Marc T Nuttall (NPI# 1144497322, PAC ID# 1951451160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1144497322 |
| PAC ID by PECOS | 1951451160 |
| Professional Enrollment ID | I20090610000136 |
| Full Name | Marc T Nuttall |
| Organization Legal Name | CENTRAL UTAH CLINIC P C |
| Address |
96 E Kimballs Ln Suite 305 Draper UT 84020-5021 |
| Phone Number | 8016555670 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 7517868508 |
| Number of Group Practice Members | 333 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460001 | UTAH VALLEY HOSPITAL |
| 460011 | CASTLEVIEW HOSPITAL |
| 460023 | AMERICAN FORK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 96 E Kimballs Ln, Suite 305, Draper, UT 84020-5021 | 8016555670 | CENTRAL UTAH CLINIC P C |
| 1055 N 500, Provo, UT 84604-3305 | 8014298000 | CENTRAL UTAH CLINIC P C |
| Organization Legal Name | CENTRAL UTAH CLINIC P C |
| Physicians | 327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameran Rachelle Wilson | Nurse Practitioner | Central Utah Clinic P C | 5896 S Ridgeline Dr, Suite B, South Ogden, UT 84405-4928 |
| Brandon Houtz Rawlings | Qualified Audiologist | Central Utah Clinic P C | 1175 E 50, Suite 211, American Fork, UT 84003-2845 |
| Vanessa May Dexter | Nurse Practitioner | Central Utah Clinic P C | 1152 E 200, American Fork, UT 84003-2004 |
| Arlene Johnston | Nurse Practitioner | Central Utah Clinic P C | 97 Professional Way, Suite 2, Payson, UT 84651-1680 |
| Drake Scott Mason | Nurse Practitioner | Central Utah Clinic P C | 568 S Main St, Monroe, UT 84754-4400 |
| Debra Ann Ledingham | Nurse Practitioner | Central Utah Clinic P C | 1886 W 800, Pleasant Grove, UT 84062-4097 |
| Evangeline K Lindorf | Nurse Practitioner | Central Utah Clinic P C | 159 N 400, Suite B 8, Orem, UT 84057-1909 |
| Nicholas Paul Wittwer | Physician Assistant | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
| Ekaete Sunday Udodong | Nurse Practitioner | Central Utah Clinic P C | 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005-5531 |
| Scott David Peterson | Family Medicine | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
| Street Address |
96 E KIMBALLS LN SUITE 305 |
| City | DRAPER |
| State | UT |
| Zip | 84020-5021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Giovanniello | Physical Medicine and Rehabilitation | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Connor H Anderl | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Jed T Widdison | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Jeffrey William Groves | Neurology | Central Utah Clinic P C | 96 E Kimballs Ln, Suite 307, Draper, UT 84020-5021 |
| Angela M Krull | Physical Medicine and Rehabilitation | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Ted J Morris | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Gregory R Brockbank | Podiatry | 96 E Kimballs Ln, Suite 407, Draper, UT 84020-5021 | |
| Scott Adelman | Physical Medicine and Rehabilitation | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Snigdha Ancha | Pain Management | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Todd W Johnson | Anesthesiology | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Find all physicians in the same address | |||
| 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 | HEMATOLOGY/ONCOLOGY |
| City + Specialty | DRAPER + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Marc T Nuttall.
| 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.