Mara L Rabin (NPI# 1225161003, PAC ID# 1355398843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1225161003 |
| PAC ID by PECOS | 1355398843 |
| Professional Enrollment ID | I20050406001021 |
| Full Name | Mara L Rabin |
| Organization Legal Name | ALPINE MEDICAL GROUP |
| Address |
1060 E 100 Suite L10 Salt Lake City UT 84102-1553 |
| Phone Number | 8013201260 |
| Gender | F |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7416856109 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460003 | SALT LAKE REGIONAL MEDICAL CENTER |
| 460006 | LDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1060 E 100, Suite L10, Salt Lake City, UT 84102-1553 | 8013201260 | ALPINE MEDICAL GROUP |
| Organization Legal Name | ALPINE MEDICAL GROUP |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wanda S Updike | Infectious Disease | Alpine Medical Group | 1060 E100 S, L10, Salt Lake City, UT 84102-1553 |
| Evan H Christensen | Certified Registered Nurse Anesthetist | Alpine Medical Group | 1050 E S Temple St, Salt Lake City, UT 84102-1507 |
| William R Smith | Certified Registered Nurse Anesthetist (crna) | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Clyn A Robinson | Anesthesiology | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Julie A Roberts-morris | Anesthesiology | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Fawad A Tanvir | Infectious Disease | Alpine Medical Group | 1060 E 100, Suite L10, Salt Lake City, UT 84102-1553 |
| John Caplette | Certified Registered Nurse Anesthetist (crna) | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Shane R Taufer | Anesthesiology | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Yong Hui H Ahn | Internal Medicine | Alpine Medical Group | 1060 E 100, Suite L10, Salt Lake City, UT 84102-1553 |
| Ben J Howard | Anesthesiology | Alpine Medical Group | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Street Address |
1060 E 100 SUITE L10 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84102-1553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Blake Johnson | Urology | Granger Medical Clinic Inc | 1060 E 100, Suite 110, Salt Lake City, UT 84102-1591 |
| Fawad A Tanvir | Infectious Disease | Alpine Medical Group | 1060 E 100, Suite L10, Salt Lake City, UT 84102-1553 |
| Yong Hui H Ahn | Internal Medicine | Alpine Medical Group | 1060 E 100, Suite L10, Salt Lake City, UT 84102-1553 |
| Ryan W Wilkes | Psychologist, Clinical | 1060 E 100, Suite 100, Salt Lake City, UT 84102-1582 | |
| Valerie K Lambert | Clinical Social Worker | 1060 E 100, Suite 202, Salt Lake City, UT 84102-4306 | |
| Michael Darwin Killpack | Internal Medicine | Alpine Medical Group | 1060 E 100, Suite L10, Salt Lake City, UT 84102-1553 |
| Amy L Fehlberg | Psychologist, Clinical | 1060 E 100, Suite 100, Salt Lake City, UT 84102-1582 | |
| Bradley James Waterman | Urology | Granger Medical Clinic Inc | 1060 E 100, Suite 110, Salt Lake City, UT 84102-1591 |
| Nicholas G Hanson | Family Medicine | Alpine Medical Group | 1060 E 100, Suite L10, Salt Lake City, UT 84102-1553 |
| Beth Chapman Hanlon | Internal Medicine | Alpine Medical Group | 1060 E 100, Suite L10, Salt Lake City, UT 84102-1553 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy N De La Garza | Family Medicine | 77 S 700, Suite 220, Salt Lake City, UT 84102-1162 | |
| Charles Ty Nuttall | Clinical Social Worker | 699 E S Temple, Suite 300, Salt Lake City, UT 84102-1186 | |
| 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 |
| Find all physicians in zip 84102 | |||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SALT LAKE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mara L Rabin.
| 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.