| Dr Michael Shaun Machen, MD | |
|
100 Mario Capecchi Dr # 4550, Salt Lake City, UT 84113-1103 | |
| (801) 662-5600 | |
| Not Available |
| Full Name | Dr Michael Shaun Machen |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 100 Mario Capecchi Dr # 4550, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366418386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | L5031 (Texas) | Secondary |
| 207X00000X | Orthopaedic Surgery | 4918951-1205 (Utah) | Primary |
| Entity Name | Shriners Hospitals For Children |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396187282 PECOS PAC ID: 9133031933 Enrollment ID: O20140703000851 |
| Entity Name | University Of Utah Pediatric Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Shaun Machen, MD Po Box 413026, Salt Lake City, UT 84141-3026 Ph: (801) 213-3900 | Dr Michael Shaun Machen, MD 100 Mario Capecchi Dr # 4550, Salt Lake City, UT 84113-1103 Ph: (801) 662-5600 |
Dr. Laura Ann Baker Lins, MD, MPH, ATC Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Cameron R. Guy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Benjamin Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 82 S 1100 E Ste 303, Salt Lake City, UT 84102 Phone: 801-533-2002 Fax: 801-323-9546 | |
Thomas D. Bauman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011 | |
Jaclyn Aleksandra Konopka, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Kayla L. Gates, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way, Salt Lake City, UT 84108 Phone: 801-587-5448 | |
Jeffrey D Jackson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124 Phone: 801-261-7479 Fax: 801-261-7429 |