Provider Directory. Molina Healthcare of Utah, Inc. MolinaMarketplace.com UTMP1217

Transcription

1 Provider Directory 2017 Molina Healthcare of Utah, Inc MolinaMarketplace.com UTMP1217

2 Welcome to Molina Healthcare This provider directory lists the providers contracted with Molina Healthcare to provide healthcare services to you. It is important to remember that you must receive all health care services covered by Molina Healthcare from Participating facilities and/or providers. The information in this directory is current as of December 1, The information listed in this directory is subject to change. If you have difficulty in reading or understanding this information, please contact Molina Healthcare Member Services at (888) (TTY for the hearing impaired: (800) or 711) for help. This information can be provided orally in English, or in your primary language. Written translations may be available in certain languages and accommodations will be made for the visually impaired. If you have any questions regarding the status of a particular provider, please contact Molina Healthcare Member Services toll free at (888) (TTY for the hearing impaired: (800) or 711). Your Medical Home One of the most important steps in taking care of your health is establishing a medical home. When you choose a primary care provider (PCP), you are choosing a medical home. A PCP is the health care provider, such as a family doctor or pediatrician, who will help you with most of your medical needs. Your PCP will give you care, offer advice, and suggest Specialty Care when necessary; however referrals are not required to see a specialist. It is important that you pick a PCP who meets your needs and whom you are comfortable with. Picking a PCP is important. When you find a good PCP, you can develop a lasting relationship that will help to ensure a health care partnership for years to come. Choosing a Primary Care Provider (PCP) Each member of Molina Healthcare must choose a PCP from Molina Healthcare's provider directory. The PCPs contracted with Molina Healthcare are listed in this directory. Call Molina Healthcare Member Services to let them know which PCP you have selected at (888) (TTY for the hearing impaired: (800) or 711). You can also call member services if you need help choosing a PCP. A representative will be happy to assist you. You can use the Internet to view the Molina Healthcare provider directory online at Did you know that you can use the Internet for free at most public libraries? There are even a number of companies that allow you to set up free accounts. If you need help learning to use the Internet, ask your librarian or call us. If you do not choose a PCP, Molina Healthcare will choose one for you. When we make this choice for you, we will take your home address, the language you speak and the providers your family members see into consideration. However, it is preferable that you pick your own PCP. You are the person who can best make the decision. Once you have a PCP, you should schedule a checkup soon, even if you are not sick. During the appointment, you will have a chance to get to know your PCP and to ask a number of questions that will help you develop a good relationship. You can reach your PCP by calling the PCP's office. Your PCP's name and telephone number are printed on your Molina Healthcare ID card. Check the PCP listed on your ID card to be sure that it is correct. If the PCP on your ID card is not the PCP you are seeing, call us. We will be sure that your provider is participating with Molina Healthcare and will send you an updated ID card. If you would like to see a different PCP than the one listed on your ID card, call Molina Member Services and we will help you select a participating provider. What if I Want to Change my Primary Care Provider? You can change Your PCP at any time. All changes completed by the 25th of the month will be in effect on the first day of the following calendar month. Any changes on or after the 26th of the month will be in effect on the first day of the second calendar month. But first visit your doctor. Get to know Your PCP before changing. Having a good relationship with Your PCP is important to your health care. Call the Customer Support Center if you want more information about Your Molina doctor.

3 If you wish to change the PCP which Molina Healthcare has chosen for you, you can call us within the first month of becoming a member, the change will be effective the day you call. All other PCP changes are effective the first day of the following month. Molina Healthcare will send you a new ID card to let you know that your PCP has been changed and the date you can start seeing the new PCP. Self-Referral to Participating Providers Always consult your PCP first. However, referrals are not required for you to access a Specialist Physician or Other Practitioner. Federally Qualified Health Centers/Rural Health Clinics You are entitled to access the services of any participating federally qualified health center (FQHC) or rural health clinic (RHC) providers. The list of the FQHC and RHC providers in your region is included in this directory. Those providers listed with an asterisk (*) are contracted providers with Molina Healthcare. You might also see providers from these facilities listed individually in other parts of this provider directory. Women's Health Specialists/Family Planning Providers Women may go to any OB/GYN in their PCP's network without a referral. Ask your doctor or call Molina Member Services if you do not know an OB/GYN in your PCP's network. All female members may self-refer to participating certified nurse midwives (CNMs), obstetricians and gynecologists. In addition, female members also may self-refer to participating women's health specialists for routine and preventative health care services if their PCP is not a women's health specialist. For a list of participating women's health specialists, please call Molina Member Services at (888) (TTY for the hearing impaired: (800) or 711). You may self-refer to any Participating Provider, including but not limited to the following family planning providers. In addition, you may self-refer to certain family planning providers in other counties. Please contact Molina Healthcare Member Services at (888) (TTY for the hearing impaired: (800) or 711) for more information regarding access to these services. Obstetricians and Gynecologists (OB/GYN): An OB/GYN is a provider who sees women only. OB/GYNs specialize in women's health and maternity care. Certified Nurse Midwives (CNM): Nurses who have special training to help with pregnancy, labor and delivery. Qualified Family Planning Providers (QFPP): QFPPs provide pregnancy testing, other screenings and resources to help you decide when to have a baby. Planned Parenthood is an example. You don't need to get a referral from your PCP for a visit to Family Planning Services. After-Hours or Non-Emergency Care If your provider's office is closed or your provider cannot see you right away, there are some steps you can take to stop your injury or illness from getting worse. 1. Call your PCP for advice. Even if your provider's office is closed, the office has someone available 24 hours a day, 7 days a week who will let you know what to do. 2. If you cannot reach your provider's office, call Molina Healthcare's 24-Hour Nurse Advice Line at (888) or (866) (Español), (TTY for the hearing impaired: (888) Nurses are always available to answer your questions. 3. Go to a participating urgent care center listed in the Molina Healthcare provider directory. You do not need permission from a provider to go to an urgent care center. If you visit an urgent care center, always call your PCP after your visit to schedule follow-up care. Please note that there may be some contracted providers who only admit to non-contracted hospitals. When prior authorized, your service in these situations will be covered at the in-network cost share in accordance with your Evidence of Coverage and Disclosure Form. Emergency Services Emergency services are any health care services provided to evaluate and/or treat any medical condition such that a prudent layperson possessing an average knowledge of medicine and health, believes that immediate unscheduled medical care is required. We cover care for emergencies both in and out of the service area where you live. Emergency care is available 24 hours a day, 7 days a week.

