Jacob Woodruff Daynes (NPI# 1528220753, PAC ID# 8325260003) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1528220753 |
| PAC ID by PECOS | 8325260003 |
| Professional Enrollment ID | I20141113000391 |
| Full Name | Jacob Woodruff Daynes |
| Organization Legal Name | TOOELE CLINIC CORP |
| Address |
2321 N 400 Suite 300 Tooele UT 84074-3440 |
| Phone Number | 4358339180 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6800700873 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460014 | MOUNTAIN WEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 196 E 2000, Tooele, UT 84074-9335 | TOOELE CLINIC CORP | |
| 2055 N Main St, Tooele, UT 84074-9819 | 4359433600 | TOOELE CLINIC CORP |
| 2321 N 400, Suite 300, Tooele, UT 84074-3440 | 4358339180 | TOOELE CLINIC CORP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | TOOELE CLINIC CORP |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassie Broadhead | Physician Assistant | Tooele Clinic Corp | 196 E 2000, Tooele, UT 84074-9335 |
| Blaine J Cashmore | General Surgery | Tooele Clinic Corp | 2321 N 400, Suite 300, Tooele, UT 84074-3440 |
| Curtis R Dustin | Nurse Practitioner | Tooele Clinic Corp | 576 E Hwy 138, Suite 400, Stansbury Park, UT 84074-4028 |
| Levi Bachler | Physician Assistant | Tooele Clinic Corp | 196 E 2000, Tooele, UT 84074-9335 |
| Catherine Carter | Nurse Practitioner | Tooele Clinic Corp | 2321 N 400, Suite 300, Tooele, UT 84074-3440 |
| Rebekah R Aldridge | Physician Assistant | Tooele Clinic Corp | 2321 N 400, Suite 300, Tooele, UT 84074-3440 |
| Megan M Shutts-karjola | Obstetrics/gynecology | Tooele Clinic Corp | 196 E 2000, Tooele, UT 84074-9335 |
| Alex Wade Childs | Physician Assistant | Tooele Clinic Corp | 2321 N 400, Suite 300, Tooele, UT 84074-3440 |
| Meena Mirdamadi | Obstetrics/gynecology | Tooele Clinic Corp | 196 E 2000, Suite 101, Tooele, UT 84074-9335 |
| Samara O Lazernick | Obstetrics/gynecology | Tooele Clinic Corp | 196 E 2000, Tooele, UT 84074-9335 |
| Street Address |
2321 N 400 SUITE 300 |
| City | TOOELE |
| State | UT |
| Zip | 84074-3440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blaine J Cashmore | General Surgery | Tooele Clinic Corp | 2321 N 400, Suite 300, Tooele, UT 84074-3440 |
| Catherine Carter | Nurse Practitioner | Tooele Clinic Corp | 2321 N 400, Suite 300, Tooele, UT 84074-3440 |
| Rebekah R Aldridge | Physician Assistant | Tooele Clinic Corp | 2321 N 400, Suite 300, Tooele, UT 84074-3440 |
| Alex Wade Childs | Physician Assistant | Tooele Clinic Corp | 2321 N 400, Suite 300, Tooele, UT 84074-3440 |
| Chad S Jarvis | Physician Assistant | Tooele Orthopedics and Sports Medicine Specialists | 2321 N 400, Suite 300, Tooele, UT 84074-3408 |
| John A Douglas | Orthopedic Surgery | Tooele Orthopedics and Sports Medicine Specialists | 2321 N 400, Suite 300, Tooele, UT 84074-3408 |
| Gary D Snook | Orthopedic Surgery | Tooele Clinic Corp | 2321 N 400, Suite 300, Tooele, UT 84074-3440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Pagnani | Physical Therapy | 6727n State Hwy 36 300, Stansbury Park, UT 84074 | |
| Jennifer B Littledike | Physician Assistant | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Patrick N Green | Family Medicine | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Rynthia G Crosbie | Nurse Practitioner | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Hilary S Seibert | Family Medicine | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| David K Morrill | Optometry | 102 W 1180, Suite 2, Tooele, UT 84074-1492 | |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Shelley R Treuhaft | Nurse Practitioner | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Charles Edward Holt | Family Medicine | 280 N Main St, Tooele, UT 84074-1650 | |
| Brand P Reynolds | Nurse Practitioner | 491 N Main St, Tooele, UT 84074-1654 | |
| Find all physicians in zip 84074 | |||
| City | TOOELE |
| Zip Code | 84074 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | TOOELE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jacob Woodruff Daynes.
| 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.