Mark W Hedelius (NPI# 1417428194, PAC ID# 3870831621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1417428194 |
| PAC ID by PECOS | 3870831621 |
| Professional Enrollment ID | I20190220003190 |
| Full Name | Mark W Hedelius |
| Organization Legal Name | ALPINE ANESTHESIA LLC |
| Address |
3000 N Triumph Blvd Lehi UT 84043-0001 |
| Phone Number | 8016366597 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0749501294 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3000 N Triumph Blvd, Lehi, UT 84043-0001 | 8016366597 | ALPINE ANESTHESIA LLC |
| Organization Legal Name | ALPINE ANESTHESIA LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Ambrose | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3831 Piper St, S110, Anchorage, AK 99508-4634 |
| Christian I Garaycochea | Anesthesiology | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Mark C Harris | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Janelle B Prescott | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Timothy I Macnair | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Joseph R Fitzgerald | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Christina A Logan | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3831 Piper St, S110, Anchorage, AK 99508-4634 |
| Pamela E Boyleston | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3831 Piper St, S110, Anchorage, AK 99508-4634 |
| Catherine G Rawson | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Sonia L Klonoski | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Street Address |
3000 N TRIUMPH BLVD |
| City | LEHI |
| State | UT |
| Zip | 84043-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Benjamin Ward | Physician Assistant | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| James M Stewart | Internal Medicine | Granite Peaks Gi, LLC | 3000 N Triumph Blvd, Suite 250, Lehi, UT 84043-4999 |
| Christian I Garaycochea | Anesthesiology | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Amy S Mullins | Qualified Speech Language Pathologist | Jensen Therapy Associates Inc | 3000 N Triumph Blvd, Suite 310, Lehi, UT 84043-4999 |
| Jill Hodgson | Qualified Speech Language Pathologist | Jensen Therapy Associates Inc | 3000 N Triumph Blvd, Suite 310, Lehi, UT 84043-4999 |
| Mark C Harris | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Marlan Len Hansen | Internal Medicine | Santibanez Aguirre Slc PC | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Brandon C Green | Interventional Pain Management | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Kendall A Grose | Anesthesiology | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Rebecca Mackintosh | Nurse Practitioner | Physician Group of Utah Inc | 3000 N Triumph Blvd, Suite 110, Lehi, UT 84043-4999 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janelle B Prescott | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Timothy I Macnair | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Joseph R Fitzgerald | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Catherine G Rawson | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Sonia L Klonoski | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| James Silver Coy | Family Medicine | Ihc Health Services Inc | 354 W State St, Suite 73, Saratoga Springs, UT 84043-1119 |
| Kamal Chand Tottempudi | Family Medicine | Ihc Health Services Inc | 354 W State St, Suite 73, Saratoga Springs, UT 84043-1119 |
| Amy Ruth Hawks | Nurse Practitioner | Ihc Health Services Inc | 354 W State St, Suite 73, Saratoga Springs, UT 84043-1119 |
| Robert F Gray | Optometry | 75 W State St, Suite A, Lehi, UT 84043-1546 | |
| Derek R Pond | Physical Therapy | 394 W Main St, Suite 102, Lehi, UT 84043-2075 | |
| Find all physicians in zip 84043 | |||
| City | LEHI |
| Zip Code | 84043 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LEHI + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Mark W Hedelius.
| 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.