Andrew P Talbott (NPI# 1619932761, PAC ID# 6709977820) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1619932761 |
| PAC ID by PECOS | 6709977820 |
| Professional Enrollment ID | I20070803000366 |
| Full Name | Andrew P Talbott |
| Organization Legal Name | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC |
| Address |
1122 Ctr Dr Suite D 350 Park City UT 84098-5780 |
| Phone Number | 4356562424 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 6406020049 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460057 | PARK CITY HOSPITAL |
| 461307 | HEBER VALLEY HOSPITAL |
| 460049 | THE ORTHOPEDIC SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1122 Ctr Dr, Suite D 350, Park City, UT 84098-5780 | 4356562424 | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC |
| Organization Legal Name | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Kennedy | Nurse Practitioner | Southwest Spine and Pain Care Specialists LLC | 25 N 2000, Suite 8, Hurricane, UT 84737-4115 |
| Jeffrey Alan Wright | Physician Assistant | Southwest Spine and Pain Care Specialists LLC | 2051 E Red Hills Pkwy, Suite 7, St George, UT 84770-8671 |
| Edward A Parry | Nurse Practitioner | Southwest Spine and Pain Care Specialists LLC | 320 River Park Dr, Suite 255, Provo, UT 84604-6065 |
| Cole W Robinson | Physical Medicine and Rehabilitation | Southwest Spine and Pain Care Specialists LLC | 860 N Main St, Suite B, Richfield, UT 84701-1840 |
| John Mccormick | Rheumatology | Southwest Spine and Pain Care Specialists LLC | 2107 W Sunset Blvd, Suite 102, Saint George, UT 84770-7140 |
| Brookanne J Mickelson | Nurse Practitioner | Southwest Spine and Pain Care Specialists LLC | 301 N 200, Suite 2a, St George, UT 84770-3040 |
| Derek L Frieden | Interventional Pain Management | Southwest Spine and Pain Care Specialists LLC | 1122 Ctr Dr, Suite D 350, Park City, UT 84098-5780 |
| Alan Pendleton Hillstead | Interventional Pain Management | Southwest Spine and Pain Care Specialists LLC | 1303 N Main St, Cedar City, UT 84721-9746 |
| Jon Bruce Obray | Pain Management | Southwest Spine and Pain Care Specialists LLC | 652 S Medical Ctr Dr, Suite 110, Saint George, UT 84790-7077 |
| Caitlyn R Jennings | Physician Assistant | Southwest Spine and Pain Care Specialists LLC | 652 S Medical Ctr Dr, Suite 110, Saint George, UT 84790-7077 |
| Street Address |
1122 CTR DR SUITE D 350 |
| City | PARK CITY |
| State | UT |
| Zip | 84098-5780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek L Frieden | Interventional Pain Management | Southwest Spine and Pain Care Specialists LLC | 1122 Ctr Dr, Suite D 350, Park City, UT 84098-5780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Lynn Robertson | Optometry | Mountain Valley Eye Institute PC | 2700 Homestead Rd, Suite 30, Park City, UT 84098-4874 |
| Douglas S Lister | Podiatry | 2720 Homestead Rd, Suite 50, Park City, UT 84098-4885 | |
| John M Arias | Diagnostic Radiology | Marion General Radiology Inc | 1056 Station Loop Rd, Park City, UT 84098-5426 |
| Robert S Briggs | Optometry | Park City Vision Center, Inc. | 6584 N Creekside Lane, Suite 150, Park City, UT 84098-5532 |
| Brandon Riley Judd | Physical Therapy | Wasatch Physical Therapy and Sports Medicine At Park City | 597 Pkwy Dr, Suite C, Park City, UT 84098-5733 |
| Jennifer L Maki | Physical Therapy | Wasatch Physical Therapy and Sports Medicine At Park City | 597 Pkwy Dr, Suite C, Park City, UT 84098-5733 |
| Lauren J Ziaks | Physical Therapy | Wasatch Physical Therapy and Sports Medicine At Park City | 597 Pkwy Dr, Suite C, Park City, UT 84098-5733 |
| John R Taylor | Psychologist, Clinical | 2750 Rasmussen Rd, Suite 105, Park City, UT 84098-5781 | |
| Elizabeth Ann Dosher | Clinical Social Worker | 5532 Lillehammer Ln, Suite 200, Park City, UT 84098-6079 | |
| Karen Dittrich | Diagnostic Radiology | Direct Radiology Pllc | 95 E 4100, Park City, UT 84098-6323 |
| Find all physicians in zip 84098 | |||
| City | PARK CITY |
| Zip Code | 84098 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | PARK CITY + PAIN MANAGEMENT |
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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.