Patricia L Judson (NPI# 1063504983, PAC ID# 5799879789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1063504983 |
| PAC ID by PECOS | 5799879789 |
| Professional Enrollment ID | I20150921001465 |
| Full Name | Patricia L Judson |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Address |
3336 Pioneer Pkwy Suite 301 West Valley City UT 84120-2073 |
| Phone Number | 8019643865 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8022032234 |
| Number of Group Practice Members | 134 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3336 Pioneer Pkwy, Suite 301, West Valley City, UT 84120-2073 | 8019643865 | PHYSICIAN GROUP OF UTAH INC |
| 3336 Pioneer Pkwy, West Valley City, UT 84120-2073 | 8019643865 | PHYSICIAN GROUP OF UTAH INC |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Deans | Neurology | Physician Group of Utah Inc | 3590 W 9000, Suite 240, West Jordan, UT 84088-8864 |
| Tamiyah Dinh | Nurse Practitioner | Physician Group of Utah Inc | 5980 S Fashion Blvd, Suite 203, Murray, UT 84107-7362 |
| Komal Rastogi | Neurology | Physician Group of Utah Inc | 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1141 |
| Nicholas M Noble | Family Medicine | Physician Group of Utah Inc | 349 N Flint St, Suite 101, Kaysville, UT 84037-9808 |
| Robert W Engelen | Sports Medicine | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072 |
| Mitchell Taylor Peterson | Physical Therapy | Physician Group of Utah Inc | 1840 S 1300, Salt Lake City, UT 84105-3617 |
| Laura Chelu | Obstetrics/gynecology | Physician Group of Utah Inc | 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703 |
| Andrew Benjamin Ward | Physician Assistant | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Nancy Lieu | Clinical Social Worker | Physician Group of Utah Inc | 2530 W 4700 S, Salt Lake City, UT 84118-1865 |
| Virginia J Homewood | Obstetrics/gynecology | Physician Group of Utah Inc | 3580 W 9000, West Jordan, UT 84088-8812 |
| Street Address |
3336 PIONEER PKWY SUITE 301 |
| City | WEST VALLEY CITY |
| State | UT |
| Zip | 84120-2073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence B Grandy | Family Medicine | After Hours Medical LLC | 3451 S 5600 W F, After Hours Medical West Valley Clinic, Salt Lake City, UT 84120-1301 |
| Robert E Warrick | Family Practice | After Hours Medical LLC | 3451 S 5600 W F, After Hours Medical West Valley Clinic, Salt Lake City, UT 84120-1301 |
| Carlos A Vasquez | Nurse Practitioner | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 204, West Valley City, UT 84120-2014 |
| Ravinder S Ahluwalia | Internal Medicine | Santibanez Aguirre Slc PC | 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 |
| Jason E Crook | Nurse Practitioner | Santibanez Aguirre Slc PC | 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 |
| Rocky D Howell | Nurse Practitioner | Physician Group of Utah Inc | 3460 S Pioneer Pkwy, Suite 304, West Valley City, UT 84120-2049 |
| Peter C Agy | Internal Medicine | Santibanez Aguirre Slc PC | 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 |
| Gayle M Stewart | Obstetrics/gynecology | Physician Group of Utah Inc | 3460 S Pioneer Pkwy, West Valley, UT 84120-2049 |
| Merwin D Rasmussen | Certified Registered Nurse Anesthetist | 3460 S Pioneer Pkwy, West Valley, UT 84120-2049 | |
| Michelle M Sticka | Clinical Social Worker | Physician Group of Utah Inc | 3460 S Pioneer Pkwy, Pioneer Valley Hospital A Campus of Jordan Valley Medi, West Valley City, UT 84120-2049 |
| Find all physicians in zip 84120 | |||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | WEST VALLEY CITY + OBSTETRICS/GYNECOLOGY |
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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.