| Thyroid Institute Of Utah | |
|
1055 N 300 W Suite 401 Provo UT 84604-3344 | |
| (801) 357-7499 | |
| (801) 373-5980 |
| Full Name | Thyroid Institute Of Utah |
|---|---|
| Speciality | Otolaryngology |
| Location | 1055 N 300 W, Provo, Utah |
| Authorized Official Name and Position | Tim Prusse (ADMINISTRATOR) |
| Authorized Official Contact | 8013577499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thyroid Institute Of Utah 1055 N 300 W Suite 401 Provo UT 84604-3344 Ph: (801) 357-7499 | Thyroid Institute Of Utah 1055 N 300 W Suite 401 Provo UT 84604-3344 Ph: (801) 357-7499 |
| NPI Number | 1346489036 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 03/30/2012 |
| Medicare PECOS PAC ID | 4284781543 |
|---|---|
| Medicare Enrollment ID | O20090402000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346489036 | NPI | - | NPPES |
| Provider Name | Seth A Riddle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598701955 PECOS PAC ID: 2567443963 Enrollment ID: I20040531000002 |
| Provider Name | Jason T Su |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427137991 PECOS PAC ID: 0143291427 Enrollment ID: I20040802000676 |
| Provider Name | Scott Randy Stiefel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235218801 PECOS PAC ID: 8426028234 Enrollment ID: I20050216000125 |
| Provider Name | Amanda G Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467535138 PECOS PAC ID: 1254373376 Enrollment ID: I20050527000532 |
| Provider Name | Olivia J Grover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619190436 PECOS PAC ID: 9931294006 Enrollment ID: I20071004000110 |
| Provider Name | Kirt S Beus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396765871 PECOS PAC ID: 4486686680 Enrollment ID: I20080630000344 |
| Provider Name | Curtis G Thomas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184761736 PECOS PAC ID: 0941376198 Enrollment ID: I20080911000653 |
| Provider Name | Jinil K Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790925055 PECOS PAC ID: 1951458728 Enrollment ID: I20090414000158 |
| Provider Name | Scott Gregory Shipley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477510329 PECOS PAC ID: 2860471414 Enrollment ID: I20100625000795 |
| Provider Name | Chuanchau J Jou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104011998 PECOS PAC ID: 7214120260 Enrollment ID: I20101022000000 |
| Provider Name | Joseph Evans Dansie |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972818185 PECOS PAC ID: 9739372756 Enrollment ID: I20101022000875 |
| Provider Name | David Spencer Darley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811151558 PECOS PAC ID: 1658554076 Enrollment ID: I20110719000584 |
| Provider Name | Shahzad Ahmad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467533950 PECOS PAC ID: 0244259257 Enrollment ID: I20120229000532 |
| Provider Name | Douglas Kent Worthington |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467460246 PECOS PAC ID: 6103829585 Enrollment ID: I20120523000636 |
| Provider Name | Mary Marble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346518867 PECOS PAC ID: 4688839012 Enrollment ID: I20120709000730 |
| Provider Name | Michael R Blaney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225302938 PECOS PAC ID: 4587811815 Enrollment ID: I20120821001077 |
| Provider Name | Sharla E Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003151853 PECOS PAC ID: 6406001502 Enrollment ID: I20130220000577 |
| Provider Name | Jenny Coy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215351416 PECOS PAC ID: 3678705928 Enrollment ID: I20140421000686 |
| Provider Name | Steven Reed Forsey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053691246 PECOS PAC ID: 0547483273 Enrollment ID: I20140527000379 |
| Provider Name | Jules Aljammal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083846018 PECOS PAC ID: 2769606193 Enrollment ID: I20140605000132 |
| Provider Name | Zachary Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407164213 PECOS PAC ID: 7012197338 Enrollment ID: I20140624001134 |
| Provider Name | Erin M Haggerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598993040 PECOS PAC ID: 0547482606 Enrollment ID: I20141105002452 |
| Provider Name | Sarah Anne Cordingley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619383494 PECOS PAC ID: 9638499478 Enrollment ID: I20150519002463 |
