Craig Alan Mcmanama (NPI# 1659430254, PAC ID# 9234218991) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1659430254 |
PAC ID by PECOS | 9234218991 |
Professional Enrollment ID | I20100728000180 |
Full Name | Craig Alan Mcmanama |
Address |
3465 S Pioneer Pkwy Suite 3 West Valley City UT 84120-2078 |
Gender | M |
Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
Graduation Year | 1978 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460051 | JORDAN VALLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3465 S Pioneer Pkwy, Suite 3, West Valley City, UT 84120-2078 |
Street Address |
3465 S PIONEER PKWY SUITE 3 |
City | WEST VALLEY CITY |
State | UT |
Zip | 84120-2078 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ray Morris Iii | Family Medicine | 3465 S Pioneer Pkwy, Suite 2, West Valley City, UT 84120-2082 | |
Jesse D Jensen | Dermatology | 3465 S Pioneer Pkwy, Suite 1, West Valley City, UT 84120-2077 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lawrence B Grandy | Family Medicine | After Hours Medical LLC | 3451 S 5600 W F, After Hours Medical West Valley Clinic, Salt Lake City, UT 84120-1301 |
Robert E Warrick | Family Practice | After Hours Medical LLC | 3451 S 5600 W F, After Hours Medical West Valley Clinic, Salt Lake City, UT 84120-1301 |
Carlos A Vasquez | Nurse Practitioner | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 204, West Valley City, UT 84120-2014 |
Ravinder S Ahluwalia | Internal Medicine | Santibanez Aguirre Slc PC | 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 |
Jason E Crook | Nurse Practitioner | Santibanez Aguirre Slc PC | 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 |
Rocky D Howell | Nurse Practitioner | Physician Group of Utah Inc | 3460 S Pioneer Pkwy, Suite 304, West Valley City, UT 84120-2049 |
Peter C Agy | Internal Medicine | Santibanez Aguirre Slc PC | 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 |
Gayle M Stewart | Obstetrics/gynecology | Physician Group of Utah Inc | 3460 S Pioneer Pkwy, West Valley, UT 84120-2049 |
Merwin D Rasmussen | Certified Registered Nurse Anesthetist | 3460 S Pioneer Pkwy, West Valley, UT 84120-2049 | |
Michelle M Sticka | Clinical Social Worker | Physician Group of Utah Inc | 3460 S Pioneer Pkwy, Pioneer Valley Hospital A Campus of Jordan Valley Medi, West Valley City, UT 84120-2049 |
Find all physicians in zip 84120 |
City | WEST VALLEY CITY |
Zip Code | 84120 |
Specialty | PODIATRY |
City + Specialty | WEST VALLEY CITY + PODIATRY |
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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.