Nichole Cuddeback (NPI# 1124350137, PAC ID# 9830227743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1124350137 |
PAC ID by PECOS | 9830227743 |
Professional Enrollment ID | I20161014001154 |
Full Name | Nichole Cuddeback |
Organization Legal Name | UTAH ANESTHESIA, LLC |
Address |
1393 E Sego Lily Dr Suite 3 Sandy UT 84092-4350 |
Phone Number | 8014955725 |
Gender | F |
Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
Graduation Year | 2009 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 4486993862 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460005 | OGDEN REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
5475 S 500, Ogden, UT 84405-6905 | 8014792111 | ROCKY MOUNTAIN ANESTHESIOLOGY PC |
1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 | 8014955725 | UTAH ANESTHESIA, LLC |
Organization Legal Name | UTAH ANESTHESIA, LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cheryl L Howard | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
Jacob M Hunsaker | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
Shane E Stockwell | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
Angela L Salerno | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
James R Harned | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
Amy C Lemmon | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
Street Address |
1393 E SEGO LILY DR SUITE 3 |
City | SANDY |
State | UT |
Zip | 84092-4350 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert Kyle Barnett | Gastroenterology | Granite Peaks Gi, LLC | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 |
Cheryl L Howard | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
Jacob M Hunsaker | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
Shane E Stockwell | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
Angela L Salerno | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
James R Harned | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
Amy C Lemmon | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
Todd L Randolph | Pathology | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andre Crouch | Emergency Medicine | Ihc Health Services Inc | Hwy 210 Little, Cottonwood Canyon, Snowbird, UT 84092 |
Tricia Petzold | Family Practice | Ihc Health Services Inc | Hwy 210 Little Cottonwood Canyon, Snowbird Clinic, Snowbird, UT 84092 |
Ellen H Guthrie | Internal Medicine | Ihc Health Services Inc | Hwy 210 Little, Cottonwood Canyon, Snowbird, UT 84092 |
Michael B Noyes | Emergency Medicine | Ihc Health Services Inc | Hwy 210 Little, Cottonwood Canyon, Snowbird, UT 84092 |
Kimberly J Davis | Family Practice | 10237 S Dimple Dell Rd, Sandy, UT 84092-4536 | |
Kenneth Michael Jorgensen | Emergency Medicine | Ihc Health Services Inc | 9385 S Snowbird Ctr Dr, Snowbird, UT 84092-6249 |
Kenneth P Libre | Emergency Medicine | 10160 E State Hwy 210, Suite 1, Alta, UT 84092-9509 |
City | SANDY |
Zip Code | 84092 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | SANDY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Nichole Cuddeback.
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.