Donna Mathis
SHANE D GAGON MD, PC


Address: 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211
Phone: 4356132200

Donna Mathis (NPI# 1467454413, PAC ID# 4082528294) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1467454413
PAC ID by PECOS 4082528294
Professional Enrollment ID I20031112000776
Full Name Donna Mathis
Organization Legal Name SHANE D GAGON MD, PC
Address 377 No Fairgrounds Rd
Gagon Family Practice
Price
UT 84501-4211
Phone Number 4356132200
Gender F
Credential NP
Graduation Year 1998
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9335236868
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460011 CASTLEVIEW HOSPITAL

Other Locations

Address Phone Organization
377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211 4356132200 SHANE D GAGON MD, PC

Organization Information

Organization Legal Name SHANE D GAGON MD, PC
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Daniel C Monahan Internal Medicine Shane D Gagon Md, PC 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211
Tiffany Brook Noyes Nurse Practitioner Shane D Gagon Md, PC 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211
Shane D Gagon Family Medicine Shane D Gagon Md, PC 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211
Max G Morgan Family Practice Shane D Gagon Md, PC 377 No Fairgrounds Rd, Price, UT 84501-4211

Office Location

Street Address 377 NO FAIRGROUNDS RD
GAGON FAMILY PRACTICE
City PRICE
State UT
Zip 84501-4211

Physicians in the same location

Name Specialty Organization Address
Daniel C Monahan Internal Medicine Shane D Gagon Md, PC 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211
Tiffany Brook Noyes Nurse Practitioner Shane D Gagon Md, PC 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211
Shane D Gagon Family Medicine Shane D Gagon Md, PC 377 No Fairgrounds Rd, Gagon Family Practice, Price, UT 84501-4211
Max G Morgan Family Practice Shane D Gagon Md, PC 377 No Fairgrounds Rd, Price, UT 84501-4211

Physicians in the same zip code

Name Specialty Organization Address
Cori Dawn Callahan Optometry Southeastern Utah Eye Clinic PC 54 E 100, Price, UT 84501-2404
Judy O Saccomanno Optometry Southeastern Utah Eye Clinic PC 54 E 100, Price, UT 84501-2404
Mason Geral Livingston Optometry Southeastern Utah Eye Clinic PC 54 E 100, Price, UT 84501-2404
Chaz Davis Nurse Practitioner Castleview Physician Practice, LLC 317 E 100, Price, UT 84501-2504
Michael J Terry Physical Therapy Prorehab Physical Therapy 590 E 100, Suite 1, Price, UT 84501-2600
Kirk R Player Physical Therapy Prorehab Physical Therapy 590 E 100 N, Suite 1, Price, UT 84501-2600
Matthew F Brady Family Medicine Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
Michael David Clark Nurse Practitioner Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
Timothy Adam Callahan Physician Assistant Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
David Kenneth Mcomber Nurse Practitioner 590 E 100, Suite 6, Price, UT 84501-2600
Find all physicians in zip 84501

Competitor

Search similar physicians

City PRICE
Zip Code 84501
Specialty NURSE PRACTITIONER
City + Specialty PRICE + NURSE PRACTITIONER

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Dataset Information

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.

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