Nancy Lieu (NPI# 1205124021, PAC ID# 7810130358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1205124021 |
| PAC ID by PECOS | 7810130358 |
| Professional Enrollment ID | I20130830000361 |
| Full Name | Nancy Lieu |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Address |
2530 W 4700 S Salt Lake City UT 84118-1865 |
| Phone Number | 8019675866 |
| Gender | F |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8022032234 |
| Number of Group Practice Members | 134 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 2530 W 4700 S, Salt Lake City, UT 84118-1865 | 8019675866 | PHYSICIAN GROUP OF UTAH INC |
| 2530 W 4700 S, Suite 8, Salt Lake City, UT 84118-1865 | 8019675866 | PHYSICIAN GROUP OF UTAH INC |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Deans | Neurology | Physician Group of Utah Inc | 3590 W 9000, Suite 240, West Jordan, UT 84088-8864 |
| Tamiyah Dinh | Nurse Practitioner | Physician Group of Utah Inc | 5980 S Fashion Blvd, Suite 203, Murray, UT 84107-7362 |
| Komal Rastogi | Neurology | Physician Group of Utah Inc | 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1141 |
| Nicholas M Noble | Family Medicine | Physician Group of Utah Inc | 349 N Flint St, Suite 101, Kaysville, UT 84037-9808 |
| Robert W Engelen | Sports Medicine | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072 |
| Mitchell Taylor Peterson | Physical Therapy | Physician Group of Utah Inc | 1840 S 1300, Salt Lake City, UT 84105-3617 |
| Patricia L Judson | Obstetrics/gynecology | Physician Group of Utah Inc | 3336 Pioneer Pkwy, Suite 301, West Valley City, UT 84120-2073 |
| Laura Chelu | Obstetrics/gynecology | Physician Group of Utah Inc | 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703 |
| Andrew Benjamin Ward | Physician Assistant | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Virginia J Homewood | Obstetrics/gynecology | Physician Group of Utah Inc | 3580 W 9000, West Jordan, UT 84088-8812 |
| Street Address |
2530 W 4700 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84118-1865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya K Powel | Internal Medicine | Physician Group of Utah Inc | 2530 W 4700 S, Salt Lake City, UT 84118-1865 |
| Robert S Powel | Internal Medicine | Physician Group of Utah Inc | 2530 W 4700 S, Suite 8, Salt Lake City, UT 84118-1865 |
| Gordon T Goodman | Endocrinology | Physician Group of Utah Inc | 2530 W 4700 S, Suite 8, Salt Lake City, UT 84118-1865 |
| Miguel A Villalobos | Family Practice | Physician Group of Utah Inc | 2530 W 4700 S, Salt Lake City, UT 84118-1865 |
| Christopher S English | General Surgery | Physician Group of Utah Inc | 2530 W 4700 S, Suite 8, Salt Lake City, UT 84118-1865 |
| Kelli J Hyland | Psychiatry | Physician Group of Utah Inc | 2530 W 4700 S, Salt Lake City, UT 84118-1865 |
| Kevin Rarick | Physician Assistant | Physician Group of Utah Inc | 2530 W 4700 S, Salt Lake City, UT 84118-1865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon A Strong | Family Practice | Ma Bo Inc | 2011 W 4700, Taylorsville, UT 84118-1107 |
| Ralph K Green | Chiropractic | 2048 W 5400 S A, Salt Lake City, UT 84118-1428 | |
| Keith O Horwood | Family Medicine | Community Health Centers Inc. | 4745 S 3200, Oquirrh View Clinic, Salt Lake City, UT 84118-2822 |
| Frank J Powers | Family Medicine | Community Health Centers Inc. | 4745 S 3200, Oquirrh View Clinic, Salt Lake City, UT 84118-2822 |
| Gabriela Walsman Leiva | Family Medicine | Community Health Centers Inc. | 4745 S 3200, Oquirrh View Clinic, Salt Lake City, UT 84118-2822 |
| Saskia T Spiess | Family Medicine | Community Health Centers Inc. | 4745 S 3200, Oquirrh View Clinic, Salt Lake City, UT 84118-2822 |
| Ronald S Roper | Optometry | 3544 W 6200 S, Suite 104, Taylorsville, UT 84118-3206 | |
| Kevin D Church | Physical Therapy | 5255 S 4015 W, Suite 205, Taylorsville, UT 84118-4259 | |
| Renee Olesen | Pediatric Medicine | Ihc Health Services Inc | 4946 W 6200, Kearns, UT 84118-6703 |
| Nolan A Sandygren | Family Medicine | Ihc Health Services Inc | 4946 W 6200, Kearns, UT 84118-6703 |
| Find all physicians in zip 84118 | |||
| City | SALT LAKE CITY |
| Zip Code | 84118 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SALT LAKE CITY + CLINICAL SOCIAL WORKER |
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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.