| Dr Ian R Cavin, DO | |
|
2965 W 3500 S, West Valley City, UT 84119-3602 | |
| (801) 965-3600 | |
| Not Available |
| Full Name | Dr Ian R Cavin |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 24 Years |
| Location | 2965 W 3500 S, West Valley City, 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 |
|---|---|---|---|
| 1184647315 | NPI | - | NPPES |
| 1265638357 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34-00-8456 (Ohio) | Secondary |
| 208600000X | Surgery | 6446111-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lone Peak Hospital | Draper, UT | Hospital |
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Intermountain Health Alta View Hospital | Sandy, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granger Medical Clinic Pc | 3476465691 | 192 |
| Entity Name | Granger Medical Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Granger Medical Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian R Cavin, DO 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Dr Ian R Cavin, DO 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 |
Dr. Charles Reese Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |
Bruce C Irvine, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 South, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 |
Timothy C Hollingsed, MD Surgery Medicare: Medicare Enrolled Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 |
Lori R Swenson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3336 S 4155 W Ste 306, West Valley City, UT 84120 Phone: 801-964-3855 Fax: 801-964-3860 |