Carol Ann Leatherman (NPI# 1700834686, PAC ID# 6002833159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1700834686 |
| PAC ID by PECOS | 6002833159 |
| Professional Enrollment ID | I20151019001044 |
| Full Name | Carol Ann Leatherman |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
380 E 1500 Suite 202 Heber City UT 84032-3942 |
| Phone Number | 4356574600 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460057 | PARK CITY HOSPITAL |
| 461307 | HEBER VALLEY HOSPITAL |
| 530032 | EVANSTON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 380 E 1500, Suite 202, Heber City, UT 84032-3942 | 4356574600 | IHC HEALTH SERVICES INC |
| 2075 N 1200, Layton, UT 84041-1611 | 8017796200 | IHC HEALTH SERVICES INC |
| 2075 N 1200, Fl 2, Layton, UT 84041-1611 | 8017764444 | IHC HEALTH SERVICES INC |
| 2075 University Park Blvd, Layton, UT 84041-1611 | IHC HEALTH SERVICES INC | |
| 5323 S Woodrow St, Murray, UT 84107-5841 | 8012618346 | IHC HEALTH SERVICES INC |
| 9450 S 1300, Sandy, UT 84094-5555 | IHC HEALTH SERVICES INC | |
| 9450 S 1300, Fl 4, Sandy, UT 84094-5555 | 8015073500 | IHC HEALTH SERVICES INC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
380 E 1500 SUITE 202 |
| City | HEBER CITY |
| State | UT |
| Zip | 84032-3942 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Gregory Obrien | General Surgery | Ihc Health Services Inc | 380 E 1500, Suite 202, Heber City, UT 84032-3942 |
| Kevin Hall Gardner | Dermatology | Ihc Health Services Inc | 380 E 1500, Suite 202, Heber City, UT 84032-3942 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghanshyam P Massand | Orthopedic Surgery | 6531 N Landmark Dr, Heber City, UT 84032-1147 | |
| Willis K Clyde | Physical Therapy | 190 N Main St, Heber City, UT 84032-1600 | |
| Bradley B Rounds | Optometry | 37 E 100, Heber City, UT 84032-1700 | |
| Dallas Bean | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 55 S 500, Heber City, UT 84032-1918 |
| George D Pitts | General Practice | 35 S 500, Heber City, UT 84032-1918 | |
| Younchan Lee | Nurse Practitioner | Wasatch Mental Health Services Special Service District | 55 S 500, Heber City, UT 84032-1918 |
| Amy Buehler | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 55 S 500, Heber City, UT 84032-1918 |
| Stanton B Mcdonald | Family Medicine | 35 S 500, Heber City, UT 84032-1918 | |
| David M Ockey | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 55 S 500, Heber City, UT 84032-1918 |
| Richard J Hatch | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 55 S 500, Heber City, UT 84032-1918 |
| Find all physicians in zip 84032 | |||
| City | HEBER CITY |
| Zip Code | 84032 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HEBER CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carol Ann Leatherman.
| 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.