Deserae J Goble (NPI# 1366415770, PAC ID# 6002830239) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366415770 |
| PAC ID by PECOS | 6002830239 |
| Professional Enrollment ID | I20071011000091 |
| Full Name | Deserae J Goble |
| Address |
1950 S Hyway Suite 89 Perry UT 84302 |
| Gender | F |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460015 | LOGAN REGIONAL HOSPITAL |
| 460017 | BRIGHAM CITY COMMUNITY HOSPITAL |
| 460054 | CACHE VALLEY HOSPITAL |
| 460004 | MCKAY DEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1050 S 500, Brigham City, UT 84302-4715 | 4356952700 | IHC HEALTH SERVICES INC |
| 1950 S Hyway, Suite 89, Perry, UT 84302 | ||
| 1000 N Main, Sevier Valley Hospital Physicians Grp, Richfield, UT 84701-1843 | 4358934100 | IHC HEALTH SERVICES INC |
| Street Address |
1950 S HYWAY SUITE 89 |
| City | PERRY |
| State | UT |
| Zip | 84302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luellen C Brown | Clinical Social Worker | Bear River Mental Health Services Inc | 950 S 663, Brigham City, UT 84302 |
| Chantel B Murrah | Podiatry | 775 N 200, Willow Glen Health and Rehabilitation, Brigham City, UT 84302-1303 | |
| Bryan D Whetton | Physician Assistant | Bear Lake Community Health Center | 5 W 200, Brigham City, UT 84302-2109 |
| Tara Lee Dalton | Physician Assistant | Access Healthcare LLC | 5 W 200, Brigham City, UT 84302-2109 |
| Christie Lynn Powell | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Cyndi Susan Tangren | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Suzanne E Lee | Family Medicine | Community Health Centers Inc. | 14 N 100 E, 2 Clinica De Buena Salud, Brigham City, UT 84302-2170 |
| Larry D Terry | Optometry | 34 S Main St, Brigham City, UT 84302-2527 | |
| Stephan Michael Moss | Nurse Practitioner | Brigham Medical Clinic, Inc. | 600 W Hospital Rd, Brigham City, UT 84302-3006 |
| Lindee P Allen | Nurse Practitioner | Brigham Medical Clinic, Inc. | 600 W Hospital Rd, Brigham City, UT 84302-3006 |
| Find all physicians in zip 84302 | |||
| City | PERRY |
| Zip Code | 84302 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PERRY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Deserae J Goble.
| 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.