................................................217
NOVAK, PETER JERRY MD ................................... 168 OLLERTON, RYAN C DO ......................38, 86, 99, 208
NOYES, BRIGG B PHD ............................................ 282 OLSEN, CLINTON D NP ....................................40, 214
NOYES, LINNEA SMITH PHD................................ 282 OLSEN, GARY DEAN DC ..........................................50
NUMBERS, CHARLES B RPT ................................... 53 OLSEN, JOHN K DC .................................................201
NUTTALL, CHARLES T LCSW .............................. 266 OLSEN, LELAND M LCSW .....................................267
NUTTALL, MARC T MD ..................................... 39, 99 OLSEN, RICHARD KENT MD...................................14
NYE, NOEL CHRISTIAN DO .................................... 32 OLSEN, STEPHANIE LAUREL MD ..........................58
NYGAARD, INGRID E MD ..................................... 148 OLSON, CHRISANA B PHD ....................................282
NYLUND JENSON, NATALIE L LCSW................. 288 OLSON, CHRISTOPHER S APRN ......59, 76, 106, 123,
201, 222, 229
O
OLSON, DARREN D DC ..........................................218
OAKS, GARY N DPM .................. 46, 65, 111, 190, 226 OLSON, KAREN J APRN .........................................6, 8
OAKS, LAURA B LCSW .......................................... 237 OLSON, PATRICK R MD .................................131, 168
O'BANION, JOY ALICE LCSW ............................... 247 OLSON, PAUL F MD .................................................105
OBERG, CHRISTINE E MD ....................................... 26 OLSON, PAUL FERRON MD...................................100
OBERG, JON C MD .................................................... 59 OLSON, RANDALL J MD ........................................159
O'BRIEN, JULIE L APRN ......................................... 143 OLSON, RICHARD PAUL DC .................................216
OCKEY, DAVID M LCSW ............................... 267, 289 OLSON-MORRISON, DEBRA L LCSW ..................267
OCKEY, KATHY D LCSW ...................................... 252 O'NEIL, PETER WILLIAM LCSW ...........................245
OCKEY, ROBIN RAE MD ................................. 89, 103 ONOFREI, LIGIA V MD ...........................................140
February 12, 2015
338
Alphabetical Provider Index
OOTTAMASATHIEN, SIAM N MD
PEBLEY, MITCHELL E OD
OOTTAMASATHIEN, SIAM N MD ........................ 198 PARAMOUNT HEALTH & REHAB.........................293
ORCHARD PARK CARE CENTER .......................... 292 PAREDES, ROCIO F LCSW .....................236, 242, 290
ORD, LISA MARIE LCSW ....................................... 267 PARK, ALBERT HYUN WOOK MD .......................123
ORLANDI, RICHARD RALPH MD ................. 123, 210 PARK, GORDON SHERMAN MD ...........................148
ORME, ROBERT LYNN MD ..................................... 50 PARK, JAMES R DC ...................................................75
ORR, HEIDI H APRN ............................................... 199 PARK, MIN S MD .....................................................138
ORR, JOHN MICHAEL PT ............................... 184, 213 PARK, MINJI APRN..................................................114
ORROCK, STEVEN J RPT ............................. 37, 68, 89 PARK, ROBERT EUGENE DC.................................221
ORTHOPEDIC SERVICES OF UTAH ...................... 298 PARKER, CHARLES JOHNSON MD ......................155
ORTIZ, FELINA MYCHELLE CNM ....................... 229 PARKER, JAMES D DC ............................................217
OSBORNE, CHRISTINE SNOW AUD .................... 113 PARKER, JARED W MD ..........................................159
OSTER, RANDAL ALLEN PHD ...................... 282, 286 PARKER, JARED W MD ...........................................200
OSTEYEE, DAVID B PT ............................................ 57 PARKER, KATHLEEN C LCSW ..............................267
OSTLER, LESLIE A MD .................................... 61, 148 PARKER, ROBERT GIL DO.......................................20
OTT, JAMES KEVIN LCSW .................................... 267 PARKIN, CRAIG S RPT ............................................184
OTTO, SAMUEL J MD ......................................... 66, 83 PARKINSON, ALICE ELAINE
OTTOWICZ, JOZEF ANTONI MD ............................ 42 RICHARDS APRN ...................................................255
OVERSTEG, MONA D OT ......................................... 78 PARKINSON, DAVID M OD .............................52, 163
OWAN, PATIENCE E MD.......................................... 31 PARKINSON, JUSTIN P MD ........47, 69, 198, 227, 233
OWEN, BETTY J LCSW ........................................... 288 PARKINSON, RICHARD WHITE MD ......................96
OWEN, DAVID GARETH MD ............................. 23, 30 PARRY, DAVID HOWARD OD.......................164, 204
OWEN, ROBERT E MD ............................................. 32 PARRY, ODBAYAR J LCSW ...................................267
OWENS II, WILLIAM IRVIN MD ............................. 76 PARRY, RICHARD WRIGHT MD ...........................178
OZAKI, SUSAN SACHIE OT ................................... 152 PARSONS, ALISON P PHD ......................................282
OZBOLT, JULIA A MD .............................................. 26 PARSONS, MATTHEW REED MD .........................100
PARSONS, STEPHEN P MD ........................96, 97, 215
P
PASKETT, MARINDA D APRN ................................73
PACE, BRENT C LCSW ........................................... 267 PASSEY, LORI E APRN ...........................................138
PACE, DANIEL W OD................................................. 47 PATEL, ALPESH A MD ............................................168
PACE, DANIEL WAYNE OD .................................... 44 PATEL, AMIT N MD.................................................197
PACE, MEGAN A LCSW ......................................... 267 PATEL, BHUPENDRA C K MD .......................159, 175
PACE, RANDALL W MD ........................................... 12 PATEL, RAZA A MD ................................................173
PACHECO, DENICE L LCSW ................................. 253 PATTON, DANIEL RAY DC ....................................118
PACK, ROGER E RPT ................................................ 89 PAUL, DERAI A LCSW ............................................240
PACKER, KRAIG L APRN ......................................... 95 PAULOS, LEON ERNEST MD .................................168
PAEGLE, RITA ALINA CNM .................................. 134 PAULSEN, NANCY C LCSW...................................267
PAINE III, ROBERT MD .......................................... 192 PAULSON, DAVID LOUIS MD ...............................247
PALAU, M SHAWN LCSW ..................................... 245 PAVIA, ANDREW TOBIAS MD ..............................132
PALMER, CARRIE ANN OD ..................................... 80 PAXTON, MICHELLE ANN LCSW ........................267
PALMER, CLAIR RAY OD ................................ 88, 213 PAYSON REGIONAL DIALYSIS
PALMER, DAVID KEITH MD ......................... 123, 222 CENTER .....................................................................298
PALUMBOS, JANICE C CGC .................................. 173 PAZ SOLDAN, MIGUEL M MD ..............................141
PANDITA, SUNNY MD ........................................... 192 PEAK PROSTHETIC DESIGNS ................................303
PANNUCCI, CHRISTOPHER J MD ........................ 188 PEBLEY, MITCHELL E OD ...............................80, 219
PAPI-BAKER, KATHLEEN M OTR ........................ 152 PEBLEY, MITCHELL E OD ......................................219
339
February 12, 2015
Alphabetical Provider Index
PECHE, WILLIAM J MD
PITTMAN, JOEL ERIC MD
PECHE, WILLIAM J MD .......................................... 119
PETERSON, JAMES TODD MD ................................20
PECK, CHRISTOPHER E PHD ................................ 249
PETERSON, JARED D MD.........................................61
PECORA, KELLY A LCSW ..................................... 267
PETERSON, JOHN LOUIS MD ..................................41
PEDERSEN, JAIME A PT ................................... 82, 111
PETERSON, KATHRYN ANNE MD .......................126
PEDERSEN, JENNY A AUD .............................. 49, 113
PETERSON, LEE M MD .............................................97
PEDERSEN, PEDER JENS MD ................................ 126
PETERSON, MARK H RPT ......................................104
PEIRCE, SHERMAN H OD ........................................ 52
PETERSON, MICHAEL S OD .....................................54
PEIRCE, SHERMAN H OD ......................................... 54
PETERSON, MICHAEL W DO...................91, 215, 216
PEMBROKE, CHRISTINE A LCSW ....................... 267
PETERSON, PAUL J LCSW .....................................236
PENA AYALA, ESTEBAN MD ................................. 20
PETERSON, SAMUEL RAY MD ...............................96
PENDLETON, ROBERT C MD .................................. 26
PETERSON, SCOTT D OD ..........................................84
PENDLEY, JANET W LCSW ................................... 240
PETERSON, SCOTT DAVID OD ...............................80
PENMETSA, GOPI K MD ........................................ 194
PETERSON, WALTER GERALD OD ................80, 224
PENN, JENNIFER E RPT ......................................... 184
PETERSON, WARREN ALBERT DO ..........85, 91, 215
PENNEY, DEBRA SUSAN CNM ..................... 134, 229
PETRON, DAVID JAMES MD .................................168
PENNINGTON, DAVID A MD ................................ 110
PETTEY, JEFF H MD ................................................159
PENNINGTON, MARY JANE MD .................. 6, 15, 28
PFEFFER, KATHLEEN DENISE MD ......................227
PENNINGTON, RANDAL S PHD.................... 249, 251
PHAM, DUY MD .......................................................275
PENROD, MICHAEL J MD ........................................ 26
PHAM, MARIAN HONG MD .......................................4
PEREZ, LESLIE BROSIUS LCSW ................... 243, 267
PHARES, PAMELA L APRN ............................124, 229
PERFECT FEET ......................................................... 297
PHELPS, JOSHUA R DC.............................................75
PERGLER, HAROLD R AUD .................................... 41
PHELPS, ROBIN DENISE LCSW ............................245
PEROVICH, JOHN DAVID PSYD ........................... 237
PHILIPPI, D KAY DO ...............................................241
PERRY, DAPHNE ANNE RPT ................................. 185
PHILLIPS, GAYLE LCSW ........................................267
PERRY, LEE L LCSW .............................................. 245
PHILLIPS, ISAAC M LCSW .....................................243
PERRY, SHEILA G LCSW ....................................... 240
PHILLIPS, STANLEY J DPM .......................40, 68, 206
