Armando Wayne Slack (NPI# 1659572949, PAC ID# 7315288024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1659572949 |
PAC ID by PECOS | 7315288024 |
Professional Enrollment ID | I20190408000135 |
Full Name | Armando Wayne Slack |
Organization Legal Name | ODYSSEY HOUSE INC. |
Address |
340 E 100 Suite 301 Salt Lake City UT 84111-1702 |
Phone Number | 8014283500 |
Gender | M |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2365458833 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
340 E 100, Suite 301, Salt Lake City, UT 84111-1702 | 8014283500 | ODYSSEY HOUSE INC. |
Organization Legal Name | ODYSSEY HOUSE INC. |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica L Arbogast | Nurse Practitioner | Odyssey House Inc. | 340 E 100, Suite 301, Salt Lake City, UT 84111-1702 |
Richard C Arbogast | Family Medicine | Odyssey House Inc. | 340 E 100, Suite 301, Salt Lake City, UT 84111-1702 |
Stephanie Wheatley | Nurse Practitioner | Odyssey House Inc. | 340 E 100, Suite 301, Salt Lake City, UT 84111-1702 |
Street Address |
340 E 100 SUITE 301 |
City | SALT LAKE CITY |
State | UT |
Zip | 84111-1702 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica L Arbogast | Nurse Practitioner | Odyssey House Inc. | 340 E 100, Suite 301, Salt Lake City, UT 84111-1702 |
Richard C Arbogast | Family Medicine | Odyssey House Inc. | 340 E 100, Suite 301, Salt Lake City, UT 84111-1702 |
Stephanie Wheatley | Nurse Practitioner | Odyssey House Inc. | 340 E 100, Suite 301, Salt Lake City, UT 84111-1702 |
Name | Specialty | Organization | Address |
---|---|---|---|
Zachary Dale Taylor | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
James Farthing Leonard | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
Dustin J Hedstrom | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
John Corbaley | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
Page Speiser | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
Carolyn K Scott | Clinical Social Worker | Carolyn K Scott Lcsw PC | 275 E S Temple St, Salt Lake City, UT 84111-1243 |
Kathleen Fitzwilliam Lakey | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
Marybeth Raynes | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
Merritt W Stites | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
Carrie L Kelley | Psychologist, Clinical | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
Find all physicians in zip 84111 |
City | SALT LAKE CITY |
Zip Code | 84111 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SALT LAKE CITY + NURSE PRACTITIONER |
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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.