JESSICA WOZAB (NPI# 1093084295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093084295 |
| Entity Type | Individual |
| Full Name | JESSICA WOZAB |
| Credential | PA-C |
| Practice Address |
3485 W 5200 S Roy UT 84067-9438 |
| Mailing Address |
Po Box 5546 Denver CO 80217-5546 |
| Practice Telephone | 8014753900 |
| Practice Fax Number | 8014753901 |
| Mailing Telephone | 8014753900 |
| Mailing Fax Number | 8014753901 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5776572-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3485 W 5200 S |
| City | ROY |
| State | UT |
| Zip Code | 84067-9438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336136977 | John G Allred | Pediatrics | 3485 W 5200 S, Roy, UT 84067-9438 | 2005-09-29 |
| 1437694080 | Emily Shanafelt | Nurse Practitioner | 3485 W 5200 S, Roy, UT 84067-9438 | 2017-01-05 |
| 1790047157 | Chase Bailey | Nurse Practitioner | 3485 W 5200 S, Roy, UT 84067-9438 | 2012-06-12 |
| 1649532466 | Bradley J Clark | Pediatrics | 3485 W 5200 S, Roy, UT 84067-9438 | 2012-06-08 |
| 1790088797 | Kayleen Hall Wilson | Nurse Practitioner | 3485 W 5200 S, Roy, UT 84067-9438 | 2010-12-13 |
| 1437323516 | Phil H Johnson | Nurse Practitioner | 3485 W 5200 S, Roy, UT 84067-9438 | 2008-04-18 |
| 1548373400 | Enrique P Baires | Family Medicine | 3485 W 5200 S, Roy, UT 84067-9438 | 2006-08-16 |
| 1629066675 | Nathan S Goff | Physical Therapist | 3485 W 5200 S, Roy, UT 84067-9438 | 2005-10-12 |
| 1114915170 | Rodney K Grogan | Physician Assistant | 3485 W 5200 S, Roy, UT 84067-9438 | 2005-10-12 |
| 1134116783 | Kelly R Amann | Family Medicine | 3485 W 5200 S, Roy, UT 84067-9438 | 2005-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218220 | Breen Family Medicine, Pllc | Nurse Practitioner | 5991 S 3500 N, Roy, UT 84067 | 2020-06-01 |
| 1902349657 | Kelson Physician Partner's of Layton, Inc. | Pediatrics | 5286 S. 3500 W., Suite A, Roy, UT 84067 | 2016-11-29 |
| 1609258433 | Daniel Neumann | Pediatrics | 5682 S 3500 W, Roy, UT 84067 | 2015-06-29 |
| 1659641868 | Kelson Physijcian Partners of Layton, Inc | Pediatrics | 4040 South Midland Dr, Suite 2, Roy, UT 84067 | 2012-01-04 |
| 1346542834 | Midland Dental | Dentist | 4040 South Midland Drive, Suite 1, Roy, UT 84067 | 2010-12-03 |
| 1437398427 | Earl M. Cammack Jr. | Counselor | 4484 So. 1900 West, Suite 6, Roy, UT 84067 | 2009-02-13 |
| 1609086495 | Kelson Physician Partners of Layton, Inc. | Pediatrics | 5991 South 3500 West, Suite 100, Roy, UT 84067 | 2007-05-23 |
| 1396832655 | Standard Optical Co | Optometrist | 5421 S 19th W, Roy, UT 84067 | 2006-10-06 |
| 1457452864 | Paul D Hopkins Dds PC | Dentist | 4902 S 1900 W Suite 2, Roy, UT 84067 | 2006-09-26 |
| 1710085261 | Thomas R Austad | Podiatrist | 1885 West 4400 South, Roy, UT 84067 | 2006-09-20 |
| Find all providers in zip 84067 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760673115 | Michael Sean Harlan | Physician Assistant | 4932 S 3425 W, Roy, UT 84067-8656 | 2007-08-08 |
| 1255398921 | Jeffery W Anderson | Physician Assistant | 5640 S 3500 W, Roy, UT 84067-9158 | 2006-04-27 |
| 1609971506 | Kevin Rarick | Physician Assistant | 5991 S 3500 W, Ste 400, Roy, UT 84067-6701 | 2006-09-14 |
| 1548288020 | Sean J Carver | Physician Assistant | 1937 W 5700 S, Roy, UT 84067-2303 | 2006-07-17 |
| 1306821079 | Vicki L Berger | Physician Assistant | 5991 S 3500 W, Roy, UT 84067 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.