Phillip Edward Archibald (NPI# 1396103487, PAC ID# 1355671249) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1396103487 |
| PAC ID by PECOS | 1355671249 |
| Professional Enrollment ID | I20190918003277 |
| Full Name | Phillip Edward Archibald |
| Organization Legal Name | BEAR LAKE COMMUNITY HEALTH CENTER |
| Address |
1515 N 400 Suite 104 North Logan UT 84341-7595 |
| Phone Number | 4357556061 |
| Gender | M |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9032020037 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1515 N 400, Suite 104, North Logan, UT 84341-7595 | 4357556061 | BEAR LAKE COMMUNITY HEALTH CENTER |
| 1515 N 400, North Logan, UT 84341-7595 | 4357556061 | BEAR LAKE COMMUNITY HEALTH CENTER |
| Organization Legal Name | BEAR LAKE COMMUNITY HEALTH CENTER |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sydnie Hobbs | Nurse Practitioner | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
| Bryan D Whetton | Physician Assistant | Bear Lake Community Health Center | 5 W 200, Brigham City, UT 84302-2109 |
| Ryan M Carr | Physician Assistant | Bear Lake Community Health Center | 517 W 100, Suite 210, Providence, UT 84332-9826 |
| Kristin K Buys | Physician Assistant | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Glenn L. Robertson | Family Medicine | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
| James D Sutton | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Mina L Wayman | Nurse Practitioner | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
| Sarah Renee Eldredge | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Jenna B Pitman | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Tiffany Marie Redmond | Physician Assistant | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Street Address |
1515 N 400 SUITE 104 |
| City | NORTH LOGAN |
| State | UT |
| Zip | 84341-7595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin K Buys | Physician Assistant | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Tiffany Marie Redmond | Physician Assistant | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Florin R Nielsen Jr. | Obstetrics/gynecology | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Lisa A Fraleigh | Psychiatry | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| David J Ballingham | Physician Assistant | Bear Lake Community Health Center | 1515 N 400, North Logan, UT 84341-7595 |
| Andrea L Skates | Nurse Practitioner | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Natalie J Gibson | Nurse Practitioner | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Jeffery G Norman | Chiropractic | 1515 N 400, Suite 106, North Logan, UT 84341-7595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny E Spencer | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Roger M Moczygemba | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Robert P Young | Dermatology | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Heather B Allred | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Angela K Cronin | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Scott Eric Macdonald | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Christopher J Morgan | Nurse Practitioner | 2150 N Main St, Suite 10, North Logan, UT 84341-1740 | |
| Charles R Acevedo | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Jason Christiansen | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Ryan J Perry | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Find all physicians in zip 84341 | |||
| City | NORTH LOGAN |
| Zip Code | 84341 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | NORTH LOGAN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Phillip Edward Archibald.
| 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.