Casey Sullivan (NPI# 1578670840, PAC ID# 1456416726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578670840 |
| PAC ID by PECOS | 1456416726 |
| Professional Enrollment ID | I20140530000093 |
| Full Name | Casey Sullivan |
| Organization Legal Name | HOBBLE CREEK MEDICAL CLINIC LLC |
| Address |
672 W 400 St Suite 101 Springville UT 84663-3031 |
| Phone Number | 8014919883 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911048251 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 672 W 400 St, Suite 101, Springville, UT 84663-3031 | 8014919883 | HOBBLE CREEK MEDICAL CLINIC LLC |
| 672 W 400 St, Springville, UT 84663-3031 | 8014919883 | HOBBLE CREEK MEDICAL CLINIC LLC |
| Organization Legal Name | HOBBLE CREEK MEDICAL CLINIC LLC |
| Physicians | 1 |
| Street Address |
672 W 400 ST SUITE 101 |
| City | SPRINGVILLE |
| State | UT |
| Zip | 84663-3031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian B Mcmaster | Family Medicine | 672 W 400 St, Suite 101, Springville, UT 84663-3031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Peterson | Dermatology | 732 N Main St, Springville, UT 84663-1034 | |
| Jared R Young | Qualified Audiologist | 528 N Main St, Springville, UT 84663-1073 | |
| Michael S Mclay | Family Medicine | Canyon View Medical Group LLC | 5 E 400, Springville, UT 84663-1347 |
| Matthew G Ollerton | Podiatry | Foot and Ankle Clinics of Utah, P.C. | 5 E 400, Springville, UT 84663-1347 |
| Kathryn C Morrill | Nurse Practitioner | Canyon View Medical Group LLC | 5 E 400, Springville, UT 84663-1347 |
| Russell J Beckstead | Family Medicine | Canyon View Medical Group LLC | 5 E 400, Springville, UT 84663-1347 |
| Emily G Dunn | Nurse Practitioner | Canyon View Medical Group LLC | 5 E 400, Springville, UT 84663-1347 |
| John W Manwaring | Physician Assistant | Canyon View Medical Group LLC | 5 E 400, Springville, UT 84663-1347 |
| John S Taylor | Family Medicine | Canyon View Medical Group LLC | 5 E 400, Springville, UT 84663-1347 |
| Marc A Penrod | Family Medicine | Canyon View Medical Group LLC | 5 E 400, Springville, UT 84663-1347 |
| Find all physicians in zip 84663 | |||
| City | SPRINGVILLE |
| Zip Code | 84663 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPRINGVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Casey Sullivan.
| 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.