Shay Holley (NPI# 1255392213, PAC ID# 6406870625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1255392213 |
| PAC ID by PECOS | 6406870625 |
| Professional Enrollment ID | I20060113000955 |
| Full Name | Shay Holley |
| Organization Legal Name | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Address |
2380 N 400 North Logan UT 84341-6000 |
| Phone Number | 4357139700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4284548116 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| 131313 | TETON VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2380 N 400, North Logan, UT 84341-6000 | 4357139700 | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Organization Legal Name | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dallas T Koperski | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 Hospital Way, Whitefish, MT 59937-7849 |
| Bradley Cris Cowley | Emergency Medicine | Emergency Physicians Integrated Care LLC | 2055 N Main, Mountain West Medical Center, Tooele, UT 84074-9819 |
| Mark Christensen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Ronald Rogers | Emergency Medicine | Emergency Physicians Integrated Care LLC | 950 S 500, Brigham City, UT 84302-4724 |
| Chase D Bailey | Nurse Practitioner | Emergency Physicians Integrated Care LLC | 3451 W 5600, Roy, UT 84067-9112 |
| Raymond William Allen | Nurse Practitioner | Emergency Physicians Integrated Care LLC | 5475 S 500, Ogden, UT 84405-6905 |
| Tammy K Park | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Darren Brockie | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 Hospital Way, Whitefish, MT 59937-7849 |
| Quinn M Weber | Emergency Medicine | Emergency Physicians Integrated Care LLC | 3580 W 9000, West Jordan, UT 84088-8812 |
| John A Silverman | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Street Address |
2380 N 400 |
| City | NORTH LOGAN |
| State | UT |
| Zip | 84341-6000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Welter | Family Medicine | Mountainstar Medical Group-cache Valley LLC | 2380 N 400, Suite A, North Logan, UT 84341-1756 |
| Ashley A Crum | Emergency Medicine | Emergency Physicians Integrated Care LLC | 2380 N 400, North Logan, UT 84341-6000 |
| John Robert Meyers | Emergency Medicine | Emergency Physicians Integrated Care LLC | 2380 N 400, North Logan, UT 84341-6000 |
| Karen Lynn Taylor-fawcett | Nurse Practitioner | Santibanez Aguirre PC | 2380 N 400, North Logan, UT 84341-6000 |
| Nathalia Homolka Williams | Nurse Practitioner | Santibanez Aguirre PC | 2380 N 400, North Logan, UT 84341-6000 |
| Mark Traveller Hansen | General Surgery | Mountainstar Medical Group-cache Valley LLC | 2380 N 400, Suite A, North Logan, UT 84341-1756 |
| Nathan R Bertoldo | Obstetrics/gynecology | Mountainstar Medical Group-cache Valley LLC | 2380 N 400, North Logan, UT 84321 |
| Alexander Stephen Swan | Emergency Medicine | Emergency Physicians Integrated Care LLC | 2380 N 400, North Logan, UT 84341-6000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny E Spencer | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Roger M Moczygemba | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Robert P Young | Dermatology | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Heather B Allred | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Angela K Cronin | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Scott Eric Macdonald | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Christopher J Morgan | Nurse Practitioner | 2150 N Main St, Suite 10, North Logan, UT 84341-1740 | |
| Charles R Acevedo | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Jason Christiansen | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Ryan J Perry | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Find all physicians in zip 84341 | |||
| City | NORTH LOGAN |
| Zip Code | 84341 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NORTH LOGAN + EMERGENCY 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.