Saeed Abbaszadeh, PA-C
Individual provider Active NPI Physician Assistant · Salt Lake City, UT
NPI 1720003544 · NPPES record last updated Nov 18, 2011
Key facts
- NPI
- 1720003544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 57536731206 (UT)
- Practice address
- 1950 Circle of Hope Dr
Huntsman Cancer Hospital: HCH-4
Salt Lake City, UT 84112-5500 - Phone
- (801) 587-4413
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050804000181 | UT | Practitioner - Physician Assistant | 5890724496 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Acuity Care Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Joseph R. Watkins MD PC | Past |
Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- saeed.abbaszadeh.1@13794.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 57536731206 | UT | Yes |
Addresses
Primary practice location
1950 Circle of Hope Dr
Huntsman Cancer Hospital: HCH-4
Salt Lake City, UT 84112-5500
Mailing address
3394 Crestwood Dr
SLC, UT 84109-3202
Phone (801) 708-1635
Other providers in Salt Lake City, UT
- Anna Aase
- ABA Bedrock Utah LLC
- Sohan Nicole Abad
- Alitzel Abarca
- Minda Marie Abbaszadeh
- McKayli Abbe
- Rebecca Abbey
- Alan Abbinanti
- Heather Abbott
- Katherine Abbott
All providers in Salt Lake City, UT · Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2011. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.