network|NPI|TIN|Name|FirstName|MI|LastName|Degree|Specialty|Address|City|State|Zip|Phone|TermDate|ReportDate WISE|1043453632|810231784||STEVEN|S|SPIRES|MD|Infectious Disease|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2024-02-16|2024-03-15 WISE|1063081859|371625746||STEPHANIE|R|LOWDER|NP|Nurse Practitioner|1160 E 3900 S STE 2000|SALT LAKE CITY|UT|84124|8012663418|2024-02-17|2024-03-15 WISE|1063081859|371625746||STEPHANIE|R|LOWDER|NP|Nurse Practitioner|P.O. BOX 741729|ATLANTA|GA|30374||2024-02-17|2024-03-15 WISE|1063492304|823154253||GARY|L|CHILD|DO|Pain Management|3051 W MAPLE LOOP DR STE 125|LEHI|UT|84043|8018600931|2024-03-11|2024-03-15 WISE|1083108070|471497384||SHAWN||GULATI|MD|Ophthalmology|243 E 6100 S|SALT LAKE CITY|UT|84107|8015853937|2024-01-07|2024-03-15 WISE|1083108070|471497384||SHAWN||GULATI|MD|Ophthalmology|65 S MARIO CAPECCHI DR|SALT LAKE CITY|UT|84132|8015812352|2024-01-07|2024-03-15 WISE|1083817449|471497384||HANNELE||LAINE|MD|Obstetrics and Gynecology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8012132995|2024-01-30|2024-03-15 WISE|1144776360|810231784||MICHAL|J|KUBIAK|MD|Hematology and Oncology|801 N 29TH ST|BILLINGS|MT|59101|4062382900|2023-12-14|2024-03-15 WISE|1164089520|471696666||KATHERINE||HAVLIK|PHD|Psychology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015851575|2024-01-31|2024-03-15 WISE|1164089520|471696666||KATHERINE||HAVLIK|PHD|Psychology|501 S CHIPETA WAY|SALT LAKE CITY|UT|84108|8015873287|2024-01-31|2024-03-15 WISE|1164089520|811366679||KATHERINE||HAVLIK|PHD|Psychology|501 S CHIPETA WAY|SALT LAKE CITY|UT|84108|8015873287|2024-01-31|2024-03-15 WISE|1164748067|471497384||LEAH||OWEN|MD|Ophthalmology|3773 W 12600 S|RIVERTON|UT|84065|8012134500|2024-01-21|2024-03-15 WISE|1164748067|471497384||LEAH||OWEN|MD|Ophthalmology|65 S MARIO CAPECCHI DR|SALT LAKE CITY|UT|84132|8015812352|2024-01-21|2024-03-15 WISE|1164748067|811366784||LEAH||OWEN|MD|Ophthalmology|100 N MARIO CAPECCHI DR|SALT LAKE CITY|UT|84113|8015812352|2024-01-21|2024-03-15 WISE|1164748067|811366784||LEAH||OWEN|MD|Ophthalmology|165 N UNIV AVE|FARMINGTON|UT|84025|8015812352|2024-01-21|2024-03-15 WISE|1164748067|811366784||LEAH||OWEN|MD|Ophthalmology|3773 W 12600 S|RIVERTON|UT|84065|8012851460|2024-01-21|2024-03-15 WISE|1164748067|811366784||LEAH||OWEN|MD|Ophthalmology|65 S MARIO CAPECCHI DR|SALT LAKE CITY|UT|84132|8015812352|2024-01-21|2024-03-15 WISE|1164748067|876000525||LEAH||OWEN|MD|Ophthalmology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-01-21|2024-03-15 WISE|1184142747|810231784||KAYLA|M|ESTEPP|DO|Hospital|2800 10TH AVE N|BILLINGS|MT|59101|4062382500|2023-10-01|2024-03-15 WISE|1194258954|471497384||PATRICK||FINK|MD|Emergency Medicine|1200 COLLEGE DR|ROCK SPRINGS|WY|82901|3073623711|2024-01-31|2024-03-15 WISE|1194258954|471497384||PATRICK||FINK|MD|Emergency Medicine|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812292|2024-01-31|2024-03-15 