Seth Browning Wallace (NPI# 1245441971, PAC ID# 5799878567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SLEEP MEDICINE.
| Nation Provider ID (NPI) | 1245441971 |
| PAC ID by PECOS | 5799878567 |
| Professional Enrollment ID | I20070910000938 |
| Full Name | Seth Browning Wallace |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
1915 W 5950 Roy UT 84067-1454 |
| Phone Number | 8013878100 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | SLEEP MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460015 | LOGAN REGIONAL HOSPITAL |
| 460061 |
| Address | Phone | Organization |
|---|---|---|
| 1350 N 500, Logan, UT 84341-2400 | 4357161770 | IHC HEALTH SERVICES INC |
| 1915 W 5950, Roy, UT 84067-1454 | 8013878100 | IHC HEALTH SERVICES INC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
1915 W 5950 |
| City | ROY |
| State | UT |
| Zip | 84067-1454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Haleigh Van Eerden Emerson | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Jared Hiatt | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Isaac Samuel Sparks | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Archana Subbiah | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Robert Calvin Westbrook | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Mikio Obayashi | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Brandon Wintle | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carly Noel Adams | Physical Therapy | Wasatch Therapy Inc | 1967 W 5700, Roy, UT 84067-2303 |
| Chad J Tenney | Physical Therapy | Utah Physical Therapy, Inc. | 2150 W 4700, Roy, UT 84067-2664 |
| Kevin Austin Hanni | Physical Therapy | Utah Physical Therapy, Inc. | 2150 W 4700, Roy, UT 84067-2664 |
| Stacy Rencher | Optometry | 4896 S 1900, Roy, UT 84067-2994 | |
| Karen A Kraftick | Chiropractic | 1778 W 5150, Roy, UT 84067-3059 | |
| Richard P Amon | Chiropractic | 3996 S 1900, Roy, UT 84067-3111 | |
| Jeffery W Child | Chiropractic | 1920 W 5200 S, Suite 5, Roy, UT 84067-3471 | |
| Joshua C Brown | Physical Therapy | Rock Run Physical Therapy and Rehab Specialists LLC | 5991 S 3500, Suite 300, Roy, UT 84067-6702 |
| Brandon M Hepner | Physical Therapy | Rock Run Physical Therapy and Rehab Specialists LLC | 5991 S 3500, Suite 300, Roy, UT 84067-6702 |
| Brenda Kay Hogge | Physical Therapy | Rock Run Physical Therapy and Rehab Specialists LLC | 5991 S 3500, Suite 300, Roy, UT 84067-6702 |
| Find all physicians in zip 84067 | |||
| City | ROY |
| Zip Code | 84067 |
| Specialty | SLEEP MEDICINE |
| City + Specialty | ROY + SLEEP MEDICINE |
Please comment or provide details below to improve the information on Seth Browning Wallace.
| 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.