Ihc Health Services Inc
Organization Active NPI Orthopaedic Surgery Physician · Layton, UT
NPI 1154842607 · NPPES record last updated Jul 5, 2017
Key facts
- NPI
- 1154842607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 201 W Layton Parkway
Layton, UT 84041 - Phone
- (801) 442-1853
- NPI assigned
- Jul 5, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Briesacher, MD
- Title
- Chief Phys Exec and Pres Med Group
- Phone
- (801) 442-3495
Corporate family (same tax ID) 24
Practitioners 7
-
Christie Ann Benton, R.D.
-
Jessica Fullmer, MD
-
Perry Eugene Hall, P.A.
-
Quinta C Johnson, DNP, CNM
-
Brenda Sheehan, DO
-
David Chang, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080610000303 | UT | Part B Supplier - Clinic/Group Practice | 1850209420 |
Receives reassigned benefits from 4,146 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Bradley S Thompson DO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X |
Addresses
Primary practice location
201 W Layton Parkway
Layton, UT 84041
Mailing address
PO Box 27128
Layton, UT 84120-0128
Phone (801) 442-1853
Other names
- Layton Parkway Orthopedics and Sports Medicine
Other providers in Layton, UT
- Icare Pharmacy
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
All providers in Layton, UT · Orthopaedic Surgery Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.