Jeffrey Sparenborg (NPI# 1104182476, PAC ID# 2769753482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1104182476 |
| PAC ID by PECOS | 2769753482 |
| Professional Enrollment ID | I20170728003250 |
| Full Name | Jeffrey Sparenborg |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
1157 N 300 Suite 301 Provo UT 84604-6124 |
| Phone Number | 8013577009 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460001 | UTAH VALLEY HOSPITAL |
| 460023 | AMERICAN FORK HOSPITAL |
| 460026 | SEVIER VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1157 N 300, Suite 301, Provo, UT 84604-6124 | 8013577009 | 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 |
1157 N 300 SUITE 301 |
| City | PROVO |
| State | UT |
| Zip | 84604-6124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claire A Gross | Sports Medicine | Ihc Health Services Inc | 1157 N 300, Provo, UT 84604-6124 |
| Wendy A Johnson | Nurse Practitioner | Ihc Health Services Inc | 1157 N 300, Provo, UT 84604-6124 |
| Eric Randy Robinson | Sports Medicine | Ihc Health Services Inc | 1157 N 300, Provo, UT 84604-6124 |
| Joseph Fair | Psychologist, Clinical | Ihc Health Services Inc | 1157 N 300, Provo, UT 84604-6124 |
| Mitchell K Pratte | Family Medicine | Ihc Health Services Inc | 1157 N 300, Provo, UT 84604-6124 |
| Robert Mendenhall | Psychiatry | Ihc Health Services Inc | 1157 N 300, Suite 301, Provo, UT 84604-6124 |
| Anthony Ivan Beutler | Family Medicine | Ihc Health Services Inc | 1157 N 300, Provo, UT 84604-6124 |
| Christopher R Gordon | Sports Medicine | Ihc Health Services Inc | 1157 N 300, Provo, UT 84604-6124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan T Rich | Medical Oncology | Utah Cancer Specialists PC | 395 W Bulldog Blvd, Suite 103, Provo, UT 84604 |
| James G Theurer | Ophthalmology | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
| Todd B Engen | Ophthalmology | 1735 N State St, Suite 201, Provo, UT 84604-1010 | |
| Dell C Morris | Optometry | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
| William S Lohner | Ophthalmology | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
| Jared T Clegg | Podiatry | Utah Podiatry Group, P.C. | 1973 N State St, Provo, UT 84604-1012 |
| Stephanie Wilson | Physician Assistant | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
| Shelly L Savage | Family Medicine | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
| Natalie K Thompson | Nurse Practitioner | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
| Shelley Day | Nurse Practitioner | Aaron Robinson Do Pllc | 1900 N State St, Provo, UT 84604-1305 |
| Find all physicians in zip 84604 | |||
| City | PROVO |
| Zip Code | 84604 |
| Specialty | UROLOGY |
| City + Specialty | PROVO + UROLOGY |
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| 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.