Dana Weller, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6543672-1206 Issued in UT

Practice address

3173 E Alta Hills Dr
Cottonwood Heights, UT 84093-2113

Phone

(801) 493-5395

NPI assigned

Apr 14, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Wellness & Rehab Clinic LLC

  • Family Medicine Physician
  • Murray, UT
  • NPI 1417234766
  Medicare reassignment
• Comprehensive Medical Services Jordan Health and Wellness Center, Inc

  • Clinic/Center
  • Murray, UT
  • NPI 1568721496
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1750524229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 ALTA HILLS DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840930000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 E ALTA HILLS DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840932113",
            "telephone_number": "801-493-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "6543672-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Alexander Weaver, RN
• Christen Lyn Webb
• Connor Webb
• Heidi Lee Welch, FNP-C
• Michael Weldon
• Jared Wells
• Western Rehabilitation Health Network, LC
• Erika Whitaker
• White Peak Dental
• Rivka White

• Medical Physician Assistant in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.