Who knew you had so many doctors in your family? 2011-2012 Medicaid Member Guide Service

7050 Union Park Center, Suite 200 Midvale, UT 84047 www.MolinaHealthcare.com

2011-2012 Utah Medicaid Member Service Guide 8904UT0911

21150 UT-MS Medicaid Handbook 2011-2012 English.indd 1 9/22/11 1:59 PM Table of Contents

INTRODUCTION Introduction...... 3

ACCESSING CARE Language Translation Services (Talking to someone who speaks your language)...... 4 Nurse Advice Line...... 5 Term of Membership with Molina Healthcare...... 5 Ensuring Appropriate Utilization...... 5 Member Services...... 6 Summary of Covered Health Care Services...... 6 Case Manager Services...... 6 Services that May be Covered and Managed by Medicaid but not Managed by Molina Healthcare...... 7 Excluded Benefits...... 7 Your Personal Physician...... 7 How to Get Vision Care...... 8 Referrals...... 8 Identification Cards...... 8 How to Get Routine (Non-Emergency) Health Care Services...... 9 Making An Appointment...... 9 How to Get Emergency Care Services...... 10 Urgent Care...... 10 Poison Emergency...... 11 Out of Area Emergency / Urgent Care...... 11 After Hours Care...... 11 Medical Care in a Hospital...... 12 Out of Area Medical Care in a Hospital...... 13 Transportation...... 13 Payment for Services...... 13 How to Submit a Claim for Covered Services...... 14 Family Planning (Birth Control)...... 14 Abortion...... 15 Getting Authorization For Services...... 15 Changing Your Contact Information...... 15 Well Child/CHEC Services...... 16 Special Services for Adults...... 16 Pre-Natal and Maternity Care ...... 16 Membership and Coverage of Newborn Babies...... 17 Health Education...... 17

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128.

1 8904UT0911 BENEFITS Experimental or Investigational Medical Practices...... 18 Review of New Technology for Inclusion as a Covered Benefit...... 18 Prescription Drugs...... 18 Co-pay Summary...... 19 OTHER SERVICES Grievance, Complaint, and Appeal Actions...... 21 Member Medical Appeals...... 21 Expedited (Quick) Appeal...... 22 State Fair Hearing...... 22 Complaints / Grievances...... 22 Appealing a Complaint or Grievance...... 23 Expedited (Quick) Grievance Appeal...... 23 State Fair Hearing...... 23 Health Plan Operations/Utilization Management...... 24 Involuntary Disenrollment...... 24 Ending Your Membership with Molina (Disenrollment)...... 24 Advance Directives...... 25 Rights and Responsibilities...... 25 Fraud, Waste and Abuse...... 26 We Protect Your Privacy...... 28 Contact Information...... 32 NETWORK LISTINGS Primary Care Physicians Network...... 35 Specialty Care Network...... 88 Ancillary Providers...... 139 Hospitals...... 160 Suppliers...... 162 Agencies...... 166 Ambulatory Health Care Facilities...... 169 Urgent Care Facilities...... 173 Nursing & Custodial Care Facilities...... 175 Laboratories...... 177 Primary Care Physician Index of Providers...... 178

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128.

2 Introduction Introduction

Welcome and thank you for choosing Molina It is very important that we know how to contact you. Healthcare of Utah as your health plan. If you move or get a new telephone number, please call Member Services at 1-888-483-0760. You can

We know your health is important to you. We will call Monday through Friday from 9:00 a.m. to 5:00 Accessing Care do all we can to help you and your family with your p.m. Always, tell your Medicaid Eligibility Worker health care needs. (Caseworker) about these changes as soon as you can.

Molina Healthcare may not discriminate on the basis You can contact Member Services if you have a of race, color religion, sex, sexual orientation, age, problem or a complaint and visit us at disability, national origin, veteran status, ancestry, www.molinahealthcare.com for important updates. health status, or need for health services. Thank you for joining the Molina Healthcare family! This is an important booklet. It will tell you how to get healthcare through your Molina Healthcare plan. Read this booklet carefully. Benefits

If we have your correct phone number new members can expect a welcome call within 10 days after you join Molina Healthcare of Utah. Our Welcome call helps you understand Molina Healthcare and how it works for you. We’ll help you find a doctor and put you on your way to a healthy start with us. If you did not receive a call and you wish to talk to us, please call Other Services Member Services Department at 1-888-483-0760. Network Listings

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 3 Accessing Care

Language Interpreting Services

(Talking to someone who speaks your language) If you are hard of hearing, you can call Utah Relay Services at 711 or 1-800-346-4128. This is a We know that it may be hard to understand what telephone relay service or TTY/TDD that is a free your doctor is telling you if your first language is not public service. Si usted habla español, usted puede English or you are hard of hearing. We may have llamar - Spanish Relay Utah at 1-888-436-3162 doctors who speak or sign your language. The Molina provider directory lists doctors who speak other If you have a hard time speaking, you can call languages. You may ask to get services from them. 1-888-346-5822 and a specially trained person will help you We have interpreters who will help you to talk to your doctor and understand what he or she tells you. They We also have this booklet and other important will speak your language and are free of charge. The written information in Spanish. You may call interpreter can help you over the telephone or meet Member Services at 1-888-483-0760 and ask for a you at your doctor appointments. We can also assist copy. you in translating information provided by the health plan including your benefits, grievance and appeals Tenemos este folleto e importante información process, or other materials. adicional disponible en español. Llameal Departamento de Servicio al Cliente al If you need an interpreter call Member Services at 1-888-483-0760 y pida una copia. 1-888-483-0760 and we will get one for you.

If you are deaf and need the help of a signer call Member Services at 1-888-483-0760 and we will get one for you.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 4 Introduction

Nurse Advice Line Term of Membership with Molina Healthcare When should Molina members call the Nurse Advice

Line? Accessing Care You will stay with Molina Healthcare until you: • If you have questions about your health • Are no longer eligible for Medicaid • If you need medical care and your doctor’s office is closed • Move away from our service area • If you are not sure whether you need to go to an • Change to a different Health Plan. Emergency Room for a health problem Ensuring Appropriate If it is after hours and your PCP’s office is closed you Utilization can call Molina Healthcare’s Nurse Advice Line @ 1-888-275-8750. Molina works with your doctors and hospitals to give you good health care. We make decisions about Benefits Linea de Consejeria Medica your care based on your needs. This means that as a member of Molina Healthcare you will get care Cuándo puede un miembro de Molina llamar a la when you need it, for as long as you need it and in Linea de Consejeria Médica? the amounts you need. However, the service must be • Si tiene preguntas referente a su salud. a covered benefit, medically necessary, and must be • Si necesita cuidado médico y la oficina de su ordered by your doctor. doctor está cerrada. Molina does not reward doctors, employees, or other • Si no está seguro si tiene que ir a una sala de Other Services people to deny or limit your care. emergencia por un problema médico.

Si es después de horas hábiles y el consultorio de su PCP se encuentra cerrado; puede llamar a la Línea de Consejos de Enfermeras de Molina Healthcare al 1-866-648-3537. Enfermeras están disponibles a ayudarle las 24 horas del día, 7 días a la semana. Network Listings

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 5 Accessing Care

Member Services • Medical equipment and supplies • Health Education Services (Diabetes, Asthma, Molina Healthcare’s Member Services Team is here etc.) to help you, Monday through Friday from 9:00 am- • Home Health care / Hospice 5:00 pm at 1-888-483-0760. We will answer all of • Physical Therapy and Occupational Therapy your questions and concerns. We can help you find a doctor in your area or change from the doctor that • Vision Care you have to a new one. • Podiatry • Speech and Hearing We also have Spanish speaking Member Service • Medical treatment for detoxification Representatives to help you if you do not speak English. If you are hearing impaired please use our • Skilled nursing care for less than 30 days TDD/TTY line at 1-800-346-4128. • Diabetes Self-Management Education • Case Manager Services Summary of Covered Health • Abortion services Care Services ALL services listed above must be provided directly Included in your new member packet is the benefits by a doctor or provider that is part of the Molina grid for the Traditional and Non-Traditional Healthcare network. Medicaid plans. Please look at this for the differences between covered services on these two plans. Molina Case Manager Services Healthcare will help you get care for: A case manager is a specially trained nurse who helps • Doctor office visits you get the care you need. They will work with you, your family and your doctor. A case manager can also • Specialty care doctor office visits answer questions about your medical care. Molina • 24-hour emergency care may decide that you need a case manager to work • Hospital services (inpatient and outpatient) with you. You can also ask for a case manager. Call • Surgery Member Services at 1-888-483-0760 to ask for a case • Well child care/CHEC manager. Quality of care is our overall goal. • Laboratory and x-ray services • Family Planning and birth control • Maternity care (before, during, and after pregnancy) • Immunizations (shots)

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 6 Introduction

Services that May be Covered YOUR PERSONAL PHYSICIAN by Medicaid, but NOT Managed by Molina Molina Healthcare of Utah does not require you to choose a Primary Care Provider (PCP) or personal Accessing Care Healthcare doctor. However, there are a lot of good reasons to have a personal physician who sees you for most of • Mental Health Care your medical care. Some of these reasons include: • Dental Care – limited benefit · Your personal physician knows you and your • Pharmacy medical history the best. • Transportation including ambulance · You and your personal physician manage your medical needs from one place. • Long-Term Care in a skilled nursing home more than 30 days · Your personal physician will help you get the care you need when you need it. • Chiropractic Services

· If you need to see a specialist, your personal Benefits • Treatment for Alcohol and Drug Abuse physician will send you to the right doctor. · Your medical information from the specialist Please call the general Medicaid Information Line at will be given to your personal physician. 1-801-538-6155 or 1-800-662-9651 for information about these services. Having a personal physician is especially helpful for Excluded Benefits people with special health care needs. Other benefits include: Other Services The following services are examples of excluded · Better care of chronic problems. benefits: · Better access to needed care. • Circumcision · Better care coordination. • Reversals of Sterilizations · Better prevention of diseases. • Contact lenses or exams for contact lenses • Weight loss programs If you would like help finding a personal physician, please call our Member Services Department at • Hair transplants

1-888-483-0760. Network Listings • Cosmetic surgeries • Infertility • Weight loss • Experimental treatment

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 7 Accessing Care

How to Get Vision Care 3. After your Eye Exam • Your MVC doctor will discuss your eyewear Regular eye exams are important. These exams allow and/or treatment options with you. your March Vision Care (MVC) doctor to find and • Please be sure to review your Medicaid benefits treat potential eye problems early. This can happen so you understand which services Medicaid will even before you notice any problems. Follow these pay for. simple steps when you are ready to use your MVC benefit: Referrals

1. Find a MVC Doctor You do not need a referral to see a Molina Specialist. • Call a representative toll free at (888) 493-4070; However, you can see a specialist sooner if your personal doctor sends you to one. For help choosing a • Visit www.marchvisioncare.com; Molina specialist, call Member Services at • For TTY/TDD (for hearing impaired) toll free 1-888-483-0760. at (877) 627-2480; • Or call (801) 858-0400 or (888) 483-0760 and Identification Card ask for the Member Services department. Remember: You must show BOTH your state 2. Call a MVC Doctor Medicaid card and your Molina Healthcare card any time you need medical care. • Make an appointment; • Tell the doctor you are a Molina Healthcare member; • Give your identification number to the doctor (this number is on your Member identification card); • Your MVC doctor will check with Molina Healthcare to see if the service is covered. If the service is not covered, your MVC doctor will let you know.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 8 Introduction

How To Get Routine Making an Appointment (Non-Emergency) Health Care Services You should be able to get an appointment with your Molina doctor: Accessing Care Once you have chosen a Molina doctor: • Within 21 days for routine, non urgent appointments, • Call your Molina doctor when you need to see him or her. • Within 60 days for school physicals, or • If you cannot keep your appointment, call and • Within 2 days for urgent, but not life- schedule another time. threatening care (care that can be done in a doctor’s office). • If you feel better and do not need to keep your appointment, call and cancel your appointment. This will allow someone else to use your You should be able to get an appointment with a appointment time. specialist: Benefits • See you for routine care • Within 30 days for non-urgent appointments, or • Recommend a specialist when needed • Within 2 days for urgent, but not life- • Call Molina Healthcare for services that need threatening care (care that can be done in a approval before you can get them. doctor’s office). Routine Care is not covered out of the Molina Service area. If you have trouble getting an appointment when you

need one, call us at 1-888-483-0760 for help. Other Services

Remember to bring your State Medicaid card and your Molina Healthcare member ID card with you to all of your appointments. Please be on time so that you can be seen as scheduled. Network Listings

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 9 Accessing Care

How to Get Emergency Care If you are not sure if it is an emergency call your Services Molina doctor. Always carry your State Medicaid Card and your An emergency is when an average person, untrained Molina Healthcare member ID card with you. in medical care feels like he or she is having severe Show both cards when seeking emergency care. pain, illness or injury which would lead to disability, Never seek routine, non-emergency care through an permanent harm or death if not treated right away. emergency room. Ambulances are only provided in Examples of emergency conditions are: the event of a medical emergency. • Chest pains • Difficulty breathing Urgent Care • Severe bleeding “Urgently needed care” is when you need medical • Shock care right away and can’t get in to see your regular If you have an emergency, IMMEDIATELY call 911 doctor. In these cases, your health is not in serious or go to the nearest emergency room. If you have danger, but you need care right away. an urgent medical need, and are not sure if it is an emergency, please call your Molina doctor and he or Some medical problems need to be taken care of she will tell you what to do. If your Molina doctor quickly, but are not “emergencies.” Some examples is not available, a doctor taking calls for him or her are: can help you or there will be a message telling you • Cuts that need stitches what to do. If you have an urgent matter that does not threaten your life, you can also call Molina • High fevers Healthcare’s Nurse Advice Line at 1-888-275-8750, • Sprains and strains 24 hours a day, 7 days a week. • Burns that are not life threatening

Important: You may be charged a $6.00 co-pay if • Severe vomiting you are seen in the emergency room when it is not an emergency. You will not be charged a $ 6.00 co- Call your Molina doctor anytime for urgent care. If pay if you are 17 or younger or if you are pregnant. your Molina doctor cannot see you, someone there Examples of non-emergent conditions are: will tell you what to do. You can also go to any urgent • Cough care facility that accepts Medicaid. If you have an urgent matter that does not threaten your life, you • Cold can also call Molina Healthcare’s Nurse Advice Line at • Sore throat 1-888-275-8750, 24 hours a day, 7 days a week. If you • Rash need help finding an urgent care facility, call Member Services at 1-888-483-0760.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 10 Introduction

POISON EMERGENCY Remember to call Molina Healthcare and report your emergency within 48 hours or have the emergency When you think you or someone you know has a room staff call Molina Healthcare.

poison or possible poison exposure emergency, Accessing Care call 1-800-222-1222. If someone is not breathing, Do not use the emergency room for routine care. call 911 now. If you do, you may have to pay a $6.00 co-pay and Molina Healthcare may not pay the rest of the bill. The poison control center has specially trained staff If you are traveling and have an urgent problem (a on duty all of the time. They can answer questions problem that is not an emergency, but you can’t wait about poison emergency or possible poison exposure. until you get home), you may go to an urgent care They will provide immediate treatment advice for any clinic. You may also go to any primary care doctor kind of poisoning concern. where you are. Be sure to show your State Medicaid ID card and your Molina Healthcare ID card. Examples of a poison emergency:

• Swallowed household cleaning chemical After Hours Care Benefits • Splashed chemical in the eye • Chemical on skin Your Molina doctor’s office has a doctor “on-call” in the evenings, at night, on weekends, and on holidays. • Breathed fumes after mixing chemicals together If you have a problem after regular office hours, call or after a gas leak your Molina doctor’s office and talk with the doctor • Took too much (overdose) or the wrong on-call. Tell the doctor about your problem, and medication or supplement follow the doctors instructions. The Molina doctor Other Services • Bad reaction to medication may ask you to come to the office or may refer you to an Urgent Care Clinic or emergency room. Be sure to tell the doctor that you are a Molina Healthcare Out of Area Emergency member. and Urgent Care Remember do not use the emergency room for If you are traveling and have an emergency, go to the routine care or after hours care that is not an nearest emergency room for care. Show both your emergency. You may have to pay $6.00 co-pay and State Medicaid card and your Molina Healthcare card. Molina Healthcare may not pay the bill. Network Listings

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 11 Accessing Care

Medical Care in a Hospital Milford Valley Memorial Hospital- Beaver Mountain View Hospital- Utah Molina must pre-approve all inpatient hospital stays. Mountain West Medical Center-Tooele The hospital MUST call Molina to get approval for all Ogden Regional Medical Center- Weber inpatient hospital admissions. It is important to let Park City Medical Center- Summit the hospital know that Molina is your Medicaid health Pioneer Valley Hospital- Salt Lake plan so the hospital can call us if they want to admit Primary Children’s Medical Center- Salt Lake you. The hospital can call us at 1-888-483-0760 to Salt Lake Regional Medical Center- Salt Lake talk with us about your need for inpatient care. San Juan Hospital- San Juan - Sanpete Molina uses the following hospitals for inpatient care: Sevier Valley Medical Center- Sevier St. Marks Hospital- Salt Lake Primary Care Hospitals Timpanogas Regional Hospital- Utah Allen Memorial Hospital- Grand Uintah Basin Medical Center- Duchesne Ashley Regional Medical Center- Uintah University of Utah Hospital- Salt Lake Bear River Valley Hospital- Box Elder Utah Valley Regional Medical Center- Utah Beaver Valley Hospital- Beaver Valley View Medical Center- Iron Blue Mountain Hospital- San Juan Brigham City Hospital- Box Elder Sometimes a patient is admitted to the hospital after Specialty Hospital- Cache being treated in the emergency room. When this Cassia Regional Medical Center- Cassia happens, the hospital stay is called post-stabilization. CastleView Memorial Hospital- Carbon The hospital must call Molina to get approval for Central Valley Medical Center- Juab all inpatient hospital admissions. Molina must pre- Davis Hospital and Medical Center- Davis approve all inpatient hospital stays. It is important Delta Community Medical Center- Millard to let the hospital know Molina Healthcare is your Dixie Regional Hospital- Washington Medicaid provider so they can call us if they are Fillmore Community Medical Center- Millard admitting you. Molina and the hospital need to Garfield Memorial Hospital- Garfield work out the details about your admission, including Gunnison Valley Hospital- San Pete whether you should stay there or you should be Heber Valley Medical Center- Wasatch transferred to one of our hospitals. The hospital can Jordan Valley Hospital- Salt Lake call us at 1-888-483-0760 to talk with us about your Kane County Hospital- Kane need for inpatient care. Lakeview Hospital- Davis LDS Hospital- Salt Lake Logan Regional Hospital- Cache

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 12 Introduction

Out of Area Medical Care Payment for Services in a Hospital Co-pay/Co-Insurance If you are out of the Molina’s service area (for You may have a co-pay or co-insurance due at the Accessing Care instance, when you are on vacation) and you need to time you receive medical care if the care you are be admitted to a hospital, be sure to tell the hospital getting is a covered benefit. If you do have a co-pay, you have Medicaid and that Molina Healthcare is it will be printed on the State Medicaid ID card you your health plan. It is the hospital’s job to call us when receive monthly. Please take your co-payment with they admit you to make sure they have the necessary you when you go to the doctor or he or she may not approval. Out-of-area hospitals may call see you. If you are admitted to the hospital and have 1-888-483-0760 to let us know they want to admit a co-insurance, the hospital will help you to make a you for care. plan to pay for it. You do not have to pay if you are 17 or younger or if you are pregnant. Transportation You may have to pay for a service you received if: Benefits If you do not have your own transportation to and • You get a service that is not covered by Molina from your medical appointments, you can ask for Healthcare; or a Utah Transit Authority (UTA) bus pass by calling • You get a service that is not pre-approved by your Medicaid Eligibility Worker. Molina Healthcare; or

If there is a medical reason you can’t use the bus, you • You do not go to a Molina Provider; or may qualify for services through UTA FlexTrans. To • You get a non-emergency service from a doctor apply for this service call the Medicaid Information or hospital that is not a provider with Molina Other Services Line at 801-538-6155 or 1-800-662-9651 and ask for Healthcare. the Transportation Unit. (If any of the above four things happen, the provider Non-emergency transportation is also covered by might ask you to pay for the service. You should only the Medicaid program. For services, please call be billed if you signed in writing that you would pay PickMeUp Medical Transportation at for the service, before you received the service.) 1-888-822-1048. Network Listings

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 13 Accessing Care

You also might have to pay for a service you Family Planning receive if: (Birth control) • You ask for and get services during an Appeal that are related to your Appeal with Molina Molina Healthcare covers family planning services. Healthcare or during a Medicaid State Fair This service helps you plan when you want to have a hearing. You would only have to pay for the baby or prevent pregnancy. Family planning services care if the Appeal or State Fair hearing decision include information, treatment and counseling about is not in your favor. birth control. You can get family planning services • You go to the Emergency Room for routine from your Molina doctor or you can go to any care. Medicaid doctor for family planning services (even if the doctor is not contracted with Molina). A minor • You are not on Medicaid when you get the care. can get family planning services without the consent of the member’s parents. These doctors can help you How To Submit A Claim For with questions that you may have about birth control. Covered Services For more information about family planning, call Member Services at 1-888-483-0760. Claims should be submitted to our claims address for You can get the following forms of birth control from processing. If medical services are given in the urban either Molina Healthcare or any Medicaid doctor area (Davis, Salt Lake, Utah, or Weber Counties), even if they are not participating on Molina’s plan: claims are to be submitted to: Molina Healthcare Attn: Claims Dept, PO Box 22630, Long Beach, • Birth control pills CA. 90801. And, if medical services are given in • Foams the rural area (all areas outside of Davis, Salt Lake, • Creams Utah, or Weber Counties), claims are to be submitted • Sponges to: Molina Healthcare Attn: Claims Dept, PO BOX • Condoms 22633, Long Beach, CA. 90801. • Diaphragms If you have any questions regarding a medical claim, • IUDs please call our Member Services between the hours of • Birth control shots 9:00 a.m. and 5:00 p.m., Monday through Friday, at • Emergency birth control 1-888-483-0760. • Permanent sterilization** • Vasectomy** • Tubes tied** ** To use these forms of birth control your doctor needs to get prior authorization from us.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 14 Introduction

Abortion It is your doctor’s job to call for these approvals before you get any of these services. It is your job to ask Abortion is legal in Utah. However, Medicaid / your doctor if he or she has gotten authorization

Molina Healthcare will cover the cost of an abortion from Molina Healthcare. The Medical Utilization Accessing Care only in cases of rape, incest or if the mother’s life is Department helps arrange your medical services. in danger. Molina Healthcare has to approve the If you need to talk to someone about your prior abortion before it is done. The patient must sign a authorization, please call Member Services at written consent form. The parents of a minor must be 1-888-483-0760. notified, if it is possible to do so. Usually we make a decision about approving a service in 14 calendar days after we receive the Getting Authorization request. Sometimes you or your doctor might think for Services it is important to make a decision quickly about approving the service. If so, we will try to make a Your Molina doctor needs to contact Molina decision within 3 working days. We will notify your Benefits Healthcare before you can receive any of these doctor about our decision. If the request for service is services. Prior authorization is needed for: not approved by Molina we will send you a letter. • Hospital/Outpatient stays (non-emergency) • Surgery Changing Your Contact • Some office procedures Information

• Some x-rays and lab tests It is very important that Molina Healthcare be able to

• Home Health Care contact you. If you change your name, move or get a Other Services • Medical Equipment and Supplies new telephone number, please call: • Long Term Care (nursing home or rehab) • Member Services at 1-888-483-0760 • Physical, Occupational and Speech Therapy And • Medicaid Eligibility Worker (caseworker). Network Listings

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 15 Accessing Care

Well Child/CHEC Services Special Services for Adults

CHEC stands for Child Health Evaluation and Care. Molina Healthcare provides some routine care CHEC is Utah’s Medicaid Program for children from that does not have to be approved. This includes birth to age 21. Molina Healthcare wants to help you mammograms, pap smears, prostate exams, etc. that keep your children healthy. Many health problems help members stay as healthy as possible. These tests begin during childhood. The good news is that most help your doctor find and treat any health problems of these problems can be prevented through early you may have before they become serious. exam and treatment. Well child/CHEC services are not covered under the Non-Traditional plan. Pre-Natal and Maternity Care

If you have children under the age of 21, please Early medical care is very important to the health of call your Molina doctor or Member Services to get pregnant women and their baby’s. Even if you are information about CHEC services. Molina Healthcare only thinking about having a baby, call your Molina provides all CHEC services including well child, doctor. If you think you are pregnant, or when you shots, and exams. Our goal is to make sure that your know you are pregnant, please call your doctor. Call children stay healthy and grow up to become healthy us and we will help you choose a doctor while you are adults. pregnant.

Children may need other types of care. Some of As soon as you are pregnant, it is very important to: this care may be for physical, occupational, speech • Get an appointment with your doctor, and therapy, medical equipment, including wheelchairs or nurses in the home. Your doctor needs to call Molina • Keep getting care the whole time you are Healthcare for approval for these services before you pregnant. can get them. There are special classes that will teach you how to eat right, exercise, and give you help during your pregnancy. Call Molina Healthcare at 1-866-891-2320.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 16 Introduction

Membership and Coverage Health Education of Newborn Babies Molina has special educational programs that will Once your baby is born, he or she will become a help you and your family stay healthy. Participating Accessing Care member of Molina Healthcare during the month of members get free gifts when they get recommended birth. Please call as soon as you can to tell us who immunizations and tests. Members also receive one- your baby’s pediatrician/doctor is. We can also help on-one coaching from Molina health educators to you choose a Molina doctor for your baby if you call help set goals to improve your health. us at 1-888-483-0760. After this first month, you can change your baby’s health plan if the pediatrician is Please see the following list of Molina’s health not contracted with Molina. education programs: • Asthma (ages 3-56) It is important that you tell your Medicaid Eligibility • Breast Cancer Screenings (women ages 40-69) Worker (caseworker) about your new baby as soon as

possible after he or she is born so that: • Cervical Cancer Screenings Benefits (women ages 21-64) • Medicaid coverage can be provided for your child, and • Diabetes (ages 18-75) • Your child can be enrolled as a new member of • Immunizations (18 months, and 13 years old) Molina Healthcare. • High Blood Pressure (ages 18-85) • Pregnancy Program (all pregnant members) • Quitting Smoking Other Services To find out more about health education programs, you may call Member Services at 1-888-483-0760. Network Listings

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 17 Benefits

Experimental or We look at a lot of information in order to make a Investigational Medical good decision about any new treatments, we look at a lot of information. For example, we look at Practices medical studies, government documents (such as Food and Drug Administration (FDA) bulletins) and Experimental or investigational medical practices the opinions of specialists. If we decide that the new are NOT a covered benefit of the Utah Medicaid treatments will help our members, we ask the State Program. Therefore, Molina does NOT cover those Medicaid program to see if it can become a covered services. benefit.

Review of New Technology Prescription Drugs to Include as a Covered Benefit The State Medicaid Program covers prescription drugs. When you take your prescription to the New ways to treat illnesses are being developed every pharmacy, remember to show your current State day. Because of this, Molina Healthcare of Utah has Medicaid card. Call the Medicaid information line at a process to review new treatments to better care 801-538-6155 or 1-800-662-9651 with any questions for our members. The process starts when Molina about prescription medications becomes aware of, or there is a request for, the use of a new treatment. Our Medical Director or the Molina New Technology Committee reviews the new treatments.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 18 Introduction Accessing Care Benefits Other Services Network Listings

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 19

Traditional Medicaid & Non-Traditional Medicaid - For full benefit information please refer to the Medicaid Member Guide that was mailed you. For another copy of the guide, please call 1-866-608-9422.

PCN - For benefit information please refer to the PCN Member Guide sent to you by mail. For another copy of the guide, please call 1-866-608-9422.

What happens after I choose a health plan or PCP?

The health plan or PCP (Primary Care Provider) you chose will be printed on your monthly Medicaid card. You will receive information from the health plan is that will explain what services are offered and how to use them.

What other things do I need to know?

1. Always check your Medicaid card and make sure the information is correct.

2. Always show your current Medicaid card to your doctor or other health care provider before receiving treatment. You will need a referral to see a doctor other than your PCP if a PCP prints on your card.

3. If you have a health plan and choose to see a doctor or another health care provider who is not part of the plan, you may have to pay the bill yourself.

4. Some Medicaid services are not paid by your health plan such as dental and pharmacy. You must receive those services from a provider who will accept your Medicaid card.

5. Use the hospital Emergency Room (ER) only for emergencies. If it is not an emergency you may have to pay the bill yourself. Get urgent care from your primary care physician (PCP).

6. Keep all of your medical appointments. If you need to cancel or reschedule an appointment, call the office at least 24 hours in advance. You may be charged for a missed appointment or the provider may refuse to keep you as a patient.

7. Save your old Medicaid cards for 12 months. They are proof that you are eligible for Medicaid.

8. For questions about your eligibility or if you didn’t get your Medicaid card or have lost it call 1-866-435- 7414.

Appeals and Fair Hearing Rights

You may feel a service or bill was denied unfairly. You have the right to question these decisions. You have the right to a Fair Hearing.

• Call your health plan to talk about the problem. Many times the problem can be taken care of easily. • If there are still problems, contact your health plan to request an appeal. • You can call your HPR to talk about the problem. • If you don’t have a health plan, you can talk to your HPR. • You can ask for a Fair Hearing with the State by calling 801-538-6155 or 1-800-662-9651.

MHC-Adult Co-pay 7/2011 20 Introduction Other Services

Grievance System Member Medical Appeals

Grievance, Complaints, and What is an Appeal? Appeals An Appeal is when you write us and ask us to look at Accessing Care the action again to see if the right decision was made.

Actions Who can file an Appeal? You, your authorized representative, or your doctor What are actions? An action is when Molina may file an Appeal. If the doctor files for you, you Healthcare: must give your written permission. We will include • Denies (turns down) or approves less care than an Appeal form with your Notice of Action letter. If you wanted; or you need help filing an Appeal, please call the Appeals Coordinator at (801) 858-0400 extension 170454. • Decreases the amount of care or ends care we had already approved. (If you agree with the

When does an Appeal have to be filed? Benefits change in your treatment, it is not an action. Your Notice of Action letter will give you all the This is only an action if you tell us that you do information on the Appeal process, including how not want the change); or soon you must tell us you want to Appeal the action. • Denies payment for care that you might have to In some cases, you must let us know within 10 pay for; or calendar days and in other cases, within 30 calendar • Your doctor does not give you an appointment days of the date on the Notice of Action letter. We will within the required amount of time; or let you know which time frame applies.

• Does not take care of an Appeal or Grievance Other Services you filed with us as soon as we are supposed. If you ask to keep getting medical care related to your Appeal or during a Medicaid State fair hearing, you may have to pay for this care. You would only have You will know that the health plan is taking an action to pay for the care if your Appeal or the State fair because we will send you a letter called a Notice of hearing decision is not in your favor. Action. You may Appeal the action. Molina Healthcare will usually be able to give you a written decision within 30 calendar days after we get your Appeal. Sometimes, we need more time to Network Listings make the decision. We will let you know in writing if we need more time to get more information. You may also want us to take more time for some reason. If so, let us know. An extension of 14 calendar days is possible if you agree.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 21 Other Services

Expedited (QUICK) Appeal How do I file a grievance? You, your authorized representative, or your doctor A quick (expedited) appeal is available if your may file a grievance. You can file a grievance by doing healthcare provider (doctor) feels you need any one of the following: immediate attention. This kind of appeal will be • You may call Member Services at completed quickly in no more than 72 hours 1-888-483-0760 and tell us about your (3 calendar days) after we get the request. grievance, or • Make an appointment with our Member State Fair Hearings Services so you can talk with us in person, Or What may I do if I am unhappy with Molina’s Appeal decision? • File your grievance in writing at: If you are unhappy with our decision on your Appeal, Molina Healthcare of Utah or we cannot make a decision on your Appeal as soon ATTN: Member Services as Medicaid wants us to, this is what you may do. You, 7050 S. Union Park Avenue, Suite 200 your authorized representative, or your doctor may Midvale, Utah 84047 ask for a State fair hearing with Medicaid. When will Molina Healthcare tell me the decision In this case, we will tell you in a letter that you may about my grievance? request a State fair hearing. The letter will tell you We try to make a decision about your grievance how and when to request the State fair hearing. right away; sometimes we can resolve the problem We will also give you the form to use if you want while you are on the phone. If not, we will give you to request a State fair hearing. You must mail this a decision within 45 calendar days after we get request to the address on the form within 30 days of your grievance. We will either talk to you about our the date on the letter. decision, or we will send you a letter. If you gave us your grievance in writing, we will send you a letter Complaints/Grievances back about our decision. Sometimes we may not be able to let you know our What if I have a complaint about Molina? decision within 45 calendar days (for instance, we If you have a complaint about anything other than an may need to get more information or talk to your action (see above), this is called a grievance. A few doctor) and we will ask for 14 more calendar days examples of grievances include the quality of care to resolve your grievance. If this is the case, we will or services given to you, rudeness of a doctor, or a let you know in writing why we need more time. You Molina staff person not respecting your rights. may also want us to take more time for some reason. If so, let us know.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 22 Introduction

Appealing a Complaint Expedited (Quick) Grievance or Grievance Appeal

If I do not agree with the decision, what are my When you, your doctor or we think it is important to Accessing Care rights? make a decision on your Grievance Appeal quickly, You have the right to Appeal any decision that this is called an Expedited (quick) Grievance Appeal. resulted in an adverse action (a decision that you We will usually make a decision within 72 hours (3 disagree with). An example of this would be if you calendar days). were told that you could not change doctors when you wanted to. In this case, you will get a Notice State Fair Hearings of Action letter, about your complaint, which will include an Appeal form and tell you what to do. What may I do if I am unhappy with Molina’s Appeal decision? In some cases, you may not have the right to Appeal a If you are unhappy with our decision on your Appeal, grievance. For example, if your doctor was rude, there or we cannot make a decision on your Appeal as soon Benefits is no adverse action (a decision that you disagree as Medicaid wants us to, this is what you may do. You, with) to Appeal. Even so, we will follow-up on the your authorized representative, or your doctor may grievance. In this case, we will let you know that an ask for a State Fair hearing with Medicaid. Appeal is not necessary. In this case, we will tell you in a letter that you may When does an Appeal of a Grievance have to be request a State Fair hearing. The letter will tell you filed? how and when to request the State Fair hearing. Your Notice of Action letter will give you all the We will also give you the form to use if you want Other Services information on the Appeal process, including how to request a State Fair hearing. You must mail this soon you must tell us that you want to Appeal the request to the address on the form. action. You must let us know within 30 days of the date on the Notice of Action letter.

Molina Healthcare will usually be able to give you a written decision within 15 calendar days after we get your Appeal. Sometimes, we need more time to make

the decision. We will let you know in writing if this is Network Listings the case. YOU may also want us to take more time for some reason. If so, let us know.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 23 Other Services

Health Plan Operation/ Involuntary Disenrollment Utilization Management Molina Healthcare may ask that you be disenrolled If you ask for the following information, we will send (removed) from its membership on the basis of the it to you: following: • Information on how we choose a Molina doctor • If you are abusive, threatening or act violent; or (what we require of them and any special • If you don’t follow medical advice or you don’t education they have). keep a good relationship with your doctor; or • A copy of information that Molina uses to make • If you allow someone else to use your Medicaid decisions to authorize care. card. • Information about care that you want or may not have gotten. Ending Your Membership • More information about our complaint with Molina (Disenrollment) (grievance) system or our privacy policy. • Our scores on member satisfaction surveys, If you want to change to another Health Plan, you quality measures, etc. must call or see your Medicaid Health Program Representative (HPR) and ask for the change to be You may get any of the information listed above by made. If you don’t know who your HPR is, call the calling us at 1-888-483-0760. Medicaid Information Line at 801-538-6155 or 1-800-662-9651. If you have a question about getting a medical service you can call us at 1-888-483-0760 and We want you to be happy with Molina as your Health someone will help you. If you call us after normal Plan. If you are not happy with us we would like to business hours (9 a.m. to 5 p.m.) you can leave a know so that we can improve. Please call Member message and someone will return your call the next Services and tell us why you have decided to end your day. membership with us.

If you have questions about services that are covered or not covered, please call Member Services at 1-888-483-0760 or the Medicaid Information Line at 801-538-6155 or 1-800-662-9651.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 24 Introduction

Advance Directives 2. Get information about Molina Healthcare, our services, our doctors or other healthcare An Advance Directive is a form where you state what providers. you want done medically so that other people may 3. Have privacy and be treated with respect. Accessing Care not make choices for you if something were to happen 4. Discuss your treatment options with your to you and you could not decide for yourself. An doctor, no matter how much the service costs Advance Directive stops other people from making or if it is a covered service. medical choices for you and may be in the form of a living will. 5. Help make decisions about your health care, including the right to refuse care. If you would like an Advance Directive form, you can 6. Get medical care according to Molina’s access call us at 1-888-483-0760. After filling out the form, and quality standards. make sure you give your doctor a copy of the form. 7. Go to a second provider and get another Your doctor will put it in your personal file. You opinion on what the first provider told you should also keep a copy and give one to your family about your health problem. Benefits members. 8. Be free from restraint or seclusion if it is used to discipline, to retaliate or for convenience. If you have an Advance Directive and there is a problem with your Advance Directive being followed, 9. Make a complaint or grievance about Molina call the Utah survey and certification agency at or the care you were given. 801-538-6158 or 1-800-662-4157. 10. Appeal a decision made by Molina. 11. Use your rights without Molina treating you Rights and Responsibilities badly. Other Services 12. Get a copy of your medical records and if As a member of Molina Healthcare, you have the appropriate, ask that they be amended or RIGHT to: corrected. 1. Get medical care regardless of your race, 13. Receive a copy of the Members’ Rights and color, national origin, disability (mental or Responsibilities at least yearly. physical), sex, religion or age. If you feel you have been treated unfairly or discriminated 14. Suggest changes to this policy. against for any reason, you may call Molina’s

Civil Rights Coordinator to report it. The Network Listings phone number is 1-888-483-0760.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 25 Other Services

As a member of Molina Healthcare you have the If you have questions, concerns or would like to RESPONSIBILITY to: give us ideas on your rights and responsibilities 1. Read this Membership and Service Guide. please call us at 1-888-483-0760. Any changes If you have any questions, call Member in the Member Right’s and Responsibilities are Services at 1-888-483-0760. available as soon as they are made. You can see them by going to our web site at 2. Use only Molina Healthcare contracted www.molinahealthcare.com. providers, including hospitals and doctors. 3. Keep your appointment and be on time. If FRAUD, WASTE AND ABUSE you are going to be late, call your doctor. Cancel appointments 24 hours in advance. Healthcare fraud is going up every year. Molina 4. Tell Molina and your doctor everything they Healthcare of Utah wants to have the highest ethical need to know to care for you. This includes standards and is working together with State and information about all the medications you Federal agencies to help prevent fraud, waste, and abuse. are taking. 5. Follow the plan and instructions for care that Some examples of Fraud, Waste and Abuse are: you agree to with your doctor. By a Member 6. Know your health problems and help to set • Lending an ID card to someone who is not goals with your doctor about your treatment entitled to it. as much as possible. • Changing the amount or number of refills on a 7. Respect the property, comfort, and privacy prescription. of other members, Molina employees, your doctor and his or her staff. • Lying to receive medical or pharmacy services. 8. Tell Molina Healthcare and your Medicaid By a Provider Eligibility Worker (caseworker) of any • Billing for services or supplies that have not changes in your name, address, phone been provided. number, if you become pregnant, marital status (marriage, divorce) and insurance. • Balancing Billing a Medicaid or CHIP member for covered services. • Not reporting a patient’s misuse of a Molina ID card.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 26 Introduction

Preventing Fraud, Waste and Abuse Reporting Fraud and Abuse Below are a few helpful tips on how you can help If you think someone may be abusing the system, prevent healthcare fraud, waste, and abuse: you can call Molina’s Compliance Officer or one of

the State agencies. You do not have to give your name Accessing Care • Do not give your Molina ID card or number to when you call. Please remember to include as many anyone except your doctor, clinic, hospital or details as possible. other healthcare provider. • Do not let anyone borrow your Molina ID card. • Never lend your social security card to anyone. • When you get a prescription make sure the number of the pills in the bottle matches the number on the label. • Never change or add information on a prescription. Benefits • If your Molina ID card is lost or stolen, report it to Molina right away.

