Glenn T Etzel (NPI# 1083727408, PAC ID# 9032154547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1083727408 |
PAC ID by PECOS | 9032154547 |
Professional Enrollment ID | I20050624000814 |
Full Name | Glenn T Etzel |
Organization Legal Name | CASTLEVIEW PHYSICIAN PRACTICE, LLC |
Address |
300 N Hospital Dr Price UT 84501-4218 |
Phone Number | 4356374800 |
Gender | M |
Credential | MD |
Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1980 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 6305995598 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460011 | CASTLEVIEW HOSPITAL |
460001 | UTAH VALLEY HOSPITAL |
Address | Phone | Organization |
---|---|---|
230 N Hospital Dr, Suite 5, Price, UT 84501-4222 | 4356379545 | CENTRAL UTAH CLINIC P C |
300 N Hospital Dr, Price, UT 84501-4218 | 4356374800 | CASTLEVIEW PHYSICIAN PRACTICE, LLC |
Organization Legal Name | CASTLEVIEW PHYSICIAN PRACTICE, LLC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chaz Davis | Nurse Practitioner | Castleview Physician Practice, LLC | 317 E 100, Price, UT 84501-2504 |
Brian J Griffeth | Podiatry | Castleview Physician Practice, LLC | 250 N Fairgrounds Rd, Suite 3, Price, UT 84501-4201 |
Matthew F Brady | Family Medicine | Castleview Physician Practice, LLC | 590 E 100, Price, UT 84501-2600 |
Michael David Clark | Nurse Practitioner | Castleview Physician Practice, LLC | 590 E 100, Price, UT 84501-2600 |
Timothy Adam Callahan | Physician Assistant | Castleview Physician Practice, LLC | 590 E 100, Price, UT 84501-2600 |
Kelly D Jensen | Orthopedic Surgery | Castleview Physician Practice, LLC | 280 N Hospital Dr, Suite 3, Price, UT 84501-4211 |
Erik M Lyman | Otolaryngology | Castleview Physician Practice, LLC | 280 N Hospital Dr, Price, UT 84501-4211 |
Paul A Thayn | Internal Medicine | Castleview Physician Practice, LLC | 945 W Hospital Dr, Suite 4, Price, UT 84501-4230 |
Dannette H Moynier | Clinical Social Worker | Castleview Physician Practice, LLC | 945 W Hospital Dr, Suite 4, Price, UT 84501-4230 |
Kyle K Jeffery | General Surgery | Castleview Physician Practice, LLC | 945 W Hospital Dr, Suite 3, Price, UT 84501-4230 |
Street Address |
300 N HOSPITAL DR |
City | PRICE |
State | UT |
Zip | 84501-4218 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark S Asay | Diagnostic Radiology | Utah Valley Radiology Associates Inc | 300 N Hospital Dr, Castleview Hospital, Price, UT 84501-4218 |
Travis Engar | Family Medicine | 300 N Hospital Dr, Price, UT 84501-4218 | |
Roy C. Hammond | Diagnostic Radiology | Utah Valley Radiology Associates Inc | 300 N Hospital Dr, Castleview Hospital, Price, UT 84501-4218 |
Matthew Mcnairy | Diagnostic Radiology | Utah Valley Radiology Associates Inc | 300 N Hospital Dr, Castleview Hospital, Price, UT 84501-4218 |
Darin H Latimer | Anesthesiology | Pinnacle Anesthesia Associates, LLC | 300 N Hospital Dr, Castleview Hospital, Price, UT 84501-4200 |
Stephen Brown | Diagnostic Radiology | Utah Valley Radiology Associates Inc | 300 N Hospital Dr, Castleview Hospital, Price, UT 84501-4218 |
David Cottam | Diagnostic Radiology | Utah Valley Radiology Associates Inc | 300 N Hospital Dr, Castleview Hospital, Price, UT 84501-4218 |
Kurtis Kendell | Diagnostic Radiology | Utah Valley Radiology Associates Inc | 300 N Hospital Dr, Castleview Hospital, Price, UT 84501-4218 |
Whitney Hansen | Emergency Medicine | 300 N Hospital Dr, Price, UT 84501-4218 | |
Gary Halversen | Diagnostic Radiology | Utah Valley Radiology Associates Inc | 300 N Hospital Dr, Castleview Hospital, Price, UT 84501-4218 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Cori Dawn Callahan | Optometry | Southeastern Utah Eye Clinic PC | 54 E 100, Price, UT 84501-2404 |
Judy O Saccomanno | Optometry | Southeastern Utah Eye Clinic PC | 54 E 100, Price, UT 84501-2404 |
Mason Geral Livingston | Optometry | Southeastern Utah Eye Clinic PC | 54 E 100, Price, UT 84501-2404 |
Chaz Davis | Nurse Practitioner | Castleview Physician Practice, LLC | 317 E 100, Price, UT 84501-2504 |
Michael J Terry | Physical Therapy | Prorehab Physical Therapy | 590 E 100, Suite 1, Price, UT 84501-2600 |
Kirk R Player | Physical Therapy | Prorehab Physical Therapy | 590 E 100 N, Suite 1, Price, UT 84501-2600 |
Matthew F Brady | Family Medicine | Castleview Physician Practice, LLC | 590 E 100, Price, UT 84501-2600 |
Michael David Clark | Nurse Practitioner | Castleview Physician Practice, LLC | 590 E 100, Price, UT 84501-2600 |
Timothy Adam Callahan | Physician Assistant | Castleview Physician Practice, LLC | 590 E 100, Price, UT 84501-2600 |
David Kenneth Mcomber | Nurse Practitioner | 590 E 100, Suite 6, Price, UT 84501-2600 | |
Find all physicians in zip 84501 |
City | PRICE |
Zip Code | 84501 |
Specialty | FAMILY MEDICINE |
City + Specialty | PRICE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Glenn T Etzel.
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.