Jacob Brian Sanderson (NPI# 1265094742, PAC ID# 3971834441) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265094742 |
| PAC ID by PECOS | 3971834441 |
| Professional Enrollment ID | I20191015000287 |
| Full Name | Jacob Brian Sanderson |
| Organization Legal Name | ROCKY MOUNTAIN EMERGENCY SPECIALISTS LLC |
| Address |
1400 N 500 Emergency Department Logan UT 84341-2455 |
| Phone Number | 4357161000 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5597662320 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1400 N 500, Emergency Department, Logan, UT 84341-2455 | 4357161000 | ROCKY MOUNTAIN EMERGENCY SPECIALISTS LLC |
| Organization Legal Name | ROCKY MOUNTAIN EMERGENCY SPECIALISTS LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dallon L Jones | Emergency Medicine | Rocky Mountain Emergency Specialists LLC | 1400 N 500, Emergency Department, Logan, UT 84341-2455 |
| Jonathan Seth Bingham | Emergency Medicine | Rocky Mountain Emergency Specialists LLC | 1400 N 500, Emergency Department, Logan, UT 84341-2455 |
| David A Reese | Emergency Medicine | Rocky Mountain Emergency Specialists LLC | 1400 N 500, Emergency Department, Logan, UT 84341-2455 |
| Street Address |
1400 N 500 EMERGENCY DEPARTMENT |
| City | LOGAN |
| State | UT |
| Zip | 84341-2455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elisabeth A Ferlic | Urology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Steven G Nail | Emergency Medicine | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| John G Bitwinski | Diagnostic Radiology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Steven Ronald Wheelwright | Obstetrics/gynecology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Kimberly Dawn Mcculloch | Gynecological Oncology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Daniel J Parker | Diagnostic Radiology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Kristin F Craig | Obstetrics/gynecology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Clair Richard Hopkins | Diagnostic Radiology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Douglas Paul Plowman | Emergency Medicine | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Keith Wesley Kent | Nurse Practitioner | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny E Spencer | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Roger M Moczygemba | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Robert P Young | Dermatology | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Heather B Allred | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Angela K Cronin | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Scott Eric Macdonald | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Christopher J Morgan | Nurse Practitioner | 2150 N Main St, Suite 10, North Logan, UT 84341-1740 | |
| Charles R Acevedo | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Jason Christiansen | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Ryan J Perry | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Find all physicians in zip 84341 | |||
| City | LOGAN |
| Zip Code | 84341 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOGAN + NURSE PRACTITIONER |
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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.