| Diabetes & Endocrine Treatment Specialists | |
|
7410 S Creek Rd Ste D100 Sandy UT 84093-6140 | |
| (801) 816-1010 | |
| Not Available |
| Full Name | Diabetes & Endocrine Treatment Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 7410 S Creek Rd Ste D100, Sandy, Utah |
| Authorized Official Name and Position | Timothy Graham (OWNER) |
| Authorized Official Contact | 8012145399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Endocrine Treatment Specialists 7410 S Creek Rd Ste D100 Sandy UT 84093-6140 | Diabetes & Endocrine Treatment Specialists 7410 S Creek Rd Ste D100 Sandy UT 84093-6140 Ph: (801) 816-1010 |
| NPI Number | 1295351278 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Medicare PECOS PAC ID | 4284046335 |
|---|---|
| Medicare Enrollment ID | O20201214001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295351278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
| Provider Name | Timothy Eugene Graham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134162258 PECOS PAC ID: 7517989924 Enrollment ID: I20090909000101 |
| Provider Name | Amnon Schlegel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093910796 PECOS PAC ID: 5294813358 Enrollment ID: I20100901000518 |
| Provider Name | Amy D Ellsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922332998 PECOS PAC ID: 6608914080 Enrollment ID: I20150819007812 |
| Provider Name | Jaclynn F Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598213175 PECOS PAC ID: 9436437852 Enrollment ID: I20161104001348 |
| Provider Name | Adrienne Natasha Terry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134648520 PECOS PAC ID: 3971879263 Enrollment ID: I20171101002220 |
| Provider Name | Hosanna Angelina Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306344973 PECOS PAC ID: 1658631684 Enrollment ID: I20180212001649 |
| Provider Name | Daniela Alejandra Zuniga Salazar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033850532 PECOS PAC ID: 0547762825 Enrollment ID: I20250905002633 |
| Provider Name | Faisa Aden Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295625960 PECOS PAC ID: 6204322068 Enrollment ID: I20251231001364 |
Vernon K. Liu MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 E 9400 S, Suite 102, Sandy, UT 84094 Phone: 801-576-1118 Fax: 801-576-1221 |
Direct Care Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 E 9400 S Ste 100, Sandy, UT 84093 Phone: 385-463-2757 Fax: 385-488-0693 |
Michael Cobble MD Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9355 S 1300 E, Sandy, UT 84094 Phone: 801-572-1616 Fax: 801-572-3106 |
Scope Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10000 S Centennial Pkwy, Suite 235, Sandy, UT 84070 Phone: 801-568-4664 |
Utah Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way Ste B, Sandy, UT 84092 Phone: 801-619-9000 |
Gorang Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9720 S 1300 E, #e230, Sandy, UT 84094 Phone: 801-501-5610 |