Mark W Reilly (NPI# 1699799981, PAC ID# 3678529302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1699799981 |
| PAC ID by PECOS | 3678529302 |
| Professional Enrollment ID | I20050325000412 |
| Full Name | Mark W Reilly |
| Organization Legal Name | GAMMAWEST BRACHYTHERAPY, LLC |
| Address |
1490 E Foremaster Dr C St George UT 84790-4488 |
| Phone Number | 4357579104 |
| Gender | M |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 6800785510 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1490 E Foremaster Dr, St George, UT 84790-4488 | 8018520210 | GAMMAWEST BRACHYTHERAPY, LLC |
| 1490 E Foremaster Dr C, St George, UT 84790-4488 | 4357579104 | GAMMAWEST BRACHYTHERAPY, LLC |
| Organization Legal Name | GAMMAWEST BRACHYTHERAPY, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ray S Richards | Radiation Oncology | Gammawest Brachytherapy, LLC | 1308 E 900 S Unit B, St George, UT 84790-8520 |
| Robert Alan Harris | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
| Thomas B Skidmore | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
| John Keith Hayes Jr. | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
| Brandon J Fisher | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
| James W Clarke | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
| Daniel H Miller | Radiation Oncology | Gammawest Brachytherapy, LLC | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Roger S Hansen | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
| Ryan J Bair | Radiation Oncology | Gammawest Brachytherapy, LLC | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Street Address |
1490 E FOREMASTER DR C |
| City | ST GEORGE |
| State | UT |
| Zip | 84790-4488 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith S Sampson | Nurse Practitioner | Ihc Health Services Inc | 652 S Medical Ctr Dr, 320 Sw Neurololgy Assoc, St George, UT 84790 |
| Joseph Aaron Smith | Optometry | 599 S Mall Dr, Spc K1, St George, UT 84790-1258 | |
| Andrew P White | Chiropractic | 435 N 1680 E, 6 Innova Pain Clinic, St George, UT 84790-1448 | |
| Bruce C Solomon | Clinical Social Worker | 2298 E 200, St George, UT 84790-1603 | |
| Justin W Salmon | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Brian T Richey | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Torrence Brock Kesterson | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Joshua L Frame | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, Suite 100, St George, UT 84790-1764 |
| Jason C Swigert | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, St George, UT 84790-1764 |
| Grace J Paradela | Internal Medicine | Grace Paradela Md PC | 292 S 1470, Suite 200, St George, UT 84790-1764 |
| Find all physicians in zip 84790 | |||
| City | ST GEORGE |
| Zip Code | 84790 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | ST GEORGE + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Mark W Reilly.
| 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.