| Provider Name | Matthew K Frank |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942571583 PECOS PAC ID: 5395065759 Enrollment ID: I20150526002255 |
| Provider Name | Jordan Carlton Schramm |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588976328 PECOS PAC ID: 7911205745 Enrollment ID: I20160412001740 |
| Provider Name | Michael Daynes Darley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538458146 PECOS PAC ID: 5294951455 Enrollment ID: I20160517000333 |
| Provider Name | Leslie Jane Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811442890 PECOS PAC ID: 4082901608 Enrollment ID: I20160926002387 |
| Provider Name | Robert Ian Simpson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1609973684 PECOS PAC ID: 8022918317 Enrollment ID: I20161215002278 |
| Provider Name | Scott Randy Stiefel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235218801 PECOS PAC ID: 8426028234 Enrollment ID: I20170616001559 |
| Provider Name | Konstantinos Segkos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700131844 PECOS PAC ID: 0345472254 Enrollment ID: I20170619001151 |
| Provider Name | Devan Griner |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780895755 PECOS PAC ID: 6800032426 Enrollment ID: I20180905003894 |
| Provider Name | Brittany Bown |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538644414 PECOS PAC ID: 7315287356 Enrollment ID: I20190328003112 |
| Provider Name | Jason H Nielson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477520575 PECOS PAC ID: 1658394010 Enrollment ID: I20190613000959 |
| Provider Name | Todd William Frieze |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710935838 PECOS PAC ID: 8426066390 Enrollment ID: I20200121001362 |
| Provider Name | Ryan Mark Stephenson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760800353 PECOS PAC ID: 4284973355 Enrollment ID: I20200624002782 |
| Provider Name | Zachary Val Anderson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659735348 PECOS PAC ID: 6406139484 Enrollment ID: I20210513000006 |
| Provider Name | Kimberly Robin Barker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598348898 PECOS PAC ID: 6103229182 Enrollment ID: I20210728002558 |
| Provider Name | Jolynn Garfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902488844 PECOS PAC ID: 8921482464 Enrollment ID: I20220831003357 |
| Provider Name | Marisa Ann Ryan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346567369 PECOS PAC ID: 9931414034 Enrollment ID: I20220907002779 |
| Provider Name | Brooke Stacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780365767 PECOS PAC ID: 8123472586 Enrollment ID: I20231004000225 |
| Provider Name | Jill Holker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972816775 PECOS PAC ID: 0042665887 Enrollment ID: I20231013000730 |
| Provider Name | Michael Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760194815 PECOS PAC ID: 5092162198 Enrollment ID: I20231110002643 |
| Provider Name | Isabel Paola Santos Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063284271 PECOS PAC ID: 0446607352 Enrollment ID: I20231115001467 |
| Provider Name | Angela Sperry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891567343 PECOS PAC ID: 5890142681 Enrollment ID: I20231116001244 |
Thyroid Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1055 N 300 W Ste 315, Provo, UT 84604 Phone: 385-205-6510 Fax: 385-375-6112 | |
Ingegrative Medical Assicates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 N University Ave, Suite 200, Provo, UT 84604 Phone: 801-375-7100 Fax: 801-375-7102 | |
The Body Hackers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3210 N Canyon Rd Ste 307, Provo, UT 84604 Phone: 801-310-5385 | |
Utah Valley Specialty Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 River Bend Ln, Provo, UT 84604 Phone: 801-226-8880 | |
Atlas Epigenetics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3311 N University Ave Ste 150, Provo, UT 84604 Phone: 801-655-1801 Fax: 385-225-8201 | |
Life Integrative Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 N 500 W, Suite 104, Provo, UT 84601 Phone: 801-869-8199 Fax: 801-705-0436 | |
Revere Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1055 N 500 W, Provo, UT 84604 Phone: 801-429-8000 Fax: 801-429-8150 |