Keith W Elkins (NPI# 1679613475, PAC ID# 8224052808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1679613475 |
PAC ID by PECOS | 8224052808 |
Professional Enrollment ID | I20171222000552 |
Full Name | Keith W Elkins |
Organization Legal Name | MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER LLC |
Address |
166 N State St Suite 120 Morgan UT 84050-9919 |
Phone Number | 8018293426 |
Gender | M |
Credential | MD |
Graduation Year | 2004 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | ADDICTION MEDICINE, PREVENTATIVE MEDICINE |
Group Practice PAC ID | 0840356184 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460005 | OGDEN REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
166 N State St, Suite 120, Morgan, UT 84050-9919 | 8018293426 | MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER LLC |
Organization Legal Name | MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Terra L Rockenfield | Physician Assistant | Mountainstar Medical Group-ogden Regional Medical Center LLC | 166 N State St, Suite 120, Morgan, UT 84050-9919 |
Adam C Craner | Nurse Practitioner | Mountainstar Medical Group-ogden Regional Medical Center LLC | 1492 E Ridgeline Dr, Suite 1, Ogden, UT 84405-4103 |
Alan N Bybee | Physician Assistant | Mountainstar Medical Group-ogden Regional Medical Center LLC | 166 N State St, Suite 120, Morgan, UT 84050-9919 |
Kristie Ann Nelson Palfreyman | Nurse Practitioner | Mountainstar Medical Group-ogden Regional Medical Center LLC | 5405 S 500, Suite 100, Ogden, UT 84405-7428 |
Robert Mohr | Internal Medicine | Mountainstar Medical Group-ogden Regional Medical Center LLC | 5405 S 500, Suite 100, Ogden, UT 84405-7428 |
Nadya P Wayment | Family Practice | Mountainstar Medical Group-ogden Regional Medical Center LLC | 1492 E Ridgeline Dr, Suite 1, Ogden, UT 84405-4103 |
Street Address |
166 N STATE ST SUITE 120 |
City | MORGAN |
State | UT |
Zip | 84050-9919 |
Name | Specialty | Organization | Address |
---|---|---|---|
Terra L Rockenfield | Physician Assistant | Mountainstar Medical Group-ogden Regional Medical Center LLC | 166 N State St, Suite 120, Morgan, UT 84050-9919 |
Alan N Bybee | Physician Assistant | Mountainstar Medical Group-ogden Regional Medical Center LLC | 166 N State St, Suite 120, Morgan, UT 84050-9919 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Goodrich | Physical Therapy | 129 N Commercial St, Morgan, UT 84050-9570 | |
Melanie Muma | Nurse Practitioner | Gary F Holland Md PC | 5226 W Frontier Dr, Morgan, UT 84050-9734 |
Chelsea F Bauer | Nurse Practitioner | Gary F Holland Md PC | 5226 W Frontier Dr, Morgan, UT 84050-9734 |
Gary F Holland | Family Medicine | Gary F Holland Md PC | 5226 W Frontier Dr, Morgan, UT 84050-9734 |
Jennifer Marie Fox | Nurse Practitioner | Gary F Holland Md PC | 5226 W Frontier Dr, Morgan, UT 84050-9734 |
Amy Flynn | Geriatric Medicine | Gary F Holland Md PC | 5226 W Frontier Dr, Morgan, UT 84050-9734 |
Debra Vigil | Nurse Practitioner | Gary F Holland Md PC | 5226 W Frontier Dr, Morgan, UT 84050-9734 |
Paige Marie Kimball | Nurse Practitioner | Gary F Holland Md PC | 5226 W Frontier Dr, Morgan, UT 84050-9734 |
Kurtis Charles Hinderman | Nurse Practitioner | Gary F Holland Md PC | 5226 W Frontier Dr, Morgan, UT 84050-9734 |
Jacqueline Blakeley | Nurse Practitioner | Gary F Holland Md PC | 5226 W Frontier Dr, Morgan, UT 84050-9734 |
Find all physicians in zip 84050 |
City | MORGAN |
Zip Code | 84050 |
Specialty | FAMILY MEDICINE |
City + Specialty | MORGAN + FAMILY 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.