Brian M Ely (NPI# 1447468293, PAC ID# 4385721687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1447468293 |
| PAC ID by PECOS | 4385721687 |
| Professional Enrollment ID | I20130712000038 |
| Full Name | Brian M Ely |
| Organization Legal Name | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Address |
5126 W Daybreak Pkwy Uuhc South Jordan Health Center South Jordan UT 84095-5994 |
| Phone Number | 8012134500 |
| Gender | M |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 9739403569 |
| Number of Group Practice Members | 185 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 | 8012134500 | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Organization Legal Name | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Physicians | 187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Pestotnik | Internal Medicine | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Rebecca Lynn Currier Curran | Family Medicine | University of Utah Community Physicians Group | 1138 Wilmington Ave, University Sugarhouse Family Health, Salt Lake City, UT 84106-2819 |
| Rebecca C Abbey | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Amanda Madrid | Physician Assistant | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Wei Ting Chao | Physician Assistant | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Jocelyn Decker | Nurse Practitioner | University of Utah Community Physicians Group | 1525 W 2100, Salt Lake City, UT 84119-1401 |
| Kyle B Hilton | Physician Assistant | University of Utah Community Physicians Group | 145 W University Pkwy, Uuhc Parkway Center, Orem, UT 84058-7316 |
| Ryan T Rushton | Podiatry | University of Utah Community Physicians Group | 7495 S State St, Midvale, UT 84047-2013 |
| David G Owen | Family Medicine | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Hugh M Stoneburner | Internal Medicine | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Street Address |
5126 W DAYBREAK PKWY UUHC SOUTH JORDAN HEALTH CENTER |
| City | SOUTH JORDAN |
| State | UT |
| Zip | 84095-5994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David G Owen | Family Medicine | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Michael Chen | Family Medicine | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Alexis Michelle Somers | Family Medicine | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Catherine P Shutler | Physician Assistant | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Gilbert Gaertner | Physician Assistant | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Scott Brown | Physician Assistant | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Aaron Hurst | Physician Assistant | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Laura M Anderson | Family Medicine | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Christopher J Harris | Physician Assistant | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Hena Kundra | Internal Medicine | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Sonnenberg | Orthopedic Surgery | 10623 S Redwood Rd, Suite 101, South Jordan, UT 84095-2481 | |
| Richard C Vinson | Physical Therapy | 10543 S 2330, South Jordan, UT 84095-2609 | |
| Vilate Thur | Nurse Practitioner | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Kevin Cottle | Nurse Practitioner | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Christine D Roach | Physician Assistant | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Curtis Andrews | Internal Medicine | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Kathy S Garcia | Pediatric Medicine | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Megan Gygi | Physician Assistant | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Justin J Peck | Physician Assistant | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Jared B Hains | Physician Assistant | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Find all physicians in zip 84095 | |||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | SOUTH JORDAN + OSTEOPATHIC MANIPULATIVE MEDICINE |
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| 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.