Adam Phillip Pendleton (NPI# 1013350982, PAC ID# 8224330113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1013350982 |
| PAC ID by PECOS | 8224330113 |
| Professional Enrollment ID | I20181030000055 |
| Full Name | Adam Phillip Pendleton |
| Organization Legal Name | MOUNTAINSTAR BEHAVIORAL HEALTH LLC |
| Address |
630 Medical Dr Bountiful UT 84010-4908 |
| Phone Number | 8012993781 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1052558186 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 630 Medical Dr, Bountiful, UT 84010-4908 | 8012993781 | MOUNTAINSTAR BEHAVIORAL HEALTH LLC |
| Organization Legal Name | MOUNTAINSTAR BEHAVIORAL HEALTH LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Lee | Psychiatry | Mountainstar Behavioral Health LLC | 1000 E 100, Mountainview Behavioral Health LLC, Payson, UT 84651-1600 |
| Janice M Trump | Nurse Practitioner | Mountainstar Behavioral Health LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Anthony M Petersen | Psychiatry | Mountainstar Behavioral Health LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Trent K Suggs | Psychiatry | Mountainstar Behavioral Health LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Scott David Daniels | Psychiatry | Mountainstar Behavioral Health LLC | 1000 E 100, Mountainview Behavioral Health LLC, Payson, UT 84651-1600 |
| Amber Nicole Mackey Wilson | Psychiatry | Mountainstar Behavioral Health LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Joe C Culbertson | Psychiatry | Mountainstar Behavioral Health LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Heidee Lund | Psychiatry | Mountainstar Behavioral Health LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Matthew J Gardiner | Psychiatry | Mountainstar Behavioral Health LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Street Address |
630 MEDICAL DR |
| City | BOUNTIFUL |
| State | UT |
| Zip | 84010-4908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| David R Dedrickson | Diagnostic Radiology | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, 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 | BOUNTIFUL |
| Zip Code | 84010 |
| Specialty | PSYCHIATRY |
| City + Specialty | BOUNTIFUL + PSYCHIATRY |
Please comment or provide details below to improve the information on Adam Phillip Pendleton.
| 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.