| Dr Blake Andrew Sellers, MD | |
| 4403 Harrison Blvd Ste 2400, Ogden, UT 84403-3297 | |
| (801) 387-2750 | |
| Not Available | 
| Full Name | Dr Blake Andrew Sellers | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery - Hand Surgery | 
| Location | 4403 Harrison Blvd Ste 2400, Ogden, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548797772 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 12965142-1205 (Utah) | Primary | 
| 207X00000X | Orthopaedic Surgery | R76177 (Arizona) | Secondary | 
| Entity Name | Ihc Health Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Blake Andrew Sellers, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Dr Blake Andrew Sellers, MD 4403 Harrison Blvd Ste 2400, Ogden, UT 84403-3297 Ph: (801) 387-2750 | 
| Noah James Quinlan, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3890 Medical Dr, Ogden, UT 84403 Phone: 801-387-7678 | |
| Dr. Casey C Bachison, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Suite 2400, Ogden, UT 84403 Phone: 801-387-2750 Fax: 801-387-2755 | |
| Bruce E Thomas, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5957 Fashion Point Dr, Suite 101, Ogden, UT 84403 Phone: 801-475-5683 Fax: 801-475-9499 | |
| Brent M Baranko, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3300 Fax: 801-475-3301 | |
| Dr. Todd Ryan Grunander, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Suite 2400, Ogden, UT 84403 Phone: 801-387-2750 | |
| Brett Evan Richards, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3300 Fax: 801-475-3301 | |
| Donald William Bryan, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ste 2600, Ogden, UT 84403 Phone: 801-387-2600 Fax: 801-387-2625 |