For Confidential Reporting Molina Healthcare of Utah Utah Department of Health Utah Department of Suspected Member or Provider Suspected Provider Workforce Services Fraud, Waste, or Abuse Fraud, Waste, or Abuse Suspected Member Fraud, Waste, or Abuse Other Services

Compliance Hotline: 1-866-421-8090 Call Medicaid Information Call Information Fraud Fax: 1-866-472-0602 Line, ask for Utilization Line: Email: MHUcompliance@ Department: 1-800-955-2210 molinahealthcare.com 1-800-662-9651 Postal Mail: Molina Healthcare of Utah Compliance Officer 7050 Union Park Center, Suite 200 Network Listings Midvale, UT 84047

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 27 Other Services

We Protect Your Privacy What are your privacy rights? • To look at your PHI Molina Healthcare takes confidentiality very • To get a copy of your PHI seriously. Your privacy is important to us. We want to let you know how your health • To change or add to your PHI information is shared or used. • To ask us to not use or share your PHI in certain ways Your Protected Health • To get a list of certain people or places to whom Information we have given your PHI

PHI stands for these words: protected health How does Molina Healthcare protect your PHI? information. PHI means health information that Molina Healthcare uses many ways to protect PHI includes your name, member number, or other things across our health plan. This includes PHI in written that can be used to identify you, and that is used or word, spoken word, or PHI in a computer. Below are shared by Molina Healthcare. some ways Molina Healthcare protects PHI: • Molina Healthcare has policies and rules to Why does Molina Healthcare use or share our protect PHI. members’ PHI? • Only Molina Healthcare staff with a need to • To help with your treatment know PHI may use PHI. • To pay for your health care • Molina Healthcare staff is trained on how to • To review the quality of the care you get protect and secure PHI. • To tell you about your choices for care • Molina Healthcare staff must agree in writing • To run our health plan to follow the rules and policies that protect and secure PHI. • To use or share PHI for other purposes as required or permitted by law • Molina Healthcare secures PHI in our computers. PHI in our computers is kept private by using firewalls and passwords. When does Molina Healthcare need your written authorization (approval) to use or share your PHI? Molina Healthcare needs your written approval to use What can you do if you feel your privacy rights have or share your PHI for purposes not listed above. not been protected? • Call or write Molina Healthcare and file a complaint. • File a complaint with the U.S. Department of Health and Human Services.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 28 Introduction

The above is only a summary. Our Notice of Privacy Why does Molina use or share your PHI? Practices has more information about how we use We use or share your PHI to provide you with and share our members’ PHI. Our Notice of Privacy healthcare benefits. Your PHI is used or shared for

is included in the following section of your Molina treatment, payment, and health care operations. Accessing Care Welcome Kit and is on our website as www.molinahealthcare.com. You also may get a For Treatment copy of our Notice of Privacy Practices by calling our Molina may use or share your PHI to give Member Services Department at 1-888-483-0760. you, or arrange for, your medical care. This treatment also includes referrals between your NOTICE OF PRIVACY PRACTICES doctors or other health care providers. For MOLINA HEALTHCARE OF UTAH example, we may share information about your health condition with a specialist. This helps the specialist talk about your treatment with THIS NOTICE DESCRIBES HOW MEDICAL your doctor. INFORMATION ABOUT YOU MAY BE USED

AND DISCLOSED AND HOW YOU CAN GET Benefits For Payment ACCESS TO THIS INFORMATION. PLEASE Molina may use or share PHI to make decisions REVIEW IT CAREFULLY on payment. This may include claims, approvals for treatment, and decisions about Molina Healthcare of Utah (“Molina”) uses and medical need. Your name, your condition, your shares protected health information about you to treatment, and supplies given may be written on provide your health benefits. We use and share the bill. For example, we may let a doctor know your information to carry out treatment, payment that you have our benefits. We would also tell and health care operations. We also use and share Other Services the doctor the amount of the bill that we would your information for other reasons as allowed and pay. required by law. We have the duty to keep your health information private. We have policies in For Health Care Operations place to obey the law. Molina may use or share PHI about you to run our health plan. For example, we may use The effective date of this notice is April 14, 2003. information from your claim to let you know about a health program that could help you. PHI stands for these words, protected health We may also use or share your PHI to solve information. PHI means health information that Network Listings member concerns. Your PHI may also be used, includes your name, member number or other to see that claims are paid right. identifiers, and is used or shared by Molina.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 29 Other Services

Health care operations involve many daily business Health Care Oversight needs. It includes but is not limited to, the following: Your PHI may be used or shared with • Improving quality government agencies. They may need your PHI for audits. • Actions in health programs to help members with certain conditions (such as asthma) Research • Conducting or arranging for medical review Your PHI may be used or shared for research in • Legal services , including fraud and abuse certain cases. programs Law Enforcement • Actions to help us obey laws. Your PHI may be used or shared with police to • Address member needs, including solving help find a suspect, witness or missing person. complaints and grievances. Health and Safety We may also use your PHI to give you reminders PHI may be shared to prevent a serious threat about your appointments. We may use your PHI to to public health or safety. give you information about other treatment, or other health-related benefits and services. Government Functions Your PHI may be shared with the government When can Molina use or share your PHI without for special functions. An example would be to getting written authorization (approval) from you? protect the President. The law allows Molina to use and share your PHI for the following other purposes: Victims of Abuse, Neglect or Domestic Violence Your PHI may be shared with legal authorities if Required by Law we believe that a person is a victim of abuse or We will use or share information about you as neglect. required by law. We will share your PHI when required by the Secretary of the Department of Workers Compensation Health and Human Services (DHS). This may Your PHI may be used or shared to obey be for a court case, other legal review, or when Workers Compensation laws. required for law enforcement purposes. Other Disclosures Public Health PHI may be shared with funeral directors or Your PHI may be used or shared for public coroners to help them to do their jobs. health activities. This may include helping public health agencies to prevent or control disease.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 30 Introduction

When does Molina need your written authorization We may charge you a reasonable fee for copying (approval) to use or share your PHI? and mailing the records. In certain cases we Molina needs your written approval to use or share may deny the request. your PHI for a purpose other than those listed in • Amend Your PHI Accessing Care this notice. You may cancel a written approval that You may ask that we amend (change) your PHI. you have given us. Your cancellation will not apply to This involves only those records kept by us actions already taken by us because of the approval about you as a member. You will need to fill you already gave to us. out a form to make your request. You may file a letter disagreeing with us if we deny the request. What are your health information rights? You have the right to: • Receive an Accounting of PHI Disclosures (Sharing of your PHI) • Request Restrictions on PHI Uses or You may ask that we give you a list of certain Disclosures (Sharing of Your PHI) parties that we shared your PHI with during the You may ask us not to share your PHI to six years prior to the date of your request. The carry out treatment, payment or health care list will not include PHI shared as follows: Benefits operations. You may also ask us to not to share your PHI with family, friends or other persons • for treatment, payment or health care you name who are involved in your health care. operations; However, we are not required to agree to your • to persons about their own PHI; request. You will need to fill out a form to make • sharing done with your authorization, or your request. • shared prior to April 14, 2003. • Request Confidential Communications of

PHI Other Services We will charge a reasonable fee for each list if you ask You may ask Molina to give you your PHI in for this list more than once in a 12-month period. a certain way or at a certain place to help keep You must fill out a form to request a list of PHI your PHI private. We will follow reasonable disclosures. requests, if you tell us how sharing all or a part of that PHI could put your life at risk. You will You may make any of the requests listed above, or need to fill out a form to make your request. may get a paper copy of this Notice. Please call our • Review and Copy Your PHI Manager of Member Services at 1-888-483-0760. You have a right to review and get a copy of your PHI held by us. This may include records Network Listings used in making coverage, claims and other decisions as a Molina member. You will need to fill out a form to make your request.

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 31 Other Services

What can you do if your rights have not been What are the duties of Molina? protected? Molina is required to: You may complain to Molina and to the Department • Keep your PHI private. of Health and Human Services if you believe your privacy rights have been violated. We will not do • Give you written information such as this on anything against you for filing a complaint. Your care our duties and privacy practices about your will not change in any way. PHI. • Follow the terms of this Notice You may complain to us at: Manager of Member Services, This Notice is Subject to Change Molina Healthcare of Utah Molina reserves the right to change its information 7050 So. Union Park Center #200 practices and terms of this notice at any time. If we Midvale, Utah 84047 do, the new terms and practices will then apply to all Phone: 1-888-483-0760 PHI we keep. If we make any material changes, a new notice will be sent to you by US Mail. You may file a complaint with the Secretary of the U.S. Department of Health and Human Services at: Contact Information Office for Civil Rights U.S. Department of Health & Human Services If you have any questions, please contact the following 1961 Stout Street - Room 1426 office: Denver, CO 80294 Manager of Member Services (303) 844-2024; Molina Healthcare of Utah (303) 844-3439 (TDD); 7050 So. Union Park Center #200 (303) 844-2025 FAX Midvale, Utah 84047 Phone: 1-888-483-0760

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 32 Introduction Network Listings

EXAMPLE Accessing Care

County Beaver County

SPECIALTY FAMILY PRACTICE

Doctor’s Name John Smith Medical Group/Clinic Smith & Smith Clinic Address ABC Street Phone # 000-000-0000 Benefits Other Services Network Listings

