network|NPI|TIN|Name|FirstName|MI|LastName|Degree|Specialty|Address|City|State|Zip|Phone|TermDate|ReportDate
WISE|1023086444|450579013||SUSAN|T|HORVATH|MD|Obstetrics and Gynecology|1140 E 3900 S STE 400|SALT LAKE CITY|UT|84124|8012686811|2022-05-01|2022-07-15
WISE|1093211740|810231784||ANNA|H|DEMBEK|PT|Physical Therapy|2702 8TH AVE N|BILLINGS|MT|59101|4062382501|2022-05-01|2022-07-15
WISE|1104391408|273321637||RAQUEL|M|RHOADS|ACMHC|Counseling|1067 E TABERNACLE ST STE 7|SAINT GEORGE|UT|84770|8012555131|2022-04-29|2022-07-15
WISE|1104391408|273321637||RAQUEL|M|RHOADS|ACMHC|Counseling|1870 N MAIN ST STE 206|CEDAR CITY|UT|84721|8012555131|2022-04-29|2022-07-15
WISE|1104391408|273321637||RAQUEL|M|RHOADS|ACMHC|Counseling|216 E MAIN ST STE 4|LEHI|UT|84043|8012555131|2022-04-29|2022-07-15
WISE|1104391408|273321637||RAQUEL|M|RHOADS|ACMHC|Counseling|35 SKYLINE DR STE 103|BRIGHAM CITY|UT|84302|8012555131|2022-04-29|2022-07-15
WISE|1104391408|273321637||RAQUEL|M|RHOADS|ACMHC|Counseling|5202 FREEWAY PARK DR|OGDEN|UT|84405|8012555131|2022-04-29|2022-07-15
WISE|1104391408|273321637||RAQUEL|M|RHOADS|ACMHC|Counseling|5558 S 1900 W STE B|SALT LAKE CITY|UT|84129|8012555131|2022-04-29|2022-07-15
WISE|1104391408|273321637||RAQUEL|M|RHOADS|ACMHC|Counseling|60 E 100 N STE 2|RICHFIELD|UT|84701|8012555131|2022-04-29|2022-07-15
WISE|1104391408|273321637||RAQUEL|M|RHOADS|ACMHC|Counseling|6013 S REDWOOD RD|SALT LAKE CITY|UT|84123|8012555131|2022-04-29|2022-07-15
WISE|1154675270|942938348||MELISSA|L|LARSEN|CMHC|Counseling|12427 S PASTURE RD STE 104|HERRIMAN|UT|84096|8889494864|2022-04-01|2022-07-15
WISE|1154675270|942938348||MELISSA|L|LARSEN|CMHC|Counseling|4460 S HIGHLAND DR STE 100|SALT LAKE CITY|UT|84124|8889494864|2022-04-01|2022-07-15
WISE|1154675270|942938348||MELISSA|L|LARSEN|CMHC|Counseling|751 E 700 S STE 102|AMERICAN FORK|UT|84003|8889494864|2022-04-01|2022-07-15
WISE|1164528717|870516264||BRIAN|D|GILL|MD|General Surgery|1000 E 15 S STE 350|PAYSON|UT|84651|8014655602|2022-06-01|2022-07-15
WISE|1164528717|870516264||BRIAN|D|GILL|MD|General Surgery|1055 N 300 W STE 101|PROVO|UT|84604|8018523460|2022-06-01|2022-07-15
WISE|1164528717|870516264||BRIAN|D|GILL|MD|General Surgery|1248 E 90 N STE 102|AMERICAN FORK|UT|84003|8017569132|2022-06-01|2022-07-15
WISE|1164528717|870516264||BRIAN|D|GILL|MD|General Surgery|3000 N TRIUMPH BLVD STE 250|LEHI|UT|84043|8018529480|2022-06-01|2022-07-15
WISE|1164528717|870516264||BRIAN|D|GILL|MD|General Surgery|3550 N UNIV AVE STE 250|PROVO|UT|84604|8013749625|2022-06-01|2022-07-15
WISE|1164748729|272288227||KYLE|M|HANCOCK|PHD|Pediatric Behavioral Health|246 E 1260 N|LOGAN|UT|84341|4357506300|2022-03-31|2022-07-15
