Martha P Mandujano (NPI# 1356446215, PAC ID# 1456361278) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1356446215 |
| PAC ID by PECOS | 1456361278 |
| Professional Enrollment ID | I20060425000009 |
| Full Name | Martha P Mandujano |
| Organization Legal Name | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Address |
555 Foothill Dr Salt Lake City UT 84112-1106 |
| Phone Number | 8015818000 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739403569 |
| Number of Group Practice Members | 185 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 8015818000 | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Organization Legal Name | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Physicians | 187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Pestotnik | Internal Medicine | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Rebecca Lynn Currier Curran | Family Medicine | University of Utah Community Physicians Group | 1138 Wilmington Ave, University Sugarhouse Family Health, Salt Lake City, UT 84106-2819 |
| Rebecca C Abbey | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Amanda Madrid | Physician Assistant | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Wei Ting Chao | Physician Assistant | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Jocelyn Decker | Nurse Practitioner | University of Utah Community Physicians Group | 1525 W 2100, Salt Lake City, UT 84119-1401 |
| Kyle B Hilton | Physician Assistant | University of Utah Community Physicians Group | 145 W University Pkwy, Uuhc Parkway Center, Orem, UT 84058-7316 |
| Ryan T Rushton | Podiatry | University of Utah Community Physicians Group | 7495 S State St, Midvale, UT 84047-2013 |
| David G Owen | Family Medicine | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Hugh M Stoneburner | Internal Medicine | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Street Address |
555 FOOTHILL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84112-1106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wei Ting Chao | Physician Assistant | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Susan D Pohl | Family Medicine | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Michael Incze | Internal Medicine | University of Utah Adult Services | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Kristin Hueftle | Geriatric Medicine | University of Utah Adult Services | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Wagma Mohmand | Physician Assistant | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Julie O King | Certified Nurse Midwife (cnm) | University of Utah Adult Services | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Sara Samtoma Kaplan | Physician Assistant | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Carey A Wilson | Pediatric Medicine | University of Utah Pediatric Services | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Matthew James Mulligan | Internal Medicine | University of Utah Adult Services | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Lori M Gawron | Obstetrics/gynecology | University of Utah Adult Services | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda Charlet | Registered Dietitian Or Nutrition Professional | Dialysis Program Physicians University of Utah | 85 Medical Dr, Salt Lake City, UT 84112-1100 |
| Michael C Flynn | Internal Medicine | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| David A Kaplan | Internal Medicine | University of Utah Adult Services | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Ghaida Al-barzinji | Physician Assistant | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Courtney C Maclean | Obstetrics/gynecology | University of Utah Adult Services | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Jordan M Knox | Family Medicine | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Thomas T Jones | Physician Assistant | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Rachel D Kroencke | Internal Medicine | University of Utah Adult Services | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Janene P. Fontaine | Nurse Practitioner | University of Utah Adult Services | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Richard L Backman | Family Medicine | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Find all physicians in zip 84112 | |||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SALT LAKE CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Martha P Mandujano.
| 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.