Jordan Robert Harris (NPI# 1285998484, PAC ID# 5193071686) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1285998484 |
| PAC ID by PECOS | 5193071686 |
| Professional Enrollment ID | I20180713002186 |
| Full Name | Jordan Robert Harris |
| Organization Legal Name | UTAH VALLEY DERMATOLOGY PC |
| Address |
680 E Main St Lehi UT 84043-2241 |
| Phone Number | 8017688800 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7113181355 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 680 E Main St, Lehi, UT 84043-2241 | 8017688800 | UTAH VALLEY DERMATOLOGY PC |
| Organization Legal Name | UTAH VALLEY DERMATOLOGY PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Myers | Dermatology | Utah Valley Dermatology PC | 680 E Main St, Lehi, UT 84043-2241 |
| Scott Allan Leatham | Nurse Practitioner | Utah Valley Dermatology PC | 680 E Main St, Lehi, UT 84043-2241 |
| Jason Charles Evans | Physician Assistant | Utah Valley Dermatology PC | 680 E Main St, Lehi, UT 84043-2241 |
| Street Address |
680 E MAIN ST |
| City | LEHI |
| State | UT |
| Zip | 84043-2241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tauaina J Ngatuvai | Family Medicine | Premier Family Medical | 680 E Main St, Lehi, UT 84043-2241 |
| Amy L Hawkins | Nurse Practitioner | Premier Family Medical | 680 E Main St, Lehi, UT 84043-2241 |
| Marshall F Willis Jr. | Family Medicine | Premier Family Medical | 680 E Main St, Lehi, UT 84043-2241 |
| David J Myers | Dermatology | Utah Valley Dermatology PC | 680 E Main St, Lehi, UT 84043-2241 |
| Scott Allan Leatham | Nurse Practitioner | Utah Valley Dermatology PC | 680 E Main St, Lehi, UT 84043-2241 |
| Kathleen C Rufolo | Chiropractic | 680 E Main St, Schuylkill Haven, PA 17972-1428 | |
| Leslie Jane Huggins | Nurse Practitioner | Premier Family Medical | 680 E Main St, Lehi, UT 84043-2241 |
| Jason Charles Evans | Physician Assistant | Utah Valley Dermatology PC | 680 E Main St, Lehi, UT 84043-2241 |
| Sharilyn Sue Kimball | Nurse Practitioner | Premier Family Medical | 680 E Main St, Lehi, UT 84043-2241 |
| Michael Dean Marion | Plastic and Reconstructive Surgery | Michael D Marion Md PC | 680 E Main St, Lehi, UT 84043-2251 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian I Garaycochea | Anesthesiology | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Mark C Harris | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Janelle B Prescott | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Timothy I Macnair | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Mark W Hedelius | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Joseph R Fitzgerald | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Catherine G Rawson | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Sonia L Klonoski | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| James Silver Coy | Family Medicine | Ihc Health Services Inc | 354 W State St, Suite 73, Saratoga Springs, UT 84043-1119 |
| Kamal Chand Tottempudi | Family Medicine | Ihc Health Services Inc | 354 W State St, Suite 73, Saratoga Springs, UT 84043-1119 |
| Find all physicians in zip 84043 | |||
| City | LEHI |
| Zip Code | 84043 |
| Specialty | DERMATOLOGY |
| City + Specialty | LEHI + DERMATOLOGY |
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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.