BRIAN EUGENE ELLEDGE (NPI# 1174865455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174865455 |
| Entity Type | Individual |
| Full Name | BRIAN EUGENE ELLEDGE |
| Credential | DO |
| Practice Address |
1000 E 100 N Payson UT 84651-1600 |
| Mailing Address |
Po Box 742353 Atlanta GA 30374-2353 |
| Practice Telephone | 8014657041 |
| Practice Fax Number | 8014657409 |
| Mailing Telephone | 3104828403 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
9848744-1204 | UT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20A14904 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376701847 | Brian E Elledge | Counselor | 4905 Mexico Rd, Suite 300, Saint Peters, MO 63376-1614 | 2008-05-30 |
| Street Address |
1000 E 100 N |
| City | PAYSON |
| State | UT |
| Zip Code | 84651-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578556304 | Joseph Alan Dinkins | Emergency Medicine | 1000 E 100 N, Payson, UT 84651-1600 | 2005-08-26 |
| 1770149528 | Chantelle Lena Elmer | Nurse Practitioner | 1000 E 100 N, Payson, UT 84651-1600 | 2019-05-17 |
| 1134600745 | James Dean Christensen | Nurse Practitioner | 1000 E 100 N, Payson, UT 84651-1600 | 2018-08-22 |
| 1881186385 | Zacharia Isaia Roberts | Nurse Practitioner | 1000 E 100 N, Payson, UT 84651-1600 | 2018-05-31 |
| 1174031421 | Co-psyche LLC | Psychiatric Unit | 1000 E 100 N, Payson, UT 84651-1600 | 2018-01-19 |
| 1174075998 | Morgan Leslee Gonzales | Social Worker | 1000 E 100 N, Payson, UT 84651-1600 | 2016-10-27 |
| 1225580186 | Rocky Howell | Nurse Practitioner | 1000 E 100 N, Payson, UT 84651 | 2016-10-26 |
| 1033536388 | Cherie Carpenter Bate | Nurse Anesthetist, Certified Registered | 1000 E 100 N, Payson, UT 84651-1600 | 2014-03-25 |
| 1609211333 | Mountain View Hospital, Inc. | Psychiatric Unit | 1000 E 100 N, Payson, UT 84651-1600 | 2013-05-08 |
| 1841568052 | Mvh Professional Services LLC | Registered Nurse | 1000 E 100 N, Payson, UT 84651-1600 | 2011-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467996116 | At Peace Peace Hospice Care LLC. | Hospice Care, Community Based | 863 S 500 W, Payson, UT 84651 | 2016-12-15 |
| 1750732723 | Country Lane Payson Operating LLC | Assisted Living Facility | 153 S. 900 E, Payson, UT 84651 | 2016-06-30 |
| 1811390768 | Payson Rx Express LLC | Pharmacy | 869 S Turf Farm Rd, Payson, UT 84651 | 2014-10-07 |
| 1205261807 | Payson Sports & Spine LLC | Chiropractor | 871 South 500 West, Payson, UT 84651 | 2013-09-13 |
| 1205177722 | Avalon Care Center - Va Payson, LLC | Skilled Nursing Facility | 1551 North Main Street, Payson, UT 84651 | 2013-03-07 |
| 1609015353 | Donald Rex Lankford | Social Worker | 806 South 1040 West, Payson, UT 84651 | 2009-02-19 |
| 1477709772 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 15 S 1000 E Ste 125, Payson, UT 84651 | 2008-08-18 |
| 1386836112 | Canyon View Medical Group LLC | Pediatrics | 15 South 1000 East, Suite 100, Payson, UT 84651 | 2007-08-15 |
| 1518187350 | Richard Barton | Pharmacist | 69 East Hudson Ln, Elk Ridge, UT 84651 | 2007-04-26 |
| 1356400337 | Apple Valley Vision LLC | Optometrist | 539 South 100 West, Payson, UT 84651 | 2006-12-06 |
| Find all providers in zip 84651 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851922512 | Mettamerica | Psychiatry & Neurology | 600 E State Highway 260 Ste 2, Payson, AZ 85541-4967 | 2020-01-31 |
| 1225283260 | Ergi O Gumusaneli | Psychiatry & Neurology | 600 E State Highway 260, Payson, AZ 85541-4935 | 2008-11-18 |
| 1003195751 | Kevin Lee | Psychiatry & Neurology | 1000 E 100 N, Payson, UT 84651-1600 | 2011-08-12 |
| 1528384930 | Scott David Daniels | Psychiatry & Neurology | 1000 E 100 N, Payson, UT 84651-1600 | 2010-04-09 |
| 1487840732 | Lyle Milton Kinikini | Psychiatry & Neurology | 97 Professional Way, Payson, UT 84651-1614 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961746 | Disa T. Brock | Psychiatry & Neurology | 2520 N University Ave # 250a, Provo, UT 84604-3804 | 2020-01-10 |
| 1811549637 | Nume Tms Utah, Pllc | Psychiatry & Neurology | 560 S 300 E Ste 115, Salt Lake City, UT 84111-3562 | 2019-07-11 |
| 1508355223 | Yogini Lc | Psychiatry & Neurology | 12176 S 1000 E Ste 8b, Draper, UT 84020-3212 | 2018-05-08 |
| 1730691619 | Brian C Nyberg Md | Psychiatry & Neurology | 1760 N Main St Ste 208, Cedar City, UT 84721-7800 | 2017-10-31 |
| 1497288351 | Tyler Durns | Psychiatry & Neurology | 50 N Medical Dr Salt Lake City, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1457705279 | Heather Wark | Psychiatry & Neurology | 3313 E Coronet Dr, Salt Lake City, UT 84124-3102 | 2016-04-18 |
| 1659732766 | Madison Perington | Psychiatry & Neurology | 7319 Balmer St Bldg 545, Hill Afb, UT 84056-5012 | 2016-03-16 |
| 1114311255 | Shane Verhoef | Psychiatry & Neurology | 500 Foothill Dr Bldg 16, Salt Lake City, UT 84148-1023 | 2015-03-26 |
| 1376947051 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 30 N 1900 E Ste 1b620, Salt Lake City, UT 84132-0002 | 2014-10-09 |
| 1306280326 | Sheena Margaret Ray | Psychiatry & Neurology | 11616 S State St Ste 1503, Draper, UT 84020-7125 | 2013-04-21 |
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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.