| Justin D Atherton, DO | |
|
96 E Kimballs Ln Ste 306, Draper, UT 84020-5021 | |
| (801) 999-2432 | |
| Not Available |
| Full Name | Justin D Atherton |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 96 E Kimballs Ln Ste 306, Draper, 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 |
|---|---|---|---|
| 1386876167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 8986480-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lone Peak Hospital | Draper, UT | Hospital |
| Salt Lake Regional Medical Center | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountainstar Specialty Services Llc | 4688767551 | 31 |
| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
| Entity Name | Exodus Healthcare Network Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306952783 PECOS PAC ID: 1456265057 Enrollment ID: O20031118000408 |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin D Atherton, DO Po Box 100253, Atlanta, GA 30384-0253 Ph: () - | Justin D Atherton, DO 96 E Kimballs Ln Ste 306, Draper, UT 84020-5021 Ph: (801) 999-2432 |
Miles Mckee, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 621 E 12300 S, Draper, UT 84020 Phone: 385-337-4711 Fax: 435-292-7076 | |
Dr. Jason T Koo, MD Surgery Medicare: Medicare Enrolled Practice Location: 13249 Cascade Glen Dr, Draper, UT 84020 Phone: 801-572-5226 | |
Dr. Devan Griner, MD Surgery Medicare: Medicare Enrolled Practice Location: 11762 S State St Ste 110, Draper, UT 84020 Phone: 385-218-0587 Fax: 385-381-4447 |