Courtney R Nelson (NPI# 1205915410, PAC ID# 6709941339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205915410 |
| PAC ID by PECOS | 6709941339 |
| Professional Enrollment ID | I20120823000365 |
| Full Name | Courtney R Nelson |
| Organization Legal Name | WASATCH PEAK FAMILY PRACTICE INC |
| Address |
1580 W Antelope Dr Suite 200 Layton UT 84041-1200 |
| Phone Number | 8017734770 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991795692 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1200 | 8017734770 | WASATCH PEAK FAMILY PRACTICE INC |
| Organization Legal Name | WASATCH PEAK FAMILY PRACTICE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie V Lozano | Physician Assistant | Wasatch Peak Family Practice Inc | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1200 |
| Jeffery L Degrauw | Family Medicine | Wasatch Peak Family Practice Inc | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1200 |
| Kevin L Gardner | Family Medicine | Wasatch Peak Family Practice Inc | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1200 |
| David E Butters | Family Medicine | Wasatch Peak Family Practice Inc | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1200 |
| Street Address |
1580 W ANTELOPE DR SUITE 200 |
| City | LAYTON |
| State | UT |
| Zip | 84041-1200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Ann Scott | Certified Nurse Midwife (cnm) | Rocky Mountain Women's Health Center Inc | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1179 |
| Susan Arulmalar Arogyasami | Obstetrics/gynecology | Rocky Mountain Women's Health Center Inc | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1179 |
| Cullen J Archer | Obstetrics/gynecology | Rocky Mountain Women's Health Center Inc | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1179 |
| Linda Koenen | Nurse Practitioner | Rocky Mountain Women's Health Center Inc | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1179 |
| Nolan L Jepsen | Optometry | Mountain View Eye Center | 1580 W Antelope Dr, Suite 175, Layton, UT 84041-1175 |
| Vivian M Dearden | Certified Nurse Midwife (cnm) | Physician Group of Utah Inc | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1179 |
| Peter V Wilson | General Surgery | Physician Group of Utah Inc | 1580 W Antelope Dr, Suite 130b, Layton, UT 84041-1160 |
| Jared Chesley Martin | Obstetrics/gynecology | Rocky Mountain Women's Health Center Inc | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1179 |
| Melanie V Lozano | Physician Assistant | Wasatch Peak Family Practice Inc | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1200 |
| Jeffery L Degrauw | Family Medicine | Wasatch Peak Family Practice Inc | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAYTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Courtney R Nelson.
| 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.