Tanya Sarah Boren (NPI# 1154974657, PAC ID# 2365772191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154974657 |
| PAC ID by PECOS | 2365772191 |
| Professional Enrollment ID | I20190922000039 |
| Full Name | Tanya Sarah Boren |
| Organization Legal Name | NORTHEASTERN UTAH MEDICAL GROUP |
| Address |
210 W Suite 3 Roosevelt UT 84066-2336 |
| Phone Number | 4357224691 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961496609 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460019 | UINTAH BASIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 210 W, Suite 3, Roosevelt, UT 84066-2336 | 4357224691 | NORTHEASTERN UTAH MEDICAL GROUP |
| Organization Legal Name | NORTHEASTERN UTAH MEDICAL GROUP |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darwin Mckee | Physician Assistant | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Kerry R Baum | General Surgery | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Clayton S Syndergaard | Obstetrics/gynecology | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Katie Beutler Ralon | Physician Assistant | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| John Nolte | Obstetrics/gynecology | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Gary B White | General Practice | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Casey C Carter | Physician Assistant | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Gordon S Olsen | Orthopedic Surgery | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Gregory L Staker | Internal Medicine | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| James D White | Physical Medicine and Rehabilitation | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Street Address |
210 W SUITE 3 |
| City | ROOSEVELT |
| State | UT |
| Zip | 84066-2336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darwin Mckee | Physician Assistant | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Kerry R Baum | General Surgery | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Clayton S Syndergaard | Obstetrics/gynecology | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Katie Beutler Ralon | Physician Assistant | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| John Nolte | Obstetrics/gynecology | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Gary B White | General Practice | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Casey C Carter | Physician Assistant | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Gordon S Olsen | Orthopedic Surgery | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Gregory L Staker | Internal Medicine | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| James D White | Physical Medicine and Rehabilitation | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Michael Birkin | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Peter L Tanner | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Audrie Wisell | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Jeffrey Mcclellan | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Amos Reid Burgess | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Jacob Dunkley Brown | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Kristopher S Riser | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Manpreet Kaur | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Dennis K Heaston | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Allen F Wallace | Certified Registered Nurse Anesthetist (crna) | Ubmc Anesthesiology | 250 W 300 N, 2 Uintah Basin Medical Center, Roosevelt, UT 84066-2336 |
| Find all physicians in zip 84066 | |||
| City | ROOSEVELT |
| Zip Code | 84066 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROOSEVELT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tanya Sarah Boren.
| 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.