David R Dedrickson (NPI# 1144222779, PAC ID# 6406813757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1144222779 |
| PAC ID by PECOS | 6406813757 |
| Professional Enrollment ID | I20041217000627 |
| Full Name | David R Dedrickson |
| Organization Legal Name | UTAH IMAGING ASSOCIATES INC |
| Address |
630 Medical Dr Lakeview Hospital Boutiful UT 84010-4908 |
| Phone Number | 8012992200 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1355394537 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| 460042 | LAKEVIEW HOSPITAL |
| 460047 | ST MARK'S HOSPITAL |
| 460060 | LONE PEAK HOSPITAL |
| 461302 | MOAB REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 | 8012992200 | UTAH IMAGING ASSOCIATES INC |
| 450 Williams Way, Moab, UT 84532-2065 | 4352597191 | UTAH IMAGING ASSOCIATES INC |
| 2055 N Main St, Tooele, UT 84074-9819 | 4358433630 | OQUIRRH RADIOLOGY ASSOCIATES LLC |
| Organization Legal Name | UTAH IMAGING ASSOCIATES INC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cole J Panushka | Diagnostic Radiology | Utah Imaging Associates Inc | 380 N 200 W, Suite 209, Bountiful, UT 84010-7075 |
| Christopher J Parr | Diagnostic Radiology | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 |
| Richard F Kennard | Diagnostic Radiology | Utah Imaging Associates Inc | 3725 W 4100, Granger Medical Clinic, West Valley City, UT 84120-5530 |
| Jose Perez Tamayo | Diagnostic Radiology | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 |
| Jason Anthony Kirkham | Diagnostic Radiology | Utah Imaging Associates Inc | 380 N 200 W, Suite 209, Bountiful, UT 84010-7075 |
| Margaret Kathleen Kincaid | Diagnostic Radiology | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 |
| Gregory G Patch | Diagnostic Radiology | Utah Imaging Associates Inc | 380 N 200 W, Suite 209, Bountiful, UT 84010-7075 |
| Trenton M Wright | Diagnostic Radiology | Utah Imaging Associates Inc | 380 N 200 W, Suite 209, Bountiful, UT 84010-7075 |
| Jonathan P Naatz | Diagnostic Radiology | Utah Imaging Associates Inc | 380 N 200 W, Suite 209, Bountiful, UT 84010-7075 |
| Treesa Ryan | Physician Assistant | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 |
| Street Address |
630 MEDICAL DR LAKEVIEW HOSPITAL |
| City | BOUTIFUL |
| State | UT |
| Zip | 84010-4908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Phillip Pendleton | Psychiatry | Mountainstar Behavioral Health LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Christopher J Parr | Diagnostic Radiology | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 |
| Anthony C Faber | Anesthesiology | Western Anesthesia Associates LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Jose Perez Tamayo | Diagnostic Radiology | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 |
| Jeffry K Kupfer | Certified Registered Nurse Anesthetist (crna) | Western Anesthesia Associates LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| William T Sadler | Internal Medicine | Lakeview Professional Billing LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| David Smith | Hospitalist | Santibanez Aguirre PC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| E Wayne Larsen | Anesthesiology | Western Anesthesia Associates LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Chad A Vanginkel | Emergency Medicine | Emergency Physicians Integrated Care LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Margaret Kathleen Kincaid | Diagnostic Radiology | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Samuel Wilson | Family Medicine | 1217 E 1650, Bountiful, UT 84010-1586 | |
| Nancy N Pantziris | Psychiatry | 535 E 500, Suite 6, Bountiful, UT 84010-3876 | |
| Ronald K Honey | Occupational Therapy | 2280 S 750, Bountiful, UT 84010-4216 | |
| Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Amanda A Ward | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Mark E Christian | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jason Clark Gubler | Physical Therapy | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| David Cope | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jennifer Crafton | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Sandra M Robinson | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Bountiful, UT 84010-4801 |
| Find all physicians in zip 84010 | |||
| City | BOUTIFUL |
| Zip Code | 84010 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BOUTIFUL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on David R Dedrickson.
| 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.