| Integrated Functional Medicine | |
|
458 N 500 W Bountiful UT 84010-6948 | |
| (801) 292-9355 | |
| (801) 296-8050 |
| Full Name | Integrated Functional Medicine |
|---|---|
| Speciality | General Practice |
| Location | 458 N 500 W, Bountiful, Utah |
| Authorized Official Name and Position | Cory Frogley (OWNER) |
| Authorized Official Contact | 8012929355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Functional Medicine 458 N 500 W Bountiful UT 84010-6948 Ph: (801) 292-9355 | Integrated Functional Medicine 458 N 500 W Bountiful UT 84010-6948 Ph: (801) 292-9355 |
| NPI Number | 1629407697 |
|---|---|
| Provider Enumeration Date | 11/11/2013 |
| Last Update Date | 11/11/2013 |
| Medicare PECOS PAC ID | 4789814351 |
|---|---|
| Medicare Enrollment ID | O20140226001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629407697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Robert Ned Mcarthur |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316156920 PECOS PAC ID: 9436054350 Enrollment ID: I20031204000315 |
| Provider Name | John a Whitehead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619935053 PECOS PAC ID: 4688665748 Enrollment ID: I20040519000512 |
| Provider Name | Vikas Garg |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1104852599 PECOS PAC ID: 5597729756 Enrollment ID: I20060808000348 |
| Provider Name | Kristina Michelle Reed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407057953 PECOS PAC ID: 8426158320 Enrollment ID: I20070706000297 |
| Provider Name | Kirk R Wersland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558353979 PECOS PAC ID: 8022049907 Enrollment ID: I20080409000660 |
| Provider Name | Aaron E Frodsham |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184807208 PECOS PAC ID: 5597933432 Enrollment ID: I20110721000044 |
| Provider Name | Angela L Ivester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538423058 PECOS PAC ID: 7012168958 Enrollment ID: I20121127000189 |
| Provider Name | Caleb J Lorenc |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801140900 PECOS PAC ID: 6507004439 Enrollment ID: I20130604000535 |
| Provider Name | Julia Libby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134484454 PECOS PAC ID: 1951628858 Enrollment ID: I20150401002099 |
| Provider Name | Desiree S Hammer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215312640 PECOS PAC ID: 2163731522 Enrollment ID: I20151026001518 |
| Provider Name | Steven White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487935045 PECOS PAC ID: 9234433343 Enrollment ID: I20160210002191 |
| Provider Name | Brittaney L Cahoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609226091 PECOS PAC ID: 4082994280 Enrollment ID: I20161205002111 |
| Provider Name | Bradley Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528328705 PECOS PAC ID: 4486700937 Enrollment ID: I20190125001067 |
| Provider Name | Jared Thomas Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124673660 PECOS PAC ID: 2961732524 Enrollment ID: I20190924002543 |
| Provider Name | Samuel Ammon Mcfern Force |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629694807 PECOS PAC ID: 7012323363 Enrollment ID: I20210310002864 |
| Provider Name | Laura Prater Geoghegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932501624 PECOS PAC ID: 9537482211 Enrollment ID: I20210802001063 |
| Provider Name | Diane Hagen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437281508 PECOS PAC ID: 9032574041 Enrollment ID: I20230426002282 |
| Provider Name | Seth Bires |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083173322 PECOS PAC ID: 5092048637 Enrollment ID: I20240711003555 |
| Provider Name | Trevor Glenn Jackson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730850850 PECOS PAC ID: 9638616592 Enrollment ID: I20240809000006 |
| Provider Name | William Farnsworth Gensler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366070658 PECOS PAC ID: 0244656205 Enrollment ID: I20250812003509 |
| Provider Name | Miles Tsujimoto |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104541127 PECOS PAC ID: 7719355858 Enrollment ID: I20250815002473 |
| Provider Name | Muzamil Faizi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396619086 PECOS PAC ID: 7618469115 Enrollment ID: I20251121003991 |
| Provider Name | Jared Lane |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487250379 PECOS PAC ID: 6406321041 Enrollment ID: I20260410002057 |
| Provider Name | Tyler Lile |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720964299 PECOS PAC ID: 9032687017 Enrollment ID: I20260507002898 |
Bryan Bartholomew DO PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Dr, Suite 200, Bountiful, UT 84010 Phone: 801-294-9333 Fax: 801-299-7811 |
Denali Specialty Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste B200, Bountiful, UT 84010 Phone: 801-389-4697 |
Eln Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 Orchard Dr Ste 103, Bountiful, UT 84010 Phone: 866-612-7449 |
Wester Peaks Specialty Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 E 500 S, Bountiful, UT 84010 Phone: 801-299-4800 |
Joe R Nielsen MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Medical Dr, D-200, Bountiful, UT 84010 Phone: 801-292-6277 Fax: 801-292-1108 |
Bountiful Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 W 400 N Ste 200b, Bountiful, UT 84010 Phone: 801-298-3812 Fax: 877-450-7813 |