WISE|1174820187|942938348||CURTIS|R|MADSEN|CMHC|Counseling|1020 S MAIN ST STE 100|SALT LAKE CITY|UT|84101|8889494864|2022-04-01|2022-07-15
WISE|1194786202|870547456|VALLEY HOME MEDICAL|||||Durable Medical Equipment|538 S COMMERCE ST|OREM|UT|84058|8012259979|2022-02-20|2022-07-15
WISE|1255349437|876000525||LISA||BAIRD|PT|Physical Therapy|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2022-01-05|2022-07-15
WISE|1356759948|452716222||ASHLEIGH|T|BARS|NP|Family Practice|520 S EAGLE RD STE 2207|MERIDIAN|ID|83642|2083817335|2022-04-01|2022-07-15
WISE|1356759948|452716222||ASHLEIGH|T|BARS|NP|Nurse Practitioner|P.O. BOX 640|BOISE|ID|83701|2087062333|2022-04-01|2022-07-15
WISE|1417510389|810231784||KELSEY|N|PROUE|RD|Dietician|2800 10TH AVE N|BILLINGS|MT|59101|4062382501|2022-05-01|2022-07-15
WISE|1477098945|942938348||MARIA|A|MORRIS|SSW|Social Worker|1020 S MAIN ST STE 218|SALT LAKE CITY|UT|84101|8889494864|2022-03-18|2022-07-15
WISE|1477553865|820527710||JUSTO|L|GONZALEZ-TRAPAGA|MD|Nephrology|746 N COLLEGE RD STE A|TWIN FALLS|ID|83301|2088147230|2022-04-23|2022-07-15
WISE|1477553865|820527710||JUSTO|L|GONZALEZ-TRAPAGA|MD|Nephrology|P.O. BOX 640|BOISE|ID|83701|2087062333|2022-04-23|2022-07-15
WISE|1568826204|452716222||KELSY|A|NEWTON|PSYD|Psychology|305 E JEFFERSON ST|BOISE|ID|83712|2083815000|2022-04-02|2022-07-15
WISE|1568826204|452716222||KELSY|A|NEWTON|PSYD|Psychology|P.O. BOX 640|BOISE|ID|83701|2087062333|2022-04-02|2022-07-15
WISE|1568893279|450579013||LINDSAY|L|JANKE|PA-C|Obstetrics and Gynecology|1140 E 3900 S STE 340|SALT LAKE CITY|UT|84124|8017434730|2022-05-01|2022-07-15
WISE|1568893279|450579013||LINDSAY|L|JANKE|PA-C|Obstetrics and Gynecology|3245 CHANNING WAY|IDAHO FALLS|ID|83404|2085297147|2022-05-01|2022-07-15
WISE|1588629406|452716222||RUSSELL|M|KOCEMBA|MD|Family Practice|3301 N SAWGRASS WAY|BOISE|ID|83704|2083750862|2022-04-13|2022-07-15
WISE|1588629406|452716222||RUSSELL|M|KOCEMBA|MD|Family Practice|P.O. BOX 640|BOISE|ID|83701|2087062333|2022-04-13|2022-07-15
WISE|1629438916|942938348||CHRISTOPHER|P|WEISBENDER|CSW|Social Worker|1141 E 3900 S STE A250|SALT LAKE CITY|UT|84124|8889494864|2022-03-03|2022-07-15
WISE|1629438916|942938348||CHRISTOPHER|P|WEISBENDER|CSW|Social Worker|3809 W 6200 S|SALT LAKE CITY|UT|84129|8889494864|2022-03-03|2022-07-15
WISE|1629557905|452716222||LEA|K|BOWMAN|LCSW|Social Worker|1000 E PARK BLVD STE 120|BOISE|ID|83712|2083814100|2022-03-05|2022-07-15
WISE|1629557905|452716222||LEA|K|BOWMAN|LCSW|Social Worker|P.O. BOX 640|BOISE|ID|83701|2087062333|2022-03-05|2022-07-15
