| Dr Ian Gordon Dorward, MD | |
|
1055 N 300 W Ste 400, Provo, UT 84604-3359 | |
| (801) 357-3460 | |
| Not Available |
| Full Name | Dr Ian Gordon Dorward |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 21 Years |
| Location | 1055 N 300 W Ste 400, Provo, 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 |
|---|---|---|---|
| 1841417896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 14209660-1205 (Utah) | Primary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 2010003191 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington University | 9830008770 | 2782 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538100565 PECOS PAC ID: 9830008770 Enrollment ID: O20040301000143 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian Gordon Dorward, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Dr Ian Gordon Dorward, MD 1055 N 300 W Ste 400, Provo, UT 84604-3359 Ph: (801) 357-3460 |
Dr. Karl D Neilson, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4328 Fax: 801-344-4225 | |
Lynn Miller Gaufin, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 400, Provo, UT 84604 Phone: 801-357-7404 Fax: 801-357-7587 | |
Dr. Paul Kenneth Gardner, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1055 N 300 W Ste 400, Provo, UT 84604 Phone: 801-357-7404 Fax: 801-357-7587 | |
Dr. Howard Reed Reichman, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1055 N 300 W Ste 400, Provo, UT 84604 Phone: 801-357-7404 Fax: 801-357-7587 | |
Dr. Adam Kimball Bevan, M.D., PH.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 400, Provo, UT 84604 Phone: 801-357-7404 Fax: 801-357-7587 |