Michael A Dagley (NPI# 1699790113, PAC ID# 1254232283) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1699790113 |
| PAC ID by PECOS | 1254232283 |
| Professional Enrollment ID | I20040114000239 |
| Full Name | Michael A Dagley |
| Organization Legal Name | LEGACY ANESTHESIA LLC |
| Address |
1485 S Hwy 40 Heber UT 84032-3522 |
| Phone Number | 4356542500 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1998 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9234438649 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 461307 | HEBER VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1485 S Hwy 40, Heber, UT 84032-3522 | 4356542500 | LEGACY ANESTHESIA LLC |
| Organization Legal Name | LEGACY ANESTHESIA LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin D Williams | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 1485 S Hwy 40, Heber, UT 84032-3522 |
| Aaron L Whitley | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| James M Iverson | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Shaun K Ferrie | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Scott C Hendrickson | Anesthesiology | Legacy Anesthesia LLC | 1485 S Hwy 40, Heber, UT 84032-3522 |
| Brandon Howell | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Anthony C Harward | Certified Registered Nurse Anesthetist | Legacy Anesthesia LLC | 1485 S Hwy 40, Heber City, UT 84032-3522 |
| Street Address |
1485 S HWY 40 |
| City | HEBER |
| State | UT |
| Zip | 84032-3522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin D Williams | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 1485 S Hwy 40, Heber, UT 84032-3522 |
| Andrew Aaron Nyberg | Emergency Medicine | Ihc Health Services Inc | 1485 S Hwy 40, Heber Valley Medical Ctr Phys Group, Heber City, UT 84032-3255 |
| Austin Taylor Smith | Emergency Medicine | Ihc Health Services Inc | 1485 S Hwy 40, Heber Valley Med Ctr, Heber City, UT 84032-3522 |
| David Rick Sutherland | Emergency Medicine | Ihc Health Services Inc | 1485 S Hwy 40, Heber Valley Med Ctr, Heber City, UT 84032-3522 |
| Stacy R Smith | Ophthalmology | Stacy R Smith Md PC | 1485 S Hwy 40, Heber Valley Medical Center, Heber City, UT 84032-3522 |
| Scott C Hendrickson | Anesthesiology | Legacy Anesthesia LLC | 1485 S Hwy 40, Heber, UT 84032-3522 |
| Mark V Reichman | Neurosurgery | Ihc Health Services Inc | 1485 S Hwy 40, Heber Valley Medical Ctr Phys Group, Heber City, UT 84032-3255 |
| Winston Brent Bokor | Internal Medicine | Ihc Health Services Inc | 1485 S Hwy 40, Heber Valley Medical Ctr Phys Group, Heber City, UT 84032-3255 |
| Anthony C Harward | Certified Registered Nurse Anesthetist | Legacy Anesthesia LLC | 1485 S Hwy 40, Heber City, UT 84032-3522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghanshyam P Massand | Orthopedic Surgery | 6531 N Landmark Dr, Heber City, UT 84032-1147 | |
| Willis K Clyde | Physical Therapy | 190 N Main St, Heber City, UT 84032-1600 | |
| Bradley B Rounds | Optometry | 37 E 100, Heber City, UT 84032-1700 | |
| Dallas Bean | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 55 S 500, Heber City, UT 84032-1918 |
| George D Pitts | General Practice | 35 S 500, Heber City, UT 84032-1918 | |
| Younchan Lee | Nurse Practitioner | Wasatch Mental Health Services Special Service District | 55 S 500, Heber City, UT 84032-1918 |
| Amy Buehler | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 55 S 500, Heber City, UT 84032-1918 |
| Stanton B Mcdonald | Family Medicine | 35 S 500, Heber City, UT 84032-1918 | |
| David M Ockey | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 55 S 500, Heber City, UT 84032-1918 |
| Richard J Hatch | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 55 S 500, Heber City, UT 84032-1918 |
| Find all physicians in zip 84032 | |||
| City | HEBER |
| Zip Code | 84032 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | HEBER + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Michael A Dagley.
| 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.