Unknown Individual – Trauma Surgery Physician, NPI 1629075551
Trauma Surgery Physician
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Provider Addresses for Unknown Individual
PO BOX 413035
SALT LAKE CITY, UT 841413035
Phone: (801) 213-3900
Fax: (801) 585-3655
Type: Mailing
50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
SALT LAKE CITY, UT 841320100
Phone: (801) 581-7738
Type: Location
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 28 | 28 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Emergency Medicine | CO | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| - | IL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | CA | |
| - | NC | |
| P S Y C H I A T R Y | UT |
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