network|NPI|TIN|Name|FirstName|MI|LastName|Degree|Specialty|Address|City|State|Zip|Phone|TermDate|ReportDate WISE|1053606459|900735046||JAMES|W|ROBBINS|MD|Neurosurgery|1020 E 2ND ST STE 201|CASPER|WY|82601|3072330250|2024-08-25|2024-07-15 WISE|1063943033|900735043||EVAN|E|PAGANO|MD|Hospitalist|1233 E 2ND ST|CASPER|WY|82601|8008227201|2024-06-29|2024-07-15 WISE|1073273462|870281028||DANIEL|A|JONES|PA-C|Physician Assistant|1055 N 500 W BLDG B STE 100|PROVO|UT|84604|8013741268|2024-04-26|2024-07-15 WISE|1073273462|870281028||DANIEL|A|JONES|PA-C|Physician Assistant|1175 E 50 S STE 221|AMERICAN FORK|UT|84003|8013741268|2024-04-26|2024-07-15 WISE|1073273462|870281028||DANIEL|A|JONES|PA-C|Physician Assistant|972 N 600 E|SPANISH FORK|UT|84660|8013741268|2024-04-26|2024-07-15 WISE|1114544517|810231784||SARA||STROMBERG|NP|Neurology|3905 WELLNESS WAY|BOZEMAN|MT|59718|4068981200|2024-06-21|2024-07-15 WISE|1164504114|810231784||DAVID|R|MILROY|PT|Physical Therapy|2702 8TH AVE N|BILLINGS|MT|59101|4062382501|2024-05-21|2024-07-15 WISE|1184343105|202367847||VERONICA|R|LUNGHI|DPT|Physical Therapy|3300 N RUNNING CREEK WAY STE 150|LEHI|UT|84043|8017664244|2024-05-20|2024-07-15 WISE|1184343105|202367847||VERONICA|R|LUNGHI|DPT|Physical Therapy|62 E THRIVE DR STE 210|SARATOGA SPRINGS|UT|84045|8017664244|2024-05-20|2024-07-15 WISE|1205928546|870281028||MITCHELL|W|LARSEN|MD|Orthopedic Surgery|1022 N REDWOOD RD STE B|SARATOGA SPRINGS|UT|84045|8013737350|2024-05-06|2024-07-15 WISE|1205928546|870281028||MITCHELL|W|LARSEN|MD|Orthopedic Surgery|1055 N 500 W STE 121|PROVO|UT|84604|8013737350|2024-05-06|2024-07-15 WISE|1205928546|870281028||MITCHELL|W|LARSEN|MD|Orthopedic Surgery|1130 SMITH FIELDHOUSE|PROVO|UT|84602|8013737350|2024-05-06|2024-07-15 WISE|1205928546|870281028||MITCHELL|W|LARSEN|MD|Orthopedic Surgery|700 W 800 N STE 100|OREM|UT|84057|8012245373|2024-05-06|2024-07-15 WISE|1205928546|870281028||MITCHELL|W|LARSEN|MD|Orthopedic Surgery|P.O. BOX 30079|SALT LAKE CITY|UT|84130|8013758858|2024-05-06|2024-07-15 WISE|1205939089|870281028||CURTIS|C|JOHNSON|MD|Hand Surgery|1055 N 500 W STE 207|PROVO|UT|84604|8013737350|2024-05-31|2024-07-15 WISE|1205939089|870281028||CURTIS|C|JOHNSON|MD|Hand Surgery|1130 SMITH FIELDHOUSE|PROVO|UT|84602|8013737350|2024-05-31|2024-07-15 WISE|1205939089|870281028||CURTIS|C|JOHNSON|MD|Hand Surgery|700 W 800 N STE 100|OREM|UT|84057|8012245373|2024-05-31|2024-07-15 WISE|1205939089|870281028||CURTIS|C|JOHNSON|MD|Hand Surgery|P.O. BOX 30079|SALT LAKE CITY|UT|84130|8013758858|2024-05-31|2024-07-15 WISE|1225171010|810231784||FRANK|S|SIRINGO|MD|Ophthalmology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2024-06-30|2024-07-15 WISE|1225327927|471484443||KAMILE||WEISCHEDEL|MD|Psychiatry|1138 E WILMINGTON AVE|SALT LAKE CITY|UT|84106|8012138845|2024-05-27|2024-07-15 WISE|1225327927|471484443||KAMILE||WEISCHEDEL|MD|Psychiatry|1280 E STRINGHAM