| Careconnectmd Utah Pc | |
|
6975 S Union Park Ctr Ste 600 Cottonwood Heights UT 84047-4187 | |
| (888) 789-9585 | |
| Not Available |
| Full Name | Careconnectmd Utah Pc |
|---|---|
| Speciality | General Practice |
| Location | 6975 S Union Park Ctr Ste 600, Cottonwood Heights, Utah |
| Authorized Official Name and Position | Orlando Collado (OWNER) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd Utah Pc 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 Ph: (888) 789-9585 | Careconnectmd Utah Pc 6975 S Union Park Ctr Ste 600 Cottonwood Heights UT 84047-4187 Ph: (888) 789-9585 |
| NPI Number | 1619658002 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 09/12/2023 |
| Medicare PECOS PAC ID | 7113457540 |
|---|---|
| Medicare Enrollment ID | O20250213003132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619658002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Aaron Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730317348 PECOS PAC ID: 4082751896 Enrollment ID: I20091028000223 |
| Provider Name | David Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154575637 PECOS PAC ID: 4486779204 Enrollment ID: I20100917000078 |
| Provider Name | Andrea Walkenhorst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306121132 PECOS PAC ID: 0143471391 Enrollment ID: I20121115000461 |
| Provider Name | Garth James Muir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326200627 PECOS PAC ID: 1052451705 Enrollment ID: I20130222000113 |
| Provider Name | Vanessa May Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063975613 PECOS PAC ID: 1153655006 Enrollment ID: I20190626001289 |
| Provider Name | Jessica Potter Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467938936 PECOS PAC ID: 8820422231 Enrollment ID: I20191217003314 |
| Provider Name | April Christine Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932674579 PECOS PAC ID: 9234474255 Enrollment ID: I20200319000713 |
| Provider Name | August Jean Teuscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407448970 PECOS PAC ID: 2860891157 Enrollment ID: I20210518001757 |
| Provider Name | Sidney Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619540564 PECOS PAC ID: 2567500630 Enrollment ID: I20211019002720 |
| Provider Name | Josie Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265164040 PECOS PAC ID: 9234511437 Enrollment ID: I20220804002059 |
| Provider Name | Heather Lynn Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437877552 PECOS PAC ID: 9335504323 Enrollment ID: I20230426001733 |
| Provider Name | Cory Gunn Cosgrave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699266791 PECOS PAC ID: 9133478845 Enrollment ID: I20230630000961 |
| Provider Name | Jesse Lee Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447942370 PECOS PAC ID: 3173982667 Enrollment ID: I20230630001156 |
| Provider Name | Grayson Dart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649761586 PECOS PAC ID: 3072942259 Enrollment ID: I20231018001765 |
| Provider Name | Tiffanee Rae Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720855927 PECOS PAC ID: 6608227657 Enrollment ID: I20240104000664 |
| Provider Name | Rachel Lackow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396515342 PECOS PAC ID: 9335585827 Enrollment ID: I20240306003455 |
| Provider Name | Tyler Bridgewater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215378377 PECOS PAC ID: 6406148444 Enrollment ID: I20240717001650 |
| Provider Name | Erin Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447090634 PECOS PAC ID: 1153867023 Enrollment ID: I20240726003837 |
| Provider Name | Orlando Acosta Collado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205964947 PECOS PAC ID: 8820143134 Enrollment ID: I20250213003163 |
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