| Gordon R Kimball, MD | |
|
9844 S 1300 E, #275, Sandy, UT 84094-4692 | |
| (801) 571-7061 | |
| (801) 571-9277 |
| Full Name | Gordon R Kimball |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 9844 S 1300 E, Sandy, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578545919 | NPI | - | NPPES |
| 999-000-116-008 | Medicaid | UT | |
| 17640 | Other | UT | HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 0551110013 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon R Kimball, MD 9844 S 1300 E, #275, Sandy, UT 84094-4692 Ph: (801) 571-7061 | Gordon R Kimball, MD 9844 S 1300 E, #275, Sandy, UT 84094-4692 Ph: (801) 571-7061 |
Dr. Edward Chipman Spencer, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3260 East 9425 South, Sandy, UT 84092 Phone: 801-947-1438 | |
Michael Wynn Johnson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Ste 120, Sandy, UT 84094 Phone: 801-501-5500 Fax: 801-501-5800 | |
Steven Stoker, D.O Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9844 S 1300 E Ste 100, Sandy, UT 84094 Phone: 801-965-3600 | |
Dr. James Ryan Meadows, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9844 S 1300 E, Sandy, UT 84094 Phone: 801-571-9433 | |
Dr. Nathaniel A Bryan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Suite 120, Sandy, UT 84094 Phone: 801-501-5500 Fax: 801-501-6155 | |
Donald A Schmidt, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9844 S 1300 E, Ste 275, Sandy, UT 84094 Phone: 801-571-7061 Fax: 801-571-9277 |