John R Dietlein (NPI# 1447226717, PAC ID# 1355329459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1447226717 |
| PAC ID by PECOS | 1355329459 |
| Professional Enrollment ID | I20040714001140 |
| Full Name | John R Dietlein |
| Organization Legal Name | CANYON HEALTHCARE INC |
| Address |
1385 W 2200 Suite 202 West Valley City UT 84119-7205 |
| Phone Number | 8019440095 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE |
| Group Practice PAC ID | 8123368925 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| 460058 | RIVERTON HOSPITAL |
| 460044 | ALTA VIEW HOSPITAL |
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1385 W 2200, Suite 202, West Valley City, UT 84119-7205 | 8019440095 | CANYON HEALTHCARE INC |
| Organization Legal Name | CANYON HEALTHCARE INC |
| Physicians | 1 |
| Street Address |
1385 W 2200 SUITE 202 |
| City | WEST VALLEY CITY |
| State | UT |
| Zip | 84119-7205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Barton | Nurse Practitioner | Finding Home Healthcare, Inc. | 1385 W 2200, Suite 201, Salt Lake City, UT 84119-7208 |
| Melanie Reese | Nurse Practitioner | Finding Home Healthcare, Inc. | 1385 W 2200, Suite 201, Salt Lake City, UT 84119-7208 |
| Kim I Beus | Nurse Practitioner | Finding Home Healthcare, Inc. | 1385 W 2200, Suite 201, Salt Lake City, UT 84119-7208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn Decker | Nurse Practitioner | University of Utah Community Physicians Group | 1525 W 2100, Salt Lake City, UT 84119-1401 |
| Hugh M Stoneburner | Internal Medicine | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Matthew Chabot | Pediatric Medicine | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Michelle Elizabeth Murray | Internal Medicine | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Sarah Hunt Mccormick | Psychologist, Clinical | University of Utah Behavioral Health Services | 1525 W 2100, Salt Lake City, UT 84119-1401 |
| Kelly P Murnin | Internal Medicine | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Matthew Thomas | Nurse Practitioner | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Bobbi Heaney | Nurse Practitioner | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Julia A Ozbolt | Pediatric Medicine | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Thomas J Kottarathil | Internal Medicine | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Find all physicians in zip 84119 | |||
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WEST VALLEY CITY + 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.