AVE|SALT LAKE CITY|UT|84106|8015817951|2024-05-27|2024-07-15 WISE|1225327927|471484443||KAMILE||WEISCHEDEL|MD|Psychiatry|1950 CIR OF HOPE DR|SALT LAKE CITY|UT|84112|8015832500|2024-05-27|2024-07-15 WISE|1225327927|471484443||KAMILE||WEISCHEDEL|MD|Psychiatry|291 S 200 W|FARMINGTON|UT|84025|8012133200|2024-05-27|2024-07-15 WISE|1225327927|471484443||KAMILE||WEISCHEDEL|MD|Psychiatry|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015851575|2024-05-27|2024-07-15 WISE|1225327927|471484443||KAMILE||WEISCHEDEL|MD|Psychiatry|501 S CHIPETA WAY|SALT LAKE CITY|UT|84108|8015832500|2024-05-27|2024-07-15 WISE|1225327927|471484443||KAMILE||WEISCHEDEL|MD|Psychiatry|525 E 100 S STE 5000|SALT LAKE CITY|UT|84102|8015851212|2024-05-27|2024-07-15 WISE|1225327927|471696666||KAMILE||WEISCHEDEL|MD|Psychiatry|501 S CHIPETA WAY|SALT LAKE CITY|UT|84108|8015873287|2024-05-27|2024-07-15 WISE|1225327927|811366910||KAMILE||WEISCHEDEL|MD|Psychiatry|501 S CHIPETA WAY|SALT LAKE CITY|UT|84108|8015851575|2024-05-27|2024-07-15 WISE|1245474428|472350425||JAY|E|LIEBERMAN|DMD|Dentist|50 N MEDICAL DR CLINIC 7|SALT LAKE CITY|UT|84132|8015812220|2024-05-31|2024-07-15 WISE|1245474428|472350425||JAY|E|LIEBERMAN|DMD|Dentist|530 S WAKARA WAY|SALT LAKE CITY|UT|84108|8015876453|2024-05-31|2024-07-15 WISE|1245474428|472350425||JAY|E|LIEBERMAN|DMD|Dentist|7495 S STATE ST|MIDVALE|UT|84047|8012139530|2024-05-31|2024-07-15 WISE|1255784344|810231784||STORMY|D|FILSON||Counseling|1020 N 27TH ST|BILLINGS|MT|59101|4062382500|2024-05-17|2024-07-15 WISE|1265651137|810231784||JENNIFER|G|ANDRUS|MD|Ear Nose and Throat|801 N 29TH ST|BILLINGS|MT|59101|4062382501|2024-06-30|2024-07-15 WISE|1275270605|942938348||PAULINA||DRYDEN|CSW|Social Worker|P.O. BOX 572070|SALT LAKE CITY|UT|84157|8017436175|2024-05-14|2024-07-15 WISE|1275270605|942938348||PAULINA||DRYDEN|CSW|Social Worker|PO BOX 572070|SALT LAKE CITY|UT|84157|8017436175|2024-05-14|2024-07-15 WISE|1306124011|811366784||JESSICA|A|LEWIS-CAPORAL|APRN|Nurse Practitioner|100 N MARIO CAPECCHI DR|SALT LAKE CITY|UT|84113|8012132995|2024-05-13|2024-07-15 WISE|1306209770|471497384||MICHAEL|V|KUSHDILIAN|MD|Radiology|175 N MEDICAL DR|SALT LAKE CITY|UT|84112|8015857575|2024-06-09|2024-07-15 WISE|1306209770|471497384||MICHAEL|V|KUSHDILIAN|MD|Radiology|1950 CIR OF HOPE DR|SALT LAKE CITY|UT|84112|8015850100|2024-06-09|2024-07-15 WISE|1306209770|471497384||MICHAEL|V|KUSHDILIAN|MD|Radiology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015877109|2024-06-09|2024-07-15 WISE|1306209770|471497384||MICHAEL|V|KUSHDILIAN|MD|Radiology|729 S ARAPEEN DR|SALT LAKE CITY|UT|84108|8015856387|2024-06-09|2024-07-15 WISE|1326314022|811366784||CHRISTINA|L|THUET|MD|Pediatrics|1280 E STRINGHAM AVE|SALT LAKE CITY|UT|84106|8016621000|2024-05-31|2024-07-15 WISE|1326314022|811366784||CHRISTINA|L|THUET|MD|Pediatrics|241 N 300 W RM T104|SALT LAKE CITY|UT|84103|8016621000|2024-05-31|2024-07-15 