WISE|1194258954|471497384||PATRICK||FINK|MD|Emergency Medicine|5126 W DAYBREAK PKWY|SOUTH JORDAN|UT|84009|8015812292|2024-01-31|2024-03-15 WISE|1194934273|810231784||LUMINITA|S|CRISAN||Maternal and Fetal Medicine|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2023-12-14|2024-03-15 WISE|1194981126|810231784||CHAO||LI|MD|Maternal and Fetal Medicine|801 N 29TH ST|BILLINGS|MT|59101|4062382501|2023-11-12|2024-03-15 WISE|1205385630|810231784||WILBY|M|SIEGLER|NP|Psychiatry|2950 10TH AVE N|BILLINGS|MT|59101|4062382500|2023-11-27|2024-03-15 WISE|1215386768|870281028||JOHNNY|J|DOWNARD|OT|Occupational Therapy|1055 N 500 W STE 207|PROVO|UT|84604|8013548225|2023-11-01|2024-03-15 WISE|1215386768|870281028||JOHNNY|J|DOWNARD|OT|Occupational Therapy|PO BOX 30079|SALT LAKE CITY|UT|84130|4356578000|2023-11-01|2024-03-15 WISE|1215386768|876000525||JOHNNY|J|DOWNARD|OT|Occupational Therapy|590 S WAKARA WAY|SALT LAKE CITY|UT|84108|8015877001|2023-11-01|2024-03-15 WISE|1225061229|311504075|MANAGEMENT & NETWORK SERVICES|||||Skilled Nursing Facility|1201 E 4500 S|SALT LAKE CITY|UT|84117|8012613664|2024-02-29|2024-03-15 WISE|1225073794|810231784||HASSAN|A|JAVANSHIR|MD|Neurology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2023-12-13|2024-03-15 WISE|1255310298|810231784||TARA||BROADWATER|MD|Psychiatry|2950 10TH AVE N|BILLINGS|MT|59101|4062382500|2023-11-27|2024-03-15 WISE|1265659213|471497384||RACHAEL|S|HORN|MD|Ophthalmology|243 E 6100 S|SALT LAKE CITY|UT|84107|8015853937|2024-01-17|2024-03-15 WISE|1265659213|471497384||RACHAEL|S|HORN|MD|Ophthalmology|65 S MARIO CAPECCHI DR|SALT LAKE CITY|UT|84132|8015812352|2024-01-17|2024-03-15 WISE|1265659213|811366784||RACHAEL|S|HORN|MD|Ophthalmology|100 N MARIO CAPECCHI DR|SALT LAKE CITY|UT|84113|8015812352|2024-01-17|2024-03-15 WISE|1265659213|811366784||RACHAEL|S|HORN|MD|Ophthalmology|65 S MARIO CAPECCHI DR|SALT LAKE CITY|UT|84132|8015812352|2024-01-17|2024-03-15 WISE|1265659213|876000525||RACHAEL|S|HORN|MD|Ophthalmology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-01-17|2024-03-15 WISE|1265744882|471497384||FELICIA|R|KATZ|MD|Obstetrics and Gynecology|1525 W 2100 S|WEST VALLEY CITY|UT|84119|8012138841|2024-01-24|2024-03-15 WISE|1265744882|471497384||FELICIA|R|KATZ|MD|Obstetrics and Gynecology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8012132995|2024-01-24|2024-03-15 WISE|1306835087|471497384||RACHEL||DECKER-MALE|APRN|Nurse Practitioner|165 N UNIV AVE|FARMINGTON|UT|84025|8012133200|2023-10-27|2024-03-15 WISE|1306835087|471497384||RACHEL||DECKER-MALE|APRN|Nurse Practitioner|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015877109|2023-10-27|2024-03-15 WISE|1306835087|471497384||RACHEL||DECKER-MALE|APRN|Nurse Practitioner|5126 W DAYBREAK PKWY|SOUTH JORDAN|UT|84009|8012134500|2023-10-27|2024-03-15 WISE|1306835087|471497384||RACHEL||DECKER-MALE|APRN|Nurse Practitioner|590 S WAKARA WAY|SALT LAKE CITY|UT|84108|8015877109|2023-10-27|2024-03-15 WISE|1306871462|262072378||JOEL|C|WEBB|MD|Gynecologic