| Dr Tania Patricia Nisimblat Bodnar, MD | |
|
900 Round Valley Dr Ste 200, Park City, UT 84060-7552 | |
| (435) 658-7400 | |
| Not Available |
| Full Name | Dr Tania Patricia Nisimblat Bodnar |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 900 Round Valley Dr Ste 200, Park 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 |
|---|---|---|---|
| 1750520201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 056880546 (Connecticut) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 10757475-1205 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Entity Name | Ogden Clinic Specialty Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tania Patricia Nisimblat Bodnar, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Dr Tania Patricia Nisimblat Bodnar, MD 900 Round Valley Dr Ste 200, Park City, UT 84060-7552 Ph: (435) 658-7400 |
Dr. Felicia R Katz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1743 Redstone Center Dr Ste 115, Park City, UT 84098 Phone: 435-658-9200 Fax: 435-658-9210 | |
Dr. William Gary Smith, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2501 Creek Drive, Park City, UT 84060 Phone: 435-649-6662 | |
Mrs. Robin Lynn Houpe, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr Ste 200, Park City, UT 84060 Phone: 435-658-7400 | |
Jeanne M Falk, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7400 Fax: 435-658-7401 |