4 Some examples of when emergency services are needed include: Miscarriage/pregnancy with vaginal bleeding Seizures or convulsions Unusual or excessive bleeding Unconsciousness Overdose / Poisoning Severe burns Broken bones Chest pain Difficulty breathing If you are not sure whether you need to go to the emergency room, call your PCP or Molina Healthcare's 24-Hour Nurse Advice Line at (888) or (866) (Español), (TTY for the hearing impaired: (800) ). Your PCP or the Molina Healthcare Nurse Advice Line can talk to you about your medical problem and give you advice on what you should do. Remember, if you need emergency services: Go to the nearest hospital emergency room or other appropriate setting. Be sure to tell them that you are a member of Molina Healthcare and show them your ID card. If the provider who is treating you for an emergency takes care of your emergency but thinks you need other medical care to treat the problem that caused your emergency, the provider must call Molina Healthcare. After an emergency room visit, contact your PCP to make an appointment for follow-up care. Do not go to the emergency room for follow-up care. If the hospital has you stay, please make sure that Molina Healthcare is called within 24 hours so that we can coordinate your care. If you are away from Molina Healthcare's service area and need emergency care, go to the nearest emergency room. You have the right to go to any facility that provides emergency services. For more information about your Molina Healthcare benefits and services, see your Molina Healthcare's Evidence of Coverage, Policy, Certificate or call member services at (888) (TTY for the hearing impaired: (800) or 711). A representative will be available to assist you from 9:00 a.m. 5:00 p.m. Monday through Friday. The provider directory list is updated periodically, please check on our website or call for verification. Please be advised that if you choose a nonparticipating provider you will be responsible for any charges not covered by your health insurance plan. You are strongly encouraged to contact our member services team to verify the status of the providers involved in your care including, for example, the anesthesiologist, radiologist, pathologist, facility, clinic or laboratory, when scheduling appointments or elective procedures to determine whether each provider is a participating or nonparticipating provider. Such information may assist in your selection of provider(s) and will likely affect the level of co-payment, deductible and amount of co-insurance applicable to the care you receive. The information contained in this directory changes periodically during your plan year. Please contact (888) (TTY for the hearing impaired: (800) or 711) to learn more about the participating providers in your network and the implications, including financial, if you decide to receive your care from nonparticipating providers. Selection and Availability of Participating Providers Please note that the availability of participating providers (Physicians, Other Practitioners, Hospitals, Facilities, Ancillary and Other Providers), and any services or locations represented, is subject to change. Information displayed about participating providers is provided by participating providers to Molina Healthcare as part of the credentialing process. Molina Healthcare analyzes providers by geographic location and specialty within its services areas, to assure reasonable access and network adequacy for enrolled members. Molina Healthcare does not use measures of quality, patient safety, and cost or member experience to select providers to participate in its network. Members enrolled with Molina Healthcare have full access to all contracted participating providers. American with Disabilities Act: At no cost to the enrollee, Molina Healthcare makes available telephonic and face-to-face interpretive services to assist you. Please call our Member Services toll-free at: (888) , 8am 6pm Monday through Friday. Tell your doctor or anyone working in his or her office if you need interpretive services. If you need a face to face or sign language interpreter, please call your doctor's office at least 7 days prior to your appointment as required under Section To Report Inaccurate Information in the Provider Directory please contact Molina.

5 If you are a Molina Provider, please MHCPIM@MolinaHealthCare.com or call (855) For all others, please MHCPIM@MolinaHealthCare.com or call: (888) , (TTY: 711), 8:00 a.m. 5:00 p.m., Monday Friday. Language Access Card You have the right to get this information in a different format, such as audio, Braille, or large font due to special needs or in your language at no additional cost. Usted tiene derecho a recibir esta información en un formato distinto, como audio, braille, o letra grande, debido a necesidades especiales; o en su idioma sin costo adicional. English ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call (TTY: 711). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 711). Chinese 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (TTY:711) Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: 711). Korean 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 (TTY: 711) 번으로 전화해주십시오. Navajo D77 baa ak0 n7n7zin: D77 saad bee y1n7[ti go Diné Bizaad, saad bee 1k1 1n7da 1wo d66, t 11 jiik eh, 47 n1 h0l=, koj8 h0d77lnih (TTY: 711). Nepali ध य न द न ह स: तप र इ ल न प ल ब ल न ह न छ भन तप र इ क न म त भ ष सह यत स व हर नन श ल क र पम उपलब ध छ फ न गन न ह स (ट ट व इ: 711) Tongan FAKATOKANGA I: Kapau oku ke Lea-Fakatonga, ko e kau tokoni fakatonu lea oku nau fai atu ha tokoni ta etotongi, pea teke lava o ma u ia. Telefoni mai (TTY: 711). Serbo-Croatian OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711). Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (TTY: 711). ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (TTY: 711). Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетай п: 711 ). Arabic.( مقر فتاه مصلا مكبلاو: 711 ( ةظوحلم :اذإ تنك ثدحتت ركذا ةغللا نإف تامدخ ةدعاسملا ةيوغللا رفاوتت كل ناجملاب.لصتا مقرب Cambodian (Mon-Khmer) ប រយ ត ន បរស នជ អ ននជ នយយ ភ ស ខ ម រ, ប វ ជ ជ យខ ននភ ស ប យមនជ គនតឈ ន ល គ អ ចម ជ រ រ រ បរអ នន ច រ ទ រស ព ទ (TTY: 711) French ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (TTY : 711). Japanese 注意事項 : 日本語を話される場合 無料の言語支援をご利用いただけます (TTY: 711) まで お電話にてご連絡ください

