| Achieve Health | |
|
552 W 800 N Orem UT 84057-3746 | |
| (801) 764-0200 | |
| (801) 764-0206 |
| Full Name | Achieve Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 552 W 800 N, Orem, Utah |
| Authorized Official Name and Position | Cris L Banks (OFFICE MANAGER) |
| Authorized Official Contact | 8017640200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieve Health 552 W 800 N Orem UT 84057-3746 Ph: (801) 764-0200 | Achieve Health 552 W 800 N Orem UT 84057-3746 Ph: (801) 764-0200 |
| NPI Number | 1790013548 |
|---|---|
| Provider Enumeration Date | 12/04/2009 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Medicare PECOS PAC ID | 0547688343 |
|---|---|
| Medicare Enrollment ID | O20200910001792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790013548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 932643141205 (Utah) | Primary |
| Provider Name | Jeffrey G Ogden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801953518 PECOS PAC ID: 5991697047 Enrollment ID: I20040325000819 |
| Provider Name | Scott Tatman West |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114399839 PECOS PAC ID: 3375962616 Enrollment ID: I20201006000874 |
| Provider Name | Maite Antola |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518584655 PECOS PAC ID: 4183033699 Enrollment ID: I20210513002612 |
| Provider Name | Michaela Sandra Bleyl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902527401 PECOS PAC ID: 5193191757 Enrollment ID: I20221021002680 |
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