Stephen M Shupe (NPI# 1689789281, PAC ID# 4880630714) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1689789281 |
| PAC ID by PECOS | 4880630714 |
| Professional Enrollment ID | I20070828000631 |
| Full Name | Stephen M Shupe |
| Address |
2295 S Foothill Dr Salt Lake City UT 84109-4000 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2295 S Foothill Dr, Salt Lake City, UT 84109-4000 |
| Street Address |
2295 S FOOTHILL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84109-4000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily S Himebaugh | Nurse Practitioner | Gut Whisperer PC | 2295 S Foothill Dr, Salt Lake City, UT 84109-4000 |
| Donna M Thompson | Nurse Practitioner | Gut Whisperer PC | 2295 S Foothill Dr, Salt Lake City, UT 84109-4000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jan R Magdalen | Clinical Social Worker | 2071 E Ashton Cir, Salt Lake City, UT 84109-1103 | |
| Sara A Wells | Family Medicine | 2131 E 2100, Salt Lake City, UT 84109-1128 | |
| Matthew T Holmes | Chiropractic | 2645 E Parleys Way, Salt Lake City, UT 84109-1636 | |
| Mark R Moeller | Physical Therapy | Alpine Sports Medicine LLC | 2645 E Parleys Way, Salt Lake City, UT 84109-1636 |
| Ann C Rauscher | Physical Therapy | Alpine Sports Medicine LLC | 2645 E Parleys Way, Salt Lake City, UT 84109-1636 |
| Diane B Young | Nurse Practitioner | 3018 E 3300, Salt Lake City, UT 84109-2144 | |
| Kent C Kravitz | Clinical Social Worker | 3090 E 3300 S, 2b, Salt Lake City, UT 84109-2161 | |
| Stephen B Morris | Psychologist, Clinical | 3167 E Louise Ave, Salt Lake City, UT 84109-2224 | |
| Ryan C Hemming | Occupational Therapy | Western Summit Rehabilitation LLC | 3257 E 3300, Salt Lake City, UT 84109-2246 |
| James I Grant | Chiropractic | 2189 E 3300, Salt Lake City, UT 84109-2666 | |
| Find all physicians in zip 84109 | |||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SALT LAKE CITY + PHYSICAL THERAPY |
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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.