| John Manuel Arias, MD | |
| 9010 Saddleback Rd, Park City, UT 84098-4740 | |
| (952) 595-1100 | |
| (952) 942-3361 | 
| Full Name | John Manuel Arias | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 9010 Saddleback Rd, 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 | 
|---|---|---|---|
| 1649233214 | NPI | - | NPPES | 
| 3810010512 | Medicaid | VA | |
| 000000548183 | Other | KY | ANTHEM-KCR | 
| 2822897 | Medicaid | OH | |
| 7100025880 | Medicaid | KY | |
| P00403946 | Other | VA | MEDICARE RAILROAD | 
| 3427946000 | Other | KY | PASSPORT ADVANTAGE | 
| 2016383 | Other | PA | HIGHMARK BLUE CROSS/BLUE SHIELD | 
| 50017692 | Other | KY | PASSPORT-KCR | 
| 91715 | Other | KY | SIHO-KCR | 
| 102079853 | Medicaid | PA | |
| 1649233214 | Medicaid | VA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | M9472 (Idaho) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 182009-1205 (Utah) | Primary | 
| Entity Name | Oroville Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235281759 PECOS PAC ID: 1254234339 Enrollment ID: O20040322000325 | 
| Mailing Address | Practice Location Address | 
|---|---|
| John Manuel Arias, MD 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1100 | John Manuel Arias, MD 9010 Saddleback Rd, Park City, UT 84098-4740 Ph: (952) 595-1100 | 
| Jill Mallory Fadal Wilson, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1389 Center Dr Ste 200, Park City, UT 84098 Phone: 970-484-4757 Fax: 970-484-4759 | |
| William Randall Compton, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2531 Aspen Springs Dr, Park City, UT 84060 Phone: 435-615-9307 |