Amanda J Maki (NPI# 1225268857, PAC ID# 7911043930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1225268857 |
| PAC ID by PECOS | 7911043930 |
| Professional Enrollment ID | I20150923001475 |
| Full Name | Amanda J Maki |
| Organization Legal Name | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC |
| Address |
1600 W Antelope Dr Layton UT 84041-1142 |
| Phone Number | 8012628120 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5294639407 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460006 | LDS HOSPITAL |
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460058 | RIVERTON HOSPITAL |
| 460003 | SALT LAKE REGIONAL MEDICAL CENTER |
| 460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1600 W Antelope Dr, Layton, UT 84041-1142 | 8012628120 | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC |
| 5323 Woodrow St, Murray, UT 84107-5841 | 8017130600 | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC |
| Organization Legal Name | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James B Sowby | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Charles R Carrasco | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 5444 Green St, Murray, UT 84123-5632 |
| William J Halden | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 5334 S Woodrow St, Suite 101, Murray, UT 84107-5838 |
| Steven T Hunt | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Jeffery Mccleve | Physician Assistant | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Cheryl Lynn Green | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Adam Danielson | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 5323 S Woodrow St, Murray, UT 84107-5841 |
| Shane Anderson | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 5323 S Woodrow St, Murray, UT 84107-5841 |
| Talmage L Shill | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Wayne Robert Brinton | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Street Address |
1600 W ANTELOPE DR |
| City | LAYTON |
| State | UT |
| Zip | 84041-1142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James B Sowby | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Steven T Hunt | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Jeffery Mccleve | Physician Assistant | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Brian C Hales | Anesthesiology | North Davis Anesthesiology LLC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Brett Thomas Burtenshaw | Family Medicine | Associates for Inpatient Medicine LLC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Cheryl Lynn Green | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Abdulelah Y Abu Qare | Emergency Medicine | Associates for Inpatient Medicine LLC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Bo S Poulson | Emergency Medicine | Emergency Physicians Integrated Care LLC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Sanjeev Bakshi | Internal Medicine | Santibanez Aguirre PC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Ryan B Springer | Anesthesiology | North Davis Anesthesiology LLC | 1600 W Antelope Dr, Layton, UT 84041-1142 |
| Find all physicians in the same address | |||
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | LAYTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amanda J Maki.
| 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.