Patricia Ellsworth (NPI# 1578086740, PAC ID# 0547527871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578086740 |
| PAC ID by PECOS | 0547527871 |
| Professional Enrollment ID | I20171122000097 |
| Full Name | Patricia Ellsworth |
| Organization Legal Name | KIDNEY AND HYPERTENSION INSTITUTE OF UTAH, PLLC |
| Address |
2132 N 1700 Suite 100 Layton UT 84041-7059 |
| Phone Number | 8017793500 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991890600 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
| 460004 | MCKAY DEE HOSPITAL |
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2132 N 1700, Suite 100, Layton, UT 84041-7059 | 8017793500 | KIDNEY AND HYPERTENSION INSTITUTE OF UTAH, PLLC |
| 475 40th St, Suite 111, South Ogden, UT 84403-1856 | 8014763400 | KIDNEY AND HYPERTENSION INSTITUTE OF UTAH, PLLC |
| Organization Legal Name | KIDNEY AND HYPERTENSION INSTITUTE OF UTAH, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghana Chalasani | Nephrology | Kidney and Hypertension Institute of Utah, Pllc | 2132 N 1700, Suite 100, Layton, UT 84041-7059 |
| Jennifer Faucher-wegelin | Nurse Practitioner | Kidney and Hypertension Institute of Utah, Pllc | 2132 N 1700, Suite 100, Layton, UT 84041-7059 |
| Street Address |
2132 N 1700 SUITE 100 |
| City | LAYTON |
| State | UT |
| Zip | 84041-7059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghana Chalasani | Nephrology | Kidney and Hypertension Institute of Utah, Pllc | 2132 N 1700, Suite 100, Layton, UT 84041-7059 |
| Wojciech C Janowski | Pulmonary Disease | Ogden Pulmonary Associates Pllc | 2132 N 1700, Suite 307, Layton, UT 84041-7077 |
| Dallin L De Mordaunt | Physical Medicine and Rehabilitation | Physician Group of Utah Inc | 2132 N 1700, Suite 230, Layton, UT 84041-7060 |
| Charles T Ivester | Pulmonary Disease | Ogden Pulmonary Associates Pllc | 2132 N 1700, Suite 307, Layton, UT 84041-7077 |
| Christopher K Anderson | Pulmonary Disease | Ogden Pulmonary Associates Pllc | 2132 N 1700, Suite 307, Layton, UT 84041-7077 |
| Terrence W Andrews | Critical Care (intensivists) | Ogden Pulmonary Associates Pllc | 2132 N 1700, Suite 307, Layton, UT 84041-7077 |
| Jennifer Faucher-wegelin | Nurse Practitioner | Kidney and Hypertension Institute of Utah, Pllc | 2132 N 1700, Suite 100, Layton, UT 84041-7059 |
| Terri L. Anderson | Physician Assistant | Physician Group of Utah Inc | 2132 N 1700, Layton, UT 84041-7060 |
| Gurjeet S Grover | Pulmonary Disease | Ogden Pulmonary Associates Pllc | 2132 N 1700, Suite 307, Layton, UT 84041-7077 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAYTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Patricia Ellsworth.
| 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.