6 Primary Care Providers UTAH Box Elder County Advanced Practice Midwife GARLAND Sorensen, Jennifer L CNM 300 West 1400 South Garland, UT Family Medicine BRIGHAM CITY Barker, Lance Fred MD 984 Medical Dr Ste 1 Brigham City, UT , Mandarin Fonnesbeck, Brant W DO 5 West 200 North Brigham City, UT Hyldahl, Douglas R MD 5 West 200 North Brigham City, UT Lee, Suzanne Elizabeth MD 980 South 500 West Ste 1 Brigham City, UT , Lish, Jeffrey Ray MD 984 Medical Dr Ste 1 Brigham City, UT , Shaw, Michael C MD 984 Medical Dr Ste 1 Brigham City, UT , Simmons, Ronald Brent DO 1030 South Medical Dr Ste A Brigham City, UT , Taylor, James R MD 600 West Hospital Rd Brigham City, UT Wilding, Gregg H MD 600 West Hospital Rd Brigham City, UT GARLAND Schow, Jan Erik MD 300 West 1400 South Garland, UT Walker, Douglas C DO 300 West 1400 South Garland, UT Family Nurse Practitioner BRIGHAM CITY Allen, Lindee Price NP 600 West Hospital Rd Brigham City, UT Duke, Cynthia Lynn NP 1030 South Medical Dr Ste A Brigham City, UT Gibson Morales, Christina Gail NP 1030 South Medical Dr Ste A Brigham City, UT , GARLAND Bywater, Kelsey NP 300 West 1400 South Garland, UT Olsen, Sean Lucien NP 300 West 1400 South Garland, UT Internal Medicine BRIGHAM CITY Beard, Lynn Q MD 984 Medical Dr Ste 1 Brigham City, UT , French Markeson, John R MD 950 South Medical Dr Ste 106 Brigham City, UT Tucker, Stephen Richard MD 1030 South Medical Dr Ste A Brigham City, UT Wilding, David G MD 600 West Hospital Rd Brigham City, UT , Obstetrics & Gynecology BRIGHAM CITY Ferguson, Daniel Richard MD 984 South Medical Dr Ste 4 Brigham City, UT Pediatrics BRIGHAM CITY Buchanan, Marcus P MD 980 South Medical Dr Ste 2 Brigham City, UT Lloyd, Carey D MD 980 South Medical Dr Ste 2 Brigham City, UT , French Davis County Advanced Practice Midwife BOUNTIFUL Zaugg, Laura Maudlyn CNM 620 East Medical Dr Ste CLEARFIELD Carter, Stacie B CNM 3110 West 300 North Ste B Clearfield, UT FARMINGTON Cohen, Susanna R CNM* 165 North University Ave , Elmore, Christina Elizabeth CNM* 165 North University Ave Rinne, Kirsti CNM* 165 North University Ave LAYTON Faucett, Gretchen T CNM 1580 West Antelope Dr Ste Vance, Rebecca M CNM 1580 West Antelope Dr Ste Vance, Rebecca M CNM 1580 West Antelope Dr Ste

7 Primary Care Providers Family Medicine BOUNTIFUL Christian, Mark E MD 185 South 400 East Ste , Cope, David George MD 185 South 400 East Ste , Other, Non-English Erickson, Scott Austin MD 440 South Medical Dr Ste Foster, Carla Sue MD 214 West 1500 South Freestone, Allen Arthur MD 557 West 2600 South , Hanna, Allison DO 557 West 2600 South Hodo, Laura Nell MD* 401 South 400 East , Peterson, Bryce Kirton MD 185 South 400 East Ste Rodgers, Brian Joseph DO 425 Medical Dr Ste , French, Other, Non-English Van Staden, Gavin Nicholas MD 3263 South Hwy 89 Ste Wade, Ralph David DO 557 West 2600 South Ward, Raymond Paul MD* 185 South 400 East Ste , Warren, Steven E MD 4790 Hidden Lake Dr CENTERVILLE Anisman, David Elliot MD* 26 South Main St Centerville, UT Campbell, Aaron D MD* 26 South Main St Centerville, UT , Cetton, Gregory A MD* 26 South Main St Centerville, UT Jones, Kyle Bradford MD* 26 South Main St Centerville, UT , Russian Morrill, Arnold Brett DO* 26 South Main St Centerville, UT , Japanese Sakaguchi, Farrant Hiroshi MD* 26 South Main St Centerville, UT , Stoker, Bradley Lynn DO* 26 South Main St Centerville, UT , White, Charles D MD* 26 South Main St Centerville, UT CLEARFIELD Astle, Nelson L MD* 1477 North 2000 West Ste C Clearfield, UT , Gregoire, Richard J MD 22 South State St 1007 Clearfield, UT , Housley, Mark Delmon MD* 22 South State St 1007 Clearfield, UT Julien, Craig K MD 3110 West 300 North Ste A Clearfield, UT Monroy, Carissa S MD 22 South State St 1007 Clearfield, UT , CLINTON Hogan, Eric S DO 1477 North 2000 West Ste C Clinton, UT , FARMINGTON Blaser, Brett Earl DO 140 North Union Ave Ste F Cetton, Gregory A MD* 165 North University Ave Chappell, Daniel H DO 991 West Shepard Ln Ste , French Hibbard, Julie Cleek MD 1401 North 1075 West Ste Jenkins, Hans Chopin DO 722 West Shepard Ln Ste Jones, Kyle Bradford MD* 165 North University Ave, Russian Jones, Kyle Bradford MD* 165 North University Ave, Russian Stoker, Bradley Lynn DO* 165 North University Ave, Thomas, Kelly Laforge DO* 165 North University Ave KAYSVILLE Child, Dustin G MD 380 North 400 West Kaysville, UT 84037, Fife, Jason Roy DO 380 North 400 West Kaysville, UT

