Travis Scott Mickelson (NPI# 1831364249, PAC ID# 3870763568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1831364249 |
| PAC ID by PECOS | 3870763568 |
| Professional Enrollment ID | I20110907001509 |
| Full Name | Travis Scott Mickelson |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
9720 S 1300 Suite 100 Sandy UT 84094-3712 |
| Phone Number | 8015718550 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9720 S 1300, Suite 100, Sandy, UT 84094-3712 | 8015718550 | 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 |
9720 S 1300 SUITE 100 |
| City | SANDY |
| State | UT |
| Zip | 84094-3712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberlee Leduc | Physical Therapy | Registered Physical Therapists, Inc. | 9720 S 1300, Suite W200, Sandy, UT 84094-3775 |
| Brad R Pulsipher | Physical Therapy | Registered Physical Therapists, Inc. | 9720 S 1300, Suite W200, Sandy, UT 84094-3775 |
| Michael John Mathews | Physical Therapy | Registered Physical Therapists, Inc. | 9720 S 1300, Suite W200, Sandy, UT 84094-3775 |
| Brent L Miller | Physical Therapy | Registered Physical Therapists, Inc. | 9720 S 1300, Suite W200, Sandy, UT 84094-3775 |
| William C Hall | Psychologist, Clinical | Ihc Health Services Inc | 9720 S 1300, Suite 100, Sandy, UT 84094-3712 |
| Drew R Norwood | Physical Therapy | Registered Physical Therapists, Inc. | 9720 S 1300, Suite W200, Sandy, UT 84094-3775 |
| Jesse Charles Washburn | Family Medicine | Ihc Health Services Inc | 9720 S 1300, Suite 100, Sandy, UT 84094-3712 |
| Stanford K Hirai | Physical Therapy | Registered Physical Therapists, Inc. | 9720 S 1300, Suite W200, Sandy, UT 84094-3775 |
| Scott C Benson | Physical Therapy | Registered Physical Therapists, Inc. | 9720 S 1300, Suite W200, Sandy, UT 84094-3775 |
| Jared Suker | Physical Therapy | Registered Physical Therapists, Inc. | 9720 S 1300, Suite W200, Sandy, UT 84094-3775 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Mark Koniuch | Physical Medicine and Rehabilitation | 8074 S 1300, Sandy, UT 84094-0743 | |
| Maisa K Morris | Family Medicine | 8074 S 1300, Sandy, UT 84094-0743 | |
| Morris N Lewis Jr. | Psychologist, Clinical | 8074 S 1300, Sandy, UT 84094-0743 | |
| Joshua Joseph Minori | Physical Medicine and Rehabilitation | 8074 S 1300, Sandy, UT 84094-0743 | |
| Eric Overton | Family Medicine | After Hours Medical LLC | 7998 S 1300, After Hours Medical Sandy Clinic, Sandy, UT 84094-0744 |
| Bojan Jurosevic | Physical Therapy | 7940 S 1300, Sandy, UT 84094-0744 | |
| Gretchen A Dennison | Nurse Practitioner | After Hours Medical LLC | 7998 S 1300, After Hours Medical Sandy Clinic, Sandy, UT 84094-0744 |
| Jill Palmer | Speech Language Pathologist | Zenith Physical Therapy, Pllc | 7940 S 1300, Sandy, UT 84094-0744 |
| Michael Edward Cobble | Family Medicine | 9355 S 1300, Sandy, UT 84094-3135 | |
| Nathan T Eldredge | Chiropractic | 720 E New England Dr, Sandy, UT 84094-3590 | |
| Find all physicians in zip 84094 | |||
| City | SANDY |
| Zip Code | 84094 |
| Specialty | PSYCHIATRY |
| City + Specialty | SANDY + PSYCHIATRY |
Please comment or provide details below to improve the information on Travis Scott Mickelson.
| 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.