PETERS, CHRISTOPHER LEE MD ......................... 168
PIACITELLI, ANNLIZA L MD ..................................33
PETERSEN, BRETT W PT ....................................... 185
PICKERING, DERRICK E APRN...............................13
PETERSEN, DARLENE L MD ................................... 15
PICKERING, ROGER M OD ......................................67
PETERSEN, DAVID BYRUM MD .......................... 159
PICKERING, ROGER M OD .......................................68
PETERSEN, DAVID HAROLD LCSW .................... 237
PICKETT, GREG M OD ...............................................84
PETERSEN, JASON D MD ............................... 104, 188
PICKETT, GREG MERRILL OD ................................80
PETERSEN, MARILYN J RPT ................................. 185
PICKUP, DAVID GRANT DC ....................................48
PETERSEN, MARTA JEAN MD .............................. 121
PIERCE, DAVID GORDON DC .................................56
PETERSEN, SARAH C MD .................................. 29, 31
PIERCE, WADE S LCSW .........................................238
PETERSON, BRAD NIEL DC .................................. 209
PIERSON, JULIA L PT ..............................................185
PETERSON, BRADLEY R DC ................................. 228
PIERSON, MATTHEW D MD ..................................276
PETERSON, BRIAN K PT .................................. 68, 208
PILCHER, THOMAS A MD ..............................108, 172
PETERSON, BRIAN RAY MD ................................. 222
PINGREE, JAMES CAMERON MD...................51, 138
PETERSON, CHAD R DO .......................... 91, 215, 216
PINGREE, MICHAEL F MD ......................................233
PETERSON, CHARLES MATTHEW PINGREE, MICHAEL FREDERICK MD .................230
MD...................................................................... 148, 211
PINTO, NELANGI M MD .........................................172
PETERSON, CYNTHIA S PT ................................... 185
PIPPITT, KARLY A MD .............................................21
PETERSON, DAVID SCOTT MD ............................ 141
PITTMAN, JESSICA H MD ......................................148
PETERSON, J MICHELLE M LCSW ...... 240, 267, 288
PITTMAN, JOEL ERIC MD ........................................83
February 12, 2015
340
Alphabetical Provider Index
PLATIS, KAREN LEE LCSW
RAMAN, VANDANA S MD
PLATIS, KAREN LEE LCSW .................................. 267 PREECE, DANIEL L DPM ..................................72, 190
PLATT, MCKAY LYMAN MD ................................ 105 PRENTICE, MOLLY K LCSW .........................268, 290
PLEASANT VIEW DIALYSIS CENTER.................. 297 PRICE, LINDA MARGARET PHD ..........................282
PLOTHOW, PHILLIP A OD ...................................... 105 PRICE, LYNN SUZANNE MD .............5, 14, 23, 33, 35
PLOTHOW, PHILLIP ANTHONY OD .................... 101 PRICE, ROBIN S OD ....................................................94
PLOWMAN, SUZANNE F PHD ............................... 241 PRICE, SHAWN L MD ..............................................168
PLUMLEY, MARK R SLP .......................................... 65 PRINCE, MOLLY GEORGE LCSW .........................268
PODUNOVICH, RENEE A CMHC .......................... 251 PRITT, STEPHEN G LCSW ..............................238, 245
POHL, JOHN F MD ........................................... 108, 173 PROBERT, ERIN N RPT ...................................185, 213
POHL, SUSAN D MD ................................................. 21 PROCINO, KAREN JOAN RPT ................................185
POHLMAN, BROOKE A OT .................................... 152 PROVO CANYON BEHAVIORAL
POLL, JED MD ....................................................... 47, 84 HOSPITAL .........................................................246, 247
POLL, JED T MD .......................................... 43, 78, 159 PRUYT-MILLERBERG, PAMELA J
POLTORATZSKY, VALERIE LCSW ...................... 267 LCSW .........................................................................268
POOLE, JEFFREY SCOTT MD ............................ 59, 76 PRYSTAS, ELIZABETH MARY MD...............155, 212
POOR, DAVID DEWILE MD ............................... 21, 30 PUCHALSKI, MICHAEL DAVID MD.....................172
POOR, HILLARY J LCSW ....................................... 267 PUGH, BRIAN WILLIAM DO ..............................59, 76
POPPE, MATTHEW M MD ...................................... 193 PUGH, RONALD M OD .....................................105, 216
PORTER, ADAM G OT ............................................ 152 PUGH, RONALD MARK OD ...........................101, 215
PORTER, STEVEN ALEXANDER MD ..................... 76 PULGIANO, ANGELO MD ........................................31
PORTER, SUSAN H LCSW ...................................... 268 PULLEY, STEVEN C MD .........................................170
PORTER, TROY FLINT MD ............................ 133, 148 PULSIPHER, BRAD R PT .........................................226
POTOKAR, HEATHER D LCSW ..................... 237, 245 PULSIPHER, MICHAEL ALLEN MD .....................174
POTTER, BROOKS HAWKES DPM ................. 65, 217 PULST, STEFAN M MD ...........................................141
POTTER, BURK R LCSW ........................................ 245 PURDY, RUSSELL WILLIAM OD 55, 62, 80, 110, 204
POTTER, KIRBY IAN LCSW .................................. 287 PUSEY, TANYA R LCSW ........................................252
POTTER, STEVEN J MD .............................................. 8 PYLE, MELANIE ELISE PT .......................................82
POTTS, BRUCE T OD .......................................... 56, 94
Q
POTTS, BRUCE T OD ........................................... 56, 94
QUEST DIAGNOSTICS .............................................303
POULSEN, BRUCE CRAIG PHD ............................ 282
QUILTER, TIFFANY C RPT.....................................185
POULTER, WILLIAM C OD ............................ 164, 224
QUINN, JEFFREY DENNIS MD ..............................107
POULTER, WILLIAM C OD ..................................... 228
QUIST, DAPHNE A LCSW.......................................268
POULTON, JAMES L PHD ...................................... 282
R
POWEL, ROBERT SEAVER MD ............................... 30
POWEL, TANYA K MD ............................................. 30 RADWIN, MARTIN IRA MD .....................................35
POWELL, AMY PAULETTE MD ............................ 197 RAEL, JULIE L LCSW ......................................243, 268
POWELL, DOUGLAS LESTER MD ................ 121, 210 RAETZ, ELIZABETH A MD ....................................174
POWERS, CHRISTOPHER J PHD ........................... 282 RAGLE, NATHAN J MD ............................................26
PRAMANN JR, ROBERT FREDERICK
RAHIMI, DANESH R MD...............................23, 26, 30
PHD ............................................................ 246, 282, 285 RAJA, IMRAN M MD ...............................................276
PRATER, SUSAN E MD ............................................... 5 RAJAGOPAL, ARUN MD ........................................170
PRCHAL, JOSEF T MD ............................................ 131 RAKKE, BETH KATHLEEN PHD ...........................282
PRECIADO, ALFONSO MD ...................... 51, 129, 222 RAMAN, SANJEEV M MD ......................................192
PRECISION DIAGNOSTIC SERVICES ........... 296, 301 RAMAN, VANDANA S MD .....................................108
PRECISION HEALTH SERVICES ............................ 301
341
February 12, 2015
Alphabetical Provider Index
RAMASUBRAMANIAN, APARNA MD
RICHARDS, RYAN A MD
RAMASUBRAMANIAN, APARNA MD .. 87, 107, 159
REICHMAN, MARK VERNON MD ........................138
RAMKUMAR, NIRUPAMA MD ............................. 136
REID, KIM WAYNE RPT .....................................45, 48
RANDALL, DONALD W PHD ........................ 236, 246
REID, THOMAS MICHAEL MD ......................276, 289
RANDALL, KURT DALE AUD ............................... 113
REILLY, DEANNA LYNN PHD ..............................282
RANDALL, ROBERT LAWRENCE MD ......... 108, 168
REILLY, MARK WILLIAM MD ............65, 83, 90, 193
RANDLE, JEFFREY GRAFF MD ............................ 178
REIMER, LARRY GENE MD ...................................132
RANJAN, RAVI MD ................................................. 116
REIMHERR, FREDERICK WILLIAM RANKS, DAVID M PHD .......................................... 282
MD ..............................................................................276
RAPHAEL, KALANI LUKELA MD ........................ 136
REISER, REBECCA H MD .................................68, 223
RAPPLEYE, ALAN TUNIS MD ............................... 148
REISIG, KRISTEN B LCSW .....................................240
RASHKIN, ESTHER J LCSW ................................... 268
RENCHER, STACY L OD..........................................111
RASKIND, JOHN R MD ........................................... 168
RENCHER, STACY LYNN OD ................................110
RASMUSSEN, GARY LYNN MD ........................... 168
RENNER, DAVID ROMAN MD ..............................141
RASMUSSEN, RALPH RICHARD MD ..................... 97
RESCHKE, GAYLE A LCSW ...................................285
RASSNER, LESLIE H MD ....................................... 197
REYES, CARLA JEAN PHD.....................................282
RATLIFF, JOHN MELVILLE DC .............................. 69
REYNOLDS, BRANDON L DO .......................148, 212
RAUK, REVA PAULSEN PT ................................... 185
REYNOLDS, BRANDON P MD .........................40, 105
RAVARINO, JONATHAN M PHD .......................... 282
REYNOLDS, CHRISTOPHER JAY MD ..............38, 91
RAWLIN, ERIC ROBERT DC .................................. 217
REYNOLDS, JAMES ROBERT MD ..........................66
RAWLINGS, LANCE SCOTT DC ................... 201, 228
REYNOLDS-CALL, TAMI K RPT .....................48, 232
READING, KARLA LCSW ...................................... 268
RHAZI, MARIA L OD .................................88, 101, 215
READING, TERESA MD .......................................... 129
RHEES, LINDA JERI LCSW ....................................268
RECTOR, LISA L LCSW .......................................... 268
RHODE, JENNIFER M MD ......................................130
RED ROCK MEDICAL SUPPLY .............................. 302
RIAZ, AWAIS MD .....................................................141
REDD, AMASA MASON MD .................................. 276
RICCI, JEANETTE M LCSW ............................253, 268
REDDY, BHAVANANDA T MD ............................... 58
RICE, DALLIN W OD ..................................................54
RICE, DALLIN WADE OD .........................................52
REDDY, CHAKRAVARTHY BATTHINA MD ................................. 46, 192, 227, 232
RICE, R BRADLEY OD ...............................................54
REDDY, DEEPIKA S MD ......................................... 124
RICE, ROBERT BRADLEY OD .................................52
