Danielle K Pendergrass


Address: 77 S 600, Suite B, Price, UT 84501-3174

Danielle K Pendergrass (NPI# 1225257819, PAC ID# 9931249356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1225257819
PAC ID by PECOS 9931249356
Professional Enrollment ID I20150901000523
Full Name Danielle K Pendergrass
Address 77 S 600
Suite B
Price
UT 84501-3174
Gender F
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460011 CASTLEVIEW HOSPITAL

Other Locations

Address Phone Organization
77 S 600, Suite B, Price, UT 84501-3174

Organization Information

Office Location

Street Address 77 S 600
SUITE B
City PRICE
State UT
Zip 84501-3174

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Judy O Saccomanno Optometry Southeastern Utah Eye Clinic PC 54 E 100, Price, UT 84501-2404
Mason Geral Livingston Optometry Southeastern Utah Eye Clinic PC 54 E 100, Price, UT 84501-2404
Chaz Davis Nurse Practitioner Castleview Physician Practice, LLC 317 E 100, Price, UT 84501-2504
Michael J Terry Physical Therapy Prorehab Physical Therapy 590 E 100, Suite 1, Price, UT 84501-2600
Kirk R Player Physical Therapy Prorehab Physical Therapy 590 E 100 N, Suite 1, Price, UT 84501-2600
Matthew F Brady Family Medicine Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
Michael David Clark Nurse Practitioner Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
Timothy Adam Callahan Physician Assistant Castleview Physician Practice, LLC 590 E 100, Price, UT 84501-2600
David Kenneth Mcomber Nurse Practitioner 590 E 100, Suite 6, Price, UT 84501-2600
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Competitor

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City PRICE
Zip Code 84501
Specialty NURSE PRACTITIONER
City + Specialty PRICE + NURSE PRACTITIONER

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Dataset Information

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.

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