Dr Ryan Taylor Kitterman, DPM | |
3435 E Pony Express Pkwy, Eagle Mountain, UT 84005-5515 | |
(801) 789-2444 | |
(801) 789-2045 |
Full Name | Dr Ryan Taylor Kitterman |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 13 Years |
Location | 3435 E Pony Express Pkwy, Eagle Mountain, 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 |
---|---|---|---|
1174811442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | T55-2011 (Texas) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 9029034-0501 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cedar Valley Family And Foot Llc | 1759765027 | 2 |
Utah Podiatric Physicians And Surgeons Group Llc | 4183946940 | 10 |
Provider Name | Utah Podiatry Group, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659540359 PECOS PAC ID: 2163592379 Enrollment ID: O20080530000369 |
Provider Name | Utah Podiatric Physicians And Surgeons Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174942460 PECOS PAC ID: 4183946940 Enrollment ID: O20141204002347 |
Provider Name | Cedar Valley Family & Foot Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649902461 PECOS PAC ID: 1759765027 Enrollment ID: O20220906001237 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Taylor Kitterman, DPM 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 Ph: (385) 388-8003 | Dr Ryan Taylor Kitterman, DPM 3435 E Pony Express Pkwy, Eagle Mountain, UT 84005-5515 Ph: (801) 789-2444 |
Dr. Charles C Southerland, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005 Phone: 801-893-8811 | |
Dr. Devin Tranter, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3943 E Pony Express Pkwy, 110, Eagle Mountain, UT 84005 Phone: 801-789-4488 | |
Utah Podiatry Group Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005 Phone: 801-893-8811 Fax: 801-789-2046 |