Patricia L Nelson (NPI# 1629051206, PAC ID# 9234274150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1629051206 |
| PAC ID by PECOS | 9234274150 |
| Professional Enrollment ID | I20100303000781 |
| Full Name | Patricia L Nelson |
| Organization Legal Name | GRANGER MEDICAL CLINIC INC |
| Address |
71 E 1280 Tooele UT 84074-8120 |
| Phone Number | 8012605864 |
| Gender | F |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 3476465691 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460058 | RIVERTON HOSPITAL |
| 460044 | ALTA VIEW HOSPITAL |
| 460049 | THE ORTHOPEDIC SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5801 S Fashion Blvd, Suite 280, Murray, UT 84107-6136 | 8012605864 | GRANGER MEDICAL CLINIC INC |
| 71 E 1280, Tooele, UT 84074-8120 | 8012605864 | GRANGER MEDICAL CLINIC INC |
| Organization Legal Name | GRANGER MEDICAL CLINIC INC |
| Physicians | 158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier Eduardo Chavez | Obstetrics/gynecology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Ginette I Speed | Nurse Practitioner | Granger Medical Clinic Inc | 181 E 5600, Suite 130, Murray, UT 84107-6127 |
| Casey J Henich | Family Medicine | Granger Medical Clinic Inc | 3725 W 4100, West Valley City, UT 84120-5530 |
| Jared H Mathis | Physician Assistant | Granger Medical Clinic Inc | 2326 N 400 E, C203, Tooele, UT 84074-3408 |
| David George Dienhart | Internal Medicine | Granger Medical Clinic Inc | 71 E 1280, Tooele, UT 84074-8120 |
| Melisa S Steele | Nurse Practitioner | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Robert D Williams | Family Medicine | Granger Medical Clinic Inc | 1288 W 12700, Riverton, UT 84065-6794 |
| Ian R Cavin | General Surgery | Granger Medical Clinic Inc | 4252 S Highland Dr, Suite 200, Salt Lake City, UT 84124-2690 |
| Stephen B Devenport | Family Medicine | Granger Medical Clinic Inc | 12391 S 4000, Riverton, UT 84096-7012 |
| Edwin R England | Obstetrics/gynecology | Granger Medical Clinic Inc | 11724 S State St, Draper, UT 84020-7163 |
| Street Address |
71 E 1280 |
| City | TOOELE |
| State | UT |
| Zip | 84074-8120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David George Dienhart | Internal Medicine | Granger Medical Clinic Inc | 71 E 1280, Tooele, UT 84074-8120 |
| 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 | TOOELE |
| Zip Code | 84074 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | TOOELE + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Patricia L Nelson.
| 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.