WISE|1326314022|811366784||CHRISTINA|L|THUET|MD|Pediatrics|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812205|2024-05-31|2024-07-15 WISE|1336601913|800236802||DAVID|V|JOHNSON|MD|Family Practice|382 W 280 N|PROVIDENCE|UT|84332|4357520330|2024-06-02|2024-07-15 WISE|1336601913|800236802||DAVID|V|JOHNSON|MD|Family Practice|PO BOX 743120|ATLANTA|GA|30374|6153737600|2024-06-02|2024-07-15 WISE|1396725149|810231784||BEATRICE|D|PROBST|MD|Urgent Care Physician|3905 WELLNESS WAY|BOZEMAN|MT|59718|4068981200|2024-06-30|2024-07-15 WISE|1417033267|471497384||BHASKER|R|KOPPULA|MD|Diagnostic Radiology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015817553|2024-05-01|2024-07-15 WISE|1417033267|471497384||BHASKER|R|KOPPULA|MD|Diagnostic Radiology|9385 S SNOWBIRD CTR DR|SANDY|UT|84092|8016464800|2024-05-01|2024-07-15 WISE|1427149178|870281028||RYAN|A|RICHARDS|MD|Orthopedic Surgery|1055 N 500 W STE 207|PROVO|UT|84604|8013577350|2024-06-30|2024-07-15 WISE|1427149178|870281028||RYAN|A|RICHARDS|MD|Orthopedic Surgery|1305 N COMMERCE DR STE 120|SARATOGA SPRINGS|UT|84045|8017537424|2024-06-30|2024-07-15 WISE|1427149178|870281028||RYAN|A|RICHARDS|MD|Orthopedic Surgery|3000 N TRIUMPH BLVD|LEHI|UT|84043|8014298000|2024-06-30|2024-07-15 WISE|1427149178|870281028||RYAN|A|RICHARDS|MD|Orthopedic Surgery|555 W STATE RD 164|SALEM|UT|84653|8013737350|2024-06-30|2024-07-15 WISE|1427149178|870281028||RYAN|A|RICHARDS|MD|Orthopedic Surgery|700 W 800 N STE 100|OREM|UT|84057|8012245373|2024-06-30|2024-07-15 WISE|1427149178|870281028||RYAN|A|RICHARDS|MD|Orthopedic Surgery|P.O. BOX 30079|SALT LAKE CITY|UT|84130|8013758858|2024-06-30|2024-07-15 WISE|1427673656|870281028||MICHAEL|D|ROMERO|PA-C|Physician Assistant|736 S 900 E STE 203|SAINT GEORGE|UT|84790|4352150490|2024-05-07|2024-07-15 WISE|1437671666|810231784||JOSEPH|P|EPPERSON|PA|Hospitalist|2800 10TH AVE N|BILLINGS|MT|59101|4062382501|2024-05-12|2024-07-15 WISE|1508598079|471497384||BIREN||DULAL|APRN|Family Practice|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015817806|2024-05-31|2024-07-15 WISE|1508598079|471696666||BIREN||DULAL|APRN|Family Practice|1950 CIR OF HOPE DR|SALT LAKE CITY|UT|84112|8015812121|2024-05-31|2024-07-15 WISE|1508598079|471696666||BIREN||DULAL|APRN|Family Practice|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-05-31|2024-07-15 WISE|1518453448|900735046||CHRISTOPHER|M|NIEHUES|DO|Obstetrics and Gynecology|201 14TH ST|WHEATLAND|WY|82201|3073223636|2024-03-25|2024-07-15 WISE|1538781224|472350425||ADAM||HINE|DDS|Dentist|50 N MEDICAL DR CLINIC 7|SALT LAKE CITY|UT|84132|8015812220|2024-06-05|2024-07-15 WISE|1538781224|472350425||ADAM||HINE|DDS|Dentist|530 S WAKARA WAY|SALT LAKE CITY|UT|84108|8015876453|2024-06-05|2024-07-15 WISE|1538781224|472350425||ADAM||HINE|DDS|Dentist|7495 S STATE ST|MIDVALE|UT|84047|8012139530|2024-06-05|2024-07-15 WISE|1609823467|471497384||JEREMY|K|BAIRD|DO|Emergency