Nathan Grant Adams (NPI# 1174604128, PAC ID# 9739187022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
Nation Provider ID (NPI) | 1174604128 |
PAC ID by PECOS | 9739187022 |
Professional Enrollment ID | I20121212000279 |
Full Name | Nathan Grant Adams |
Organization Legal Name | ORAL AND FACIAL RECONSTRUCTIVE SURGEONS OF UTAH LLC |
Address |
3920 S 1100 Suite 150 Salt Lake City UT 84124-1213 |
Phone Number | 8012627447 |
Gender | M |
Credential | DDS |
Medical School | MAYO MEDICAL SCHOOL |
Graduation Year | 2010 |
Primary Specialty | MAXILLOFACIAL SURGERY |
Secondary Specialties | ORAL SURGERY |
Group Practice PAC ID | 1951553445 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 | 8012627447 | ORAL AND FACIAL RECONSTRUCTIVE SURGEONS OF UTAH LLC |
Organization Legal Name | ORAL AND FACIAL RECONSTRUCTIVE SURGEONS OF UTAH LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael A Gladwell | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
Street Address |
3920 S 1100 SUITE 150 |
City | SALT LAKE CITY |
State | UT |
Zip | 84124-1213 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lawrence L Baer | Physical Therapy | Wasatch Physical Therapy and Rehabilitation, Inc | 3920 S 1100, Suite 115, Millcreek, UT 84124-1273 |
Gitanjali Sharma | Nurse Practitioner | Adult Care Clinic Inc | 3920 S 1100, Suite 310, Salt Lake City, UT 84124-1276 |
Michael A Gladwell | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
Aaron C Hall | Physical Therapy | Wasatch Physical Therapy and Rehabilitation, Inc | 3920 S 1100, Suite 115, Millcreek, UT 84124-1273 |
Siosi Fonua | Nurse Practitioner | Adult Care Clinic Inc | 3920 S 1100, Suite 310, Salt Lake City, UT 84124-1276 |
David L Aune | Family Practice | Adult Care Clinic Inc | 3920 S 1100, Salt Lake City, UT 84124-1276 |
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 |
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 |
Richard L Glines | Anesthesiology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
Richard J Herold | 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 | MAXILLOFACIAL SURGERY |
City + Specialty | SALT LAKE CITY + MAXILLOFACIAL SURGERY |
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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.