| Dr Philip Nathanael Isenberg, MD | |
|
7495 S State St, Midvale, UT 84047-2013 | |
| (801) 213-9400 | |
| (801) 213-9458 |
| Full Name | Dr Philip Nathanael Isenberg |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 7495 S State St, Midvale, 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 |
|---|---|---|---|
| 1134315872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6353681-1205 (Utah) | Primary |
| 208000000X | Pediatrics | 6353681-1205 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Group Health Home Health & Hospice | Seattle, WA | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1374 |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip Nathanael Isenberg, MD 7495 S State St, Midvale, UT 84047-2013 Ph: (801) 213-9400 | Dr Philip Nathanael Isenberg, MD 7495 S State St, Midvale, UT 84047-2013 Ph: (801) 213-9400 |
Mehrnoosh Shakeri, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 | |
Jared Alan Johnstun, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 623 E Fort Union Blvd Ste 105, Midvale, UT 84047 Phone: 385-412-1660 | |
Gregory D Hammond, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 E Fort Union, Suite #a102, Midvale, UT 84047 Phone: 801-294-9333 Fax: 801-294-7558 |