Jeffrey Mcclellan (NPI# 1518910108, PAC ID# 7113901539) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1518910108 |
| PAC ID by PECOS | 7113901539 |
| Professional Enrollment ID | I20051008000222 |
| Full Name | Jeffrey Mcclellan |
| Organization Legal Name | UINTAH BASIN MEDICAL CENTER, INC |
| Address |
250 W Suite 2 Roosevelt UT 84066 |
| Phone Number | 4357224691 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0244131944 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460001 | UTAH VALLEY HOSPITAL |
| 460023 | AMERICAN FORK HOSPITAL |
| 460011 | CASTLEVIEW HOSPITAL |
| 461303 | SANPETE VALLEY HOSPITAL - CAH |
| 460057 | PARK CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 190 Arrowhead Dr, Evanston, WY 82930-9266 | 3077893636 | UTAH VALLEY RADIOLOGY ASSOCIATES INC |
| 560 W 800, Orem, UT 84057-3746 | 8015257770 | IHC HEALTH SERVICES INC |
| 360 S Lola Ln, Pahrump, NV 89048-0884 | 7757517500 | UTAH VALLEY RADIOLOGY ASSOCIATES INC |
| 1034 N 500, Utah Valley Regional Medical Center, Provo, UT 84604-3380 | 8012256246 | UTAH VALLEY RADIOLOGY ASSOCIATES INC |
| 1034 N 500, Provo, UT 84604-3380 | 8013577850 | IHC HEALTH SERVICES INC |
| 250 W, Suite 2, Roosevelt, UT 84066 | 4357224691 | UINTAH BASIN MEDICAL CENTER, INC |
| 400 C St, Salt Lake City, UT 84143-1005 | IHC HEALTH SERVICES INC | |
| 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 | 4352512355 | IHC HEALTH SERVICES INC |
| 1380 E Medical Ctr Dr, St George, UT 84790-2123 | IHC HEALTH SERVICES INC |
| Organization Legal Name | UINTAH BASIN MEDICAL CENTER, INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Michael Birkin | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Bruce F Arnold | Pathology | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| David Mathis Thayn | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Peter L Tanner | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Kortney Lynn Mcmullin | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Audrie Wisell | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Sean David Paulsen | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Colby Duncan | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Jason J Larson | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Joseph A Garcia | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Street Address |
250 W SUITE 2 |
| City | ROOSEVELT |
| State | UT |
| Zip | 84066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Michael Birkin | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Bruce F Arnold | Pathology | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| David Mathis Thayn | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Peter L Tanner | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Kortney Lynn Mcmullin | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Audrie Wisell | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Sean David Paulsen | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Colby Duncan | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Jason J Larson | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Joseph A Garcia | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amos Reid Burgess | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Jacob Dunkley Brown | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Kristopher S Riser | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Manpreet Kaur | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Dennis K Heaston | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Darwin Mckee | Physician Assistant | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Allen F Wallace | Certified Registered Nurse Anesthetist (crna) | Ubmc Anesthesiology | 250 W 300 N, 2 Uintah Basin Medical Center, Roosevelt, UT 84066-2336 |
| Walter M Snihurowych | Urology | 250 W 300, Roosevelt, UT 84066-2336 | |
| Kerry R Baum | General Surgery | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Clayton S Syndergaard | Obstetrics/gynecology | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Find all physicians in zip 84066 | |||
| City | ROOSEVELT |
| Zip Code | 84066 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ROOSEVELT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jeffrey Mcclellan.
| 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.