| Dr Ethan S Rosenfeld, MD | |
|
5295 S Commerce Dr Ste 550, Murray, UT 84107-4736 | |
| (801) 313-4110 | |
| Not Available |
| Full Name | Dr Ethan S Rosenfeld |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 10 Years |
| Location | 5295 S Commerce Dr Ste 550, Murray, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609223064 | NPI | - | NPPES |
| D88188 | Other | MD | MD LICENSE |
| MD2024-1035 | Other | NM | NM LICENSE |
| MD047589 | Other | DC | DC LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan S Rosenfeld, MD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () - | Dr Ethan S Rosenfeld, MD 5295 S Commerce Dr Ste 550, Murray, UT 84107-4736 Ph: (801) 313-4110 |
Mark John Ott, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St, Suite 400, Murray, UT 84107 Phone: 801-507-3462 Fax: 801-507-3061 | |
Dr. Greg R. Goodman, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 | |
Dr. Steven W Merrell, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 | |
Robert Dirk Noyes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5169 Cottonwood St, #440, Murray, UT 84107 Phone: 801-507-3915 Fax: 801-507-3916 | |
Clark J Rasmussen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 Cottonwood St, Suite 410, Murray, UT 84107 Phone: 801-266-8850 | |
Anthony Wayne Bacon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 801-507-3460 | |
Steven R Granger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 801-507-3460 Fax: 801-507-3458 |