The information in this directory is subject to change. If you have any questions regarding the status of a particular provider, please contact Molina Member Services at 1-888-483-0760 or TTY at 1-800-346-4128. 33 34 Beaver Primary Care Providers Network Box Elder Nielson, Craig Scott Do C Merrell, Chad L Md C Internal Medicine Beaver County Color Country Pediatrics Intermountain Bear River Family 2 E Center St Medicine Beard, Lynn Q Md C Milford, Ut 84751 935 N 1000 W Medical Arts Center Clinic Family Medicine Phone: (435) 387-2880 Tremonton, Ut 84337 984 Medical Dr, #1 Brigham City, Ut 84302 Melling, Mitchell J Md C UT Rural Medicaid Phone: (435) 207-4800 UT Rural Medicaid Phone: (435) 723-5248 Beaver Medical Languages Spoken: French 1059 N 100 W Box Elder County Merrell, Rodney W Md C UT Rural Medicaid Beaver, Ut 84713 Intermountain Bear River Family Phone: (435) 438-7280 Medicine Markeson, John R Md C Languages Spoken: Spanish Advanced Practice 935 N 1000 W Brigham Medical Clinic UT Rural Medicaid Midwife Tremonton, Ut 84337 600 W Hospital Rd Phone: (435) 207-4800 Brigham City, Ut 84302 Melling, Mitchell J Md C Phone: (435) 734-2041 Beaver/Milford Medical Clinic Sorensen, Jennifer A Cnm C Languages Spoken: Japanese Bear River Medical Arts UT Rural Medicaid UT Rural Medicaid 451 N Main St 300 W 1400 S Milford, Ut 84751 Garland, Ut 84312 Miller, Todd J Md C Wilding, David Gregg Md C Phone: (435) 387-2471 Phone: (435) 257-2469 Bear River Valley Hospital Brigham Medical Clinic Languages Spoken: Spanish UT Rural Medicaid 905 N 1000 W 600 W Hospital Rd UT Rural Medicaid Tremonton, Ut 84337 Brigham City, Ut 84302 Phone: (435) 734-2041 Oakden, Richard Wade Md C Phone: (435) 207-4515 Family Medicine Languages Spoken: Japanese Languages Spoken: Spanish Beaver Medical UT Rural Medicaid 1059 N 100 W Barker, Lance Fred Md C UT Rural Medicaid Beaver, Ut 84713 Medical Arts Center Clinic Schow, Jan-Erik Md C Obstetrics And Phone: (435) 438-7280 984 Medical Dr, #1 Bear River Medical Arts Languages Spoken: Spanish Brigham City, Ut 84302 300 W 1400 S Gynecology UT Rural Medicaid Phone: (435) 723-5248 UT Rural Medicaid Garland, Ut 84312 Dibble, Carlos M Md C Oakden, Richard Wade Md C Phone: (435) 257-2469 Brigham City Women Center Beaver/Milford Medical Clinic Dawson, Brian Md C UT Rural Medicaid 980 S Medical Dr, #1 451 N Main St Medical Arts Center Clinic Shaw, Michael C Md C Brigham City, Ut 84302 Milford, Ut 84751 984 Medical Dr, #1 Medical Arts Center Clinic Phone: (435) 723-6191 Phone: (435) 387-2471 Brigham City, Ut 84302 984 Medical Dr, #1 Languages Spoken: Spanish Languages Spoken: Spanish Phone: (435) 723-5248 Brigham City, Ut 84302 UT Rural Medicaid UT Rural Medicaid Languages Spoken: Italian UT Rural Medicaid Phone: (435) 723-5248 Ferguson, Daniel Richard Md C Smith, Lance C Md C Languages Spoken: Spanish Brigham Center For Womens Beaver Medical Keller, Bruce W Md C UT Rural Medicaid Health 1059 N 100 W Brigham Medical Clinic Spencer, Matthew S Md C 984 S Medical Dr, #4 Beaver, Ut 84713 600 W Hospital Rd Bear River Valley Hospital Brigham City, Ut 84302 Phone: (435) 438-7280 Brigham City, Ut 84302 905 N 1000 W Phone: (435) 695-2273 UT Rural Medicaid Phone: (435) 734-2041 UT Rural Medicaid UT Rural Medicaid Tremonton, Ut 84337 Smith, Lance C Md C Phone: (435) 207-4515 Werner, Matthew J Md C Beaver/Milford Medical Clinic Lish, Jeffrey R Md C UT Rural Medicaid Intermountain Bear River Family 451 N Main St Medical Arts Center Clinic Taylor, James R Md C Medicine Milford, Ut 84751 984 Medical Dr, #1 Brigham Medical Clinic 935 N 1000 W Phone: (435) 387-2471 Brigham City, Ut 84302 600 W Hospital Rd Tremonton, Ut 84337 UT Rural Medicaid Phone: (435) 723-5248 Brigham City, Ut 84302 Phone: (435) 207-4800 Languages Spoken: German UT Rural Medicaid Smith, Roger Hal Md C UT Rural Medicaid Phone: (435) 734-2041 Beaver Medical UT Rural Medicaid C Pediatrics 1059 N 100 W Lofgran, Brian C Md Walker, Douglas C Do C Beaver, Ut 84713 Bear River Valley Hospital 300 W 1400 S Buchanan, Marcus P Md C Phone: (435) 438-7280 905 N 1000 W Garland, Ut 84312 Brigham Pediatrics UT Rural Medicaid Tremonton, Ut 84337 Phone: (435) 207-4575 Phone: (435) 257-3684 980 S Medical Dr, #2 Smith, Roger Hal Md C UT Rural Medicaid UT Rural Medicaid Brigham City, Ut 84302 Beaver/Milford Medical Clinic Phone: (435) 734-2433 C Whittaker, Thomas Carlyle Md C UT Rural Medicaid 451 N Main St Matthews, Thomas M Md Chc - Brigham City Milford, Ut 84751 Brigham Medical Clinic 14 N 100 E Lloyd, Carey D Md C Phone: (435) 387-2471 600 W Hospital Rd Brigham City, Ut 84302 Brigham Pediatrics UT Rural Medicaid Brigham City, Ut 84302 Phone: (435) 723-8276 980 S Medical Dr, #2 Phone: (435) 734-2041 Languages Spoken: Spanish Brigham City, Ut 84302 Pediatrics Languages Spoken: German UT Rural Medicaid Phone: (435) 734-2433 UT Rural Medicaid Languages Spoken: French Burrows, Brian Neal Md C Wilding, Gregg Harry Md C UT Rural Medicaid Color Country Pediatrics Brigham Medical Clinic 2 E Center St 600 W Hospital Rd Milford, Ut 84751 Brigham City, Ut 84302 Phone: (435) 387-2880 Phone: (435) 734-2041 UT Rural Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 35 Box Elder Primary Care Providers Network Cache Physician Assistant Carlson, Vera B Md C Goble, Deserae Jeannette Md C Lyons, Trek Daniel Md C Peachtree Family Medicine Gateway Medical Intermountain Canyon View Garfield, Ryan J Pa C 169 N Spring Creek Pkwy, #170 2380 N 400 E, #A Orthopedics & Associates 300 W 1400 S Providence, Ut 84332 Logan, Ut 84341 1300 N 500 E, #130 Garland, Ut 84312 Phone: (435) 752-5553 Phone: (435) 713-1300 Logan, Ut 84341 Phone: (435) 257-3684 Languages Spoken: Japanese UT Rural Medicaid Phone: (435) 716-2800 Languages Spoken: Danish UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Goble, Deserae Jeannette Md C Clark, Thomas H Md C South Point Medical Stevens, Richard Thomas Md C Cache Valley Family Practice 26 W Center St, #3a Providence Family Medicine Cache County 412 N 200 E Hyrum, Ut 84319 382 W 280 N Logan, Ut 84321 Phone: (435) 245-3232 Providence, Ut 84332 Phone: (435) 713-2800 UT Rural Medicaid Phone: (435) 752-0330 Advanced Practice Languages Spoken: Languages Spoken: Spanish Midwife Portuguese, Spanish Harris, Gary Lee Md C UT Rural Medicaid UT Rural Medicaid Intermountain Summit Clinic Flansburg, Deborah Ruth Cnm C 502 S Main St Welter, Matthew John Md C Intermountain Budge Clinic Clark, Thomas H Md C Smithfield, Ut 84335 2380 N 400 E, #A 1400 N 500 E Intermountain Logan Family Phone: (435) 563-3222 Logan, Ut 84341 Logan, Ut 84341 Medicine Languages Spoken: Spanish Phone: (435) 787-9600 Phone: (435) 716-1920 412 N 200 E UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Logan, Ut 84321 Phone: (435) 713-2800 Hyldahl, Douglas R Md C Family Nurse Family Medicine Languages Spoken: Cache Valley Community Health Portuguese, Spanish Center Practitioner Avery, Delwin Barton Md C UT Rural Medicaid 1515 N 400 E, #104 Boyer, Ben P Np C Intermountain Summit Clinic Logan, Ut 84341 C Cache Valley Community Health 502 S Main St Davis, James W Md Phone: (435) 755-6061 Center Smithfield, Ut 84335 Logan Regional Hospital UT Rural Medicaid 1515 N 400 E, #104 Phone: (435) 563-3222 500 E 1400 N Logan, Ut 84341 Hyldahl, Douglas R Md C Logan, Ut 84341 Languages Spoken: German Cache Valley Community Health Phone: (435) 755-6061 UT Rural Medicaid Phone: (435) 716-1000 UT Rural Medicaid Center Languages Spoken: Spanish Bergeson, Lars Md C 26 W Main St UT Rural Medicaid C Providence Family Medicine Duke, Kevin R Do Hyrum, Ut 84319 Boyer, Ben P Np C 382 W 280 N Providence Family Medicine Phone: (435) 245-6988 Cache Valley Community Health Providence, Ut 84332 382 W 280 N UT Rural Medicaid Providence, Ut 84332 Center Phone: (435) 752-0330 Hyldahl, Douglas R Md C 26 W Main St UT Rural Medicaid Phone: (435) 752-0330 Languages Spoken: Spanish Intermountain Logan Family Hyrum, Ut 84319 Broadhurst, Jeremy Do C UT Rural Medicaid Medicine Phone: (435) 245-6988 Intermountain South Cache Valley 412 N 200 E Languages Spoken: Spanish Clinic Firth, Ronald Mark Md C Logan, Ut 84321 UT Rural Medicaid 190 S Hwy 165 Intermountain South Cache Valley Phone: (435) 713-2800 Howard, Dnell B Np C Providence, Ut 84332 Clinic UT Rural Medicaid 291 S Main St, #C Phone: (435) 755-3300 190 S Hwy 165 Providence, Ut 84332 Isaacson, Bruce Arnold Md C Smithfield, Ut 84335 Languages Spoken: Spanish 550 E 1400 N, #Z Phone: (435) 563-6211 UT Rural Medicaid Phone: (435) 755-3300 UT Rural Medicaid Logan, Ut 84341 UT Rural Medicaid Brown, Todd Alma Md C Phone: (435) 755-5799 C Orians, Mary E Aprn C 291 S Main St, #C Fonnesbeck, Brant W Do UT Rural Medicaid 1177 S Main St Smithfield, Ut 84335 Cache Valley Community Health Center Jones, Aaron W Md C Smithfield, Ut 84335 Phone: (435) 563-6211 Cache Valley Community Health Phone: (435) 563-6367 UT Rural Medicaid 1515 N 400 E, #104 Logan, Ut 84341 Center UT Rural Medicaid Call, Nathan H Md C Phone: (435) 755-6061 1515 N 400 E, #104 Speth, Chad Brent Np C Intermountain South Cache Valley UT Rural Medicaid Logan, Ut 84341 Cache Valley Community Health Clinic Phone: (435) 755-6061 C Center 190 S Hwy 165 Fonnesbeck, Brant W Do Languages Spoken: Spanish 1515 N 400 E, #104 Providence, Ut 84332 Cache Valley Community Health UT Rural Medicaid Logan, Ut 84341 Phone: (435) 755-3300 Center 26 W Main St Jones, Aaron W Md C Phone: (435) 755-6061 Languages Spoken: Mandarin Cache Valley Community Health UT Rural Medicaid UT Rural Medicaid Hyrum, Ut 84319 Phone: (435) 245-6988 Center Speth, Chad Brent Np C Carlson, Brian W Md C UT Rural Medicaid 26 W Main St Cache Valley Community Health Smithfield Family Practice Hyrum, Ut 84319 C Center 412 N 200 E Goates, Brad M Md Phone: (435) 245-6988 26 W Main St Logan, Ut 84321 Cache Valley Family Practice Languages Spoken: Spanish Hyrum, Ut 84319 Phone: (435) 713-2800 412 N 200 E UT Rural Medicaid Phone: (435) 245-6988 UT Rural Medicaid Logan, Ut 84321 Phone: (435) 713-2800 UT Rural Medicaid UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 36 Cache Primary Care Providers Network Cache Stahl, Kathleen M Np C Ob/Gyn Nurse Olsen, Tandy Garth Md C Jorgensen, Nina Gay Md C Intermountain Budge Clinic - Intermountain Budge Clinic Primary Care Pediatrics Surgical Specialists Practitioner 1400 N 500 E 2380 N 400 E, #C 1350 N 500 E Anderson, Jennifer H Np C Logan, Ut 84341 Logan, Ut 84341 Logan, Ut 84341 Intermountain Budge Clinic Phone: (435) 716-1920 Phone: (435) 753-7337 Phone: (435) 792-1950 1400 N 500 E UT Rural Medicaid Languages Spoken: French, UT Rural Medicaid Logan, Ut 84341 Norwegian Phone: (435) 716-1920 Pediatric Nurse UT Rural Medicaid Internal Medicine UT Rural Medicaid Practitioner Mckenna, Russell T Do C Faux, David S Md C Murillo, Ena C Np C Treehouse Pediatrics & Family Roperhodges, Sheryl A Np C Care Intermountain Budge Clinic Intermountain Budge Clinic Intermountain Budge Clinic 1350 N 500 E 1400 N 500 E 1325 N 600 E, #101 1350 N 500 E Logan, Ut 84341 Logan, Ut 84341 Logan, Ut 84341 Logan, Ut 84341 Phone: (435) 792-1980 Phone: (435) 716-1920 Phone: (435) 750-5599 Phone: (435) 792-1940 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Francis, Michael Reed Do C Thompson, Angie C Np C O’very, Bruce Alan Md C Intermountain Budge Clinic Budge Clinic Pediatrics Treehouse Pediatrics & Family 1350 N 500 E Care 1400 N 500 E Armstrong, Craig W Md C Logan, Ut 84341 Logan, Ut 84341 1325 N 600 E, #101 Phone: (435) 792-1980 Primary Care Pediatrics Logan, Ut 84341 Phone: (435) 716-1920 2380 N 400 E, #C UT Rural Medicaid UT Rural Medicaid Phone: (435) 750-5599 Logan, Ut 84341 UT Rural Medicaid Huffman, Jeffrey Mark Md C Phone: (435) 753-7337 Intermountain Budge Clinic Obstetrics And UT Rural Medicaid Odell, John Dennis Md C 1350 N 500 E Gynecology Intermountain Budge Clinic Logan, Ut 84341 Bell, Ryan Md C 1350 N 500 E Phone: (435) 792-1980 Benedict, James Patton Md C Treehouse Pediatrics & Family Logan, Ut 84341 UT Rural Medicaid Intermountain Budge Clinic Care Phone: (435) 792-1940 1400 N 500 E 1325 N 600 E, #101 UT Rural Medicaid Nash, Robert Michael Md C Logan, Ut 84341 Logan, Ut 84341 Intermountain Budge Clinic Phone: (435) 716-1920 Phone: (435) 750-5599 Schneider, Stephen D Md C 1350 N 500 E Languages Spoken: Spanish UT Rural Medicaid Intermountain Budge Clinic Logan, Ut 84341 UT Rural Medicaid 1350 N 500 E Phone: (435) 792-1980 Brown, Nordell T Md C Logan, Ut 84341 UT Rural Medicaid Craig, Kristin F Md C Intermountain Budge Clinic Phone: (435) 792-1940 Intermountain Budge Clinic 1350 N 500 E UT Rural Medicaid Redd, Edward H Md C 1400 N 500 E Logan, Ut 84341 Logan Regional Hospital Logan, Ut 84341 Phone: (435) 792-1940 Visick, Michael K Md C 500 E 1400 N Phone: (435) 716-1920 Languages Spoken: Spanish Intermountain Budge Clinic Logan, Ut 84341 UT Rural Medicaid UT Rural Medicaid 1350 N 500 E Phone: (435) 716-5366 Logan, Ut 84341 UT Rural Medicaid Crane, F Michael Md C Clarke, Derrel W Md C Phone: (435) 792-1940 Cache Valley Community Health Intermountain Budge Clinic UT Rural Medicaid Stones, Michael John Md C Center 1350 N 500 E Intermountain Budge Clinic 1515 N 400 E, #104 Logan, Ut 84341 Physician Assistant 1350 N 500 E Logan, Ut 84341 Phone: (435) 792-1940 Logan, Ut 84341 Phone: (435) 755-6061 Languages Spoken: Spanish Allred, Heather B Pa C Phone: (435) 792-1980 Languages Spoken: Finnish UT Rural Medicaid Cache Valley Community Health UT Rural Medicaid UT Rural Medicaid Center Garg, Prafulla M Md C 550 E 1400 N, #K Strong, Jeffrey S Md C Horsley, Ernest Brett Do C Intermountain Budge Clinic Logan, Ut 84341 Intermountain Budge Clinic Intermountain Budge Clinic 1350 N 500 E Phone: (435) 755-6061 1350 N 500 E 1400 N 500 E Logan, Ut 84341 UT Rural Medicaid Logan, Ut 84341 Logan, Ut 84341 Phone: (435) 792-1940 Phone: (435) 792-1980 Phone: (435) 752-0411 Languages Spoken: Hindi, Ballingham, David Jay Pa C UT Rural Medicaid Languages Spoken: Spanish Cache Valley Community Health Portuguese, Spanish UT Rural Medicaid Center Szpunar, Agnieszka M Md C UT Rural Medicaid 550 E 1400 N, #K Intermountain Budge Clinic Horkley, Tyson Stuart Md C Logan, Ut 84341 1350 N 500 E Horsley, Ernest Brett Do C Intermountain Budge Clinic Phone: (435) 755-6061 Logan, Ut 84341 1350 N 500 E 1350 N 500 E Languages Spoken: Spanish Phone: (435) 792-1980 Logan, Ut 84341 Logan, Ut 84341 UT Rural Medicaid Languages Spoken: Polish Phone: (435) 792-1967 Phone: (435) 792-1940 UT Rural Medicaid Languages Spoken: UT Rural Medicaid Gracey, Nathan J Pa C Portuguese, Spanish Huff, Glen Forrest Md C Cache Valley Community Health UT Rural Medicaid Primary Care Pediatrics Center 2380 N 400 E, #C 550 E 1400 N, #K Logan, Ut 84341 Logan, Ut 84341 Phone: (435) 753-7337 Phone: (435) 755-6061 UT Rural Medicaid UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 37 Cache DPrimary Care Providers Network avis Patterson, Julie Ann Pa C Obstetrics And Fisher, Mahana S Md C Obstetrics And Cache Valley Community Health Navajo Mountain Community Center Gynecology Health Center Gynecology 550 E 1400 N, #K Nielsen, Terrance Paul Md C 2 Rainbow Rd Pieri, Danielle Do C Logan, Ut 84341 Carbon-Emery Ob/Gyn Tonalea, Az 86044 Lake Powell Medical Center Phone: (435) 755-6061 280 N Hospital Dr, #2 Phone: (928) 672-2839 467 Vista Ave Languages Spoken: Chinese Price, Ut 84501 UT Rural Medicaid Page, Az 86040 UT Rural Medicaid Phone: (435) 637-2092 Foley, Dennis J Md C Phone: (928) 645-8123 Pulley, Jeffrey Pa C UT Rural Medicaid Lake Powell Medical Center Languages Spoken: Spanish Cache Valley Community Health 467 Vista Ave UT Rural Medicaid Center Pediatrics Page, Az 86040 550 E 1400 N, #K Phone: (928) 645-8123 Physician Assistant Logan, Ut 84341 Allen, Louis S Md C UT Rural Medicaid Phone: (435) 755-6061 Children With Special Healthcare Bernards, Steven Allen Pa C UT Rural Medicaid Needs Holsten Ll, Raymond L Md C Canyonlands Urgent Care/Walk 25 S 100 E Lake Powell Medical Center In Clinic Price, Ut 84501 467 Vista Ave 440 N Navajo Dr Carbon County Phone: (435) 637-3671 Page, Az 86040 Page, Az 86040 UT Rural Medicaid Phone: (928) 645-8123 Phone: (928) 645-1700 UT Rural Medicaid UT Rural Medicaid Family Medicine Carbone, Paul Sean Md D Children With Special Healthcare Jones, Lloyd Val Md C Callis Jr, James Alton Pa C Brady, Matthew Frank Md C Needs Navajo Mountain Community Canyonlands Urgent Care/Walk Eastern Utah Family Medicine 25 S 100 E Health Center In Clinic 280 N Hospital Dr, #4 Price, Ut 84501 2 Rainbow Rd 440 N Navajo Dr Price, Ut 84501 Phone: (435) 637-3671 Tonalea, Az 86044 Page, Az 86040 Phone: (435) 637-3584 Languages Spoken: Spanish Phone: (928) 672-2839 Phone: (928) 645-1700 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Etzel, Glenn T Md C Madsen, Edward Keith Md C Nielson, Joshua Hinckley Do C Crane, Gail A Pa C Cuc - Price - Adult & Adolescent 590 E 100 N, #4 Navajo Mountain Community Canyonlands Urgent Care/Walk Medicine Price, Ut 84501 Health Center In Clinic 230 N Hospital Rd, #5 Phone: (435) 637-7551 2 Rainbow Rd 440 N Navajo Dr Price, Ut 84501 UT Rural Medicaid Tonalea, Az 86044 Page, Az 86040 Phone: (435) 637-9545 Phone: (928) 672-2839 Phone: (928) 645-1700 UT Rural Medicaid Physician Assistant UT Rural Medicaid UT Rural Medicaid Potter, Sterling Glade Md C Hunt, Russell Lee Pa C Nielson, Norman S Md C Overas, Mark F Pa C 945 W Hospital Dr, #2 Carbon Medical Service Navajo Mountain Community Fredonia Community Health Price, Ut 84501 Association Health Center Center Phone: (435) 637-6190 125 S Main St 2 Rainbow Rd 100 E Wood Hill Dr UT Rural Medicaid Helper, Ut 84526 Tonalea, Az 86044 Fredonia, Az 86022 Phone: (435) 472-7000 Phone: (928) 672-2839 Phone: (928) 643-6215 Family Nurse UT Rural Medicaid Languages Spoken: Chinese UT Rural Medicaid UT Rural Medicaid Practitioner Hunt, Russell Lee Pa C Sanderson, Jody L Pa C Quinton, Connie Kim Aprn C Carbon Medical Service Family Nurse Canyonlands Urgent Care/Walk Castle County Clinic Association In Clinic 305 Center St Practitioner 440 N Navajo Dr 590 E 100 N, #6 Page, Az 86040 Price, Ut 84501 East Carbon, Ut 84520 Latham, Elizabeth G Fnp C Phone: (435) 888-4411 Phone: (928) 645-1700 Phone: (435) 613-9466 Lake Powell Medical Center UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid 467 Vista Ave Page, Az 86040 Internal Medicine Cococino County Phone: (928) 645-8123 Davis County UT Rural Medicaid Allen, Glori M Md C Carbon Medical Service Family Medicine Singer, Christopher Np C Advanced Practice Association Navajo Mountain Community 305 Center St Plunkett, Earl K Md C Health Center Midwife East Carbon, Ut 84520 Navajo Mountain Community 2 Rainbow Rd Carter, Stacie B Cnm C Phone: (435) 888-4411 Health Center Tonalea, Az 86044 Legacy Point Womens Center UT Rural Medicaid 2 Rainbow Rd Phone: (928) 672-2839 3110 W 300 N, #B Tonalea, Az 86044 UT Rural Medicaid Clearfield, Ut 84015 Rawling, David A Md C Phone: (928) 672-2839 Phone: (801) 614-5270 Peak Healthcare UT Rural Medicaid 894 E 100 N, #3 UT Urban Medicaid Price, Ut 84501 Bjork, Janeen Md C Faucett, Gretchen T Cnm C Phone: (435) 637-2324 Lake Powell Medical Center Rocky Mountain Ob/Gyn UT Rural Medicaid 467 Vista Ave 1580 W Antelope Dr, #290 Page, Az 86040 Layton, Ut 84041 Phone: (928) 645-8123 Phone: (801) 776-0880 UT Rural Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 38 Davis DPrimary Care Providers Network avis Mooy, Nancie J Cnm C Baxter, Mark E Md C Cope, David G Md C Freestone, Allen Arthur Md C Lakeview Obgyn Tanner Memorial Clinic Cope Family Medicine Cope Family Medicine 620 E Medical Dr, #340 2121 N 1700 W 620 E Medical Dr, #150 620 E Medical Dr, #150 Bountiful, Ut 84010 Layton, Ut 84041 Bountiful, Ut 84010 Bountiful, Ut 84010 Phone: (801) 299-2229 Phone: (801) 773-4840 Phone: (801) 298-4112 Phone: (801) 298-4112 UT Urban Medicaid Languages Spoken: Languages Spoken: Afrikaans UT Urban Medicaid Portuguese UT Urban Medicaid Robbins, Karina M Cnm C UT Urban Medicaid Gardner, Kevin Lee Md C Midtown Community Health Degrauw, Jeffrey L Md C Wasatch Peak Family Practice Center Davis County Medical Beck, Stephen A Md C Wasatch Peak Family Practice 1580 W Antelope Dr, #200 Clinic 415 S Medical Dr, #B200 1580 W Antelope Dr, #200 Layton, Ut 84041 50 E State St Bountiful, Ut 84010 Layton, Ut 84041 Phone: (801) 773-4770 Farmington, Ut 84025 Phone: (801) 292-7254 Phone: (801) 773-4770 Languages Spoken: Spanish Phone: (801) 451-3711 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Berwald, Charles J Md C Dixon, Tyler Carnahan Do C Greger, Susan Md C Vance, Rebecca Michele Cnm C Layton Family Practice Westside Medical Clinic Midtown Community Health Generations Ob/Gyn 124 S Fairfield Rd 1477 N 2000 W, #C Center Davis County Medical 1492 W Antelope Dr, #206 Layton, Ut 84041 Clinton, Ut 84015 Clinic Layton, Ut 84041 Phone: (801) 546-9441 Phone: (801) 774-8888 50 E State St Phone: (801) 776-0567 UT Urban Medicaid Languages Spoken: Spanish Farmington, Ut 84025 UT Urban Medicaid UT Urban Medicaid Phone: (801) 451-3711 Beus, Michael Lynn Md C UT Urban Medicaid Zaugg, Laura Maudlyn Cnm C Tanner Memorial Clinic Edson, Allan C Do C Lakeview Obgyn 2121 N 1700 W 1492 W Antelope Dr, #160 Gregoire, Richard J Md C 620 E Medical Dr, #340 Layton, Ut 84041 Layton, Ut 84041 Midtown Community Health Bountiful, Ut 84010 Phone: (801) 773-4840 Phone: (801) 294-5224 Center Davis County Medical Phone: (801) 299-2229 Languages Spoken: UT Urban Medicaid Clinic UT Urban Medicaid Portuguese, Spanish 50 E State St UT Urban Medicaid Edson, Allan C Do C Farmington, Ut 84025 Family Medicine 1492 S 800 W, #J Phone: (801) 451-3711 Bishop, Scott R Md C Woods Cross, Ut 84087 Languages Spoken: Spanish Allred, Michael G Md C Tanner Memorial Clinic Phone: (801) 294-5224 UT Urban Medicaid Tanner Memorial Clinic 2121 N 1700 W UT Urban Medicaid Layton, Ut 84041 Hemmersmeier, John Matthew 2121 N 1700 W C Layton, Ut 84041 Phone: (801) 773-4840 Ericksen, Corey L Do Md C Phone: (801) 773-4840 UT Urban Medicaid Westside Medical Clinic East Layton Internal Medicine UT Urban Medicaid 1477 N 2000 W, #C 1240 E Hwy 193, #G1 Burningham, Ted Howard Md C Clinton, Ut 84015 Layton, Ut 84040 Anderson, Marc Olsen Md C Tanner Memorial Clinic Phone: (801) 774-8888 Phone: (801) 771-1331 Tanner Memorial Clinic 2121 N 1700 W UT Urban Medicaid UT Urban Medicaid Layton, Ut 84041 2121 N 1700 W C Layton, Ut 84041 Phone: (801) 773-4840 Erickson, Scott Austin Md Hibbard, Julie Cleek Md C Phone: (801) 773-4840 Languages Spoken: Japanese 440 S Medical Dr, #4 Farmington Family Medicine Languages Spoken: Spanish UT Urban Medicaid Bountiful, Ut 84010 1401 N 1075 W, #220 UT Urban Medicaid Phone: (801) 294-8288 Farmington, Ut 84025 Butler, Warren Leroy Md C UT Urban Medicaid Phone: (801) 451-4538 Tanner Memorial Clinic Astle, Nelson L Md D Fife, Jason Roy Do C Languages Spoken: Spanish Westside Medical Clinic 2121 N 1700 W UT Urban Medicaid 1477 N 2000 W, #C Layton, Ut 84041 Tanner Memorial Clinic Clinton, Ut 84015 Phone: (801) 773-4840 380 N 400 W Hobbs, Rachel B Md C Phone: (801) 774-8888 Languages Spoken: French Kaysville, Ut 84037 Tanner Memorial Clinic Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 773-4840 2121 N 1700 W UT Urban Medicaid Layton, Ut 84041 UT Urban Medicaid Butters, David Eric Do C Foote, Stephen M Do C Phone: (801) 773-4840 Barker, Layne Thomas Md C Wasatch Peak Family Practice UT Urban Medicaid Tanner Memorial Clinic 1580 W Antelope Dr, #200 Tanner Memorial Clinic 2038 W 1900 S Layton, Ut 84041 2038 W 1900 S Housley, Mark Delmon Md D Syracuse, Ut 84075 Phone: (801) 773-4770 Syracuse, Ut 84075 Midtown Community Health Phone: (801) 773-4840 Languages Spoken: Spanish Phone: (801) 773-4840 Center Davis County Medical UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Clinic Foster, Carla Charbonneau Md C 50 E State St Barker, Layne Thomas Md C Christian, Mark E Md C Farmington, Ut 84025 Cope Family Medicine Rocky Mountain Family Practice Tanner Memorial Clinic 214 W 1500 S Phone: (801) 451-3711 2121 N 1700 W 620 E Medical Dr, #150 UT Urban Medicaid Layton, Ut 84041 Bountiful, Ut 84010 Bountiful, Ut 84010 Phone: (801) 773-4840 Phone: (801) 298-4112 Phone: (801) 295-6483 Julien, Craig K Md C UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Legacy Point Family Medicine Francis Jr, Joseph Allen Md D Center Barney, Douglas Paul Md C Davis Family Physicians 3110 W 300 N, #A 2132 N 1700 W, #100 3225 W Gordon Ave, #1 West Point, Ut 84015 Layton, Ut 84041 Layton, Ut 84041 Phone: (801) 614-5140 Phone: (801) 807-7900 Phone: (801) 773-7232 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 39 Davis DPrimary Care Providers Network avis Kamalu, Layne Keliiokalam Md Nebeker, Adam Rich Md C Stelter, Casey Lawrence Md C Wallin, Richard K Md C D Midtown Community Health East Layton Internal Medicine Tanner Memorial Clinic Kaysville Clinic Center Davis County Medical 1240 E Hwy 193, #G1 2121 N 1700 W 934 S Main St Clinic Layton, Ut 84040 Layton, Ut 84041 Layton, Ut 84041 50 E State St Phone: (801) 771-1331 Phone: (801) 773-4840 Phone: (801) 544-4227 Farmington, Ut 84025 Languages Spoken: German UT Urban Medicaid UT Urban Medicaid Phone: (801) 451-3711 UT Urban Medicaid Languages Spoken: Ward, Raymond Paul Md C Kirkham, Mark D Md C Portuguese, Spanish Stelter, Casey Lawrence Md C Cope Family Medicine Tanner Memorial Clinic UT Urban Medicaid Layton Family Practice 620 E Medical Dr, #150 2121 N 1700 W 124 S Fairfield Rd Bountiful, Ut 84010 Layton, Ut 84041 Neville, Roark Bradford Md C Layton, Ut 84041 Phone: (801) 298-4112 Phone: (801) 773-4840 Davis Family Physicians Phone: (801) 546-9441 Languages Spoken: Spanish UT Urban Medicaid 3225 W Gordon Ave, #1 Languages Spoken: German UT Urban Medicaid Layton, Ut 84041 UT Urban Medicaid Kirkham, Michael D Md C Phone: (801) 773-7232 Weeks, Jonathan Andrew Md C Tanner Memorial Clinic Languages Spoken: Thai Stewart, Ryan Lee Md C Layton Family Practice 380 N 400 W UT Urban Medicaid Tanner Memorial Clinic 124 S Fairfield Rd Kaysville, Ut 84037 2038 W 1900 S Layton, Ut 84041 Phone: (801) 773-4840 Peterson, Dennis Roger Md D Syracuse, Ut 84075 Phone: (801) 546-9441 UT Urban Medicaid Family Physicians Associated Phone: (801) 773-4840 Languages Spoken: Spanish 415 S Medical Dr, #B200 Languages Spoken: French, UT Urban Medicaid Lee, Gary David Md C Bountiful, Ut 84010 Spanish Tanner Memorial Clinic Phone: (801) 292-7254 UT Urban Medicaid White, Charles D Md C 2121 N 1700 W UT Urban Medicaid Mountain West Family Medicine Layton, Ut 84041 Stewart, Ryan Lee Md C 440 E Medical Dr, #2 Phone: (801) 773-4840 Potter, Steven Jared Md C Tanner Memorial Clinic Bountiful, Ut 84010 UT Urban Medicaid Kaysville Family Medicine 2121 N 1700 W Phone: (801) 294-0191 307 N 300 W, #301 Layton, Ut 84041 UT Urban Medicaid Lenthe, Mark Robert Do C Kaysville, Ut 84037 Phone: (801) 773-4840 Tanner Memorial Clinic Phone: (801) 543-2221 Languages Spoken: French, White, Charles D Md C 2038 W 1900 S Languages Spoken: Spanish Spanish North Canyon Family Medicine & Syracuse, Ut 84075 UT Urban Medicaid UT Urban Medicaid Aesthetics Phone: (801) 773-4840 3263 S Hwy 89, #300 UT Urban Medicaid Rees, James H Md D Stewart, Ryan Lee Md C Bountiful, Ut 84010 Davis Family Physicians Tanner Memorial Clinic Phone: (801) 296-0600 Lenthe, Mark Robert Do C 3225 W Gordon Ave, #1 380 N 400 W UT Urban Medicaid Tanner Memorial Clinic Layton, Ut 84041 Kaysville, Ut 84037 2121 N 1700 W Phone: (801) 773-7232 Phone: (801) 773-4840 Wilson, George Samuel Md C Layton, Ut 84041 UT Urban Medicaid Languages Spoken: French, 440 Medical Dr Phone: (801) 773-4840 Spanish Bountiful, Ut 84010 UT Urban Medicaid Rigby, Rohn Clark Md C UT Urban Medicaid Phone: (801) 298-9100 Davis Family Physicians UT Urban Medicaid Lenthe, Mark Robert Do C 3225 W Gordon Ave, #1 Tan, Sally Suk Lun Md C Tanner Memorial Clinic Layton, Ut 84041 Farmington Family Medicine Yates, Jay Reese Md C 380 N 400 W Phone: (801) 773-7232 1401 N 1075 W, #220 Tanner Memorial Clinic Kaysville, Ut 84037 UT Urban Medicaid Farmington, Ut 84025 2121 N 1700 W Phone: (801) 773-4840 Phone: (801) 451-4538 Layton, Ut 84041 UT Urban Medicaid Riggs, Brannick Barton Md C Languages Spoken: Cantonese Phone: (801) 773-4840 Rock Run Medical UT Urban Medicaid Languages Spoken: French, Morrell, Stephen Lynn Md C 2102 N 1700 W, #103b Spanish Tanner Memorial Clinic Layton, Ut 84041 Taylor, Leroy Cecil Md C UT Urban Medicaid 2121 N 1700 W Phone: (801) 773-2838 Wade Family Medicine Layton, Ut 84041 Languages Spoken: German 557 W 2600 S Family Nurse Phone: (801) 773-4840 UT Urban Medicaid Bountiful, Ut 84010 UT Urban Medicaid Phone: (801) 296-5805 Practitioner Rodgers, Brian Joseph Do C UT Urban Medicaid Morrill, Arnold B Do C Bountiful Family Healthcare Arrington, Sara Jean Np C Uuhc Centerville Clinic 425 Medical Dr, #205 Vanstaden, Gavin Nicholas Md C Legacy Point Family Medicine 26 S Main St Bountiful, Ut 84010 Davis Pulmonary And Sleep Center Centerville, Ut 84014 Phone: (801) 298-3812 Medicine 3110 W 300 N, #A Phone: (801) 693-7900 Languages Spoken: French, 1492 W Antelope Dr, #203 West Point, Ut 84015 Languages Spoken: Japanese Haitian Creole Layton, Ut 84041 Phone: (801) 614-5140 UT Urban Medicaid UT Urban Medicaid Phone: (801) 773-7500 UT Urban Medicaid Morris, Jared Abraham Md C Languages Spoken: Afrikaans Christensen, Don Carl Np D Schaelling, Michael P Md D UT Urban Medicaid Tanner Memorial Clinic Tanner Memorial Clinic Davis Family Physicians 2121 N 1700 W 2121 N 1700 W Wade, Ralph David Do D 3225 W Gordon Ave, #1 Layton, Ut 84041 Layton, Ut 84041 Wade Family Medicine Layton, Ut 84041 Phone: (801) 773-4840 Phone: (801) 773-4840 577 W 2600 S Phone: (801) 773-7232 Languages Spoken: UT Urban Medicaid Bountiful, Ut 84010 UT Urban Medicaid Portuguese Phone: (801) 298-9155 UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 40 Davis DPrimary Care Providers Network avis Fowers, Jody Lynn Np C Canga-Siao, Cynthia Rose Md C Southworth, Scott E Md C Healy, Michael John Md C Layton Family Practice Lakeview Internal Medicine And Lakeview Internal Medicine And Generations Ob/Gyn 124 S Fairfield Rd Surgery Surgery 1492 W Antelope Dr, #206 Layton, Ut 84041 520 E Medical Dr, #200 520 E Medical Dr, #200 Layton, Ut 84041 Phone: (801) 546-9441 Bountiful, Ut 84010 Bountiful, Ut 84010 Phone: (801) 776-0567 UT Urban Medicaid Phone: (801) 294-9333 Phone: (801) 294-9333 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Goss, Jeffrey A Np C Hernandez, Maria Dolores Md C Westside Medical Clinic Checketts, Darin David Do C Taylor, Roy R Md C Rocky Mountain Womens Health 1477 N 2000 W, #C Tanner Memorial Clinic Tanner Memorial Clinic Center Clinton, Ut 84015 2121 N 1700 W 2121 N 1700 W 1580 W Antelope Dr, #290 Phone: (801) 774-8888 Layton, Ut 84041 Layton, Ut 84041 Layton, Ut 84041 UT Urban Medicaid Phone: (801) 773-4840 Phone: (801) 773-4840 Phone: (801) 776-0880 Languages Spoken: Spanish UT Urban Medicaid Languages Spoken: Spanish Green, Holly Jane Np C UT Urban Medicaid UT Urban Medicaid Mountain West Family Medicine Obstetrics And 440 E Medical Dr, #2 Christian, Grant Leroy Md D Hughes, William Gregory Md C Bountiful, Ut 84010 425 Medical Dr, #118 Gynecology Rocky Mountain Ob/Gyn Phone: (801) 294-0191 Bountiful, Ut 84010 1580 W Antelope Dr, #290 UT Urban Medicaid Phone: (801) 292-1422 Binkley, Shelley Sue Md C Layton, Ut 84041 UT Urban Medicaid Rocky Mountain Womens Health Phone: (801) 776-0880 Green, Holly Jane Np C Center UT Urban Medicaid North Canyon Family Medicine & Jensen, Joseph Davis Md D 1580 W Antelope Dr, #290 Aesthetics 425 Medical Dr , #116 Layton, Ut 84041 Hurst, Craig Leroy Md C 3263 S Hwy 89, #300 Bountiful, Ut 84010 Phone: (801) 776-0880 2132 N 1700 W, #300 Bountiful, Ut 84010 Phone: (801) 292-7250 UT Urban Medicaid Layton, Ut 84041 Phone: (801) 296-0600 UT Urban Medicaid Phone: (801) 774-8714 UT Urban Medicaid Bitner, Mark R Md D UT Urban Medicaid Nelson, Chadd Dee Do C Tanner Memorial Clinic Renstrom, Collette Campbell Tanner Memorial Clinic 2121 N 1700 W Johnson, Steven L Md C Np C 2038 W 1900 S Layton, Ut 84041 Tanner Memorial Clinic Westside Medical Clinic Syracuse, Ut 84075 Phone: (801) 773-4840 2121 N 1700 W 1477 N 2000 W, #C Phone: (801) 773-4840 Languages Spoken: Spanish Layton, Ut 84041 Clinton, Ut 84015 UT Urban Medicaid UT Urban Medicaid Phone: (801) 773-4840 Phone: (801) 774-8888 UT Urban Medicaid UT Urban Medicaid Nelson, Chadd Dee Do C Boheen, Karen Do C Tanner Memorial Clinic 2132 N 1700 W, #300 Joseph Iv, Charles W Md C Sandberg, Rebecca W Np C 2121 N 1700 W Layton, Ut 84041 Rocky Mountain Ob/Gyn Cope Family Medicine Layton, Ut 84041 Phone: (801) 728-0600 1580 W Antelope Dr, #290 620 E Medical Dr, #150 Phone: (801) 773-4840 UT Urban Medicaid Layton, Ut 84041 Bountiful, Ut 84010 UT Urban Medicaid Phone: (801) 776-0880 Phone: (801) 298-4112 Durbin, Teresa Virginia Md C UT Urban Medicaid UT Urban Medicaid Nelson, Chadd Dee Do C Rocky Mountain Ob/Gyn Tanner Memorial Clinic 1580 W Antelope Dr, #290 Meek, Steven C Md C Sharp, Lisa Ann Np C 380 N 400 W Layton, Ut 84041 Tanner Memorial Clinic 520 E Medical Dr, #301 Kaysville, Ut 84037 Phone: (801) 776-0880 2121 N 1700 W Bountiful, Ut 84010 Phone: (801) 773-4840 Languages Spoken: Spanish Layton, Ut 84041 Phone: (801) 292-1464 UT Urban Medicaid UT Urban Medicaid Phone: (801) 773-4840 UT Urban Medicaid Languages Spoken: Spanish Pham, Marian Hong Md C Farley, Duane E Md C UT Urban Medicaid Uuhc Centerville Clinic Tanner Memorial Clinic Internal Medicine 26 S Main St 2121 N 1700 W Muscolino, Gina M Md C Bartholomew, Bryan R Md C Centerville, Ut 84014 Layton, Ut 84041 Lakeview Obgyn Lakeview Internal Medicine And Phone: (801) 693-7900 Phone: (801) 773-4840 620 E Medical Dr, #340 Surgery Languages Spoken: Vietnamese Languages Spoken: Spanish Bountiful, Ut 84010 520 E Medical Dr, #200 UT Urban Medicaid UT Urban Medicaid Phone: (801) 299-2229 Bountiful, Ut 84010 Languages Spoken: Spanish Salem, Allen Md C Fillerup, Sharon Lee Md D UT Urban Medicaid Phone: (801) 294-9333 Davis Pulmonary And Sleep Tanner Memorial Clinic UT Urban Medicaid Medicine 2121 N 1700 W Muscolino, Gina M Md C Biddulph, Glen F Md C 2132 N 1700 W, #305 Layton, Ut 84041 Rocky Mountain Womens Health Tanner Memorial Clinic Layton, Ut 84041 Phone: (801) 773-4840 Center 2121 N 1700 W Phone: (801) 614-1380 UT Urban Medicaid 1580 W Antelope Dr, #290 Layton, Ut 84041 UT Urban Medicaid Layton, Ut 84041 Hall, Craig Robert Md C Phone: (801) 776-0880 Phone: (801) 773-4840 Shields, Russell B Md C Tanner Memorial Clinic UT Urban Medicaid Languages Spoken: Spanish 425 Medical Dr, #108 2121 N 1700 W UT Urban Medicaid Burtenshaw, Bruce Francis Md C Bountiful, Ut 84010 Layton, Ut 84041 Tanner Memorial Clinic Phone: (801) 292-8444 Phone: (801) 773-4840 Ostler, Leslie Ann Md C 2121 N 1700 W UT Urban Medicaid UT Urban Medicaid Rocky Mountain Womens Health Layton, Ut 84041 Center Phone: (801) 773-4840 1580 W Antelope Dr, #290 UT Urban Medicaid Layton, Ut 84041 Phone: (801) 776-0880 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 41 Davis DPrimary Care Providers Network avis Pead, William Gene Md C Ellis-Benigni, Karen Aprn D Evans, Ryan Newell Md C Gilsoul, Jennifer Marion Md C Intermountain Bountiful Clinic Wee Care Pediatrics Tanner Memorial Clinic Wee Care Pediatrics 390 N Main St 934 S Main St, #8 380 N 400 W 934 S Main St, #8 Bountiful, Ut 84010 Layton, Ut 84041 Kaysville, Ut 84037 Layton, Ut 84041 Phone: (801) 294-1066 Phone: (801) 773-8644 Phone: (801) 773-4840 Phone: (801) 773-8644 UT Urban Medicaid UT Urban Medicaid Languages Spoken: French UT Urban Medicaid UT Urban Medicaid Sorensen, Teela Southwick Md C Groebs, Allison Mary Md C Tanner Memorial Clinic Pediatrics Fennell II, James Ashley Md C Wasatch Pediatrics - Grow Up 2121 N 1700 W Alvey, Justin C Md C Wee Care Pediatrics Great Layton, Ut 84041 Wee Care Pediatrics 2084 N 1700 W, #A 620 E Medical Dr, #100 Phone: (801) 773-4840 2084 N 1700 W, #A Layton, Ut 84041 Bountiful, Ut 84010 UT Urban Medicaid Layton, Ut 84041 Phone: (801) 773-8644 Phone: (801) 295-2888 UT Urban Medicaid UT Urban Medicaid Spencer, Neil Orrin Md C Phone: (801) 773-8644 Shepard Creek Ob/Gyn UT Urban Medicaid Fennell II, James Ashley Md C Hawkes, Cody J Do C 670 W Shepard Ln, #103 Alvey, Justin C Md C Wee Care Pediatrics Wee Care Pediatrics Farmington, Ut 84025 Wee Care Pediatrics 934 S Main St, #8 1792 W 1700 S, #102 Phone: (801) 447-3377 934 S Main St, #8 Layton, Ut 84041 Syracuse, Ut 84075 UT Urban Medicaid Layton, Ut 84041 Phone: (801) 773-8644 Phone: (801) 773-8644 UT Urban Medicaid UT Urban Medicaid Sumsion, Kevin Spafford Md C Phone: (801) 773-8644 Tanner Memorial Clinic UT Urban Medicaid Forbush, Nathan G Md C Hawkes, Cody J Do C 2121 N 1700 W Baur, Nisha Ray Do C Tanner Memorial Clinic Wee Care Pediatrics Layton, Ut 84041 Tanner Memorial Clinic 2121 N 1700 W 2084 N 1700 W, #A Phone: (801) 773-4840 2121 N 1700 W Layton, Ut 84041 Layton, Ut 84041 UT Urban Medicaid Layton, Ut 84041 Phone: (801) 773-4840 Phone: (801) 773-8644 Phone: (801) 773-4840 Languages Spoken: Spanish UT Urban Medicaid Ward, Nathan Clark Md C UT Urban Medicaid Lakeview Obgyn UT Urban Medicaid Hawkes, Cody J Do C 620 E Medical Dr, #340 Bostrom, Samantha P Md C Forbush, Nathan G Md C Wee Care Pediatrics Bountiful, Ut 84010 Westside Medical Clinic Tanner Memorial Clinic 934 S Main St, #8 Phone: (801) 299-2229 1477 N 2000 W, #C 380 N 400 W Layton, Ut 84041 Languages Spoken: Spanish Clinton, Ut 84015 Kaysville, Ut 84037 Phone: (801) 773-8644 UT Urban Medicaid Phone: (801) 774-8888 Phone: (801) 773-4840 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish Zelenkov, Kristine Mary Md C UT Urban Medicaid Hildebrand, Pamela Japlit Md C Legacy Point Womens Center Burnett, Kara Elizabeth Md C Wasatch Pediatrics - Grow Up 3110 W 3 N, #B Wasatch Pediatrics - Grow Up Fruin, Claudia J Md C Great Clearfield, Ut 84015 Great Wasatch Pediatrics - Grow Up 620 E Medical Dr, #100 Phone: (801) 614-5270 620 E Medical Dr, #100 Great Bountiful, Ut 84010 Languages Spoken: Spanish Bountiful, Ut 84010 620 E Medical