Tiffany Riley (NPI# 1477834067, PAC ID# 2769655802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1477834067 |
| PAC ID by PECOS | 2769655802 |
| Professional Enrollment ID | I20111104000401 |
| Full Name | Tiffany Riley |
| Organization Legal Name | SHEPARD CREEK OBGYN, P.C. |
| Address |
670 W Shepard Lane Suite 103 Farmington UT 84025-3936 |
| Phone Number | 8014473377 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365509262 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 670 W Shepard Lane, Suite 103, Farmington, UT 84025-3936 | 8014473377 | SHEPARD CREEK OBGYN, P.C. |
| 670 W Shepard Lane, Farmington, UT 84025-3936 | 8014473377 | SHEPARD CREEK OBGYN, P.C. |
| Organization Legal Name | SHEPARD CREEK OBGYN, P.C. |
| Physicians | 1 |
| Street Address |
670 W SHEPARD LANE SUITE 103 |
| City | FARMINGTON |
| State | UT |
| Zip | 84025-3936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil O Spencer | Obstetrics/gynecology | 670 W Shepard Lane, Suite 103, Farmington, UT 84025-3936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurtis Alden Woolf | Family Medicine | Ogden Clinic PC | 991 Shepard Land, Suite 210, Farmington, UT 84025 |
| Jason Todd Bruse | Podiatry | Ogden Clinic PC | 991 Shepard Land, Suite 210, Farmington, UT 84025 |
| Corinne Ivy Grant | Clinical Social Worker | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Steven Dale Lancaster | Clinical Social Worker | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Jennifer Stanton Hatch | Psychologist, Clinical | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Cody Harris | Clinical Social Worker | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Jessica Jewell | Clinical Psychologist | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Sidney D Hendricks | Chiropractic | 352 S 200, Suite 2, Farmington, UT 84025-2423 | |
| Melissa A Itaaehau | Physical Therapy | Wasatch Therapy Inc | 42 N 650, Suite A, Farmington, UT 84025-2603 |
| Robyn M Judd | Physical Therapy | Wasatch Therapy Inc | 42 N 650, Suite A, Farmington, UT 84025-2603 |
| Find all physicians in zip 84025 | |||
| City | FARMINGTON |
| Zip Code | 84025 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FARMINGTON + PHYSICIAN ASSISTANT |
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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.