| Jordan Andrew Kimball, MD | |
|
389 S 900 E, Salt Lake City, UT 84102-2310 | |
| (385) 282-2000 | |
| (385) 282-2001 |
| Full Name | Jordan Andrew Kimball |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 389 S 900 E, Salt Lake City, 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 |
|---|---|---|---|
| 1386673135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 354969-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lds Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| 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 |
|---|---|
| Jordan Andrew Kimball, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (385) 282-2000 | Jordan Andrew Kimball, MD 389 S 900 E, Salt Lake City, UT 84102-2310 Ph: (385) 282-2000 |
Dr. Vilija N Avizonis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3838 S 700 E, Suite 100, Salt Lake City, UT 84106 Phone: 801-281-6860 Fax: 801-281-4822 | |
Karen Lisa Salzman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Hugh F. Harnsberger, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, 1a71, Salt Lake City, UT 84132 Phone: 801-581-7553 | |
Dr. Jeffrey S Prince, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1900 | |
Meckenzee Frank, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 30 N Mario Capecchi Dr., Helix, 3rd Floor North, Salt Lake City, UT 84112 Phone: 801-581-7606 | |
Dr. Erika J. Schneble, DO, MA Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Dr. Brad Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3321 S 3010 E, Salt Lake City, UT 84109 Phone: 802-310-2843 |