| Mr Dorian J Carroll, PA-C | |
|
6095 Fashion Blvd Ste 100, Murray, UT 84107-7377 | |
| (801) 263-8700 | |
| (801) 263-8693 |
| Full Name | Mr Dorian J Carroll |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 6095 Fashion Blvd Ste 100, Murray, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295989630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 5182589-1206 (Utah) | Primary |
| 207K00000X | Allergy & Immunology | 5182589-1206 (Utah) | Secondary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | University of Utah Surgical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174928139 PECOS PAC ID: 6002130481 Enrollment ID: O20150112002158 |
| Entity Name | University of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dorian J Carroll, PA-C 6095 Fashion Blvd Ste 100, Murray, UT 84107-7377 Ph: (801) 263-8700 | Mr Dorian J Carroll, PA-C 6095 Fashion Blvd Ste 100, Murray, UT 84107-7377 Ph: (801) 263-8700 |
Stephen Matthew Clements, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5810 S 300 E, Suite300, Murray, UT 84107 Phone: 801-314-2225 Fax: 801-314-2345 |
Jonathan Middlemiss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-3460 |
Nicholas Hedges Eixenberger, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 672 E Vine St Ste 100, Murray, UT 84107 Phone: 385-715-0233 |
Steven Allen Bernards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-3462 |
Ryan L Thueson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 210, Murray, UT 84107 Phone: 801-507-3380 |
Mariesa Norton, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-5370 |
Adam Christopher Garrett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 420, Murray, UT 84107 Phone: 801-507-1650 |