Dr, #100 Phone: (801) 295-2888 UT Urban Medicaid Phone: (801) 295-2888 Bountiful, Ut 84010 Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 295-2888 UT Urban Medicaid Pediatric Nurse UT Urban Medicaid Chen, Priscilla Aye Md C Hoagland, Jason Ray Md C Practitioner Wee Care Pediatrics Gabrielsen, Alvin A Md C Tanner Memorial Clinic Wee Care Pediatrics 2121 N 1700 W Bond-Jorgensen, Stacey Ann 2084 N 1700 W, #A Layton, Ut 84041 2084 N 1700 W, #A Layton, Ut 84041 Aprn D Layton, Ut 84041 Phone: (801) 773-4840 Wee Care Pediatrics Phone: (801) 773-8644 UT Urban Medicaid Phone: (801) 773-8644 UT Urban Medicaid 2084 N 1700 W, #A UT Urban Medicaid Layton, Ut 84041 Chen, Priscilla Aye Md C Husseman, Michael Patrick Md C Phone: (801) 773-8644 Wee Care Pediatrics Gabrielsen, Alvin A Md C Wee Care Pediatrics UT Urban Medicaid 934 S Main St, #8 Wee Care Pediatrics 2084 N 1700 W, #A Layton, Ut 84041 934 S Main St, #8 Layton, Ut 84041 Bond-Jorgensen, Stacey Ann Layton, Ut 84041 Phone: (801) 773-8644 Aprn D Phone: (801) 773-8644 UT Urban Medicaid Phone: (801) 773-8644 UT Urban Medicaid Wee Care Pediatrics UT Urban Medicaid 934 S Main St, #8 Coombs, Douglas Ray Md C Husseman, Michael Patrick Md C Layton, Ut 84041 520 E Medical Dr, #301 Giannini, Jacqueline K Md C Wee Care Pediatrics Phone: (801) 773-8644 Bountiful, Ut 84010 Wasatch Pediatrics - Grow Up 934 S Main St, #8 UT Urban Medicaid Phone: (801) 292-1464 Great Layton, Ut 84041 UT Urban Medicaid 620 E Medical Dr, #100 Phone: (801) 773-8644 Ellis-Benigni, Karen Aprn D Bountiful, Ut 84010 UT Urban Medicaid Wee Care Pediatrics Eberhard, Brent K Md C Phone: (801) 295-2888 2084 N 1700 W, #A Tanner Memorial Clinic UT Urban Medicaid Judd, Earl Robert Md C Layton, Ut 84041 2121 N 1700 W Wasatch Pediatrics - Grow Up Phone: (801) 773-8644 Layton, Ut 84041 Gilsoul, Jennifer Marion Md C Great UT Urban Medicaid Phone: (801) 773-4840 Wee Care Pediatrics 620 E Medical Dr, #100 UT Urban Medicaid 2084 N 1700 W, #A Bountiful, Ut 84010 Layton, Ut 84041 Phone: (801) 295-2888 Phone: (801) 773-8644 Languages Spoken: UT Urban Medicaid Portuguese, Spanish UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 42 Davis DPrimary Care Providers Network avis Kluthe, Margaret A Md C Owen, Robert Evan Md C Taveras-Espinal, Carmen Marila Christensen, Mandi J Pa C Midtown Community Health Tanner Memorial Clinic Md C Kaysville Clinic Center Davis County Medical 2038 W 1900 S Wee Care Pediatrics 120 S Main St Clinic Syracuse, Ut 84075 1792 W 1700 S, #102 Kaysville, Ut 84037 50 E State St Phone: (801) 773-4840 Syracuse, Ut 84075 Phone: (801) 544-4227 Farmington, Ut 84025 Languages Spoken: Spanish Phone: (801) 773-8644 UT Urban Medicaid Phone: (801) 451-3711 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Felshaw, Allison Savanna Pa C Owen, Robert Evan Md C Taveras-Espinal, Carmen Marila North Canyon Family Medicine & Kramer, Frank Dieter Md C Tanner Memorial Clinic Md C Aesthetics Tanner Memorial Clinic 2121 N 1700 W Wee Care Pediatrics 3263 S Hwy 89, #300 2121 N 1700 W Layton, Ut 84041 2084 N 1700 W, #A Bountiful, Ut 84010 Layton, Ut 84041 Phone: (801) 773-4840 Layton, Ut 84041 Phone: (801) 296-0600 Phone: (801) 773-4840 Languages Spoken: Spanish Phone: (801) 773-8644 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Gertge, Robert Neil Pa C Lam, Toan H Md C Owen, Robert Evan Md C Taveras-Espinal, Carmen Marila Layton Family Practice Wee Care Pediatrics Tanner Memorial Clinic Md C 124 S Fairfield Rd 2084 N 1700 W, #A 380 N 400 W Wee Care Pediatrics Layton, Ut 84041 Layton, Ut 84041 Kaysville, Ut 84037 934 S Main St, #8 Phone: (801) 546-9441 Phone: (801) 773-8644 Phone: (801) 773-4840 Layton, Ut 84041 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 773-8644 UT Urban Medicaid UT Urban Medicaid Greene, Douglas A Pa C Liou, Kathleen M Md C Rocky Mountain Family Practice Wasatch Pediatrics - Grow Up Pruitt, Anthony Gene Md C 214 W 1500 S Great Wee Care Pediatrics Physician Assistant Bountiful, Ut 84010 620 E Medical Dr, #100 2084 N 1700 W, #A Berger, Vicki Linn Pa D Phone: (801) 295-6483 Bountiful, Ut 84010 Layton, Ut 84041 Wee Care Pediatrics UT Urban Medicaid Phone: (801) 295-2888 Phone: (801) 773-8644 2084 N 1700 W, #A D UT Urban Medicaid Languages Spoken: Chinese Layton, Ut 84041 Hansen, Davin Boyd Pa UT Urban Medicaid Wee Care Pediatrics Lloyd, Michael B Md C Phone: (801) 773-8644 2084 N 1700 W, #A Wee Care Pediatrics Pruitt, Anthony Gene Md C UT Urban Medicaid Layton, Ut 84041 2084 N 1700 W, #A Wee Care Pediatrics Berger, Vicki Linn Pa D Phone: (801) 773-8644 Layton, Ut 84041 934 S Main St, #8 Wee Care Pediatrics UT Urban Medicaid Phone: (801) 773-8644 Layton, Ut 84041 934 S Main St, #8 D UT Urban Medicaid Phone: (801) 773-8644 Layton, Ut 84041 Hansen, Davin Boyd Pa Languages Spoken: Chinese Phone: (801) 773-8644 Wee Care Pediatrics Lloyd, Michael B Md C UT Urban Medicaid 934 S Main St, #8 Wee Care Pediatrics UT Urban Medicaid Layton, Ut 84041 934 S Main St, #8 Roberts, Joseph Allen Md C Bowden, Craig S Pa C Phone: (801) 773-8644 Layton, Ut 84041 Nightime Urgent Care Midtown Community Health UT Urban Medicaid Phone: (801) 773-8644 575 Medical Dr Center Davis County Medical C UT Urban Medicaid Bountiful, Ut 84010 Clinic Heder, Lane Orr Pa Phone: (801) 352-9500 50 E State St Davis Family Physicians Macgregor, Elenor Do C UT Urban Medicaid 3225 W Gordon Ave, #1 Wee Care Pediatrics Farmington, Ut 84025 Layton, Ut 84041 1792 W 1700 S, #102 Sigg, Laurent Christophe Md C Phone: (801) 451-3711 Phone: (801) 773-7232 Syracuse, Ut 84075 Wee Care Pediatrics Languages Spoken: German, Languages Spoken: Afrikaans, Phone: (801) 773-8644 2084 N 1700 W, #A Spanish Spanish UT Urban Medicaid Layton, Ut 84041 UT Urban Medicaid UT Urban Medicaid Phone: (801) 773-8644 Bunnell, Robert Lee Pa C Macgregor, Elenor Do C UT Urban Medicaid Horning, Ryan R Pa C Wee Care Pediatrics Wee Care Pediatrics Midtown Community Health 2084 N 1700 W, #A Sigg, Laurent Christophe Md C 2084 N 1700 W, #A Center Davis County Medical Layton, Ut 84041 Wee Care Pediatrics Layton, Ut 84041 Clinic Phone: (801) 773-8644 934 S Main St, #8 Phone: (801) 773-8644 50 E State St UT Urban Medicaid Layton, Ut 84041 UT Urban Medicaid Farmington, Ut 84025 Phone: (801) 773-8644 Phone: (801) 451-3711 C Carlson, Dennis Jason Pa D Macgregor, Elenor Do UT Urban Medicaid Wee Care Pediatrics Languages Spoken: Spanish Wee Care Pediatrics UT Urban Medicaid 934 S Main St, #8 Silas, Peter E Md C 2084 N 1700 W, #A Layton, Ut 84041 Wee Care Pediatrics Layton, Ut 84041 Larsen, Brad R Pa C Phone: (801) 773-8644 2084 N 1700 W, #A Phone: (801) 773-8644 Midtown Community Health UT Urban Medicaid Layton, Ut 84041 UT Urban Medicaid Center Davis County Medical Phone: (801) 773-8644 Clinic C Carlson, Dennis Jason Pa D Nye, Noel Christian Do UT Urban Medicaid Wee Care Pediatrics 50 E State St Tanner Memorial Clinic Farmington, Ut 84025 C 934 S Main St, #8 2121 N 1700 W Silas, Peter E Md Layton, Ut 84041 Phone: (801) 451-3711 Layton, Ut 84041 Wee Care Pediatrics Phone: (801) 773-8644 Languages Spoken: Spanish Phone: (801) 773-4840 934 S Main St, #8 UT Urban Medicaid UT Urban Medicaid Layton, Ut 84041 UT Urban Medicaid Phone: (801) 773-8644 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 43 Davis Primary Care Providers Network Garfield Maxwell, Roderick D Pa D Smith III, Russell N Md C Staker, Gregory L Md C Gibby, Mark Hyrum Md C Wee Care Pediatrics Northeastern Utah Medical Group Northeastern Utah Medical Group Preston Family Medicine 2084 N 1700 W, #A 210 W 300 N, #75-3 210 W 300 N, #75-3 45 N 100 E Layton, Ut 84041 Roosevelt, Ut 84066 Roosevelt, Ut 84066 Preston, Id 83263 Phone: (801) 773-8644 Phone: (435) 725-2000 Phone: (435) 725-2000 Phone: (208) 852-3755 UT Urban Medicaid UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Maxwell, Roderick D Pa D Wells, John Spencer Md C Wee Care Pediatrics Northeastern Utah Medical Group Physician Assistant Garfield County 934 S Main St, #8 210 W 300 N, Ste 75-3 Larsen, Brett C Pa C Layton, Ut 84041 Roosevelt, Ut 84066 Northeastern Utah Medical Group Phone: (801) 773-8644 Phone: (435) 722-3971 210 W 300 N, #75-3 Advanced Practice UT Urban Medicaid UT Rural Medicaid Roosevelt, Ut 84066 Midwife Robins III, Mont Clinton Pa C White, Gary B Md C Phone: (435) 725-2000 UT Rural Medicaid Brown, Deann R Cnm C Layton Family Practice Northeastern Utah Medical Group Garfield Memorial Clinic 124 S Fairfield Rd 210 W 300 N, #75-3 200 N 400 E Layton, Ut 84041 Roosevelt, Ut 84066 Elko County Panguitch, Ut 84759 Phone: (801) 546-9441 Phone: (435) 725-2000 Phone: (435) 676-8842 UT Urban Medicaid Languages Spoken: UT Rural Medicaid Portuguese, Spanish Family Medicine Sandberg, Emily Pa C UT Rural Medicaid Legacy Point Family Medicine Hsing, Grant Md C Family Medicine Center Internal Medicine Wendover Community Health Birch, Richard G Do C 3110 W 300 N, #A Center Garfield Memorial Clinic West Point, Ut 84015 Maready, Douglas Milan Md C 925 Wells Ave 200 N 400 E Phone: (801) 614-5140 Northeastern Utah Medical Group West Wendover, Nv 89883 Panguitch, Ut 84759 UT Urban Medicaid 210 W 300 N, #75-3 Phone: (775) 664-2220 Phone: (435) 676-8842 Smith, Traysa Suzzann Pa C Roosevelt, Ut 84066 UT Rural Medicaid UT Rural Medicaid Phone: (435) 725-2000 Layton Family Practice C 124 S Fairfield Rd Languages Spoken: Finnish Birch, Richard G Do UT Rural Medicaid Emery County Garfield Memorial Clinic Layton, Ut 84041 25 S Red Rock Dr Phone: (801) 546-9441 Smith, Kent E Md C Cannonville, Ut 84718 UT Urban Medicaid Northeastern Utah Medical Group Family Medicine Phone: (435) 679-8545 Syddall, Tracy Pa C 210 W 300 N, #75-3 C UT Rural Medicaid Roosevelt, Ut 84066 Bovos, Mike E Md Uuhc Centerville Clinic Emery Medical Center C 26 S Main St Phone: (435) 725-2000 Miller, Mitchell R Do UT Rural Medicaid 90 W Main St Garfield Memorial Clinic Centerville, Ut 84014 Castle Dale, Ut 84513 200 N 400 E Phone: (801) 693-7900 Obstetrics And Phone: (435) 381-2305 Panguitch, Ut 84759 UT Urban Medicaid Languages Spoken: Greek Phone: (435) 676-8842 Gynecology UT Rural Medicaid UT Rural Medicaid Duchesne County Nolte, John D Md C Family Nurse Miller, Mitchell R Do C Northeastern Utah Medical Group Kazan Memorial Clinic 210 W 300 N, #75-3 Practitioner Family Medicine 65 N Center St Roosevelt, Ut 84066 Bardsley, Christine R Aprn C Escalante, Ut 84726 Graham, Gary F Md C Phone: (435) 725-2000 Emery Medical Center Phone: (435) 826-4374 Northeastern Utah Medical Group UT Rural Medicaid 90 W Main St UT Rural Medicaid 210 W 300 N, #75-3 Syndergaard, Clayton Scott Do C Castle Dale, Ut 84513 Mooney, Todd Stanley Md C Roosevelt, Ut 84066 Northeastern Utah Medical Group Phone: (435) 381-2305 Garfield Memorial Clinic Phone: (435) 725-2000 210 W 300 N, #75-3 UT Rural Medicaid 200 N 400 E Languages Spoken: German Roosevelt, Ut 84066 Panguitch, Ut 84759 UT Rural Medicaid Phone: (435) 725-2000 Internal Medicine Phone: (435) 676-8842 UT Rural Medicaid Morrill, Lawrence Lynn Do C Allen, Glori M Md C UT Rural Medicaid Northeastern Utah Medical Group Williams, Ben Douglas Md C Green River Medical Center Mooney, Todd Stanley Md C 210 W 300 N, #75-3 Northeastern Utah Medical Group 585 W Main St Garfield Memorial Clinic Roosevelt, Ut 84066 210 W 300 N, #75-3 Green River, Ut 84525 25 S Red Rock Dr Phone: (435) 725-2000 Roosevelt, Ut 84066 Phone: (435) 564-3434 Cannonville, Ut 84718 UT Rural Medicaid Phone: (435) 725-2000 UT Rural Medicaid Phone: (435) 679-8545 Robertson, Glenn L Md C Languages Spoken: Korean UT Rural Medicaid Northeastern Utah Medical Group UT Rural Medicaid Franklin County 210 W 300 N, #75-3 Family Nurse Pediatrics Roosevelt, Ut 84066 Practitioner Phone: (435) 725-2000 Beales, Jason S Md C Family Medicine UT Rural Medicaid Northeastern Utah Medical Group Roberts, Becky Sue Aprn C Beckstead, David Bradley Md C Garfield Memorial Clinic 210 W 300 N, #75-3 41 N 100 E Roosevelt, Ut 84066 200 N 400 E Preston, Id 83263 Panguitch, Ut 84759 Phone: (435) 725-2000 Phone: (208) 852-3851 UT Rural Medicaid Phone: (435) 676-8842 UT Rural Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 44 Garfield IPrimary Care Providers Network ron Roberts, Becky Sue Aprn C Williams, Katherine K Md C Bunker, Clint O Do C Parson, Broc B Do C Kazan Memorial Clinic 38 W 300 S Intermountain Cedar City Clinic Intermountain Cedar City Clinic 65 N Center St Moab, Ut 84532 1303 N Main St, #3c 1303 N Main St, #3c Escalante, Ut 84726 Phone: (435) 259-7121 Cedar City, Ut 84720 Cedar City, Ut 84720 Phone: (435) 826-4374 UT Rural Medicaid Phone: (435) 868-5500 Phone: (435) 868-5500 UT Rural Medicaid UT Rural Medicaid Languages Spoken: Spanish Williams, Kenneth Lewis Md C UT Rural Medicaid 38 W 300 S Gardner, Ellen F Md C Graham County Moab, Ut 84532 Intermountain Canyon View Polson, Drew E Md C Phone: (435) 259-7121 Clinic Cedar Medical Clinic UT Rural Medicaid 15 E 400 N 440 N Paiute Dr Family Nurse Parowan, Ut 84761 Cedar City, Ut 84720 Practitioner Family Nurse Phone: (435) 477-3317 Phone: (435) 867-1520 UT Rural Medicaid UT Rural Medicaid Paulson, Jennifer Sue Np C Practitioner Safford Community Health Center Gray, Jarid D Md C Smith, Lance C Md C Stanford, Melinda J Aprn C Cedar Medical Clinic Parowan Medical Clinic 618 S Central Moab Regional Medical Clinic Safford, Az 85546 440 N Paiute Dr 450 E Clinic Way 380 N 500 W, #2 Cedar City, Ut 84720 Parowan, Ut 84761 Phone: (928) 428-1500 Moab, Ut 84532 UT Rural Medicaid Phone: (435) 867-1520 Phone: (435) 477-3344 Phone: (435) 259-8755 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Grand County Gray, Jarid D Md C Smith, Roger Hal Md C Pediatrics Cedar Ridge Family Medicine Parowan Medical Clinic 110 W 1325 N, #200 450 E Clinic Way Family Medicine Allen, Louis S Md C Cedar City, Ut 84720 Parowan, Ut 84761 Children With Special Healthcare Phone: (435) 586-7676 Phone: (435) 477-3344 Andrew, Ray Allen Md C Needs UT Rural Medicaid UT Rural Medicaid 255 W Williams Way 471 S Main St, #4 Moab, Ut 84532 Moab, Ut 84532 Marshall, Thomas Tebbs Md C Family Nurse Phone: (435) 259-4466 Phone: (435) 259-5602 Intermountain Cedar City Clinic Languages Spoken: Spanish UT Rural Medicaid 1303 N Main St, #3c Practitioner UT Rural Medicaid Cedar City, Ut 84720 Carbone, Paul Sean Md D Phone: (435) 868-5500 Lister, Donna J Aprn C Fisher, Mahana S Md C Children With Special Healthcare UT Rural Medicaid Intermountain Canyon View Spanish Valley Clinic Needs Clinic 11850 Hwy 191, #B10 471 S Main St, #4 Newman, Steven Richard Md C 15 E 400 N Moab, Ut 84532 Moab, Ut 84532 Cedar Medical Clinic Parowan, Ut 84761 Phone: (435) 259-7606 Phone: (435) 259-5602 440 N Paiute Dr Phone: (435) 477-3317 UT Rural Medicaid Languages Spoken: Spanish Cedar City, Ut 84720 UT Rural Medicaid UT Rural Medicaid Phone: (435) 867-1520 Munger, Jonas Seth Md C UT Rural Medicaid Robbins, Brett E Np C Moab Family Practices Cedar Valley Medical Clinic 38 W 300 S Iron County Newman, Steven Richard Md C 2002 N Main St, #3 Moab, Ut 84532 Cedar Ridge Family Medicine Cedar City, Ut 84721 Phone: (435) 259-7121 110 W 1325 N, #200 Phone: (435) 867-1960 UT Rural Medicaid Advanced Practice Cedar City, Ut 84720 UT Rural Medicaid Midwife Phone: (435) 586-7676 Reay, Paul Robert Md C UT Rural Medicaid Whittemore, Karen W Np C Spanish Valley Clinic Hansen, Susan Laurie Cnm C Family Healthcare 11850 Hwy 191, #B10 1303 N Main St, #E Newman, Steven R Md C 74 W Harding Ave Moab, Ut 84532 Cedar City, Ut 84720 Valley View Medical Center Cedar City, Ut 84720 Phone: (435) 259-7606 Phone: (435) 865-9222 1303 N Main Phone: (435) 865-1387 Languages Spoken: French, UT Rural Medicaid Cedar City, Ut 84721 UT Rural Medicaid Navajo, Spanish Phone: (435) 586-7676 UT Rural Medicaid Family Medicine UT Rural Medicaid Internal Medicine C Rouzer, Steven V Md C C North, Jason Karl Do Aggarwal, Nupur Md C Moab Medical Center Allen, Daniel Jude Do Cedar Ridge Family Medicine Intermountain Cedar City Clinic 380 N 500 W Cedar Medical Clinic 110 W 1325 N, #200 1303 N Main St, #3c Moab, Ut 84532 440 N Paiute Dr Cedar City, Ut 84720 Cedar City, Ut 84720 Phone: (435) 259-0408 Cedar City, Ut 84720 Phone: (435) 586-7676 Phone: (435) 868-5500 Phone: (435) 867-1520 UT Rural Medicaid UT Rural Medicaid Languages Spoken: Spanish UT Rural Medicaid Slavens, Gary D Md C UT Rural Medicaid Oakden, Richard Wade Md C Hendrix, Bruce Allen Md C Moab Regional Medical Clinic C Parowan Medical Clinic Intermountain Cedar City Clinic 476 W Williams Way Allen, Daniel Jude Do 450 E Clinic Way 1303 N Main St, #3c Moab, Ut 84532 Cedar Ridge Family Medicine Parowan, Ut 84761 Cedar City, Ut 84720 Phone: (435) 719-5500 110 W 1325 N, #200 Phone: (435) 477-3344 Phone: (435) 868-5500 UT Rural Medicaid Cedar City, Ut 84720 Languages Spoken: Spanish UT Rural Medicaid Phone: (435) 586-7676 UT Rural Medicaid Languages Spoken: Spanish UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 45 Iron MPrimary Care Providers Network illard Smith, Philip E Md C Miller, Gia Degiovanni Md C Rasmussen, Grant J Md C Ott, Darin Dale Do C Intermountain Cedar City Clinic Premier Pediatrics Nephi Medical Clinic Kane County Medical Clinic 1303 N Main St, #3c 1251 N Northfield Rd, #301 48 W 1500 N 355 N Main St Cedar City, Ut 84720 Cedar City, Ut 84720 Nephi, Ut 84648 Kanab, Ut 84741 Phone: (435) 868-5500 Phone: (435) 865-7227 Phone: (435) 623-3200 Phone: (435) 644-4100 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Obstetrics And Newbold, Scott Gilbert Do C Rosenbeck, James Franklin Do C Salter, David Michael Md C Premier Pediatrics Nephi Medical Clinic Kane County Medical Clinic Gynecology 1251 N Northfield Rd, #301 48 W 1500 N 355 N Main St Cedar City, Ut 84720 Nephi, Ut 84648 Kanab, Ut 84741 Bilanzich, Travis John Md C Phone: (435) 865-7227 Phone: (435) 623-3200 Phone: (435) 644-4100 Intermountain Cedar City Clinic Languages Spoken: Spanish UT Rural Medicaid UT Rural Medicaid 1303 N Main St, #3c UT Rural Medicaid Cedar City, Ut 84720 Taylor, Jerald Bruce Do C Phone: (435) 868-5500 Nielson, Craig Scott Do C Nephi Medical Clinic Millard County UT Rural Medicaid Color Country Pediatrics 48 W 1500 N 1333 N Main St Nephi, Ut 84648 Gatherum, Daren Owen Md C Cedar City, Ut 84720 Phone: (435) 623-3200 Family Medicine Intermountain Cedar City Clinic Phone: (435) 865-0218 UT Rural Medicaid 1303 N Main St, #3c UT Rural Medicaid Abbott, Justin D Do C Cedar City, Ut 84720 Fillmore Community Medical Phone: (435) 868-5500 Family Nurse Center UT Rural Medicaid Physician Assistant Practitioner 674 S Hwy 99 Fillmore, Ut 84631 Heath, Terence Alon Md C Heaton, Rex Pa C Gasser, Brian Dell Np C Cedar Medical Clinic Phone: (435) 743-5591 Cedar City Institute Of Womens Nephi Medical Clinic UT Rural Medicaid Health 440 N Paiute Dr 48 W 1500 N 110 W 1325 N, #300 Cedar City, Ut 84720 Nephi, Ut 84648 Allen, Daniel Jude Do C Cedar City, Ut 84720 Phone: (435) 867-1520 Phone: (435) 623-3200 Kanosh Medical Clinic Phone: (435) 865-9500 UT Rural Medicaid UT Rural Medicaid 157 N Paiute Dr UT Rural Medicaid Tully, Jacqueline Rachel Pa C Kanosh, Ut 84637 Mangelson, Christie L Np C Phone: (435) 759-2610 Mills, Lisa Ann Md C Cedar City Institute Of Womens Nephi Medical Clinic Health Languages Spoken: Spanish Intermountain Cedar City Clinic 48 W 1500 N UT Rural Medicaid 1303 N Main St, #3c 110 W 1325 N, #300 Nephi, Ut 84648 Cedar City, Ut 84720 Cedar City, Ut 84720 Phone: (435) 623-3200 Barker, Lance Md C Phone: (435) 686-5500 Phone: (435) 865-9500 UT Rural Medicaid Fillmore Community Medical UT Rural Medicaid Languages Spoken: Spanish Center UT Rural Medicaid Internal Medicine 674 S Hwy 99 Sanders, Stephen Michael Md C Fillmore, Ut 84631 Cedar City Institute Of Womens Wilcken, Julie A Pa C Cedar Medical Clinic Peterson, Michael Cary Md C Phone: (435) 743-5591 Health Nephi Medical Clinic UT Rural Medicaid 110 W 1325 N, #300 440 N Paiute Dr Cedar City, Ut 84720 48 W 1500 N Cedar City, Ut 84720 Nephi, Ut 84648 Brown, Wayne O Md C Phone: (435) 865-9500 Phone: (435) 867-1520 Intermountain Fillmore Clinic UT Rural Medicaid Phone: (435) 623-3200 Languages Spoken: Spanish Languages Spoken: Korean 700 S Hwy 99, #3 UT Rural Medicaid UT Rural Medicaid Fillmore, Ut 84631 Juab County Phone: (435) 743-5555 Pediatrics Obstetrics And UT Rural Medicaid Burrows, Brian Neal Md C Family Medicine Gynecology Davie, Daniel G Md C Color Country Pediatrics Fillmore Community Medical 1333 N Main St Besendorfer, James M Md C Bailey, Stanton A Md C Center Cedar City, Ut 84720 Nephi Medical Clinic Nephi Medical Clinic 674 S Hwy 99 Phone: (435) 865-0218 48 W 1500 N 48 W 1500 N Fillmore, Ut 84631 UT Rural Medicaid Nephi, Ut 84648 Nephi, Ut 84648 Phone: (435) 743-5591 Phone: (435) 623-3200 Phone: (435) 623-3200 UT Rural Medicaid Dowse, Robert Kenneth Md C UT Rural Medicaid Languages Spoken: Dutch, Premier Pediatrics Turkish Evans, Matthew Craig Md C 1251 N Northfield Rd, #301 Jones, Marc Fredrick Do C UT Rural Medicaid Fillmore Community Medical Cedar City, Ut 84720 Nephi Medical Clinic Center Phone: (435) 865-7227 48 W 1500 N 674 S Hwy 99 UT Rural Medicaid Nephi, Ut 84648 Kane County Fillmore, Ut 84631 Phone: (435) 623-3200 Phone: (435) 743-5591 Miller, Gia Degiovanni Md C UT Rural Medicaid UT Rural Medicaid Color Country Pediatrics Family Medicine Gray, Jarid D Md C 1333 N Main St Oveson, Mark C Md C C Cedar City, Ut 84720 Nephi Medical Clinic Bowman, Jonathan Craig Md Fillmore Community Medical Phone: (435) 865-0218 48 W 1500 N Kane County Medical Clinic Center UT Rural Medicaid Nephi, Ut 84648 355 N Main St 674 S Hwy 99 Phone: (435) 623-3200 Kanab, Ut 84741 Fillmore, Ut 84631 Languages Spoken: Spanish Phone: (435) 644-4100 Phone: (435) 743-5591 Languages Spoken: Spanish UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 46 Millard RPrimary Care Providers Network ich Gray, Jarid D Md C Internal Medicine Kanosh Medical Clinic Morgan County Piute County 157 N Paiute Dr Hansen, Marlan L Md C Kanosh, Ut 84637 Fillmore Community Medical Phone: (435) 759-2610 Center Family Medicine Family Medicine UT Rural Medicaid 674 S Hwy 99 Fillmore, Ut 84631 Bruce, Stephen J Md C Miller, Mitchell R Do C Grose, Craig M Md C Phone: (435) 743-5591 Morgan Health Center Bryce Valley Clinic Intermountain Fillmore Clinic UT Rural Medicaid 166 N State St 10 W Center St 700 S Hwy 99, #3 Morgan, Ut 84050 Circleville, Ut 84723 Fillmore, Ut 84631 Mitchell, Charles R Md C Phone: (801) 829-3426 Phone: (435) 676-8811 Phone: (435) 743-5555 Delta Community Medical Center UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid 126 S White Sage Ave Delta, Ut 84624 Holland, Gary F Md C Miller, Mitchell R Do C Jackson, Brent D Md C Phone: (435) 864-5591 5226 W Frontier St Circleville Clinic Intermountain Fillmore Clinic UT Rural Medicaid Morgan, Ut 84050 145 W Main St 700 S Hwy 99, #3 Phone: (801) 368-0671 Circleville, Ut 84723 Fillmore, Ut 84631 Mitchell, Charles R Md C Languages Spoken: Spanish Phone: (435) 577-2958 Phone: (435) 743-5555 Fillmore Community Medical UT Rural Medicaid UT Rural Medicaid Center Languages Spoken: German Mcclellan, Bruce Clark Md C UT Rural Medicaid 674 S Hwy 99 Family Nurse Fillmore, Ut 84631 Morgan Health Center Newman, Steven Richard Md C Phone: (435) 743-5591 166 N State St Practitioner Kanosh Medical Clinic UT Rural Medicaid Morgan, Ut 84050 Phone: (801) 829-3426 Roberts, Becky Sue Aprn C 157 N Paiute Dr Circleville Clinic Kanosh, Ut 84637 Peterson, Michael Cary Md C Languages Spoken: Spanish UT Rural Medicaid 145 W Main St Phone: (435) 759-2610 Fillmore Community Medical Circleville, Ut 84723 UT Rural Medicaid Center 674 S Hwy 99 Internal Medicine Phone: (435) 577-2958 Polson, Drew E Md C Fillmore, Ut 84631 UT Rural Medicaid Kanosh Medical Clinic Phone: (435) 743-5591 Sadiq, Smitha Md C 157 N Paiute Dr UT Rural Medicaid Morgan Health Center Rich County Kanosh, Ut 84637 166 N State St Phone: (435) 759-2610 Physician Assistant Morgan, Ut 84050 UT Rural Medicaid Phone: (801) 829-3426 Family Medicine Heaton, Rex Pa C Languages Spoken: French, Shamo, Steven Wayne Md C Kanosh Medical Clinic Hindi, Spanish Fonnesbeck, Brant W Do C Delta Family Medicine 157 N Paiute Dr UT Rural Medicaid Bear Lake Community Health 140 S White Sage Ave Kanosh, Ut 84637 Center Delta, Ut 84624 Phone: (435) 759-2610 Physician Assistant 325 W Logan Hwy Phone: (435) 864-3333 UT Rural Medicaid Garden City, Ut 84028 UT Rural Medicaid Bybee, Alan N Pa C Phone: (435) 946-3660 Wilcken, Julie A Pa C Morgan Health Center UT Rural Medicaid Smith, Alan R Md C Kanosh Medical Clinic 166 N State St Delta Family Medicine 157 N Paiute Dr Morgan, Ut 84050 Hyldahl, Douglas R Md C 140 S White Sage Ave Kanosh, Ut 84637 Phone: (801) 829-3426 Bear Lake Community Health Delta, Ut 84624 Phone: (435) 759-2610 Languages Spoken: French Center Phone: (435) 864-3333 UT Rural Medicaid UT Rural Medicaid 325 W Logan Hwy UT Rural Medicaid Garden City, Ut 84028 Gertge, Robert Neil Pa C Phone: (435) 946-3660 Wardle, Mark Lee Do C Mohave County Layton Family Practice UT Rural Medicaid Fillmore Community Medical 166 N State St Center Morgan, Ut 84050 Jones, Aaron W Md C 674 S Hwy 99 Obstetrics And Phone: (801) 829-3426 Bear Lake Community Health Fillmore, Ut 84631 UT Rural Medicaid Center Phone: (435) 743-5591 Gynecology 325 W Logan Hwy UT Rural Medicaid Loeb, Lola J Md C Garden City, Ut 84028 Northwest Arizona Regional Navajo County Phone: (435) 946-3660 Family Nurse Health Center Languages Spoken: Spanish Practitioner I-15 Exit 9 @ Fire Station UT Rural Medicaid Littlefield,A z 86432 Physician Assistant Cazier, Sonja Aprn C Phone: (928) 347-5971 Hinde, Jacqueline J Pa C Family Nurse Delta Family Medicine UT Rural Medicaid Chilchinbeto Clinic Practitioner 140 S White Sage Ave Behind Chilchinbeto Chapter Hse Delta, Ut 84624 Physician Assistant Kayenta, Az 86033 Boyer, Ben P Np C Phone: (435) 864-3333 Bear Lake Community Health Finlinson, Brandon K Pa C Phone: (928) 697-8154 UT Rural Medicaid UT Rural Medicaid Center Northwest Arizona Regional 325 W Logan Hwy Health Center Garden City, Ut 84028 I-15 Exit 9 @ Fire Station Phone: (435) 946-3660 Littlefield,A z 86432 Languages Spoken: Spanish Phone: (928) 347-5971 UT Rural Medicaid Languages Spoken: Spanish UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 47 Rich Primary Care Providers Network Salt Lake Speth, Chad Brent Np C Jones, Julie M Cnm C Smithers, Jacqueline Cnm C Bear Lake Community Health Salt Lake County Riverton Healthcare For Women Womens Health Services Center 3409 W 12600 S, #110 7084 S 2300 E, #110 325 W Logan Hwy Riverton, Ut 84065 , Ut 84121 Garden City, Ut 84028 Adult Health Nurse Phone: (801) 265-1266 Phone: (801) 942-5814 Phone: (435) 946-3660 Practitioner Languages Spoken: UT Urban Medicaid UT Rural Medicaid Portuguese, Spanish Flattes, Valerie Jean Aprn C UT Urban Medicaid Summerhays, Haley M Cnm C Obstetrics And Nurse Practitioner Healthcare Midvale Family Health Clinic Associates Jones, Julie M Cnm C 7852 Pioneer St Gynecology 4568 S Highland Dr, #290 166 E 5900 S, #B104 Midvale, Ut 84047 Salt Lake City, Ut 84117 Murray, Ut 84107 Phone: (801) 561-2211 Crane, F Michael Md C Phone: (801) 274-6127 Phone: (801) 265-1266 UT Urban Medicaid Bear Lake Community Health UT Urban Medicaid Languages Spoken: Center Portuguese, Spanish Summerhays, Haley M Cnm C 325 W Logan Hwy Vlam, Sheri Lynn Aprn C UT Urban Medicaid Multispecialty Partners Garden City, Ut 84028 South Summit Pediatrics 24 E 1100 S Phone: (435) 946-3660 267 E Traversepoint Dr Lusty, Kaydon B Cnm C Salt Lake City, Ut 84102 Languages Spoken: Finnish Draper, Ut 84020 Ob/Gyn Associates Phone: (801) 746-4440 UT Rural Medicaid Phone: (801) 553-8300 1151 E 3900 S, #B299 UT Urban Medicaid UT Urban Medicaid Holladay, Ut 84124 Physician Assistant Phone: (801) 268-6811 Thacker, Paula G Cnm C Advanced Practice UT Urban Medicaid Riverton Healthcare For Women Allred, Heather B Pa C 3409 W 12600 S, #110 Bear Lake Community Health Midwife Miller, Kathleen G Cnm C Riverton, Ut 84065 Center Mt Olympus Ob/Gyn Phone: (801) 265-1266 325 W Logan Hwy Barnard, Peter Scott Cnm C 1220 E 3900 S, #3e UT Urban Medicaid Garden City, Ut 84028 Ob/Gyn Associates Holladay, Ut 84124 Phone: (435) 946-3660 1151 E 3900 S, #B299 Phone: (801) 685-7188 Family Medicine UT Rural Medicaid Holladay, Ut 84124 UT Urban Medicaid Phone: (801) 268-6811 Albano, Joseph Md C Ballingham, David Jay Pa C UT Urban Medicaid Montiel, Amanda Sue Cnm C Salt Lake Regional Family Practice Bear Lake Community Health Centro De Salud Familiar & Sports Medicine Batson, Margaret K Cnm C 24 E 1100 S, #209 Center Alpine Ob/Gyn & Pediatrics 4888 S Highland Dr 325 W Logan Hwy Salt Lake City, Ut 84102 Salt Lake City, Ut 84117 1060 E 100 S, #400 Phone: (801) 214-7650 Garden City, Ut 84028 Salt Lake City, Ut 84102 Phone: (801) 424-5042 Phone: (435) 946-3660 Languages Spoken: Spanish UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 521-2640 UT Urban Medicaid UT Rural Medicaid UT Urban Medicaid Albano, Joseph Md C Oneal, Andrea Vicki Cnm C Blair, Veronica Carol Cnm C Salt Lake Regional Family Practice Gracey, Nathan J Pa C Ob/Gyn Associates & Sports Medicine 74 Kimballs Ln, #330 1151 E 3900 S, #B299 Bear Lake Community Health Draper, Ut 84020 9350 S 150 E, #450 Center Holladay, Ut 84124 Sandy, Ut 84070 Phone: (801) 523-3053 Phone: (801) 268-6811 325 W Logan Hwy UT Urban Medicaid Phone: (801) 424-5042 Garden City, Ut 84028 UT Urban Medicaid UT Urban Medicaid Phone: (435) 946-3660 Breinholt, Lindsay P Cnm C Sahuc, Martha Kay Cnm C UT Rural Medicaid Mt Olympus Ob/Gyn Allen, Brandon R Md D Exodus Healthcare - West Valley Granger Medical Clinic 1220 E 3900 S, #3e 3336 S Pioneer Pkwy, #201 Patterson, Julie Ann Pa C Holladay, Ut 84124 3181 W 9000 S Bear Lake Community Health West Valley City, Ut 84120 West Jordan, Ut 84088 Phone: (801) 685-7188 Phone: (801) 417-0060 Center UT Urban Medicaid Phone: (801) 352-5900 325 W Logan Hwy UT Urban Medicaid UT Urban Medicaid Garden City, Ut 84028 Fought, Theresa Marie Cnm C Sahuc, Martha Kay Cnm C Phone: (435) 946-3660 Copper Canyon Womens Center Allen, Brandon R Md D Languages Spoken: Chinese Magna Center For Family Granger Medical Clinic 3336 S Pioneer Pkwy, #301 Medicine UT Rural Medicaid Salt Lake City, Ut 84120 3725 W 4100 S 3665 S 8400 W, #110 West Valley City, Ut 84120 Phone: (801) 964-3865 Magna, Ut 84044 Pulley, Jeffrey Pa C UT Urban Medicaid Phone: (801) 965-3600 Bear Lake Community Health Phone: (801) 250-9638 UT Urban Medicaid Center Hake Brooks, Sara Jane Cnm C UT Urban Medicaid 325 W Logan Hwy Salt Lake Regional Womens Clinic Allen, Richard Elliot Md C Garden City, Ut 84028 Shifrar, Jacolin Anne Cnm C St Marks Family Medicine Clinic 24 E 1100 S, #209 Gynecology Affiliates Phone: (435) 946-3660 Salt Lake City, Ut 84102 1250 E 3900 S, #260 UT Rural Medicaid 1140 E 3900 S, #300 Salt Lake City, Ut 84124 Phone: (801) 214-7650 Salt Lake City, Ut 84124 UT Urban Medicaid Phone: (801) 265-2000 Phone: (801) 268-8222 UT Urban Medicaid Hake Brooks, Sara Jane Cnm C UT Urban Medicaid Salt Lake Regional Womens Clinic Allred, Don Preston Do D Shifrar, Jacolin Anne Cnm C Riverton Family Health Center 7852 S Pioneer St South Valley Womens Health Care Midvale, Ut 84047 1756 W Park Ave 3570 W 9000 S, #210 Riverton, Ut 84065 Phone: (801) 214-7650 West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 254-0309 Phone: (801) 569-2626 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 48 Salt Lake Primary Care Providers Network Salt Lake Anders, Scott Gerald Md C Baiden, Erica Nancy Md C Clayton, Kimberly D Md C Day, Stefani J Md C Alta Internal Medicine Granger Medical Clinic Magna Center For Family Chc - Central City 74 Kimballs Ln, #300 3725 W 4100 S Medicine 461 S 400 E Draper, Ut 84020 West Valley City, Ut 84120 3665 S 8400 W, #110 Salt Lake City, Ut 84111 Phone: (801) 572-0311 Phone: (801) 965-3600 Magna, Ut 84044 Phone: (801) 539-8617 UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 250-9638 Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Andersen, Dana A Md D Granger Medical Clinic Bank, Stacey Md C Cochella, Susan Elizabeth Md C Daynes, Gregory Sharp Md C 2751 W 9000 S St Marks Millcreek Primary Care Uuhc Sugarhouse Clinic Herriman Family Medicine West Jordan, Ut 84088 4465 S 900 E, #200 1138 Wilmington Ave 5746 W 13400 S Phone: (801) 352-5900 Salt Lake City, Ut 84124 Salt Lake City, Ut 84106 Herriman, Ut 84065 UT Urban Medicaid Phone: (801) 266-2777 Phone: (801) 581-2000 Phone: (801) 253-4001 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish Andersen, Dana A Md D UT Urban Medicaid Granger Medical Clinic Banks, Amy Lorraine Md C Collett, Camille Md C 3181 W 9000 S Olympus Clinic Group Chc - Oquirrh View Daynes, Randall P Md D West Jordan, Ut 84088 4624 S Holladay Blvd 4745 S 3200 W Holladay Family Practice Phone: (801) 352-5900 Holladay, Ut 84117 Salt Lake City, Ut 84118 999 Murray Holladay Rd, #207 UT Urban Medicaid Phone: (801) 277-2682 Phone: (801) 964-6214 Salt Lake City, Ut 84117 UT Urban Medicaid UT Urban Medicaid Phone: (801) 268-2584 Andersen, Dana A Md D UT Urban Medicaid Granger Medical Clinic Berneike, John A Md C Collett, Camille Md C 3725 W 4100 S St Marks Family Medicine Clinic Chc - Salt Lake Delaplante, Nichole A Do C West Valley City, Ut 84120 1250 E 3900 S, #260 1798 S West Temple, #A100 Alta Internal Medicine Phone: (801) 965-3600 Salt Lake City, Ut 84124 Salt Lake City, Ut 84115 74 Kimballs Ln, #300 UT Urban Medicaid Phone: (801) 265-2000 Phone: (801) 412-6920 Draper, Ut 84020 UT Urban Medicaid UT Urban Medicaid Phone: (801) 572-0311 Andersen, Matthew Todd Md C UT Urban Medicaid Lone Peak Family Medicine Bourne, Talmage Lee Md D Collett, Camille Md C 11760 S 700 E, #111 Granger Medical Clinic St Marks Family Medicine Clinic Delaplante, Nichole A Do C Draper, Ut 84020 3725 W 4100 S 1250 E 3900 S, #260 Lone Peak Family Medicine Phone: (801) 576-8855 West Valley City, Ut 84120 Salt Lake City, Ut 84124 11760 S 700 E, #111 UT Urban Medicaid Phone: (801) 965-3600 Phone: (801) 265-2000 Draper, Ut 84020 UT Urban Medicaid UT Urban Medicaid Phone: (801) 576-8855 Andersen, Matthew Todd Md C UT Urban Medicaid St Marks Millcreek Primary Care Christensen, Peter Lloyd Md D Collett, Camille Md C 4465 S 900 E, #200 Granger Medical Clinic St Marks Millcreek Primary Care Delaplante, Nichole A Do C Salt Lake City, Ut 84124 2751 W 9000 S 4465 S 900 E, #200 Lone Peak Primary Care Phone: (801) 266-2777 West Jordan, Ut 84088 Salt Lake City, Ut 84124 74 Kimballs Ln, #260 UT Urban Medicaid Phone: (801) 352-5900 Phone: (801) 266-2777 Draper, Ut 84020 UT Urban Medicaid UT Urban Medicaid Phone: (801) 545-8480 Anderson, Russell Steven Do C UT Urban Medicaid Exodus Healthcare - West Valley Christensen, Peter Lloyd Md D Cooper, Leslie Werder Md C 3336 S Pioneer Pkwy, #201 Granger Medical Clinic Uuhc Redwood Clinic Delaplante, Nichole A Do C Salt Lake City, Ut 84120 3181 W 9000 S 1525 W 2100 S South Jordan Family Medicine Phone: (801) 417-0060 West Jordan, Ut 84088 West Valley City, Ut 84119 10623 S Redwood Rd, #101 Languages Spoken: Dutch, Phone: (801) 352-5900 Phone: (801) 213-9900 South Jordan, Ut 84095 Spanish UT Urban Medicaid UT Urban Medicaid Phone: (801) 302-0899 UT Urban Medicaid UT Urban Medicaid Civish III, Frederic Md C Corson, Robert Md C Anderson, Russell Steven Do C Hunter Medical Center St Marks Millcreek Primary Care Delaplante, Nichole A Do C Magna Center For Family 3534 S 6000 W 4465 S 900 E, #200 St Marks Millcreek Primary Care Medicine West Valley City, Ut 84128 Salt Lake City, Ut 84124 4465 S 900 E, #200 3665 S 8400 W, #110 Phone: (801) 969-6264 Phone: (801) 266-2777 Salt Lake City, Ut 84124 Magna, Ut 84044 Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 266-2777 Phone: (801) 250-9638 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Dutch, Curran, Marilyn L Md C Spanish Civish III, Frederic Md C Chc - Central City Denbleyker, Jennifer Jane Md D UT Urban Medicaid Jordan Meadows Medical Center 461 S 400 E Granger Medical Clinic 3354 W 7800 S Salt Lake City, Ut 84111 3725 W 4100 S Armstrong, Crystal M Md C West Jordan, Ut 84088 Phone: (801) 539-8617 West Valley City, Ut 84120 Uuhc Westridge Clinic Phone: (801) 282-2677 Languages Spoken: Spanish Phone: (801) 965-3600 3730 W 4700 S Languages Spoken: Spanish UT Urban Medicaid Languages Spoken: Spanish West Valley City, Ut 84118 UT Urban Medicaid UT Urban Medicaid Phone: (801) 213-9200 Cutlip, Cheryle Lynne Md D UT Urban Medicaid Clayton, Kimberly D Md C Granger Medical Clinic Devenport, Stephen Brent Md D Exodus Healthcare - West Valley 3725 W 4100 S Granger Medical Clinic Aune, David L Md C 3336 S Pioneer Pkwy, #201 West Valley City, Ut 84120 2751 W 9000 S West Jordan Medical Center West Valley City, Ut 84120 Phone: (801) 965-3600 West Jordan, Ut 84088 3570 W 9000 S, #200 Phone: (801) 417-0060 UT Urban Medicaid Phone: (801) 352-5900 West Jordan, Ut 84088 UT Urban Medicaid UT Urban Medicaid Phone: (801) 566-9211 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 49 Salt Lake Primary Care Providers Network Salt Lake Devenport, Stephen Brent Md D Fillmore, Randall Reid Md D Gooch, Harold N Md C Hooda, Pragati Md C Granger Medical Clinic Granger Medical Clinic 12176 S 1000 E Magna Center For Family 3725 W 4100 S 2751 W 9000 S Draper, Ut 84020 Medicine West Valley City, Ut 84120 West Jordan, Ut 84088 Phone: (801) 572-3750 3665 S 8400 W, #110 Phone: (801) 965-3600 Phone: (801) 352-5900 UT Urban Medicaid Magna, Ut 84044 UT Urban Medicaid UT Urban Medicaid Phone: (801) 250-9638 Greenwood, Jessica L Md C Languages Spoken: Hindi Devlin, Kwanza Nicole Md C Fillmore, Randall Reid Md D Madsen Health Center Family UT Urban Medicaid Exodus Healthcare - West Valley Granger Medical Clinic Practice Clinic 3336 S Pioneer Pkwy, #201 3181 W 9000 S 555 Foothill Blvd Hooper, Rina Melanie Md C West Valley City, Ut 84120 West Jordan, Ut 84088 Salt Lake City, Ut 84112 Uuhc Redwood Clinic Phone: (801) 417-0060 Phone: (801) 352-5900 Phone: (801) 581-8000 1525 W 2100 S UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish West Valley City, Ut 84119 UT Urban