WISE|1710994173|820527710||EARL|M|CRANDALL|MD|Obstetrics and Gynecology|801 POLE LINE RD W STE 3880|TWIN FALLS|ID|83301|2088148500|2022-01-01|2022-07-15
WISE|1710994173|820527710||EARL|M|CRANDALL|MD|Obstetrics and Gynecology|P.O. BOX 640|BOISE|ID|83701|2087062333|2022-01-01|2022-07-15
WISE|1740642735|942938348||MISTY|T|UNGRICHT|LCSW|Social Worker|3809 W 6200 S|SALT LAKE CITY|UT|84129|8889494864|2022-03-04|2022-07-15
WISE|1750721148|820527710||NICOLE|L|RUSKE|MD|Family Practice|132 5TH AVE W STE 1 & 2|JEROME|ID|83338|2088149800|2022-02-05|2022-07-15
WISE|1750721148|820527710||NICOLE|L|RUSKE|MD|Family Practice|P.O. BOX 640|BOISE|ID|83701|2087062333|2022-02-05|2022-07-15
WISE|1811487622|621801973||JACOB|K|HOFFMANN|PA-C|Physician Assistant|3584 W 9000 S STE 405|WEST JORDAN|UT|84088|8015683480|2022-04-24|2022-07-15
WISE|1811915051|870281028||DAVID|J|TIPTON|MD|Family Practice|15 S 1000 E STE 3|PAYSON|UT|84651|8014654896|2022-04-15|2022-07-15
WISE|1811915051|870281028||DAVID|J|TIPTON|MD|Family Practice|376 E 400 S|SPRINGVILLE|UT|84663|8014654896|2022-04-15|2022-07-15
WISE|1811915051|870281028||DAVID|J|TIPTON|MD|Family Practice|P.O. BOX 30079|SALT LAKE CITY|UT|84130|8013758858|2022-04-15|2022-07-15
WISE|1831272772|820527710||KENNETH|C|ROMNEY|MD|Family Practice|709 N LINCOLN AVE|JEROME|ID|83338|2083244301|2022-01-02|2022-07-15
WISE|1831272772|820527710||KENNETH|C|ROMNEY|MD|Family Practice|P.O. BOX 640|BOISE|ID|83701|2087062333|2022-01-02|2022-07-15
WISE|1841228525|450579013||KAREN|A|ZEMPOLICH|MD|Obstetrics and Gynecology|1140 E 3900 S STE 340|SALT LAKE CITY|UT|84124|8017434730|2022-05-01|2022-07-15
WISE|1841228525|450579013||KAREN|A|ZEMPOLICH|MD|Obstetrics and Gynecology|3401 N CTR ST STE 150|LEHI|UT|84043|8012686811|2022-05-01|2022-07-15
WISE|1841228525|450579013||KAREN|A|ZEMPOLICH|MD|Obstetrics and Gynecology|4465 S 900 E STE 224 & 275|SALT LAKE CITY|UT|84124|8017434730|2022-05-01|2022-07-15
WISE|1841228525|450579013||KAREN|A|ZEMPOLICH|MD|Obstetrics and Gynecology|5405 S 500 E STE 200|OGDEN|UT|84405|8017434730|2022-05-01|2022-07-15
WISE|1841870805|460934047||FRANCESCA|M|REGIER|NP||275 W 200 N STE 7|KAYSVILLE|UT|84037|8015461300|2022-04-28|2022-07-15
WISE|1881801405|452716222||CHRISTIAN|T|MORCH|PA-C|Emergency Medicine|P.O. BOX 640|BOISE|ID|83701|2087062333|2022-03-28|2022-07-15
WISE|1881801405|452716222||CHRISTIAN|T|MORCH|PA-C|Physician Assistant|3101 E STATE ST|EAGLE|ID|83616|2084733100|2022-03-28|2022-07-15
WISE|1982832176|452716222||SARAH|G|GERRISH|MD|Family Practice|1520 W STATE ST STE 100|BOISE|ID|83702|2089477700|2022-03-15|2022-07-15
WISE|1982832176|452716222||SARAH|G|GERRISH|MD|Family Practice|P.O. BOX 640|BOISE|ID|83701|2087062333|2022-03-15|2022-07-15