Justin Haller (NPI# 1790009264, PAC ID# 6800028671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1790009264 |
| PAC ID by PECOS | 6800028671 |
| Professional Enrollment ID | I20160829001635 |
| Full Name | Justin Haller |
| Organization Legal Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Address |
590 S Wakara Way Salt Lake City UT 84108-1200 |
| Phone Number | 8015877109 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0941525273 |
| Number of Group Practice Members | 1243 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 8015877109 | UNIVERSITY OF UTAH ADULT SERVICES |
| Organization Legal Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Physicians | 1332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann E Lawrence | Anesthesiology | University of Utah Adult Services | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 |
| Genevieve Noelle Olivier | Physical Therapy | University of Utah Adult Services | 30 N, Suite 444, Salt Lake City, UT 84132-0002 |
| John Evan Thomas | Physician Assistant | University of Utah Adult Services | 165 N University Ave, Farmington Health Center Dermatol, Farmington, UT 84025-2990 |
| Douglas P Marx | Ophthalmology | University of Utah Adult Services | 65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005 |
| Brenton Waters | Physician Assistant | University of Utah Adult Services | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 |
| Mary D Foye | Qualified Speech Language Pathologist | University of Utah Adult Services | 417 S Wakara Way, Suite 1112, Salt Lake City, UT 84108-1448 |
| Ligia V Onofrei | Neurology | University of Utah Adult Services | 175 N Medical Dr, Salt Lake City, UT 84132-5901 |
| Naomi R Laird | Physician Assistant | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Douglas J Ballard | Physical Therapy | University of Utah Adult Services | 520 S Wakara Way, Suite 302, Salt Lake City, UT 84108-1213 |
| Jonathan R Roddy | Emergency Medicine | University of Utah Adult Services | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Street Address |
590 S WAKARA WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84108-1200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naomi R Laird | Physician Assistant | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Christopher E Pelt | Orthopedic Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Robert James Owen | Orthopedic Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Robert T Burks | Sports Medicine | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Andrew R Tyser | Hand Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Katelyn Marie Kubat Money | Physical Therapy | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Robert D Cervantez | Physical Therapy | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Jason T Montgomery | Physician Assistant | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Andrew Livermore | Orthopedic Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Nathan B Haile | Orthopedic Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca C Abbey | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Michelle L Palmer | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Crystal M Armstrong | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Matthew B Johnson | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Spencer Tingey | Sports Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Clinton R Sheffield | Pediatric Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Bruce E Thomas | Orthopedic Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| David L Rothberg | Pediatric Medicine | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Stephen K Aoki | Pediatric Medicine | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Dorian J Carroll | Physician Assistant | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Find all physicians in zip 84108 | |||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SALT LAKE CITY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Justin Haller.
| 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.