Jody L Wixom (NPI# 1144455833, PAC ID# 2163669813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1144455833 |
| PAC ID by PECOS | 2163669813 |
| Professional Enrollment ID | I20130516000464 |
| Full Name | Jody L Wixom |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
5171 S Cottonwood St Suite 810 Murray UT 84107-5705 |
| Phone Number | 8015079800 |
| Gender | F |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 S Hwy 99, Suite 3, Fillmore, UT 84631-5137 | 4357435555 | IHC HEALTH SERVICES INC |
| 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 | 8015079800 | 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 |
5171 S COTTONWOOD ST SUITE 810 |
| City | MURRAY |
| State | UT |
| Zip | 84107-5705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Brennan Blackham | Physical Medicine and Rehabilitation | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Meghan Ashley Ward | Neurology | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| David Michael Fantle | Neurology | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Shiro Fujita | General Surgery | Canyon Surgical Associates, LLC | 5171 S Cottonwood St, Suite 650, Murray, UT 84107-5716 |
| Jon Leroy Pertab | Psychologist, Clinical | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Samantha Allison | Psychologist, Clinical | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Jordan Scott Reichman | Neurology | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Megan Moore Donohue | Neurology | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Cory James Kogelschatz | Neurology | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Krista Corbett | Nurse Practitioner | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy B Carter | Optometry | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Darcy H Wolsey | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Zachary J Zavodni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Cionni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Kristin O Chapman | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Matejka | Anesthesiology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Bruce F Gladwell | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Laura J Springhetti | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Sally J Brush | Nurse Practitioner | 888 E 3900, Salt Lake City, UT 84107-2151 | |
| Alireza Falahati-nini | Endocrinology | Utah Endocrinology Associates Pllc | 470 E 3900, Suite 200, Salt Lake City, UT 84107-2332 |
| Find all physicians in zip 84107 | |||
| City | MURRAY |
| Zip Code | 84107 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | MURRAY + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Jody L Wixom.
| 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.