Shannon Cooke Baker (NPI# 1518025360, PAC ID# 0446214258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1518025360 |
| PAC ID by PECOS | 0446214258 |
| Professional Enrollment ID | I20041111001105 |
| Full Name | Shannon Cooke Baker |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
2655 W 9000 West Jordan UT 84088-8542 |
| Phone Number | 8012566343 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460058 | RIVERTON HOSPITAL |
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460044 | ALTA VIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2655 W 9000, West Jordan, UT 84088-8542 | 8012566343 | IHC HEALTH SERVICES INC |
| 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 |
2655 W 9000 |
| City | WEST JORDAN |
| State | UT |
| Zip | 84088-8542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maurine M Cobabe | Family Medicine | Ihc Health Services Inc | 2655 W 9000, West Jordan, UT 84088-8542 |
| Patrick H Zimmerman | Family Medicine | Ihc Health Services Inc | 2655 W 9000, West Jordan, UT 84088-8542 |
| Anthony R Groathouse | Family Medicine | Ihc Health Services Inc | 2655 W 9000, West Jordan, UT 84088-8542 |
| Nathan J Marshall | Family Medicine | Ihc Health Services Inc | 2655 W 9000, West Jordan, UT 84088-8542 |
| Adam Alexander Nelson | Physician Assistant | Ihc Health Services Inc | 2655 W 9000, West Jordan, UT 84088-8542 |
| Holly Elaine Timmons Terry | Family Medicine | Ihc Health Services Inc | 2655 W 9000, West Jordan, UT 84088-8542 |
| Matthew K Eastman | Family Medicine | Ihc Health Services Inc | 2655 W 9000, West Jordan, UT 84088-8542 |
| Scott Gilbert Newbold | Pediatric Medicine | Ihc Health Services Inc | 2655 W 9000, West Jordan, UT 84088-8542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier Eduardo Chavez | Obstetrics/gynecology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Leo Berkenbile | Emergency Medicine | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Ryan Leonard | Otolaryngology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Brandon Allen | Family Medicine | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Edwin W Aldous | Otolaryngology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Jon Aaron Christensen | Chiropractic | 3075 W 7800, West Jordan, UT 84088-2802 | |
| David R Hillam | Family Medicine | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| Jenny Louise Mckay | Nurse Practitioner | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| William J Walsh | Internal Medicine | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| Bryan D Gordon | Chiropractic | 2618 W 7800, Suite 200, West Jordan, UT 84088-4213 | |
| Find all physicians in zip 84088 | |||
| City | WEST JORDAN |
| Zip Code | 84088 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WEST JORDAN + FAMILY MEDICINE |
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| 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.