Medicaid Phone: (801) 213-9900 Devlin, Kwanza Nicole Md C Ford, Amy K Md C Languages Spoken: Finnish Magna Center For Family Chc - 72nd Street Clinic Greenwood, Jessica L Md C UT Urban Medicaid Medicine 220 W 7200 S, #A Uuhc Redwood Clinic 3665 S 8400 W, #110 Midvale, Ut 84047 1525 W 2100 S Horwood, Keith O Md C Magna, Ut 84044 Phone: (801) 412-6920 West Valley City, Ut 84119 Chc - Oquirrh View Phone: (801) 250-9638 Languages Spoken: Spanish Phone: (801) 213-9900 4745 S 3200 W UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Salt Lake City, Ut 84118 Phone: (801) 964-6214 Dinh, An Tuong Md C Fuller, Gene Raymond Md D Guerra, Carlos A Md C Languages Spoken: Spanish St Marks Millcreek Primary Care Holladay Family Practice Chc - Central City UT Urban Medicaid 4465 S 900 E, #200 999 Murray Holladay Rd, #207 461 S 400 E Salt Lake City, Ut 84124 Salt Lake City, Ut 84117 Salt Lake City, Ut 84111 Houchins, John C Md C Phone: (801) 266-2777 Phone: (801) 268-2584 Phone: (801) 539-8617 Uuhc Sugarhouse Clinic UT Urban Medicaid Languages Spoken: French UT Urban Medicaid 1138 Wilmington Ave UT Urban Medicaid Salt Lake City, Ut 84106 Dubosky, Anne Marie Do C Guerra, Paula A Md C Phone: (801) 581-2000 Alta Internal Medicine Gamble, Christopher J Md D Chc - Oquirrh View Languages Spoken: French, 74 Kimballs Ln, #300 Olympus Clinic Group 4745 S 3200 W Spanish Draper, Ut 84020 4624 S Holladay Blvd Salt Lake City, Ut 84118 UT Urban Medicaid Phone: (801) 572-0311 Holladay, Ut 84117 Phone: (801) 964-6214 UT Urban Medicaid Phone: (801) 277-2682 Languages Spoken: Spanish Hougaard, Joni W Md C UT Urban Medicaid UT Urban Medicaid Jordan Valley Family Health Dubosky, Anne Marie Do C 3570 W 9000 S, #100 Lone Peak Family Medicine Garrison, Andrew W Md C Hamp, Dennis R Do C West Jordan, Ut 84088 11760 S 700 E, #111 Chc - Oquirrh View Jordan Landing Clinic Phone: (801) 569-1999 Draper, Ut 84020 4745 S 3200 W 7478 Campus View Dr, #100 UT Urban Medicaid Phone: (801) 576-8855 Salt Lake City, Ut 84118 West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 964-6214 Phone: (801) 280-7774 Hughes, Craig Dale Md D Languages Spoken: Spanish UT Urban Medicaid Wasatch Internal Medicine & Dubosky, Anne Marie Do C UT Urban Medicaid Family Medicine Lone Peak Primary Care Heath, Steven Wright Md D 1160 E 3900 S, #1000 74 Kimballs Ln, #260 Gibson, Kathryn Elizabeth Md C Olympus Clinic Group Salt Lake City, Ut 84124 Draper, Ut 84020 Uuhc South Jordan Clinic 4624 S Holladay Blvd Phone: (801) 262-1771 Phone: (801) 545-8480 1091 W South Jordan Pkwy, #500 Holladay, Ut 84117 UT Urban Medicaid UT Urban Medicaid South Jordan, Ut 84095 Phone: (801) 277-2682 Phone: (801) 213-9800 UT Urban Medicaid Jaatoul, Raquel Md C Dubosky, Anne Marie Do C Languages Spoken: Spanish Uuhc Redwood Clinic South Jordan Family Medicine UT Urban Medicaid Henriksen III, Clarence Richard 1525 W 2100 S 10623 S Redwood Rd, #101 Md C West Valley City, Ut 84119 South Jordan, Ut 84095 Gohari, Mina Md C Uuhc South Jordan Clinic Phone: (801) 213-9900 Phone: (801) 302-0899 House Call Doctors 1091 W South Jordan Pkwy, #500 UT Urban Medicaid UT Urban Medicaid 1556 Emerson Ave South Jordan, Ut 84095 Salt Lake City, Ut 84105 Phone: (801) 213-9800 Jack, David B Md C Dubosky, Anne Marie Do C Phone: (801) 485-5055 UT Urban Medicaid Lone Peak Family Medicine St Marks Millcreek Primary Care UT Urban Medicaid 11760 S 700 E, #111 4465 S 900 E, #200 Henriksen III, Clarence Richard Draper, Ut 84020 Salt Lake City, Ut 84124 Gontrum, David Martin Md C Md C Phone: (801) 576-8855 Phone: (801) 266-2777 Chc - Oquirrh View Uuhc South Jordan Expansion UT Urban Medicaid UT Urban Medicaid 4745 S 3200 W Clinic Salt Lake City, Ut 84118 4696 Daybreak Rim Way Jack, David B Md C Farrell, Timothy William Md C Phone: (801) 964-6214 South Jordan, Ut 84095 St Marks Millcreek Primary Care Uuhc Sugarhouse Clinic UT Urban Medicaid Phone: (801) 213-9800 4465 S 900 E, #200 1138 Wilmington Ave UT Urban Medicaid Salt Lake City, Ut 84124 Salt Lake City, Ut 84106 Gooch, Harold N Md C Phone: (801) 266-2777 Phone: (801) 581-2000 Hidden Valley Family Medicine Hodo, Laura Nell Md C UT Urban Medicaid UT Urban Medicaid 12176 S 1000 E Chc - Stephen D Ratcliffe Draper, Ut 84020 1365 W 1000 N Phone: (801) 572-3750 Salt Lake City, Ut 84116 UT Urban Medicaid Phone: (801) 328-5750 Languages Spoken: Spanish UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 50 Salt Lake Primary Care Providers Network Salt Lake Jackson, Easton David Md D Kasper, Joseph Francis Md C Lewis, Randal John Md C Martinez-Ferrate, Rodolfo Md D Granger Medical Clinic West Jordan Medical Center Magna Center For Family Magna Center For Family 3725 W 4100 S 3570 W 9000 S, #200 Medicine Medicine West Valley City, Ut 84120 West Jordan, Ut 84088 3665 S 8400 W, #110 3665 S 8400 W, #110 Phone: (801) 965-3600 Phone: (801) 566-9211 Magna, Ut 84044 Magna, Ut 84044 UT Urban Medicaid UT Urban Medicaid Phone: (801) 250-9638 Phone: (801) 250-9638 Languages Spoken: Spanish Languages Spoken: Spanish Jenkins, Darren B Do C Kiraly, Bernadette O Md C UT Urban Medicaid UT Urban Medicaid Health First Family Medicine Madsen Health Center Family 1561 W 7000 S, #200 Practice Clinic Libre, Kenneth Paul Md C Matich, Andrea Jensen Md C West Jordan, Ut 84084 555 Foothill Blvd Chc - 72nd Street Clinic Center For Orthopedic & Phone: (801) 542-8080 Salt Lake City, Ut 84112 220 W 7200 S, #A Rehabilitation Excellence UT Urban Medicaid Phone: (801) 581-8000 Midvale, Ut 84047 3584 W 9000 S, #405 UT Urban Medicaid Phone: (801) 412-6920 West Jordan, Ut 84088 Jeppson, Taylor Alan Md D Languages Spoken: Spanish Phone: (801) 568-3480 Holladay Family Practice Kiraly, Bernadette O Md C UT Urban Medicaid UT Urban Medicaid 999 Murray Holladay Rd, #207 Madsen Health Center Family Salt Lake City, Ut 84117 Practice Clinic Lopez, Ronald F Md C Mcbride, Jill Diane Md C Phone: (801) 268-2584 555 Foothill Blvd Hidden Valley Family Medicine Exodus Healthcare - West Valley Languages Spoken: German Salt Lake City, Ut 84112 12176 S 1000 E 3336 S Pioneer Pkwy, #201 UT Urban Medicaid Phone: (801) 581-8000 Draper, Ut 84020 West Valley City, Ut 84120 UT Urban Medicaid Phone: (801) 572-3750 Phone: (801) 417-0060 Johnson, Laura Ann Md C UT Urban Medicaid UT Urban Medicaid Uuhc South Jordan Clinic Kiraly, Bernadette O Md D 1091 W South Jordan Pkwy, #500 Sugarhouse Family Health Center Magill, Michael Kevin Md C Mcbride, Jill Diane Md C South Jordan, Ut 84095 1138 Wilmington Ave Uuhc Redwood Clinic Magna Center For Family Phone: (801) 213-9800 Salt Lake City, Ut 84106 1525 W 2100 S Medicine UT Urban Medicaid Phone: (801) 581-2000 West Valley City, Ut 84119 3665 S 8400 W, #110 UT Urban Medicaid Phone: (801) 213-9900 Magna, Ut 84044 Johnson, Mark Dale Md C UT Urban Medicaid Phone: (801) 250-9638 Jordan Ridge Family Medicine Kiraly, Bernadette O Md C UT Urban Medicaid 6321 S Redwood Rd, #100 Uuhc Sugarhouse Clinic Magill, Michael Kevin Md C Taylorsville, Ut 84123 1138 Wilmington Ave Uuhc Sugarhouse Clinic Miles, Jeffrey Grady Md C Phone: (801) 265-2212 Salt Lake City, Ut 84106 1138 Wilmington Ave 4052 W Pioneer Pkwy, #109 UT Urban Medicaid Phone: (801) 581-2000 Salt Lake City, Ut 84106 West Valley City, Ut 84120 UT Urban Medicaid Phone: (801) 581-2000 Phone: (801) 840-2200 Johnson, Matthew Brent Md C UT Urban Medicaid Languages Spoken: Spanish Madsen Health Center Family Kirby, Karl A Md C UT Urban Medicaid Practice Clinic St Marks Family Medicine Clinic Martinez-Ferrate, Rodolfo Md D 555 Foothill Blvd 1250 E 3900 S, #260 Exodus Healthcare - West Valley Moreland, Jay Ceasar Md C Salt Lake City, Ut 84112 Salt Lake City, Ut 84124 3336 S Pioneer Pkwy, #201 Chc - Stephen D Ratcliffe Phone: (801) 581-8000 Phone: (801) 265-2000 West Valley City, Ut 84120 1365 W 1000 N Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 417-0060 Salt Lake City, Ut 84116 UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 328-5750 Kirstein, Judith Lee Md C UT Urban Medicaid Languages Spoken: Spanish Johnson, Matthew Brent Md C Jordan Family Health UT Urban Medicaid Uuhc Redwood Clinic 8846 S Redwood Rd, #E121 Martinez-Ferrate, Rodolfo Md D 1525 W 2100 S West Jordan, Ut 84088 Granger Medical Clinic Morgan, Jessica Angela Md D West Valley City, Ut 84119 Phone: (801) 569-1999 3181 W 9000 S Wasatch Internal Medicine & Phone: (801) 213-9900 UT Urban Medicaid West Jordan, Ut 84088 Family Medicine Languages Spoken: Spanish Phone: (801) 352-5900 1160 E 3900 S, #1000 UT Urban Medicaid Larsen, David Charles Md D Languages Spoken: Spanish Salt Lake City, Ut 84124 Holladay Family Practice UT Urban Medicaid Phone: (801) 262-1771 Johnson, Matthew Brent Md C 999 Murray Holladay Rd, #207 UT Urban Medicaid Uuhc Westridge Clinic Salt Lake City, Ut 84117 Martinez-Ferrate, Rodolfo Md D 3730 W 4700 S Phone: (801) 268-2584 Granger Medical Clinic Morrill, Arnold B Do C West Valley City, Ut 84118 Languages Spoken: Dutch 3725 W 4100 S Uuhc Redwood Clinic Phone: (801) 213-9200 UT Urban Medicaid West Valley City, Ut 84120 1525 W 2100 S Languages Spoken: Spanish Phone: (801) 965-3600 West Valley City, Ut 84119 UT Urban Medicaid Leiser, Jennifer P Md C Languages Spoken: Spanish Phone: (801) 213-9900 Uuhc Redwood Clinic UT Urban Medicaid Languages Spoken: Japanese Jones, Michael David Md C 1525 W 2100 S UT Urban Medicaid 1868 W 9800 S West Valley City, Ut 84119 Martinez-Ferrate, Rodolfo Md D South Jordan, Ut 84095 Phone: (801) 213-9900 Jordan Medical Arts Morris, Maisa Md D Phone: (801) 433-2873 UT Urban Medicaid 2751 W 9000 S Olympus Clinic Group UT Urban Medicaid West Jordan, Ut 84088 4624 S Holladay Blvd Leiser, Jennifer Paul Md C Phone: (801) 352-5900 Holladay, Ut 84117 Julien, Katie Ann Md C Uuhc Sugarhouse Clinic Languages Spoken: Spanish Phone: (801) 277-2682 Jordan River Family Medicine 1138 Wilmington Ave UT Urban Medicaid UT Urban Medicaid 1868 W 9800 S Salt Lake City, Ut 84106 South Jordan, Ut 84095 Phone: (801) 581-2000 Phone: (801) 433-2873 UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 51 Salt Lake Primary Care Providers Network Salt Lake Morris III, Ray Md C Owen, David Gareth Md C Ponce, Sean Anthony Md C Probst, Jared Md D Benita Medical Uuhc Sugarhouse Clinic St Marks Family Medicine Clinic Olympus Clinic Group 3465 S 4155 W, #2 1138 Wilmington Ave 1250 E 3900 S, #260 4624 S Holladay Blvd West Valley City, Ut 84120 Salt Lake City, Ut 84106 Salt Lake City, Ut 84124 Holladay, Ut 84117 Phone: (801) 963-7636 Phone: (801) 581-2000 Phone: (801) 265-2000 Phone: (801) 277-2682 UT Urban Medicaid Languages Spoken: Spanish Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Nelson, David Christian Do D Pugh, Brenten Clark Md D Granger Medical Clinic Owen, David Gareth Md C Poor, David Dewile Md C Jordan Landing Clinic 3725 W 4100 S Uuhc Westridge Clinic Alta Internal Medicine 7478 Campus View Dr, #100 West Valley City, Ut 84120 3730 W 4700 S 74 Kimballs Ln, #300 West Jordan, Ut 84088 Phone: (801) 965-3600 West Valley City, Ut 84118 Draper, Ut 84020 Phone: (801) 280-7774 UT Urban Medicaid Phone: (801) 213-9200 Phone: (801) 572-0311 UT Urban Medicaid Languages Spoken: Spanish Languages Spoken: Nelson, Todd Robert Md D UT Urban Medicaid Portuguese, Spanish Rabin, Mara Lee Md D Wasatch Internal Medicine & UT Urban Medicaid Salt Lake Family Health Center Family Medicine Parker, Robert Gil Do D 1002 E South Temple, #404 1160 E 3900 S, #1000 Granger Medical Clinic Poor, David Dewile Md C Salt Lake City, Ut 84102 Salt Lake City, Ut 84124 3725 W 4100 S Lone Peak Family Medicine Phone: (801) 350-4479 Phone: (801) 262-1771 West Valley City, Ut 84120 11760 S 700 E, #111 UT Urban Medicaid UT Urban Medicaid Phone: (801) 965-3600 Draper, Ut 84020 UT Urban Medicaid Phone: (801) 576-8855 Rasmussen, Brian Craig Md C Nguyen, Ahn Tai Md C Languages Spoken: Holladay Family Practice 1819 W 3500 S, #1c Parzych, Kevin K Md C Portuguese, Spanish 999 Murray Holladay Rd, #207 West Valley City, Ut 84119 1151 E 3900 S, #B299 UT Urban Medicaid Salt Lake City, Ut 84117 Phone: (801) 975-9707 Holladay, Ut 84124 Phone: (801) 268-2584 Languages Spoken: Vietnamese Phone: (801) 892-0135 Poor, David Dewile Md C Languages Spoken: Chinese, UT Urban Medicaid UT Urban Medicaid Lone Peak Primary Care Mandarin 74 Kimballs Ln, #260 UT Urban Medicaid Norman, Mary Jane Md C Peterson, Michael James Md C Draper, Ut 84020 451 Bishop Federal Ln Herriman Family Medicine Phone: (801) 545-8480 Rassner, Leslie H Md C Salt Lake City, Ut 84115 5746 W 13400 S Languages Spoken: Slr Comprehensive Orthopedics & Phone: (801) 487-7557 Herriman, Ut 84065 Portuguese, Spanish Sports Medicine UT Urban Medicaid Phone: (801) 253-4001 UT Urban Medicaid 82 S 1100 E Languages Spoken: French Salt Lake City, Ut 84102 Oneida, Maria A Md C UT Urban Medicaid Poor, David Dewile Md C Phone: (801) 533-2002 West Jordan Medical Center South Jordan Family Medicine UT Urban Medicaid 3570 W 9000 S, #200 Piacitelli, Annliza Lachica Md C 10623 S Redwood Rd, #101 West Jordan, Ut 84088 Jordan Family Health South Jordan, Ut 84095 Rassner, Leslie H Md C Phone: (801) 566-9211 8846 S Redwood Rd, #E121 Phone: (801) 302-0899 Slr Family Practice & Sports UT Urban Medicaid West Jordan, Ut 84088 Languages Spoken: Medicine Phone: (801) 569-1999 9350 S 150 E, #460 Oremland, Gordon Their Md C Portuguese, Spanish Languages Spoken: Tagalog UT Urban Medicaid Sandy, Ut 84070 Draper Family Practice UT Urban Medicaid Phone: (801) 533-2002 12272 S 800 E, #A Poor, David Dewile Md C UT Urban Medicaid Draper, Ut 84020 Pippitt, Karly Ann Md C St Marks Millcreek Primary Care Phone: (801) 523-1300 Madsen Health Center Family 4465 S 900 E, #200 Rassner, Leslie H Md C UT Urban Medicaid Practice Clinic Salt Lake City, Ut 84124 St Marks Family Medicine Clinic 555 Foothill Blvd Phone: (801) 266-2777 1250 E 3900 S, #260 Ortiz-Pacheco, Clarivette Md C Salt Lake City, Ut 84112 Salt Lake City, Ut 84124 Uuhc Redwood Clinic Languages Spoken: Phone: (801) 581-8000 Portuguese, Spanish Phone: (801) 265-2000 1525 W 2100 S UT Urban Medicaid UT Urban Medicaid West Valley City, Ut 84119 UT Urban Medicaid Phone: (801) 213-9900 Pohl, Susan D Md C Price, Lynn Md D Robinson, David Edward Md C UT Urban Medicaid Madsen Health Center Family Wasatch Internal Medicine & Chc - Stephen D Ratcliffe Practice Clinic Family Medicine 1365 W 1000 N Owen, David Gareth Md C 555 Foothill Blvd Salt Lake City, Ut 84116 Madsen Health Center Family 1160 E 3900 S, #1000 Salt Lake City, Ut 84112 Salt Lake City, Ut 84124 Phone: (801) 328-5750 Practice Clinic Phone: (801) 581-8000 UT Urban Medicaid 555 Foothill Blvd Phone: (801) 363-1771 Languages Spoken: Spanish UT Urban Medicaid Salt Lake City, Ut 84112 UT Urban Medicaid Rosenfield, Micah Gulick Md D Phone: (801) 581-8000 Priest, Nicole L Md D Granger Medical Clinic Languages Spoken: Spanish Ponce, Sean Anthony Md C Wasatch Internal Medicine & 3725 W 4100 S UT Urban Medicaid Jorden Family Health Family Medicine West Valley City, Ut 84120 8846 S Redwood Rd, #E121 Phone: (801) 965-3600 Owen, David Gareth Md C 1160 E 3900 S, #1000 West Jordan, Ut 84088 Salt Lake City, Ut 84124 Languages Spoken: Spanish Uuhc South Jordan Clinic Phone: (801) 569-1999 UT Urban Medicaid 1091 W South Jordan Pkwy, #500 Phone: (801) 262-1771 Languages Spoken: Spanish UT Urban Medicaid South Jordan, Ut 84095 UT Urban Medicaid Sanderson, Michael J Md C Phone: (801) 213-9800 Granger Medical Clinic Languages Spoken: Spanish 2751 W 9000 S UT Urban Medicaid West Jordan, Ut 84088 Phone: (801) 352-5900 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 52 Salt Lake Primary Care Providers Network Salt Lake Sanderson, Michael J Md C Schellenberg, Matthew Michael Speakman, Robert L Do C Tran, Tan Duy Md C Granger Medical Clinic Do C Uuhc Westridge Clinic West Valley Family & Preventive 3181 W 9000 S South Jordan Family Medicine 3730 W 4700 S Medicine West Jordan, Ut 84088 10623 S Redwood Rd, #101 West Valley City, Ut 84118 3336 S Pioneer Pkwy, #302 Phone: (801) 352-5900 South Jordan, Ut 84095 Phone: (801) 213-9200 West Valley City, Ut 84120 UT Urban Medicaid Phone: (801) 302-0899 UT Urban Medicaid Phone: (801) 964-8726 UT Urban Medicaid Languages Spoken: Vietnamese Sanyer, Osman N Md C Spencer, Steven J Md C UT Urban Medicaid Madsen Health Center Family Schellenberg, Matthew Michael Exodus Healthcare - West Valley Practice Clinic Do C 3336 S Pioneer Pkwy, #201 Tubay, Amy Michele Md C 555 Foothill Blvd St Marks Millcreek Primary Care West Valley City, Ut 84120 Chc - 72nd Street Clinic Salt Lake City, Ut 84112 4465 S 900 E, #200 Phone: (801) 417-0060 220 W 7200 S, #A Phone: (801) 581-8000 Salt Lake City, Ut 84124 Languages Spoken: Spanish Midvale, Ut 84047 Languages Spoken: French, Phone: (801) 266-2777 UT Urban Medicaid Phone: (801) 412-6920 Spanish UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Spencer, Steven J Md C UT Urban Medicaid Schultz, Edward Richard Md C Magna Center For Family Schaat, Timothy Md C Chc - Stephen D Ratcliffe Medicine Tufts, Gillian Md C Lone Peak Family Medicine 1365 W 1000 N 3665 S 8400 W, #110 Chc - Stephen D Ratcliffe 11760 S 700 E, #111 Salt Lake City, Ut 84116 Magna, Ut 84044 1365 W 1000 N Draper, Ut 84020 Phone: (801) 328-5750 Phone: (801) 250-9638 Salt Lake City, Ut 84116 Phone: (801) 576-8855 Languages Spoken: Spanish Languages Spoken: Spanish Phone: (801) 328-5750 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Schaat, Timothy Md C Schultz, Edward Richard Md C Stanford, Joseph Barney Md C Valentine, Christopher B Md C Seraphine Med Taylorsville House Call Doctors Uuhc Sugarhouse Clinic 4052 W Pioneer Pkwy, #109 6671 S Redwood Rd, #110 1556 Emerson Ave 1138 Wilmington Ave West Valley City, Ut 84120 West Jordan, Ut 84084 Salt Lake City, Ut 84105 Salt Lake City, Ut 84106 Phone: (801) 840-2200 Phone: (801) 966-9907 Phone: (801) 485-5055 Phone: (801) 581-2000 Languages Spoken: Spanish UT Urban Medicaid Languages Spoken: Spanish Languages Spoken: German UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Schaat, Timothy Md C Vanhala, Sonja Nadeen Md C St Marks Millcreek Primary Care Shen, Katherine Anne Md C Stoesser, Kirsten L Md C Uuhc Sugarhouse Clinic 4465 S 900 E, #200 Chc - Oquirrh View Uuhc Sugarhouse Clinic 1138 Wilmington Ave Salt Lake City, Ut 84124 4745 S 3200 W 1138 Wilmington Ave Salt Lake City, Ut 84106 Phone: (801) 266-2777 Salt Lake City, Ut 84118 Salt Lake City, Ut 84106 Phone: (801) 581-2000 UT Urban Medicaid Phone: (801) 964-6214 Phone: (801) 581-2000 UT Urban Medicaid Languages Spoken: Spanish Languages Spoken: French, Schellenberg, Matthew Michael UT Urban Medicaid Spanish Verbrugge, Dorothea J Md C Do C UT Urban Medicaid Uuhc Redwood Clinic Alta Internal Medicine Sheridan, Scott Daniel Md D 1525 W 2100 S 74 Kimballs Ln, #300 Granger Medical Clinic Storz, Benjamin Md C West Valley City, Ut 84119 Draper, Ut 84020 3725 W 4100 S Jordan River Family Medicine Phone: (801) 213-9900 Phone: (801) 572-0311 West Valley City, Ut 84120 1868 W 9800 S UT Urban Medicaid UT Urban Medicaid Phone: (801) 965-3600 South Jordan, Ut 84095 UT Urban Medicaid Phone: (801) 433-2873 Villalobos, Miguel Angel Md C Schellenberg, Matthew Michael UT Urban Medicaid Madsen Health Center Family Do C Slack, Caryn Kendra Md C Practice Clinic Jordan Family Health Jordan Family Health Storz, Benjamin Md C 555 Foothill Blvd 8846 S Redwood Rd, #E121 8846 S Redwood Rd, #E121 Uuhc Redwood Clinic Salt Lake City, Ut 84112 West Jordan, Ut 84088 West Jordan, Ut 84088 1525 W 2100 S Phone: (801) 581-8000 Phone: (801) 569-1999 Phone: (801) 569-1999 West Valley City, Ut 84119 Languages Spoken: Spanish UT Urban Medicaid Languages Spoken: French Phone: (801) 213-9900 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Schellenberg, Matthew Michael Villalobos, Miguel Robert Md C Do C Sojourner, Heather Diemer Md C Swoboda, Paul Richard Md C Uuhc Greenwood Clinic Lone Peak Family Medicine Jordan River Family Medicine Salt Lake Family Health Center 7495 S State St 11760 S 700 E, #111 1868 W 9800 S 1002 E South Temple, #404 Midvale, Ut 84047 Draper, Ut 84020 South Jordan, Ut 84095 Salt Lake City, Ut 84102 Phone: (801) 213-9400 Phone: (801) 576-8855 Phone: (801) 433-2873 Phone: (801) 350-4479 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Villalobos, Miguel Angel Md C Schellenberg, Matthew Michael Speakman, Robert L Do C Thomas, Kelly Laforge Do C Uuhc Sugarhouse Clinic Do C Uuhc Redwood Clinic Uuhc Redwood Clinic 1138 Wilmington Ave Lone Peak Primary Care 1525 W 2100 S 1525 W 2100 S Salt Lake City, Ut 84106 74 Kimballs Ln, #260 West Valley City, Ut 84119 West Valley City, Ut 84119 Phone: (801) 581-2000 Draper, Ut 84020 Phone: (801) 213-9900 Phone: (801) 213-9900 Languages Spoken: Spanish Phone: (801) 545-8480 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Speakman, Robert L Do C Thompson, Daniel Owen Md C Vogeler, Douglas M Md D Uuhc Sugarhouse Clinic Riverton Family Health Center 8706 S 700 E, #203 1138 Wilmington Ave 1756 W Park Ave Sandy, Ut 84070 Salt Lake City, Ut 84106 Riverton, Ut 84065 Phone: (801) 572-0443 Phone: (801) 581-2000 Phone: (801) 254-0309 Languages Spoken: French UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 53 Salt Lake Primary Care Providers Network Salt Lake Wadwekar, Saudamini D Md C Williams, Garett Randal Md C Young, Timothy P Md D Baxter, Catherine Laverne Np C Granger Medical Clinic Jordan Family Health Holladay Family Practice Magna Center For Family 3725 W 4100 S 8846 S Redwood Rd, #E121 999 Murray Holladay Rd, #207 Medicine West Valley City, Ut 84120 West Jordan, Ut 84088 Salt Lake City, Ut 84117 3665 S 8400 W, #110 Phone: (801) 965-3600 Phone: (801) 569-1999 Phone: (801) 268-2584 Magna, Ut 84044 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 250-9638 UT Urban Medicaid Wall, Jon Thomas Md D Williams, Robert D Md D Young, Timothy P Md C Olympus Clinic Group 1288 W 12700 S 3920 S 1100 E, #220 Bockoven, Kurt M Np C 4624 S Holladay Blvd Riverton, Ut 84065 Salt Lake City, Ut 84124 Hunter Medical Center Holladay, Ut 84117 Phone: (801) 253-0291 Phone: (801) 268-2584 3534 S 6000 W Phone: (801) 277-2682 Languages Spoken: Spanish UT Urban Medicaid West Valley City, Ut 84128 UT Urban Medicaid UT Urban Medicaid Phone: (801) 969-6264 Zehnder, Brian Keith Md C UT Urban Medicaid Wall, Jon Thomas Md C Woods, Jackson Jay Md C Exodus Healthcare - West Valley Olympus Clinic Group Uuhc Redwood Clinic 3336 S Pioneer Pkwy, #201 Bockoven, Kurt M Np C 4624 S Holladay Blvd 1525 W 2100 S West Valley City, Ut 84120 Jordan Meadows Medical Center Holladay, Ut 84117 West Valley City, Ut 84119 Phone: (801) 417-0060 3354 W 7800 S Phone: (801) 277-2682 Phone: (801) 213-9900 UT Urban Medicaid West Jordan, Ut 84088 UT Urban Medicaid UT Urban Medicaid Phone: (801) 282-2677 Zehnder, Brian Keith Md C UT Urban Medicaid Wallace, Seth Md C Woolsey, Sarah Lynn Md C Magna Center For Family Copperview Medical Center Chc - Stephen D Ratcliffe Medicine Cheney, Carol A Np D 3556 W 9800 S, #101 1365 W 1000 N 3665 S 8400 W, #110 Holladay Family Practice South Jordan, Ut 84095 Salt Lake City, Ut 84116 Magna, Ut 84044 999 Murray Holladay Rd, #207 Phone: (801) 567-9780 Phone: (801) 328-5750 Phone: (801) 250-9638 Salt Lake City, Ut 84117 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 268-2584 UT Urban Medicaid Watson, Randall L Md C Yaroshchuk, Larisa Borisovna Zirkle, Toby A Md C Southwest Family Medicine Md C Utah Endocrinology Associates Christensen, Pamela Carol Np C 1575 W 7000 S Uuhc Greenwood Clinic 470 E 3900 S, #200 Benita Medical West Jordan, Ut 84084 7495 S State St Murray, Ut 84107 3465 S 4155 W, #2 Phone: (801) 569-9133 Midvale, Ut 84047 Phone: (801) 747-2800 West Valley City, Ut 84120 UT Urban Medicaid Phone: (801) 213-9400 UT Urban Medicaid Phone: (801) 963-7636 UT Urban Medicaid Languages Spoken: Spanish Weir, Peter Thompson Md C Zirkle, Toby A Md C UT Urban Medicaid Madsen Health Center Family Yaroshchuk, Larisa Borisovna 1151 E 3900 S, #B299 Practice Clinic Md C Salt Lake City, Ut 84124 Dahle, Michelle M Np C 555 Foothill Blvd Uuhc Redwood Clinic Phone: (801) 892-0135 Hunter Medical Center Salt Lake City, Ut 84112 1525 W 2100 S UT Urban Medicaid 3534 S 6000 W Phone: (801) 581-8000 West Valley City, Ut 84119 West Valley City, Ut 84128 Languages Spoken: Spanish Phone: (801) 213-9900 Family Nurse Phone: (801) 969-6264 UT Urban Medicaid UT Urban Medicaid Practitioner UT Urban Medicaid Whittaker, Thomas Carlyle Md C Yaroshchuk, Larisa Borisovna Dahle, Michelle M Np C Chc - 72nd Street Clinic Md C Allen, Juanita Np C Jordan Meadows Medical Center 220 W 7200 S, #A Uuhc Sugarhouse Clinic Exodus Healthcare - West Valley 3354 W 7800 S Midvale, Ut 84047 1138 Wilmington Ave 3336 S Pioneer Pkwy, #201 West Jordan, Ut 84088 Phone: (801) 412-6920 Salt Lake City, Ut 84106 West Valley City, Ut 84120 Phone: (801) 282-2677 Languages Spoken: Spanish Phone: (801) 581-2000 Phone: (801) 417-0060 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Russian Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Daly, Anne M Np C Whittaker, Thomas Carlyle Md C Uuhc Redwood Clinic Chc - Central City Yaroshchuk, Larisa Borisovna Allen, Juanita Np C 1525 W 2100 S 461 S 400 E Md C Magna Center For Family West Valley City, Ut 84119 Salt Lake City, Ut 84111 Uuhc Westridge Clinic Medicine Phone: (801) 213-9900 Phone: (801) 539-8617 3730 W 4700 S 3665 S 8400 W, #110 Languages Spoken: Spanish Languages Spoken: Spanish West Valley City, Ut 84118 Magna, Ut 84044 UT Urban Medicaid UT Urban Medicaid Phone: (801) 213-9200 Phone: (801) 250-9638 UT Urban Medicaid Languages Spoken: Spanish Daly, Anne M Np C Whittaker, Thomas Carlyle Md C UT Urban Medicaid Uuhc Westridge Clinic Chc - Oquirrh View Young, Shane S Md C 3730 W 4700 S 4745 S 3200 W Magna Center For Family Baxter, Catherine Laverne Np C West Valley City, Ut 84118 Salt Lake City, Ut 84118 Medicine Exodus Healthcare - West Valley Phone: (801) 213-9200 Phone: (801) 964-6214 3665 S 8400 W, #110 3336 S Pioneer Pkwy, #201 Languages Spoken: Spanish Languages Spoken: Spanish Magna, Ut 84044 West Valley City, Ut 84120 UT Urban Medicaid UT Urban Medicaid Phone: (801) 250-9638 Phone: (801) 417-0060 Languages Spoken: Spanish UT Urban Medicaid Dodge, Mary Delle Np C Whittaker, Thomas Carlyle Md C UT Urban Medicaid Exodus Healthcare - West Valley Chc - Stephen D Ratcliffe 3336 S Pioneer Pkwy, #201 1365 W 1000 N West Valley City, Ut 84120 Salt Lake City, Ut 84116 Phone: (801) 417-0060 Phone: (801) 328-5750 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 54 Salt Lake Primary Care Providers Network Salt Lake Dodge, Mary Delle Np C Messinger, Kristin Elaine Aprn C Smith Holmen, Barbara E Aprn Gerontology Nurse Magna Center For Family Magna Center For Family C Medicine Medicine Alta Internal Medicine Practitioner 3665 S 8400 W, #110 3665 S 8400 W, #110 74 Kimballs Ln, #300 Deweese, Charles Kip Np C Magna, Ut 84044 Magna, Ut 84044 Draper, Ut 84020 Salt Lake Senior Clinic Phone: (801) 250-9638 Phone: (801) 250-9638 Phone: (801) 572-0311 82 S 1100 E, #204 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Salt Lake City, Ut 84102 Gneiting, Robert Wendell Aprn Mickelson, Steven A Np C Southwick, Martha Fern Np C Phone: (801) 350-4602 C Health Clinics Of Utah 9600 S 1300 E, #305 Languages Spoken: German Seraphine Med Taylorsville 168 N 1950 W, #201 Sandy, Ut 84094 UT Urban Medicaid 6671 S Redwood Rd, #110 Salt Lake City, Ut 84114 Phone: (801) 572-5808 Siciliano, Paula Marie Aprn C West Jordan, Ut 84084 Phone: (801) 715-3500 UT Urban Medicaid Uuhc Greenwood Clinic Phone: (801) 966-9907 Languages Spoken: Spanish Spangrude, Kimberly Ann Aprn 7495 S State St Languages Spoken: Spanish UT Urban Medicaid Midvale, Ut 84047 UT Urban Medicaid C Ormond, Dallen K Aprn C Midvale Family Health Clinic Phone: (801) 213-9400 Hamilton, Carlie Jo Np C Families First Pediatrics 7852 Pioneer St Languages Spoken: Italian Draper Family Practice 1268 W South Jordan Pkwy, #201 Midvale, Ut 84047 UT Urban Medicaid 12272 S 800 E, #A South Jordan, Ut 84095 Phone: (801) 561-2211 Draper, Ut 84020 Phone: (801) 254-9700 Languages Spoken: Spanish Internal Medicine Phone: (801) 523-1300 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Ahn, Yong Hui Md D Rasmussen, Carol F Np C Spencer, Michelle Np C Alpine Internal Medicine Division Hogan, Kathleen Np C Exodus Healthcare - West Valley Uuhc Redwood Clinic 1060 E 100 S, #L10 Health Clinics Of Utah 3336 S Pioneer Pkwy, #201 1525 W 2100 S Salt Lake City, Ut 84102 168 N 1950 W, #201 West Valley City, Ut 84120 West Valley City, Ut 84119 Phone: (801) 328-1260 Salt Lake City, Ut 84114 Phone: (801) 417-0060 Phone: (801) 213-9900 Languages Spoken: Korean Phone: (801) 715-3500 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Rasmussen, Carol F Np C Stock, Jennifer Susan Aprn C Aslami, Stephen Shane Md D Johnson, Leeann Np C Magna Center For Family Hidden Valley Family Medicine Internal Medicine At St Marks Jordan Family Health Medicine 12176 S 1000 E Hospital 8846 S Redwood Rd, #E121 3665 S 8400 W, #110 Draper, Ut 84020 1160 E 3900 S, #1200 West Jordan, Ut 84088 Magna, Ut 84044 Phone: (801) 572-3750 Holladay, Ut 84124 Phone: (801) 569-1999 Phone: (801) 250-9638 UT Urban Medicaid Phone: (801) 261-9651 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Stowell, Carol Jean Np C Judd, Deborah Marie Np C Reineke, Barbara Patterson Np C Exodus Healthcare - West Valley Bane, Jesse David Md D Health Clinics Of Utah Southwest Family Medicine 3336 S Pioneer Pkwy, #201 Granger Medical Clinic 168 N 1950 W, #201 1575 W 7000 S West Valley City, Ut 84120 3725 W 4100 S Salt Lake City, Ut 84114 West Jordan, Ut 84084 Phone: (801) 417-0060 West Valley City, Ut 84120 Phone: (801) 715-3500 Phone: (801) 569-9133 UT Urban Medicaid Phone: (801) 965-3600 Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Stowell, Carol Jean Np C Scholes, Cheryl Aprn C Magna Center For Family Barman, Thomas F Md D King, Bari Michelle Np C Magna Center For Family Medicine Wasatch Internal Medicine & Jordan Family Health Medicine 3665 S 8400 W, #110 Family Medicine 8846 S Redwood Rd, #E121 3665 S 8400 W, #110 Magna, Ut 84044 1160 E 3900 S, #1000 West Jordan, Ut 84088 Magna, Ut 84044 Phone: (801) 250-9638 Salt Lake City, Ut 84124 Phone: (801) 569-1999 Phone: (801) 250-9638 UT Urban Medicaid Phone: (801) 262-1771 UT Urban Medicaid Languages Spoken: German, UT Urban Medicaid Spanish Thur, Vilate M Aprn C Larson, Kirt W Aprn C UT Urban Medicaid Copperview Medical Center Bennett, Richard W Md C Step Mountain Medical 3556 W 9800 S, #101 Alta Internal Medicine 2332 W 12600 S, #2c Shaw, Dana M Np D South Jordan, Ut 84095 74 Kimballs Ln, #300 Riverton, Ut 84065 Olympus Clinic Group Phone: (801) 567-9780 Draper, Ut 84020 Phone: (801) 446-2760 4624 S Holladay Blvd UT Urban Medicaid Phone: (801) 572-0311 UT Urban Medicaid Holladay, Ut 84117 UT Urban Medicaid Phone: (801) 277-2682 Geriatric Medicine Lewis, Linda Young Aprn C UT Urban Medicaid Bennett, Richard W Md C Primary Children Center For Abueg, Florentino Manuel Md C Alta View Internal Medicine Saving Healthy Families Sittler, Susan Joan Np C St Marks Senior Health Center 10965 S State St, #100 675 E 500 S, #300 Chc - Oquirrh View 1160 E 3900 S, #G200 Sandy, Ut 84070 Salt Lake City, Ut 84102 4745 S 3200 W Holladay, Ut 84124 Phone: (801) 572-0311 Phone: (801) 662-3600 Salt Lake City, Ut 84118 Phone: (801) 268-7766 UT Urban Medicaid UT Urban Medicaid Phone: (801) 964-6214 Languages Spoken: Tagalog Bennett, Richard W Md C Languages Spoken: Spanish UT Urban Medicaid Maass, Amelia S Np C UT Urban Medicaid Lone Peak Family Medicine Jordan Family Health 11760 S 700 E, #111 8846 S Redwood Rd, #E121 Draper, Ut 84020 West Jordan, Ut 84088 Phone: (801) 576-8855 Phone: (801) 569-1999 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 55 Salt Lake Primary Care Providers Network Salt Lake Bennett, Richard W Md C Gandolfi, Roy J Md D Gubler, David Brent Md D Joseph, Laurene Gay Md D St Marks Millcreek Primary Care Granger Medical Clinic Internal Medicine At St Marks St Marks Senior Health Center 4465 S 900 E, #200 3725 W 4100 S Hospital 1160 E 3900 S, #G200 Salt Lake City, Ut 84124 West Valley City, Ut 84120 1160 E 3900 S, #1200 Holladay, Ut 84124 Phone: (801) 266-2777 Phone: (801) 965-3600 Holladay, Ut 84124 Phone: (801) 268-7766 UT Urban Medicaid UT Urban Medicaid Phone: (801) 261-9651 Languages Spoken: Hebrew, UT Urban Medicaid Spanish Bulaj, Zaneta Jadwiga Md D Goldberg, Kenneth William Md UT Urban Medicaid Wasatch Internal Medicine & C Gupta, Sumati V Md C Family Medicine Jordan Valley Internal Medicine Uuhc Greenwood Clinic Kierstead, Allison Md D 1160 E 3900 S, #1000 3570 W 9000 S, #100 7495 S State St Internal Medicine At St Marks Salt Lake City, Ut 84124 West Jordan, Ut 84088 Midvale, Ut 84047 Hospital Phone: (801) 262-1771 Phone: (801) 569-2384 Phone: (801) 213-9400 1160 E 3900 S, #1200 Languages Spoken: German, UT Urban Medicaid Languages Spoken: Hindi, Holladay, Ut 84124 Polish, Russian Marathi Phone: (801) 261-9651 UT Urban Medicaid Gonzales, Gloria Raychel Md D UT Urban Medicaid UT Urban Medicaid Granger Medical Clinic Cate Jr, Thomas Randolph Md D 3725 W 4100 S Gupta, Sumati Virendra Md C Killpack, Michael Md C Wasatch Internal Medicine & West Valley City, Ut 84120 Uuhc Sugarhouse Clinic Alpine Internal Medicine Division Family Medicine Phone: (801) 965-3600 1138 Wilmington Ave 1060 E 100 S, #L10 1160 E 3900 S, #1000 UT Urban Medicaid Salt Lake City, Ut 84106 Salt Lake City, Ut 84102 Salt Lake City, Ut 84124 Phone: (801) 581-2000 Phone: (801) 328-1260 Phone: (801) 262-1771 Gottlieb, Frederick Lewis Md C Languages Spoken: Hindi, Languages Spoken: Spanish UT Urban Medicaid Salt Lake Senior Clinic Marathi UT Urban Medicaid 82 S 1100 E, #204 UT Urban Medicaid Coleby, Craig Alan Md C Salt Lake City, Ut 84102 Kottarathil, Thomas J Md C Granger Medical Clinic Phone: (801) 350-4602 Hanlon, Beth Chapman Md D Uuhc Greenwood Clinic 12391 S 4000 W UT Urban Medicaid Alpine Internal Medicine Division 7495 S State St Riverton, Ut 84065 1060 E 100 S, #L10 Midvale, Ut 84047 Phone: (801) 302-1700 Gourde, Theresa D Md C Salt Lake City, Ut 84102 Phone: (801) 213-9400 UT Urban Medicaid Alta Internal Medicine Phone: (801) 328-1260 UT Urban Medicaid 74 Kimballs Ln, #300 UT Urban Medicaid Day, Julie L Md C Draper, Ut 84020 Kottarathil, Thomas J Md C Uuhc Greenwood Clinic Phone: (801) 572-0311 Hansen, Matthew C Md D Uuhc Redwood Clinic 7495 S State St UT Urban Medicaid Wasatch Internal Medicine & 1525 W 2100 S Midvale, Ut 84047 Family Medicine West Valley City, Ut 84119 Phone: (801) 213-9400 Gourde, Theresa D Md C 1160 E 3900 S, #1000 Phone: (801) 213-9900 UT Urban Medicaid Lone Peak Family Medicine Salt Lake City, Ut 84124 UT Urban Medicaid 11760 S 700 E, #111 Phone: (801) 262-1771 Day, Julie L Md C Draper, Ut 84020 UT Urban Medicaid Kundra, Hena Md C Uuhc Redwood Clinic Phone: (801) 576-8855 Uuhc South Jordan Clinic 1525 W 2100 S UT Urban Medicaid Harrison, Reid Chambers Md D 1091 W South Jordan Pkwy, #500 West Valley City, Ut 84119 Granger Medical Clinic South Jordan, Ut 84095 Phone: (801) 213-9900 Gourde, Theresa D Md C 3725 W 4100 S Phone: (801) 213-9800 UT Urban Medicaid Lone Peak Primary Care West Valley City, Ut 84120 UT Urban Medicaid 74 Kimballs Ln, #260 Phone: (801) 965-3600 Del Castillo, Alexander N Md C Draper, Ut 84020 UT Urban Medicaid Kuo, David Md D St Marks Senior Health Center Phone: (801) 545-8480 Internal Medicine At St Marks 1160 E 3900 S, #G200 UT Urban Medicaid Jesri, Ammar Md C Hospital Holladay, Ut 84124 Lakeside Comprehensive Health 1160 E 3900 S, #1200 Phone: (801) 268-7766 Gourde, Theresa D Md C 3336 S Pioneer Pkwy, #203 Holladay, Ut 84124 Languages Spoken: Tagalog South Jordan Family Medicine West Valley City, Ut 84121 Phone: (801) 261-9651 UT Urban Medicaid 10623 S Redwood Rd, #101 Phone: (801) 964-3697 UT Urban Medicaid South Jordan, Ut 84095 Languages Spoken: Arabic Doane, John A Md C Phone: (801) 302-0899 UT Urban Medicaid Lane, Keith Joseph Md C 555 S Foothill Blvd UT Urban Medicaid Salt Lake Senior Clinic Salt Lake City, Ut 84112 Johnson, Kevin Barrus Md C 82 S 1100 E, #204 Phone: (801) 364-0370 Gourde, Theresa D Md C Jordan Valley Internal Medicine Salt Lake City, Ut 84102 UT Urban Medicaid St Marks Millcreek Primary Care 3570 W 9000 S, #100 Phone: (801) 350-4602 4465 S 900 E, #200 West Jordan, Ut 84088 UT Urban Medicaid Flynn, Michael Clinton Md C Salt Lake City, Ut 84124 Phone: (801) 569-2384 Uuhc Redwood Clinic Phone: (801) 266-2777 UT Urban Medicaid Liu, Vernon K Md D 1525 W 2100 S UT Urban Medicaid 880 E 9400 S, #102 West Valley City, Ut 84119 Johnson, Mark Rolfe Md C Sandy, Ut 84094 Phone: (801) 213-9900 Griffin, Gary S Md C Healthsouth Rehabilitation Phone: (801) 576-1118 UT Urban Medicaid Salt Lake Senior Clinic 8074 S 1300 E UT Urban Medicaid 82 S 1100 E, #204 Sandy, Ut 84094 Flynn, Michael Clinton Md C Salt Lake City, Ut 84102 Phone: (801) 565-6600 Lunt, Margaret Sydnie Md D Uuhc Westridge Clinic Phone: (801) 350-4602 UT Urban Medicaid Internal Medicine At St Marks 3730 W 4700 S UT Urban Medicaid Hospital West Valley City, Ut 84118 1160 E 3900 S, #1200 Phone: (801) 213-9200 Holladay, Ut 84124 UT Urban Medicaid Phone: (801) 261-9651 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 56 Salt Lake Primary Care Providers Network Salt Lake Luras, John Chris Md C Rada, Mark Alan Md C Standteiner, Heidi Elizabeth Md Walsh III, William Joseph Md C Salt Lake Senior Clinic Utah Physicians Care Centers D Silverton Group 82 S 1100 E, #204 10965 S State St, #100 Alpine Internal Medicine Division 1050 E South Temple, 3rd Fl Salt Lake City, Ut 84102 Sandy, Ut 84070 1060 E 100 S, #L10 Salt Lake City, Ut 84102 Phone: (801) 350-4602 Phone: (801) 572-0311 Salt Lake City, Ut 84102 Phone: (801) 350-4110 UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 328-1260 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Mallender, Charles D Md C Wilson, Kathleen Barrett Md D Granger Medical Clinic Rahimi, Danesh Md D Stoneburner, Hugh M Md C Internal Medicine At St Marks 3725 W 4100 S St Marks Senior Health Center Uuhc