| Conner Donald Sugrue, PA-C | |
|
707 E Mill Rd Ste 303, Vineyard, UT 84059-5730 | |
| (801) 224-1300 | |
| (801) 225-3236 |
| Full Name | Conner Donald Sugrue |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 707 E Mill Rd Ste 303, Vineyard, 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 |
|---|---|---|---|
| 1508481706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12462625-1206 (Utah) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3948 |
| 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 | Premier Family Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Conner Donald Sugrue, PA-C 275 W 200 N, Lindon, UT 84042-5009 Ph: (801) 769-2571 | Conner Donald Sugrue, PA-C 707 E Mill Rd Ste 303, Vineyard, UT 84059-5730 Ph: (801) 224-1300 |
Mr. Craig M. Doxey, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059 Phone: 385-203-0246 Fax: 385-203-0245 |
Ryan Thomas Sudweeks, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059 Phone: 385-666-9600 |
Bailey Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 534 E 300 N Unit 311, Vineyard, UT 84059 Phone: 206-819-0538 |