Oncology|118 E THRIVE DR STE 200|SARATOGA SPRINGS|UT|84045|3853475450|2024-02-20|2024-03-15 WISE|1306871462|262072378||JOEL|C|WEBB|MD|Gynecologic Oncology|1248 E 90 N STE 300|AMERICAN FORK|UT|84003|3853475450|2024-02-20|2024-03-15 WISE|1306871462|262072378||JOEL|C|WEBB|MD|Gynecologic Oncology|1250 E 3900 S STE 200|SALT LAKE CITY|UT|84124|8017569635|2024-02-20|2024-03-15 WISE|1306871462|262072378||JOEL|C|WEBB|MD|Gynecologic Oncology|295 S 1470 E STE 200|SAINT GEORGE|UT|84790|4356281662|2024-02-20|2024-03-15 WISE|1306871462|262072378||JOEL|C|WEBB|MD|Gynecologic Oncology|3000 N TRIUMPH BLVD|LEHI|UT|84043|8017569635|2024-02-20|2024-03-15 WISE|1306871462|262072378||JOEL|C|WEBB|MD|Gynecologic Oncology|585 N 500 W|PROVO|UT|84601|8014045588|2024-02-20|2024-03-15 WISE|1306871462|262072378||JOEL|C|WEBB|MD|Gynecologic Oncology|672 E 500 N STE 200|PROVO|UT|84606|3853475450|2024-02-20|2024-03-15 WISE|1306871462|262072378||JOEL|C|WEBB|MD|Gynecologic Oncology|700 W 800 N STE 200|OREM|UT|84057|8017569635|2024-02-20|2024-03-15 WISE|1316975022|900735046||DONN|M|TURNER|MD|Neurosurgery|4108 LARAMIE ST|CHEYENNE|WY|82001|9704931292|2023-12-31|2024-03-15 WISE|1346483617|471497384||PETER|M|HANNON|MD|Neurology|175 N MEDICAL DR E|SALT LAKE CITY|UT|84132|8015857575|2024-02-01|2024-03-15 WISE|1346483617|471497384||PETER|M|HANNON|MD|Neurology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015856387|2024-02-01|2024-03-15 WISE|1366000515|810231784||BONNIE|L|OXFORD|MD|Nurse Practitioner|1045 N 30TH ST|BILLINGS|MT|59101|4062382500|2023-11-07|2024-03-15 WISE|1366827578|273321637||JENNIFER||TRACY|BCBA|ABA Therapy|35 SKYLINE DR STE 103|BRIGHAM CITY|UT|84302|8012555131|2024-03-06|2024-03-15 WISE|1386699494|810231784||DANNY|S|BENJAMIN|MD|Obstetrics and Gynecology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2023-12-26|2024-03-15 WISE|1407109762|830216112||MICHAEL||SWENSON|MD|Psychiatry|745 BUENA VISTA DR|LANDER|WY|82520|3073322941|2024-03-11|2024-03-15 WISE|1407109762|830216112||MICHAEL||SWENSON|MD|Psychiatry|P.O. BOX 9432|BELFAST|ME|04915|3073322941|2024-03-11|2024-03-15 WISE|1407997273|841377012||ERIC|C|JOHNSTON|MD|Orthopedic Surgery|1551 RENAISSANCE TOWNE DR STE 400|BOUNTIFUL|UT|84010|8012957200|2024-03-11|2024-03-15 WISE|1407997273|841377012||ERIC|C|JOHNSTON|MD|Orthopedic Surgery|2086 N ROBINS DR|LAYTON|UT|84041|8012957200|2024-03-11|2024-03-15 WISE|1427148055|471497384||DANA|K|LOMBARDI|PA-C|Infectious Disease|165 N UNIV AVE|FARMINGTON|UT|84025|8015852031|2024-01-05|2024-03-15 WISE|1427148055|471497384||DANA|K|LOMBARDI|PA-C|Infectious Disease|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015852031|2024-01-05|2024-03-15 WISE|1427148055|471497384||DANA|K|LOMBARDI|PA-C|Infectious Disease|7495 S STATE ST|MIDVALE|UT|84047|8015852031|2024-01-05|2024-03-15 WISE|1427148055|471497384||DANA|K|LOMBARDI|PA-C|Physician Assistant|2276 E RIVERSIDE DR|SAINT GEORGE|UT|84790|8015852031|2024-01-05|2024-03-15 