Greenwood Clinic Hospital West Valley City, Ut 84120 1160 E 3900 S, #G200 7495 S State St 1160 E 3900 S, #1200 Phone: (801) 965-3600 Holladay, Ut 84124 Midvale, Ut 84047 Holladay, Ut 84124 Languages Spoken: Spanish Phone: (801) 268-7766 Phone: (801) 213-9400 Phone: (801) 261-9651 UT Urban Medicaid Languages Spoken: Farsi UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Murnin, Kelly P Md C Stoneburner, Hugh M Md C Witter, Lori Md C Uuhc Greenwood Clinic Roberts, Philip Leonard Md C Uuhc Redwood Clinic Uuhc Westridge Clinic 7495 S State St Alta Internal Medicine 1525 W 2100 S 3730 W 4700 S Midvale, Ut 84047 74 Kimballs Ln, #300 West Valley City, Ut 84119 West Valley City, Ut 84118 Phone: (801) 213-9400 Draper, Ut 84020 Phone: (801) 213-9900 Phone: (801) 213-9200 UT Urban Medicaid Phone: (801) 572-0311 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Murnin, Kelly P Md C Terry, Susan A Md C Yarrish, Daniel Walter Md D Uuhc Redwood Clinic Roberts, Philip Leonard Md C Uuhc Greenwood Clinic Wasatch Internal Medicine & 1525 W 2100 S Alta View Internal Medicine 7495 S State St Family Medicine West Valley City, Ut 84119 10965 S State St, #100 Midvale, Ut 84047 1160 E 3900 S, #1000 Phone: (801) 213-9900 Sandy, Ut 84070 Phone: (801) 213-9400 Salt Lake City, Ut 84124 UT Urban Medicaid Phone: (801) 572-0311 UT Urban Medicaid Phone: (801) 262-1771 UT Urban Medicaid UT Urban Medicaid Nabi, Syed Iftikharun Md C Tipton, Mary Delila Md C Copperview Medical Center Roberts, Philip Leonard Md C Copperview Medical Center Zackrison, David R Md C 3556 W 9800 S, #101 Lone Peak Family Medicine 3556 W 9800 S, #101 Jordan Valley Internal Medicine South Jordan, Ut 84095 11760 S 700 E, #111 South Jordan, Ut 84095 3570 W 9000 S, #100 Phone: (801) 567-9780 Draper, Ut 84020 Phone: (801) 567-9780 West Jordan, Ut 84088 Languages Spoken: Urdu Phone: (801) 576-8855 UT Urban Medicaid Phone: (801) 569-2384 UT Urban Medicaid UT Urban Medicaid Languages Spoken: French Tschetter, Kevin William Md C UT Urban Medicaid Norris, Jennifer Lyn Md D Roberts, Philip Leonard Md C Alta Internal Medicine Wasatch Internal Medicine & St Marks Millcreek Primary Care 74 Kimballs Ln, #300 Family Medicine 4465 S 900 E, #200 Draper, Ut 84020 Nurse Practitioner 1160 E 3900 S, #1000 Salt Lake City, Ut 84124 Phone: (801) 572-0311 Calame, Rosemary Aprn C Salt Lake City, Ut 84124 Phone: (801) 266-2777 UT Urban Medicaid Alpine Internal Medicine Division Phone: (801) 262-1771 UT Urban Medicaid 1060 E 100 S, #L10 UT Urban Medicaid Tschetter, Kevin William Md C Schaecher, Kenneth L Md D Alta View Internal Medicine Salt Lake City, Ut 84102 Ozbolt, Julia A Md C Granger Medical Clinic 10965 S State St, #100 Phone: (801) 328-1260 Uuhc Redwood Clinic 3725 W 4100 S Sandy, Ut 84070 UT Urban Medicaid 1525 W 2100 S West Valley City, Ut 84120 Phone: (801) 572-0311 Mcelwain, Kristin Kaye Aprn D West Valley City, Ut 84119 Phone: (801) 965-3600 UT Urban Medicaid Alpine Internal Medicine Division Phone: (801) 213-9900 UT Urban Medicaid 1060 E 100 S, #L10 UT Urban Medicaid Tschetter, Kevin William Md C Schlisman, Alison K Md C Lone Peak Family Medicine Salt Lake City, Ut 84102 Poppen, Robin Scott Md C Salt Lake Senior Clinic 11760 S 700 E, #111 Phone: (801) 328-1260 Alta Internal Medicine 82 S 1100 E, #204 Draper, Ut 84020 UT Urban Medicaid 74 Kimballs Ln, #300 Salt Lake City, Ut 84102 Phone: (801) 576-8855 Draper, Ut 84020 Phone: (801) 350-4602 UT Urban Medicaid Ob/Gyn Nurse Phone: (801) 572-0311 UT Urban Medicaid Practitioner UT Urban Medicaid Tschetter, Kevin William Md C Shakeri, Mehrnoosh Md C St Marks Millcreek Primary Care Chandler, Carrie A Aprn C Poppen, Robin Scott Md C Uuhc Greenwood Clinic 4465 S 900 E, #200 Alta View Women’s Center Alta View Internal Medicine 7495 S State St Salt Lake City, Ut 84124 9600 S 1300 E, #305 10965 S State St, #100 Midvale, Ut 84047 Phone: (801) 266-2777 Sandy, Ut 84094 Sandy, Ut 84070 Phone: (801) 213-9400 UT Urban Medicaid Phone: (801) 572-5808 Phone: (801) 572-0311 Languages Spoken: Farsi UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Tschetter, Kevin William Md C Utah Physicians Care Centers Lamalfa, Toni V Np D Powel, Robert S Md C Solomon, Margaret Hope Md C 10965 S State St, #100 Millcreek Women’s Center St Marks Senior Health Center Uuhc Redwood Clinic Sandy, Ut 84070 1140 E 3900 S, #410 1160 E 3900 S, #G200 1525 W 2100 S Phone: (801) 572-0311 Holladay, Ut 84124 Holladay, Ut 84124 West Valley City, Ut 84119 UT Urban Medicaid Phone: (801) 262-8666 Phone: (801) 268-7766 Phone: (801) 213-9900 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 57 Salt Lake Primary Care Providers Network Salt Lake Lamalfa, Toni V Np D Bearnson, Patricia Md C Chambers, May Md C Epstein, Scott Fred Do C Uuhc South Jordan Clinic 1434 E 4500 S, #102 Copper Canyon Womens Center Jordan River Womens Health 1091 W South Jordan Pkwy, #500 Salt Lake City, Ut 84117 3336 S Pioneer Pkwy, #301 3584 W 9000 S, #206 South Jordan, Ut 84095 Phone: (801) 272-6100 West Valley City, Ut 84120 West Jordan, Ut 84088 Phone: (801) 213-9800 UT Urban Medicaid Phone: (801) 964-3865 Phone: (801) 561-2227 UT Urban Medicaid Languages Spoken: French, UT Urban Medicaid Bell Jr, Joseph W Do C Italian, Spanish Lamalfa, Toni V Np D Copper Canyon Womens Center UT Urban Medicaid Faircloth, Erica A Md C Uuhc South Jordan Expansion 3336 S Pioneer Pkwy, #301 Jordan Family Health Clinic West Valley City, Ut 84120 Chen, Eric Hong-Wen Md C 8846 S Redwood Rd, #E121 4696 Daybreak Rim Way Phone: (801) 964-3865 Chc - Oquirrh View West Jordan, Ut 84088 South Jordan, Ut 84095 UT Urban Medicaid 1798 S West Temple, #A100 Phone: (801) 569-1999 Phone: (801) 213-9800 Salt Lake City, Ut 84115 UT Urban Medicaid UT Urban Medicaid Binkley, Shelley Sue Md C Phone: (801) 412-6920 Copper Canyon Womens Center Languages Spoken: Spanish Faircloth, Erica A Md C Muije, Elizabeth H Aprn C 3336 S Pioneer Pkwy, #301 UT Urban Medicaid 3970 S 700 E, #14 South Valley Womens Health Care West Valley City, Ut 84120 Murray, Ut 84107 3570 W 9000 S, #210 Phone: (801) 964-3865 Colby, Spencer Neil Md C Phone: (801) 261-3605 West Jordan, Ut 84088 UT Urban Medicaid Jordan River Womens Health UT Urban Medicaid Phone: (801) 569-2626 3584 W 9000 S, #206 UT Urban Medicaid Binkley, Shelley Sue Md C West Jordan, Ut 84088 Gibson, Keri L Md C Rocky Mountain Womens Health Phone: (801) 561-2227 Uuhc Redwood Clinic Obstetrics And Center UT Urban Medicaid 1525 W 2100 S 3110 W 300 N, #B West Valley City, Ut 84119 Gynecology Salt Lake City, Ut 84105 Daniels, Jonathan Pearson Md C Phone: (801) 213-9900 Phone: (801) 776-0880 Obstetrics & Gynecology Clinic Languages Spoken: French Barnes, Arthur David Md C UT Urban Medicaid 850 E 300 S, #1 UT Urban Medicaid Exodus Healthcare - West Valley Salt Lake City, Ut 84102 3336 S Pioneer Pkwy, #201 Boudreaux-Nippert, Denise J Phone: (801) 322-1214 Hansen, Scott Eugene Md C West Valley City, Ut 84120 Md C UT Urban Medicaid South Valley Womens Health Care Phone: (801) 417-0060 Jordan River Womens Health 3570 W 9000 S, #210 UT Urban Medicaid 3584 W 9000 S, #206 Dinger, Steven C Md C West Jordan, Ut 84088 West Jordan, Ut 84088 Granger Medical Clinic Phone: (801) 569-2626 Barnes, Arthur David Md C Phone: (801) 561-2227 12391 S 4000 W UT Urban Medicaid Magna Center For Family UT Urban Medicaid Riverton, Ut 84065 Medicine Phone: (801) 302-1700 Hinson, Joanne Sumpio Md C 3665 S 8400 W, #110 Brown, Bryant J Md C UT Urban Medicaid Obstetrics & Gynecology Clinic Magna, Ut 84044 3970 S 700 E, #14 850 E 300 S, #1 Phone: (801) 250-9638 Murray, Ut 84107 Dinger, Steven C Md C Salt Lake City, Ut 84102 UT Urban Medicaid Phone: (801) 261-3605 Granger Medical Clinic Phone: (801) 322-1214 UT Urban Medicaid 3181 W 9000 S UT Urban Medicaid Barney, Mitchell F Md D West Jordan, Ut 84088 South Valley Womens Health Care Burgett, Alton Douglas Md C Phone: (801) 352-5900 Horvath, Susan Toung Md D 3570 W 9000 S, #210 Granger Medical Clinic UT Urban Medicaid Millcreek Women’s Center West Jordan, Ut 84088 12391 S 4000 W 1140 E 3900 S, #410 Phone: (801) 569-2626 Riverton, Ut 84065 Dinger, Steven C Md C Holladay, Ut 84124 Languages Spoken: Spanish Phone: (801) 302-1700 Granger Medical Clinic Phone: (801) 262-8666 UT Urban Medicaid UT Urban Medicaid 3725 W 4100 S UT Urban Medicaid West Valley City, Ut 84120 Barney, Spencer P Md C Burgett, Alton Douglas Md C Phone: (801) 965-3600 Hughes, Dennis Clark Md C Jordan Family Health Granger Medical Clinic UT Urban Medicaid 3970 S 700 E, #14 8846 S Redwood Rd, #E121 3181 W 9000 S Murray, Ut 84107 West Jordan, Ut 84088 West Jordan, Ut 84088 Dinger, Steven C Md C Phone: (801) 261-3605 Phone: (801) 569-1999 Phone: (801) 352-5900 Jordan Medical Arts UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid 2751 W 9000 S UT Urban Medicaid West Jordan, Ut 84088 Hutchison, Christopher Va Md C Burgett, Alton Douglas Md C Phone: (801) 352-5900 Granger Medical Clinic Barney, Spencer P Md C Granger Medical Clinic UT Urban Medicaid 12391 S 4000 W Old Farm Ob/Gyn 3725 W 4100 S Riverton, Ut 84065 3970 S 700 E, #14 West Valley City, Ut 84120 Draper, Michael L Md C Phone: (801) 302-1700 Murray, Ut 84107 Phone: (801) 965-3600 South Valley Womens Health Care UT Urban Medicaid Phone: (801) 261-3605 UT Urban Medicaid 3570 W 9000 S, #210 Languages Spoken: Spanish West Jordan, Ut 84088 Hutchison, Christopher Va Md C UT Urban Medicaid Burgett, Alton Douglas Md C Phone: (801) 569-2626 Granger Medical Clinic Jordan Medical Arts UT Urban Medicaid 3181 W 9000 S Barton, Scott R Md C 2751 W 9000 S West Jordan, Ut 84088 Old Farm Ob/Gyn West Jordan, Ut 84088 Ellis, Diane Elizabeth Md C Phone: (801) 352-5900 3970 S 700 E, #14 Phone: (801) 352-5900 Chc - Central City UT Urban Medicaid Murray, Ut 84107 UT Urban Medicaid 461 S 400 E Phone: (801) 261-3605 Salt Lake City, Ut 84111 Hutchison, Christopher Va Md C Languages Spoken: Spanish Phone: (801) 539-8617 Granger Medical Clinic UT Urban Medicaid Languages Spoken: Spanish 3725 W 4100 S UT Urban Medicaid West Valley City, Ut 84120 Phone: (801) 965-3600 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 58 Salt Lake Primary Care Providers Network Salt Lake Hutchison, Christopher Va Md C Nielson, Eric Cline Md C Sloan, Carrie Leigh Md C Twede, Michael L Md C Jordan Medical Arts Mt Olympus Ob/Gyn Ob/Gyn Associates Salt Lake Women Center 2751 W 9000 S 1220 E 3900 S, #3e 12176 S 1000 E, #B1 10011 S Centennial Pkwy, #350 West Jordan, Ut 84088 Holladay, Ut 84124 Draper, Ut 84020 Sandy, Ut 84070 Phone: (801) 352-5900 Phone: (801) 685-7188 Phone: (801) 523-3053 Phone: (801) 561-3922 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Jarrett, Arlen K Md C Oglesby, John S Md C Sloan, Carrie Leigh Md C South Valley Womens Health Care Alpine Ob/Gyn & Pediatrics 74 Kimballs Ln, #330 Twelves, Tricia Anne Md C 3570 W 9000 S, #210 1060 E 100 S, #400 Draper, Ut 84020 Granger Medical Clinic West Jordan, Ut 84088 Salt Lake City, Ut 84102 Phone: (801) 523-3053 12391 S 4000 W Phone: (801) 569-2626 Phone: (801) 521-2640 UT Urban Medicaid Riverton, Ut 84065 UT Urban Medicaid Languages Spoken: Phone: (801) 302-1700 Portuguese Smith, Andrea Nicole Md C UT Urban Medicaid Johnson, Jason Lynn Md C UT Urban Medicaid Millcreek Women’s Center Obstetrics & Gynecology Clinic 1140 E 3900 S, #410 Twelves, Tricia Anne Md C 850 E 300 S, #1 Oglesby, John S Md C Salt Lake City, Ut 84124 Granger Medical Clinic Salt Lake City, Ut 84102 Salt Lake Regional Womens Clinic Phone: (801) 262-8666 3725 W 4100 S Phone: (801) 322-1214 24 E 1100 S, #209 Languages Spoken: Spanish West Valley City, Ut 84120 UT Urban Medicaid Salt Lake City, Ut 84102 UT Urban Medicaid Phone: (801) 965-3600 Phone: (801) 214-7650 UT Urban Medicaid Kinghorn, Jennifer Carter Md D Languages Spoken: Smith, Layne Alan Md C Millcreek Women’s Center Portuguese 9600 S 1300 E, #305 Voss, Stephen C Md C 1140 E 3900 S, #410 UT Urban Medicaid Sandy, Ut 84094 Obstetrics & Gynecology Clinic Holladay, Ut 84124 Phone: (801) 572-5808 850 E 300 S, #1 Phone: (801) 262-8666 Park, Gordon Sherman Md C Languages Spoken: Spanish Salt Lake City, Ut 84102 Languages Spoken: Polish Uuhc Greenwood Clinic UT Urban Medicaid Phone: (801) 322-1214 UT Urban Medicaid 7495 S State St UT Urban Medicaid Midvale, Ut 84047 Stevenson, Camille Md C Lamb, Stephen Earl Md C Phone: (801) 213-9400 Millcreek Women’s Center Ward, Nathan Clark Md C Millcreek Women’s Center Languages Spoken: Spanish 1140 E 3900 S, #410 Lakeview Medical Clinic 1140 E 3900 S, #410 UT Urban Medicaid Holladay, Ut 84124 1625 W 700 N, #F Holladay, Ut 84124 Phone: (801) 262-8666 Salt Lake City, Ut 84116 Phone: (801) 262-8666 Park, Gordon Sherman Md C UT Urban Medicaid Phone: (801) 299-2229 UT Urban Medicaid Uuhc Redwood Clinic Languages Spoken: Spanish 1525 W 2100 S Stewart, Gayle M Md C UT Urban Medicaid Langer, Kathleen M Md C West Valley City, Ut 84119 Alpine Ob/Gyn & Pediatrics South Valley Womens Health Care Phone: (801) 213-9900 1060 E 100 S, #400 Watts, Daren A Md C 3570 W 9000 S, #210 Languages Spoken: Spanish Salt Lake City, Ut 84102 Ob/Gyn Associates West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 521-2640 1151 E 3900 S, #B299 Phone: (801) 569-2626 Languages Spoken: Spanish Holladay, Ut 84124 UT Urban Medicaid Park, Gordon Sherman Md C UT Urban Medicaid Phone: (801) 268-6811 Uuhc Westridge Clinic UT Urban Medicaid Luikenaar, Rixt Anne Md C 3730 W 4700 S Tanner, Gregory Charles Md C Uuhc Greenwood Clinic West Valley City, Ut 84118 9600 S 1300 E, #305 Yamashiro, Vernon Koyu Md D 7495 S State St Phone: (801) 213-9200 Sandy, Ut 84094 Ob/Gyn Associates Midvale, Ut 84047 Languages Spoken: Spanish Phone: (801) 572-5808 1151 E 3900 S, #B299 Phone: (801) 213-9400 UT Urban Medicaid UT Urban Medicaid Holladay, Ut 84124 Languages Spoken: French, Phone: (801) 268-6811 German Rappleye, Alan Tunis Md C Thackeray, Steven Milton Md C UT Urban Medicaid UT Urban Medicaid 3970 S 700 E, #14 Jordan River Womens Health Murray, Ut 84107 3584 W 9000 S, #206 Pediatric Nurse Moreland, Kimberly Smith Md C Phone: (801) 261-3605 West Jordan, Ut 84088 South Valley Womens Health Care Languages Spoken: Spanish Phone: (801) 561-2227 Practitioner 3570 W 9000 S, #210 UT Urban Medicaid Languages Spoken: French, West Jordan, Ut 84088 Spanish Goff, Camille Aprn C Phone: (801) 569-2626 Reynolds, Brandon Lee Do C UT Urban Medicaid Families First Pediatrics UT Urban Medicaid Uuhc Redwood Clinic 1268 W South Jordan Pkwy, #201 1525 W 2100 S Townson, Walter Karl Md C South Jordan, Ut 84095 Nelson, James Robert Md C West Valley City, Ut 84119 Uuhc Greenwood Clinic Phone: (801) 254-9700 Copper Canyon Womens Center Phone: (801) 213-9900 7495 S State St UT Urban Medicaid 3336 S Pioneer Pkwy, #301 UT Urban Medicaid Midvale, Ut 84047 West Valley City, Ut 84120 Phone: (801) 213-9400 Griffin, Katherine GA prn C Phone: (801) 964-3865 Roth, James Thomas Md C UT Urban Medicaid Granger Medical Clinic UT Urban Medicaid Jordan Family Health 3725 W 4100 S 8846 S Redwood Rd, #E121 Turok, David Keith Md C West Valley City, Ut 84120 Nichols, John Milton Do C West Jordan, Ut 84088 Chc - Central City Phone: (801) 965-3600 South Valley Womens Health Care Phone: (801) 569-1999 461 S 400 E UT Urban Medicaid 3570 W 9000 S, #210 UT Urban Medicaid Salt Lake City, Ut 84111 West Jordan, Ut 84088 Phone: (801) 539-8617 Hiatt, Virginia Lynn Aprn C Phone: (801) 569-2626 Roth, James Thomas Md C UT Urban Medicaid Alpine Ob/Gyn & Pediatrics UT Urban Medicaid 3970 S 700 E, #14 1060 E 100 S, #400 Murray, Ut 84107 Salt Lake City, Ut 84102 Phone: (801) 261-3605 Phone: (801) 521-2640 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 59 Salt Lake Primary Care Providers Network Salt Lake Joyce, Mary D Aprn C Barrett, Mark B Md C Brogli, Julia C Md C Cline, Jeffrey Wade Md C Uuhc Westridge Clinic Wasatch Pediatrics - Cottonwood Wasatch Pediatrics - Cottonwood Uuhc Greenwood Clinic 3730 W 4700 S Pediatrics Pediatrics 7495 S State St West Valley City, Ut 84118 5770 S 250 E, #290 5770 S 250 E, #290 Midvale, Ut 84047 Phone: (801) 213-9200 Murray, Ut 84107 Murray, Ut 84107 Phone: (801) 213-9400 UT Urban Medicaid Phone: (801) 747-8700 Phone: (801) 747-8700 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Morin, Sylvia S Aprn C Cosgrove, William E Md C Granger Medical Clinic Bean, Barbara E Md C Brownstein, Ellie S Md C Wasatch Pediatrics - Cottonwood 3181 W 9000 S Wasatch Pediatrics - Cottonwood Uuhc Greenwood Clinic Pediatrics West Jordan, Ut 84088 Pediatrics 7495 S State St 5770 S 250 E, #290 Phone: (801) 352-5900 5770 S 250 E, #290 Midvale, Ut 84047 Murray, Ut 84107 UT Urban Medicaid Murray, Ut 84107 Phone: (801) 213-9400 Phone: (801) 747-8700 Phone: (801) 747-8700 UT Urban Medicaid UT Urban Medicaid Morin, Sylvia S Aprn C Languages Spoken: Spanish Granger Medical Clinic UT Urban Medicaid Brownstein, Ellie S Md C Cox, Jennifer Amy Md C 3725 W 4100 S Uuhc Westridge Clinic Alpine Ob/Gyn & Pediatrics West Valley City, Ut 84120 Bodnar, Anna S Md D 3730 W 4700 S 1060 E 100 S, #400 Phone: (801) 965-3600 Children With Special Healthcare West Valley City, Ut 84047 Salt Lake City, Ut 84102 UT Urban Medicaid Needs Phone: (801) 213-9200 Phone: (801) 521-2640 44 Mario Capecchi Dr UT Urban Medicaid UT Urban Medicaid Nash, Karen A Aprn C Salt Lake City, Ut 84114 Granger Medical Clinic Phone: (801) 584-8284 Buchanan, Brian J Md C Cox, Matthew Nelson Md C 3181 W 9000 S UT Urban Medicaid Wasatch Pediatrics - Southpoint Families First Pediatrics West Jordan, Ut 84088 Pediatrics 1268 W South Jordan Pkwy, #201 Phone: (801) 352-5900 Borgenicht, Louis Md C 9071 S 1300 W, #301 South Jordan, Ut 84095 UT Urban Medicaid 850 E 300 S, #5 West Jordan, Ut 84088 Phone: (801) 254-9700 Salt Lake City, Ut 84102 Phone: (801) 565-1162 UT Urban Medicaid Nash, Karen A Aprn C Phone: (801) 531-8689 UT Urban Medicaid Granger Medical Clinic Languages Spoken: French Cramer, Joseph G Md C 3725 W 4100 S UT Urban Medicaid Carbone, Paul Sean Md D Wasatch Pediatrics - Cottonwood West Valley City, Ut 84120 Children With Special Healthcare Pediatrics Phone: (801) 965-3600 Bosworth, Darin G Md C Needs 5770 S 250 E, #290 UT Urban Medicaid Wasatch Pediatrics - Southpoint 44 Mario Capecchi Dr Murray, Ut 84107 Pediatrics Salt Lake City, Ut 84114 Phone: (801) 747-8700 Pediatrics 9071 S 1300 W, #301 Phone: (801) 584-8284 UT Urban Medicaid West Jordan, Ut 84088 Languages Spoken: Spanish Adams, Linda Margrit Md D Phone: (801) 565-1162 UT Urban Medicaid Eyre, Alyson Md D Children With Special Healthcare Languages Spoken: Granger Medical Clinic Needs Portuguese, Spanish Chapman, Dale L Md D 3181 W 9000 S 44 Mario Capecchi Dr UT Urban Medicaid Granger Medical Clinic West Jordan, Ut 84088 Salt Lake City, Ut 84114 3181 W 9000 S Phone: (801) 352-5900 Phone: (801) 584-8284 Brasher, Craig Alan Md D West Jordan, Ut 84088 UT Urban Medicaid UT Urban Medicaid Granger Medical Clinic Phone: (801) 352-5900 3181 W 9000 S UT Urban Medicaid Eyre, Alyson Md D Aizad, Tazeem Md C West Jordan, Ut 84088 Granger Medical Clinic Jordan Valley Pediatrics Phone: (801) 352-5900 Chapman, Dale L Md D 3725 W 4100 S 1561 W 7000 S, #202 UT Urban Medicaid Granger Medical Clinic West Valley City, Ut 84120 West Jordan, Ut 84084 3725 W 4100 S Phone: (801) 965-3600 Phone: (801) 569-8344 Brasher, Craig Alan Md D West Valley City, Ut 84120 UT Urban Medicaid Granger Medical Clinic Phone: (801) 965-3600 Languages Spoken: Urdu Feindt, Karla Ann Md C UT Urban Medicaid 3725 W 4100 S UT Urban Medicaid West Valley City, Ut 84120 Wasatch Pediatrics - Draper Allen, Louis S Md D Phone: (801) 965-3600 Christiansen, Alicia Md C Willow Creek Children With Special Healthcare UT Urban Medicaid Families First Pediatrics 114 E 12450 S, #100 Needs 1268 W South Jordan Pkwy, #201 Draper, Ut 84020 44 Mario Capecchi Dr Broadbent, Kenneth R Md C South Jordan, Ut 84095 Phone: (801) 523-3001 Salt Lake City, Ut 84114 Wasatch Pediatrics - Willow Creek Phone: (801) 254-9700 UT Urban Medicaid At St Mark’s Languages Spoken: Spanish Phone: (801) 584-8284 Fox, Rita K Md C UT Urban Medicaid 1140 E 3900 S, #360 UT Urban Medicaid Salt Lake City, Ut 84124 Comfort Care Pediatrics Balog, Kimberly Ann Md C Phone: (801) 264-8686 Clayton, Daniel Bennion Md C 4546 S 815 W, #204 Comfort Care Pediatrics UT Urban Medicaid Wasatch Pediatrics - Draper Taylorsville, Ut 84123 4546 S 815 W, #204 Willow Creek Phone: (801) 595-8844 Taylorsville, Ut 84123 Brodie, Lesley Thompson Md C 114 E 12450 S, #100 UT Urban Medicaid Wasatch Homeless Healthcare Draper, Ut 84020 Phone: (801) 595-8844 Frasier, Lori Dawn Md C UT Urban Medicaid 404 S 400 W Phone: (801) 523-3001 Salt Lake City, Ut 84101 Languages Spoken: Italian Primary Children Center For Phone: (801) 364-0058 UT Urban Medicaid Saving Healthy Families UT Urban Medicaid 675 E 500 S, #300 Salt Lake City, Ut 84102 Phone: (801) 662-3600 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 60 Salt Lake Primary Care Providers Network Salt Lake Gellner, Cynthia Lynn Md C Hull, Maggie Salem Md C Jopling, Ronald J Md C Lei, Paul Shing-Jian Md C Uuhc Westridge Clinic Comfort Care Pediatrics Wasatch Pediatrics - Willow Creek South Summit Pediatrics 3730 W 4700 S 4546 S 815 W, #204 Pediatrics 267 E Traversepoint Dr West Valley City, Ut 84118 Taylorsville, Ut 84123 7138 S 2000 E, #106 Draper, Ut 84020 Phone: (801) 213-9200 Phone: (801) 595-8844 Salt Lake City, Ut 84121 Phone: (801) 553-8300 UT Urban Medicaid UT Urban Medicaid Phone: (801) 942-1800 Languages Spoken: Chinese Languages Spoken: Spanish UT Urban Medicaid Goodwin, Leslie Lash Md C Hurley, David C Md C UT Urban Medicaid Wasatch Pediatrics - Southpoint Wasatch Pediatrics - Cottonwood Lindsay, Alan Rob Md C Pediatrics Pediatrics Kelly, Colin K Md C Intermountain Pediatric Clinic 9071 S 1300 W, #301 5770 S 250 E, #290 1250 E 3900 S, #250 508 E South Temple, #310 West Jordan, Ut 84088 Murray, Ut 84107 Salt Lake City, Ut 84124 Salt Lake City, Ut 84102 Phone: (801) 565-1162 Phone: (801) 747-8700 Phone: (801) 268-6283 Phone: (801) 355-4316 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Greenberg, Richard A Md C Isenberg, Philip Nathanael Md C Khatua, Sutapa Md C Lloyd, Michael B Md D South Summit Pediatrics Uuhc Redwood Clinic Uuhc South Jordan Clinic Children With Special Healthcare 267 E Traversepoint Dr 1525 W 2100 S 1091 W South Jordan Pkwy, #500 Needs Draper, Ut 84020 West Valley City, Ut 84119 South Jordan, Ut 84095 48 Mario Capecchi Dr Phone: (801) 553-8300 Phone: (801) 213-9900 Phone: (801) 213-9800 Salt Lake City, Ut 84114 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 584-8284 UT Urban Medicaid Hansen, Kimberly Md C Jackson, Jeffrey Barrett Md D Lam, Toan H Md C Wasatch Pediatrics - Draper 1995 W 9000 S Alpine Ob/Gyn & Pediatrics Lloyd, Michael B Md C Willow Creek West Jordan, Ut 84088 1060 E 100 S, #400 Primary Childrens Medical Center 114 E 12450 S, #100 Phone: (801) 566-9888 Salt Lake City, Ut 84102 100 N Mario Capecchi Dr Draper, Ut 84020 UT Urban Medicaid Phone: (801) 521-2640 Salt Lake City, Ut 84113 Phone: (801) 523-3001 UT Urban Medicaid Phone: (801) 662-1000 UT Urban Medicaid Jacobs, Francine Nadeen Md C UT Urban Medicaid Just Kids Pediatric & Adolescent Lamere, Richard G Md C Harris, David A Md D Clinic Uuhc Redwood Clinic Lynch, Steven Mark Md C Granger Medical Clinic 4052 W Pioneer Pkwy, #205 1525 W 2100 S Wasatch Pediatrics - Willow Creek 3181 W 9000 S West Valley City, Ut 84120 West Valley City, Ut 84119 Pediatrics West Jordan, Ut 84088 Phone: (801) 964-3492 Phone: (801) 213-9900 7138 S 2000 E, #106 Phone: (801) 352-5900 Languages Spoken: Spanish UT Urban Medicaid Salt Lake City, Ut 84121 UT Urban Medicaid UT Urban Medicaid Phone: (801) 942-1800 Lantz, Karen Elisabeth Md C UT Urban Medicaid Harris, David A Md D Johnson, Catherine Bogan Md C Families First Pediatrics Granger Medical Clinic Copperview Medical Center 1268 W South Jordan Pkwy, #201 Mashkuri, Pari L Md C 3725 W 4100 S 3556 W 9800 S, #101 South Jordan, Ut 84095 Southwest Childrens Clinic West Valley City, Ut 84120 South Jordan, Ut 84095 Phone: (801) 254-9700 8822 S Redwood Rd, #C-211 Phone: (801) 965-3600 Phone: (801) 567-9780 Languages Spoken: German West Jordan, Ut 84088 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 563-1975 UT Urban Medicaid Hightower, R Ross Md C Johnson, Catherine Bogan Md C Lash, Kevin Brook Md C Murray Pediatrics South Summit Pediatrics Wasatch Pediatrics - Southpoint Matheny, Cali C Md C 164 E 5900 S, #112a 267 E Traversepoint Dr Pediatrics 8925 S 2700 W Murray, Ut 84107 Draper, Ut 84020 9071 S 1300 W, #301 West Jordan, Ut 84088 Phone: (801) 262-2673 Phone: (801) 553-8300 West Jordan, Ut 84088 Phone: (801) 566-6200 UT Urban Medicaid UT Urban Medicaid Phone: (801) 565-1162 UT Urban Medicaid Languages Spoken: Holbrook, Suzanne Tiann Md C Johnson, Michael Ray Md C Portuguese, Spanish Memmott, Jim Cleon Md C Alpine Ob/Gyn & Pediatrics Families First Pediatrics UT Urban Medicaid Wasatch Pediatrics - Willow Creek 1060 E 100 S, #400 1268 W South Jordan Pkwy, #201 Pediatrics Salt Lake City, Ut 84102 South Jordan, Ut 84095 Le, Trung Minh Md C 7138 S 2000 E, #106 Phone: (801) 521-2640 Phone: (801) 254-9700 Step By Step Pediatrics Salt Lake City, Ut 84121 UT Urban Medicaid UT Urban Medicaid 3570 W 9000 S, #140 Phone: (801) 942-1800 West Jordan, Ut 84088 Languages Spoken: Spanish Hollingsworth, Martin All Md C Johnson, Sara Emilie Md C Phone: (801) 676-5991 UT Urban Medicaid Copperview Medical Center 850 E 300 S, #5 Languages Spoken: Vietnamese 3556 W 9800 S, #101 Salt Lake City, Ut 84102 UT Urban Medicaid Metcalf, Thomas James Md C South Jordan, Ut 84095 Phone: (801) 531-8689 Wasatch Pediatrics - Willow Creek Phone: (801) 567-9780 Languages Spoken: Spanish Lei, Paul Shing-Jian Md C At St Mark’s Languages Spoken: Spanish UT Urban Medicaid Copperview Medical Center 1140 E 3900 S, #360 UT Urban Medicaid 3556 W 9800 S, #101 Salt Lake City, Ut 84124 Jolma, Catherine Md D South Jordan, Ut 84095 Phone: (801) 264-8686 Hornyik, Galina Renata Md C Children With Special Healthcare Phone: (801) 567-9780 UT Urban Medicaid Wasatch Pediatrics - Draper Needs Languages Spoken: Chinese Willow Creek 46 Mario Capecchi Dr UT Urban Medicaid Miller, Christopher Wayne Md C 114 E 12450 S, #100 Salt Lake City, Ut 84114 Uuhc Redwood Clinic Draper, Ut 84020 Phone: (801) 584-8284 1525 W 2100 S Phone: (801) 523-3001 UT Urban Medicaid West Valley City, Ut 84119 UT Urban Medicaid Phone: (801) 213-9900 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 61 Salt Lake Primary Care Providers Network Salt Lake Molberg, Holly J Md C Ormsby, Sarah Ann Md C Ring, Shellie Jean Md C Shapiro, Mary Md C Southwest Childrens Clinic Wasatch Pediatrics - Willow Creek Wasatch Pediatrics - Willow Creek Uuhc Westridge Clinic 8822 S Redwood Rd, #C-211 At St Mark’s Pediatrics 3730 W 4700 S West Jordan, Ut 84088 1140 E 3900 S, #360 7138 S 2000 E, #106 West Valley City, Ut 84118 Phone: (801) 563-1975 Salt Lake City, Ut 84124 Salt Lake City, Ut 84121 Phone: (801) 213-9200 UT Urban Medicaid Phone: (801) 264-8686 Phone: (801) 942-1800 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Montgomerie, Bruce Z Md D Stampfl, Daniel Ray Md C Granger Medical Clinic Owens, Cynthia Smart Md C Roberts, Joseph Allen Md C Wasatch Pediatrics - Draper 3181 W 9000 S Wasatch Pediatrics - Willow Creek Murray Pediatrics Willow Creek West Jordan, Ut 84088 At St Mark’s 164 E 5900 S, #112a 114 E 12450 S, #100 Phone: (801) 352-5900 1140 E 3900 S, #360 Murray, Ut 84107 Draper, Ut 84020 UT Urban Medicaid Salt Lake City, Ut 84124 Phone: (801) 262-2673 Phone: (801) 523-3001 Phone: (801) 264-8686 UT Urban Medicaid UT Urban Medicaid Montgomerie, Bruce Z Md D Languages Spoken: German Granger Medical Clinic UT Urban Medicaid Roberts, Joseph Allen Md C Stipelman, Carole H Md C 3725 W 4100 S Nightime Urgent Care Chc - Oquirrh View West Valley City, Ut 84120 Packer, Alissa A Md C 5911 S Fashion Blvd, #105 4745 S 3200 W Phone: (801) 965-3600 Wasatch Pediatrics - Southpoint Murray, Ut 84107 Salt Lake City, Ut 84118 UT Urban Medicaid Pediatrics Phone: (801) 266-6843 Phone: (801) 964-6214 9071 S 1300 W, #301 UT Urban Medicaid Languages Spoken: Spanish Nguyen, Viet Dung N Md C West Jordan, Ut 84088 UT Urban Medicaid Uuhc Redwood Clinic Phone: (801) 565-1162 Ryan, Jimmy Lynn Md C 1525 W 2100 S UT Urban Medicaid Parkway Pediatrics Swensen, Paul H Md C West Valley City, Ut 84119 1288 W 12700 S Intermountain Pediatric Clinic Phone: (801) 213-9900 Pennington, Mary Jane Md D Riverton, Ut 84065 508 E South Temple, #310 Languages Spoken: Spanish, Granger Medical Clinic Phone: (801) 253-3500 Salt Lake City, Ut 84102 Vietnamese 3725 W 4100 S Languages Spoken: French Phone: (801) 355-4316 UT Urban Medicaid West Valley City, Ut 84120 UT Urban Medicaid UT Urban Medicaid Phone: (801) 965-3600 O’mara, Kathleen A Md C UT Urban Medicaid Saidi, Merium K Md C Swensen, Paul H Md C Wasatch Pediatrics - Willow Creek Just Kids Pediatric & Adolescent Primary Childrens Medical Center Pediatrics Petersen, Sarah Connors Md C Clinic 100 N Mario Capecchi Dr 7138 S 2000 E, #106 Uuhc Redwood Clinic 4052 W Pioneer Pkwy, #205 Salt Lake City, Ut 84113 Salt Lake City, Ut 84121 1525 W 2100 S West Valley City, Ut 84120 Phone: (801) 662-1700 Phone: (801) 942-1800 West Valley City, Ut 84119 Phone: (801) 964-3492 UT Urban Medicaid UT Urban Medicaid Phone: (801) 213-9900 Languages Spoken: UT Urban Medicaid Portuguese, Spanish, Urdu Templeman, Mark C Md C Okubo, David H Md C UT Urban Medicaid Primary Childrens Medical Center 1995 W 9000 S Petersen, Sarah Connors Md C 100 N Mario Capecchi Dr West Jordan, Ut 84088 Uuhc South Jordan Clinic Salek, Allyson Md C Salt Lake City, Ut 84113 Phone: (801) 566-9888 1091 W South Jordan Pkwy, #500 Uuhc South Jordan Clinic Phone: (801) 662-1000 UT Urban Medicaid South Jordan, Ut 84095 1091 W South Jordan Pkwy, #500 UT Urban Medicaid Phone: (801) 213-9800 South Jordan, Ut 84095 Olesen, Renee Elizabeth Md C UT Urban Medicaid Phone: (801) 213-9800 Terashima, Robert S Md D Southwest Childrens Clinic UT Urban Medicaid 8925 S 2700 W 8822 S Redwood Rd, #C-211 Phillips, Sandra Arico Md C West Jordan, Ut 84088 West Jordan, Ut 84088 Intermountain Pediatric Clinic Samsonfang, Lisa J Md C Phone: (801) 566-6200 Phone: (801) 563-1975 508 E South Temple, #310 Pcmc Dept Of Pediatrics UT Urban Medicaid UT Urban Medicaid Salt Lake City, Ut 84102 100 N Medical Dr Phone: (801) 355-4316 Salt Lake City, Ut 84113 Tew, Jonathan M Md C Omura, Terry H Md C UT Urban Medicaid Phone: (801) 588-3240 Parkway Pediatrics Wasatch Pediatrics - Cottonwood UT Urban Medicaid 1288 W 12700 S Pediatrics Rahaniotis, Valerie Louise Md C Riverton, Ut 84065 5770 S 250 E, #290 Southwest Childrens Clinic Sandvig, Jennifer Lynn Md D Phone: (801) 253-3500 Murray, Ut 84107 8822 S Redwood Rd, #C-211 Wasatch Pediatrics - Willow Creek Languages Spoken: Russian Phone: (801) 747-8700 West Jordan, Ut 84088 At St Mark’s UT Urban Medicaid UT Urban Medicaid Phone: (801) 563-1975 1140 E 3900 S, #360 UT Urban Medicaid Salt Lake City, Ut 84124 Thomas, Tiffany A Md C Orchard, Anna Grace Md C Phone: (801) 264-8686 Families First Pediatrics Murray Pediatrics Ralston, Charles W Md C UT Urban Medicaid 1268 W South Jordan Pkwy, #201 164 E 5900 S, #112a Wasatch Pediatrics - Cottonwood South Jordan, Ut 84095 Murray, Ut 84107 Pediatrics Schlichter, Gary W Md C Phone: (801) 254-9700 Phone: (801) 262-2673 5770 S 250 E, #290 Murray Pediatrics UT Urban Medicaid Languages Spoken: Croatian, Murray, Ut 84107 164 E 5900 S, #112a Russian, Serbian, Spanish, Phone: (801) 747-8700 Murray, Ut 84107 Valentine, Marilyn Md C Ukrainian UT Urban Medicaid Phone: (801) 262-2673 Uuhc Redwood Clinic UT Urban Medicaid UT Urban Medicaid 1525 W 2100 S Ramsey, Keith P Md C West Valley City, Ut 84119 8822 S Redwood Rd, #S103 Schriewer, Sharon K Md C Phone: (801) 213-9900 West Jordan, Ut 84088 Alpine Ob/Gyn & Pediatrics UT Urban Medicaid Phone: (801) 253-2273 1060 E 100 S, #400 Languages Spoken: Italian Salt Lake City, Ut 84102 UT Urban Medicaid Phone: (801) 521-2640 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 62 Salt Lake Primary Care Providers Network Salt Lake Villalva, Venus Louise Md D Ahanonu, Cecilia Pa C Christensen, Malinda Ruth Pa C Crouse, Danny Pa C Chc - Oquirrh View Exodus Healthcare - West Valley Granger Medical Clinic Uuhc Sugarhouse Clinic 4745 S 3200 W 3336 S Pioneer Pkwy, #201 3725 W 4100 S 1138 Wilmington Ave Salt Lake City, Ut 84118 West Valley City, Ut 84120 West Valley City, Ut 84120 Salt Lake City, Ut 84106 Phone: (801) 964-6214 Phone: (801) 417-0060 Phone: (801) 965-3600 Phone: (801) 581-2000 Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Ahanonu, Cecilia Pa C Cobb, Matthew Steven Pa C Dale, Robin J Pa C Wall, John B Md C Magna Center For Family Alpine Internal Medicine Division The Solitude Clinic Wasatch Pediatrics - Cottonwood Medicine 1060 E 100 S, #L10 12000 Big Cottonwood Canyon Rd Pediatrics 3665 S 8400 W, #110 Salt Lake City, Ut 84102 Salt Lake City, Ut 84121 5770 S 250 E, #290 Magna, Ut 84044 Phone: (801) 328-1260 Phone: (801) 536-5712 Murray, Ut 84107 Phone: (801) 250-9638 UT Urban Medicaid UT Urban Medicaid Phone: (801) 747-8700 UT Urban Medicaid Languages Spoken: German Cobb, Nadia Miniclier Pa C Do, Phung Kim Pa C UT Urban Medicaid Anderson Dawson, Tracy Pa C Madsen Health Center Family Chc - Central City Exodus Healthcare - West Valley Practice Clinic 461 S 400 E Wilkerson II, Julie Sun Md D 3336 S Pioneer Pkwy, #201 555 Foothill Blvd Salt Lake City, Ut 84111 Granger Medical Clinic West Valley City, Ut 84120 Salt Lake City, Ut 84112 Phone: (801) 539-8617 3725 W 4100 S Phone: (801) 417-0060 Phone: (801) 581-8000 Languages Spoken: Chinese, West Valley City, Ut 84120 UT Urban Medicaid Languages Spoken: German Vietnamese Phone: (801) 965-3600 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish Anderson Dawson, Tracy Pa C UT Urban Medicaid Magna Center For Family Cobb, Nadia Miniclier Pa C Do, Phung Kim Pa C Medicine Uuhc Redwood Clinic Chc - Oquirrh View Wirkus, Paul Egbert Md C 3665 S 8400 W, #110 1525 W 2100 S 4745 S 3200 W Wasatch Pediatrics - Cottonwood Magna, Ut 84044 West Valley City, Ut 84119 Salt Lake City, Ut 84118 Pediatrics Phone: (801) 250-9638 Phone: (801) 213-9900 Phone: (801) 964-6214 5770 S 250 E, #290 UT Urban Medicaid Languages Spoken: German Languages Spoken: Chinese, Murray, Ut 84107 UT Urban Medicaid Vietnamese Phone: (801) 747-8700 Ball, John Harold Pa C UT Urban Medicaid Languages Spoken: German Hunter Medical Center Coppin, Erin V Pa C UT Urban Medicaid 3534 S 6000 W Jordan Family Health Engelbert Fenton, Michael Pa C West Valley City, Ut 84128 8846 S Redwood Rd, #E121 Chc - 72nd Street Clinic Wonnacott, Monica C Md C Phone: (801) 969-6264 West Jordan, Ut 84088 220 W 7200 S, #A Granger Medical Clinic UT Urban Medicaid Phone: (801) 569-1999 Midvale, Ut 84047 3725 W 4100 S UT Urban Medicaid Phone: (801) 412-6920 West Valley City, Ut 84120 Ball, John Harold Pa C UT Urban Medicaid Phone: (801) 965-3600 Jordan Meadows Medical Center Coppin, Erin V Pa C UT Urban Medicaid 3354 W 7800 S Lone Peak Primary Care Evans, Mark T Pa C West Jordan, Ut 84088 74 Kimballs Ln, #260 Uuhc Redwood Clinic Woods, Rachel J Md C Phone: (801) 282-2677 Draper, Ut 84020 1525 W 2100 S Wasatch Pediatrics - Draper UT Urban Medicaid Phone: (801) 545-8480 West Valley City, Ut 84119 Willow Creek UT Urban Medicaid Phone: (801) 213-9900 114 E 12450 S, #100 Briley, Melissa S Pa C UT Urban Medicaid Draper, Ut 84020 Madsen Health Center Family Coppin, Erin V Pa C Phone: (801) 523-3001 Practice Clinic South Jordan Family Medicine Fonua, Jackie Anne Pa C UT Urban Medicaid 555 Foothill Blvd 10623 S Redwood Rd, #101 Hunter Medical Center Salt Lake City, Ut 84112 South Jordan, Ut 84095 3534 S 6000 W Zarbock, Zachary Robert Md C Phone: (801) 581-8000 Phone: (801) 302-0899 West Valley City, Ut 84128 Families First Pediatrics Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 969-6264 1268 W South Jordan Pkwy, #201 UT Urban Medicaid UT Urban Medicaid South Jordan, Ut 84095 Coursey, Jeffrey Michael Pa C Phone: (801) 254-9700 Burnham, Bruce M Pa C Chc - Central City Fonua, Jackie Anne Pa C UT Urban Medicaid Health Clinics Of Utah 461 S 400 E Jordan Meadows Medical Center 3195 S Main St, #200 Salt Lake City, Ut 84111 3354 W 7800 S Salt Lake City, Ut 84115 Phone: (801) 539-8617 West Jordan, Ut 84088 Physician Assistant Phone: (801) 468-0354 Languages Spoken: Spanish Phone: (801) 282-2677 Adams, Nathan J Pa C UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Exodus Healthcare - West Valley Campbell, Debra Pa C Crawford, Wayne Pa C Food, Joseph M Pa C 3336 S Pioneer Pkwy, #201 Uuhc Greenwood Clinic Health Clinics Of Utah St Marks Millcreek Primary Care West Valley City, Ut 84120 7495 S State St 3195 S Main St, #200 4465 S 900 E, #200 Phone: (801) 417-0060 Midvale, Ut 84047 Salt Lake City, Ut 84115 Salt Lake City, Ut 84124 UT Urban Medicaid Phone: (801) 213-9400 Phone: (801) 468-0354 Phone: (801) 266-2777 Adams, Nathan J Pa C UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Magna Center For Family Chase, Susana Pa C Garcia, Kenneth Allen Pa C Medicine Uuhc Redwood Clinic Crouse, Danny Pa C Uuhc Redwood Clinic 3665 S 8400 W, #110 1525 W 2100 S Madsen Health Center Family 1525 W 2100 S Magna, Ut 84044 West Valley City, Ut 84119 Practice Clinic West Valley City, Ut 84119 Phone: (801) 250-9638 Phone: (801) 213-9900 555 Foothill Blvd Phone: (801) 213-9900 UT Urban Medicaid UT Urban Medicaid Salt Lake City, Ut 84112 UT Urban Medicaid Phone: (801) 581-8000 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 63 Salt Lake Primary Care Providers Network Salt Lake Gee, Chuck H Pa C Konesavanh, Soutsada Nikki Pa C Malone, Jennifer Lynn Pa C Nelson, Jeanette Claire Pa C Southwest Family Medicine Magna Center For Family Chc - Central City The Solitude Clinic 1575 W 7000 S Medicine 461 S 400 E 12000 Big Cottonwood Canyon Rd West Jordan, Ut 84084 3665 S 8400 W, #110 Salt Lake City, Ut 84111 Salt Lake City, Ut 84121 Phone: (801) 569-9133 Magna, Ut 84044 Phone: (801) 539-8617 