Medicine|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812292|2024-04-30|2024-07-15 WISE|1609823467|471497384||JEREMY|K|BAIRD|DO|Emergency Medicine|5126 W DAYBREAK PKWY|SOUTH JORDAN|UT|84009|8015812292|2024-04-30|2024-07-15 WISE|1649215617|810231784||SUSANA||MYUNG|MD|Nephrology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2024-06-19|2024-07-15 WISE|1649894569|852975223||CHASE||CHRISTENSEN|DPM|Podiatry|3181 W 9000 S|WEST JORDAN|UT|84088|8013525900|2024-07-01|2024-07-15 WISE|1649894569|852975223||CHASE||CHRISTENSEN|DPM|Podiatry|6322 S 3000 E STE 100|SALT LAKE CITY|UT|84121|8013525900|2024-07-01|2024-07-15 WISE|1649894569|870284475||CHASE||CHRISTENSEN|DPM|Podiatry|3181 W 9000 S STE 100|WEST JORDAN|UT|84088|8013525900|2024-07-01|2024-07-15 WISE|1649894569|870284475||CHASE||CHRISTENSEN|DPM|Podiatry|6322 S 3000 E STE 100|SALT LAKE CITY|UT|84121|8013525900|2024-07-01|2024-07-15 WISE|1689089666|800236802||RYAN|W|ALLEN|DO|Family Practice|382 W 280 N|PROVIDENCE|UT|84332|4357520330|2024-06-02|2024-07-15 WISE|1689089666|800236802||RYAN|W|ALLEN|DO|Family Practice|P.O. BOX 743120|ATLANTA|GA|30374|6153737600|2024-06-02|2024-07-15 WISE|1700842804|852975223||KENNON|C|TUBBS|MD|Family Practice|12391 S 4000 W|HERRIMAN|UT|84096|8013021700|2024-06-01|2024-07-15 WISE|1700842804|852975223||KENNON|C|TUBBS|MD|Family Practice|2965 W 3500 S|WEST VALLEY CITY|UT|84119|8019653600|2024-06-01|2024-07-15 WISE|1700842804|852975223||KENNON|C|TUBBS|MD|Family Practice|3181 W 9000 S|WEST JORDAN|UT|84088|8015695600|2024-06-01|2024-07-15 WISE|1700842804|870284475||KENNON|C|TUBBS|MD|Family Practice|12391 S 4000 W|HERRIMAN|UT|84096|8013021700|2024-06-01|2024-07-15 WISE|1700842804|870284475||KENNON|C|TUBBS|MD|Family Practice|2965 W 3500 S|WEST VALLEY CITY|UT|84119|8019653600|2024-06-01|2024-07-15 WISE|1700842804|870284475||KENNON|C|TUBBS|MD|Family Practice|3181 W 9000 S|WEST JORDAN|UT|84088|8015695600|2024-06-01|2024-07-15 WISE|1730848631|852975223||KYLE|M|TURNER|PA-C|Physician Assistant|12391 S 4000 W|HERRIMAN|UT|84096|8013021700|2024-07-01|2024-07-15 WISE|1730848631|870284475||KYLE|M|TURNER|PA-C|Family Practice|12391 S 4000 W|HERRIMAN|UT|84096|8013021700|2024-07-01|2024-07-15 WISE|1790027670|810231784||JOSHUA|J|HACKETT|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101||2024-06-09|2024-07-15 WISE|1790129831|471497384||BRIAN|A|BREVIU|MD|Rheumatology|1280 E STRINGHAM AVE|SALT LAKE CITY|UT|84106|8015817724|2024-05-29|2024-07-15 WISE|1790129831|471497384||BRIAN|A|BREVIU|MD|Rheumatology|165 N UNIV AVE|FARMINGTON|UT|84025|8015817724|2024-05-29|2024-07-15 WISE|1790129831|471497384||BRIAN|A|BREVIU|MD|Rheumatology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015817724|2024-05-29|2024-07-15 WISE|1790129831|471497384||BRIAN|A|BREVIU|MD|Rheumatology|85 N MEDICAL DR|SALT LAKE CITY|UT|84112|8015817724|2024-05-29|2024-07-15 WISE|1831423235|471497384||NICHOLAS|C|KANAAN|MD|Emergency