Matthew Wayne Jarvis (NPI# 1366964728, PAC ID# 0345510954) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366964728 |
| PAC ID by PECOS | 0345510954 |
| Professional Enrollment ID | I20170713003612 |
| Full Name | Matthew Wayne Jarvis |
| Organization Legal Name | ST MARKS PHYSICIAN BILLING LLC |
| Address |
1250 E 3900 S 30 St Marks Interventional Pain Center Salt Lake City UT 84124-1354 |
| Phone Number | 8012687725 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6103061072 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460047 | ST MARK'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1250 E 3900 S, 30 St Marks Interventional Pain Center, Salt Lake City, UT 84124-1354 | 8012687725 | ST MARKS PHYSICIAN BILLING LLC |
| Organization Legal Name | ST MARKS PHYSICIAN BILLING LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mina Gohari | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Cynthia J Lawlor | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Rebecca H Moore | Nephrology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Danesh Rahimi | Internal Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Richard L Glines | Anesthesiology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Richard J Herold | Internal Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Street Address |
1250 E 3900 S 30 ST MARKS INTERVENTIONAL PAIN CENTER |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84124-1354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelo G Chachas | General Surgery | Mountainstar Specialty Services LLC | 1250 E 3900 S, Suite 460, Salt Lake City, UT 84124-1349 |
| Blair Honeyman Monell | Physician Assistant | Utah Gastroenterology PC | 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1362 |
| Angela Marie Banz | Physician Assistant | Utah Gastroenterology PC | 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1362 |
| Abbie Lyn Siebenhaar | Physician Assistant | Utah Gastroenterology PC | 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1362 |
| Robert Stuart Bridge | Gastroenterology | Utah Gastroenterology PC | 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1362 |
| Ivan D Flint | Dermatology | 1250 E 3900 S, Suite 450, Salt Lake Cty, UT 84124-1349 | |
| Francis J Wapner | Ophthalmology | Advanced Eye Care Inc | 1250 E 3900 S, Suite 310, Salt Lake City, UT 84124-1350 |
| Mark P Pulver | Physician Assistant | Ivan D Flint Md PC | 1250 E 3900 S, Suite 450, Salt Lake Cty, UT 84124-1349 |
| Ronald D Joseph | Gastroenterology | Utah Gastroenterology PC | 1250 E 3900 S, Salt Lake City, UT 84124-1362 |
| Joseph P Hughes | Colorectal Surgery (proctology) | J Preston Hughes A Professional Corporation | 1250 E 3900 S, Salt Lake City, UT 84124-1350 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melisa S Steele | Nurse Practitioner | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Jan B Bernhisel-broadbent | Allergy/immunology | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Nathan Grant Adams | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
| Michael A Gladwell | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
| Sarah Elaine Kaihau | Nurse Practitioner | Valley Mental Health Incorporated | 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215 |
| Timothy Champlin | Clinical Social Worker | Valley Mental Health Incorporated | 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215 |
| Mina Gohari | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Cynthia J Lawlor | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Rebecca H Moore | Nephrology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Danesh Rahimi | Internal Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Find all physicians in zip 84124 | |||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALT LAKE CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Matthew Wayne Jarvis.
| 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.