Phone: (801) 536-5712 UT Urban Medicaid Phone: (801) 250-9638 Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Gillette, Janee Pa C Pace, Bradley Rudolph Pa C Exodus Healthcare - West Valley Lang, Patrick B Pa C Mandujano, Martha Patricia Pa C Chc - Central City 3336 S Pioneer Pkwy, #201 Uuhc Greenwood Clinic Chc - Central City 461 S 400 E West Valley City, Ut 84120 7495 S State St 461 S 400 E Salt Lake City, Ut 84111 Phone: (801) 417-0060 Midvale, Ut 84047 Salt Lake City, Ut 84111 Phone: (801) 539-8617 UT Urban Medicaid Phone: (801) 213-9400 Phone: (801) 539-8617 Languages Spoken: Spanish UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Gillette, Janee Pa C UT Urban Medicaid Magna Center For Family Latham, Jessica Milly Pa C Panisi, Uaisele Pa C Medicine Magna Center For Family Mandujano, Martha Patricia Pa C Uuhc Redwood Clinic 3665 S 8400 W, #110 Medicine Chc - Oquirrh View 1525 W 2100 S Magna, Ut 84044 3665 S 8400 W, #110 4745 S 3200 W West Valley City, Ut 84119 Phone: (801) 250-9638 Magna, Ut 84044 Salt Lake City, Ut 84118 Phone: (801) 213-9900 UT Urban Medicaid Phone: (801) 250-9638 Phone: (801) 964-6214 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish Herzog, Hazen T Pa C UT Urban Medicaid Pedersen, Kathy Jane Pa C Hidden Valley Family Medicine Lloyd, Marliese Lorelei Pa C Chc - Oquirrh View 12176 S 1000 E Magna Center For Family Matson, Summer Ann Pa C 4745 S 3200 W Draper, Ut 84020 Medicine Madsen Health Center Family Salt Lake City, Ut 84118 Phone: (801) 572-3750 3665 S 8400 W, #110 Practice Clinic Phone: (801) 964-6214 UT Urban Medicaid Magna, Ut 84044 555 Foothill Blvd Languages Spoken: Spanish Phone: (801) 250-9638 Salt Lake City, Ut 84112 UT Urban Medicaid Jensen, Tate Alan Pa C Languages Spoken: Spanish Phone: (801) 581-8000 Magna Center For Family UT Urban Medicaid Languages Spoken: Spanish Schauers, Todd Neil Pa C Medicine UT Urban Medicaid Jordan Family Health 3665 S 8400 W, #110 Macey, Wendy Marie Pa C 8846 S Redwood Rd, #E121 Magna, Ut 84044 Uuhc Greenwood Clinic Matson, Summer Pa C West Jordan, Ut 84088 Phone: (801) 250-9638 7495 S State St Uuhc Redwood Clinic Phone: (801) 569-1999 Languages Spoken: Spanish Midvale, Ut 84047 1525 W 2100 S Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 213-9400 West Valley City, Ut 84119 UT Urban Medicaid UT Urban Medicaid Phone: (801) 213-9900 Jones, Thomas T Pa C UT Urban Medicaid Spackman, Jared Paul Pa C Uuhc Redwood Clinic Macey, Wendy Marie Pa C 1995 W 9000 S 1525 W 2100 S Uuhc Redwood Clinic Matson, Summer Ann Pa C West Jordan, Ut 84088 West Valley City, Ut 84119 1525 W 2100 S Uuhc Sugarhouse Clinic Phone: (801) 566-9888 Phone: (801) 213-9900 West Valley City, Ut 84119 1138 Wilmington Ave UT Urban Medicaid UT Urban Medicaid Phone: (801) 213-9900 Salt Lake City, Ut 84106 UT Urban Medicaid Phone: (801) 581-2000 Stanger, Victoria Pa C Jorgensen, Jesse A Pa C Languages Spoken: Spanish Seraphine Med Taylorsville Madsen Health Center Family Macfarlane, Kevin Burnham Pa C UT Urban Medicaid 6671 S Redwood Rd, #110 Practice Clinic Magna Center For Family West Jordan, Ut 84084 555 Foothill Blvd Medicine Mcgovern, Cheryl Jean Pa C Phone: (801) 966-9907 Salt Lake City, Ut 84112 3665 S 8400 W, #110 Magna Center For Family UT Urban Medicaid Phone: (801) 581-8000 Magna, Ut 84044 Medicine UT Urban Medicaid Phone: (801) 250-9638 3665 S 8400 W, #110 Steele, Sabrina L Pa C Languages Spoken: Spanish Magna, Ut 84044 Jordan Ridge Family Medicine Jorgensen, Jesse A Pa C UT Urban Medicaid Phone: (801) 250-9638 6321 S Redwood Rd, #100 Uuhc Redwood Clinic UT Urban Medicaid Taylorsville, Ut 84123 1525 W 2100 S Mair, Anna Isabella Pa C Phone: (801) 265-2212 West Valley City, Ut 84119 South Valley Womens Health Care Moloney, Amanda J Pa C UT Urban Medicaid Phone: (801) 213-9900 3570 W 9000 S, #210 The Solitude Clinic UT Urban Medicaid West Jordan, Ut 84088 12000 Big Cottonwood Canyon Rd Stockman, Paula Elizabeth Pa C Phone: (801) 569-2626 Salt Lake City, Ut 84121 Uuhc Redwood Clinic Jorgensen, Jesse A Pa C UT Urban Medicaid Phone: (801) 536-5712 1525 W 2100 S Uuhc Sugarhouse Clinic UT Urban Medicaid West Valley City, Ut 84119 1138 Wilmington Ave Malone, Jennifer Lynn Pa C Phone: (801) 213-9900 Salt Lake City, Ut 84106 Chc - 72nd Street Clinic Myers, Bethany Ann Pa C UT Urban Medicaid Phone: (801) 581-2000 220 W 7200 S, #A Monarch Womens Cancer Center UT Urban Medicaid Midvale, Ut 84047 1140 E 3900 S, #340 Syddall, Tracy Pa C Phone: (801) 412-6920 Salt Lake City, Ut 84124 Uuhc Greenwood Clinic Keller, Jean Mary Pa C Languages Spoken: Spanish Phone: (801) 743-4730 7495 S State St St Marks Senior Health Center UT Urban Medicaid UT Urban Medicaid Midvale, Ut 84047 1160 E 3900 S, #G200 Phone: (801) 213-9400 Holladay, Ut 84124 UT Urban Medicaid Phone: (801) 268-7766 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 64 Salt Lake Primary Care Providers Network San Juan Syddall, Tracy Pa C Wilcox, Justin Carl Pa C Fisher, Mahana S Md C Plunkett, Earl K Md C Uuhc Redwood Clinic South Jordan Family Medicine San Juan Clinic Montezuma Creek Community 1525 W 2100 S 10623 S Redwood Rd, #101 380 W 100 N Health Center West Valley City, Ut 84119 South Jordan, Ut 84095 Monticello, Ut 84535 East Hwy 262 Phone: (801) 213-9900 Phone: (801) 302-0899 Phone: (435) 587-5054 Montezuma Creek, Ut 84534 UT Urban Medicaid UT Urban Medicaid UT Rural Medicaid Phone: (435) 651-3291 UT Rural Medicaid Syddall, Tracy Pa C Williams, Anneli Sarah Pa C Jones, Lloyd Val Md C Uuhc South Jordan Clinic Millcreek Women’s Center Blanding Family Practice Reay, Paul Robert Md C 1091 W South Jordan Pkwy, #500 1140 E 3900 S, #410 Community Health Center Blanding Medical Clinic South Jordan, Ut 84095 Holladay, Ut 84124 799 S 200 W 804 N 400 W Phone: (801) 213-9800 Phone: (801) 262-8666 Blanding, Ut 84511 Blanding , Ut 84511 UT Urban Medicaid UT Urban Medicaid Phone: (435) 678-3601 Phone: (435) 678-2254 UT Rural Medicaid Languages Spoken: French, Syddall, Tracy Pa C Womens Health Navajo, Spanish Uuhc Sugarhouse Clinic Jones, Lloyd Val Md C UT Rural Medicaid 1138 Wilmington Ave Nurse Practitioner Montezuma Creek Community Salt Lake City, Ut 84106 Health Center Reay, Paul Robert Md C Phone: (801) 581-2000 Johnson, Mandy Jo Aprn C East Hwy 262 San Juan Clinic UT Urban Medicaid Riverton Healthcare For Women Montezuma Creek, Ut 84534 380 W 100 N 3409 W 12600 S, #110 Phone: (435) 651-3291 Monticello, Ut 84535 Syddall, Tracy Pa C Riverton, Ut 84065 UT Rural Medicaid Phone: (435) 587-5054 Uuhc Westridge Clinic Phone: (801) 265-1266 Languages Spoken: French, 3730 W 4700 S UT Urban Medicaid Nielson, Joshua Hinckley Do C Navajo, Spanish West Valley City, Ut 84118 Blanding Family Practice UT Rural Medicaid Phone: (801) 213-9200 Community Health Center UT Urban Medicaid San Juan County 799 S 200 W Thompson, Brooks David Md C Blanding, Ut 84511 Blanding Family Practice Vis, Christopher Anthony Pa C Phone: (435) 678-3601 Community Health Center Uuhc Redwood Clinic Family Medicine UT Rural Medicaid 799 S 200 W 1525 W 2100 S Bloink, Steven William Md C Blanding, Ut 84511 West Valley City, Ut 84119 San Juan Clinic Nielson, Joshua Hinckley Do C Phone: (435) 678-3601 Phone: (801) 213-9900 Montezuma Creek Community UT Rural Medicaid UT Urban Medicaid 380 W 100 N Health Center Monticello, Ut 84535 East Hwy 262 Thompson, Brooks David Md C Vroman, Stacy Theresa Pa C Phone: (435) 587-5054 Montezuma Creek, Ut 84534 Montezuma Creek Community Madsen Health Center Family UT Rural Medicaid Phone: (435) 651-3291 Health Center Practice Clinic Fairley, Kimberly J Md C UT Rural Medicaid East Hwy 262 555 Foothill Blvd Montezuma Creek Community Montezuma Creek, Ut 84534 Salt Lake City, Ut 84112 Health Center Nielson, Joshua Hinckley Do C Phone: (435) 651-3291 Phone: (801) 581-8000 East Hwy 262 Monument Valley Community UT Rural Medicaid UT Urban Medicaid Montezuma Creek, Ut 84534 Health Center 30 W Medical Dr Family Nurse Vroman, Stacy Pa C Phone: (435) 651-3291 Monument Valley, Ut 84536 Uuhc Redwood Clinic UT Rural Medicaid Phone: (435) 727-3000 Practitioner 1525 W 2100 S C UT Rural Medicaid West Valley City, Ut 84119 Fisher, Mahana S Md Burrell, Lance Aprn C Phone: (801) 213-9900 Blanding Family Practice Nielson, Norman S Md C Montezuma Creek Community UT Urban Medicaid Community Health Center Blanding Family Practice Health Center 799 S 200 W Community Health Center East Hwy 262 Vroman, Stacy Theresa Pa C Blanding, Ut 84511 799 S 200 W Montezuma Creek, Ut 84534 Uuhc Sugarhouse Clinic Phone: (435) 678-3601 Blanding, Ut 84511 Phone: (435) 651-3291 1138 Wilmington Ave UT Rural Medicaid Phone: (435) 678-3601 UT Rural Medicaid Salt Lake City, Ut 84106 Fisher, Mahana S Md C Languages Spoken: Chinese Phone: (801) 581-2000 UT Rural Medicaid Singer, Christopher Np C UT Urban Medicaid Montezuma Creek Community Blanding Family Practice Health Center Nielson, Norman S Md C Community Health Center Weller, Dana Pa C East Hwy 262 Montezuma Creek Community 799 S 200 W House Call Doctors Montezuma Creek, Ut 84534 Health Center Blanding, Ut 84511 1556 Emerson Ave Phone: (435) 651-3291 East Hwy 262 Phone: (435) 678-3601 Salt Lake City, Ut 84105 UT Rural Medicaid Montezuma Creek, Ut 84534 UT Rural Medicaid Phone: (801) 485-5055 Fisher, Mahana S Md C Phone: (435) 651-3291 C UT Urban Medicaid Monument Valley Community Languages Spoken: Chinese Singer, Christopher Np UT Rural Medicaid Montezuma Creek Community Wight, Ryan Dennis Pa C Health Center Health Center West Valley Family & Preventive 30 W Medical Dr Nielson, Norman S Md C East Hwy 262 Medicine Monument Valley, Ut 84536 Monument Valley Community Montezuma Creek, Ut 84534 3336 S Pioneer Pkwy, #302 Phone: (435) 727-3000 Health Center Phone: (435) 651-3291 West Valley City, Ut 84120 UT Rural Medicaid 30 W Medical Dr UT Rural Medicaid Phone: (801) 964-8726 Monument Valley, Ut 84536 UT Urban Medicaid Phone: (435) 727-3000 Languages Spoken: Chinese UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 65 San Juan Primary Care Providers Network Sanpete Street, Nelladee Aprn C Riggs, Freddie Pa C Day, Allen M Md C Nay, Richard Bill Md C Blanding Family Practice Blanding Family Practice Intermountain Mt. Pleasant Clinic 49 E Center St Community Health Center Community Health Center 1100 S Medical Dr Gunnison, Ut 84634 802 S 200 W 799 S 200 W Mount Pleasant, Ut 84647 Phone: (435) 528-7231 Blanding, Ut 84511 Blanding, Ut 84511 Phone: (435) 462-3471 UT Rural Medicaid Phone: (435) 678-3601 Phone: (435) 678-3601 UT Rural Medicaid UT Rural Medicaid Languages Spoken: Navajo Nunn, Charles Edward Md C UT Rural Medicaid Embley, Steven Len Do C Intermountain Mt. Pleasant Clinic Gunnison Family Medicine 1100 S Medical Dr Pediatrics Riggs, Freddie Pa C 65 E 100 N Mount Pleasant, Ut 84647 Allen, Louis S Md C Montezuma Creek Community Gunnison, Ut 84634 Phone: (435) 462-3471 Children With Special Healthcare Health Center Phone: (435) 528-2130 UT Rural Medicaid East Hwy 262 UT Rural Medicaid Needs Olsen, Darrel W Md C 117 S Main St Montezuma Creek, Ut 84534 Phone: (435) 651-3291 Frischknecht, Michael S Md C Intermountain Ephraim Clinic Monticello, Ut 84535 Intermountain Manti Clinic 525 N Main St Phone: (435) 587-2021 Languages Spoken: Navajo UT Rural Medicaid 159 N Main St Ephraim, Ut 84627 UT Rural Medicaid Manti, Ut 84642 Phone: (435) 283-4076 Delavan, George W Md D Riggs, Freddie Pa C Phone: (435) 835-3344 Languages Spoken: Spanish Children With Special Healthcare Montezuma Creek Community Languages Spoken: UT Rural Medicaid Needs Health Center Portuguese, Spanish East Hwy 262 UT Rural Medicaid Oveson, Mark C Md C 117 S Main St Fountain Green Medical Clinic Monticello, Ut 84535 Montezuma Creek, Ut 84534 Phone: (435) 651-3291 Frischknecht, Michael S Md C 275 W 300 S Phone: (435) 587-2021 Intermountain Mt. Pleasant Clinic Fountain Green, Ut 84632 UT Rural Medicaid Languages Spoken: Navajo UT Rural Medicaid 1100 S Medical Dr Phone: (435) 445-3301 Mount Pleasant, Ut 84647 Languages Spoken: Spanish Physician Assistant Phone: (435) 462-3471 UT Rural Medicaid C Sanpete County Languages Spoken: Lyman, Michele Smith Pa Portuguese, Spanish Rasmussen, Grant J Md C Blanding Family Practice UT Rural Medicaid Fountain Green Medical Clinic Community Health Center Family Medicine 275 W 300 S 799 S 200 W Jackson, Christine Md C Fountain Green, Ut 84632 Blanding, Ut 84511 Barker, Lance Md C Jackson Family Medical Clinic Phone: (435) 445-3301 Phone: (435) 678-3601 Intermountain Mt. Pleasant Clinic 95 E Center St UT Rural Medicaid UT Rural Medicaid 1100 S Medical Dr Gunnison, Ut 84634 Rosenbeck, James Franklin Do C C Mount Pleasant, Ut 84647 Phone: (435) 528-7752 Lyman, Michele Pa Phone: (435) 462-2441 UT Rural Medicaid Fountain Green Medical Clinic Blanding Family Practice UT Rural Medicaid 275 W 300 S Community Health Center Jackson, Eileen K Md C Fountain Green, Ut 84632 802 S 200 W Bateman, Kim A Md C Intermountain Ephraim Clinic Phone: (435) 445-3301 Blanding, Ut 84511 Intermountain Manti Clinic 525 N Main St UT Rural Medicaid Phone: (435) 678-3601 159 N Main St Ephraim, Ut 84627 UT Rural Medicaid Manti, Ut 84642 Phone: (435) 283-4076 Wardle, Mark Lee Do C Phone: (435) 835-3344 UT Rural Medicaid Intermountain Moroni Clinic Lyman, Michele Smith Pa C UT Rural Medicaid 51 E Main St Montezuma Creek Community Jackson, John W Md C Moroni, Ut 84646 Health Center Besendorfer, James M Md C Jackson Family Medical Clinic Phone: (435) 436-5250 East Hwy 262 Fountain Green Medical Clinic 95 E Center St UT Rural Medicaid Montezuma Creek, Ut 84534 275 W 300 S Gunnison, Ut 84634 Phone: (435) 651-3291 Fountain Green, Ut 84632 Phone: (435) 528-7752 Willden, Gerald J Md C UT Rural Medicaid Phone: (435) 445-3301 Languages Spoken: Spanish Gunnison Family Medicine UT Rural Medicaid UT Rural Medicaid 65 E 100 N Neubert, Martin G Pa C Gunnison, Ut 84634 Blanding Family Practice Christensen, Jan F Md C Jensen, Adam M Md C Phone: (435) 528-2130 Community Health Center Gunnison Family Medicine Gunnison Family Practice UT Rural Medicaid 799 S 200 W 65 E 100 N 95 E Center St Blanding, Ut 84511 Gunnison, Ut 84634 Gunnison, Ut 84634 Family Nurse Phone: (435) 678-3601 Phone: (435) 528-2130 Phone: (435) 528-7752 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Practitioner Neubert, Martin G Pa C Christensen, Tristy L Md C Jones, Marc Fredrick Do C Gasser, Brian Dell Np C Montezuma Creek Community Intermountain Ephraim Clinic Fountain Green Medical Clinic Fountain Green Medical Clinic Health Center 525 N Main St 275 W 300 S 275 W 300 S East Hwy 262 Ephraim, Ut 84627 Fountain Green, Ut 84632 Fountain Green, Ut 84632 Montezuma Creek, Ut 84534 Phone: (435) 283-4076 Phone: (435) 445-3301 Phone: (435) 445-3301 Phone: (435) 651-3291 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Cole, Gary Monroe Md C Judy, Cary J Do C Mangelson, Christie L Np C Intermountain Mt. Pleasant Clinic Gunnison Family Practice Fountain Green Medical Clinic 1100 S Medical Dr 95 E Center St 275 W 300 S Mount Pleasant, Ut 84647 Gunnison, Ut 84634 Fountain Green, Ut 84632 Phone: (435) 462-3471 Phone: (435) 528-7227 Phone: (435) 445-3301 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 66 Sanpete SPrimary Care Providers Network evier Internal Medicine Greenwood, Mark Robert Md C Family Nurse Sevier County Intermountain Richfield Family Hansen, Marlan L Md C Practice Practitioner Intermountain Mt. Pleasant Clinic Advanced Practice 460 N Main St Patterson, Rebekah Amy Aprn C 1100 S Medical Dr Richfield, Ut 84701 Mountain Utah Family Medicine Mount Pleasant, Ut 84647 Midwife Phone: (435) 896-5496 850 N Main St, #3 Phone: (435) 462-2441 UT Rural Medicaid UT Rural Medicaid Rasmussen, Dixie S Cnm C Richfield, Ut 84701 Mountain Utah Family Medicine Greenwood, Mark W Md C Phone: (435) 896-9561 Mitchell, Charles R Md C 850 N Main St, #3 Intermountain Richfield Family Languages Spoken: Spanish Sanpete Valley Hospital Richfield, Ut 84701 Practice UT Rural Medicaid 1100 S Medical Dr Phone: (435) 896-9561 460 N Main St Mount Pleasant, Ut 84647 UT Rural Medicaid Richfield, Ut 84701 Internal Medicine Phone: (435) 462-2441 Phone: (435) 896-5496 C UT Rural Medicaid Family Medicine Languages Spoken: German Hansen, Marlan L Md UT Rural Medicaid Sevier Valley Medical Center Peterson, Michael Cary Md C Abbott, Justin D Do C 1000 N Main St Sanpete Valley Hospital Intermountain North Sevier Newman, Steven Richard Md C Richfield, Ut 84701 1100 S Medical Dr Medical Clinic Richfield Medical Clinic Phone: (435) 896-8271 Mount Pleasant, Ut 84647 530 N 250 W 826 N 100 E UT Rural Medicaid Phone: (435) 462-2441 Richfield, Ut 84701 Salina, Ut 84654 Mitchell, Charles R Md C UT Rural Medicaid Phone: (435) 529-7411 Phone: (435) 893-0977 UT Rural Medicaid Sevier Valley Medical Center Obstetrics And UT Rural Medicaid 1000 N Main St Abbott, Justin D Do C Polson, Drew E Md C Richfield, Ut 84701 Gynecology Sevier Valley Medical Center Richfield Medical Clinic Phone: (435) 893-4100 Bailey, Stanton A Md C 1000 N Main St 826 N 100 E UT Rural Medicaid Fountain Green Medical Clinic Richfield, Ut 84701 Richfield, Ut 84701 275 W 300 S Phone: (435) 893-4100 Phone: (435) 893-0977 Nurse Practitioner UT Rural Medicaid Fountain Green, Ut 84632 UT Rural Medicaid Okerlund, Jason Aprn C Phone: (435) 445-3301 Pope, David Michael Md C Languages Spoken: Dutch, Allen, Daniel Jude Do C Gunnison Family Practice Richfield Medical Clinic Mountain Utah Family Medicine 260 E Center St Turkish 850 N Main St, #3 UT Rural Medicaid 826 N 100 E Monroe, Ut 84754 Richfield, Ut 84701 Richfield, Ut 84701 Phone: (435) 527-8866 Phone: (435) 893-0977 Phone: (435) 896-9561 UT Rural Medicaid Physician Assistant Languages Spoken: Spanish UT Rural Medicaid Hennagir, Barbara L Pa C UT Rural Medicaid Scoville, Spencer Lee Do C Pediatrics Intermountain Ephraim Clinic Barker, Lance Md C Intermountain Richfield Family Allen, Louis S Md C 525 N Main St Sevier Valley Medical Center Practice Children With Special Healthcare Ephraim, Ut 84627 1000 N Main St 460 N Main St Needs Phone: (435) 283-4076 Richfield, Ut 84701 Richfield, Ut 84701 70 Westview Dr UT Rural Medicaid Phone: (435) 896-8271 Phone: (435) 896-5496 Richfield, Ut 84701 UT Rural Medicaid Hennagir, Barbara L Pa C UT Rural Medicaid Phone: (435) 896-5451 UT Rural Medicaid Intermountain Manti Clinic Brown, Jeffrey James Do C Smith, Daniel Criag Md C 159 N Main St Intermountain Sevier Valley Clinic Intermountain Sevier Valley Clinic Carbone, Paul Sean Md D Manti, Ut 84627 1000 N Main St 1000 N Main St Children With Special Healthcare Phone: (435) 835-3344 Richfield, Ut 84701 Richfield, Ut 84701 Needs UT Rural Medicaid Phone: (435) 896-8254 Phone: (435) 893-0580 70 Westview Dr UT Rural Medicaid Hennagir, Barbara L Pa C UT Rural Medicaid Richfield, Ut 84701 Phone: (435) 896-5451 Intermountain Moroni Clinic Crimin, David R Do C Wardle, Mark Lee Do C 51 E Main St Sevier Valley Medical Center Languages Spoken: Spanish Intermountain Sevier Valley Clinic UT Rural Medicaid Moroni, Ut 84646 1000 N Main St 1000 N Main St Phone: (435) 436-5250 Richfield, Ut 84701 Richfield, Ut 84701 Lloyd, Michael B Md C UT Rural Medicaid Phone: (435) 896-8254 Phone: (435) 896-8271 Children With Special Healthcare UT Rural Medicaid Hennagir, Barbara L Pa C Languages Spoken: Danish Needs Intermountain Mt. Pleasant Clinic UT Rural Medicaid Zimmerman, Patrick H Md C 70 Westview Dr Richfield, Ut 84701 1100 S Medical Dr Davie, Daniel G Md C Intermountain Sevier Valley Clinic Mount Pleasant, Ut 84647 70 E 1100 N Phone: (435) 896-5451 Sevier Valley Medical Center UT Rural Medicaid Phone: (435) 462-3471 1000 N Main St Richfield, Ut 84701 UT Rural Medicaid Richfield, Ut 84701 Phone: (435) 896-8254 Phone: (435) 896-8271 UT Rural Medicaid Physician Assistant UT Rural Medicaid Heaton, Rex Pa C Gray, Jarid D Md C Richfield Medical Clinic Richfield Medical Clinic 826 N 100 E 826 N 100 E Richfield, Ut 84701 Richfield, Ut 84701 Phone: (435) 893-0977 Phone: (435) 893-0977 UT Rural Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 67 Sevier SPrimary Care Providers Network ummit Hilton, Bret D Pa C Pidwell, William B Md C Odell, Timothy Wade Do C Nguyen, Viet Dung N Md C Ihc Health Center - Richfield Park City Medical Center Uuhc Redstone Clinic Park City Internal Medicine & 460 N Main St 900 Round Valley Dr 1743 W Redstone Ctr, #115 Pediatrics Richfield, Ut 84701 Park City, Ut 84060 Park City, Ut 84098 1612 W Ute Blvd, #205 Phone: (435) 896-5496 Phone: (435) 658-7000 Phone: (435) 658-9200 Park City, Ut 84098 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Phone: (435) 655-3309 Languages Spoken: Spanish, Wilcken, Julie A Pa C Rush, Brian J Md C Parsons, Mary Helen Md C Vietnamese Richfield Medical Clinic Mountain Family Health Uuhc Redstone Clinic UT Rural Medicaid 826 N 100 E 1600 Snow Creek Dr, #B 1743 W Redstone Ctr, #115 Richfield, Ut 84701 Park City, Ut 84060 Park City, Ut 84098 Nguyen, Viet Dung N Md C Phone: (435) 893-0977 Phone: (435) 655-0055 Phone: (435) 658-9200 Park City Medical Center UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid 900 Round Valley Dr Park City, Ut 84060 Saturnino, Lisa M Md C Obstetrics And Phone: (435) 658-6705 Summit County Park City Medical Center UT Rural Medicaid 900 Round Valley Dr Gynecology Park City, Ut 84060 Ostler, Kathy M Md C Advanced Practice Phone: (435) 658-7000 Falk, Jeanne M Md C Summit Pediatrics In Park City Midwife UT Rural Medicaid Intermountain Park City Specialty 1790 W Sun Peak Dr, #A101 Clinic Park City, Ut 84098 Demeter, Danielle M Cnm C Speakman, Robert L Do C 900 Round Valley Dr, #200 Phone: (435) 655-0926 Ob/Gyn Associates Uuhc Redstone Clinic Park City, Ut 84060 UT Rural Medicaid 1441 W Ute Blvd, #160 1743 W Redstone Ctr, #115 Phone: (435) 658-7400 Park City, Ut 84060 Park City, Ut 84098 UT Rural Medicaid Peacock, Penny J Md C Phone: (435) 658-9200 Park City Internal Medicine & Phone: (435) 214-5335 Sabella, Lareine Stampfle Md C UT Rural Medicaid UT Rural Medicaid Pediatrics Intermountain Park City Specialty 1612 W Ute Blvd, #205 Family Nurse Clinic Park City, Ut 84098 Family Medicine 900 Round Valley Dr, #200 Phone: (435) 655-3309 Park City, Ut 84060 Berman, Joseph Harold Md C Practitioner Languages Spoken: Spanish Phone: (435) 658-7400 UT Rural Medicaid Uuhc Redstone Clinic Neeley, June E Aprn C UT Rural Medicaid 1743 W Redstone Ctr, #115 Park City Clinic Schaffer, Monica Maria Md C Park City, Ut 84098 4000 Canyons Resort Dr Singer, Stephanie Marie Do C Summit Pediatrics In Park City Phone: (435) 658-9200 Park City, Ut 84098 Park City Gynecology 1790 W Sun Peak Dr, #A101 UT Rural Medicaid Phone: (435) 649-7640 1441 W Ute Blvd, #160 Park City, Ut 84098 Park City, Ut 84060 Dolan, Julie Anne Md C Languages Spoken: Spanish Phone: (435) 655-0926 UT Rural Medicaid Phone: (435) 214-5335 Languages Spoken: Spanish Mountain Family Health UT Rural Medicaid 1600 Snow Creek Dr, #B Neeley, June E Aprn C UT Rural Medicaid Park City, Ut 84060 Park City Healthcare Yamashiro, Vernon Koyu Md D Sjoquist-Terry, Lena Kris Md C Phone: (435) 655-0055 750 Round Valley Dr, #201 Ob/Gyn Associates Summit Pediatrics In Park City UT Rural Medicaid Park City, Ut 84060 1441 W Ute Blvd, #160 1790 W Sun Peak Dr, #A101 Park City, Ut 84060 Edwards, Heather D Md C Phone: (435) 649-7640 Park City, Ut 84098 Languages Spoken: Spanish Phone: (435) 214-5355 Phone: (435) 655-0926 Park City Medical Center UT Rural Medicaid 900 Round Valley Dr UT Rural Medicaid Languages Spoken: Swedish UT Rural Medicaid Park City, Ut 84060 Thomas, Kathleen W Aprn C Pediatrics Phone: (435) 658-7000 Park City Clinic Webster, Leslie Worthen Md C UT Rural Medicaid 4000 Canyons Resort Dr Chamberlain, Michelle Ann Md Summit Pediatrics In Park City Ferriter, Joseph P Md C Park City, Ut 84098 C 1790 W Sun Peak Dr, #A101 Park City Medical Center Phone: (435) 649-7640 Summit Pediatrics In Park City Park City, Ut 84098 900 Round Valley Dr UT Rural Medicaid 1790 W Sun Peak Dr, #A101 Phone: (435) 655-0926 Park City, Ut 84060 Thomas, Kathleen W Aprn C Park City, Ut 84098 UT Rural Medicaid Phone: (435) 658-7000 Park City Healthcare Phone: (435) 655-0926 UT Rural Medicaid 750 Round Valley Dr, #201 UT Rural Medicaid Physician Assistant Park City, Ut 84060 Hays, Christopher L Md C Lantz, Karen Elisabeth Md C C Phone: (435) 649-7640 Uuhc Redstone Clinic Briley, Melissa S Pa Park City Medical Center UT Rural Medicaid Uuhc Redstone Clinic 900 Round Valley Dr 1743 W Redstone Ctr, #115 1743 W Redstone Ctr, #115 Park City, Ut 84060 Park City, Ut 84098 Park City, Ut 84098 Phone: (435) 658-7000 Internal Medicine Phone: (435) 658-9200 Phone: (435) 658-9200 UT Rural Medicaid Languages Spoken: German Hansen, Marlan L Md C UT Rural Medicaid UT Rural Medicaid Lautenschlaeger, Natascha Park City Medical Center Syddall, Tracy Pa C Susanne Md C 900 Round Valley Dr Larson, David Charles Md D Uuhc Redstone Clinic Uuhc Redstone Clinic Park City, Ut 84060 Summit Pediatrics In Park City 1743 W Redstone Ctr, #115 1743 W Redstone Ctr, #115 Phone: (435) 658-7000 1790 W Sun Peak Dr, #A101 Park City, Ut 84098 Park City, Ut 84098 UT Rural Medicaid Park City, Ut 84098 Phone: (435) 658-9200 Phone: (435) 658-9200 Phone: (435) 655-0926 UT Rural Medicaid Languages Spoken: German UT Rural Medicaid UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 68 Tooele TPrimary Care Providers Network ooele Lee, Jeffrey D Md C Internal Medicine Pediatric Nurse Tooele County Stansbury Family Medicine 210 Millpond Rd Gangotena, Fatima G Md C Practitioner Tooele, Ut 84074 Stansbury Family Medicine Advanced Practice 210 Millpond Rd Colyar, Margaret R Np D Phone: (435) 843-3647 Uuhc Stansbury Clinic Midwife UT Rural Medicaid Tooele, Ut 84074 Phone: (435) 843-3647 220 Millpond Rd, #100 Dalton, Marlee Kestin Cnm C Lee, Jeffrey D Md C UT Rural Medicaid Stansbury Park, Ut 84074 Deseret Peak Women’s Center Tooele Clinic Corporation Phone: (435) 843-3000 1959 N Aaron Dr, #A 196 E 2000 N, #104 Solomon, Margaret Hope Md C UT Rural Medicaid Tooele, Ut 84074 Tooele, Ut 84074 Uuhc Stansbury Clinic Phone: (435) 843-3642 Phone: (435) 228-0061 220 Millpond Rd, #100 Pediatrics Languages Spoken: Spanish UT Rural Medicaid Stansbury Park, Ut 84074 UT Rural Medicaid Phone: (435) 843-3000 Gould, Jim Julian Md C Nelson, Joseph W Do C UT Rural Medicaid 2356 N 400 E, #202 Oquirrh Family Practice Tooele, Ut 84074 Family Medicine 230 S Main St Trudel, Ronald Raymond Md C Phone: (435) 843-8380 Abarca, Sergio Md C Tooele, Ut 84074 Tooele Clinic Corporation UT Rural Medicaid Mountain West Family Practice Phone: (435) 882-2692 1959 N Aaron Dr, #C UT Rural Medicaid Tooele, Ut 84074 Haroutunian, G Greg Md C 2356 N 400 E, #201 Phone: (435) 882-1644 196 E 2000 N, #110 Tooele, Ut 84074 Salari, Ali Do C Languages Spoken: French Tooele, Ut 84074 Phone: (435) 882-2350 Uuhc Stansbury Clinic UT Rural Medicaid Phone: (435) 882-7644 Languages Spoken: Spanish 220 Millpond Rd, #100 Languages Spoken: Armenian, UT Rural Medicaid Stansbury Park, Ut 84074 Obstetrics And Russian, Spanish Beazer, Blake Richard Md C Phone: (435) 843-3000 UT Rural Medicaid UT Rural Medicaid Gynecology Mountain West Family Practice Mcmillan, Heidi Susan Md C 2356 N 400 E, #202 Seibert, Hilary Smith Do C Anders, Krista Jean Md C Stansbury Family Medicine Tooele, Ut 84074 Uuhc Stansbury Clinic Mountain West Ob/Gyn 210 Millpond Rd Phone: (435) 882-2350 220 Millpond Rd, #100 196 E 2000 N, #107 Tooele, Ut 84074 UT Rural Medicaid Stansbury Park, Ut 84074 Tooele, Ut 84074 Phone: (435) 843-3647 Phone: (435) 843-3000 Phone: (435) 843-3678 Languages Spoken: Russian Dinh, An Tuong Md C UT Rural Medicaid Tooele Clinic Corporation UT Rural Medicaid UT Rural Medicaid 1959 N Aaron Dr, #C Spector, Jay M Md C Archer, Cullen J Md C Mcmillan, Heidi Susan Md C Tooele, Ut 84074 Oasis Family Medicine All Season Obstetrics And Stansbury Pediatrics Phone: (435) 882-1644 1929 N Aaron Dr, #I Gynecology 210 Millpond Rd UT Rural Medicaid Tooele, Ut 84074 196 E 2000 N, #104 Tooele, Ut 84074 Tooele, Ut 84074 Forbes, Carolyn Md C Phone: (435) 833-0229 Phone: (435) 843-3647 UT Rural Medicaid Phone: (435) 843-2576 Languages Spoken: Russian Valley Family Medicine UT Rural Medicaid 2376 N 400 E, #102 UT Rural Medicaid Tooele, Ut 84074 Family Nurse Archer, Sandra V Md C Smith, Elizabeth Rowe Md C Phone: (435) 843-1225 Practitioner All Season Obstetrics And Uuhc Stansbury Clinic UT Rural Medicaid Gynecology 220 Millpond Rd, #100 Dustin, Curtis Rydell Np C 196 E 2000 N, #104 Stansbury Park, Ut 84074 Green, Patrick N Md C Tooele Clinic Corporation Tooele, Ut 84074 210 Millpond Rd Phone: (435) 843-3000 1959 N Aaron Dr, #C Phone: (435) 843-2576 Languages Spoken: French, Tooele, Ut 84074 Tooele, Ut 84074 UT Rural Medicaid Phone: (801) 828-5857 Spanish Phone: (435) 882-1644 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Robinson, Dawn O Md C Mountain West Ob/Gyn Holtey, Ana I Do C Jacobs-Peterson, Lu Ann Np C 196 E 2000 N, #107 Physician Assistant Tooele Clinic Corporation Cedar Creek Family Health Care Tooele, Ut 84074 C 196 E 2000 N 453 N Main St, #A Phone: (435) 843-3678 Aldridge, Rebekah Ruth Pa Tooele, Ut 84074 Tooele, Ut 84074 UT Rural Medicaid Grantsville Medical Clinic Phone: (435) 228-0061 Phone: (435) 843-5700 822 E Main St, #7 UT Rural Medicaid UT Rural Medicaid Vered, Eldad Md C Grantsville, Ut 84029 Deseret Peak Women’s Center Phone: (435) 884-3578 Krogh, Benjamin J Do C Reynolds, Brand Paxton Np C 1959 N Aaron Dr, #A UT Rural Medicaid Grantsville Medical Clinic Advanced Practice Medical Clinic Tooele, Ut 84074 C 822 E Main St, #7 491 N Main St Phone: (435) 843-3642 Atkin, Jonathan David Pa Grantsville, Ut 84029 Tooele, Ut 84074 UT Rural Medicaid Mountain West Family Practice Phone: (435) 884-3578 Phone: (435) 843-8881 2356 N 400 E, #201 Languages Spoken: Spanish Languages Spoken: Spanish Vered, Eldad Md C Tooele, Ut 84074 UT Rural Medicaid UT Rural Medicaid Healthcare For Women Phone: (435) 882-2350 2376 N 400 E, #201 UT Rural Medicaid Lee, Jeffrey D Md C Tooele, Ut 84074 C Grantsville Medical Clinic Phone: (435) 882-1433 Bonjour, Lauren Pa 822 E Main St, #7 UT Rural Medicaid Grantsville Medical Clinic Grantsville, Ut 84029 822 E Main St, #7 Phone: (435) 884-3578 Grantsville, Ut 84029 UT Rural Medicaid Phone: (435) 884-3578 UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 69 Tooele UPrimary Care Providers Network tah Elswood, Aaron Scott Pa C Breitenbach, Karl L Md C Lewis, Henry Md C Grantsville Medical Clinic Basin Medical Clinic Tarheel Obgyn Utah County 822 E Main St, #7 379 N 500 W, #1a 150 W 100 N, #S103 Grantsville, Ut 84029 Vernal, Ut 84078 Vernal, Ut 84078 Phone: (435) 884-3578 Phone: (435) 789-1165 Phone: (435) 781-1011 Advanced Practice Languages Spoken: Spanish Languages Spoken: Spanish UT Rural Medicaid Midwife UT Rural Medicaid UT Rural Medicaid Gould, Melinda Cnm C Falkner, Lynn Don Pa C Olsen, Michael Md C Pediatrics Cuc - Pleasant Grove - Womens Uuhc Stansbury Clinic Basin Medical Clinic Allen, Louis S Md C Health 220 Millpond Rd, #100 379 N 500 W, #1a Children With Special Healthcare 1886 W 800 N Stansbury Park, Ut 84074 Vernal, Ut 84078 Needs Pleasant Grove, Ut 84062 Phone: (435) 843-3000 Phone: (435) 789-1165 147 E Main St Phone: (801) 756-5288 UT Rural Medicaid Languages Spoken: Spanish Vernal, Ut 84078 UT Urban Medicaid UT Rural Medicaid Greenberg, Johanna Pa C Phone: (435) 781-5475 Haddy, Jessica Lynn Cnm C Uuhc Stansbury Clinic Parker II, Alma L Md C UT Rural Medicaid Cuc - Pleasant Grove - Womens 220 Millpond Rd, #100 175 N 100 W, #105 Delavan, George W Md D Health Stansbury Park, Ut 84074 Vernal, Ut 84078 Children With Special Healthcare 1886 W 800 N Phone: (435) 843-3000 Phone: (435) 781-6300 Needs Pleasant Grove, Ut 84062 UT Rural Medicaid UT Rural Medicaid 147 E Main St Phone: (801) 756-5288 Vernal, Ut 84078 Languages Spoken: Spanish Jarvis, Chad S Pa C Shurtliff, Shaun C Do C UT Urban Medicaid Mountain West Family Practice Ashley Valley Family Practice Phone: (435) 781-5475 2356 N 400 E, #201 175 N 100 W, #104 UT Rural Medicaid Haddy, Jessica Lynn Cnm C Tooele, Ut 84074 Vernal, Ut 84078 Gelske, Tracy Brooke Md C Cuc - Saratoga Springs Phone: (435) 882-2350 Phone: (435) 781-8899 Dinosaurland Pediatrics 1305 N Commerce Dr UT Rural Medicaid UT Rural Medicaid 175 N 100 W, #106 Saratoga Springs, Ut 84045 Phone: (801) 753-7424 Powell, Melinda Pa C Woodward, Kirk J Md C Vernal, Ut 84078 Phone: (435) 789-9060 Languages Spoken: Spanish Mountain West Family Practice Basin Medical Clinic UT Urban Medicaid 2356 N 400 E, #202 379 N 500 W, #1a UT Rural Medicaid Tooele, Ut 84074 Vernal, Ut 84078 Gooch III, Willis Manford Md C Hardy, Kathryn Cnm C Phone: (435) 882-2350 Phone: (435) 789-1165 Dinosaurland Pediatrics Canyonview Family Practice UT Rural Medicaid UT Rural Medicaid 175 N 100 W, #106 3200 N Canyon Rd, #C Provo, Ut 84604 Rowan, Ryan David Pa C Vernal, Ut 84078 Family Nurse Phone: (435) 789-9060 Phone: (801) 373-7373 Mountain West Family Practice UT Urban Medicaid 2356 N 400 E, #202 Practitioner UT Rural Medicaid Tooele, Ut 84074 Olsen, Amy Aprn C Kwak, Daniel J Md C Hardy, Kathryn Cnm C Phone: (435) 882-2350 Dinosaurland Pediatrics Cuc - Pleasant Grove - Womens Languages Spoken: Spanish Basin Medical Clinic 379 N 500 W, #1a 175 N 100 W, #106 Health UT Rural Medicaid Vernal, Ut 84078 1866 W 800 N Vernal, Ut 84078 Pleasant Grove, Ut 84062 Syddall, Tracy Pa C Phone: (435) 789-1165 Phone: (435) 789-9060 UT Rural Medicaid Phone: (801) 756-5288 Uuhc Stansbury Clinic UT Rural Medicaid UT Urban Medicaid 220 Millpond Rd, #100 Laquinte, Vanessa Md C Stansbury Park, Ut 84074 Price, Torilynn Aprn C Basin Medical Clinic Dinosaurland Pediatrics Hardy, Kathryn Cnm C Phone: (435) 843-3000 175 N 100 W, #106 Cuc - Saratoga Springs UT Rural Medicaid 379 N 500 W, #1a Vernal, Ut 84078 Vernal, Ut 84078 1305 N Commerce Dr Phone: (435) 789-1165 Phone: (435) 789-9060 Saratoga Springs, Ut 84045 UT Rural Medicaid Phone: (801) 753-7424 Uintah County UT Rural Medicaid UT Urban Medicaid Lloyd, Michael B Md C Internal Medicine Children With Special Healthcare Johnson, Heather A Cnm C Family Medicine Needs Aspen Ob/Gyn Hughes, Jon W Md C Anderson, Rodney S Md C 147 E Main St 1355 N University Ave, #110 Ashley Regional Internal Medicine Vernal, Ut 84078 Provo, Ut 84604 Basin Medical Clinic 175 N 100 W, #205-A 379 N 500 W, #1a Phone: (435) 781-5475 Phone: (801) 374-5000 Vernal, Ut 84078 UT Rural Medicaid UT Urban Medicaid Vernal, Ut 84078 Phone: (435) 789-9272 Phone: (435) 789-1165 UT Rural Medicaid Pollary, Rodney Anthony Md C Killebrew, Claudia Cnm C UT Rural Medicaid Dinosaurland Pediatrics Cuc - Pleasant Grove - Womens Arnold, Laura B Md C Obstetrics And 175 N 100 W, #106 Health Basin Medical Clinic Gynecology Vernal, Ut 84078 1886 W 800 N 379 N 500 W, #1a Phone: (435) 789-9060 Pleasant Grove, Ut 84062 Vernal, Ut 84078 Griffith, John Md C UT Rural Medicaid Phone: (801) 756-5288 Phone: (435) 789-1165 150 W 100 N, #S104 UT Urban Medicaid UT Rural Medicaid Vernal, Ut 84078 Killebrew, Claudia Cnm C Phone: (435) 781-1099 Cuc - Saratoga Springs UT Rural Medicaid 1305 N Commerce Dr Saratoga Springs, Ut 84045 Phone: (801) 753-7424 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 70 Utah UPrimary Care Providers Network tah Krebs, Jennifer J Cnm C Wright-Bennion, Jennifer Cnm C Carn, Thomas R Md C Curtis, Michael Steven Md D Cuc - Pleasant Grove - Womens Cuc - Pleasant Grove - Womens Wasatch Medical Center Tri City Medical Clinic Health Health 575 S State St 275 W 200 N 1866 W 800 N 1886 W 800 N Orem, Ut 84058 Lindon, Ut 84042 Pleasant Grove, Ut 84062 Pleasant Grove, Ut 84062 Phone: (801) 225-2926 Phone: (801) 796-1333 Phone: (801) 756-5288 Phone: (801) 756-5288 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Cherrington, Steven Brent Do D Curtis, Michael Steven Md D Nelson, Erica C Cnm C Wright-Bennion, Jennifer Cnm C Tri City Medical Clinic Tri City Medical Clinic Cuc - Pleasant Grove - Womens Cuc - Saratoga Springs 275 W 200 N 830 N 2000 W Health 1305 N Commerce Dr Lindon, Ut 84042 Pleasant Grove, Ut 84062 1886 W 800 N Saratoga Springs, Ut 84045 Phone: (801) 796-1333 Phone: (801) 756-3511 Pleasant Grove, Ut 84062 Phone: (801) 753-7424 UT Urban Medicaid UT Urban Medicaid Phone: (801) 756-5288 UT Urban Medicaid UT Urban Medicaid Chipman, Stephen Bret Md C Curtis, Michael Steven Md C Stone Creek Family Practice Tri City Medical Physical Therapy Nelson, Erica C Cnm C Family Medicine 910 E 100 N, #105 447 E 1000 S Cuc - Saratoga Springs Archer, Frank Jay Md C Payson, Ut 84651 Pleasant Grove, Ut 84062 1305 N Commerce Dr Utah County Medical Associates Phone: (801) 465-1555 Phone: (801) 756-3511 Saratoga Springs, Ut 84045 97 S Professional Way, #2 UT Urban Medicaid UT Urban Medicaid Phone: (801) 753-7424 Payson, Ut 84651 UT Urban Medicaid Clark, Robert B Md C Dayton, Elizabeth Anne Md D Phone: (801) 465-4896 Mountain View Family Medicine Utah County Medical Associates Rizk, Abigail Hattie Cnm C Languages Spoken: Spanish 97 S Professional Way, #2 15 S 1000 E, #300 Cuc - Pleasant Grove - Womens UT Urban Medicaid Payson, Ut 84651 Payson, Ut 84651 Health Bench, Pahl G Md C Phone: (801) 465-4896 Phone: (801) 465-4896 1886 W 800 N Mountainlands Community UT Urban Medicaid UT Urban Medicaid Pleasant Grove, Ut 84062 Health Center Phone: (801) 756-5288 Clark, Robert B Md C Dayton, Elizabeth Anne Md D 589 S State St Utah County Medical Associates Utah County Medical Associates Languages Spoken: Spanish Provo, Ut 84606 UT Urban Medicaid 15 S 1000 E , #300 97 S Professional Way, #2 Phone: (801) 429-2000 Payson, Ut 84651 Payson, Ut 84651 Rizk, Abigail Hattie Cnm C UT Urban Medicaid Phone: (801) 465-4896 Phone: (801) 465-4896 Cuc - Saratoga Springs Berry, Steven L Md C UT Urban Medicaid UT Urban Medicaid 1305 N Commerce Dr Cascade Family Medicine Concoby, Dennis Michael Do C C Saratoga Springs, Ut 84045 173 N 400 W, #C11 Delaney, George R Md Phone: (801) 753-7424 Elk Ridge Family Practice Mountainlands Community Orem, Ut 84057 1172 E 100 N, #11 Languages Spoken: Spanish Phone: (801) 