Terri L Dejohn (NPI# 1598734386, PAC ID# 9830167717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UNDERSEA AND HYPERBARIC MEDICINE.
| Nation Provider ID (NPI) | 1598734386 |
| PAC ID by PECOS | 9830167717 |
| Professional Enrollment ID | I20040919000003 |
| Full Name | Terri L Dejohn |
| Organization Legal Name | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Address |
520 E Medical Dr 110 Utah Ctr for Wound Healing and Hyperbaric Medicine Bountiful UT 84010-8931 |
| Phone Number | 8013970890 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | UNDERSEA AND HYPERBARIC MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4284548116 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460042 | LAKEVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 520 E Medical Dr, 110 Utah Ctr for Wound Healing and Hyperbaric Medicine, Bountiful, UT 84010-8931 | 8013970890 | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| 540 S Arapeen Dr, Suite 110, Salt Lake City, UT 84108-1258 | 8015824268 | PHYSICIAN GROUP OF UTAH INC |
| Organization Legal Name | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dallas T Koperski | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 Hospital Way, Whitefish, MT 59937-7849 |
| Bradley Cris Cowley | Emergency Medicine | Emergency Physicians Integrated Care LLC | 2055 N Main, Mountain West Medical Center, Tooele, UT 84074-9819 |
| Mark Christensen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Ronald Rogers | Emergency Medicine | Emergency Physicians Integrated Care LLC | 950 S 500, Brigham City, UT 84302-4724 |
| Chase D Bailey | Nurse Practitioner | Emergency Physicians Integrated Care LLC | 3451 W 5600, Roy, UT 84067-9112 |
| Raymond William Allen | Nurse Practitioner | Emergency Physicians Integrated Care LLC | 5475 S 500, Ogden, UT 84405-6905 |
| Tammy K Park | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Darren Brockie | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 Hospital Way, Whitefish, MT 59937-7849 |
| Quinn M Weber | Emergency Medicine | Emergency Physicians Integrated Care LLC | 3580 W 9000, West Jordan, UT 84088-8812 |
| John A Silverman | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Street Address |
520 E MEDICAL DR 110 UTAH CTR FOR WOUND HEALING AND HYPERBARIC MEDICINE |
| City | BOUNTIFUL |
| State | UT |
| Zip | 84010-8931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd E Daynes | Ophthalmology | 520 E Medical Dr, Suite 201, Bountiful, UT 84010-8930 | |
| Jennifer Lynn Ross | Undersea and Hyperbaric Medicine | Emergency Physicians Integrated Care LLC | 520 E Medical Dr, 110 Utah Ctr for Wound Healing and Hyperbaric Medicine, Bountiful, UT 84010-8931 |
| Michael M Hess | Orthopedic Surgery | Emergency Physicians Integrated Care, LLC | 520 E Medical Dr, 110 Utah Ctr for Wound Healing and Hyperbaric Medicine, Bountiful, UT 84010-8931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Samuel Wilson | Family Medicine | 1217 E 1650, Bountiful, UT 84010-1586 | |
| Nancy N Pantziris | Psychiatry | 535 E 500, Suite 6, Bountiful, UT 84010-3876 | |
| Ronald K Honey | Occupational Therapy | 2280 S 750, Bountiful, UT 84010-4216 | |
| Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Amanda A Ward | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Mark E Christian | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jason Clark Gubler | Physical Therapy | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| David Cope | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jennifer Crafton | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Sandra M Robinson | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Bountiful, UT 84010-4801 |
| Find all physicians in zip 84010 | |||
| City | BOUNTIFUL |
| Zip Code | 84010 |
| Specialty | UNDERSEA AND HYPERBARIC MEDICINE |
| City + Specialty | BOUNTIFUL + UNDERSEA AND HYPERBARIC MEDICINE |
Please comment or provide details below to improve the information on Terri L Dejohn.
| 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.