HMO - Regence.com
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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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