Jason E Crook (NPI# 1194161190, PAC ID# 2668616038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194161190 |
| PAC ID by PECOS | 2668616038 |
| Professional Enrollment ID | I20130925000385 |
| Full Name | Jason E Crook |
| Organization Legal Name | SANTIBANEZ AGUIRRE SLC PC |
| Address |
3460 S Pioneer Pkwy Salt Lake City UT 84120-2049 |
| Phone Number | 8019643100 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345582383 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 | 8019643100 | SANTIBANEZ AGUIRRE SLC PC |
| 3580 W 9000, West Jordan, UT 84088-8812 | 8017835011 | SANTIBANEZ AGUIRRE PC |
| 3460 S Pioneer Pkwy, West Valley, UT 84120-2049 | 8019643100 | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Organization Legal Name | SANTIBANEZ AGUIRRE SLC PC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinder S Ahluwalia | Internal Medicine | Santibanez Aguirre Slc PC | 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 |
| Kenneth A Fischer | Hospitalist | Santibanez Aguirre Slc PC | 3580 W 9000, West Jordan, UT 84088-8812 |
| Marlan Len Hansen | Internal Medicine | Santibanez Aguirre Slc PC | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Mark Del Castillo | Internal Medicine | Santibanez Aguirre Slc PC | 3580 W 9000, West Jordan, UT 84088-8812 |
| Alexander Luer | Hospitalist | Santibanez Aguirre Slc PC | 3580 W 9000, West Jordan, UT 84088-8812 |
| Layhong Soth | Internal Medicine | Santibanez Aguirre Slc PC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Peter C Agy | Internal Medicine | Santibanez Aguirre Slc PC | 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 |
| Heather L Campbell | Nurse Practitioner | Santibanez Aguirre Slc PC | 3580 W 9000, West Jordan, UT 84088-8812 |
| Michael Perez | Internal Medicine | Santibanez Aguirre Slc PC | 3580 W 9000, West Jordan, UT 84088-8812 |
| Shonti Breisch | Physician Assistant | Santibanez Aguirre Slc PC | 3580 W 9000, West Jordan, UT 84088-8812 |
| Street Address |
3460 S PIONEER PKWY |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84120-2049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinder S Ahluwalia | Internal Medicine | Santibanez Aguirre Slc PC | 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 |
| Rocky D Howell | Nurse Practitioner | Physician Group of Utah Inc | 3460 S Pioneer Pkwy, Suite 304, West Valley City, UT 84120-2049 |
| Peter C Agy | Internal Medicine | Santibanez Aguirre Slc PC | 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 |
| Gayle M Stewart | Obstetrics/gynecology | Physician Group of Utah Inc | 3460 S Pioneer Pkwy, West Valley, UT 84120-2049 |
| Merwin D Rasmussen | Certified Registered Nurse Anesthetist | 3460 S Pioneer Pkwy, West Valley, UT 84120-2049 | |
| Michelle M Sticka | Clinical Social Worker | Physician Group of Utah Inc | 3460 S Pioneer Pkwy, Pioneer Valley Hospital A Campus of Jordan Valley Medi, West Valley City, UT 84120-2049 |
| Samantha Savarino | Nurse Practitioner | Physician Group of Utah Inc | 3460 S Pioneer Pkwy, West Valley City, UT 84120-2049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence B Grandy | Family Medicine | After Hours Medical LLC | 3451 S 5600 W F, After Hours Medical West Valley Clinic, Salt Lake City, UT 84120-1301 |
| Robert E Warrick | Family Practice | After Hours Medical LLC | 3451 S 5600 W F, After Hours Medical West Valley Clinic, Salt Lake City, UT 84120-1301 |
| Carlos A Vasquez | Nurse Practitioner | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 204, West Valley City, UT 84120-2014 |
| Jean S Hollis | Physician Assistant | Comprehensive Medical Management, PC | 4052 W Pioneer Pkwy, 208 The Spine Orthopedic Pain Center, West Valley City, UT 84120-2064 |
| Timothy S Grange | Physical Medicine and Rehabilitation | Comprehensive Medical Management, PC | 4052 W Pioneer Pkwy, 208 The Spine Orthopedic Pain Center, West Valley City, UT 84120-2064 |
| Zoe A Robbins | Nurse Practitioner | Physician Group of Utah Inc | 4052 W Pioneer Pkwy, Suite 105, West Valley City, UT 84120-2064 |
| Janet Crawford | Nurse Practitioner | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2067 |
| Joseph Allen Francis Jr. | Family Practice | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2067 |
| Robert W Engelen | Sports Medicine | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072 |
| Michael V Hoffman | Orthopedic Surgery | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072 |
| Find all physicians in zip 84120 | |||
| City | SALT LAKE CITY |
| Zip Code | 84120 |
| 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.