Andrew M Stevens (NPI# 1679816078, PAC ID# 6800030057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1679816078 |
| PAC ID by PECOS | 6800030057 |
| Professional Enrollment ID | I20190111001837 |
| Full Name | Andrew M Stevens |
| Organization Legal Name | TANNER MEMORIAL CLINIC |
| Address |
2038 W 1900 Tanner Clinic Syracuse UT 84075-9320 |
| Phone Number | 8017734840 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284547985 |
| Number of Group Practice Members | 144 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2038 W 1900, Tanner Clinic, Syracuse, UT 84075-9320 | 8017734840 | TANNER MEMORIAL CLINIC |
| Organization Legal Name | TANNER MEMORIAL CLINIC |
| Physicians | 150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Joseph Reich | Physician Assistant | Tanner Memorial Clinic | 2121 N 1700, Tanner Clinic, Layton, UT 84041-8803 |
| Mckennan Thurston | Family Medicine | Tanner Memorial Clinic | 1750 E 3100, Layton, UT 84040-2406 |
| Brett M Rawlins | Nurse Practitioner | Tanner Memorial Clinic | 1477 N 2000, Suite C, Clinton, UT 84015-9099 |
| Tyler R Williams | Internal Medicine | Tanner Memorial Clinic | 3443 W 5600, Roy, UT 84067-9112 |
| Loida M Viera Hutchins | Internal Medicine | Tanner Memorial Clinic | 5296 S Commerce Dr, Suite 104, Murray, UT 84107-5363 |
| Dustin Gary Child | Family Medicine | Tanner Memorial Clinic | 380 N 400, Tanner Clinic, Kaysville, UT 84037-3135 |
| Warren L Butler | Family Medicine | Tanner Memorial Clinic | 2038 W 1900, Tanner Clinic, Syracuse, UT 84075-9320 |
| Khaldoun M Al Rayess | Internal Medicine | Tanner Memorial Clinic | 2121 N 1700, Tanner Clinic, Layton, UT 84041-8803 |
| Brian W Pugh | Gastroenterology | Tanner Memorial Clinic | 2121 N 1700, Tanner Clinic, Layton, UT 84041-8803 |
| Robert L Mellor | Otolaryngology | Tanner Memorial Clinic | 2121 N 1700, Tanner Clinic, Layton, UT 84041-8803 |
| Street Address |
2038 W 1900 TANNER CLINIC |
| City | SYRACUSE |
| State | UT |
| Zip | 84075-9320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Warren L Butler | Family Medicine | Tanner Memorial Clinic | 2038 W 1900, Tanner Clinic, Syracuse, UT 84075-9320 |
| Stephen M Foote | Family Medicine | Tanner Memorial Clinic | 2038 W 1900, Tanner Clinic, Syracuse, UT 84075-9320 |
| David Farnsworth | Family Medicine | Tanner Memorial Clinic | 2038 W 1900, Tanner Clinic, Syracuse, UT 84075-9320 |
| Layne T Barker | Internal Medicine | Tanner Memorial Clinic | 2038 W 1900, Tanner Clinic, Syracuse, UT 84075-9320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan N Elmore | Chiropractic | 1747 Heritage Ln, B105, Syracuse, UT 84075-8546 | |
| William D Green | Chiropractic | 780 S 2000 W Bldg A, Suite 101, Syracuse, UT 84075-9612 | |
| Frank Raymond Sharf | Family Medicine | Ihc Health Services Inc | 745 S 2000, Syracuse, UT 84075-9621 |
| Gary Patrick Macdonald | Family Medicine | Ihc Health Services Inc | 745 S 2000, Syracuse, UT 84075-9621 |
| Pamela R Leclaire | Family Practice | Ihc Health Services Inc | 745 S 2000, Syracuse Instacare, Syracuse, UT 84075-9621 |
| Tyler R Elmore | Chiropractic | 1842 S 2000 W, Suite 2, Syracuse, UT 84075-9626 | |
| Joshua R Brenkmann | Physical Therapy | Rock Run Physical Therapy and Rehab Specialists LLC | 736 S 2000, Suite 1, Syracuse, UT 84075-9691 |
| City | SYRACUSE |
| Zip Code | 84075 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SYRACUSE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Andrew M Stevens.
| 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.