Richard L Anderson (NPI# 1295784759, PAC ID# 7810978707) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1295784759 |
| PAC ID by PECOS | 7810978707 |
| Professional Enrollment ID | I20041122000255 |
| Full Name | Richard L Anderson |
| Organization Legal Name | OCULOPLASTIC SURGERY INC |
| Address |
4302 S Olive Dr Millcreek UT 84124-2553 |
| Phone Number | 8017261934 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | OPHTHALMOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 5799766671 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4302 S Olive Dr, Millcreek, UT 84124-2553 | 8017261934 | OCULOPLASTIC SURGERY INC |
| Organization Legal Name | OCULOPLASTIC SURGERY INC |
| Physicians | 1 |
| Street Address |
4302 S OLIVE DR |
| City | MILLCREEK |
| State | UT |
| Zip | 84124-2553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J J Oberg | Ophthalmology | 4302 S Olive Dr, Millcreek, UT 84124-2553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melisa S Steele | Nurse Practitioner | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Jan B Bernhisel-broadbent | Allergy/immunology | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Nathan Grant Adams | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
| Michael A Gladwell | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
| Sarah Elaine Kaihau | Nurse Practitioner | Valley Mental Health Incorporated | 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215 |
| Timothy Champlin | Clinical Social Worker | Valley Mental Health Incorporated | 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215 |
| Mina Gohari | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Cynthia J Lawlor | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Rebecca H Moore | Nephrology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Danesh Rahimi | Internal Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Find all physicians in zip 84124 | |||
| City | MILLCREEK |
| Zip Code | 84124 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MILLCREEK + OPHTHALMOLOGY |
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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.