Cody Roger Larson (NPI# 1386986057, PAC ID# 2961757778) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1386986057 |
| PAC ID by PECOS | 2961757778 |
| Professional Enrollment ID | I20190701001838 |
| Full Name | Cody Roger Larson |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
5444 S Green St Summit Physician Specialists Murray UT 84123-5632 |
| Phone Number | 8015257770 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| 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 |
| 460004 | MCKAY DEE HOSPITAL |
| 460044 | ALTA VIEW HOSPITAL |
| 460006 | LDS HOSPITAL |
| 460058 | RIVERTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 | 8015257770 | 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 |
5444 S GREEN ST SUMMIT PHYSICIAN SPECIALISTS |
| City | MURRAY |
| State | UT |
| Zip | 84123-5632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Webb | Diagnostic Radiology | Ihc Health Services Inc | 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 |
| Paul S Asmar | Diagnostic Radiology | Ihc Health Services Inc | 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 |
| Brett T Parkinson | Diagnostic Radiology | Ihc Health Services Inc | 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 |
| Joshua T Peay | Physician Assistant | Ihc Health Services Inc | 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 |
| Joseph R Whitnah | Diagnostic Radiology | Ihc Health Services Inc | 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 |
| Curt C Jensen | Physician Assistant | Ihc Health Services Inc | 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 |
| Miranda T Mitchell | Physician Assistant | Ihc Health Services Inc | 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 |
| Brent D Stephenson | Diagnostic Radiology | Ihc Health Services Inc | 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 |
| Karen King | Physician Assistant | Ihc Health Services Inc | 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 |
| Justin R Gardner | Physician Assistant | Ihc Health Services Inc | 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon Randal Young | Podiatry | 4370 S Redwood Rd, Suite B, Taylorsville, UT 84123-2223 | |
| Homer Ronald Brown | Podiatry | 4370 S Redwood Rd, Suite B, Salt Lake City, UT 84123-2223 | |
| Joanie Marie Limb | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Sheri Lynn Schlagel | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Jennifer N Griswold | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Gabriella Dame | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Kearsta Washburn | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Alisha A Richins | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Aubrey Ann Kruisman | Nurse Practitioner | Amazing Medical Associates Inc | 434 W Ascension Way, Suite 225, Murray, UT 84123-2790 |
| Stephen L Miller | Cardiovascular Disease (cardiology) | Intermountain Heart Center PC | 5292 S College Dr, Suite 201, Murray, UT 84123-2958 |
| Find all physicians in zip 84123 | |||
| City | MURRAY |
| Zip Code | 84123 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MURRAY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Cody Roger Larson.
| 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.