Brian W Loveridge (NPI# 1720080369, PAC ID# 7618984311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1720080369 |
PAC ID by PECOS | 7618984311 |
Professional Enrollment ID | I20060321000054 |
Full Name | Brian W Loveridge |
Organization Legal Name | DIABETES RELIEF UTAH OGDEN, LLC |
Address |
2086 N 1700 Suite D Layton UT 84041-1164 |
Phone Number | 2816005000301 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
Graduation Year | 1999 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 6709143381 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
460005 | OGDEN REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2086 N 1700, Suite D, Layton, UT 84041-1164 | 2816005000301 | DIABETES RELIEF UTAH OGDEN, LLC |
Organization Legal Name | DIABETES RELIEF UTAH OGDEN, LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey Scott Adams | Physician Assistant | Diabetes Relief Utah Ogden, LLC | 2086 N 1700, Suite D, Layton, UT 84041-1164 |
Valarie D Jacobs | Nurse Practitioner | Diabetes Relief Utah Ogden, LLC | 2086 N 1700, Suite D, Layton, UT 84041-1164 |
Dana Shelton | Nurse Practitioner | Diabetes Relief Utah Ogden, LLC | 2086 N 1700, Suite D, Layton, UT 84041-1164 |
Street Address |
2086 N 1700 SUITE D |
City | LAYTON |
State | UT |
Zip | 84041-1164 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey Scott Adams | Physician Assistant | Diabetes Relief Utah Ogden, LLC | 2086 N 1700, Suite D, Layton, UT 84041-1164 |
Valarie D Jacobs | Nurse Practitioner | Diabetes Relief Utah Ogden, LLC | 2086 N 1700, Suite D, Layton, UT 84041-1164 |
Dana Shelton | Nurse Practitioner | Diabetes Relief Utah Ogden, LLC | 2086 N 1700, Suite D, Layton, UT 84041-1164 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
Find all physicians in zip 84041 |
City | LAYTON |
Zip Code | 84041 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | LAYTON + EMERGENCY MEDICINE |
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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.