Barbara E Smith-holmen
MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC


Address: 4465 S 900 E, Suite 200, Salt Lake City, UT 84124-2456
Phone: 8012662777

Barbara E Smith-holmen (NPI# 1568665784, PAC ID# 9234030222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1568665784
PAC ID by PECOS 9234030222
Professional Enrollment ID I20040113000810
Full Name Barbara E Smith-holmen
Organization Legal Name MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC
Address 4465 S 900 E
Suite 200
Salt Lake City
UT 84124-2456
Phone Number 8012662777
Gender F
Credential NP
Graduation Year 1992
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1557443322
Number of Group Practice Members 19
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460060 LONE PEAK HOSPITAL
460010 INTERMOUNTAIN MEDICAL CENTER
460047 ST MARK'S HOSPITAL

Other Locations

Address Phone Organization
4465 S 900 E, Suite 200, Salt Lake City, UT 84124-2456 8012662777 MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Bari M King Nurse Practitioner Mountainstar Medical Group-st. Marks Hospital, LLC 3580 W 9000, Jordan Valley Medical Center, West Jordan, UT 84088-8812

Office Location

Street Address 4465 S 900 E
SUITE 200
City SALT LAKE CITY
State UT
Zip 84124-2456

Physicians in the same location

Name Specialty Organization Address
Todd N Schauers Physician Assistant Mountainstar Medical Group-st. Marks Hospital LLC 4465 S 900 E, Suite 200, Salt Lake City, UT 84124-2456
Amelia Maass Nurse Practitioner Mountainstar Medical Group-st. Marks Hospital LLC 4465 S 900 E, Suite 200, Salt Lake City, UT 84124-2456
Joni W Hougaard Family Medicine Mountainstar Medical Group-st. Marks Hospital LLC 4465 S 900 E, Suite 200, Salt Lake City, UT 84124-2456
Lisa Western Nurse Practitioner Mountainstar Medical Group-st. Marks Hospital LLC 4465 S 900 E, Suite 200, Salt Lake City, UT 84124-2456
Shaun T Gundersen Nurse Practitioner Mountainstar Medical Group-st. Marks Hospital LLC 4465 S 900 E, Suite 200, Salt Lake City, UT 84124-2456

Physicians in the same zip code

Name Specialty Organization Address
Melisa S Steele Nurse Practitioner Granger Medical Clinic Inc 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200
Jan B Bernhisel-broadbent Allergy/immunology Granger Medical Clinic Inc 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200
Nathan Grant Adams Maxillofacial Surgery Oral and Facial Reconstructive Surgeons of Utah LLC 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213
Michael A Gladwell Maxillofacial Surgery Oral and Facial Reconstructive Surgeons of Utah LLC 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213
Sarah Elaine Kaihau Nurse Practitioner Valley Mental Health Incorporated 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215
Timothy Champlin Clinical Social Worker Valley Mental Health Incorporated 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215
Mina Gohari Family Medicine St Marks Physician Billing LLC 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224
Cynthia J Lawlor Family Medicine St Marks Physician Billing LLC 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224
Rebecca H Moore Nephrology St Marks Physician Billing LLC 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224
Danesh Rahimi Internal Medicine St Marks Physician Billing LLC 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224
Find all physicians in zip 84124

Competitor

Search similar physicians

City SALT LAKE CITY
Zip Code 84124
Specialty NURSE PRACTITIONER
City + Specialty SALT LAKE CITY + NURSE PRACTITIONER

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Dataset Information

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.

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