Jennifer A. Knepper (NPI# 1437196144, PAC ID# 5799740361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1437196144 |
PAC ID by PECOS | 5799740361 |
Professional Enrollment ID | I20150930000633 |
Full Name | Jennifer A. Knepper |
Organization Legal Name | STAT MD LLC |
Address |
7724 S 5600 Suite 102 West Jordan West Jordan UT 84081-5414 |
Phone Number | 4356040160 |
Gender | F |
Credential | MD |
Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 7719295716 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1784 W Uinta Way, E2, Park City, UT 84098-7669 | 4356040160 | STAT MD LLC |
7724 S 5600, Suite 102 West Jordan, West Jordan, UT 84081-5414 | 4356040160 | STAT MD LLC |
Organization Legal Name | STAT MD LLC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brandie Blood Rudy | Nurse Practitioner | Stat Md LLC | 7724 S 5600, Suite 102 West Jordan, West Jordan, UT 84081-5414 |
Kevin Bryan J Huntington | Physician Assistant | Stat Md LLC | 1784 W Uinta Way, E2, Park City, UT 84098-7669 |
Allison E Mayzel | Physician Assistant | Stat Md LLC | 1784 W Uinta Way, E2, Park City, UT 84098-7669 |
Monica L Hull | Physician Assistant | Stat Md LLC | 1784 W Uinta Way, E2, Park City, UT 84098-7669 |
Street Address |
7724 S 5600 SUITE 102 WEST JORDAN |
City | WEST JORDAN |
State | UT |
Zip | 84081-5414 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brandie Blood Rudy | Nurse Practitioner | Stat Md LLC | 7724 S 5600, Suite 102 West Jordan, West Jordan, UT 84081-5414 |
City | WEST JORDAN |
Zip Code | 84081 |
Specialty | INTERNAL MEDICINE |
City + Specialty | WEST JORDAN + INTERNAL MEDICINE |
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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.