| Mr Curtis D Niederhauser, PA-C | |
|
2965 W 3500 S, West Valley City, UT 84119-3602 | |
| (801) 965-3600 | |
| Not Available |
| Full Name | Mr Curtis D Niederhauser |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 2965 W 3500 S, West Valley 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 |
|---|---|---|---|
| 1396909594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 293384-1206 (Utah) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 293384-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evanston Regional Hospital | Evanston, WY | Hospital |
| Mountain West Medical Center | Tooele, UT | Hospital |
| University Of Utah Hospital And Clinics | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evanston Clinic Corp | 8325038094 | 24 |
| Tooele Urology Llc | 8426108192 | 3 |
| Granger Medical Clinic Pc | 3476465691 | 192 |
| Entity Name | Evanston Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013916519 PECOS PAC ID: 8325038094 Enrollment ID: O20040514000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Curtis D Niederhauser, PA-C 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Mr Curtis D Niederhauser, PA-C 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 |
Miss Natalie Evans Dahle, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3740 |
Kate Utley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5754 W Settlers Camp Way Apt 407, West Valley City, UT 84128 Phone: 801-643-1249 |
Ashley Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |
Deborah Plasman, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 |
Sarah Ann Szymczyk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |
Huong T Pham, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3336 S Pioneer Pkwy Ste 302, West Valley City, UT 84120 Phone: 801-964-8726 Fax: 801-968-9836 |
Paloma Martinez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |