Summer Rae Kottsick (NPI# 1720473390, PAC ID# 1355661265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1720473390 |
PAC ID by PECOS | 1355661265 |
Professional Enrollment ID | I20160308001102 |
Full Name | Summer Rae Kottsick |
Organization Legal Name | IHC HEALTH SERVICES INC |
Address |
2160 E 4500 Holladay Pedia N Salt Lake City UT 84117-4011 |
Phone Number | 8012784693 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1850209420 |
Number of Group Practice Members | 2008 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460039 | BEAR RIVER VALLEY HOSPITAL |
131322 | FRANKLIN COUNTY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2160 E 4500, Holladay Pedia N, Salt Lake City, UT 84117-4011 | 8012784693 | IHC HEALTH SERVICES INC |
2160 E 4500, Salt Lake City, UT 84117-4011 | 8012784693 | 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 |
2160 E 4500 HOLLADAY PEDIA N |
City | SALT LAKE CITY |
State | UT |
Zip | 84117-4011 |
Name | Specialty | Organization | Address |
---|---|---|---|
David A Mehregan | Pathology | Utah Pathology Service Inc | 5330 S 900 E, Suite 120, Salt Lake City, UT 84117-3504 |
Julie A Jackson | Pathology | Utah Pathology Service Inc | 5330 S 900 E, Suite 120, Salt Lake City, UT 84117-3504 |
Isaac E Lloyd | Pathology | Utah Pathology Service Inc | 5330 S 900 E, Suite 120, Salt Lake City, UT 84117-3504 |
Ralph W Gant | Clinical Psychologist | 5525 S 900 E Plaza II, Suite 102, Murray, UT 84117-3505 | |
Scott Asay | Chiropractic | Apollo Health Centers | 5525 S 900, Suite 310, Murray, UT 84117-3516 |
Timothy P Young | Family Medicine | Apollo Health Centers | 5525 S 900, Suite 310, Murray, UT 84117-3516 |
Travis Castillon | Chiropractic | Apollo Health Centers | 5525 S 900, Suite 310, Murray, UT 84117-3516 |
Jason Dayne Petersen | Plastic and Reconstructive Surgery | J Dayne Petersen Md PC | 5353 S 960, Salt Lake City, UT 84117-3533 |
Andrea Loving | Nurse Practitioner | 2180 E 4500, Suite 105, Holladay, UT 84117-4017 | |
Marette Monson | Clinical Social Worker | 2180 E 4500, Suite 105, Holladay, UT 84117-4017 | |
Find all physicians in zip 84117 |
City | SALT LAKE CITY |
Zip Code | 84117 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SALT LAKE CITY + NURSE PRACTITIONER |
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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.