Castleview Physician Practices, LLC
Organization Active NPI Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Price, UT
NPI 1811283393 · NPPES record last updated Jun 23, 2011
Key facts
- NPI
- 1811283393
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
- Legal business name
- CASTLEVIEW PHYSICIAN PRACTICES, LLC
- Practice address
- 945 W Hospital Dr
Suite #1
Price, UT 84501-4214 - Phone
- (435) 637-3584
- Fax
- (435) 637-3587
- NPI assigned
- Jun 23, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Jess Judy
- Title
- President
- Phone
- (615) 565-1544
Other NPIs on the same Medicare enrollment 16
Corporate family (same tax ID) 11
Practitioners 1
-
Timothy Adam Callahan, P.A.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090518000607 | UT | Part B Supplier - Clinic/Group Practice | 6305995598 |
Receives reassigned benefits from 37 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Price, UT; Castle Dale, UT |
National Provider Directory
- Tax ID family
- Castleview Physician Practice LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
207YX0007X | Yes |
Addresses
Primary practice location
945 W Hospital Dr
Suite #1
Price, UT 84501-4214
Mailing address
945 W Hospital Dr
Suite #1
Price, UT 84501-4214
Phone (435) 637-3584
Other names
- Eastern Utah Ear, Nose & Throat
Other providers in Price, UT
- Castleview Physician Practices, LLC
- Castleview Physician Practices, LLC
- Castleview Physician Practices, LLC
- Castleview Physician Practices, LLC
- Castleview Physician Practices, LLC
- Castleview Physician Practices, LLC
- Cris Ronald Chamberlain
- Gary Chambers
- Darla Chaves
- Monica Chavez
All providers in Price, UT · Plastic Surgery within the Head & Neck (Otolaryngology) 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 Jun 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.