| Gut Whisperer Pc | |
|
1543 W. 12600 S. Suite 102 Riverton UT 84065-7000 | |
| (801) 563-5121 | |
| (801) 566-3926 |
| Full Name | Gut Whisperer Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1543 W. 12600 S., Riverton, Utah |
| Authorized Official Name and Position | Umaprasanna Sudarsana Karnam (PHYSICIAN) |
| Authorized Official Contact | 8014001118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gut Whisperer Pc 80 E Lone Hollow Dr. Sandy UT 84092 Ph: (801) 400-1118 | Gut Whisperer Pc 1543 W. 12600 S. Suite 102 Riverton UT 84065-7000 Ph: (801) 563-5121 |
| NPI Number | 1619139169 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 12/09/2015 |
| Medicare PECOS PAC ID | 4284700436 |
|---|---|
| Medicare Enrollment ID | O20080911000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619139169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 5022285-1205 (Utah) | Primary |
| Provider Name | Umaprasanna S Karnam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689623852 PECOS PAC ID: 6103860242 Enrollment ID: I20050620000221 |
| Provider Name | Emily S Himebaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285936617 PECOS PAC ID: 3577742683 Enrollment ID: I20110121000172 |
| Provider Name | Phillip W Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619231701 PECOS PAC ID: 7618120213 Enrollment ID: I20130110000115 |
| Provider Name | Kent J Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336183813 PECOS PAC ID: 0749176345 Enrollment ID: I20150305002274 |
| Provider Name | Jordan P Griffeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942723549 PECOS PAC ID: 1456627751 Enrollment ID: I20171031002064 |
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