Amanda Madrid (NPI# 1164971560, PAC ID# 8022396431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1164971560 |
| PAC ID by PECOS | 8022396431 |
| Professional Enrollment ID | I20161104001135 |
| Full Name | Amanda Madrid |
| Organization Legal Name | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Address |
220 Millpond Suite 100 Stansbury Park UT 84074-9760 |
| Phone Number | 4358433000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739403569 |
| Number of Group Practice Members | 185 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 8015818000 | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 | 4358433000 | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Organization Legal Name | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Physicians | 187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Pestotnik | Internal Medicine | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Rebecca Lynn Currier Curran | Family Medicine | University of Utah Community Physicians Group | 1138 Wilmington Ave, University Sugarhouse Family Health, Salt Lake City, UT 84106-2819 |
| Rebecca C Abbey | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Wei Ting Chao | Physician Assistant | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Jocelyn Decker | Nurse Practitioner | University of Utah Community Physicians Group | 1525 W 2100, Salt Lake City, UT 84119-1401 |
| Kyle B Hilton | Physician Assistant | University of Utah Community Physicians Group | 145 W University Pkwy, Uuhc Parkway Center, Orem, UT 84058-7316 |
| Ryan T Rushton | Podiatry | University of Utah Community Physicians Group | 7495 S State St, Midvale, UT 84047-2013 |
| David G Owen | Family Medicine | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Hugh M Stoneburner | Internal Medicine | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Johanna Greenberg | Physician Assistant | University of Utah Community Physicians Group | 1138 Wilmington Ave, University Sugarhouse Family Health, Salt Lake City, UT 84106-2819 |
| Street Address |
220 MILLPOND SUITE 100 |
| City | STANSBURY PARK |
| State | UT |
| Zip | 84074-9760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Evans | Physician Assistant | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Brian M Kelly | Nurse Practitioner | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Lisa Marie Smith | Physician Assistant | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Ali Salari | Family Medicine | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Andrew Caldwell | Physician Assistant | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Anndrea Boyer | Physician Assistant | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Debra S Shinkle | Family Medicine | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Jonathan D Atkin | Physician Assistant | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Margaret H Solomon | Pediatric Medicine | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Pagnani | Physical Therapy | 6727n State Hwy 36 300, Stansbury Park, UT 84074 | |
| Jennifer B Littledike | Physician Assistant | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Patrick N Green | Family Medicine | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Rynthia G Crosbie | Nurse Practitioner | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Hilary S Seibert | Family Medicine | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| David K Morrill | Optometry | 102 W 1180, Suite 2, Tooele, UT 84074-1492 | |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Shelley R Treuhaft | Nurse Practitioner | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Charles Edward Holt | Family Medicine | 280 N Main St, Tooele, UT 84074-1650 | |
| Brand P Reynolds | Nurse Practitioner | 491 N Main St, Tooele, UT 84074-1654 | |
| Find all physicians in zip 84074 | |||
| City | STANSBURY PARK |
| Zip Code | 84074 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | STANSBURY PARK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amanda Madrid.
| 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.