Charles Ty Nuttall (NPI# 1114151735, PAC ID# 0446301733) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1114151735 |
| PAC ID by PECOS | 0446301733 |
| Professional Enrollment ID | I20090626000168 |
| Full Name | Charles Ty Nuttall |
| Address |
699 E S Temple Suite 300 Salt Lake City UT 84102-1186 |
| Phone Number | 8019068780 |
| Gender | M |
| Graduation Year | 1991 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 699 E S Temple, Suite 300, Salt Lake City, UT 84102-1186 | 8019068780 | |
| 699 E S Temple, Salt Lake City, UT 84102-1186 | 8019068780 |
| Street Address |
699 E S TEMPLE SUITE 300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84102-1186 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca J Bailey | Psychologist, Clinical | 699 E S Temple, Suite 202, Salt Lake City, UT 84102-4251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy N De La Garza | Family Medicine | 77 S 700, Suite 220, Salt Lake City, UT 84102-1162 | |
| Darren F Groberg | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Daniel Preece | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Steven R Taylor | Otolaryngology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Kian Eftekhari | Ophthalmology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Balimar B Lindgren | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Edwin Awinda | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Bernard M Mutie | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Nathan Michael Hastings | Hospitalist | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Stacey A Flint | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Find all physicians in zip 84102 | |||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SALT LAKE CITY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Charles Ty Nuttall.
| 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.