Roger P Stimpson (NPI# 1447661053, PAC ID# 3476858945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1447661053 |
PAC ID by PECOS | 3476858945 |
Professional Enrollment ID | I20190722003359 |
Full Name | Roger P Stimpson |
Organization Legal Name | PROVAS OF SALT LAKE LLC |
Address |
909 E 9400 Sandy UT 84094-5514 |
Phone Number | 8013864240 |
Gender | M |
Graduation Year | 2013 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 1850620303 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
460051 | JORDAN VALLEY MEDICAL CENTER |
460003 | SALT LAKE REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
5334 S Woodrow St, Suite 101, Murray, UT 84107-5838 | 8012628120 | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC |
909 E 9400, Sandy, UT 84094-5514 | 8013864240 | PROVAS OF SALT LAKE LLC |
Organization Legal Name | PROVAS OF SALT LAKE LLC |
Physicians | 1 |
Street Address |
909 E 9400 |
City | SANDY |
State | UT |
Zip | 84094-5514 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ehsan Hadjbian | Family Practice | 909 E 9400, Suite C, Sandy, UT 84094-5522 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Mark Koniuch | Physical Medicine and Rehabilitation | 8074 S 1300, Sandy, UT 84094-0743 | |
Maisa K Morris | Family Medicine | 8074 S 1300, Sandy, UT 84094-0743 | |
Morris N Lewis Jr. | Psychologist, Clinical | 8074 S 1300, Sandy, UT 84094-0743 | |
Joshua Joseph Minori | Physical Medicine and Rehabilitation | 8074 S 1300, Sandy, UT 84094-0743 | |
Eric Overton | Family Medicine | After Hours Medical LLC | 7998 S 1300, After Hours Medical Sandy Clinic, Sandy, UT 84094-0744 |
Bojan Jurosevic | Physical Therapy | 7940 S 1300, Sandy, UT 84094-0744 | |
Gretchen A Dennison | Nurse Practitioner | After Hours Medical LLC | 7998 S 1300, After Hours Medical Sandy Clinic, Sandy, UT 84094-0744 |
Jill Palmer | Speech Language Pathologist | Zenith Physical Therapy, Pllc | 7940 S 1300, Sandy, UT 84094-0744 |
Michael Edward Cobble | Family Medicine | 9355 S 1300, Sandy, UT 84094-3135 | |
Nathan T Eldredge | Chiropractic | 720 E New England Dr, Sandy, UT 84094-3590 | |
Find all physicians in zip 84094 |
City | SANDY |
Zip Code | 84094 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | SANDY + DIAGNOSTIC RADIOLOGY |
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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.