REDDY, ELIZABETH PRESCOTT RPT ................. 185
RICE, ROBERT S MD .................................................63
REED, PAUL E OD ...................................................... 55
RICH, ANNE M MD ..................................................276
REED, PAUL EDWARD OD ........................ 55, 80, 231
RICH, CHARLES CHRISTIAN MD .........................138
REED, SHELLY JENSEN APRN ............................. 143
RICH, CHRISTOPHER C MD...........................255, 276
REEDER, KLAY C LCSW ........................................ 245
RICH, MARTINA RENEE PHD ...............................282
REES, ALAN T OD ...................................................... 66
RICH, NATHAN T MD .................................39, 99, 155
REES, ALAN THOMAS OD ....................................... 62
RICHARDS, BRADLEY W MD ..................................84
REES, HELEN MICHELE LCSW ............................ 253
RICHARDS, BRADLEY WAYNE MD ......................78
REES, STEPHEN M MD ................................. 39, 86, 99
RICHARDS, BRYAN LEE MD...................................59
REESE, W CARLAN OD ..................................... 56, 208
RICHARDS, CHARLES DAVID MD .......................129
REESE, WILLIAM CARLAN OD .............................. 56
RICHARDS, CHRISTINA GAIL MD .......................129
REHAB SPECIALISTS .............................................. 302
RICHARDS, DANIEL T DO .......................52, 108, 170
REHEISSE, ANDREW J DC ..................................... 118
RICHARDS, DOUGLAS S MD.................................133
REICH, TODD D RPT ............................................... 185
RICHARDS, R LYNN L PHD ...........................251, 282
REICHERT, WALTER HUGO MD .......................... 141
RICHARDS, RAY STAYNER MD .........65, 83, 90, 193
REICHMAN, HOWARD REED MD .......................... 98
RICHARDS, RYAN A MD ..........................88, 102, 208
February 12, 2015
342
Alphabetical Provider Index
RICHARDS, SCOTT C MD
ROSS, DOUGLAS SCOTT MD
RICHARDS, SCOTT C MD ......................................... 84
ROBY, CARLOS Y PHD ...........................................248
RICHARDS, STANLEY E PHD ............................... 285
ROCCO, JEFFREY J MD ............................................80
RICHARDSON, JILL CMN CNM .................... 134, 211
ROCHE, VAUGHN STEWART LCSW ....................268
RICHE, THOMAS N OT ........................................... 152
ROCKWELL, WILLIAM BRADFORD RICHEY, JOSEPH LEWIS MD .............. 39, 88, 92, 102
MD ..............................................................................188
ROCKY MOUNTAIN CARE .............................294, 295
RICHINS, SCOTT WARBURTON APRN ......................................................................... 241
ROCKY MOUNTAIN CARE RIVERTON.................293
RICHMAN, BRIAN HOLT DPM ............................... 65
RODERICK, CRYSTAL A OT ..................................152
RIDDLE, SETH ALLRED MD ..................... 96, 97, 215
RODGERS, GEORGE MARION MD .......................155
RIDGE, GARY ROYCE DPM .................................... 90
RODGERS, KENNETH C PHD ................................285
RIDGELINE SURGICENTER ................................... 297
RODRIGUES, ROBERT L MD .................................188
RIGBY, ROBBE TRUMAN DPM ............................ 206
RODRIGUEZ, BRIAN J RPT ....................................226
RIGGS, BRANNICK BARTON MD .......................... 15
ROE, FARRELL M OD ..44, 56, 62, 67, 72, 80, 88, 101, RIGTRUP, CHAD L OD .................................... 105, 217
111, 164, 204, 219, 224, 231
RIGTRUP, CHAD LEE OD ....................... 101, 215, 216
ROGERS, CHARLES LELAND MD ......65, 83, 90, 193
RILEY JR, FREDERICK R LCSW ........................... 286
ROGERS, CHARLES MITCHELL MD ............112, 220
RILEY, SETH M RPT ................................... 45, 53, 185
ROGERS, SCOTT F DPM ...........................40, 104, 208
RINDFLESH, MARK ALAN MD ..................... 238, 276
ROGERS, THOMAS GLEN DPM.......................40, 104
RINNE, KIRSTI CNM ............................................... 148
ROHRER, JACQUELINE L MD .................................21
RIPPON, KIMBERLY R LCSW ............................... 245
ROKEACH, STEVEN ALAN MD ......................49, 116
RISHE, HARVEY LAWRENCE PHD ...................... 290
ROLLER, MATTHEW RAY DC...............................201
RITCHIE, PAUL KOHLER MD ................... 39, 67, 208
ROLLEY, JENNIFER GRACE CNM ................135, 211
RIVA-CAMBRIN, JAY K MD .................................. 138
ROLLINS, MICHAEL D MD ....................................176
RIVAS, LAURA M PT .............................................. 185
ROLLINS, SPENCER LYMAN DC ............................58
RIVERA, ROBERT P MD ................................... 51, 159
ROMNEY, FRANK F RPT ..........................................82
ROMO, KRISTEN M MD ............................................21
RIVERWOODS INTERVENTIONAL RADIOLOGY ............................................................ 298
ROMRELL, NATALIE LCSW ..................................268
RIVERWOODS SURGERY CENTER ...................... 298
RONDINA, MATTHEW T MD ...................................26
RIVERWOODS URGENT CARE .............................. 299
ROPER, RON S OD ....................................................219
ROACH, KEVIN N DC ............................................... 37
ROPER, RONALD S OD ...................................219, 231
ROBB, BRANDON D DC ........................................... 58
ROSADO-SANTOS, HARRY R MD ........................132
ROBBINS, STEVEN EDWARD RPT ................. 53, 216
ROSATI ALLEN, MARGARET CNM .....135, 211, 229
ROBBINS, ZOE A APRN ......................... 239, 251, 288
ROSE, JOHN WILLIAM MD ....................................141
ROBERTS, KEVIN ARTHUR DC .............................. 75
ROSE, NANCY CAROL MD ....................................148
ROBERTS, LEISSA A CNM ..................... 135, 211, 229
ROSE, RACHELLE A PHD.......................................237
ROBERTS, PHILIP LEONARD MD ............................ 6
ROSE, SUSAN M MD ...............................................148
ROBERTS, SCOTT T MD ......................................... 178
ROSELLO, MARC ALEXANDER OT .....................152
ROBERTS, TAMARA LCSW ................................... 240
ROSEN, DEANNA LEE LCSW ................................268
ROBERTSON, CHRISTOPHER C RPT ........... 185, 226
ROSEN, MARK ALLEN MD ....................................168
ROBINS, KIPP MORENO MD ................................... 96
ROSENBLUTH, JEFFREY PAUL MD .....................178
ROBINSON, KATHARINE A OT ............................ 152
ROSENFIELD, MICAH GULICK MD .................21, 33
ROBINSON, KRISTIN E PHD ................................. 282
ROSENTHAL, REGINA ELLEN MD.......................129
ROBINSON, LUCINDA J MD .................................. 148
ROSQUIST, BRYON LAMAR DC .............................94
ROBISON, JENNIFER FORDHAM PHD ................ 283
ROSQUIST, GARY J DC, LAC.................................106
ROBISON, SAMUEL POLLARD OD .............. 164, 231
ROSS, DOUGLAS SCOTT MD ................................105
343
February 12, 2015
ROSS, ERICA LCSW
Alphabetical Provider Index
SCHEMMER, GLENN KENNETH MD
ROSS, ERICA LCSW ................................................ 286 SALTZMAN, CHARLES LOUIS MD ......................168
ROSS, KIMBERLY MCARDLE OT .................. 51, 152 SAMADDER, NILOY J MD ......................................126
ROSS, MCKENZIE A OT ......................................... 152 SAMINEJAD, BEHRANG MD .................................141
ROSS, STEVEN MATTHEW PHD .......................... 283 SAMOLITIS, NANCY J MD .....................................121
ROSS, VICTORIA S PT ................................ 64, 82, 111 SAMSON-FANG, LISA JANE MD.............................29
ROTH, JAMES THOMAS MD ......................... 148, 223 SAMUDRA, KALYANI A MD .................................272
ROTH, NATALIE HEERSINK PHD ........................ 283 SAMUELSON, WAYNE MITCHELL
ROTH, TERRI LCSW ................................................ 268 MD ..............................................................................192
ROTHBERG, DAVID L MD ..................................... 168 SANDBERG, JERRY LYNN PHD ............................236
ROTHSETIN, SARAH LCSW .................. 253, 268, 290 SANDERS, ASHLEY A LCSW.................................285
ROUNDY, MICHAEL SCOTT MD .......................... 235 SANDERS, CAROLYN ROTH LCSW .....................268
ROW, DAVID MD............................................. 119, 129 SANDERS, HILARY FAE APRN .............................138
ROWDEN, TRAMPAS J PHD .................................. 287 SANDERS, NATALIE ANN DO.................................21
ROWLEY, BRIAN F OD .............................................. 93 SANDERS, R ERIC DC ...............................................58
ROWLEY, BRIAN FARNSWORTH OD ................... 92 SANDERSON, MARK C MD .............................40, 188
ROY, ABINASH CHANDRA MD ............................ 136 SANDERSON, MICHAEL J MD ..........................14, 33
ROY, NELSON SP .................................................... 196 SANDERSON, SUSAN KAYE APRN ..............107, 143
ROYALL, STEVEN PAUL DPM ....................... 53, 190 SANDHU, SEEMA ANAND MD .............................202
ROYER, PAMELA A MD ......................................... 148 SANDOR, COLLEEN MARIE PHD .........................283
RUCKDESCHEL, JOHN C MD .................................. 72 SANDT, DEBRA LYNN APRN ........................107, 143
RUDD, ADAM B OD .................................................. 44 SANKARA, ISHWARA R MBBS .............................141
RUDD, ADAM B OD ................................................... 47 SANYER, OSMAN NECMI MD .................................21
RUECKERT, MICHELLE E PT ................................ 185 SARFATI, MARK RUSSELL MD ............................199
RUSHTON, RYAN TAYLOR DPM ..... 65, 71, 190, 213 SASSO, LISA M MD .................................................168
RUTKOWSKI, SREVEN RONALD DC .................... 85 SATO, KAREN C RPT ..............................................185
RYAN, JOHN J MD ........................................... 116, 209 SAUCIER, BETH A APRN .......................................124
RYAN, RANDY L PHD .................................... 246, 289 SAUDER, CARA LYNN SP ......................................196
RYSER, RANDALL JAMES MD ............................. 126 SAUNDERS, ALAN T LCSW ...................................287
SAUNDERS, MARK THOMAS MD ..........................39
S
SAVAGE, DAVID T DPM ..........................................93
SAAREL, ELIZABETH VICKERS MD ................... 172 SAVAGE, JULIE ELIZABETH APRN .....................143
SACCO, ROBERT CRAIG AUD .......................... 58, 91 SAVAGE, NATHAN J RPT.........................................82
SADIQ, MOHAMED HABIBULLA MD ................... 60 SAVARISE, MARK THOMAS MD ..........................129
