| Grab Healthcare, LLC | |
|
406 W South Jordan Pkwy Ste 450 South Jordan UT 84095-3946 | |
| (801) 919-3008 | |
| Not Available |
| Full Name | Grab Healthcare, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 406 W South Jordan Pkwy Ste 450, South Jordan, Utah |
| Authorized Official Name and Position | Gregory a Baird (CEO) |
| Authorized Official Contact | 9104472263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grab Healthcare, LLC Po Box 550 Riverton UT 84065-0550 Ph: (910) 447-2263 | Grab Healthcare, LLC 406 W South Jordan Pkwy Ste 450 South Jordan UT 84095-3946 Ph: (801) 919-3008 |
| NPI Number | 1700499183 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Medicare PECOS PAC ID | 8123439148 |
|---|---|
| Medicare Enrollment ID | O20201124000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700499183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Smitha Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962490201 PECOS PAC ID: 4385607506 Enrollment ID: I20041109000648 |
| Provider Name | Garth James Muir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326200627 PECOS PAC ID: 1052451705 Enrollment ID: I20130222000113 |
| Provider Name | Clarissa Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740513324 PECOS PAC ID: 0244459774 Enrollment ID: I20140916001645 |
| Provider Name | Gregory Baird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902148133 PECOS PAC ID: 7315167483 Enrollment ID: I20151231001882 |
| Provider Name | Mckennan Thurston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194088856 PECOS PAC ID: 6507002573 Enrollment ID: I20160624001733 |
| Provider Name | Chris D Partridge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659753424 PECOS PAC ID: 1759667991 Enrollment ID: I20170424001555 |
| Provider Name | Jared B Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174095855 PECOS PAC ID: 7618206574 Enrollment ID: I20200406001387 |
| Provider Name | Karen Bowcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447850755 PECOS PAC ID: 4688082225 Enrollment ID: I20210420000429 |
| Provider Name | Ilsley B Colton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063943116 PECOS PAC ID: 9234400177 Enrollment ID: I20210510002547 |
| Provider Name | August Jean Teuscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407448970 PECOS PAC ID: 2860891157 Enrollment ID: I20210518001757 |
| Provider Name | Amy Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811490923 PECOS PAC ID: 8628310810 Enrollment ID: I20210521000817 |
| Provider Name | Patrick Tufts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093828949 PECOS PAC ID: 4183694268 Enrollment ID: I20211201000249 |
| Provider Name | Laura Slaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831768670 PECOS PAC ID: 9638556806 Enrollment ID: I20220510001919 |
| Provider Name | Tumu J Asuao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124697214 PECOS PAC ID: 1052773652 Enrollment ID: I20230814003885 |
| Provider Name | Laura Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609469816 PECOS PAC ID: 6406290279 Enrollment ID: I20240220003204 |
| Provider Name | Sandra Lowe Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487422358 PECOS PAC ID: 5092150136 Enrollment ID: I20240229000134 |
| Provider Name | Gibran Borja |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679125934 PECOS PAC ID: 4082051339 Enrollment ID: I20240321002315 |
| Provider Name | Mindy Devaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376324319 PECOS PAC ID: 1951749225 Enrollment ID: I20240404004344 |
| Provider Name | Aaron Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982126363 PECOS PAC ID: 5799055729 Enrollment ID: I20240814002000 |
| Provider Name | Michele D Cadet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366165672 PECOS PAC ID: 9032609177 Enrollment ID: I20251106003538 |
| Provider Name | Morgan Rawlings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306687561 PECOS PAC ID: 5092208181 Enrollment ID: I20251229003287 |
| Provider Name | Monica Crystal Deis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992656607 PECOS PAC ID: 3971088568 Enrollment ID: I20260401000906 |
| Provider Name | Chelsie Fausett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548119746 PECOS PAC ID: 8921578998 Enrollment ID: I20260601000231 |
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