| Wade Family Medicine | |
|
520 Medical Dr Ste 300 Bountiful UT 84010-8925 | |
| (801) 292-1422 | |
| (801) 296-0436 |
| Full Name | Wade Family Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Medical Dr Ste 300, Bountiful, Utah |
| Authorized Official Name and Position | Joshua Brad Oaks (PRESIDENT) |
| Authorized Official Contact | 8014729988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Family Medicine 520 Medical Dr Ste 300 Bountiful UT 84010-8925 Ph: (801) 292-1422 | Wade Family Medicine 520 Medical Dr Ste 300 Bountiful UT 84010-8925 Ph: (801) 292-1422 |
| NPI Number | 1184125668 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 0840776688 |
|---|---|
| Medicare Enrollment ID | O20260112000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184125668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| Provider Name | Scott E Southworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972602910 PECOS PAC ID: 5597792358 Enrollment ID: I20050722000717 |
| Provider Name | Allen a Freestone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801850755 PECOS PAC ID: 7810889433 Enrollment ID: I20050804000423 |
| Provider Name | Nathan J Gracey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255597043 PECOS PAC ID: 5597810572 Enrollment ID: I20090826000691 |
| Provider Name | Steven S Salisbury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235191495 PECOS PAC ID: 1052443777 Enrollment ID: I20100715000911 |
| Provider Name | Breony Stoddard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578711057 PECOS PAC ID: 8921132275 Enrollment ID: I20100823000395 |
| Provider Name | Melanie Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528389723 PECOS PAC ID: 0042336190 Enrollment ID: I20100925000254 |
| Provider Name | Laura M Zaugg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598831604 PECOS PAC ID: 4789748443 Enrollment ID: I20110324000181 |
| Provider Name | Scott a Moulton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811141211 PECOS PAC ID: 6002085685 Enrollment ID: I20110816000874 |
| Provider Name | Ryan G Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235387218 PECOS PAC ID: 0143484071 Enrollment ID: I20120605000767 |
| Provider Name | Ryan Bruce Empey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154589505 PECOS PAC ID: 9032366901 Enrollment ID: I20120828000674 |
| Provider Name | Todd W. Furness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285941310 PECOS PAC ID: 5496999039 Enrollment ID: I20130920000205 |
| Provider Name | Nathan a Phelps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255628996 PECOS PAC ID: 2466690367 Enrollment ID: I20141110002596 |
| Provider Name | Sean Leland Webster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063759215 PECOS PAC ID: 9739403072 Enrollment ID: I20150115001220 |
| Provider Name | Joshua Oaks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205221405 PECOS PAC ID: 0244594729 Enrollment ID: I20180509001485 |
| Provider Name | Rachel Charity Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548648900 PECOS PAC ID: 6800108325 Enrollment ID: I20181009003647 |
| Provider Name | Celine L Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407052772 PECOS PAC ID: 8325209117 Enrollment ID: I20181119001482 |
| Provider Name | Lindsay S Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508410622 PECOS PAC ID: 3577893296 Enrollment ID: I20190924000363 |
| Provider Name | Ziyi Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255781654 PECOS PAC ID: 0941594410 Enrollment ID: I20191105001544 |
| Provider Name | Antonina Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699260620 PECOS PAC ID: 5193121432 Enrollment ID: I20210910002339 |
| Provider Name | Spencer Lee Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932869377 PECOS PAC ID: 0446642763 Enrollment ID: I20220119001144 |
| Provider Name | Courtney Waters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811508435 PECOS PAC ID: 9032502547 Enrollment ID: I20220204001760 |
| Provider Name | Holly Wortley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720732308 PECOS PAC ID: 1951797794 Enrollment ID: I20220405000521 |
| Provider Name | William C Draper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053978387 PECOS PAC ID: 4789073727 Enrollment ID: I20220706002060 |
| Provider Name | Kendell Porter Coburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902365216 PECOS PAC ID: 5799011995 Enrollment ID: I20220713002817 |
| Provider Name | Ryan Gerald Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639823362 PECOS PAC ID: 1355714007 Enrollment ID: I20230301000343 |
| Provider Name | Andrew Gubler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962022780 PECOS PAC ID: 1759704349 Enrollment ID: I20230712004198 |
| Provider Name | Whitney Ramos-jensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295180420 PECOS PAC ID: 4486072535 Enrollment ID: I20230807001439 |
| Provider Name | Spencer Keith Noyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740934488 PECOS PAC ID: 0840646162 Enrollment ID: I20231023003219 |
| Provider Name | Erin Sunita Minhondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932881406 PECOS PAC ID: 8628425022 Enrollment ID: I20231107000953 |
| Provider Name | Amelia Littlefield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063298859 PECOS PAC ID: 7911358577 Enrollment ID: I20240108004595 |
| Provider Name | Krista Wilson Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720773807 PECOS PAC ID: 9032558770 Enrollment ID: I20240415002445 |
| Provider Name | Rachel Gathro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619748464 PECOS PAC ID: 5799294252 Enrollment ID: I20250604004347 |
| Provider Name | Timothy Perdue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952893844 PECOS PAC ID: 3173064656 Enrollment ID: I20250626003695 |
| Provider Name | John James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992454425 PECOS PAC ID: 2062808132 Enrollment ID: I20250701001312 |
| Provider Name | Branden Buffington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497404933 PECOS PAC ID: 5799171856 Enrollment ID: I20250922002248 |
| Provider Name | Meg Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659156917 PECOS PAC ID: 0749758555 Enrollment ID: I20260508003482 |
| Provider Name | Camille Ann Talamantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801629605 PECOS PAC ID: 1759853526 Enrollment ID: I20260611004803 |
Bryan Bartholomew DO PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Dr, Suite 200, Bountiful, UT 84010 Phone: 801-294-9333 Fax: 801-299-7811 |
Denali Specialty Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste B200, Bountiful, UT 84010 Phone: 801-389-4697 |
Eln Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 Orchard Dr Ste 103, Bountiful, UT 84010 Phone: 866-612-7449 |
Wester Peaks Specialty Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 E 500 S, Bountiful, UT 84010 Phone: 801-299-4800 |
Joe R Nielsen MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Medical Dr, D-200, Bountiful, UT 84010 Phone: 801-292-6277 Fax: 801-292-1108 |
Bountiful Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 W 400 N Ste 200b, Bountiful, UT 84010 Phone: 801-298-3812 Fax: 877-450-7813 |