SADLER, WILLIAM TAYLOR MD .......................... 46 SAVARISE, YVONNE C PT .....................................185
SAFFLE, JEFFREY ROY MD .................................. 129 SAVICA, RODOLFO MD .........................................141
SAGERS, PAUL W RPT ........................................... 104 SAWCHUK, TERRY CONSTANTINE
SAHLEEN, GARRY FREDRICK LCSW ................. 245 MD ..............................................................................178
SAKONJU, AI D MD ........................................ 109, 175 SAWITZKE, ALLEN DALE MD ..............................194
SALARI, ALI DO .................................................. 21, 30 SCAIFE, COURTNEY LYNNE MD .........................129
SALINAS, JESSICA M MD .............................. 148, 202 SCAIFE, ERIC RICHARD MD .................................130
SALKO, PHILIP A MD ............................................... 21 SCHAAT, TIMOTHY J MD ....................................5, 21
SALOIS, RICHARD EUGENE DC ............................. 96 SCHAECHER, KENNETH L MD ...............................26
SALT LAKE ENDOSCOPY ...................................... 302 SCHAELLING, MICHAEL PAUL MD ....................7, 8
SALT LAKE REGIONAL MEDICAL
SCHELLENBERG, MATTHEW M DO ..................5, 21
CENTER .................................................... 273, 291, 301 SCHEMMER, GLENN KENNETH MD ...........133, 149
February 12, 2015
344
Alphabetical Provider Index
SCHENK, JULANA N MD
SHEAN, FREDRIC CARL MD
SCHENK, JULANA N MD ....................................... 241
SCUDERI, RODNEY RAYMOND DC.....................201
SCHENKENBERG, THOMAS PHD ........................ 283
SEAGLE, BRYAN L DPM ............................46, 53, 190
SCHIFFGEN, STEPHEN THOMAS DPM ................ 206
SEAMAN, SCOTT W PHD .......................................248
SCHIFFMAN, JOSHUA D MD ................................. 174
SEAMON, MEREDITH L MD ..................................175
SCHINDLER, ANDREA MAILE APRN .................. 130
SECKINGER, LEANNE RENE OT ..........................152
SCHLEGEL, AMNON MD ....................................... 124
SEEGMILLER, DAVID CRAIG DPM ..........46, 65, 190
SCHLEGELMILCH, SUE CNM ........................... 85, 98
SEEGMILLER, RICHARD GREGG SCHLISMAN, ALISON K MD ................................... 26
DPM ................................................46, 65, 111, 190, 226
SCHMELZER, RODNEY EVAN MD ...................... 188
SEELEY, WENDY J LCSW ......................................269
SCHMIDT, DONALD ALFRED MD ....................... 204
SEILER, ROBERT PETER DC .................................118
SCHMIDT, JOHN D MD ........................................... 202
SELDEN, JONATHAN A APRN ..............................239
SCHMIDT, LEONARD JAMES MD ........................ 276
SELF, JOHN MICHAEL MD ......................................53
SCHMIDT, MEIC HELMET MD ............................. 138
SELIGER, SHERYL ANNE LCSW ..........................269
SCHMIDT, RICHARD HALL MD ........................... 138
SELIN, JOHN H LCSW .............................................269
SCHMIDT, TODD H PT ........................................... 205
SELLERS, DANIEL SHANE MD ...............................46
SCHNEIDER, KIM OT ...................................... 110, 217
SELZMAN, CRAIG H MD ........................................197
SCHNEIMAN, RICHARD SAUL PHD .................... 283
SENEKJIAN, BECKY LCSW ...................................245
SCHOLL, LINDA VERNON PT ............................... 185
SENEKJIAN, HARRY OSHIN MD ....................77, 136
SCHOLL, MARK DAVID MD ................................. 168
SERAFINI, RUGGERO MD ..............................141, 276
SERMON, FREDDIE L DC .........................................75
SCHORLEMMER, GILBERT REYNOLDS MD .............................................. 116, 197
SERPICO, VICTORIA J APRN .................................130
SCHOW JR, DOUGLAS MD .................................... 102
SESSIONS, WADE M MD ................................108, 225
SCHRADER, BRENT LCSW .................................... 268
SETON, GILLIAN L MD...........................................130
SCHREINER, MICHAEL A PHD ............................. 283
SHADOW, L KRISTIN K MD ..........................272, 276
SCHREYER, FAY M LCSW ............................. 234, 288
SHAH, AMRAPALI M MD .......................................192
SCHROCK, LAUREN E MD .................................... 141
SHAH, RAJIV RASIK MD ........................................170
SCHROEDER, GREGORY P RPT ............................. 64
SHAH, RASHMEE U MD .................................116, 209
SCHULL, MARK S LCSW ....................................... 268
SHAH, SAURABH BHARATKUMAR SCHULTZ, CRAIG ALAN RPT ................................. 89
MD ..............................................................................123
SCHULTZ, EDWARD RICHARD MD ...................... 56
SHAH, SHEETAL RAJIV MD ..................................222
SCHULZ, SHAUN S RPT ..................................... 54, 56
SHAKERI, MEHRNOOSH MD ..................................10
SCHUTZ, BRIDGET M OT ...................................... 152
SHAKIB, JULIE H DO ................................................29
SCHWALBE, VALERIE A RPT ......................... 53, 185
SHAKOOR, AKBAR MD ..........................................159
SCHWARTZ, MARIA A MD ........................... 178, 225
SHAMI, PAUL JEAN MD .........................................155
SCHWARTZ, TODD D RPT ..................................... 185
SHAPIRO, MARY E MD.............................................29
SCHWEBACH, ADAM J PHD ................................. 237
SHARMA, PAWAN KUMAR MD .............49, 116, 221
SCHWEITZER, LISA ANN SP ................................. 196
SHARMA, PRAMOD KUMAR MD ...................50, 123
SCHWEMMER, INES PT ......................................... 185
SHARMA, SUNIL MD ..............................................155
SCORESBY, KRISTEL J LCSW .............................. 249
SHARP, HOWARD TAYLOR MD ...........................149
SCOTT, CHARLES REX CCCA ...................... 113, 209
SHARP, RICHARD KEITH MD ...................................9
SCOTT, DENNIS MICHAEL LCSW ....................... 240
SHARP, SALLY DEE MD...........................49, 116, 221
SCOTT, KATHY A RPT ........................................... 185
SHASKEY, DAVID JONATHAN MD ......53, 109, 194, SCOTT, MICHAEL DARREN DC ............................. 58
227, 232
SCOTT, NEIL F OT ................................................... 152
SHEA, PATRICK W MD ...........................................276
SCOVILLE, BARBARA ANN LCSW ...................... 269
SHEAN, FREDRIC CARL MD .................................116
345
February 12, 2015
Alphabetical Provider Index
SHEEN, ROBERT GORDON APRN
SMITH, CRAIG MILTON OD
SHEEN, ROBERT GORDON APRN ........................ 222
SILVERSTEIN, JOSHUA R MD .................................95
SHEETS, MICHAEL FREDERICK MD ........... 116, 209
SIMKINS, APRIL M APRN ........................................80
SHEFFIELD, CLARK WHITELEY MD .................... 38
SIMMONS, BRAD K LCSW .....................................240
SHEFFIELD, JEFFREY C PHD ................................ 286
SIMMONS, DEBRA L MD .......................................124
SHELL, LLOYD W PT .............................................. 186
SIMMONS, ROBERT LYNN OD ...............................39
SHELLY, DANIEL H PT .......................................... 186
SIMMONS, STACEY N LCSW ................................269
SHELTON, CLOUGH MD ........................................ 123
SIMON, KIRK ANTHONY MD ................................272
SHELTON, SCOTT S DPM ........................ 56, 190, 206
SIMONS, ELISE J MD...............................................130
SHELTON, TIMOTHY J DC ...................................... 75
SIMONS, MARILEE M MD ................................70, 149
SHELTON, WAYNE LEWIS RPT............................ 216
SIMPER, STEVEN CHARLES MD ..........................130
SHEPHERD, COLLIN K RPT ................................... 186
SIMPSON, CRAIG B LCSW .....................................269
SHEPHERD, DOUGLAS TRACEY MD .............. 45, 63
SIMPSON, DAVID E LCSW .....................................269
SHEPHERD, JENNIFER C AUD .................... 41, 58, 73
SIMPSON, KIMBERLY E APRN .................................8
SHEPHERD, KEVIN L RPT ....................................... 53
SINCLAIR, JENNIFER R OT ....................................152
SHEPHERD, MELISSA D APRN ............................. 143
SINGH, GAGANDEEP MD ......................................276
SHEPPARD, STEPHEN RAY PHD .......................... 283
SINGLETON, JOHN ROBINSON MD .....................141
SHERIDAN, SCOTT DANIEL MD ............................ 21
SINNER, RYAN T PT ................................................186
SHERMAN, JEANETTE APRN ............................... 141
SIRKEN, BARBARA AUDREY LCSW ...................240
SHERMAN, KEVIN C LCSW .................. 234, 253, 285
SKAGGS, DANIEL SCOTT DC .................................75
SHETLIN, ROBERT J DC ......................................... 209
SKARDA, DAVID E MD ..........................................130
SHIELDS ORTHO PROSTH SERVICE .... 297, 300, 301
SKEDROS, DEMETRIOS GREGORY SHIHAB, FUAD SAID MD ....................................... 136
MD ..........................................................................42, 59
SHILLINGTON, HOLLY M MD .......................... 29, 35
SKEDROS, JOHN GREGORY MD ..........................168
SKIDMORE, THOMAS B MD ..................................193
SHINGLETON, ROBERT WILLARD RPT ............................................................................. 186
SKOUSEN, GALE J MD .......................................13, 31
SHIPLEY, SCOTT G MD ................................ 67, 96, 97
SLABODKINA, LORA Y MD ....................................34
SHIRLEY, GEORGE A PT ......................................... 70
SLACK, CARYN KENDRA MD ................................33
SHOARI, MOHAMMAD MD ..................... 48, 141, 229
SLADE, MARILEE C APRN.......................................13
SHOSTED, KEVIN C OD ......................................... 219
SLATER, RYAN A MD .................................30, 40, 208
SHOSTED, KEVIN C OD .......................................... 200
SLAUGH, GARY C OD................................................84
SHPRECHER, DAVID R DO .................................... 141
SLOAN, CARRIE LEIGH MD ....................................51
SHRIEVE, DENNIS CHARLES MD ........................ 193
SLOAN, SAMUEL A APRN .....................................138
SHULIMSON, AHARON DAVID PHD ................... 283
SMALLEY, AARON D MD ................................67, 100
SHULMAN, JULIA P MD ......................................... 159
SMART, JILL S LCSW ......................................250, 287
SHULTS, TOM R LCSW .......................................... 250
SMART, STEPHANIE A LCSW ...............................269
