Michael T Giovanniello (NPI# 1285604462, PAC ID# 5597654269) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1285604462 |
| PAC ID by PECOS | 5597654269 |
| Professional Enrollment ID | I20040311000732 |
| Full Name | Michael T Giovanniello |
| Organization Legal Name | EVERGREEN MEDICAL INC |
| Address |
96 E Kimballs Ln Suite 408 Draper UT 84020-5020 |
| Phone Number | 8016767627 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | PAIN MANAGEMENT, SPORTS MEDICINE |
| Group Practice PAC ID | 7719889138 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460060 | LONE PEAK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 | 8016767627 | EVERGREEN MEDICAL INC |
| Organization Legal Name | EVERGREEN MEDICAL INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Krull | Physical Medicine and Rehabilitation | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Scott Adelman | Physical Medicine and Rehabilitation | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Snigdha Ancha | Pain Management | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Street Address |
96 E KIMBALLS LN SUITE 408 |
| City | DRAPER |
| State | UT |
| Zip | 84020-5020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc T Nuttall | Hematology/oncology | Central Utah Clinic P C | 96 E Kimballs Ln, Suite 305, Draper, UT 84020-5021 |
| Connor H Anderl | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Jed T Widdison | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Jeffrey William Groves | Neurology | Central Utah Clinic P C | 96 E Kimballs Ln, Suite 307, Draper, UT 84020-5021 |
| Angela M Krull | Physical Medicine and Rehabilitation | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Ted J Morris | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Gregory R Brockbank | Podiatry | 96 E Kimballs Ln, Suite 407, Draper, UT 84020-5021 | |
| Scott Adelman | Physical Medicine and Rehabilitation | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Snigdha Ancha | Pain Management | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Todd W Johnson | Anesthesiology | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Christensen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Matthew Broadwater-hollifield | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Azher M Merchant | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jeffrey L Hardin | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Laurie C Raborn | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jinghui Li | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Charles David Eller | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jeremy Voros | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jennifer F Robison | Psychologist, Clinical | 12481 S Fort St, Suite 275, Draper, UT 84020-2106 | |
| Matthew D Smith | Chiropractic | Elite Performance Health Center PC | 13552 S 110 W, Suite 204, Draper, UT 84020-2403 |
| Find all physicians in zip 84020 | |||
| City | DRAPER |
| Zip Code | 84020 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | DRAPER + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Michael T Giovanniello.
| 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.