Robert Alan Harris (NPI# 1144369752, PAC ID# 9830088038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
Nation Provider ID (NPI) | 1144369752 |
PAC ID by PECOS | 9830088038 |
Professional Enrollment ID | I20040315000674 |
Full Name | Robert Alan Harris |
Organization Legal Name | GAMMAWEST BRACHYTHERAPY, LLC |
Address |
674 W 800 Suite B 10 Orem UT 84057-3658 |
Phone Number | 8018520210 |
Gender | M |
Credential | MD |
Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
Graduation Year | 1992 |
Primary Specialty | RADIATION ONCOLOGY |
Group Practice PAC ID | 6800785510 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
530011 | MEMORIAL HOSPITAL SWEETWATER COUNTY |
Address | Phone | Organization |
---|---|---|
425 E 5350 S, Suite 180, Ogden, UT 84405-6944 | 8013500400 | GAMMAWEST BRACHYTHERAPY, LLC |
674 W 800, Suite B 10, Orem, UT 84057-3658 | 8018520210 | GAMMAWEST BRACHYTHERAPY, LLC |
1180 College Dr, Rock Springs, WY 82901-5863 | 3073528125 | COUNTY OF SWEETWATER |
1200 College Dr, Rock Springs, WY 82901-5868 | 3073623711 | COUNTY OF SWEETWATER |
1250 E 3900 S, Suite 10, Salt Lake City, UT 84124-1354 | 8014568401 | GAMMAWEST BRACHYTHERAPY, LLC |
1490 E Foremaster Dr, St George, UT 84790-4488 | 8018520210 | GAMMAWEST BRACHYTHERAPY, LLC |
1490 E Foremaster Dr C, St George, UT 84790-4488 | 4357579104 | GAMMAWEST BRACHYTHERAPY, LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | GAMMAWEST BRACHYTHERAPY, LLC |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ray S Richards | Radiation Oncology | Gammawest Brachytherapy, LLC | 1308 E 900 S Unit B, St George, UT 84790-8520 |
Mark W Reilly | Radiation Oncology | Gammawest Brachytherapy, LLC | 1490 E Foremaster Dr C, St George, UT 84790-4488 |
Thomas B Skidmore | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
John Keith Hayes Jr. | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
Brandon J Fisher | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
James W Clarke | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
Daniel H Miller | Radiation Oncology | Gammawest Brachytherapy, LLC | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
Roger S Hansen | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
Ryan J Bair | Radiation Oncology | Gammawest Brachytherapy, LLC | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
Street Address |
674 W 800 SUITE B 10 |
City | OREM |
State | UT |
Zip | 84057-3658 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas B Skidmore | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
John Keith Hayes Jr. | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
Brandon J Fisher | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
James W Clarke | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
Roger S Hansen | Radiation Oncology | Gammawest Brachytherapy, LLC | 674 W 800, Suite B 10, Orem, UT 84057-3658 |
Name | Specialty | Organization | Address |
---|---|---|---|
Peter Garrett Coombs | Ophthalmology | Mt Ogden Eye Center LLC | 175 N 400, Suite C10, Orem, UT 84057-1909 |
Chad M Duford | Physician Assistant | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
Daniel Robert Patty | Podiatry | Foot and Ankle Clinics of Utah, P.C. | 157 N 400, Suite B7, Orem, UT 84057-1909 |
Evangeline K Lindorf | Nurse Practitioner | Central Utah Clinic P C | 159 N 400, Suite B 8, Orem, UT 84057-1909 |
Steven L Berry | Family Medicine | Central Utah Clinic P C | 173 N 400, Suite C11, Orem, UT 84057-1909 |
Jamie M Monroe | Ophthalmology | 175 N 400 W, C10, Orem, UT 84057-1909 | |
Jefferson M Allen | Physician Assistant | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
Patricia Ann Beaty | Optometry | Mt Ogden Eye Center LLC | 175 N 400, Suite C10, Orem, UT 84057-1909 |
Scott R Mckell | Podiatry | Foot and Ankle Clinics of Utah, P.C. | 157 N 400, Suite B7, Orem, UT 84057-1909 |
William R Francis Jr. | Family Medicine | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
Find all physicians in zip 84057 |
City | OREM |
Zip Code | 84057 |
Specialty | RADIATION ONCOLOGY |
City + Specialty | OREM + RADIATION ONCOLOGY |
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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.