| Gary F Holland Md Pc | |
|
375 N Main St Ste 103 Kaysville UT 84037-1272 | |
| (801) 876-3749 | |
| (801) 876-3687 |
| Full Name | Gary F Holland Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 375 N Main St Ste 103, Kaysville, Utah |
| Authorized Official Name and Position | Gary Holland (DR OF MEDICINE) |
| Authorized Official Contact | 8018763749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary F Holland Md Pc 375 N Main St Ste 103 Kaysville UT 84037-1272 Ph: (801) 876-3749 | Gary F Holland Md Pc 375 N Main St Ste 103 Kaysville UT 84037-1272 Ph: (801) 876-3749 |
| NPI Number | 1598861999 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 05/20/2022 |
| Medicare PECOS PAC ID | 2668466350 |
|---|---|
| Medicare Enrollment ID | O20040414000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598861999 | NPI | - | NPPES |
| 225046121003 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3088050-1205 (Utah) | Primary |
| Provider Name | Jennifer Marie Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780948976 PECOS PAC ID: 6002062510 Enrollment ID: I20120815000440 |
| Provider Name | Gary F Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780780189 PECOS PAC ID: 7618961319 Enrollment ID: I20150407000936 |
| Provider Name | Melanie Muma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104370451 PECOS PAC ID: 4587922257 Enrollment ID: I20171229002081 |
| Provider Name | Jocelyn Anne Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003409756 PECOS PAC ID: 8426466277 Enrollment ID: I20210416000837 |
| Provider Name | Amy Jo Fowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407432933 PECOS PAC ID: 9234547779 Enrollment ID: I20210421001490 |
| Provider Name | Amy Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811490923 PECOS PAC ID: 8628310810 Enrollment ID: I20210521000817 |
| Provider Name | Joseph Trimble Lyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376206862 PECOS PAC ID: 4880086032 Enrollment ID: I20220119002938 |
| Provider Name | Jordan Wyler Johnsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144668591 PECOS PAC ID: 6002297264 Enrollment ID: I20220719001825 |
| Provider Name | Alyxandria Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659053924 PECOS PAC ID: 9638533821 Enrollment ID: I20230906002430 |
Todd N. Grant Dc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 280 W 200 N, Suite A, Kaysville, UT 84037 Phone: 801-546-2273 Fax: 801-546-4585 | |
Kaysville Creekside Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 N Main St, Kaysville, UT 84037 Phone: 801-498-6000 Fax: 801-498-6085 | |
Coded Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 Mare Dr, Kaysville, UT 84037 Phone: 801-635-8707 | |
Utah Vision Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Willow Dr, Kaysville, UT 84037 Phone: 801-546-3355 | |
Crestwood Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 Crestwood Rd, Ste #2, Kaysville, UT 84037 Phone: 801-546-1273 Fax: 801-546-1631 | |
Tanner Memorial Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 N 400 W, Kaysville, UT 84037 Phone: 801-773-4840 Fax: 801-525-8151 |