Jonathan W Blanch (NPI# 1295757573, PAC ID# 1153235080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1295757573 |
| PAC ID by PECOS | 1153235080 |
| Professional Enrollment ID | I20031115000044 |
| Full Name | Jonathan W Blanch |
| Organization Legal Name | SANTIBANEZ AGUIRRE PC |
| Address |
11925 S State St Draper UT 84020-7735 |
| Phone Number | 8017835011 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4789807165 |
| Number of Group Practice Members | 90 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460047 | ST MARK'S HOSPITAL |
| 460060 | LONE PEAK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11925 S State St, Draper, UT 84020-7735 | 8017835011 | SANTIBANEZ AGUIRRE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 96% |
| Organization Legal Name | SANTIBANEZ AGUIRRE PC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trenton Lane Williams | Nurse Practitioner | Santibanez Aguirre PC | 575 E 1400, Orem, UT 84097-7707 |
| David Whitney Stanley | Hospitalist | Santibanez Aguirre PC | 5825 Harrison Blvd, Ogden, UT 84403-4316 |
| Carlos Christian Cueva | Hospitalist | Santibanez Aguirre PC | 2055 N Main St, Tooele, UT 84074-9819 |
| Emilia Fischer | Nurse Practitioner | Santibanez Aguirre PC | 3251 W 5400, Taylorsville, UT 84129-3170 |
| Jeff D Atkinson | Nurse Practitioner | Santibanez Aguirre PC | 1001 N 500, Provo, UT 84604-3305 |
| Balimar B Lindgren | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Gary S Pearson | Emergency Medicine | Santibanez Aguirre PC | 4401 A Union St, Johnstown, CO 80534-2800 |
| Edward Reese | Family Medicine | Santibanez Aguirre PC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Kevin J Colver | Internal Medicine | Santibanez Aguirre PC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| James Dean Christensen | Nurse Practitioner | Santibanez Aguirre PC | 1000 E 100, Payson, UT 84651-1600 |
| Street Address |
11925 S STATE ST |
| City | DRAPER |
| State | UT |
| Zip | 84020-7735 |
| 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 | INTERNAL MEDICINE |
| City + Specialty | DRAPER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jonathan W Blanch.
| 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.