SIDDIQI, FAIZI AHMAD MD.................................. 188
SMITH JR, VEON G LCSW ......................................286
SIDDOWAY, FRANK A OD ............................. 105, 217
SMITH, ALBERT GORDON MD .............................141
SIDDOWAY, FRANK ALDEN OD.................. 101, 216
SMITH, ALLISON M PHD .......................................283
SIKDER, SHAMEEMA MD ..................................... 159
SMITH, AMY S MD ..................................................276
SILBERMAN, HILARY J SP .................................... 196
SMITH, ANDREA ICOLE MD .........................149, 202
SILVA, EMILY A LCSW .......................................... 269
SMITH, ANDREA J PT .............................................186
SILVA, MARISA T LCSW ....................................... 249
SMITH, APRIL A LCSW...........................................243
SILVER LAKE HEALTHCARE ................ 296, 298, 301
SMITH, BLAIR A RPT ..............................................186
SILVER, ROBERT MITCHELL MD ........................ 149
SMITH, BRIGHAM R MD ........................................114
SILVERO, PETER R MD ............................ 69, 108, 231
SMITH, CRAIG MILTON OD ....................70, 164, 213
February 12, 2015
346
Alphabetical Provider Index
SMITH, DOUGLAS R OD
STARLING, MARINA ALICIA PHD
SMITH, DOUGLAS R OD .......................................... 44
SORENSEN, TEELA SOUTHWICK MD .................217
SMITH, DOUGLAS R OD ........................................... 47
SORENSEN, TYLER D CCCA .................................113
SMITH, EDWARD FRANKLIN DC ........................ 228
SORENSON, STEVEN OSCAR LCSW ....................285
SMITH, ELIZABETH ROWE MD.............................. 29
SORENSON, TRAVIS D LCSW ...............................269
SMITH, JEAN C LCSW ............................................ 245
SOSSENHEIMER, MICHAEL JOSEPH SMITH, JEFFREY RANDALL MD .......................... 103
MD ..............................................................................126
SMITH, JOHN TAYLOR MD ........................... 108, 169
SOTIRIOU, LEO C MD .............................................121
SMITH, JULIEN TERESA PHD ............... 243, 248, 283
SOULIER, SCOTT MARTIN DPM.....................71, 190
SMITH, KYLE M MD ............................................... 272
SOUTH DAVIS COMMUNITY SMITH, LAYNE ALAN MD ............................... 51, 202
HOSPITAL .........................................................292, 295
SMITH, MARY LOU LCSW .................................... 247
SOUTH JORDAN HEALTH CENTER ......................302
SMITH, MATTHEW DAVID DC ............................... 50
SOUTH TOWNE SURGERY CENTER.....................302
SMITH, MAUREEN B APRN ................................... 130
SOUTH VALLEY DIALYSIS ....................................302
SMITH, MELISSA H PHD ........................................ 248
SOUTHERS, SONDRA J LCSW .......................236, 269
SMITH, MICAH W MD ............................................ 169
SOUTHWICK, ANDREW WILLIAM SMITH, MICHAEL C PT ............................................ 82
MD ..............................................................130, 198, 214
SMITH, ROBERT ERIC MD .................................... 159
SOUTHWORTH, SCOTT ERNEST MD ......................6
SMITH, RUSSELL ALAN MD ................................. 202
SOUTOR, TODD ANTHONY PHD ..........236, 237, 241
SMITH, SARAH K APRN ........................................... 86
SPEAKMAN, ROBERT LYMAN DO ..................12, 21
SMITH, SHERMAN C MD ....................................... 130
SPEED, JOHN MD ...............................................89, 178
SMITH, STACY R MD ............................................. 159
SPEER, AMANDA L LCSW .....................................269
SMITH, STANTON MILLER DPM ......................... 190
SPEER, LESLIE A PHD ............................................283
SMITH, TERRY PAUL DPM ............. 46, 111, 190, 226
SPENCER, ANDREW H MD ........................78, 87, 149
SMITH, VIRGINIA L CCCS ..................................... 196
SPENCER, DAVID ARTHUR MD ...........................159
SMITH, WAYNE EDWARD MD ............................... 76
SPENCER, LEEANN W APRN.................................144
SMITHERS, JACQUELINE M CNM ....................... 135
SPENCER, MICHELLE MADSEN SMITHERS, MICHAEL DOUGLAS DC ................. 119
APRN ............................................................................21
SMITH-HOLMEN, BARBARA E APRN ..................... 5
SPIGARELLI, MICHAEL G MD ..............................111
SMITHSON, KERRY LEE OD ................................. 164
SPIKER, WILLIAM R MD ........................................169
SMOLIN, EMILY D LCSW ...................................... 269
SPINA, NICHOLAS MD ...........................................169
SNITEMAN, CLAY STEPHEN PT ............................ 82
SPIVAK, ADAM M MD ............................................132
SNOW, BRENT WALTER MD ........................ 110, 198
SPRAKER, HOLLY L MD ........................................174
SNOW, MARK ALLEN DC ...................................... 229
SPRATLING, AMY CMHC ..............................251, 254
SNYDER, ORRENZO B MD ...................... 54, 110, 198
ST JOSEPH VILLA .....................................................293
SOBEK, DANE EDWARD MD ................................ 116
ST MARKS HOSPITAL .............273, 291, 293, 300, 301
SOBOTKA, DENNIS WAYNE MD ........................... 76
ST MARKS OUTPATIENT SURG CTR ...................299
SOHAGIA, KINJAL B MD ....................................... 178
STAHELI, JOHN KENT MD...................................9, 14
SOISSON, ANDREW PATRICK MD ...................... 130
STALLINGS, SCOTT MANLEY MD...................11, 15
SOLOMON, MARGARET HOPE MD ....................... 29
STANBRIDGE, DERRICK LEE DC ...........................75
SONDRUP, COREY JOE DC ..................................... 75
STANCHFIELD, JOHN BARTLEY MD ..................124
SONDRUP, STUART C PT ................................... 45, 55
STANHOPE, HELEN L APRN .........................255, 288
SONTHEIMER, RICHARD D MD ........................... 121
STAPLEY, MARCIA E SLP ......................................196
SORENSEN, JORY Q APRN ...................................... 97
STARK, BARBARA M APRN ..................................144
SORENSEN, ORYSLAVA C RPT ...................... 89, 186
STARKS, JOYCE E LCSW .......................................234
SORENSEN, RUSSELL LAMAR MD ..................... 204
STARLING, MARINA ALICIA PHD .......................248
347
February 12, 2015
Alphabetical Provider Index
STARR, ALEXANDRA J LCSW
SUNEJA, GITA MD
STARR, ALEXANDRA J LCSW .............................. 269
STONE, CALVIN D DC ..............................................85
STATE, RACHEL B MD ................................... 253, 276
STONE, GREGORY ALAN DO .................................54
STAUB, VELVET R LCSW ...................................... 269
STONE, KATIE S AUD .............................................113
STAUFFER, ROBERT FERN MD ............................ 246
STONE, RICHARD LLOYD MD ................................96
STEED, GREGORY KENT LCSW ........................... 285
STONE, SHIRL AMMON DC .....................................94
STEED, LISA LCSW ......................................... 235, 236
STONEBURNER, HUGH MILAM MD ................10, 26
STEELE, JULIE STRIKE APRN .............................. 144
STONECLIFF, MELINDA K LCSW ................253, 269
STEELE, MAX MICHAEL MD ................................ 149
STONEHENGE OF AMERICAN FORK ...................292
STEENBLIK, MATTHEW H MD ............................. 126
STONEHENGE OF OREM ........................................292
STEFFENS, JOHN DAVID MD ............................... 142
STOTTS, ALAN KENDRICK MD ....................108, 169
STEIMKE, HEIDI B OT ............................................ 152
STOTTS, PAIGE PICKENS OT ................................153
STEINBACH, MARY N APRN ................................ 131
STOUT, LISA MD .....................................................199
STEINECKERT, JAY LYNN LCSW ........................ 238
STRAND, DAVID GEORGE RPT ............................205
STEINMANN, MARY E MD .................................... 277
STRATTON, PAUL M PHD ......................................283
STELTER, CASEY LAWRENCE MD ......................... 8
STRINGHAM, GALE IRENE PHD ..........................248
STEPANEK, TERESA M RPT .................................. 186
STRINGHAM, JAMES CANNON MD.....197, 227, 233
STEPHANZ, GERALD B MD .................................... 98
STROMNESS, LYNN DAVID OD ...................204, 224
STEPHENS, CARA L LCSW ............................ 253, 269
STROMNESS, LYNN OD ..................................207, 228
STEPHENS, DEBORAH M DO ................................ 131
STROMQUIST, DON LEONARD MD .....................194
STEPHENS, EMILY M RPT ..................................... 186
STRONG, MICHAEL BRENT MD .............................26
STEPHENSON, ROBERT ANSON MD ................... 199
STRUPP, ROBERT APRN ..........................................21
STEPHENSON, STEPHANIE M OT ........................ 153
STULTS, BARRY MACNEILL MD ...........................26
STERNBERG, DANIEL PAUL PHD ....................... 283
SU, JASON THOMAS DO ........................................172
STEVENS, DAVID W MD.......................................... 45
SUCH-NEIBAR, TERESA LYNN DO ......................178
STEVENS, KERIN A APRN ..................................... 144
SUDWEEKS, MATTHEW P RPT .........................54, 56
STEVENS, MARK HOWARD MD .......................... 130
SUEOKA, STEPHANIE K RPT ................................186
STEVENS, MICHAEL HENRY MD ........................ 123
SUGERMAN, LISA M PHD ......................................283
STEVENS, PETER M MD ........................................ 169
SUKER, JARED M RPT ............................................109
STEVENSON, KENNETH EDWARD SULLIVAN, AMY ELIZABETH MD .......................149
MD................................................................................ 11
SULLIVAN, CHARLES L MD .................................169
STEVENSON, TREVOR JACK RPT ............... 205, 213
SULLIVAN, ERIKA A MD .........................................22
STEWART, GAYLE M MD .............................. 223, 230
SULLIVAN, TIMOTHY J MD ....................................73
STEWART, KATHRYN M PHD .............................. 239
SUMKO, MICHAEL HENRY DO ..............................55
STEWART, MITZY D APRN ........................... 239, 255
SUMMERFIELD, ROBERT A E MD .........................60
STEWART, RYAN LEE MD .............................. 7, 8, 31
SUMMERHAYS, HALEY M CNM ....................69, 135
STIEFEL, SCOTT R MD ........................................... 272
SUMMERS, ANN PT .....................................53, 70, 186
STINNETT, JASON MARK MD ............ 43, 61, 72, 155
SUMMERS, BRADLEY KENT MD ...................76, 121
