Jarrod C Bagley (NPI# 1558345397, PAC ID# 0244385383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558345397 |
| PAC ID by PECOS | 0244385383 |
| Professional Enrollment ID | I20090826000218 |
| Full Name | Jarrod C Bagley |
| Organization Legal Name | PIONEER COMPREHENSIVE MEDICAL LC |
| Address |
12433 S Fort St Draper UT 84020-9363 |
| Phone Number | 8015761086 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9537192570 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460060 | LONE PEAK HOSPITAL |
| 460044 | ALTA VIEW HOSPITAL |
| 460058 | RIVERTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12433 S Fort St, Draper, UT 84020-9363 | 8015761086 | PIONEER COMPREHENSIVE MEDICAL LC |
| Organization Legal Name | PIONEER COMPREHENSIVE MEDICAL LC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Dean Olsen | Chiropractic | Pioneer Comprehensive Medical Lc | 12433 S Fort St, Draper, UT 84020-9363 |
| Trisha Darlene White | Nurse Practitioner | Pioneer Comprehensive Medical Lc | 12433 S Fort St, Draper, UT 84020-9363 |
| Leeann Klemetson | Nurse Practitioner | Pioneer Comprehensive Medical Lc | 12433 S Fort St, Draper, UT 84020-9363 |
| Street Address |
12433 S FORT ST |
| City | DRAPER |
| State | UT |
| Zip | 84020-9363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Dean Olsen | Chiropractic | Pioneer Comprehensive Medical Lc | 12433 S Fort St, Draper, UT 84020-9363 |
| Trisha Darlene White | Nurse Practitioner | Pioneer Comprehensive Medical Lc | 12433 S Fort St, Draper, UT 84020-9363 |
| Leeann Klemetson | Nurse Practitioner | Pioneer Comprehensive Medical Lc | 12433 S Fort St, Draper, UT 84020-9363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Christensen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Matthew Broadwater-hollifield | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Azher M Merchant | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jeffrey L Hardin | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Laurie C Raborn | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jinghui Li | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Charles David Eller | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jeremy Voros | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jennifer F Robison | Psychologist, Clinical | 12481 S Fort St, Suite 275, Draper, UT 84020-2106 | |
| Matthew D Smith | Chiropractic | Elite Performance Health Center PC | 13552 S 110 W, Suite 204, Draper, UT 84020-2403 |
| Find all physicians in zip 84020 | |||
| City | DRAPER |
| Zip Code | 84020 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DRAPER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jarrod C Bagley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.