Peter C Daines (NPI# 1033169198, PAC ID# 7911980230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1033169198 |
| PAC ID by PECOS | 7911980230 |
| Professional Enrollment ID | I20110113000091 |
| Full Name | Peter C Daines |
| Organization Legal Name | INTERWEST ANESTHESIA ASSOCIATES LLC |
| Address |
274 N Main St Logan UT 84321-3915 |
| Phone Number | 4357531600 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 0042293359 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460015 | LOGAN REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 274 N Main St, Logan, UT 84321-3915 | 4357531600 | INTERWEST ANESTHESIA ASSOCIATES LLC |
| Organization Legal Name | INTERWEST ANESTHESIA ASSOCIATES LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody Mickelsen | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Jon R Robison | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Joshua Christiansen | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Richard B Palfreyman | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Steven J Weber | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Michael L Broadbent | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Wesley S Mortensen | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Shane T Gonzales | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Courtney R Skabelund | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Matthew A Clissold | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Street Address |
274 N MAIN ST |
| City | LOGAN |
| State | UT |
| Zip | 84321-3915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody Mickelsen | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Jon R Robison | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Joshua Christiansen | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Richard B Palfreyman | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Steven J Weber | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Michael L Broadbent | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Wesley S Mortensen | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Shane T Gonzales | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Courtney R Skabelund | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Matthew A Clissold | Anesthesiology | Interwest Anesthesia Associates LLC | 274 N Main St, Logan, UT 84321-3915 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan R Bertoldo | Obstetrics/gynecology | Mountainstar Medical Group-cache Valley LLC | 2380 N 400, North Logan, UT 84321 |
| Jeffrey J Pulley | Physician Assistant | Alpine Management and Consulting LLC | 55 E Golf Course Rd, Unit B, Logan, UT 84321-0001 |
| Sheridan L Peck | Occupational Therapy | Teamworks Therapy LLC | 642 N 1000, Suite 107, Logan, UT 84321-3140 |
| Todd P Campbell | Physical Therapy | Teamworks Therapy LLC | 642 N 1000, Suite 107, Logan, UT 84321-3140 |
| Michael C Mumford | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Andrew R Christensen | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Stephen K Severe | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Angela K Smith | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Jordan C Benson | Occupational Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Eric D Dutson | Speech Language Pathologist | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Find all physicians in zip 84321 | |||
| City | LOGAN |
| Zip Code | 84321 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LOGAN + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Peter C Daines.
| 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.