STINSON, SHERILYN CLARKE LCSW ................ 285
SUMMERS, PAUL RICHARD MD ..........................149
STIPELMAN, CAROLE HANNAH MD .................... 29
SUMMERS, SCOTT K APRN .......................................4
STOCK, CURT ROBERT MD .............................. 42, 59
SUMSION, JOHN ROBERT RPT ...............................40
STOCK, GORDON H MD ........................................... 39
SUMSION, KEVIN SPAFFORD MD .........................61
STOECKEL, AMANDA H PHD ............................... 283
SUMSION, WILLIAM G RPT.....................................89
STOESSER, KIRSTEN LEE MD ................................ 21
SUNDAR, KRISHNA MURTHY MD.......................192
STOKES, CORBIN J RPT ........................................... 82
SUNDARESH, VISHNU MD ....................................124
STOKES, HAROLD QUINN DC .............................. 106
SUNEJA, GITA MD ...................................................193
February 12, 2015
348
Alphabetical Provider Index
SUPIANO, KATHERINE P LCSW
THOEN, DENNIS DUANE MD
SUPIANO, KATHERINE P LCSW ................... 269, 286 TANNER, REBECCA I POLLAK MD .......................34
SUPIANO, MARK A MD ........................................... 26 TANNER, SIDNEY L APRN.....................................144
SURGICARE CENTER OF UTAH ............................ 299 TANVIR, FAWAD A MD ...........................................76
SUTHERLAND, ASHLEY B LCSW ........................ 270 TASHJIAN, ROBERT Z MD ...............................47, 169
SUTTON, THOMAS L MD ....................................... 126 TATTI, ANNE F PSYD .............................................283
SVAGR, BOB MD ....................................................... 63 TAUSSKY, PHILIPP MD ..........................................138
SWAMINATHAN, SANKAR MD ............................ 132 TAYLOR, BRADEN JUSTIN RPT ...................104, 232
SWANN, RUSSELL P MD ....................................... 169 TAYLOR, JACK ALAN MD .......................................22
SWANSON, TRECE BINFORD CNM ..................... 135 TAYLOR, JOHN ROBERT PHD ..............................239
SWARTZ, MANO MD ................................ 61, 100, 159 TAYLOR, KELLEY E APRN ............................199, 214
SWENEY, MATTHEW T MD .................................. 175 TAYLOR, KIM YOUNG MD ....................................160
SWENSON, JORDON GLENN APRN ..................... 144 TAYLOR, KIMBALL R RPT ....................................104
SWENSON, JOSEPH WOODRUFF DC ..................... 68 TAYLOR, MARK A OD .......................................57, 217
SWENSON, RANDAL WALTER MD ..................... 123 TAYLOR, MARK ALLEN OD ...........................57, 217
SWINYARD, JAMES E PT ....................................... 186 TAYLOR, PATRICIA ELLEN PHD .........................234
SWINYER, LEONARD JAMES MD ........................ 121 TAYLOR, REBECCA L OT ......................................153
SWITZER, NIKKI DEWAR MD ................................ 30 TAYLOR, REBECCA MARIE LCSW ......................270
SWOBODA, KATHRYN J MD ........................ 106, 142 TAYLOR, ROBYN R APRN .....................................144
SYBROWSKY, CHRISTIAN L MD ......................... 204 TAYLOR, ROGAN L RPT ........................................104
SYDNOR-SPIVAK, EMILY R MD .......................... 132 TAYLOR, ROY ANDREW MD ..................................66
SYKES, SCOTT O MD .......................................... 47, 84 TAYLOR, ROY R MD ...............................................7, 9
SYKES, SCOTT OWEN MD ........................ 43, 78, 159 TAYLOR, SHEILA D LCSW ....................................245
SYLVESTER, THOMAS J MD ................................. 169 TAYLOR, STEPHEN COPE DC .................................75
SYMKOVIAK, GARY PAUL MD............................ 117 TCACIUC, ISABELLA OSCAR
SZCZESNY, LORRAINE BERNICE MD .................. 26 HEDWIG MD ............................................................277
TEMPEST, MATHEW RICHAR MD .......................203
SZEWCZYK, MARION FRANCES
APRN ......................................................................... 144 TEMPLETON, JOEL DAVID DC ...............................94
SZWAJKUN, KONSTANTYN YAKIV
TENNEY, CHAD JEFFREY PT ................................219
MD.............................................................. 117, 221, 228 TERRY, JENNIFER SLP ...........................................227
SZYKULA, STEVEN A PHD ................................... 283 TERRY, KAYLEEN APRN .......................................112
TERRY, RUSSELL D DC ..........................................106
T
TERRY, STEPHEN ROBERT MD ............................149
TABIN, GEOFFREY CRAIG MD ............................ 159 TESKE, MICHAEL PAUL MD .................................160
TABIN, JEAN N DEMARCHI MD........................... 159 THACKER, PAULA G CNM ....................................106
TABISH, JOSEPH HENRY LCSW ........................... 270 THACKERAY, ANNE RPT ......................................186
TADROS, CAROLINE R MD ..................................... 76 THACKERAY, STEVEN MILTON MD...................149
TAGGE, BRYAN CURTIS MD .......................... 50, 123 THAKUR, NAVIN S MD ..........................197, 227, 233
TAHER, MOHAMMAD E MD ....................... 38, 86, 92 THARPE, RACHEL L RPT .......................................186
TALEBREZA, SHAIDA MD ...................................... 22 THATCHER BROOK
TALIAFERRO, JAMES A LCSW ............................. 270 REHABILITATION & CARE ...................................292
TAN, CHEE C MD .................................................... 176 THATCHER, BENJAMIN T DO .......................253, 277
TANI, LLOYD YASUO MD ..................................... 172 THEURER, JAMES GARY MD ................................100
TANNER, GREGORY CHARLES MD .................... 202 THIELKING, PAUL D MD .......................................277
TANNER, JOHN G DC ............................................... 75 THIESZEN, JULIE LYNN RPT ................................186
TANNER, KRISTINE MARIE SP ............................ 196 THOEN, DENNIS DUANE MD ................................142
349
February 12, 2015
Alphabetical Provider Index
TROTTER, DARCY T APRN
THOMAS JR, ROBERT JAY PHD
THOMAS JR, ROBERT JAY PHD ........................... 283
TIETZE, CHRISTOPHER CHARLES
THOMAS, ALISHA LCSW ...................................... 236
MD ..............................................................................126
THOMAS, BRIAN J DC ............................................ 201
TILEY, DONNA MARIE OT ....................................153
THOMAS, BRUCE EDWARD MD ................ 48, 63, 80
TILLEY, LANCE M DC ..............................................75
THOMAS, CELESTE RICKS CNM ......... 135, 211, 229
TILLY, SHANNON L MD...................................70, 149
THOMAS, CURTIS G AUD ............................... 95, 214
TIMMINS, JOSEPH MICHAEL LCSW ....................237
THOMAS, DAVID SNOW MD ................................ 188
TIMPANOGOS REGIONAL HOSPITAL..........291, 298
THOMAS, DOUGLAS P LCSW ............................... 270
TINGEY, JENISE D LCSW .......................................270
THOMAS, JACK R DC ......................................... 37, 58
TINGEY, TENILLE LCSW ...............................243, 270
THOMAS, JENNIFER LYNN OT ............................ 153
TIPPETS, RICHARD HAYWARD MD ....................138
THOMAS, KELLY L DO ............................................ 22
TIPTON, DAVID JOHN MD .......................................13
THOMAS, MARY D SP ............................................ 196
TIPTON, JEFFREY PAUL OD ....................................62
THOMAS, MAYA MD .............................................. 142
TITTENSOR, JENNIFER J MD ..................................38
THOMASON, ISAAC R MD .................................... 126
TODD, RUSSELL HAYMORE MD ...........................42
TOLMAN, BRIAN WILLIAM DC ............................219
THOMAS-ROBERTSON, MARSHA Y APRN ......................................................................... 192
TOLSMA, KATHERINE M LCSW...........................270
THOMPSON, AMANDA PT ................................ 46, 48
TOLTON, DEBBIE L LCSW.............................237, 243
THOMPSON, DALE E OD ................................... 62, 80
TOMB, DAVID ALAN MD.......................................277
THOMPSON, DALE E OD .......................................... 66
TOMCO, ABRAHAM R MD.......................................12
THOMPSON, FRANCES L PSYD ........................... 286
TONNA, JOSEPH E MD ...........................................130
THOMPSON, IVANA S MD ..................................... 149
TOONE, DEVON A DC...............................................41
THOMPSON, JOEL ADRIAN MD ........................... 175
TOPHAM, EARL BARRY MD .................................121
THOMPSON, MARGARET L LCSW ...................... 270
TOPHAM, MATTHEW KENT MD ..........................192
THOMPSON, MICHAEL RALPH DC ....................... 41
TORGERSON, MICHAEL R SP ...............................196
THOMPSON, ROBYN M OT ................................... 153
TORGHELE, CHERYL A OD ....................................200
THOMPSON, SALLY BARBARA LYNN TORONTO, RUSSELL ALAN MD...........................169
MD.............................................................................. 160
TOTAL RESPIRATORY CARE ................................303
THOMPSON, SCOTT K MD .......................... 42, 50, 59
TOTTERER, PATRICIA R LCSW ............................240
THOMPSON, SPENCER J RPT ................................ 186
TOWNS, MARY T APRN .........................................144
THOMSEN, JEANA K LCSW .................................. 285
TOWNSON, WALTER KARL MD.............................70
THOMSON, DAVID BRYAN DC .............................. 57
TRACHTENBERG, JOEL DANIEL MD ..................132
THOMSON, STEPHEN TALMAGE MD ................... 57
TRAUSCHT-VANHORN, JENNIFER J THORN, KIRK BERNELL PHD ....................... 238, 287
MD ..................................................78, 87, 149, 212, 230
THORNE, JOSEPH KENT MD ......................... 117, 197
TRAWICK, ROY HALLUM MD ..............................169
THORNHILL, DEBORAH DENISE PHD ................ 283
TREFT, ROBERT L MD ..............................................61
THORNLEY, ROD F LCSW ..................................... 240
TREFT, ROBERT L MD ...............................................66
THORPE, BRETT L MD ............................................. 97
TRELA, PATRICIA A RPT .......................................186
THORPE, GREG R RPT ............................................ 216
TREMAYNE, GARY R OD.......................................204
THORPE, JEFFOREY RUEL MD ................ 87, 99, 208
TREUHAFT, MARK LCSW..............................237, 270
THRALL, LINDSAY C OT ....................................... 153
TREUHAFT, SHELLEY R APRN.............................144
THULIN, JUSTIN FORTH MD ................................ 121
