Jason Holden Sr. (NPI# 1295071801, PAC ID# 3375778046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295071801 |
| PAC ID by PECOS | 3375778046 |
| Professional Enrollment ID | I20131105001182 |
| Full Name | Jason Holden Sr. |
| Organization Legal Name | ORTHOPEDIC SPECIALTY CLINIC LC |
| Address |
5848 S Fashion Blvd Suite 110 Salt Lake City UT 84107-6175 |
| Phone Number | 8013144188 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8527090729 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460049 | THE ORTHOPEDIC SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 | 8013144188 | ORTHOPEDIC SPECIALTY CLINIC LC |
| Organization Legal Name | ORTHOPEDIC SPECIALTY CLINIC LC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared C Dunn | Family Medicine | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Zachary W Terry | Physician Assistant | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| William Frederick Gowski | Orthopedic Surgery | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Michael C Holmstrom | Orthopedic Surgery | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Kavon S Rahimzadegan | Physician Assistant | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Bradley O Stevens | Physician Assistant | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Nathan G Momberger | Orthopedic Surgery | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Roy H Trawick | Orthopedic Surgery | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| James G Rowley | Physician Assistant | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| William Belot | Physician Assistant | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Street Address |
5848 S FASHION BLVD SUITE 110 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84107-6175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared C Dunn | Family Medicine | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Zachary W Terry | Physician Assistant | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| William Frederick Gowski | Orthopedic Surgery | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Michael C Holmstrom | Orthopedic Surgery | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Gary L Rasmussen | Orthopedic Surgery | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 | |
| Kavon S Rahimzadegan | Physician Assistant | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Bradley O Stevens | Physician Assistant | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Nathan G Momberger | Orthopedic Surgery | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Hugh Sloan West | Orthopedic Surgery | Ihc Health Services Inc | 5848 S Fashion Blvd, Murray, UT 84107-6157 |
| Roy H Trawick | Orthopedic Surgery | Orthopedic Specialty Clinic Lc | 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy B Carter | Optometry | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Darcy H Wolsey | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Zachary J Zavodni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Cionni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Kristin O Chapman | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Matejka | Anesthesiology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Bruce F Gladwell | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Laura J Springhetti | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Sally J Brush | Nurse Practitioner | 888 E 3900, Salt Lake City, UT 84107-2151 | |
| Alireza Falahati-nini | Endocrinology | Utah Endocrinology Associates Pllc | 470 E 3900, Suite 200, Salt Lake City, UT 84107-2332 |
| Find all physicians in zip 84107 | |||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SALT LAKE CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jason Holden Sr..
| 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.