8 Kirkham, Michael D MD 380 North 400 West Kaysville, UT 84037, Japanese Lenthe, Mark Robert DO 380 North 400 West Kaysville, UT Stewart, Ryan Lee MD 380 North 400 West Kaysville, UT 84037, French, Yeates, Michael C DO 380 North 400 West Kaysville, UT LAYTON Aardema, Critt Farr MD 2121 North 1700 West Allred, Michael G MD 2121 North 1700 West Anderson, Marc Olsen MD 2121 North 1700 West, Barker, Layne Thomas MD 2121 North 1700 West, French, Baxter, Mark E MD 2121 North 1700 West, Portugese Primary Care Providers Beus, Michael Lynn MD 2121 North 1700 West, Portugese, Bishop, Scott Russell MD 2121 North 1700 West Broadbent, Daniel Wilford MD 3225 West Gordon Ave Ste , Burningham, Ted Howard MD 2121 North 1700 West, Japanese Butler, Warren Leroy MD 2121 North 1700 West, French Butters, David Eric DO 1580 West Antelope Dr Ste , Cardon, Louis Scott MD 2121 North 1700 West, French Cook, Johnnie V MD 2121 North 1700 West, Davis, Christopher L DO* 3225 West Gordon Ave Ste , Chinese, Mandarin Degrauw, Jeffrey L MD 1492 West Antelope Dr Ste Degrauw, Jeffrey L MD 1580 West Antelope Dr Ste Flinders, Kurt T MD* 2121 North 1700 West, Foote, Stephen M DO 2121 North 1700 West Francis Jr, Joseph Allen MD 124 South Fairfield Rd Gardner, Kevin Lee MD 1580 West Antelope Dr Ste , Healey, Curtis M MD 2121 North 1700 West Hemmersmeier, John Matthew MD 2950 North Church St Ste 200 Layton, UT Hibbard, Julie Cleek MD 1750 East 3100 North Layton, UT Hobbs, Rachel B MD 2121 North 1700 West Kirkham, Mark D MD 1750 East 3100 North Layton, UT 84040, Japanese Lenthe, Mark Robert DO 2121 North 1700 West Morrell, Stephen Lynn MD 2121 North 1700 West Morris, Jared Abraham MD 2121 North 1700 West, Portugese Nelson, Courtney Rick DO 1580 West Antelope Dr Ste Neville, Roark Bradford MD 3225 West Gordon Ave Ste , Thai Potter, Steven Jared MD 124 South Fairfield Rd , Richardson, Charles D MD 2121 North 1700 West, Rigby, Rohn Clark MD 3225 West Gordon Ave Ste , Korean Schaelling, Michael P MD 2121 North 1700 West, French Stelter, Casey Lawrence MD 2950 North Church St Ste 200 Layton, UT , 3

9 Primary Care Providers Stelter, Casey Lawrence MD 2950 North Church St Ste 200 Layton, UT , Stewart, Ryan Lee MD 2121 North 1700 West, French, Thurston, Mckennan J MD 2121 North 1700 West, Thurston, Mckennan J MD 1750 East 3100 North Layton, UT 84040, Villalobos, Miguel Angel MD 1492 West Antelope Dr Ste , Warrick, Robert E MD 1868 North 1200 West Weeks, Jonathan Andrew MD 2950 North Church St Ste 200 Layton, UT , Whittier, Cassie Lynn MD 1750 East 3100 North Layton, UT 84040, Yates, Jay Reese MD 2121 North 1700 West OGDEN Amann, Kelly Richard DO* 5275 South 500 East Adams Ave Ste A Ogden, UT Baires, Enrique P MD* 5275 South 500 East Adams Ave Ste A Ogden, UT , Portugese, Christiansen, Van G MD* 5275 South 500 East Adams Ave Ste A Ogden, UT SYRACUSE Barker, Layne Thomas MD 2038 West 1900 South Syracuse, UT 84075, French, Burtenshaw, Brett T MD* 2038 West 1900 South Syracuse, UT 84075, Farnsworth, David D MD 2038 West 1900 South Syracuse, UT 84075,, Polish Lenthe, Mark Robert DO 2038 West 1900 South Syracuse, UT Stewart, Ryan Lee MD 2038 West 1900 South Syracuse, UT 84075, French, Family Nurse Practitioner BOUNTIFUL Daines, Emily NP 520 East Medical Dr Ste Sandberg, Rebecca W NP 185 South 400 East Ste Sharp, Lisa Ann NP 520 East Medical Dr Ste CENTERVILLE Bancroft, Whitney Malyn NP* 26 South Main St Centerville, UT Pantelakis, Jennifer Mary NP* 26 South Main St Centerville, UT Vietor, Brook NP* 26 South Main St Centerville, UT CLEARFIELD Byrd, Amanda Kaye NP 3110 West 300 North Ste A Clearfield, UT Sprague, Brittany L NP 81 North 2000 West F-2 Clearfield, UT FARMINGTON Bancroft, Whitney Malyn NP* 291 South 200 West Bancroft, Whitney Malyn NP* 165 North University Ave Byrd, Amanda Kaye NP 1401 North 1075 West Ste Vietor, Brook NP* 165 North University Ave LAYTON Christensen, Don Carl NP 3225 West Gordon Ave Ste Fowers, Jody Lynn NP 2950 North Church St Ste 200 Layton, UT Jenkins, Katherine NP 2121 North 1700 West Ostarcevic, Emily NP 2084 North 1700 West Ste A , Ostarcevic, Emily NP 934 South Main St Ste , Powell, Tina M NP 1868 North 1200 West , Smith, Kurtis Russell NP 2084 North 1700 West Ste A , Portugese, 4

