Drew H Van Boerum (NPI# 1710925631, PAC ID# 9638078553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1710925631 |
| PAC ID by PECOS | 9638078553 |
| Professional Enrollment ID | I20040108000579 |
| Full Name | Drew H Van Boerum |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
5121 S Cottonwood St Imed Multidisciplinary Murray UT 84107-5701 |
| Phone Number | 8014088998 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460049 | THE ORTHOPEDIC SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5121 S Cottonwood St, Imed Multidisciplinary, Murray, UT 84107-5701 | 8014088998 | IHC HEALTH SERVICES INC |
| 5848 S Fashion Blvd, Suite 110, Salt Lake City, UT 84107-6175 | 8013144188 | ORTHOPEDIC SPECIALTY CLINIC LC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
5121 S COTTONWOOD ST IMED MULTIDISCIPLINARY |
| City | MURRAY |
| State | UT |
| Zip | 84107-5701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica Jane Colvin | Emergency Medicine | Ihc Health Services Inc | 5121 S Cottonwood St, Imc Radiology, Murray, UT 84107-5701 |
| James Forrest Orme Jr. | Critical Care (intensivists) | Ihc Health Services Inc | 5121 S Cottonwood St, Intermountain Medical Ctr Phys Group, Murray, UT 84107-5701 |
| Mark John Ott | General Surgery | Ihc Health Services Inc | 5121 S Cottonwood St, Murray, UT 84107-5701 |
| Kyle A Gardner | Emergency Medicine | Ihc Health Services Inc | 5121 S Cottonwood St, Intermountain Medical Ctr Phys Group, Murray, UT 84107-5701 |
| James Battey Stinson | Nephrology | Ihc Health Services Inc | 5121 S Cottonwood St, Murray, UT 84107-5701 |
| Sunny Pandita | Pulmonary Disease | Ihc Health Services Inc | 5121 S Cottonwood St, Murray, UT 84107-5701 |
| Ryan L Thueson | Physician Assistant | Ihc Health Services Inc | 5121 S Cottonwood St, Murray, UT 84107-5701 |
| Jorge Arturo Delgadillo | Nurse Practitioner | Ihc Health Services Inc | 5121 S Cottonwood St, Murray, UT 84107-5701 |
| Jonathan S Shakespear | Diagnostic Radiology | Ihc Health Services Inc | 5121 S Cottonwood St, Imed Pulmonary Division, Murray, UT 84107-5701 |
| Cory W Taylor | Hospice/palliative Care | Ihc Health Services Inc | 5121 S Cottonwood St, Murray, UT 84107-5701 |
| 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 | MURRAY |
| Zip Code | 84107 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MURRAY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Drew H Van Boerum.
| 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.