Wyatt Jonathan West (NPI# 1730497108, PAC ID# 3577735984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730497108 |
| PAC ID by PECOS | 3577735984 |
| Professional Enrollment ID | I20111007000026 |
| Full Name | Wyatt Jonathan West |
| Organization Legal Name | TANNER MEMORIAL CLINIC |
| Address |
3443 W 5600 Roy UT 84067-9112 |
| Phone Number | 8017734840 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284547985 |
| Number of Group Practice Members | 144 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460004 | MCKAY DEE HOSPITAL |
| 460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3443 W 5600, Roy, UT 84067-9112 | 8017734840 | TANNER MEMORIAL CLINIC |
| Organization Legal Name | TANNER MEMORIAL CLINIC |
| Physicians | 150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Joseph Reich | Physician Assistant | Tanner Memorial Clinic | 2121 N 1700, Tanner Clinic, Layton, UT 84041-8803 |
| Mckennan Thurston | Family Medicine | Tanner Memorial Clinic | 1750 E 3100, Layton, UT 84040-2406 |
| Brett M Rawlins | Nurse Practitioner | Tanner Memorial Clinic | 1477 N 2000, Suite C, Clinton, UT 84015-9099 |
| Tyler R Williams | Internal Medicine | Tanner Memorial Clinic | 3443 W 5600, Roy, UT 84067-9112 |
| Loida M Viera Hutchins | Internal Medicine | Tanner Memorial Clinic | 5296 S Commerce Dr, Suite 104, Murray, UT 84107-5363 |
| Dustin Gary Child | Family Medicine | Tanner Memorial Clinic | 380 N 400, Tanner Clinic, Kaysville, UT 84037-3135 |
| Warren L Butler | Family Medicine | Tanner Memorial Clinic | 2038 W 1900, Tanner Clinic, Syracuse, UT 84075-9320 |
| Khaldoun M Al Rayess | Internal Medicine | Tanner Memorial Clinic | 2121 N 1700, Tanner Clinic, Layton, UT 84041-8803 |
| Brian W Pugh | Gastroenterology | Tanner Memorial Clinic | 2121 N 1700, Tanner Clinic, Layton, UT 84041-8803 |
| Robert L Mellor | Otolaryngology | Tanner Memorial Clinic | 2121 N 1700, Tanner Clinic, Layton, UT 84041-8803 |
| Street Address |
3443 W 5600 |
| City | ROY |
| State | UT |
| Zip | 84067-9112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler R Williams | Internal Medicine | Tanner Memorial Clinic | 3443 W 5600, Roy, UT 84067-9112 |
| George Tripp | Pediatric Medicine | Tanner Memorial Clinic | 3443 W 5600, Roy, UT 84067-9112 |
| Jill Woodring | Nurse Practitioner | Tanner Memorial Clinic | 3443 W 5600, Roy, UT 84067-9112 |
| Michael Scot Dee | Orthopedic Surgery | Tanner Memorial Clinic | 3443 W 5600, Roy, UT 84067-9112 |
| Kurt T Flinders | Family Medicine | Tanner Memorial Clinic | 3443 W 5600, Roy, UT 84067-9112 |
| Critt Farr Aardema | Family Medicine | Tanner Memorial Clinic | 3443 W 5600, Roy, UT 84067-9112 |
| Gary N Oaks | Podiatry | Tanner Memorial Clinic | 3443 W 5600, Roy, UT 84067-9112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Haleigh Van Eerden Emerson | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Jared Hiatt | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Isaac Samuel Sparks | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Seth Browning Wallace | Sleep Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Archana Subbiah | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Robert Calvin Westbrook | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Mikio Obayashi | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Brandon Wintle | Family Medicine | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Carly Noel Adams | Physical Therapy | Wasatch Therapy Inc | 1967 W 5700, Roy, UT 84067-2303 |
| Find all physicians in zip 84067 | |||
| City | ROY |
| Zip Code | 84067 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wyatt Jonathan West.
| 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.