10 Primary Care Providers Smith, Kurtis Russell NP 934 South Main St Ste , Portugese, Wise, Marilyn B NP 2121 North 1700 West York, Arwen Cundick NP 1868 North 1200 West OGDEN Wilson, Kayleen Hall NP 5275 South 500 East Adams Ave Ste A Ogden, UT SYRACUSE Smith, Kurtis Russell NP 1792 West 1700 South Ste 102 Syracuse, UT , Portugese, Internal Medicine BOUNTIFUL Christian, Grant Leroy MD* 425 Medical Dr Ste Shields, Russell B MD 425 Medical Dr Ste Southworth, Scott E MD 460 West 2600 South CENTERVILLE Joseph, Laurene Gay MD* 26 South Main St Centerville, UT , Hebrew Pham, Marian Hong MD* 26 South Main St Centerville, UT , Vietnamese FARMINGTON Chua, Milton Marvin MD* 165 North University Ave , Tagalog Joseph, Laurene Gay MD* 165 North University Ave, Hebrew KAYSVILLE Nelson, Chadd Dee DO 380 North 400 West Kaysville, UT LAYTON Al-Rayess, Khaldoun Mohammad MD 1492 West Antelope Dr Ste , Arabic Biddulph, Glen F MD 2121 North 1700 West Burtenshaw, Bruce Francis MD 2121 North 1700 West Coles, Andrew Edward MD 2121 North 1700 West Coles, Catherine Michelle MD 1580 West Antelope Dr Ste Deremer, Kathleen Rose MD 2950 North Church St Ste 101 A Layton, UT Herold, Richard J MD 2950 North Church St Ste 101 A Layton, UT Mansfield, Justin W MD 2121 North 1700 West, Moulton, Scott Atkin DO 2950 North Church St Ste 101 A Layton, UT Nelson, Chadd Dee DO 2121 North 1700 West Taylor, R Robert MD 2121 North 1700 West SYRACUSE Nelson, Chadd Dee DO 2038 West 1900 South Syracuse, UT Nurse Practitioner CLEARFIELD Breen, Annamarie NP 81 North 2000 West F-2 Clearfield, UT Breen, Annamarie NP 1477 North 2000 West Ste C Clearfield, UT FARMINGTON Breen, Annamarie NP 1401 North 1075 West Ste KAYSVILLE Breen, Annamarie NP 349 N Flint St Ste 101 Kaysville, UT LAYTON Vigil, Debra J NP 1660 West Antelope Dr Ste Obstetrics & Gynecology BOUNTIFUL Muscolino, Gina M MD 620 East Medical Dr Ste , CENTERVILLE Adelman, Marisa Rachel MD* 26 South Main St Centerville, UT Checketts, Darin David DO 2121 North 1700 West, 5

11 Primary Care Providers CLEARFIELD Evans, Jennifer L MD 3110 West 300 North Ste B Clearfield, UT FARMINGTON Spencer, Neil Orrin MD 670 West Shepard Ln Ste LAYTON Arogyasami, Susan A MD 1580 West Antelope Dr Ste , Bitner, Mark R MD 2121 North 1700 West, Boheen, Karen DO 2132 North 1700 West Ste Cassiere, Erin Kate MD 124 South Fairfield Rd Cassiere, Erin Kate MD 1580 West Antelope Dr Ste Durbin, Teresa Virginia MD 1580 West Antelope Dr Ste Evans, Jennifer L MD 1580 West Antelope Dr Ste Farley, Duane E MD 2121 North 1700 West, Fillerup, Sharon Lee MD 2121 North 1700 West Hall, Craig Robert MD 2121 North 1700 West,, Swedish Hernandez, Maria Dolores MD 1580 West Antelope Dr Ste , Hurst, Craig L MD 2132 North 1700 West Ste Jerig, Sean Nathaniel MD 1580 West Antelope Dr Ste Johnson, Steven L MD* 2121 North 1700 West Judson, Patricia L MD 1580 West Antelope Dr Ste Martin, Jared C MD 1580 West Antelope Dr Ste Meek, Steven C MD 2121 North 1700 West, Muscolino, Gina M MD 1580 West Antelope Dr Ste , Ostler, Leslie Ann MD 1580 West Antelope Dr Ste , Patel, Minita S MD 1580 West Antelope Dr Ste , Gujarati Sorensen, Teela Southwick MD 2121 North 1700 West Stevenson, Camille MD 2121 North 1700 West Sumsion, Kevin Spafford MD 2121 North 1700 West Wheelwright, Steven Ronald DO 1750 East 3100 North Layton, UT 84040, Korean SYRACUSE Leavitt, Jarin Kent MD* 2038 West 1900 South Syracuse, UT 84075, Miller, Ryan D DO 2038 West 1900 South Syracuse, UT 84075, Tagalog Pediatric Nurse Practitioner BOUNTIFUL Capps, Gina Markos NP 520 East Medical Dr Ste Capps, Gina Markos NP 520 East Medical Dr Ste Ernest, Ronda Miller NP 520 East Medical Dr Ste Johnson, Adam Duane NP 520 East Medical Dr Ste , Webb, Kim B NP 520 East Medical Dr Ste CLEARFIELD Cardon, Catherine Dodd NP 1477 North 2000 West Ste C Clearfield, UT KAYSVILLE Stapley, Nicole NP 380 North 400 West Kaysville, UT LAYTON West Ellis, Karen NP 2084 North 1700 West Ste A West Ellis, Karen NP 934 South Main St Ste

12 Primary Care Providers Pediatrics BOUNTIFUL Burnett, Kara Elizabeth MD 620 Medical Dr Ste Dangerfield, Shane Carlson MD* 401 South 400 East , Edwards, Andrea P MD 620 Medical Dr Ste Feola, Bonnie B MD 520 East Medical Dr Ste Giannini, Jacqueline K MD 620 Medical Dr Ste Groebs, Allison M MD 620 Medical Dr Ste Hildebrand, Pamela Japlit MD 620 Medical Dr Ste , Judd, Earl Robert MD 620 Medical Dr Ste , Portugese, Liou, Kathleen Mcnamara MD 620 Medical Dr Ste Liu, Diane MD* 401 South 400 East , Chinese Liu, Diane MD* 401 South 400 East , Chinese Loftus, Clark K MD 620 Medical Dr Ste Morrison, Paul Edward MD 620 Medical Dr Ste Oconnor, Meghan Mary MD* 401 South 400 East , Oconnor, Meghan Mary MD* 401 South 400 East , Oconnor, Meghan Mary MD* 401 South 400 East , Tew, Jonathan Milton MD 620 Medical Dr Ste , Russian CLEARFIELD Bostrom, Samantha P MD* 1477 North 2000 West Ste C Clearfield, UT FARMINGTON Chabot, Matthew R MD* 165 North University Ave, Clark, Bradley J DO* 991 West Shepard Ln Ste Judd, Earl Robert MD 491 West Bourn Cir , Portugese, Petersen, Sarah Connors MD* 165 North University Ave KAYSVILLE Evans, Ryan Newell MD 380 North 400 West Kaysville, UT 84037, French Forbush, Nathan G MD 380 North 400 West Kaysville, UT 84037, Owen, Robert Evan MD 380 North 400 West Kaysville, UT 84037, LAYTON Burton, Michael Bradley DO 2084 North 1700 West Ste A , Burton, Michael Bradley DO 934 South Main St Ste , Eberhard, Brent K MD 2121 North 1700 West Ellertson, Bryan Daniel MD 2121 North 1700 West, Italian Fennell Ii, James Ashley MD 2084 North 1700 West Ste A Fennell Ii, James Ashley MD 934 South Main St Ste Forbush, Nathan G MD 2121 North 1700 West, Gabrielsen Jr, Alvin A MD 2084 North 1700 West Ste A , Gabrielsen Jr, Alvin A MD 934 South Main St Ste , Gilsoul, Jennifer Marion MD 2084 North 1700 West Ste A Gilsoul, Jennifer Marion MD 934 South Main St Ste Hawkes, Cody J DO 2084 North 1700 West Ste A