WISE|1487346292|273321637||ASHLEY||O'BRIEN|MSW|Counseling|1067 E TABERNACLE ST STE 7|SAINT GEORGE|UT|84770|8012555131|2024-02-23|2024-03-15 WISE|1487346292|273321637||ASHLEY||O'BRIEN|MSW|Counseling|11762 S STATE ST STE 160|DRAPER|UT|84020|8012555131|2024-02-23|2024-03-15 WISE|1487346292|273321637||ASHLEY||O'BRIEN|MSW|Counseling|1858 W 5150 S STE 103|ROY|UT|84067|8012555131|2024-02-23|2024-03-15 WISE|1487346292|273321637||ASHLEY||O'BRIEN|MSW|Counseling|1870 N MAIN ST STE 206|CEDAR CITY|UT|84721|8012555131|2024-02-23|2024-03-15 WISE|1487346292|273321637||ASHLEY||O'BRIEN|MSW|Counseling|216 E MAIN ST STE 4|LEHI|UT|84043|8012555131|2024-02-23|2024-03-15 WISE|1487346292|273321637||ASHLEY||O'BRIEN|MSW|Counseling|35 SKYLINE DR STE 103|BRIGHAM CITY|UT|84302|8012555131|2024-02-23|2024-03-15 WISE|1487346292|273321637||ASHLEY||O'BRIEN|MSW|Counseling|525 S 850 E STE 6|LEHI|UT|84043|8012555131|2024-02-23|2024-03-15 WISE|1487346292|273321637||ASHLEY||O'BRIEN|MSW|Counseling|5558 S 1900 W STE B|SALT LAKE CITY|UT|84129|8012555131|2024-02-23|2024-03-15 WISE|1487346292|273321637||ASHLEY||O'BRIEN|MSW|Counseling|60 E 100 N STE 2|RICHFIELD|UT|84701|8012555131|2024-02-23|2024-03-15 WISE|1487346292|273321637||ASHLEY||O'BRIEN|MSW|Counseling|6013 S REDWOOD RD|SALT LAKE CITY|UT|84123|8012555131|2024-02-23|2024-03-15 WISE|1548782618|810231784||ELIZABETH|A|OLIVO|NP|Obstetrics and Gynecology|801 N 29TH ST|BILLINGS|MT|59101|4062382501|2023-11-22|2024-03-15 WISE|1548794613|810231784||AUBREY|K|SIEGEL|DO|Family Practice|620 S HAYNES AVE|MILES CITY|MT|59301|4062337000|2023-10-13|2024-03-15 WISE|1609162163|262072378||JAMIE||PEREGRINE|MD|Obstetrics and Gynecology|118 E THRIVE DR STE 200|SARATOGA SPRINGS|UT|84045|8016555245|2023-10-10|2024-03-15 WISE|1609162163|262072378||JAMIE||PEREGRINE|MD|Obstetrics and Gynecology|1248 E 90 N STE 300|AMERICAN FORK|UT|84003|8016555245|2023-10-10|2024-03-15 WISE|1609162163|262072378||JAMIE||PEREGRINE|MD|Obstetrics and Gynecology|1900 N STATE ST|PROVO|UT|84604|8016555245|2023-10-10|2024-03-15 WISE|1609162163|262072378||JAMIE||PEREGRINE|MD|Obstetrics and Gynecology|295 S 1470 E STE 200|SAINT GEORGE|UT|84790|8016555245|2023-10-10|2024-03-15 WISE|1609162163|262072378||JAMIE||PEREGRINE|MD|Obstetrics and Gynecology|3000 N TRIUMPH BLVD STE 210|LEHI|UT|84043|8016555245|2023-10-10|2024-03-15 WISE|1609162163|262072378||JAMIE||PEREGRINE|MD|Obstetrics and Gynecology|527 W 400 N STE 4|OREM|UT|84057|8016555245|2023-10-10|2024-03-15 WISE|1609162163|262072378||JAMIE||PEREGRINE|MD|Obstetrics and Gynecology|585 N 500 W|PROVO|UT|84601|8016555245|2023-10-10|2024-03-15 WISE|1609162163|262072378||JAMIE||PEREGRINE|MD|Obstetrics and Gynecology|700 W 800 N STE 200|OREM|UT|84057|8016555245|2023-10-10|2024-03-15 WISE|1629078373|810231784||CHRISTOPHER|C|STAEHELI|MD|Pediatric Psychiatry|1020 N 27TH ST|BILLINGS|MT|59101|4062382501|2023-12-30|2024-03-15 WISE|1649605965|452947108||KEVIN||GREEN|PHD|Counseling|121 W ELECTION RD STE 