| Hospitalist Medicine Physicians Of Utah -tcg Llc | |
|
150 W 100 N Vernal UT 84078-2036 | |
| (615) 377-5658 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Utah -tcg Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 150 W 100 N, Vernal, Utah |
| Authorized Official Name and Position | Laura Fall (MANAGER) |
| Authorized Official Contact | 2536826040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Utah -tcg Llc 120 Brentwood Commons Way Ste 510 Brentwood TN 37027-2028 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Utah -tcg Llc 150 W 100 N Vernal UT 84078-2036 Ph: (615) 377-5658 |
| NPI Number | 1093294563 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 03/07/2025 |
| Medicare PECOS PAC ID | 7719366186 |
|---|---|
| Medicare Enrollment ID | O20220615003338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093294563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Nolan R Brooksby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912949603 PECOS PAC ID: 3678541737 Enrollment ID: I20040917000316 |
| Provider Name | Russel N Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184685158 PECOS PAC ID: 7113953902 Enrollment ID: I20050713000283 |
| Provider Name | Kristian R Kemp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154381689 PECOS PAC ID: 9638107717 Enrollment ID: I20050729000844 |
| Provider Name | Bruce A Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568563591 PECOS PAC ID: 3870690548 Enrollment ID: I20070806000429 |
| Provider Name | Douglas C Dillon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912075771 PECOS PAC ID: 0143300186 Enrollment ID: I20080103000541 |
| Provider Name | Dean G Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063629830 PECOS PAC ID: 1951490101 Enrollment ID: I20081104000290 |
| Provider Name | John Robert Dayton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285801704 PECOS PAC ID: 1850463100 Enrollment ID: I20090724000202 |
| Provider Name | Wade Butaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679703094 PECOS PAC ID: 7012195258 Enrollment ID: I20130219000225 |
| Provider Name | Sara D Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467681866 PECOS PAC ID: 8628232204 Enrollment ID: I20150401002457 |
| Provider Name | Brynn J Duerden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528232154 PECOS PAC ID: 7618115072 Enrollment ID: I20161031001517 |
| Provider Name | Adam S Nielson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790756815 PECOS PAC ID: 0143350710 Enrollment ID: I20170310001968 |
| Provider Name | Braxton R Duncan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366973836 PECOS PAC ID: 4981933124 Enrollment ID: I20200715003333 |
| Provider Name | Aaron R Fry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225401292 PECOS PAC ID: 6103104112 Enrollment ID: I20220722002168 |
| Provider Name | Justin Ian Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033679238 PECOS PAC ID: 3274862354 Enrollment ID: I20220908002095 |
| Provider Name | Zachary R Book |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972739431 PECOS PAC ID: 5698922730 Enrollment ID: I20220919000638 |
| Provider Name | Jonathan Douglas Mayeux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033503495 PECOS PAC ID: 2365702578 Enrollment ID: I20230629000457 |
| Provider Name | Rodney B Look |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831120781 PECOS PAC ID: 9830132588 Enrollment ID: I20230717002247 |
| Provider Name | Nathan Vern Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467081323 PECOS PAC ID: 0345612156 Enrollment ID: I20230808002836 |
| Provider Name | Nathan D Nuzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255901757 PECOS PAC ID: 9830530344 Enrollment ID: I20240515002604 |
Altitude Counseling & Consulting Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 W 500 N Ste B, Vernal, UT 84078 Phone: 435-219-6312 | |
Vernal Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1360 W Highway 40, Vernal, UT 84078 Phone: 435-777-8999 | |
Root Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 266 W 100 N Ste 2, Vernal, UT 84078 Phone: 453-789-4483 Fax: 435-789-4488 | |
Basin Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 379 North 500 West, Suite 1a, Vernal, UT 84078 Phone: 435-789-1165 Fax: 435-789-1169 | |
John L Griffith Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 W 100 N Ste S104, Vernal, UT 84078 Phone: 435-781-1099 Fax: 435-781-1090 | |
Lynn Nelson Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 East 100 South, Vernal, UT 84078 Phone: 435-789-4483 Fax: 435-789-4488 |