| Ryan Thomas Sudweeks, | |
|
691 E 400 N Ste 110, Vineyard, UT 84059-7509 | |
| (385) 666-9600 | |
| Not Available |
| Full Name | Ryan Thomas Sudweeks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 691 E 400 N Ste 110, 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 |
|---|---|---|---|
| 1164165213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 14139378-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| American Fork Hospital | American fork, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Spine And Pain Care Specialists Llc | 6406020049 | 42 |
| Entity Name | Southwest Spine and Pain Care Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144509985 PECOS PAC ID: 6406020049 Enrollment ID: O20111117000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Thomas Sudweeks, Po Box 912042, St George, UT 84791-2042 Ph: (435) 215-0228 | Ryan Thomas Sudweeks, 691 E 400 N Ste 110, Vineyard, UT 84059-7509 Ph: (385) 666-9600 |
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 |
Conner Donald Sugrue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 E Mill Rd Ste 303, Vineyard, UT 84059 Phone: 801-224-1300 Fax: 801-225-3236 |
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 |