Jackie A Fonua
HUNTER MEDICAL CENTER INC


Address: 3354 W 7800, West Jordan, UT 84088-4506
Phone: 8012822677

Jackie A Fonua (NPI# 1336227206, PAC ID# 3779597489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1336227206
PAC ID by PECOS 3779597489
Professional Enrollment ID I20060202000186
Full Name Jackie A Fonua
Organization Legal Name HUNTER MEDICAL CENTER INC
Address 3354 W 7800
West Jordan
UT 84088-4506
Phone Number 8012822677
Gender F
Credential PA
Graduation Year 1996
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 3678461951
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460051 JORDAN VALLEY MEDICAL CENTER
460010 INTERMOUNTAIN MEDICAL CENTER
460047 ST MARK'S HOSPITAL
460058 RIVERTON HOSPITAL

Other Locations

Address Phone Organization
3354 W 7800, West Jordan, UT 84088-4506 8012822677 HUNTER MEDICAL CENTER INC
3534 S 6000, West Valley, UT 84128-2610 8019696264 HUNTER MEDICAL CENTER INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 75%
ACI_EC_TRANS_HIE_1 Health Information Exchange 17%
ACI_EC_TRANS_MR_1 Medication Reconciliation 87%
ACI_EC_TRANS_PEA_1 Provide Patient Access 73%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 4%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 75%
ACI_EC_TRANS_SM_1 Secure Messaging 52%
MIPS_EC_047_overall Care Plan 100%

Organization Information

Organization Legal Name HUNTER MEDICAL CENTER INC
Physicians 10

Physicians with the same organization

Name Specialty Organization Address
Kathryn E Davis Nurse Practitioner Hunter Medical Center Inc 3534 S 6000, West Valley, UT 84128-2610
Elyse E Lake Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Frederic M Civish Family Medicine Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Michelle M Dahle Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
John T Nielsen Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Andrew Decker Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Stacy Ann Parry Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Steven W Larsen Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Kurt M Bockoven Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506

Office Location

Street Address 3354 W 7800
City WEST JORDAN
State UT
Zip 84088-4506

Physicians in the same location

Name Specialty Organization Address
Elyse E Lake Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Frederic M Civish Family Medicine Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Michelle M Dahle Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
John T Nielsen Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Andrew Decker Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Stacy Ann Parry Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Steven W Larsen Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506
Kurt M Bockoven Nurse Practitioner Hunter Medical Center Inc 3354 W 7800, West Jordan, UT 84088-4506

Physicians in the same zip code

Name Specialty Organization Address
Javier Eduardo Chavez Obstetrics/gynecology Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Leo Berkenbile Emergency Medicine Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Ryan Leonard Otolaryngology Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Brandon Allen Family Medicine Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Edwin W Aldous Otolaryngology Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Jon Aaron Christensen Chiropractic 3075 W 7800, West Jordan, UT 84088-2802
David R Hillam Family Medicine Salson Clinics LLC 1745 W 7800, West Jordan, UT 84088-4017
Jenny Louise Mckay Nurse Practitioner Salson Clinics LLC 1745 W 7800, West Jordan, UT 84088-4017
William J Walsh Internal Medicine Salson Clinics LLC 1745 W 7800, West Jordan, UT 84088-4017
Bryan D Gordon Chiropractic 2618 W 7800, Suite 200, West Jordan, UT 84088-4213
Find all physicians in zip 84088

Competitor

Search similar physicians

City WEST JORDAN
Zip Code 84088
Specialty PHYSICIAN ASSISTANT
City + Specialty WEST JORDAN + PHYSICIAN ASSISTANT

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Dataset Information

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.

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