13 Primary Care Providers Hawkes, Cody J DO 934 South Main St Ste Pruitt, Anthony Gene MD 2084 North 1700 West Ste A Silas, Peter Edward MD 1792 West 1700 South Ste 102 Syracuse, UT Batson, Margaret K CNM 24 South 1100 East Ste Hoagland, Jason Ray MD 2121 North 1700 West, Hoki, Robert Shawn MD 2084 North 1700 West Ste A Husseman, Michael Patrick MD 2084 North 1700 West Ste A Hutchinson, Adam Mickael MD 2121 North 1700 West Lam, Toan H MD 2084 North 1700 West Ste A , French, Vietnamese Macgregor, Elenor DO 2084 North 1700 West Ste A Macgregor, Elenor DO 934 South Main St Ste Nye, Noel Christian DO 2121 North 1700 West Owen, Robert Evan MD 2121 North 1700 West, Pruitt, Anthony Gene MD 934 South Main St Ste Sigg, Laurent Christophe MD 2084 North 1700 West Ste A , French, Sigg, Laurent Christophe MD 934 South Main St Ste , French, Silas, Peter Edward MD 2084 North 1700 West Ste A Silas, Peter Edward MD 934 South Main St Ste Tripp, George Allen MD 2121 North 1700 West SYRACUSE Hawkes, Cody J DO 1792 West 1700 South Ste 102 Syracuse, UT Macgregor, Elenor DO 1792 West 1700 South Ste 102 Syracuse, UT Owen, Robert Evan MD 2038 West 1900 South Syracuse, UT 84075, Women's Health Nurse Practitioner BOUNTIFUL Hazzard, Sandra M NP 620 East Medical Dr Ste Salt Lake County Adult Health Nurse Practitioner Eggett, Clare D NP 3725 West 4100 South Advanced Practice Midwife DRAPER Blair, Veronica Carol CNM 96 Kimballs Ln Ste Grubb, Michelle C CNM 96 Kimballs Ln Ste RIVERTON Heubusch, Diane D CNM 3723 West South Ste Barnard, Peter Scott CNM 1140 East 3900 South Ste Chaney, Chelsea Brooke CNM 82 South 1100 East Ste Harward, Marnae CNM 1140 East 3900 South Ste Lamalfa, Toni V CNM 1140 East 3900 South Ste Miller, Kathleen G CNM 1151 East 3900 South Ste B Ruhlmann, Melinda Laurel CNM 3336 South Pioneer Pkwy Ste , French, Shifrar, Jacolin Anne CNM 348 East 4500 South Ste Smithers, Jacqueline M CNM 7084 South 2300 East Ste 110 Salt Lake City, UT , Italian, WEST JORDAN Shifrar, Jacolin Anne CNM 3570 West 9000 South Ste Vance, Rebecca M CNM 3570 West 9000 South Ste

14 Primary Care Providers Vance, Rebecca M CNM 3570 West 9000 South Ste Family Medicine COTTONWOOD HEIGHTS Peterson, Mark William DO 6322 South 3000 East Ste 140 Cottonwood Heights, UT DRAPER Atkin, Joseph S MD South Bangerter Pkwy , Azarcon Jr, Jose DO South Bangerter Pkwy Coleman, Stephen D MD South Bangerter Pkwy Furness, Todd William DO South 700 East Ste Hardenbrook, Spencer James MD South 1000 East Jack, David B MD South 700 East Ste Lopez, Ronald F MD South 1000 East Nelson, Todd Robert MD South State St Prater, Susan Elizabeth MD South State St Robinson, Andrew Robert DO 74 East Kimballs Ln Ste Wilson, Preston Jon DO South 700 East Ste HERRIMAN Daynes, Gregory S MD 5746 West South Herriman, UT , Peterson, Michael James MD 5746 West South Herriman, UT , French MAGNA Hooda, Pragati MD 3665 South 8400 West Ste 110 Magna, UT , Hindi Lewis, Randal John MD 3665 South 8400 West Ste 110 Magna, UT , Robbins, James Steven DO 3665 South 8400 West Ste 110 Magna, UT Spencer, Steven J MD 3665 South 8400 West Ste 110 Magna, UT Stone, Gregory A DO 3665 South 8400 West Ste 110 Magna, UT , Young, Shane S MD 3665 South 8400 West Ste 110 Magna, UT , Zehnder, Brian Keith MD 3665 South 8400 West Ste 110 Magna, UT MIDVALE Abbinanti, Martin Lambert MD* 7495 South State St Midvale, UT , Berman, Joseph Harold MD* 7495 South State St Midvale, UT Gohari, Mina MD 1275 East Fort Union Blvd Ste 150 Midvale, UT Greenwood, Lyle J DO 8446 South Harrison St Midvale, UT , Johnson, Matthew Brent MD* 7495 South State St Midvale, UT , Jones, Kyle Bradford MD* 7495 S State St Midvale, UT , Russian Lawlor, Cynthia Jean MD 1275 East Fort Union Blvd Ste 150 Midvale, UT Sakaguchi, Farrant Hiroshi MD* 7495 S State St Midvale, UT , Stoker, Bradley Lynn DO* 7495 South State St Midvale, UT , Yaroshchuk, Larisa Borisovna MD* 7495 South State St Midvale, UT , Russian RIVERTON Boam, William Derek MD South 4000 West , Depew, Bruce Craig MD 1288 West South Devenport, Stephen Brent MD South 4000 West Harmon, Steven T MD South Market Center Dr Ste Hodo, Laura Nell MD* 3741 West South , 9