TRI CITY MEDICAL CLINIC ...........................296, 298
THULIN, PERLA CASSAYRE MD ......................... 142
TRIPP, GEORGE A MD ................................................9
THURBER, JILL ANN PT ........................................ 186
TRISTANI-FIROUZI, MARTIN MD ........................172
TIDSWELL, JESSICA JACOBSEN PT .................... 186
TRISTANI-FIROUZI, PAYAM MD ...................42, 121
TIEN, DAVE THANG MD........................................ 136
TROTTER, DARCY T APRN .....................................95
February 12, 2015
350
Alphabetical Provider Index
TROTTER, NANCY APRN
VOLCKMANN, ERIC T MD
TROTTER, NANCY APRN ........................................ 95 VAN ATTA, JOAN KAREN APRN..........................144
TROWBRIDGE, DAVID BRADLEY MD ................ 126 VAN DER VEUR, FREDERICK H
TRUJILLO, AMY LORRAINE RPT ......................... 205 LCSW .........................................................................270
TSAI, SCHICKWANN MD ....................................... 155 VAN DER WERF, WILLEM JOSEPH
TSCHETTER, KEVIN WILLIAM MD ................... 6, 26 MD ..............................................................................130
TUAN, JENNY C MD ................................................. 27 VAN DYKE, MICHAEL H DC .................................201
TULIP TREE HOLDINGS ......................................... 293 VAN HALA, SONJA NADEEN MD ..........................22
TURGOOSE, AARON C AUD ....................... 41, 58, 73 VAN LEEUWEN, CRAIG W OD...............................200
TURNER, GLEN CLAUDE OD.................................. 62 VAN LEEUWEN, RICHARD N MD ..........................59
TURNER, SCOTT D MD ............................................ 78 VAN RUM, TRAVIS C LCSW..................................270
TURNER, STACEY N PT ......................................... 186 VAN WAGONER, L S DO ..........................................39
TUROK, DAVID KEITH MD ............................. 22, 149 VANCE, ADAM DUNCAN DC ................................201
TURVILLE, APRIL NICOLE S LCSW .................... 270 VANCE, LARRY ROBERT DC ................................119
TUTTLE, LINDA LARSON LCSW.......................... 238 VANCURAN, KEITH W MD ......................................12
TWEDE, MICHAEL LAMAR MD ............................. 51 VANDAM, MICHAEL L LCSW .......................235, 236
TWELVES, TRICIA A MD ....................................... 107 VANDERHOOFT, SHERYLL LAND
TYLER, ANN H PHD ................................................ 283 MD ..............................................................................121
TYLER, DAWN N RPT ............................................. 205 VANDERSTEEN, PAUL C RPT ...............................186
TYSER, ANDREW R MD ......................................... 169 VANLEEUWEN, CRAIG WILLIAM OD.................164
VANORMAN, COLIN BLAIR MD ..................109, 225
U
VARGO, DANIEL JAMES MD ................................130
U OF U NEUROPSYCH INSTITUTE ............... 254, 273 VARMA, NAVIN KUMAR MD .................................77
UCHIDA, DEREK AKIO MD ................................... 176 VARNER, MICHAEL WALTER MD .......................150
UCKERMAN, CLIFTON R LCSW ................... 270, 290 VASQUEZ, CARLOS A APRN...................................22
UDY, MITCHELL REID AUD ................................. 113 VASQUEZ, ERIN ELIZABETH LCSW ...................247
ULIBARRI, ELEANOR M LCSW ............................ 270 VASQUEZ, JEANETTE P LCSW .............................270
ULIBARRI, ISAIAH DC ........................................... 119 VEIT, NANCY M APRN ...........................................144
UNDERWOOD, ROCK C PHD ................................ 241 VELLINGA, JONATHAN L MD ............................6, 27
UNGRICHT, ALBERT L MD .................................... 200 VENDELA, TIFFANY R RPT .....................................64
UNGRICHT, ALBERT LON MD ............................. 160 VERCIMAK, TRINITY L LCSW ..............................270
UNIVERSITY HOSPITAL ......... 273, 291, 300, 301, 302 VERHAAREN, STEVEN ROBERT RPT .................206
UNIVERSITY OF UTAH ORTHO CTR ................... 291 VERSON, HILARY FNP ...........................................150
UPDIKE, WANDA SUSANNE MD ......................... 132 VICKROY, JOSEPH W MD ......................................142
URRY, KRISTIN KAROL LCSW ............................ 270 VINCENT, BRYAN HARLOW OD .47, 62, 70, 88, 164,
URRY, LARRY EDWIN MD ................................ 42, 76 213
UTAH HOME HEALTH & HOSPICE....................... 299 VINCENT, PAMELA LYNNE MD.....................98, 142
UTAH SURGICAL CENTER .................................... 303 VINCENT, SAMUEL B APRN .................................255
VINIK, RUSSELL GUY MD .......................................27
V
VITALE, ALBERT THOMAS MD ...................107, 160
VACHAROTHONE, RACHOT K MD . 40, 66, 198, 207 VO, MICHELLE L MD ..............................................277
VALENTINE, CHRISTOPHER B MD ................. 30, 35 VOGLER, SARAH A MD .........................................130
VALENTINE, JEREMY R MD ........................... 92, 100 VOIGT, STEPHANIE E PSYD ..................................284
VALENTINE, JOHN F MD ....................................... 126 VOITANIK, SIMON ANATOLIEVICH
VALENZUELA, REUBEN MD ................................ 160 MD ..............................................................................205
VALLEY MEDICAL EQUIPMENT .................. 296, 298 VOLCKMANN, ERIC T MD.............................130, 210
351
February 12, 2015
Alphabetical Provider Index
WEEKS, HOWARD RAYMOND MD
VOORHEES, CAROL V LCSW
VOORHEES, CAROL V LCSW ............................... 270
VOSS, MICHAEL J DO ............................................ 277
VOSS, STEPHEN CUMMINGS MD ........................ 150
VOSS, WILLIAM DAVID DO.................................... 22
VOSTI, MARK VINCENT DC ................................... 50
WARBY, DAVID HYRUM DPM .................57, 65, 190
WARD, KATHERINE W APRN .......................144, 229
WARD, NATHAN CLARK MD .................................43
WARD, PRESTON D MD .................................123, 210
WARING, JACQUELINE PT ....................................187
WARNER, JUDITH E MD ................................142, 160
W
WARNER, KIMBERLEY T LCSW ..........................243
WADA, DAVID A MD.............................................. 121 WARNER, STEPHEN JOHN MD .......................52, 169
WADDELL, KATHRYN J PHD ............................... 284 WARNER, TERAN A DC ...........................................56
WAGNER, JEFFREY C MD ..................................... 142 WARNOCK, STEVEN HANSEN MD ........................53
WAGNER, LARS MARTIN MD ................................ 29 WASATCH ENDOSCOPY CENTER ........................299
WAGNER, WALTER WESTIN DC ......................... 222 WASATCH IMAGING ...............................................302
WAHI, SHALINI PHD .............................................. 284 WASATCH ORTHOTICS &
WAHLEN, RUSSELL SCOTT DC ............................. 75 PEDORTHICS ....................................................300, 301
WAHOFF-STICE, DONNA MARIE
WASHBURN, MICHAEL D MD ................................61
APRN ......................................................................... 144 WATERMAN, BRADLEY J MD ..............................199
WALDRON, JILL E MD ........................................... 119 WATERS, KATARINA LESJAK APRN ..................144
WALDRON, JILL S APRN ....................................... 117 WATKINS, JOSEPH REED MD .................................98
WALKENHORST, ANDREA APRN ....................... 117 WATSON, BRENT THOMAS MD .............................63
WALKER JR, JERRY DALE MD ............................ 114 WATSON, MATTHEW L OD .....................80, 164, 219
WALKER, AARON B DC ........................................... 67 WATSON, MATTHEW L OD ....................................220
WALKER, DEAN NICHOLS MD ............................ 169 WATSON, SANDY KAY LCSW ..............................237
WALKER, DENA R CNM .................................... 85, 98 WATSON, STEVEN LEE LCSW ..............................245
WALKER, KAY BLACKBURN MD ................. 49, 112 WATT, MICHAEL SHANE DC ................................209
WALKER, MARK C RPT ......................................... 216 WATTS, CHARLES W MD ......................................241
WALL, BRENT N DC ............................................... 214 WATTS, DAREN A MD ............................................150
WALLACE, ROBERT DUNCAN MD ..................... 277 WATTS, DAVID M MD ..............................................97
WALLENTINE, JEFFREY MAX MD .......... 88, 92, 103 WAYMENT, NADYA P MD.......................................11
WALLENTINE, STEVEN L MD ................................ 97 WEATHERS, MELISSA LCSW........................238, 245
WALLIN, RICHARD KEITH MD ................................ 8 WEAVER, AARON N MD ..................................95, 207
WALLIN, TREVIN R MD ........................................... 61 WEAVER, STEVEN J OD ...................................56, 208
WALLIS, KENNETH CRAIG MD ........................... 277 WEAVER, STEVEN J OD ....................................56, 208
WALLIS, MICHAEL C MD .............................. 110, 199 WEBB, ADAM BOYD PT .........................................187
WALSH, JESSICA A MD ......................................... 194 WEBB, ALISA LCSW .......................................234, 249
WALSH, KIMBERLY RUTH PHD .......................... 246 WEBB, BRENT A RPT ................................................82
WALTER, CHRISTOPHER S RPT ........................... 186 WEBB, JACKIE ROPER LCSW ...............................290
WALTERS, JOHN L LCSW ..................................... 270 WEBB, JAMES VINCENT PT ..................................187
WALTHER, STACY L OT ........................................ 153 WEBB, SARA M APRN ....................................255, 287
WALTON, DEREK A OD ................................. 101, 215 WEBBER, NICHOLAS P MD ...................................169
WANG, ANGELA AMY MD............................ 108, 169 WEBER, DAVID O LCSW ........................................286
WANG, DAVID C MD ................................................ 95 WEBER, LARRY DWAYNE AUD.............................74
WANNER, NATHAN ALAN MD .............................. 27 WEBER, TIFFANY K MD ........................................150
WAPNER, FRANCIS JOHN MD .............................. 160 WEBSTER, JOSEPH BRADLEY MD ......................178
WARBURTON, JANET RAMPTON
WEEKS, AMANDA MILLER PHD ..........................284
PHD ............................................................................ 284 WEEKS, HOWARD RAYMOND MD ......................272
February 12, 2015
352
Alphabetical Provider Index
WEEKS, JONATHAN ANDREW MD
WILLIAMS, SUZANNE ELIZABETH
WEEKS, JONATHAN ANDREW MD ......................... 8
WHITE, LESLIE MCDONALD LCSW ....................271
