| Cole Mitchell, PA-C | |
|
9844 S 1300 E, Sandy, UT 84094-4673 | |
| (801) 571-9433 | |
| Not Available |
| Full Name | Cole Mitchell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 9844 S 1300 E, Sandy, 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 |
|---|---|---|---|
| 1285251371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10882835-1206 (Utah) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 10882835-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Alta View Hospital | Sandy, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granger Medical Clinic Pc | 3476465691 | 192 |
| Instant Orthopedic Specialists Pllc | 4183199078 | 2 |
| Entity Name | Granger Medical Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Foothill Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407947005 PECOS PAC ID: 9931003795 Enrollment ID: O20031122000151 |
| Entity Name | Granger Medical Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Entity Name | Instant Orthopedic Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629965777 PECOS PAC ID: 4183199078 Enrollment ID: O20260408002108 |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Mitchell, PA-C 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3505 | Cole Mitchell, PA-C 9844 S 1300 E, Sandy, UT 84094-4673 Ph: (801) 571-9433 |
Wei Ting Chao, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 385 W 9000 S, Sandy, UT 84070 Phone: 801-562-5200 |
Jacob Thomas Hendricks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7998 S 1300 E, Sandy, UT 84094 Phone: 801-255-2000 Fax: 801-352-7185 |
Daniela Alejandra Zuniga Salazar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7410 S Creek Rd Ste 100, Sandy, UT 84093 Phone: 801-816-1010 |
Bryan A Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9844 S 1300 E, Ste 275, Sandy, UT 84094 Phone: 801-571-7061 Fax: 801-571-9277 |
Gabriela Alejandra Hernandez Gonzalez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 79 E Princeton Dr Apt C315, Sandy, UT 84070 Phone: 787-248-7804 |
Desiree Deon Clark, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9600 S 1300 E Ste 240, Sandy, UT 84094 Phone: 801-965-3600 |
Alexander James Dalley, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1403 E Sego Lily Dr, Sandy, UT 84092 Phone: 801-265-2212 |