Medicine|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812121|2024-06-01|2024-07-15 WISE|1831423235|471497384||NICHOLAS|C|KANAAN|MD|Emergency Medicine|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015812292|2024-06-01|2024-07-15 WISE|1831423235|471497384||NICHOLAS|C|KANAAN|MD|Emergency Medicine|5126 W DAYBREAK PKWY|SOUTH JORDAN|UT|84009|8015812121|2024-06-01|2024-07-15 WISE|1831423235|471497384||NICHOLAS|C|KANAAN|MD|Emergency Medicine|5126 W DAYBREAK PKWY|SOUTH JORDAN|UT|84009|8015812292|2024-06-01|2024-07-15 WISE|1831711480|870574059||RONEN|Z|DENNIS|DPT|Physical Therapy|29 S MAIN ST|TOOELE|UT|84074|4358437466|2024-05-27|2024-07-15 WISE|1841386513|471497384||ROBERT|V|FARNEY|MD|Pulmonology|375 S CHIPETA WAY STE A200|SALT LAKE CITY|UT|84108|8015812016|2024-05-10|2024-07-15 WISE|1841386513|471497384||ROBERT|V|FARNEY|MD|Pulmonology|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015817806|2024-05-10|2024-07-15 WISE|1861484297|810231784||JOZEF|A|OTTOWICZ|MD|Neurology|801 N 29TH ST|BILLINGS|MT|59101|4062382500|2024-02-22|2024-07-15 WISE|1881079069|474089981|THE OCD & ANXIETY TREATMENT CENTE|||||Mental Health|11260 S RIVER HTS DR|SOUTH JORDAN|UT|84095|8012982000|2024-07-31|2024-07-15 WISE|1881079069|474089981|THE OCD & ANXIETY TREATMENT CENTE|||||Mental Health|1371 W BUSINESS PARK DR STE 200|OREM|UT|84058|8886957682|2024-07-31|2024-07-15 WISE|1881079069|474089981|THE OCD & ANXIETY TREATMENT CENTE|||||Mental Health|1459 N MAIN ST|BOUNTIFUL|UT|84010|8012982000|2024-07-31|2024-07-15 WISE|1891341574|471484556||AURELIA||WANN|APRN|Family Practice|7495 S STATE ST|MIDVALE|UT|84047|8012132995|2024-04-30|2024-07-15 WISE|1891341574|471484556||AURELIA||WANN|APRN|Nurse Practitioner|1280 E STRINGHAM AVE|SALT LAKE CITY|UT|84106|8012132995|2024-04-30|2024-07-15 WISE|1891341574|471484556||AURELIA||WANN|APRN|Nurse Practitioner|165 N UNIV AVE|FARMINGTON|UT|84025|8012132995|2024-04-30|2024-07-15 WISE|1891341574|471484556||AURELIA||WANN|APRN|Nurse Practitioner|50 N MEDICAL DR|SALT LAKE CITY|UT|84132|8015879500|2024-04-30|2024-07-15 WISE|1891341574|471484556||AURELIA||WANN|APRN|Nurse Practitioner|5126 W DAYBREAK PKWY|SOUTH JORDAN|UT|84009|8012132995|2024-04-30|2024-07-15 WISE|1891341574|471484556||AURELIA||WANN|APRN|Nurse Practitioner|555 FOOTHILL DR|SALT LAKE CITY|UT|84112|8012132995|2024-04-30|2024-07-15 WISE|1902296239|810231784||YOUSEF|M|AHMED|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101||2024-06-25|2024-07-15 WISE|1902882673|810231784||REED|S|CHRISTENSEN|MD|Endocrinology|1045 N 30TH ST|BILLINGS|MT|59101|4062382501|2024-06-30|2024-07-15 WISE|1922491596|810231784||TODD|R|WOJTANOWICZ|MD|Psychiatry|3905 WELLNESS WAY|BOZEMAN|MT|59718|4068981200|2024-06-26|2024-07-15 WISE|1982378543|870281028||DIEGO|H|GONZALEZ|FNP|Nurse Practitioner|4095 E PONY EXPRESS PKWY|EAGLE MOUNTAIN|UT|84005|8014298037|2024-04-22|2024-07-15