Kevin F Wilson (NPI# 1780701003, PAC ID# 9032233432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1780701003 |
| PAC ID by PECOS | 9032233432 |
| Professional Enrollment ID | I20100907000636 |
| Full Name | Kevin F Wilson |
| Organization Legal Name | ENT PROFESSIONAL ASSOCIATION SERVICES |
| Address |
4000 S 700 Suite 10 Salt Lake City UT 84107-2580 |
| Phone Number | 8012684141 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 8921053349 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460060 | LONE PEAK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 | 8012684141 | ENT PROFESSIONAL ASSOCIATION SERVICES |
| Organization Legal Name | ENT PROFESSIONAL ASSOCIATION SERVICES |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy J Stevenson | Physician Assistant | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Lyndsie Thompson | Physician Assistant | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Kristin G Goeller | Physician Assistant | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| David K Palmer | Otolaryngology | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Matthew Brady | Physical Therapy | Ent Professional Association Services | 5770 S 250, Suite 415, Murray, UT 84107-8172 |
| Amanda J Dunn | Physician Assistant | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Randal W Swenson | Otolaryngology | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Justin D Gull | Otolaryngology | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Jennifer Johnson | Physician Assistant | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Street Address |
4000 S 700 SUITE 10 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84107-2580 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy J Stevenson | Physician Assistant | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Diana Elaine Ballard | Clinical Social Worker | Compass Counseling and Consulting | 4000 S 700, Suite 9, Salt Lake City, UT 84107-2581 |
| Lyndsie Thompson | Physician Assistant | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Kristin G Goeller | Physician Assistant | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| David K Palmer | Otolaryngology | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Amanda J Dunn | Physician Assistant | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Randal W Swenson | Otolaryngology | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Marissa Sarhadi | Nurse Practitioner | Compass Counseling and Consulting | 4000 S 700, Suite 9, Salt Lake City, UT 84107-2581 |
| Samuel Grey Walter | Clinical Social Worker | Compass Counseling and Consulting | 4000 S 700, Suite 9, Salt Lake City, UT 84107-2581 |
| Justin D Gull | Otolaryngology | Ent Professional Association Services | 4000 S 700, Suite 10, Salt Lake City, UT 84107-2580 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy B Carter | Optometry | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Darcy H Wolsey | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Zachary J Zavodni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Cionni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Kristin O Chapman | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Matejka | Anesthesiology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Bruce F Gladwell | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Laura J Springhetti | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Sally J Brush | Nurse Practitioner | 888 E 3900, Salt Lake City, UT 84107-2151 | |
| Alireza Falahati-nini | Endocrinology | Utah Endocrinology Associates Pllc | 470 E 3900, Suite 200, Salt Lake City, UT 84107-2332 |
| Find all physicians in zip 84107 | |||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SALT LAKE CITY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Kevin F Wilson.
| 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.