Mark A Mahan (NPI# 1477733426, PAC ID# 8921227745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1477733426 |
| PAC ID by PECOS | 8921227745 |
| Professional Enrollment ID | I20140909002865 |
| Full Name | Mark A Mahan |
| Organization Legal Name | UNIVERSITY OF UTAH SURGICAL SERVICES |
| Address |
50 N Medical Dr Salt Lake City UT 84132-0100 |
| Phone Number | 8015812121 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2007 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 6002130481 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 8015812121 | UNIVERSITY OF UTAH SURGICAL SERVICES |
| Organization Legal Name | UNIVERSITY OF UTAH SURGICAL SERVICES |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason T Montgomery | Physician Assistant | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Claire Duffy | Physician Assistant | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
| Dorian J Carroll | Physician Assistant | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Juneyoung L Chavez | Neurosurgery | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
| Daniel W Fults Iii | Neurosurgery | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
| Darrel S Brodke | Orthopedic Surgery | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Serge Makarenko | Neurosurgery | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
| William R Spiker | Orthopedic Surgery | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Brandon D Lawrence | Orthopedic Surgery | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Erica F Bisson | Neurosurgery | University of Utah Surgical Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Street Address |
50 N MEDICAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84132-0100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne Mcmaster | Physician Assistant | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Wilbur Rigel Dattilo | Psychiatry | University of Utah Behavioral Health Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Carina Jackman | Anesthesiology | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Aaron Secrest | Dermatology | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Breynn Collazo | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Paula J Woodward | Diagnostic Radiology | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Edward M Gilbert | Cardiovascular Disease (cardiology) | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Sumati V Gupta | Internal Medicine | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Karen L Salzman | Diagnostic Radiology | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Michael J Buys | Anesthesiology | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quinton Allred | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Leslie Halpern | Oral Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | |
| Molly Doose | Internal Medicine | University of Utah Pediatric Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Matthew James Plumb | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Lucas Anderson | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Richard S Lemons | Pediatric Medicine | University of Utah Pediatric Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Rebeka Lyn Coleman | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Heather M George | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Rebecca R Desso | Anesthesiology | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
| Jacke L Corbett | Nurse Practitioner | University of Utah | 50 N Medical Dr, University Hospital and Clinics, Salt Lake City, UT 84132-0001 |
| Find all physicians in zip 84132 | |||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
| Specialty | NEUROSURGERY |
| City + Specialty | SALT LAKE CITY + NEUROSURGERY |
Please comment or provide details below to improve the information on Mark A Mahan.
| 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.