Sandeep S Teja (NPI# 1851368765, PAC ID# 8123093895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1851368765 |
| PAC ID by PECOS | 8123093895 |
| Professional Enrollment ID | I20161004001619 |
| Full Name | Sandeep S Teja |
| Organization Legal Name | MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY ST MARKS LLC |
| Address |
1220 E 3900 Suite 4a Salt Lake City UT 84124-1326 |
| Phone Number | 8012618507 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 0941472484 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460047 | ST MARK'S HOSPITAL |
| 460060 | LONE PEAK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1220 E 3900, Suite 4a, Salt Lake City, UT 84124-1326 | 8012618507 | MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY ST MARKS LLC |
| Organization Legal Name | MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY ST MARKS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan E Middlemiss | Physician Assistant | Mountainstar Medical Group Neurosurgery St Marks LLC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Caleb Jackson | Nurse Practitioner | Mountainstar Medical Group Neurosurgery St Marks LLC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| James C Pingree | Neurosurgery | Mountainstar Medical Group Neurosurgery St Marks LLC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Ryan D Church | Nurse Practitioner | Mountainstar Medical Group Neurosurgery St Marks LLC | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Sami K Weese | Nurse Practitioner | Mountainstar Medical Group Neurosurgery St Marks LLC | 620 Medical Dr, Suite 300, Bountiful, UT 84010-5171 |
| Street Address |
1220 E 3900 SUITE 4A |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84124-1326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristofer J Mitchell | General Surgery | 1220 E 3900, Suite 4e, Salt Lake City, UT 84124-1343 | |
| Scott A Leckman | General Surgery | 1220 E 3900, Suite 3g, Salt Lake City, UT 84124-1326 | |
| Bret R Boyle | Family Medicine | 1220 E 3900, Suite 3a, Salt Lake City, UT 84124-1326 | |
| Leland R Chick | Plastic and Reconstructive Surgery | Premier Plastic Surgery Group of Utah LLC | 1220 E 3900, Suite 4i, Salt Lake City, UT 84124-1383 |
| 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 | SALT LAKE CITY |
| Zip Code | 84124 |
| Specialty | NEUROSURGERY |
| City + Specialty | SALT LAKE CITY + NEUROSURGERY |
Please comment or provide details below to improve the information on Sandeep S Teja.
| 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.