Carol A Osborn (NPI# 1568464030, PAC ID# 8123030582) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1568464030 |
PAC ID by PECOS | 8123030582 |
Professional Enrollment ID | I20060630000025 |
Full Name | Carol A Osborn |
Organization Legal Name | EVOLUTIONARY HEALTHCARE LLC |
Address |
461 E 200 Suite 100 Salt Lake City UT 84111-2138 |
Phone Number | 8015192461 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
Graduation Year | 1988 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2860404225 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460006 | LDS HOSPITAL |
460047 | ST MARK'S HOSPITAL |
460010 | INTERMOUNTAIN MEDICAL CENTER |
460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
Address | Phone | Organization |
---|---|---|
461 E 200, Suite 100, Salt Lake City, UT 84111-2138 | 8015192461 | EVOLUTIONARY HEALTHCARE LLC |
Organization Legal Name | EVOLUTIONARY HEALTHCARE LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher A Gay | Family Medicine | Evolutionary Healthcare LLC | 461 E 200, Suite 100, Salt Lake City, UT 84111-2138 |
Street Address |
461 E 200 SUITE 100 |
City | SALT LAKE CITY |
State | UT |
Zip | 84111-2138 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher A Gay | Family Medicine | Evolutionary Healthcare LLC | 461 E 200, Suite 100, Salt Lake City, UT 84111-2138 |
Name | Specialty | Organization | Address |
---|---|---|---|
Zachary Dale Taylor | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
James Farthing Leonard | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
Dustin J Hedstrom | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
John Corbaley | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
Page Speiser | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
Carolyn K Scott | Clinical Social Worker | Carolyn K Scott Lcsw PC | 275 E S Temple St, Salt Lake City, UT 84111-1243 |
Kathleen Fitzwilliam Lakey | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
Marybeth Raynes | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
Merritt W Stites | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
Carrie L Kelley | Psychologist, Clinical | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
Find all physicians in zip 84111 |
City | SALT LAKE CITY |
Zip Code | 84111 |
Specialty | FAMILY MEDICINE |
City + Specialty | SALT LAKE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Carol A Osborn.
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.