Jason T Eaton (NPI# 1669838405, PAC ID# 4789982356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1669838405 |
| PAC ID by PECOS | 4789982356 |
| Professional Enrollment ID | I20160414001439 |
| Full Name | Jason T Eaton |
| Organization Legal Name | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Address |
630 Medical Dr Bountiful UT 84010-4908 |
| Phone Number | 8012926231 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284548116 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| 460004 | MCKAY DEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 630 Medical Dr, Bountiful, UT 84010-4908 | 8012926231 | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| 1600 W Antelope Dr, Layton, UT 84041-1142 | 8018071000 | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Organization Legal Name | EMERGENCY PHYSICIANS INTEGRATED CARE LLC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dallas T Koperski | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 Hospital Way, Whitefish, MT 59937-7849 |
| Bradley Cris Cowley | Emergency Medicine | Emergency Physicians Integrated Care LLC | 2055 N Main, Mountain West Medical Center, Tooele, UT 84074-9819 |
| Mark Christensen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Ronald Rogers | Emergency Medicine | Emergency Physicians Integrated Care LLC | 950 S 500, Brigham City, UT 84302-4724 |
| Chase D Bailey | Nurse Practitioner | Emergency Physicians Integrated Care LLC | 3451 W 5600, Roy, UT 84067-9112 |
| Raymond William Allen | Nurse Practitioner | Emergency Physicians Integrated Care LLC | 5475 S 500, Ogden, UT 84405-6905 |
| Tammy K Park | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Darren Brockie | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 Hospital Way, Whitefish, MT 59937-7849 |
| Quinn M Weber | Emergency Medicine | Emergency Physicians Integrated Care LLC | 3580 W 9000, West Jordan, UT 84088-8812 |
| John A Silverman | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1050 E S Temple, Salt Lake City, UT 84102-1507 |
| Street Address |
630 MEDICAL DR |
| City | BOUNTIFUL |
| State | UT |
| Zip | 84010-4908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Phillip Pendleton | Psychiatry | Mountainstar Behavioral Health LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Christopher J Parr | Diagnostic Radiology | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 |
| Anthony C Faber | Anesthesiology | Western Anesthesia Associates LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Jose Perez Tamayo | Diagnostic Radiology | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 |
| Jeffry K Kupfer | Certified Registered Nurse Anesthetist (crna) | Western Anesthesia Associates LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| David R Dedrickson | Diagnostic Radiology | Utah Imaging Associates Inc | 630 Medical Dr, Lakeview Hospital, Boutiful, UT 84010-4908 |
| William T Sadler | Internal Medicine | Lakeview Professional Billing LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| David Smith | Hospitalist | Santibanez Aguirre PC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| E Wayne Larsen | Anesthesiology | Western Anesthesia Associates LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Chad A Vanginkel | Emergency Medicine | Emergency Physicians Integrated Care LLC | 630 Medical Dr, Bountiful, UT 84010-4908 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Samuel Wilson | Family Medicine | 1217 E 1650, Bountiful, UT 84010-1586 | |
| Nancy N Pantziris | Psychiatry | 535 E 500, Suite 6, Bountiful, UT 84010-3876 | |
| Ronald K Honey | Occupational Therapy | 2280 S 750, Bountiful, UT 84010-4216 | |
| Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Amanda A Ward | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Mark E Christian | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jason Clark Gubler | Physical Therapy | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| David Cope | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jennifer Crafton | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Sandra M Robinson | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Bountiful, UT 84010-4801 |
| Find all physicians in zip 84010 | |||
| City | BOUNTIFUL |
| Zip Code | 84010 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOUNTIFUL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jason T Eaton.
| 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.