WEEKS, LIONEL EDWARD MD ............................ 225
WHITE, LINDA RAE SP ...........................................206
WEENIG, KARL N MD .................. 68, 90, 93, 105, 208
WHITE, PHILLIP GORDON DC ..............................222
WEGNER, NICHOLAS J MD ................................... 170
WHITE, THOMAS W MD.........................................130
WEHL, CHRIS K PHD .............................................. 284
WHITEHEAD, DEXTER S LCSW ...........................271
WEHRLI, D JARED PT ............................................... 71
WHITEHEAD, HEATHER A LCSW ........................271
WEHRUM, MARK J DO ........................................... 133
WHITEHEAD, KEVIN JOHN MD ...........................117
WEI, JEN-YU DO ...................................................... 131
WHITNEY, SANDRA E CNM ..................................135
WEINSTEIN, SHARON MAE MD ........................... 170
WHITTAKER, DONALD JOSEPH DC ....................215
WEIR, DANIEL MARK OD ............................... 88, 164
WHITTAKER, JANA L LCSW .................................237
WEIR, RACHEL ANNE MD .................................... 277
WHITTAKER, MARY ELIZABETH WEIS, JOHN RAINER MD ....................................... 155
LCSW .........................................................................238
WEISS, JANE A LCSW ............................................ 270
WHITTEMORE, KERRY E MD .................................31
WELLING, BLAKE GAMMELL MD ........................ 77
WHITTIER, CASSIE L MD...........................................8
WELLS, JOHN TRACY MD ................................. 39, 68
WIESE, JULIE ANN MD...........................................277
WELT, CORRINE K MD .......................................... 124
WIESE, KORRYN PT ............................................64, 82
WELT, FREDERICK G MD ............................. 114, 209
WILCOCK, EDNA MERRY LCSW .........................271
WENOM, GREG M OD ............................................. 214
WILCOX, BRYAN K MD ...............................42, 50, 59
WENOM, GREG MICHAEL OD ................................ 80
WILCOX, MICHAEL B MD ..................................47, 84
WERNER, THERESA LOUISE MD ......................... 155
WILCOX, MICHAEL BLAIR MD ................43, 78, 160
WERSLAND, KIRK ROLF DC .................................. 41
WILCOX, MICHELLE CHRISTINE WEST VALLEY DIALYSIS CENTER...................... 302
LCSW .........................................................................243
WEST, KRISTOFFER R MD .............................. 52, 170
WILDE, LARRY GORDON DC .................................37
WEST, MICHAEL LOYAL OD ................................ 204
WILDER, MARY J LCSW ........................................290
WEST, SCOTT H MD ................................................. 41
WILKERSON, JULIE I MD...................................29, 35
WESTENFELDER, CHRISTOF MD ........................ 137
WILKES JR, ROBERT MURRAY OD .......................44
WESTERN DIABETIC SUPPLY ............................... 302
WILKES, ROBERT M OD ...........................................47
WESTON, RAUL K MD ....................................... 45, 80
WILKINS, COURT R OD ......................................44, 80
WHEELER, CATHERINE JEANNE MD ................. 150
WILKINSON, CRAIG WEST MD ............................228
WHEELER, JEFFREY P DC ....................................... 75
WILKINSON, ERNEST LEIGH MD ........................160
WHEELER, STEPHEN MARK DC ............................ 75
WILKINSON, GLENDA A LCSW ...................253, 271
WHEELWRIGHT, JEFF ALLYN DC ......................... 75
WILKINSON, JUSTIN T MD ..............................87, 100
WHEELWRIGHT, LEW ALLYN DC ........................ 75
WILKINSON, N NICOLE PT ....................................187
WHETTON, CHRISTOPHER O DC ......................... 219
WILLIAMS, BENJAMIN G MD .......131, 170, 202, 204
WHETTON, G RANDAL DC ................................... 219
WILLIAMS, BRIAN JEFFREY MD ...........................69
WHIPPLE, IAN OD ...................................................... 55
WILLIAMS, BRICE J MD ...........................................78
WHIPPLE, KEVAN L RPT ............................... 187, 206
WILLIAMS, DOROTHY LOUISE MD ....................142
WHISENANT, BRIAN KEITH MD.......................... 117
WILLIAMS, LINDSAY M OT ..................................153
WHISENANT, JONATHAN REED MD ............ 72, 155
WILLIAMS, LLOYD B MD ...43, 55, 61, 67, 72, 78, 87, WHITAKER, JULIA F MD ....................................... 192
100, 110, 160, 203, 218, 224, 230
WHITAKER, TIMOTHY J RPT.................................. 82
WILLIAMS, RICHARD VINCENT MD...................172
WHITE, BRENDEN R OD ........................................ 204
WILLIAMS, ROBERT FOREST PHD ......................249
WHITE, BRENDEN R OD ......................................... 207
WILLIAMS, SHERI L LCSW ...........................253, 271
WHITE, HEIDI KRISTIN APRN .............................. 144
WILLIAMS, SUZANNE ELIZABETH WHITE, HENRY M RPT ........................................... 187
APRN ..........................................................................255
353
February 12, 2015
Alphabetical Provider Index
WILLIAMS, TREVOR RICHARD
YBARRA, CORYLYN L CMHC
WILLIAMS, TREVOR RICHARD DPM ......... 190, 226 WOOD, STEPHEN DANIEL MD ...............................22
WILLIS, ALIKA M APRN ........................................ 211 WOODCOCK, JAMIE MD ................................121, 210
WILLS, JASON CORWIN MD ................................. 126 WOODEN, WESLEY VAN DC ..................................75
WILSON, AMY L MD .............................................. 277 WOODFIELD, DALE A OD .......................................80
WILSON, BENJAMIN J MD ...................................... 22 WOODLAND PARK CARE CENTER ......................293
WILSON, BRENT D MD .......................................... 117 WOODMANSEE, DIRK SEBASTIA DC .................222
WILSON, DIANE HALES MD ............................. 11, 15 WOODRUFF, LAURA B LCSW...............................253
WILSON, KEVIN F MD.................................... 123, 210 WOODS, JACKSON JAY MD ....................................22
WILSON, KRISTEN E CCCS ................................... 196 WOOLDRIDGE, LOREN RPT ..................................187
WILSON, MATTHEW S MD.................... 107, 150, 223 WOOLDRIDGE, ROBERT P OD ..............................164
WILSON, PETER VINCEN MD ................................. 59 WOOLF, KATHRYN L RPT .....................................187
WIMMER, JEREMY PAUL DC ................................. 69 WOOLLEY, HEIDI A OT ..........................................153
WINDFELDER, JESSICIAH M APRN .................... 144 WOOLLEY, MARK E DPM ........................................82
WING, ROBERT W MD .............................................. 47 WOOLLEY, MATTHEW M PHD .............................284
WING, ROBERT WILLIAM MD ............................... 43 WOOLMAN, MICHAEL DENNIS MD ......................11
WINTER, SARAH L MD ...................................... 15, 29 WORKMAN, JENNIFER K MD .................................29
WINTERS, DENNIS D MD ........................................ 77 WORKMAN, LINDEY DAWN OT ..........................153
WINTERTON, PAUL WILLIAM MD ...................... 204 WORKMAN, MICHAEL JAMES RPT .....................187
WINWARD, KIRK EDWARD MD ............ 61, 100, 160 WORKMAN, MICHELLE W LCSW ........................271
WINWARD, RICK W OD ................................. 102, 216 WORTHINGTON, DOUGLAS K CCCA ....................95
WINWARD, RICK W OD .................................. 105, 217 WORTLEY, JAMES MOSS PT .................187, 226, 232
WIROSTKO, BARBARA M MD ...................... 160, 203 WORTLEY, PAUL GEORGE RPT ...........187, 226, 232
WIRTHLIN, DOUGLAS JAMES MD ...................... 199 WORTLEY, RICHARD DON RPT ...........187, 226, 232
WISE, KIRT D LCSW ............................................... 239 WOSETH, DOUGLAS M MD ...................................122
WISE, MARY LOU L LCSW .................................... 247 WRIGHT, DARIN E DC ..............................................91
WITBECK, JOHN EDWARD TEDDY
WRIGHT, JENNIFER A MD .....................................174
MD................................................................................ 22 WRIGHT, JOANNE OT .............................................153
WITTER, DAVID M MD .......................................... 178 WRIGHT, JULIE A LCSW ........................................271
WITTWER, ANDREW WILLIAM
WRIGHT, SANDRA M SP ........................................196
LCSW ......................................................................... 235 WRIGLEY, CARRIE MAXWELL LCSW.................285
WIXOM, STEVEN MICHAEL PT............................ 187 WYBROW, MASON M OD ........................................47
WOICZIK, MARCELLA R MD ................................ 176 WYBROW, MASON M OD .........................................47
WOLD, JANA J MD .................................................. 142
Y
WOLF, JANET L LCSW ........................................... 271
WOLF, MARCELLA B LCSW ......................... 243, 271 YAMASHIRO, VERNON KOYU MD ......................150
WOLLER, SCOTT CHRISTOPHE MD ...................... 27 YARBROUGH, PETER M MD ...................................27
WOLSEY, DARCY H MD ........................................ 160 YARDLEY, RICHARD IRA OD .........................52, 164
WOLTER, KEITH G MD .......................................... 188 YAROSHCHUK, LARISA BORISOVNA
WONG, GILBERT C MD .......................................... 224 MD ..........................................................................10, 22
WONG, LUCHIN F MD ............................................ 150 YARRISH, DANIEL WALTER MD .....6, 15, 27, 34, 35
WONG, STEVEN CHARLES LCSW ....................... 271 YATES, JAY REESE MD ..............................................9
WONNACOTT, MONICA C MD ............................... 15 YATES, YORK JAY MD.............................................64
WOOD, ERIC MARSHA MD ................................... 150 YAU, JOSEPH KWOKFAI MD ........................272, 285
WOOD, JENNIFER D SP .......................................... 196 YAZZIE, DENET J LCSW ........................................271
WOOD, MATTHEW P DC........................................ 119 YBARRA, CORYLYN L CMHC ..............................251
February 12, 2015
354
Alphabetical Provider Index
YEAGER, STUART JOHN DC
ZUSSMAN, JAMIE MD
YEAGER, STUART JOHN DC ................................. 119
Z
YEATES, HENRY MOYLE MD .................... 84, 85, 91
YEATES, MICHAEL C DO ...................................... 7, 9 ZABRISKIE, NORMAN ANDREW MD ..........160, 175
YEE, THOMAS O APRN .................................. 242, 255 ZACKRISON, DAVID RANDALL MD .....................34
YELSA, ERIC ALLEN PHD ..................................... 284 ZAMAN, FAISEL MO

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