| Jordan Gaudio, MD | |
|
1034 N 500 W, Provo, UT 84604-3380 | |
| (801) 357-1700 | |
| Not Available |
| Full Name | Jordan Gaudio |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1034 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063946325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 13384855-1205 (Utah) | Primary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 13384855-1205 (Utah) | Secondary |
| 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 | University of Utah Pediatric Acuity Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Gaudio, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: Not Available | Jordan Gaudio, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-1700 |
Dr. Joshua Darrell Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604 Phone: 801-377-8000 |
Danielle Elise Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411 |
Leslie Mark Lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7707 |
Bradley Wayne Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N University Ave, #210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811 |
Dr. Matthew Joseph Clayton, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd, Ste 9c, Provo, UT 84604 Phone: 801-377-4800 Fax: 801-377-4041 |
Benjamin Harlan Hammond, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 702, Provo, UT 84604 Phone: 801-357-1700 Fax: 801-357-1709 |
Maddison Heyn, PA-C Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste B, Provo, UT 84604 Phone: 801-373-3300 Fax: 801-354-7900 |