Shannon Liz Tilly (NPI# 1093767196, PAC ID# 2668474404) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1093767196 |
| PAC ID by PECOS | 2668474404 |
| Professional Enrollment ID | I20070208000131 |
| Full Name | Shannon Liz Tilly |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
2000 S 900 Salt Lake City UT 84105-3208 |
| Phone Number | 8014647500 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2000 S 900, Salt Lake City, UT 84105-3208 | 8014647500 | IHC HEALTH SERVICES INC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
2000 S 900 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84105-3208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Westermann | Internal Medicine | Ihc Health Services Inc | 2000 S 900, Salt Lake City, UT 84105-3208 |
| Rachelle Jelosek | Nurse Practitioner | Ihc Health Services Inc | 2000 S 900, Salt Lake City, UT 84105-3208 |
| David P Hill | Otolaryngology | Ihc Health Services Inc | 2000 S 900, Salt Lake City, UT 84105-3208 |
| Park Weed Willis V | Family Medicine | Ihc Health Services Inc | 2000 S 900, Salt Lake City, UT 84105-3208 |
| Sarah Marie Aldridge | Nurse Practitioner | Ihc Health Services Inc | 2000 S 900, Salt Lake City, UT 84105-3208 |
| Bernard J Liang | Internal Medicine | Ihc Health Services Inc | 2000 S 900, Salt Lake City, UT 84105-3208 |
| Steven Richard Granger | General Surgery | Ihc Health Services Inc | 2000 S 900, Salt Lake City, UT 84105-3208 |
| William Daines | Internal Medicine | Ihc Health Services Inc | 2000 S 900, Salt Lake City, UT 84105-3208 |
| Mary D Burton | Pediatric Medicine | Ihc Health Services Inc | 2000 S 900, Salt Lake City, UT 84105-3208 |
| Michelle Theresa Pahl | Internal Medicine | Ihc Health Services Inc | 2000 S 900, Salt Lake City, UT 84105-3208 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kay Coco | Clinical Social Worker | 1054 E 900, Salt Lake City, UT 84105-1433 | |
| Candace E Lowry | Clinical Social Worker | 1054 E 900, Salt Lake City, UT 84105-1433 | |
| Robert G Barth | Clinical Social Worker | 1131 E 900, Salt Lake City, UT 84105-1526 | |
| Douglas Bryan Bunker | Psychologist, Clinical | 1008 S 1300, Salt Lake City, UT 84105-1548 | |
| Angela Dawn Canada | Chiropractic | 1473 S, 600e, Salt Lake City, UT 84105-2062 | |
| Agueda Skinner | Clinical Social Worker | 1399 S 700 E, 12c, Salt Lake City, UT 84105-2149 | |
| Paula L Maloof | Clinical Social Worker | 1399 S 700 E, Suite 17, Salt Lake City, UT 84105-2171 | |
| Shawnee S Haws | Physical Therapy | Pinnacle Performance II Inc | 1515 S 1100, Salt Lake City, UT 84105-2424 |
| Jennifer P Divis | Physical Therapy | Pinnacle Performance II Inc | 1515 S 1100, Salt Lake City, UT 84105-2424 |
| Tessa F Hale | Physical Therapy | Pinnacle Performance II Inc | 1515 S 1100, Salt Lake City, UT 84105-2424 |
| Find all physicians in zip 84105 | |||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SALT LAKE CITY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Shannon Liz Tilly.
| 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.