Jackie A Fonua (NPI# 1336227206, PAC ID# 3779597489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1336227206 |
| PAC ID by PECOS | 3779597489 |
| Professional Enrollment ID | I20060202000186 |
| Full Name | Jackie A Fonua |
| Organization Legal Name | HUNTER MEDICAL CENTER INC |
| Address |
3354 W 7800 West Jordan UT 84088-4506 |
| Phone Number | 8012822677 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678461951 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460047 | ST MARK'S HOSPITAL |
| 460058 | RIVERTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3354 W 7800, West Jordan, UT 84088-4506 | 8012822677 | HUNTER MEDICAL CENTER INC |
| 3534 S 6000, West Valley, UT 84128-2610 | 8019696264 | HUNTER MEDICAL CENTER INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 75% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 17% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 87% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 73% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 4% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 75% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 52% | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | HUNTER MEDICAL CENTER INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn E Davis | Nurse Practitioner | Hunter Medical Center Inc | 3534 S 6000, West Valley, UT 84128-2610 |
| Elyse E Lake | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Frederic M Civish | Family Medicine | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Michelle M Dahle | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| John T Nielsen | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Andrew Decker | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Stacy Ann Parry | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Steven W Larsen | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Kurt M Bockoven | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Street Address |
3354 W 7800 |
| City | WEST JORDAN |
| State | UT |
| Zip | 84088-4506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elyse E Lake | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Frederic M Civish | Family Medicine | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Michelle M Dahle | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| John T Nielsen | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Andrew Decker | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Stacy Ann Parry | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Steven W Larsen | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Kurt M Bockoven | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier Eduardo Chavez | Obstetrics/gynecology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Leo Berkenbile | Emergency Medicine | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Ryan Leonard | Otolaryngology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Brandon Allen | Family Medicine | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Edwin W Aldous | Otolaryngology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Jon Aaron Christensen | Chiropractic | 3075 W 7800, West Jordan, UT 84088-2802 | |
| David R Hillam | Family Medicine | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| Jenny Louise Mckay | Nurse Practitioner | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| William J Walsh | Internal Medicine | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| Bryan D Gordon | Chiropractic | 2618 W 7800, Suite 200, West Jordan, UT 84088-4213 | |
| Find all physicians in zip 84088 | |||
| City | WEST JORDAN |
| Zip Code | 84088 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WEST JORDAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jackie A Fonua.
| 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.