15 Matich, Andrea Jensen MD South Market Center Dr Ste Trujillo, Nicholas DO South 4000 West Williams, Robert D MD 1288 West South , Albano, Joseph J MD 82 South 1100 East Ste Anderson, Laura M MD* 1525 West 2100 South Salt Lake City, UT Arbogast, Richard C MD 340 East 100 South Salt Lake City, UT Armstrong, Crystal M MD* 3730 West 4700 South Salt Lake City, UT Atkin, Joseph S MD 6360 South 3000 East Ste 100 Salt Lake City, UT , Babitz, Marc E MD 168 North 1950 West Ste 201 Salt Lake City, UT Backman, Richard Lee MD 555 Foothill Blvd , French, Primary Care Providers Baiden, Erica Nancy MD 3725 West 4100 South , Bank, Stacey MD 999 East Murray Holladay Rd Ste 207 Salt Lake City, UT Bank, Stacey MD 1160 East 3900 South Ste Bank, Stacey MD 4465 South 900 East Ste Barrett, John W MD* 1525 West 2100 South Salt Lake City, UT Berneike, John A MD 1250 East 3900 South Ste Borowski, Lauren E MD* 555 Foothill Dr Ste Bosch, Clarivette MD* 1525 West 2100 South Salt Lake City, UT Brunetti, Ross A MD 6360 South 3000 East Ste 100 Salt Lake City, UT Cetton, Gregory A MD* 1525 West 2100 South Salt Lake City, UT Christensen, Shane G MD 6360 South 3000 East Ste 100 Salt Lake City, UT Civish Iii, Frederic M MD 3534 South 6000 West Salt Lake City, UT , Clark, Alexander Paul DO 2295 South Foothill Dr Salt Lake City, UT Cochella, Susan Elizabeth MD* 1138 East Wilmington Ave Collett, Camille MD 1250 East 3900 South Ste , Collett, Camille MD 4465 South 900 East Ste , Conner Jr, Thomas K MD 6360 South 3000 East Ste 100 Salt Lake City, UT Cox, Gina B MD 6360 South 3000 East Ste 100 Salt Lake City, UT Cutlip, Cheryle Lynne MD* 3725 West 4100 South Dame, John B MD 2253 South State St Salt Lake City, UT , Dame, John B MD 1250 East 3900 South Ste , Davis, Kimberly Jo DO 1174 East Graystone Way Ste , Depew, Bruce Craig MD 3725 West 4100 South Dietlein, John R MD 5292 South College Drive Ste 304 Salt Lake City, UT Eborn, Shana K MD 2295 South Foothill Dr Salt Lake City, UT Edwards, Susan L MD 2295 South Foothill Dr Salt Lake City, UT Farrell, Timothy William MD* 700 Foothill Blvd Farrell, Timothy William MD* 76 South 500 East Farrell, Timothy William MD* 154 East Myrtle Ave Farrell, Timothy William MD* 50 N Medical Drive

16 Farrell, Timothy William MD* 1138 East Wilmington Ave Frame, Kara A MD* 555 Foothill Blvd Ste Fuller, Gene Raymond MD 999 East Murray Holladay Rd Ste 207 Salt Lake City, UT , French Fuller, Gene Raymond MD* 999 Murray Holladay Rd Ste 207 Salt Lake City, UT , French Garrison, Andrew William MD 461 South 400 East Salt Lake City, UT , Goerl, Kyle V MD* 555 Foothill Blvd Gohari, Mina MD 1160 East 3900 South Ste G Grazulis, Diana MD 6360 South 3000 East Ste 100 Salt Lake City, UT , Lithuanian, Russian Greenwood, Jessica L MD 555 Foothill Blvd , Greenwood, Jessica L MD* 1525 West 2100 South Salt Lake City, UT 84119, Primary Care Providers Gregoire, Richard J MD 2253 South State St Salt Lake City, UT , Hanson, Nicholas Gary MD 1060 East 100 South Ste L Harrold, Adam Lee MD* 1525 West 2100 South Salt Lake City, UT Harrold, Adam Lee MD* 1138 East Wilmington Ave Henich, Casey Joseph MD 3725 West 4100 South Henry, Dan C MD 2295 South Foothill Dr Salt Lake City, UT Hodo, Laura Nell MD* 3690 South Main St Salt Lake City, UT , Hodo, Laura Nell MD* , Hodo, Laura Nell MD* , Hodo, Laura Nell MD* , Jack, David B MD 4465 South 900 East Ste Jackson, Heather A MD 2295 South Foothill Dr Salt Lake City, UT Johnson, Laura A MD* 1525 West 2100 South Salt Lake City, UT Johnson, Mark Dale MD 6321 South Redwood Rd Ste 201 Salt Lake City, UT Johnson, Matthew Brent MD* 1525 West 2100 South Salt Lake City, UT 84119, Johnson, Matthew Brent MD* 3730 West 4700 South Salt Lake City, UT , Jones, Kyle Bradford MD* 1138 East Wilmington Ave , Russian Jones, Kyle Bradford MD* 3730 West 4700 South Salt Lake City, UT , Russian Jones, Kyle Bradford MD* 1525 West 2100 South Salt Lake City, UT 84119, Russian Jones, Kyle Bradford MD* 555 Foothill Dr , Russian Jones, Kyle Bradford MD 555 Foothill Blvd , Russian Jones, Kyle Bradford MD* 650 South Komas Dr Ste , Russian Jones, Kyle Bradford MD* 1525 West 2100 South Salt Lake City, UT 84119, Russian Jones, Kyle Bradford MD* 1138 East Wilmington Ave , Russian Kiraly, Bernadette O MD* 1138 East Wilmington Ave Kiraly, Bernadette O MD* 555 Foothill Blvd Ste Kiraly, Bernadette O MD* 1525 West 2100 South Salt Lake City, UT Kiraly, Bernadette O MD* 1138 East Wilmington Ave Kirby, Karl A MD 1250 East 3900 South Ste Larsen, David Charles MD 999 East Murray Holladay Rd Ste 207 Salt Lake City, UT , Dutch 11

