| Utah Podiatric Physicians And Surgeons Group Llc | |
|
430 N 400 W, Salt Lake City, UT 84103-1229 | |
| (801) 532-1822 | |
| (877) 286-5491 |
| Full Name | Utah Podiatric Physicians And Surgeons Group Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 430 N 400 W, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174942460 | NPI | - | NPPES |
| Provider Name | Christopher Yong-ku Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457650442 PECOS PAC ID: 8820276918 Enrollment ID: I20110620000279 |
| Provider Name | Scott Shelton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710114962 PECOS PAC ID: 9830353036 Enrollment ID: I20120620000533 |
| Provider Name | Darren F Groberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396972469 PECOS PAC ID: 6709041924 Enrollment ID: I20120712000742 |
| Provider Name | Daniel Preece |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639306889 PECOS PAC ID: 3476719790 Enrollment ID: I20120816000265 |
| Provider Name | Christiaan H Goebel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659683381 PECOS PAC ID: 6608018668 Enrollment ID: I20130805000504 |
| Provider Name | Ryan Taylor Kitterman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174811442 PECOS PAC ID: 1951528413 Enrollment ID: I20140807001199 |
| Provider Name | Brooke Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134750110 PECOS PAC ID: 6103257639 Enrollment ID: I20200515001914 |
| Provider Name | Weston C Packard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902328644 PECOS PAC ID: 4688092026 Enrollment ID: I20200916001614 |
| Provider Name | Danielle Elizabeth Parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548981764 PECOS PAC ID: 5799151882 Enrollment ID: I20221013003713 |
| Provider Name | Christian Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366079493 PECOS PAC ID: 0840657656 Enrollment ID: I20230609002808 |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Podiatric Physicians And Surgeons Group Llc 430 N 400 W, Salt Lake City, UT 84103-1229 Ph: (801) 532-1822 | Utah Podiatric Physicians And Surgeons Group Llc 430 N 400 W, Salt Lake City, UT 84103-1229 Ph: (801) 532-1822 |
Podiatry Center Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 | |
Callie Lorraine Morlock, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 | |
Randy D. Rhodes, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 389 S 900 E, Salt Lake City, UT 84102 Phone: 385-282-2000 Fax: 385-282-2001 | |
Dr. Terry Paul Smith, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 82 S 1100 E, Suite 300, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Robert A Church, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Benjamin Arthur Thomas, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121 Phone: 801-365-1032 Fax: 801-365-1036 | |
Dr. Michael Karl Lowe, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 Fax: 801-532-7544 |