110|DRAPER|UT|84020|8015254645|2023-12-01|2024-03-15 WISE|1649605965|452947108||KEVIN||GREEN|PHD|Counseling|2363 N HILL FIELD RD STE 5|LAYTON|UT|84041|8015254645|2023-12-01|2024-03-15 WISE|1669405809|810231784||DAWNA|L|WELLS|PA|Urgent Care Physician|801 N 29TH ST|BILLINGS|MT|59101|4062382501|2023-11-18|2024-03-15 WISE|1679168264|262072378||NABILEH||SAFI|CNM|Certified Nurse Midwife|1248 E 90 N STE 300|AMERICAN FORK|UT|84003|8017561577|2023-12-31|2024-03-15 WISE|1679168264|262072378||NABILEH||SAFI|CNM|Certified Nurse Midwife|3000 N TRIUMPH BLVD STE 210|LEHI|UT|84043|8017561577|2023-12-31|2024-03-15 WISE|1699724500|471497384||ROSEMARY||MCGEE-CONDER|APRN|Hematology and Oncology|1950 CIR OF HOPE DR|SALT LAKE CITY|UT|84112|8015850100|2023-12-26|2024-03-15 WISE|1710919899|810231784||JONATHAN|S|EDELMAN|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4062382500|2023-10-18|2024-03-15 WISE|1730596925|371625746||JASKARAN|S|SETHI|MD|Internal Medicine|1160 E 3900 S STE 2000|SALT LAKE CITY|UT|84124|8012663418|2024-02-16|2024-03-15 WISE|1730596925|371625746||JASKARAN|S|SETHI|MD|Internal Medicine|P.O. BOX 741729|ATLANTA|GA|30374|6153737600|2024-02-16|2024-03-15 WISE|1790127884|876000525||KATHARINE|H|KILBOURNE|PT|Physical Therapy|1138 E WILMINGTON AVE|SALT LAKE CITY|UT|84106|8015812221|2024-02-02|2024-03-15 WISE|1790127884|876000525||KATHARINE|H|KILBOURNE|PT|Physical Therapy|1280 E STRINGHAM AVE|SALT LAKE CITY|UT|84106|8015812000|2024-02-02|2024-03-15 WISE|1851734677|810231784||KAYLA||NEBELSICK|DO|Obstetrics and Gynecology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2023-12-14|2024-03-15 WISE|1902009715|810231784||STACI|M|LEE|MD|Infectious Disease|801 N 29TH ST|BILLINGS|MT|59101|4062382501|2023-11-13|2024-03-15 WISE|1902160948|810231784||JOYCE|K|PANG|MD|Pulmonology|801 N 29TH ST|BILLINGS|MT|59101|4062382501|2023-11-17|2024-03-15 WISE|1932547338|810231784||PAULA||DURST|DO|Obstetrics and Gynecology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2023-12-14|2024-03-15 WISE|1942972849|810231784||SARAH|N|KOPPANY|PA|Urology|801 N 29TH ST|BILLINGS|MT|59101|4062382501|2023-09-14|2024-03-15 WISE|1952380685|262072378||BRADY|N|BENHAM|MD|Obstetrics and Gynecology|515 S 300 E STE 206|SAINT GEORGE|UT|84770|4356281662|2023-12-31|2024-03-15 WISE|1962754267|471484443||SARAH|E|WETMORE|LCSW|Social Worker|175 N MEDICAL DR|SALT LAKE CITY|UT|84112|8012138841|2024-02-02|2024-03-15 WISE|1962754267|471484443||SARAH|E|WETMORE|LCSW|Social Worker|729 S ARAPEEN DR|SALT LAKE CITY|UT|84108|8012138841|2024-02-02|2024-03-15 WISE|1962836783|810231784||CHRISTOPHER|S|CROWLEY|MD|Dermatology|3905 WELLNESS WAY|BOZEMAN|MT|59718|4068981200|2023-09-28|2024-03-15 WISE|1992798243|840405257||IMRAN||ZUBAIR|MD|Cardiology|82 S 1100 E STE 200|SALT LAKE CITY|UT|84102|8012907152|2023-09-28|2024-03-15 WISE|1992972616|262072378||PAMELA|J|SORENSEN|PA|Obstetrics and Gynecology|515 S 300 E STE 206|SAINT GEORGE|UT|84770|4356281662|2023-12-31|2024-03-15