17 Larsen, David Charles MD* 999 Murray Holladay Rd Ste 207 Salt Lake City, UT , Dutch Lawlor, Cynthia Jean MD 1160 East 3900 South Ste G Lawlor, Cynthia Jean MD 1160 East 3900 South Ste G Leiser, Jennifer Paul MD* 1525 West 2100 South Salt Lake City, UT Leiser, Jennifer Paul MD* 1138 East Wilmington Ave Lewis, Randal John MD 3120 South 1300 East , Lewis, Randal John MD 3336 South Pioneer Pkwy Ste , Lewis, Wesley J MD 6360 South 3000 East Ste 100 Salt Lake City, UT Li, Marlana M MD 555 Foothill Blvd Longe, James P MD 6360 South 3000 East Ste 100 Salt Lake City, UT Primary Care Providers Lore, Steven Clarence MD 5292 South College Drive Ste 304 Salt Lake City, UT , Magill, Michael Kevin MD* 1138 East Wilmington Ave Magill, Michael Kevin MD* 1525 West 2100 South Salt Lake City, UT Magill, Michael Kevin MD* 1138 East Wilmington Ave Monroy, Carissa S MD 2253 South State St Salt Lake City, UT , Morrill, Arnold Brett DO* 1525 West 2100 South Salt Lake City, UT 84119, Japanese Munt, Katherine W MD 999 East Murray Holladay Rd Ste 207 Salt Lake City, UT Munt, Katherine W MD 1160 East 3900 South Ste Nelson, David Christian DO* 3725 West 4100 South , Nelson, David Christian DO 974 East South Temple , Nelson, Joseph W DO 1160 East 3900 South Ste Nelson, Todd Robert MD 1160 East 3900 South Ste Ngatuvai, Tauaina James MD 313 East 900 South Ste 102 Salt Lake City, UT , Nguyen, Anh Tai MD 1819 West 3500 South Ste 1C Salt Lake City, UT , Vietnamese Noyes, Isaac James MD 1250 East 3900 South Ste Paisley, Theodore Sandelin MD 555 Foothill Blvd Paisley, Theodore Sandelin MD* 555 Foothill Blvd Ste Palmer, Michelle Lyn MD* 3730 West 4700 South Salt Lake City, UT , Portugese Parker, Robert Gil DO 3725 West 4100 South Pehrson, Steve Edwin MD 660 South 200 East Ste 250 Salt Lake City, UT Peterson, James T MD 2295 South Foothill Dr Salt Lake City, UT Peterson, Mark William DO 3336 South 4155 West Ste Peterson, Mark William DO 2645 East Parleys Way Ste 200 Salt Lake City, UT Pippitt, Karly Ann MD 555 Foothill Blvd Pippitt, Karly Ann MD* 1138 East Wilmington Ave Pohl, Susan Davis MD 555 Foothill Blvd , Pohl, Susan Davis MD* 1138 East Wilmington Ave , Ponce, Sean Anthony MD 3802 South 700 East , Powers, Frank J MD 4745 South 3200 West Salt Lake City, UT , Quinton, Magdalena MD* 1525 West 2100 South Salt Lake City, UT 84119, Polish 12

18 Rabin, Mara Lee MD 1060 East 100 South Ste L Rassner, Leslie Hardin MD 1250 East 3900 South Ste Robbins, James Steven DO 3336 South Pioneer Pkwy Ste Rodriguez Sr, Jose E MD* 1525 West 2100 South Salt Lake City, UT 84119, Rodriguez Sr, Jose E MD* 1138 East Wilmington Ave , Rohrer, Jacqueline Leann MD 2295 South Foothill Dr Salt Lake City, UT , Rosenfield, Micah Gulick MD* 3725 West 4100 South , Ruden, Nathan M MD 4285 South Highland Dr Ruske, Nicole L MD 1365 West 1000 North Salt Lake City, UT , Sakaguchi, Farrant Hiroshi MD* 1525 West 2100 South Salt Lake City, UT 84119, Primary Care Providers Sakaguchi, Farrant Hiroshi MD* 3730 West 4700 South Salt Lake City, UT , Sanyer, Osman N MD 555 Foothill Blvd , French, Sheridan, Scott Daniel MD* 3725 West 4100 South Speakman, Robert L DO* 1525 West 2100 South Salt Lake City, UT Speakman, Robert L DO* 3730 West 4700 South Salt Lake City, UT Spencer, Steven J MD 3336 South Pioneer Pkwy Ste Stoesser, Kirsten L MD* 1138 East Wilmington Ave , French, Stoker, Bradley Lynn DO* 1525 West 2100 South Salt Lake City, UT 84119, Stoker, Bradley Lynn DO* 1525 West 2100 South Salt Lake City, UT 84119, Stone, Gregory A DO 3336 South Pioneer Pkwy Ste , Sullivan, Cara N MD 4745 South 3200 West Salt Lake City, UT , Sullivan, Erika Anne MD 555 Foothill Blvd , French Sullivan, Erika Anne MD* 1138 East Wilmington Ave , French Sullivan, Erika Anne MD* 1525 West 2100 South Salt Lake City, UT 84119, French Taylor, Jack A MD 2295 South Foothill Dr Salt Lake City, UT Thomas, Kelly Laforge DO* 1525 West 2100 South Salt Lake City, UT Tran, Tan Duy MD 3336 Pioneer Pkwy Ste , Vietnamese Van Hala, Sonja MD* 1138 East Wilmington Ave Villalobos, Miguel Angel MD 3336 South Pioneer Pkwy Ste , Walsman Leiva, Gabriela MD 4745 South 3200 West Salt Lake City, UT , Warren, Steven E MD 3920 South 1100 East Ste White, Charles D MD* 1138 East Wilmington Ave White, Charles D MD* 1525 West 2100 South Salt Lake City, UT White, Charles D MD* 1138 East Wilmington Ave Wood, Stephen D MD 6360 South 3000 East Ste 100 Salt Lake City, UT Woods, Jackson Jay MD* 1525 West 2100 South Salt Lake City, UT Yaroshchuk, Larisa Borisovna MD* 1525 West 2100 South Salt Lake City, UT 84119, Russian Yaroshchuk, Larisa Borisovna MD* 3730 West 4700 South Salt Lake City, UT , Russian Young, Timothy P MD 999 Murray Holladay Rd Ste 207 Salt Lake City, UT Zehnder, Brian Keith MD 3336 South Pioneer Pkwy Ste