Shane M Hawthorne (NPI# 1629462189, PAC ID# 0840594388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629462189 |
| PAC ID by PECOS | 0840594388 |
| Professional Enrollment ID | I20191015002700 |
| Full Name | Shane M Hawthorne |
| Organization Legal Name | PREMIER FAMILY MEDICAL |
| Address |
155 N 400 Suite B6 Orem UT 84057-1909 |
| Phone Number | 8012241300 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7416197785 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 155 N 400, Suite B6, Orem, UT 84057-1909 | 8012241300 | PREMIER FAMILY MEDICAL |
| Organization Legal Name | PREMIER FAMILY MEDICAL |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian L Simmons | Nurse Practitioner | Premier Family Medical | 3943 Pony Express Pkwy, Eagle Mountain, UT 84005-9999 |
| Chad M Duford | Physician Assistant | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
| Jill Bergeson Barkdull | Family Medicine | Premier Family Medical | 830 N 2000, Pleasant Grove, UT 84062-4047 |
| Michael L Cosgrave | Family Medicine | Premier Family Medical | 226 N 1100 E A, American Fork, UT 84003-2054 |
| Sondra D Heaston | Nurse Practitioner | Premier Family Medical | 275 W 200, Lindon, UT 84042-5009 |
| Tauaina J Ngatuvai | Family Medicine | Premier Family Medical | 680 E Main St, Lehi, UT 84043-2241 |
| Douglas R Mower | Family Medicine | Premier Family Medical | 226 N 1100 E A, American Fork, UT 84003-2054 |
| Kenneth Joe Murdock | Family Medicine | Premier Family Medical | 226 N 1100 E A, American Fork, UT 84003-2054 |
| Toran J Macarthur | Family Medicine | Premier Family Medical | 226 N 1100 E A, American Fork, UT 84003-2054 |
| Amy L Hawkins | Nurse Practitioner | Premier Family Medical | 680 E Main St, Lehi, UT 84043-2241 |
| Street Address |
155 N 400 SUITE B6 |
| City | OREM |
| State | UT |
| Zip | 84057-1909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad M Duford | Physician Assistant | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
| Jefferson M Allen | Physician Assistant | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
| William R Francis Jr. | Family Medicine | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
| Shawn Darwin Gibbs | Physician Assistant | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Garrett Coombs | Ophthalmology | Mt Ogden Eye Center LLC | 175 N 400, Suite C10, Orem, UT 84057-1909 |
| Daniel Robert Patty | Podiatry | Foot and Ankle Clinics of Utah, P.C. | 157 N 400, Suite B7, Orem, UT 84057-1909 |
| Evangeline K Lindorf | Nurse Practitioner | Central Utah Clinic P C | 159 N 400, Suite B 8, Orem, UT 84057-1909 |
| Steven L Berry | Family Medicine | Central Utah Clinic P C | 173 N 400, Suite C11, Orem, UT 84057-1909 |
| Jamie M Monroe | Ophthalmology | 175 N 400 W, C10, Orem, UT 84057-1909 | |
| Patricia Ann Beaty | Optometry | Mt Ogden Eye Center LLC | 175 N 400, Suite C10, Orem, UT 84057-1909 |
| Scott R Mckell | Podiatry | Foot and Ankle Clinics of Utah, P.C. | 157 N 400, Suite B7, Orem, UT 84057-1909 |
| Joshua Graham Burkhardt | Allergy/immunology | Central Utah Clinic P C | 159 N 400, Suite B 8, Orem, UT 84057-1909 |
| Randall Pace | Family Medicine | Central Utah Clinic P C | 173 N 400, Suite C11, Orem, UT 84057-1909 |
| Colby Jacobson | Certified Registered Nurse Anesthetist (crna) | 175 N 400, Suite 10, Orem, UT 84057-1909 | |
| Find all physicians in zip 84057 | |||
| City | OREM |
| Zip Code | 84057 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OREM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shane M Hawthorne.
| 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.