Jerald P Boseman (NPI# 1801807144, PAC ID# 6103844436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1801807144 |
| PAC ID by PECOS | 6103844436 |
| Professional Enrollment ID | I20051104000764 |
| Full Name | Jerald P Boseman |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF UTAH,L.L.C. |
| Address |
121 S Orem Blvd Suite 103 Orem UT 84058-3006 |
| Phone Number | 8012882634 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2769468065 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460001 | UTAH VALLEY HOSPITAL |
| 460023 | AMERICAN FORK HOSPITAL |
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460058 | RIVERTON HOSPITAL |
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 121 S Orem Blvd, Suite 103, Orem, UT 84058-3006 | 8012882634 | NEPHROLOGY ASSOCIATES OF UTAH,L.L.C. |
| 3702 S State St, Suite 107, S Salt Lake, UT 84115-5096 | 8012882634 | NEPHROLOGY ASSOCIATES OF UTAH,L.L.C. |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF UTAH,L.L.C. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy Jane Frey | Nurse Practitioner | Nephrology Associates of Utah,l.l.c. | 12523 S Creek Meadow Rd, Riverton, UT 84065-7291 |
| Dave Tien | Nephrology | Nephrology Associates of Utah,l.l.c. | 572 W 750, Bountiful, UT 84010-7265 |
| Kevin L Jansen | Nephrology | Nephrology Associates of Utah,l.l.c. | 3702 S State St, Suite 107, S Salt Lake, UT 84115-5096 |
| Donner Anne Schweitzer | Nurse Practitioner | Nephrology Associates of Utah,l.l.c. | 3702 S State St, Suite 107, S Salt Lake, UT 84115-5096 |
| Minerva A Dantis Tan | Nurse Practitioner | Nephrology Associates of Utah,l.l.c. | 572 W 750, Bountiful, UT 84010-7265 |
| Phyllis A Aseltine | Nurse Practitioner | Nephrology Associates of Utah,l.l.c. | 3702 S State St, Suite 107, S Salt Lake, UT 84115-5096 |
| Jeff Anthony Barklow | Nephrology | Nephrology Associates of Utah,l.l.c. | 572 W 750, Bountiful, UT 84010-7265 |
| Hasan Joseph Salameh | Nephrology | Nephrology Associates of Utah,l.l.c. | 572 W 750, Bountiful, UT 84010-7265 |
| Ruth Merry Indahyung | Nephrology | Nephrology Associates of Utah,l.l.c. | 572 W 750, Bountiful, UT 84010-7265 |
| Sey Mon Lau | Nephrology | Nephrology Associates of Utah,l.l.c. | 572 W 750, Bountiful, UT 84010-7265 |
| Street Address |
121 S OREM BLVD SUITE 103 |
| City | OREM |
| State | UT |
| Zip | 84058-3006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Miller | Physician Assistant | 257 S Orem Blvd, Orem, UT 84058-3009 | |
| Paul H Gurney | Chiropractic | 489 S Orem Blvd, Orem, UT 84058-3102 | |
| Christian K Hansen | Chiropractic | Corporate Chiropractic Inc | 218 E 800, Orem, UT 84058-5008 |
| Lee H Gunther | Chiropractic | Lee Hartman Gunther | 218 E 800, Orem, UT 84058-5008 |
| Kimball R Taylor | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 360 S State St, Suite 110, Orem, UT 84058-5729 |
| Mark H Peterson | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 360 S State St, Suite 110, Orem, UT 84058-5729 |
| Scott David Peterson | Family Medicine | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
| Rebekah Mae Griffin | Nurse Practitioner | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
| David Noel Peterson | Family Practice | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
| Antoine H Harris | Chiropractic | 382 E 720, Orem, UT 84058-6342 | |
| Find all physicians in zip 84058 | |||
| City | OREM |
| Zip Code | 84058 |
| Specialty | NEPHROLOGY |
| City + Specialty | OREM + NEPHROLOGY |
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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.