James C Pingree (NPI# 1730249582, PAC ID# 3274639109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1730249582 |
| PAC ID by PECOS | 3274639109 |
| Professional Enrollment ID | I20070509000243 |
| Full Name | James C Pingree |
| Organization Legal Name | MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY ST MARKS LLC |
| Address |
1200 E 3900 Salt Lake City UT 84124-1300 |
| Phone Number | 8012687111 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 0941472484 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460047 | ST MARK'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1200 E 3900, Salt Lake City, UT 84124-1300 | 8012687111 | MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY ST MARKS LLC |
| 1250 E 3900, Suite 100, Salt Lake City, UT 84124-1363 | 8012620901 | MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY ST MARKS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY ST MARKS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan E Middlemiss | Physician Assistant | Mountainstar Medical Group Neurosurgery St Marks LLC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Caleb Jackson | Nurse Practitioner | Mountainstar Medical Group Neurosurgery St Marks LLC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Sandeep S Teja | Neurosurgery | Mountainstar Medical Group Neurosurgery St Marks LLC | 1220 E 3900, Suite 4a, Salt Lake City, UT 84124-1326 |
| Ryan D Church | Nurse Practitioner | Mountainstar Medical Group Neurosurgery St Marks LLC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Sami K Weese | Nurse Practitioner | Mountainstar Medical Group Neurosurgery St Marks LLC | 620 Medical Dr, Suite 300, Bountiful, UT 84010-5171 |
| Street Address |
1200 E 3900 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84124-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soowhan Lah | Critical Care (intensivists) | Intensive Care Consortium Inc | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Matthew L Peterson | Anesthesiology | Millcreek Anesthesia PC | 1200 E 3900, St Marks Hospital, Salt Lake City, UT 84124-1300 |
| O Layton Alldredge Jr. | Anesthesiology | Millcreek Anesthesia PC | 1200 E 3900, St Marks Hospital, Salt Lake City, UT 84124-1300 |
| Edward Reese | Family Medicine | Santibanez Aguirre PC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Jonathan E Middlemiss | Physician Assistant | Mountainstar Medical Group Neurosurgery St Marks LLC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Kaydon J Lloyd | Physician Assistant | Salt Lake Trauma Specialists Pllc | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Kevin J Colver | Internal Medicine | Santibanez Aguirre PC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Dennis Morris | Anesthesiology | Millcreek Anesthesia PC | 1200 E 3900, St Marks Hospital, Salt Lake City, UT 84124-1300 |
| Nathan B Eliason | Pathology | Anatomic Pathology Associates | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Thomas W Engar | Anesthesiology | Millcreek Anesthesia PC | 1200 E 3900, St Marks Hospital, Salt Lake City, UT 84124-1300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melisa S Steele | Nurse Practitioner | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Jan B Bernhisel-broadbent | Allergy/immunology | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Nathan Grant Adams | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
| Michael A Gladwell | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
| Sarah Elaine Kaihau | Nurse Practitioner | Valley Mental Health Incorporated | 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215 |
| Timothy Champlin | Clinical Social Worker | Valley Mental Health Incorporated | 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215 |
| Mina Gohari | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Cynthia J Lawlor | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Rebecca H Moore | Nephrology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Danesh Rahimi | Internal Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Find all physicians in zip 84124 | |||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
| Specialty | NEUROSURGERY |
| City + Specialty | SALT LAKE CITY + NEUROSURGERY |
Please comment or provide details below to improve the information on James C Pingree.
| 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.