Jeffrey R Lish (NPI# 1003848797, PAC ID# 3375435357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003848797 |
| PAC ID by PECOS | 3375435357 |
| Professional Enrollment ID | I20040325001053 |
| Full Name | Jeffrey R Lish |
| Organization Legal Name | MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC |
| Address |
984 Medical Dr Suite 1 Brigham City UT 84302-4712 |
| Phone Number | 4357235248 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9931000460 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460017 | BRIGHAM CITY COMMUNITY HOSPITAL |
| 460039 | BEAR RIVER VALLEY HOSPITAL |
| 460004 | MCKAY DEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 984 Medical Dr, Suite 1, Brigham City, UT 84302-4712 | 4357235248 | MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC |
| Organization Legal Name | MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Q Beard | Internal Medicine | Medical Arts Center Clinic of Brigham City Inc | 984 Medical Dr, Suite 1, Brigham City, UT 84302-4712 |
| Michael C Shaw | Family Practice | Medical Arts Center Clinic of Brigham City Inc | 984 Medical Dr, Suite 1, Brigham City, UT 84302-4712 |
| Street Address |
984 MEDICAL DR SUITE 1 |
| City | BRIGHAM CITY |
| State | UT |
| Zip | 84302-4712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Q Beard | Internal Medicine | Medical Arts Center Clinic of Brigham City Inc | 984 Medical Dr, Suite 1, Brigham City, UT 84302-4712 |
| Michael C Shaw | Family Practice | Medical Arts Center Clinic of Brigham City Inc | 984 Medical Dr, Suite 1, Brigham City, UT 84302-4712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deserae J Goble | Family Medicine | 1950 S Hyway, Suite 89, Perry, UT 84302 | |
| Luellen C Brown | Clinical Social Worker | Bear River Mental Health Services Inc | 950 S 663, Brigham City, UT 84302 |
| Chantel B Murrah | Podiatry | 775 N 200, Willow Glen Health and Rehabilitation, Brigham City, UT 84302-1303 | |
| Bryan D Whetton | Physician Assistant | Bear Lake Community Health Center | 5 W 200, Brigham City, UT 84302-2109 |
| Tara Lee Dalton | Physician Assistant | Access Healthcare LLC | 5 W 200, Brigham City, UT 84302-2109 |
| Christie Lynn Powell | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Cyndi Susan Tangren | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Suzanne E Lee | Family Medicine | Community Health Centers Inc. | 14 N 100 E, 2 Clinica De Buena Salud, Brigham City, UT 84302-2170 |
| Larry D Terry | Optometry | 34 S Main St, Brigham City, UT 84302-2527 | |
| Stephan Michael Moss | Nurse Practitioner | Brigham Medical Clinic, Inc. | 600 W Hospital Rd, Brigham City, UT 84302-3006 |
| Find all physicians in zip 84302 | |||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRIGHAM CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeffrey R Lish.
| 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.