Brent M Baranko (NPI# 1306833967, PAC ID# 0547151904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1306833967 |
| PAC ID by PECOS | 0547151904 |
| Professional Enrollment ID | I20050614000950 |
| Full Name | Brent M Baranko |
| Organization Legal Name | OGDEN CLINIC PC |
| Address |
4650 Harrison Blvd Ogden UT 84403-4303 |
| Phone Number | 8014794621 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9638078033 |
| Number of Group Practice Members | 151 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| 460004 | MCKAY DEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4650 Harrison Blvd, Ogden, UT 84403-4303 | 8014794621 | OGDEN CLINIC PC |
| Organization Legal Name | OGDEN CLINIC PC |
| Physicians | 130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan D Wilson | Nurse Practitioner | Ogden Clinic PC | 3225 W Gordon Ave, 1 Odgen Clinic Davis Family Physicians, Layton, UT 84041-8769 |
| Samantha L Clarkson | Nurse Practitioner | Ogden Clinic PC | 5740 Crestwood Dr, Ogden, UT 84405-4869 |
| Darek K Eggleston | Family Medicine | Ogden Clinic PC | 1100 W 2700, Pleasant View, UT 84414-1217 |
| Matthew A Hagemeyer | Family Medicine | Ogden Clinic PC | 1159 12th St, Ogden, UT 84404-5144 |
| Jessica Wozab | Physician Assistant | Ogden Clinic PC | 3485 W 5200, Ogden Clinic Grand View, Roy, UT 84067-9438 |
| Amber D Whitear | Obstetrics/gynecology | Ogden Clinic PC | 5495 S 500 E, Suite 350, Ogden, UT 84405-7411 |
| Chad W Tingey | Dermatology | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Kurtis Alden Woolf | Family Medicine | Ogden Clinic PC | 991 Shepard Land, Suite 210, Farmington, UT 84025 |
| Kevin G Walker | Podiatry | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Street Address |
4650 HARRISON BLVD |
| City | OGDEN |
| State | UT |
| Zip | 84403-4303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad W Tingey | Dermatology | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Michael Todd Browne | Physician Assistant | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| John M Hemmersmeier | Family Medicine | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Lane O Heder | Physician Assistant | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Megan C Walker | Qualified Speech Language Pathologist | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Grace M Obrien | Family Medicine | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Van G Christiansen | Family Medicine | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Makinzee R Kemp | Physician Assistant | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Jason N Lance | Diagnostic Radiology | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Colby J Mitchell | Physician Assistant | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Howes | Clinical Social Worker | 2748 Adams Ave, Ogden, UT 84403-0106 | |
| Greg M Pickett | Optometry | 1196 30th St, Ogden, UT 84403-0353 | |
| Mona D Oversteg | Occupational Therapy | 1771 Doxey St, Ogden, UT 84403-0523 | |
| Susan M Agres | Podiatry | 1322 32nd St, Ogden, UT 84403-0902 | |
| Lincoln J Dygert | Optometry | Ogden Vision Center | 3475 Harrison Blvd, Ogden, UT 84403-1230 |
| Scott D Peterson | Optometry | 3988 Washington Blvd, Ogden, UT 84403-1826 | |
| Krystal M Tipping | Certified Registered Nurse Anesthetist (crna) | Mt Ogden Anesthesia Group LLC | 4364 Washington Blvd, Ogden, UT 84403-1866 |
| Julie I Dee | Anesthesiology | 4364 S Washington Blvd, Ogden, UT 84403-1866 | |
| Scott O Sykes | Ophthalmology | Mt Ogden Eye Center LLC | 4360 Washington Blvd, Utah Eye Centers, Ogden, UT 84403-1866 |
| David A Johnson | Anesthesiology | Mt Ogden Anesthesia Group LLC | 4364 Washington Blvd, Ogden, UT 84403-1866 |
| Find all physicians in zip 84403 | |||
| City | OGDEN |
| Zip Code | 84403 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | OGDEN + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Brent M Baranko.
| 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.