Jamie C Grange (NPI# 1528438140, PAC ID# 9436459856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1528438140 |
| PAC ID by PECOS | 9436459856 |
| Professional Enrollment ID | I20151207002532 |
| Full Name | Jamie C Grange |
| Organization Legal Name | GIBBONS WOOD AND BENNION, PC. |
| Address |
2380 N 400 E D North Logan UT 84341-1756 |
| Phone Number | 4357537880 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0547203945 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460054 | CACHE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2380 N 400 E D, North Logan, UT 84341-1756 | 4357537880 | GIBBONS WOOD AND BENNION, PC. |
| Organization Legal Name | GIBBONS WOOD AND BENNION, PC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gordon S Wood | Otolaryngology | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Zachary Robinett | Otolaryngology | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Jeffrey G Bennion | Otolaryngology | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Lindsay D Humes | Physician Assistant | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Spencer C Tietjen | Qualified Audiologist | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| James W Blotter | Otolaryngology | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Street Address |
2380 N 400 E D |
| City | NORTH LOGAN |
| State | UT |
| Zip | 84341-1756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gordon S Wood | Otolaryngology | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Zachary Robinett | Otolaryngology | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Jeffrey G Bennion | Otolaryngology | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Lindsay D Humes | Physician Assistant | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Spencer C Tietjen | Qualified Audiologist | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| James W Blotter | Otolaryngology | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny E Spencer | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Roger M Moczygemba | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Robert P Young | Dermatology | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Heather B Allred | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Angela K Cronin | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Scott Eric Macdonald | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Christopher J Morgan | Nurse Practitioner | 2150 N Main St, Suite 10, North Logan, UT 84341-1740 | |
| Charles R Acevedo | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Jason Christiansen | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Ryan J Perry | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Find all physicians in zip 84341 | |||
| City | NORTH LOGAN |
| Zip Code | 84341 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NORTH LOGAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jamie C Grange.
| 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.