802-7373 Health Center UT Urban Medicaid Payson, Ut 84651 589 S State St UT Urban Medicaid Phone: (801) 465-6100 Provo, Ut 84606 Walker, Jennifer Page Cnm C Bingham, Jared Lee Md C UT Urban Medicaid Phone: (801) 429-2000 Cuc - Pleasant Grove - Womens Santaquin Medical Clinic Languages Spoken: Spanish Health Corry Jr, Elwood Jones Md D UT Urban Medicaid 94 W Main St Tri City Medical Clinic 1886 W 800 N Santaquin, Ut 84655 Pleasant Grove, Ut 84062 830 N 2000 W Doyle, Sean Cameron Do D Phone: (801) 754-3122 Pleasant Grove, Ut 84062 Phone: (801) 756-5288 UT Urban Medicaid Tri City Medical Clinic UT Urban Medicaid Phone: (801) 756-3511 275 W 200 N Bott, Wesley S Do C UT Urban Medicaid Lindon, Ut 84042 Walker, Jennifer Page Cnm C Santaquin Medical Clinic Phone: (801) 796-1333 Cuc - Saratoga Springs Cosgrave, Michael L Md C UT Urban Medicaid 94 W Main St American Fork Clinic 1305 N Commerce Dr, #120 Santaquin, Ut 84655 Saratoga Springs, Ut 84045 226 N 1100 E, #A Doyle, Sean Cameron Do D Phone: (801) 754-3122 American Fork, Ut 84003 Phone: (801) 753-7424 UT Urban Medicaid Tri City Medical Clinic UT Urban Medicaid Phone: (801) 855-3840 830 N 2000 W Bott, Wesley S Do C UT Urban Medicaid Pleasant Grove, Ut 84062 Ward, Roberta Lynn Cnm C Spanish Fork Clinic Phone: (801) 756-3511 Cuc - Pleasant Grove - Womens Crump, Kenneth Lyle Md C UT Urban Medicaid 325 W Center St Crossroads Family Medicine Health Spanish Fork, Ut 84660 1886 W 800 N 1305 N Commerce Dr, #120 Fernandez, Salvador Md C Phone: (801) 798-7301 Saratoga Springs, Ut 84045 Pleasant Grove, Ut 84062 UT Urban Medicaid Mountainlands Community Phone: (801) 756-5288 Phone: (801) 766-2121 Health Center UT Urban Medicaid Brockbank, Roger D Md C UT Urban Medicaid 589 S State St Tri City Medical Clinic Provo, Ut 84606 Ward, Roberta Lynn Cnm C Crump, Kenneth Lyle Md C Phone: (801) 429-2000 275 W 200 N Lakeview Family Medicine Cuc - Saratoga Springs Lindon, Ut 84042 Languages Spoken: Spanish 1305 N Commerce Dr 811 N 900 W UT Urban Medicaid Phone: (801) 796-1333 Orem, Ut 84057 Saratoga Springs, Ut 84045 UT Urban Medicaid Phone: (801) 753-7424 Phone: (801) 434-7600 Fernandez, Salvador Md C UT Urban Medicaid Brockbank, Roger D Md C UT Urban Medicaid Mountainlands Community Tri City Medical Clinic Health Center 830 N 2000 W 910 E 100 N, #155 Pleasant Grove, Ut 84062 Payson, Ut 84651 Phone: (801) 756-3511 Phone: (801) 465-1890 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 71 Utah UPrimary Care Providers Network tah Frampton, Robert A Md C Hoggard, Timo J Md C Lundell, Randy R Do C Money, Nolan B Md C 24 N 100 E American Fork Clinic Mountain Springs Family Utah County Medical Associates Spanish Fork, Ut 84660 226 N 1100 E, #A Medicine 97 S Professional Way, #2 Phone: (801) 798-5359 American Fork, Ut 84003 468 S Main St Payson, Ut 84651 UT Urban Medicaid Phone: (801) 855-3850 Spanish Fork, Ut 84660 Phone: (801) 465-4896 UT Urban Medicaid Phone: (801) 504-6117 UT Urban Medicaid Frandsen, Tracy M Md D UT Urban Medicaid Spanish Fork Clinic Holmes, Richard J Md C Mower, Douglas R Md C 325 W Center St Cottontree Family Practice Lytle, Carter Sanders Md D American Fork Clinic Spanish Fork, Ut 84460 2230 N University Pkwy, #1a Spanish Fork Clinic 226 N 1100 E, #A Phone: (801) 798-7301 Provo, Ut 84604 325 W Center St American Fork, Ut 84003 UT Urban Medicaid Phone: (801) 377-3413 Spanish Fork, Ut 84660 Phone: (801) 855-3841 Languages Spoken: Spanish Phone: (801) 798-7301 Languages Spoken: Spanish Fuller, Glen R Md D UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Tri City Medical Clinic 830 N 2000 W Johnson, Cheryl Anne Md C Macarthur, Toran James Md C Murdock, Kenneth Joe Md C Pleasant Grove, Ut 84062 American Fork Clinic American Fork Clinic American Fork Clinic Phone: (801) 756-3511 226 N 1100 E, #A 226 N 1100 E, #A 226 N 1100 E, #A UT Urban Medicaid American Fork, Ut 84003 American Fork, Ut 84003 American Fork, Ut 84003 Phone: (801) 768-1699 Phone: (801) 768-1699 Phone: (801) 855-3841 Grover, Bruce B Md C UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Mountainlands Community Health Center Johnson, Cheryl Anne Md C Macarthur, Toran James Md C Ngatuvai, Tauaina James Md C 589 S State St American Fork Clinic Lehi Medical Clinic American Fork Clinic Provo, Ut 84606 680 E Main St 680 E Main St 226 N 1100 E, #A Phone: (801) 429-2000 Lehi, Ut 84043 Lehi, Ut 84043 American Fork, Ut 84003 Languages Spoken: Spanish Phone: (801) 768-1699 Phone: (801) 768-1699 Phone: (801) 768-1699 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Hafen, David Kartchner Md C Johnson, George Brent Md C Mcbride, Brayden Md C American Fork Clinic American Fork Clinic Art City Family Medical Center Ngatuvai, Tauaina James Md C 226 N 1100 E, #A 226 N 1100 E, #A 5 E 400 N Lehi Medical Clinic American Fork, Ut 84003 American Fork, Ut 84003 Springville, Ut 84663 680 E Main St Phone: (801) 855-3850 Phone: (801) 855-3843 Phone: (801) 489-8464 Lehi, Ut 84043 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 768-1699 Languages Spoken: Spanish Hafen, Mark Kartchner Md C Jones, Justin Earl Md C Mclay, Michael S Md C UT Urban Medicaid American Fork Clinic Cuc - Provo - Family Medicine Art City Family Medical Center 226 N 1100 E, #A 1055 N 500 W, #212 5 E 400 N Noonan, Erika M Md C American Fork, Ut 84003 Provo, Ut 84604 Springville, Ut 84663 American Fork Clinic Phone: (801) 855-3848 Phone: (801) 812-5033 Phone: (801) 486-8464 226 N 1100 E, #A Languages Spoken: German UT Urban Medicaid Languages Spoken: French American Fork, Ut 84003 UT Urban Medicaid UT Urban Medicaid Phone: (801) 855-3843 Juchau, Jeffrey Jay Md C UT Urban Medicaid Harrison, Heather R Do C Spanish Fork Clinic Mcmanus, Shawn Patrick Do C Cuc - Provo - Family Medicine 325 W Center St Lehi Medical Clinic Ogden, Lida Jimena Md C 1055 N 500 W, #212 Spanish Fork, Ut 84660 680 E Main St Uuhc Parkway Clinic Provo, Ut 84604 Phone: (801) 798-7301 Lehi, Ut 84043 145 W University Pkwy Phone: (801) 812-5033 UT Urban Medicaid Phone: (801) 768-1699 Orem, Ut 84058 UT Urban Medicaid UT Urban Medicaid Phone: (801) 234-8600 Kennedy, Michael S Md C Languages Spoken: Spanish Harrison, Heather R Do D Uuhc Parkway Clinic Mcmaster, Ian Bruce Md C UT Urban Medicaid Grandview Family Medicine 145 W University Pkwy Hobble Creek Medical Clinic 1959 N State St Orem, Ut 84058 269 E 400 S, #2 Olsen, Maynard Md C Provo, Ut 84604 Phone: (801) 234-8600 Springville, Ut 84663 Wasatch Medical Center Phone: (801) 373-2001 UT Urban Medicaid Phone: (801) 491-9883 575 S State St UT Urban Medicaid Languages Spoken: Spanish Orem, Ut 84058 Lesueur, Bret Nielsen Do C UT Urban Medicaid Phone: (801) 225-2926 Hillam, David R Md C Art City Family Medical Center Languages Spoken: Spanish Uuhc Parkway Clinic 5 E 400 N Midgley, Melinda M Md D UT Urban Medicaid 145 W University Pkwy Springville, Ut 84663 Tri City Medical Clinic Orem, Ut 84058 Phone: (801) 489-8464 830 N 2000 W Payne, Wendy Jade Md C Phone: (801) 234-8600 UT Urban Medicaid Pleasant Grove, Ut 84062 Crossroads Family Medicine UT Urban Medicaid Phone: (801) 756-3511 1305 Commerce Dr, #120 Liddle, Joseph Brent Md D UT Urban Medicaid Saratoga Springs, Ut 84045 Hogenson, Eric M Md D Tri City Medical Clinic Phone: (801) 766-2121 Spanish Fork Clinic 830 N 2000 W Miner, Joseph Kay Md C UT Urban Medicaid 325 W Center St Pleasant Grove, Ut 84062 Health Clinics Of Utah Spanish Fork, Ut 84660 Phone: (801) 756-3511 150 E Center St, #1100 Payne, Wendy Jade Md C Phone: (801) 798-7301 UT Urban Medicaid Provo, Ut 84606 Lakeview Family Medicine UT Urban Medicaid Phone: (801) 374-7011 811 N 900 W Languages Spoken: Spanish Orem, Ut 84057 UT Urban Medicaid Phone: (801) 434-7600 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 72 Utah UPrimary Care Providers Network tah Penrod, Marc Allan Md C Smith, Scott Leroy Md D White, Vernon F Md C Mohlman, Susan E Np C Art City Family Medical Center Tri City Medical Clinic Mountainlands Community Spanish Fork Clinic 5 E 400 N 830 N 2000 W Health Center 325 W Center St Springville, Ut 84663 Pleasant Grove, Ut 84062 589 S State St Spanish Fork, Ut 84460 Phone: (801) 489-8464 Phone: (801) 756-3511 Provo, Ut 84606 Phone: (801) 798-7301 UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 429-2000 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Peterson, David Noel Md D Robinson, Janice H Aprn C Wasatch Medical Center Takasaki, Roman Yasuo Md C Willis Jr, Marshall F Md D Lakeview Family Medicine 575 S State St Spanish Fork Clinic Tri City Medical Clinic 811 N 900 W Orem, Ut 84058 325 W Center St 830 N 2000 W Orem, Ut 84057 Phone: (801) 225-2926 Spanish Fork, Ut 84660 Pleasant Grove, Ut 84062 Phone: (801) 434-7600 UT Urban Medicaid Phone: (801) 798-7301 Phone: (801) 756-3511 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Peterson, Scott David Md C Whittaker, Kay C Np C Wasatch Medical Center Taylor, John Stewart Md C Woodmansee, James A Md C Spanish Fork Clinic 575 S State St Art City Family Medical Center Cottontree Family Practice 325 W Center St Orem, Ut 84058 5 E 400 N 2230 N University Pkwy, #1a Spanish Fork, Ut 84660 Phone: (801) 225-2926 Springville, Ut 84663 Provo, Ut 84604 Phone: (801) 798-7301 UT Urban Medicaid Phone: (801) 489-8464 Phone: (801) 377-3413 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Porter, Stuart Brent Do D Internal Medicine Integrative Medical Associates Tipton, David J Md D Family Nurse 3650 N University Ave, #200 Utah County Medical Associates Anderson, Kirk R Md C Provo, Ut 84604 15 S 1000 E , #300 Practitioner Cuc - Provo - Internal Medicine Phone: (801) 375-7100 Payson, Ut 84651 Berry, Judith A Np C 1055 N 500 W, #212 UT Urban Medicaid Phone: (801) 465-4896 Provo, Ut 84604 UT Urban Medicaid Health Clinics Of Utah Robinson, Aaron M Md C 150 E Center St, #1100 Phone: (801) 374-2362 1959 N State St Tipton, David J Md D Provo, Ut 84606 Languages Spoken: Spanish Provo, Ut 84604 Utah County Medical Associates Phone: (801) 374-7011 UT Urban Medicaid Phone: (801) 373-2001 39 Professional Way, #3 UT Urban Medicaid Bennion, David F Md D Languages Spoken: Spanish Payson, Ut 84651 Cate, Rebecca Sue Np C Cuc - Payson - Internal Medicine UT Urban Medicaid Phone: (801) 465-9263 & Pulmonary UT Urban Medicaid Health Clinics Of Utah Rose Jr, James J Md D 150 E Center St, #1100 1120 E 100 N, #1 Spanish Fork Clinic Tipton, David J Md D Provo, Ut 84606 Payson, Ut 84651 325 W Center St Utah County Medical Associates Phone: (801) 374-7011 Phone: (801) 465-4813 Spanish Fork, Ut 84660 97 S Professional Way, #2 UT Urban Medicaid UT Urban Medicaid Phone: (801) 798-7301 Payson, Ut 84651 Gasser, Brian Dell Np C Corbett, Edward Reed Md C UT Urban Medicaid Phone: (801) 465-4896 Cuc - Orem - Internal Medicine UT Urban Medicaid Aspen Dermatology Savage, Shelly Lynne Md C 114 E 800 N 700 W 800 N, #400 Grandview Family Medicine Tomco, Abraham Robert Md C Spanish Fork, Ut 84660 Orem, Ut 84057 1959 N State St Cuc - Provo - Family Medicine Phone: (801) 794-1490 Phone: (801) 221-8811 Provo, Ut 84604 1055 N 500 W, #212 UT Urban Medicaid UT Urban Medicaid Phone: (801) 373-2001 Provo, Ut 84604 Gasser, Brian Dell Np C Corniea, Robert E Md C UT Urban Medicaid Phone: (801) 812-5033 Cuc - Provo - Internal Medicine UT Urban Medicaid Aspen Dermatology Skousen, Gale J Md C 123 N 500 E 1055 N 500 W, #212 Utah County Medical Associates Voss, William David Do C Payson, Ut 84651 Provo, Ut 84604 97 S Professional Way, #2 Utah County Medical Associates Phone: (801) 465-8001 Phone: (801) 374-2362 Payson, Ut 84651 376 E 400 S UT Urban Medicaid UT Urban Medicaid Phone: (801) 465-4896 Springville, Ut 84663 Gasser, Brian Dell Np C Curzon, Sean Robert Do C Languages Spoken: Spanish Phone: (801) 465-4896 Cuc - Orem - Internal Medicine UT Urban Medicaid UT Urban Medicaid 772 E 100 N, #6 Payson, Ut 84651 700 W 800 N, #400 Smith, Garrett Bona Do D Voss, William David Do C Phone: (801) 376-2052 Orem, Ut 84057 Tri City Medical Clinic Utah County Medical Associates UT Urban Medicaid Phone: (801) 221-8811 275 W 200 N 97 S Professional Way, #2 UT Urban Medicaid Hartle, Aaron Christian Aprn C Lindon, Ut 84042 Payson, Ut 84651 Duros, Peter Md C Phone: (801) 796-1333 Phone: (801) 465-4896 405 S Main St Springville, Ut 84663 Cuc - Orem - Internal Medicine Languages Spoken: Spanish UT Urban Medicaid 700 W 800 N, #400 UT Urban Medicaid Phone: (801) 491-2238 Walton, Matthew S Do C Languages Spoken: Orem, Ut 84057 Smith, Garrett Bona Do D Spanish Fork Clinic Portuguese, Spanish Phone: (801) 221-8811 Tri City Medical Clinic 325 W Center St UT Urban Medicaid UT Urban Medicaid 830 N 2000 W Spanish Fork, Ut 84660 Mickelson, Steven A Np C Fonseca, Walstir H Md C Pleasant Grove, Ut 84062 Phone: (801) 798-7301 Cuc - Orem - Internal Medicine Phone: (801) 756-3511 UT Urban Medicaid Health Clinics Of Utah 150 E Center St, #1100 700 W 800 N, #400 Languages Spoken: Spanish Orem, Ut 84057 UT Urban Medicaid Provo, Ut 84606 Phone: (801) 374-7011 Phone: (801) 221-8811 Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 73 Utah UPrimary Care Providers Network tah Greenwood, Ryan Fox Md C Marshall, Kent Grover Md C Staheli, John K Md D Bean, Gregory H Md D Cuc - Payson - Internal Medicine Cuc - Orem - Internal Medicine Sleep Disorders Center Valley Obstetrics And Gynecology & Pulmonary 700 W 800 N, #400 3650 N University Ave, #125 750 W 800 N, #200 1120 E 100 N, #1 Orem, Ut 84057 Provo, Ut 84604 Orem, Ut 84058 Payson, Ut 84651 Phone: (801) 221-8811 Phone: (801) 227-7378 Phone: (801) 374-1801 Phone: (801) 465-1813 UT Urban Medicaid Languages Spoken: Languages Spoken: UT Urban Medicaid Portuguese Norwegian, Spanish, Merrill, Steven L Md C UT Urban Medicaid Swedish Hathaway, Bruce N Md C 421 N Orem Blvd UT Urban Medicaid 777 N 500 W, #104 Orem, Ut 84057 Obstetrics And Provo, Ut 84601 Phone: (801) 764-0200 Bean, Gregory H Md D Phone: (801) 374-9299 UT Urban Medicaid Gynecology Valley Obstetrics And Gynecology Languages Spoken: German 77 Commerce Dr UT Urban Medicaid Miller II, Garry Tim Do C Aagard, Robert L Md D Saratoga Springs, Ut 84045 Cuc - Payson - Pulmonary & Valley Obstetrics And Gynecology Phone: (801) 434-7312 Huddleston, Jason Mark Md C Internal Medicine 120 N 1220 E, #7 Languages Spoken: Cuc - Af - Internal Medicine 1120 E 100 N, #1 American Fork, Ut 84003 Norwegian, Spanish, 1175 E 50 S, #241 Payson, Ut 84651 Phone: (801) 756-9635 Swedish American Fork, Ut 84003 Phone: (801) 465-4813 Languages Spoken: Japanese, UT Urban Medicaid Phone: (801) 492-5999 UT Urban Medicaid Spanish Languages Spoken: Spanish UT Urban Medicaid Broadbent, David Harrison Md UT Urban Medicaid Mitchell, Charles R Md C C Utah Valley Regional Medical Aagard, Robert L Md D 1355 N University Ave, #130 Johnson, Jeffrey W Md C Center Valley Obstetrics And Gynecology Provo, Ut 84604 Cuc - Provo - Internal Medicine 1034 N 500 W 750 W 800 N, #200 Phone: (801) 373-4649 1055 N 500 W, #212 Provo, Ut 84604 Orem, Ut 84058 Languages Spoken: Spanish Provo, Ut 84604 Phone: (801) 357-7231 Phone: (801) 374-1801 UT Urban Medicaid Phone: (801) 374-2362 UT Urban Medicaid Languages Spoken: Japanese, UT Urban Medicaid Spanish Broberg, Jeffrey Charles Md C Nobuhara, Lawrence Ken Md C UT Urban Medicaid Valley Obstetrics And Gynecology Kielar, Mariusz Lewlaw Md C Cuc - Provo - Internal Medicine 585 N 500 W Cuc - Provo - Nephrology 1055 N 500 W, #212 Aagard, Robert L Md D Provo, Ut 84604 1055 N 500 W, #222 Provo, Ut 84604 Valley Obstetrics And Gynecology Phone: (801) 374-1801 Provo, Ut 84604 Phone: (801) 374-2362 77 Commerce Dr UT Urban Medicaid Phone: (801) 377-4623 UT Urban Medicaid Saratoga Springs, Ut 84045 Languages Spoken: Polish Phone: (801) 434-7312 Broberg, Jeffrey Charles Md C UT Urban Medicaid Ogden, Jeffrey Gale Md D Languages Spoken: Japanese, Valley Obstetrics And Gynecology 421 N Orem Blvd Spanish 750 W 800 N, #200 Kimball, Chad Brigham Md C Orem, Ut 84057 UT Urban Medicaid Orem, Ut 84058 Cuc - Provo - Internal Medicine Phone: (801) 764-0200 Phone: (801) 374-1801 1055 N 500 W, #212 Languages Spoken: Spanish Allen, Douglas A Md C UT Urban Medicaid Provo, Ut 84604 UT Urban Medicaid Cuc - Pleasant Grove - Womens Phone: (801) 374-2362 Health Burnett, Virginia D Do C Languages Spoken: Italian Olsen, Richard Kent Md D 1886 W 800 N Utah County Medical Associates UT Urban Medicaid Cuc - Provo - Internal Medicine Pleasant Grove, Ut 84062 15 S 1000 E, #300 1055 N 500 W, #212 Phone: (801) 756-5288 Payson, Ut 84651 Leroy, Ellis W Md D Provo, Ut 84604 Languages Spoken: Japanese Phone: (801) 465-4893 Cuc - Payson - Internal Medicine Phone: (801) 374-2362 UT Urban Medicaid UT Urban Medicaid & Pulmonary UT Urban Medicaid 1120 E 100 N, #1 Anderson, Cameron D Md C Crouch, Max J Md C Payson, Ut 84651 Ripplinger, Rex F Md C South Valley Obstetrics & Utah County Medical Associates Phone: (801) 465-4813 Cuc - Provo - Internal Medicine Gynecology 15 S 1000 E, #300 Languages Spoken: Spanish 1055 N 500 W, #212 39 Professional Way, #4 Payson, Ut 84651 UT Urban Medicaid Provo, Ut 84604 Payson, Ut 84651 Phone: (801) 465-4896 Phone: (801) 374-2362 Phone: (801) 465-3201 UT Urban Medicaid Ling, Yun Md C UT Urban Medicaid UT Urban Medicaid Cuc - Af - Internal Medicine Crouch, Max J Md C 1175 E 50 S, #241 Staheli, John K Md D Bean, Gregory H Md D Utah County Medical Associates American Fork, Ut 84003 Cuc - Provo - Internal Medicine Valley Obstetrics And Gynecology 269 E 400 S Phone: (801) 492-5999 1055 N 500 W, #212 120 N 1220 E, #7 Springville, Ut 84663 Languages Spoken: Chinese Provo, Ut 84604 American Fork, Ut 84003 Phone: (801) 491-9883 UT Urban Medicaid Phone: (801) 374-2362 Phone: (801) 756-9635 UT Urban Medicaid Languages Spoken: Languages Spoken: Lunceford, Troy Adam Md C Portuguese Norwegian, Spanish, Crouch, Max J Md C Cuc - Payson - Internal Medicine UT Urban Medicaid Swedish Utah County Medical Associates & Pulmonary UT Urban Medicaid 97 S Professional Way, #2 1120 E 100 N, #1 Staheli, John K Md D Payson, Ut 84651 Payson, Ut 84651 Sleep Disorders Center Phone: (801) 465-4896 Phone: (801) 465-4813 3300 N Running Creek Way, Bldgh UT Urban Medicaid Languages Spoken: Cantonese #200 UT Urban Medicaid Lehi, Ut 84043 Phone: (801) 753-7400 Languages Spoken: Portuguese UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 74 Utah UPrimary Care Providers Network tah Dewey, Steven John Md C Judd, Thomas Elwyn Md C Nance, Steven G Md D Skinner, Reed J Md C Southwestern Ob/Gyn University Obstetrics And 285 E 400 S Payson Womens Care 39 Professional Way, #4 Gynecology Springville, Ut 84663 15 S 1000 E, #125 Payson, Ut 84651 1355 N University Ave, #110 Phone: (801) 489-0111 Payson, Ut 84651 Phone: (801) 465-9263 Provo, Ut 84604 UT Urban Medicaid Phone: (801) 465-2559 UT Urban Medicaid Phone: (801) 374-5000 Languages Spoken: Spanish Languages Spoken: Spanish Ollerton, Ryan C Do D UT Urban Medicaid Dewey, Steven John Md C UT Urban Medicaid Valley Obstetrics And Gynecology Southwestern Ob/Gyn 120 N 1220 E, #7 Thorpe, Jefforey Ruel Md C 777 N 500 W, #203 Lamoreaux, James Patrick Md D American Fork, Ut 84003 Valley Obstetrics And Gynecology Provo, Ut 84651 Valley Obstetrics And Gynecology Phone: (801) 756-9635 585 N 500 W Phone: (801) 375-8889 120 N 1220 E, #7 Languages Spoken: Provo, Ut 84604 UT Urban Medicaid American Fork, Ut 84003 Portuguese, Spanish, Phone: (801) 374-1801 Phone: (801) 756-9635 Tagalog UT Urban Medicaid Drewes, Peter Gilson Md C Languages Spoken: Spanish UT Urban Medicaid Valley Obstetrics And Gynecology UT Urban Medicaid Thorpe, Jefforey Ruel Md C 585 N 500 W Ollerton, Ryan C Do D Valley Obstetrics And Gynecology Provo, Ut 84601 Lamoreaux, James Patrick Md D Valley Obstetrics And Gynecology 750 W 800 N, #200 Phone: (801) 374-1801 Valley Obstetrics And Gynecology 750 W 800 N, #200 Orem, Ut 84058 Languages Spoken: Spanish 750 W 800 N, #200 Orem, Ut 84058 Phone: (801) 374-1801 UT Urban Medicaid Orem, Ut 84058 Phone: (801) 374-1801 UT Urban Medicaid Phone: (801) 374-1801 Languages Spoken: Gamette, Kent R Md C Languages Spoken: Spanish Portuguese, Spanish, Warner, William Lawrence Md C Valley Obstetrics And Gynecology UT Urban Medicaid Tagalog Payson Womens Care 585 N 500 W UT Urban Medicaid 15 S 1000 E, #125 Provo, Ut 84604 Lamoreaux, James Patrick Md D Payson, Ut 84651 Phone: (801) 374-1801 Valley Obstetrics And Gynecology Ollerton, Ryan C Do D Phone: (801) 465-2559 UT Urban Medicaid 77 Commerce Dr Valley Obstetrics And Gynecology UT Urban Medicaid Saratoga Springs, Ut 84045 77 Commerce Dr Gamette, Kent R Md C Phone: (801) 434-7312 Saratoga Springs, Ut 84045 Warner, William Lawrence Md C Valley Obstetrics And Gynecology Languages Spoken: Spanish Phone: (801) 434-7312 Spanish Fork Clinic 750 W 800 N, #200 UT Urban Medicaid Languages Spoken: 352 W Center St Orem, Ut 84058 Portuguese, Spanish, Spanish Fork, Ut 84660 Phone: (801) 374-1801 Ludlow, David Emil Md C Tagalog Phone: (801) 798-7301 UT Urban Medicaid Payson Womens Care UT Urban Medicaid UT Urban Medicaid 15 S 1000 E, #125 Glenn, C Joseph Md D Payson, Ut 84651 Parker, Edward W Md C Weibell, Nicholai J Md C Utah Valley Ob/Gyn Phone: (801) 465-2559 Cuc - Pleasant Grove - Womens University Obstetrics And 1055 N 300 W, #303 UT Urban Medicaid Health Gynecology Provo, Ut 84604 1886 W 800 N 1355 N University Ave, #110 Phone: (801) 357-7377 Ludlow, David Emil Md C Pleasant Grove, Ut 84062 Provo, Ut 84604 UT Urban Medicaid Spanish Fork Clinic Phone: (801) 756-5288 Phone: (801) 374-5000 325 W Center St UT Urban Medicaid Languages Spoken: Spanish Gourley, George C Do C Spanish Fork, Ut 84460 UT Urban Medicaid 1055 N 300 W, #305 Phone: (801) 798-7301 Rees, Scott Stephen Do C Provo, Ut 84604 UT Urban Medicaid Valley Obstetrics And Gynecology Wolsey, Brian L Md C Phone: (801) 357-7190 585 N 500 W 890 N 500 W UT Urban Medicaid Melendez, Terry D Md D Provo, Ut 84604 Provo, Ut 84604 Valley Obstetrics And Gynecology Phone: (801) 374-1801 Phone: (801) 357-7090 Grover, Julie S Md D 120 N 1220 E, #7 Languages Spoken: Japanese Utah Valley Ob/Gyn Languages Spoken: Spanish American Fork, Ut 84003 UT Urban Medicaid UT Urban Medicaid 1055 N 300 W, #303 Phone: (801) 756-9635 Provo, Ut 84604 Languages Spoken: Spanish Rees, Scott Stephen Do C Young, David Barton Do C Phone: (801) 357-7377 UT Urban Medicaid Valley Obstetrics And Gynecology Cuc - Pleasant Grove - Womens Languages Spoken: Spanish 750 W 800 N, #200 Health UT Urban Medicaid Melendez, Terry D Md D Orem, Ut 84058 1886 W 800 N Valley Obstetrics And Gynecology Phone: (801) 374-1801 Pleasant Grove, Ut 84062 Jacob, Scott Md C 750 W 800 N, #200 Phone: (801) 756-5288 Valley Obstetrics And Gynecology Languages Spoken: Spanish Orem, Ut 84058 UT Urban Medicaid UT Urban Medicaid 585 N 500 W Phone: (801) 374-1801 Provo, Ut 84604 Languages Spoken: Spanish Skinner, Reed J Md C Pediatric Nurse Phone: (801) 374-1801 UT Urban Medicaid Art City Family Medical Center UT Urban Medicaid 5 E 400 N Practitioner Melendez, Terry D Md D Jacob, Scott Md C Springville, Ut 84663 Blad, Kent D Np C Valley Obstetrics And Gynecology Phone: (801) 489-8464 Valley Obstetrics And Gynecology 77 Commerce Dr Pediatric Care 750 W 800 N, #200 Languages Spoken: Spanish 1675 N Freedom Blvd, #3 Saratoga Springs, Ut 84045 UT Urban Medicaid Orem, Ut 84058 Phone: (801) 434-7312 Provo, Ut 84604 Phone: (801) 374-1801 Languages Spoken: Spanish Phone: (801) 377-8000 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Korean UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 75 Utah UPrimary Care Providers Network tah Chidester, Todd L Np C Alba, Jesse Aaron Md C Behrmann, Gary L Md C Edwards, William Foster Md C Pediatric Care Alpine Pediatrics 1172 E 100 N, #2 Alpine Pediatrics 1675 N Freedom Blvd, #3 1912 W 930 N Payson, Ut 84651 1912 W 930 N Provo, Ut 84604 Pleasant Grove, Ut 84062 Phone: (801) 465-4877 Pleasant Grove, Ut 84062 Phone: (801) 377-8000 Phone: (801) 492-1999 UT Urban Medicaid Phone: (801) 492-1999 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish Bennett, Djohn Noran Md D UT Urban Medicaid Cox, Amy Harmer Np C Allen, Louis S Md D Spanish Fork Clinic Pediatric Care Children With Special Healthcare 325 W Center St Edwards, William Foster Md C 1675 N Freedom Blvd, #3 Needs Spanish Fork, Ut 84660 Alpine Pediatrics Provo, Ut 84604 1034 N 500 W Phone: (801) 798-7301 77 E Commerce Dr Phone: (801) 377-8000 Provo, Ut 84604 UT Urban Medicaid Saratoga Springs, Ut 84045 UT Urban Medicaid Phone: (801) 357-7627 Phone: (801) 922-9222 UT Urban Medicaid Bodnar, Anna S Md D Languages Spoken: Spanish Scott, Elizabeth Aprn C Children With Special Healthcare UT Urban Medicaid Alpine Pediatrics Allen, Louis S Md D Needs 1912 W 930 N Children With Special Healthcare 1034 N 500 W Edwards, William Foster Md C Pleasant Grove, Ut 84062 Needs Provo, Ut 84604 Alpine Pediatrics Phone: (801) 492-1999 151 S University Ave Phone: (801) 357-7627 3231 N 1120 E UT Urban Medicaid Provo, Ut 84601 UT Urban Medicaid Lehi, Ut 84043 Phone: (801) 370-8764 Phone: (801) 768-2800 Scott, Elizabeth Aprn C UT Urban Medicaid Bodnar, Anna S Md D Languages Spoken: Spanish Alpine Pediatrics Children With Special Healthcare UT Urban Medicaid 3231 N 1120 E Anderson, Bradley Wayne Md C Needs Lehi, Ut 84043 Utah Valley Pediatrics 151 S University Ave Farnsworth, Richard Y Md C Phone: (801) 768-2800 1355 N University Ave, #210 Provo, Ut 84601 Utah Valley Pediatrics UT Urban Medicaid Provo, Ut 84604 Phone: (801) 370-8764 1355 N University Ave, #210 Phone: (801) 373-8930 UT Urban Medicaid Provo, Ut 84604 Scott, Elizabeth Aprn C Languages Spoken: German Phone: (801) 373-8930 Alpine Pediatrics UT Urban Medicaid Clayton, Keith Joseph Md C Languages Spoken: Korean 77 E Commerce Dr 1675 N 200 W, #9c UT Urban Medicaid Saratoga Springs, Ut 84045 Arnold, Bradley Clark Md C Provo, Ut 84604 Phone: (801) 922-9222 Alpine Pediatrics Phone: (801) 377-4800 Foster, Christopher C Md C UT Urban Medicaid 1307 N Commerce Dr, #120 UT Urban Medicaid Alpine Pediatrics Saratoga Springs, Ut 84045 1912 W 930 N Smith, Michelle D Aprn C Phone: (801) 922-9222 Clayton, Matthew Joseph Md C Pleasant Grove, Ut 84062 Pediatric Care UT Urban Medicaid Village Green Pediatrics Phone: (801) 492-1999 1675 N Freedom Blvd, #3 1675 N 200 W, #9c UT Urban Medicaid Provo, Ut 84604 Arnold, Bradley Clark Md C Provo, Ut 84604 Phone: (801) 377-8000 Alpine Pediatrics Phone: (801) 377-4800 Freestone, James Phillip Md C Languages Spoken: Spanish 1912 W 930 N Languages Spoken: Russian, Utah Valley Pediatrics UT Urban Medicaid Pleasant Grove, Ut 84062 Spanish 171 N 400 W, #C12 Phone: (801) 492-1999 UT Urban Medicaid Orem, Ut 84057 Pediatrics UT Urban Medicaid Phone: (801) 224-4550 Conner, Marsena Elaine Md C UT Urban Medicaid Adams, Linda Margrit Md D Arnold, Bradley Clark Md C Utah Valley Pediatrics Children With Special Healthcare Alpine Pediatrics 1159 E 200 N, #200 Fullmer, Michael P Md C Needs 3231 N 1120 E American Fork, Ut 84003 Utah Valley Pediatrics 1034 N 500 W Lehi, Ut 84043 Phone: (801) 756-5209 15 S 1000 E, #200 Provo, Ut 84604 Phone: (801) 768-2800 UT Urban Medicaid Payson, Ut 84651 Phone: (801) 357-7627 UT Urban Medicaid Phone: (801) 465-2800 Cornish, Matthew Jared Md C UT Urban Medicaid UT Urban Medicaid Ashby, Sarah Lyn Md C Utah Valley Pediatrics Adams, Linda Margrit Md D Utah Valley Pediatrics 716 W 800 N, #300 Glade, Gordon B Md C Children With Special Healthcare 1355 N University Ave Orem, Ut 84057 Utah Valley Pediatrics Needs Provo, Ut 84604 Phone: (801) 224-0421 1159 E 200 N, #200 151 S University Ave Phone: (801) 373-8930 Languages Spoken: Spanish American Fork, Ut 84003 Provo, Ut 84601 UT Urban Medicaid UT Urban Medicaid Phone: (801) 756-5209 Phone: (801) 370-8764 Languages Spoken: French Bailey, Ernest Andrew Md C Devenport, David Scott Md C UT Urban Medicaid UT Urban Medicaid Utah Valley Pediatrics Hobble Creek Medical Clinic Adams, Ross Mitchell Do C 1355 N University Ave, #210 269 E 400 S, #2 Gunther, Julia Kelsey Md C Utah Valley Pediatrics Provo, Ut 84604 Springville, Ut 84663 Alpine Pediatrics 1355 N University Ave, #210 Phone: (801) 373-8930 Phone: (801) 491-9883 1912 W 930 N Provo, Ut 84604 Languages Spoken: French UT Urban Medicaid Pleasant Grove, Ut 84062 Phone: (801) 373-8930 UT Urban Medicaid Phone: (801) 492-1999 Devenport, Mark Johnathan Md UT Urban Medicaid Languages Spoken: Thai Bartholomew, Jonathen Do C C UT Urban Medicaid Pediatric Care Hobble Creek Medical Clinic Gunther, Julia Kelsey Md C 1675 N Freedom Blvd, #3 269 E 400 S, #2 Alpine Pediatrics Provo, Ut 84604 Springville, Ut 84663 3231 N 1120 E Phone: (801) 377-8000 Phone: (801) 491-9883 Lehi, Ut 84043 Languages Spoken: Czech UT Urban Medicaid Phone: (801) 768-2800 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 76 Utah UPrimary Care Providers Network tah Gunther, Julia Kelsey Md C Kendall, Melissa Ann Md C Michalek, George Horacio Md C Peterson, Jonathan Paul Md C Alpine Pediatrics Utah Valley Pediatrics Hobble Creek Medical Clinic Utah Valley Pediatrics 77 E Commerce Dr 716 W 800 N, #300 269 E 400 S, #2 15 S 1000 E, #200 Saratoga Springs, Ut 84045 Orem, Ut 84057 Springville, Ut 84663 Payson, Ut 84651 Phone: (801) 922-9222 Phone: (801) 224-0421 Phone: (801) 491-9883 Phone: (801) 465-2800 UT Urban Medicaid Languages Spoken: Thai Languages Spoken: Italian, UT Urban Medicaid UT Urban Medicaid Spanish Hacking, Douglas Wayne Md C UT Urban Medicaid Simmons, Daniel Glen Md C Utah Valley Pediatrics Knochel, Miguel Luis Md C Utah Valley Pediatrics 171 N 400 W, #C12 Payson Pediatrics Miller, Garron Eugene Md C 171 N 400 W, #C12 Orem, Ut 84057 15 S 1000 E, #100 Utah Valley Pediatrics Orem, Ut 84057 Phone: (801) 224-4550 Payson, Ut 84651 1355 N University Ave, #210 Phone: (801) 224-4550 Languages Spoken: Spanish Phone: (801) 465-9480 Provo, Ut 84604 Languages Spoken: Spanish UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 373-8930 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Jensen, Jeffrey Louis Md D Spencer, Weston Eugene Md C Utah Valley Pediatrics Knochel, Miguel Luis Md C Miller, Garron Eugene Md C Alpine Pediatrics 1355 N University Ave, #210 Spanish Fork Clinic Utah Valley Pediatrics 1912 W 930 N Provo, Ut 84604 325 W Center St 15 S 1000 E, #200 Pleasant Grove, Ut 84062 Phone: (801) 373-8930 Spanish Fork, Ut 84660 Payson, Ut 84651 Phone: (801) 492-1999 Languages Spoken: Spanish Phone: (801) 798-7301 Phone: (801) 465-2800 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Spencer, Weston Eugene Md C Johnson, David Sterling Md C Mumford, Scott Harris Md C Alpine Pediatrics Alpine Pediatrics Knorr, Brett Kelsey Md C Utah Valley Pediatrics 3231 N 1120 E 1912 W 930 N Alpine Pediatrics 1159 E 200 N, #200 Lehi, Ut 84043 Pleasant Grove, Ut 84062 1912 W 930 N American Fork, Ut 84003 Phone: (801) 768-2800 Phone: (801) 492-1999 Pleasant Grove, Ut 84062 Phone: (801) 756-5209 UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 492-1999 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Spencer, Weston Eugene Md C Nielsen, Gregory William Md C Alpine Pediatrics Johnson, David Sterling Md C Knorr, Brett Kelsey Md C Utah Valley Pediatrics 77 E Commerce Dr Alpine Pediatrics Alpine Pediatrics 1355 N University Ave, #210 Saratoga Springs, Ut 84045 3231 N 1120 E 3231 N 1120 E Provo, Ut 84604 Phone: (801) 922-9222 Lehi, Ut 84043 Lehi, Ut 84043 Phone: (801) 373-8930 UT Urban Medicaid Phone: (801) 768-2800 Phone: (801) 768-2800 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Valdez, Orlando Raymond Md C UT Urban Medicaid Nuttall, David C Md C Spanish Fork Clinic Knorr, Brett Kelsey Md C 120 N 1220 E, #1 325 W Center St Johnson, David Sterling Md C Alpine Pediatrics American Fork, Ut 84003 Spanish Fork, Ut 84660 Alpine Pediatrics 77 E Commerce Dr Phone: (801) 756-6092 Phone: (801) 798-7301 77 E Commerce Dr Saratoga Springs, Ut 84045 UT Urban Medicaid UT Urban Medicaid Saratoga Springs, Ut 84045 Phone: (801) 922-9222 Phone: (801) 922-9222 UT Urban Medicaid Pavich, Greg Matthew Md C Vargo, Beverly Luann Md C Languages Spoken: Spanish Alpine Pediatrics Alpine Pediatrics UT Urban Medicaid Later, Richard W Md C 1912 W 930 N 1912 W 930 N Utah Valley Pediatrics Pleasant Grove, Ut 84062 Pleasant Grove, Ut 84062 Johnson, Joseph Michael Md C 1055 N 300 W, #311 Phone: (801) 492-1999 Phone: (801) 492-1999 1675 N 200 W, #9c Provo, Ut 84604 Languages Spoken: Spanish UT Urban Medicaid Provo, Ut 84604 Phone: (801) 357-7883 UT Urban Medicaid Phone: (801) 377-4800 UT Urban Medicaid Vargo, Beverly Luann Md C UT Urban Medicaid Pavich, Greg Matthew Md C Alpine Pediatrics Lauret, Michael Henry Md C Alpine Pediatrics 3231 N 1120 E Jolma, Catherine Md D Utah Valley Pediatrics 3231 N 1120 E Lehi, Ut 84043 Children With Special Healthcare 1355 N University Ave, #210 Lehi, Ut 84043 Phone: (801) 768-2800 Needs Provo, Ut 84604 Phone: (801) 768-2800 UT Urban Medicaid 151 S University Ave Phone: (801) 373-8930 Languages Spoken: Spanish Provo, Ut 84601 UT Urban Medicaid UT Urban Medicaid Vargo, Beverly Luann Md C Phone: (801) 370-8764 Alpine Pediatrics UT Urban Medicaid Lebras, Michael Do C Pavich, Greg Matthew Md C 77 E Commerce Dr North Valley Pediatrics Alpine Pediatrics Saratoga Springs, Ut 84045 Jones, Ronald C Md C 212 S 1100 E 77 E Commerce Dr Phone: (801) 922-9222 3325 N University Ave, #100 American Fork, Ut 84003 Saratoga Springs, Ut 84045 UT Urban Medicaid Provo, Ut 84604 Phone: (801) 756-8788 Phone: (801) 922-9222 Phone: (801) 373-1275 Languages Spoken: French Languages Spoken: Spanish Weipert, John D Md C UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid North Valley Pediatrics 212 S 1100 E Keller, Merle L Md C Mccune, Brian Clark Md C Paxton, Richard Devon Md C American Fork, Ut 84003 Santaquin Medical Clinic Utah Valley Pediatrics Spanish Fork Clinic Phone: (801) 756-8788 94 W Main St 1305 N Commerce Dr, #230 325 W Center St UT Urban Medicaid Santaquin, Ut 86455 Saratoga Springs, Ut 84043 Spanish Fork, Ut 84660 Phone: (801) 754-3122 Phone: (801) 407-6500 Phone: (801) 798-7301 Languages Spoken: Spanish UT Urban Medicaid Languages Spoken: UT Urban Medicaid Portuguese, Spanish UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 77 Utah WPrimary Care Providers Network asatch Whiting, David Todd Md C Physician Assistant Caldwell, Catherine G Pa C Sabey, Aaron Jay Pa C Alpine Pediatrics Alpine Pediatrics Alpine Pediatrics 1912 W 930 N Abram, Jeffery H Pa C 3231 N 1120 E 3231 N 1120 E Pleasant Grove, Ut 84062 Alpine Pediatrics Lehi, Ut 84043 Lehi, Ut 84043 Phone: (801) 492-1999 1307 N Commerce Dr, #120 Phone: (801) 768-2800 Phone: (801) 768-2800 UT Urban Medicaid Saratoga Springs, Ut 84045 UT Urban Medicaid UT Urban Medicaid Phone: (801) 922-9222 Whiting, David Todd Md C Languages Spoken: Spanish Caldwell, Catherine G Pa C Sabey, Aaron Jay Pa C Alpine Pediatrics UT Urban Medicaid Alpine Pediatrics Alpine Pediatrics 3231 N 1120 E 77 E Commerce Dr 77 E Commerce Dr Lehi, Ut 84043 Abram, Jeffery H Pa C Saratoga Springs, Ut 84045 Saratoga Springs, Ut 84045 Phone: (801) 768-2800 Alpine Pediatrics Phone: (801) 922-9222 Phone: (801) 922-9222 UT Urban Medicaid 1912 W 930 N UT Urban Medicaid UT Urban Medicaid Pleasant Grove, Ut 84062 Whiting, David Todd Md C Phone: (801) 492-1999 Clayson, Brett L Pa D Syddall, Tracy Pa C Alpine Pediatrics Languages Spoken: Spanish Uuhc Parkway Clinic Uuhc Parkway Clinic 77 E Commerce Dr UT Urban Medicaid 145 W University Pkwy 145 W University Pkwy Saratoga Springs, Ut 84045 Orem, Ut 84058 Orem, Ut 84058 Phone: (801) 922-9222 Abram, Jeffery H Pa C Phone: (801) 234-8600 Phone: (801) 234-8600 UT Urban Medicaid Alpine Pediatrics UT Urban Medicaid UT Urban Medicaid 3231 N 1120 E Whiting, Michael Don Md C Lehi, Ut 84043 Cox, Kristi Lyn Pa C American Fork Pediatrics Phone: (801) 768-2800 Alpine Pediatrics Wasatch County 48 N 1100 E, #C Languages Spoken: Spanish 77 E Commerce Dr American Fork, Ut 84003 UT Urban Medicaid Saratoga Springs, Ut 84045 Phone: (801) 492-4333 Phone: (801) 922-9222 Family Medicine Languages Spoken: Spanish Bean, Karin Holmes Pa C UT Urban Medicaid UT Urban Medicaid Alpine Pediatrics Berg, Tod L Md C 1912 W 930 N Dalling, Ana Melinda Pa C 1467 S Hwy 40 Wilcox, Ryan Brent Md C Pleasant Grove, Ut 84062 Alpine Pediatrics Heber City, Ut 84032 Utah Valley Pediatrics Phone: (801) 492-1999 1912 W 930 N Phone: (435) 654-6321 1159 E 200 N, #200 UT Urban Medicaid Pleasant Grove, Ut 84062 Languages Spoken: Spanish American Fork, Ut 84003 Phone: (801) 492-1999 UT Rural Medicaid Phone: (801) 756-5209 Bean, Karin Holmes Pa C Languages Spoken: Spanish Languages Spoken: Alpine Pediatrics UT Urban Medicaid Graham, Wayne R Do C Portuguese, Spanish 3231 N 1120 E Heber Valley Clinic UT Urban Medicaid Lehi, Ut 84043 Dalling, Ana Melinda Pa C 1473 S Hwy 40, #E Phone: (801) 768-2800 Alpine Pediatrics Heber City, Ut 84032 Wise, Dustin Md C UT Urban Medicaid 3231 N 1120 E Phone: (435) 654-2500 Lone Peak Pediatrics Lehi, Ut 84043 UT Rural Medicaid 1888 W 800 N Bean, Karin Holmes Pa C Phone: (801) 768-2800 Pleasant Grove, Ut 84062 Alpine Pediatrics Languages Spoken: Spanish Haderlie, Todd M Md C Phone: (801) 492-7851 77 E Commerce Dr UT Urban Medicaid 1465 S Hwy 40, #A UT Urban Medicaid Saratoga Springs, Ut 84045 Heber City, Ut 84032 Phone: (801) 922-9222 Dalling, Ana Melinda Pa C Phone: (435) 654-1234 Wynn, Gregory Scott Md C UT Urban Medicaid Alpine Pediatrics Languages Spoken: Spanish, Utah Valley Pediatrics 77 E Commerce Dr Swedish 716 W 800 N, #300 Benally, Heather Pa C Saratoga Springs, Ut 84045 UT Rural Medicaid Orem, Ut 84057 Alpine Pediatrics Phone: (801) 922-9222 Phone: (801) 224-0421 1912 W 930 N Languages Spoken: Spanish Lofgran, Brian C Md C Languages Spoken: Spanish Pleasant Grove, Ut 84062 UT Urban Medicaid Heber Valley Clinic UT Urban Medicaid Phone: (801) 492-1999 1473 S Hwy 40, #E UT Urban Medicaid Murphy, Melanie Norene Pa C Heber City, Ut 84032 Wynn, John Richard Md C Lone Peak Pediatrics Phone: (435) 654-2500 Utah Valley Pediatrics Benally, Heather Pa C 1888 W 800 N UT Rural Medicaid 171 N 400 W, #C12 Alpine Pediatrics Pleasant Grove, Ut 84062 Orem, Ut 84057 3231 N 1120 E Phone: (801) 492-7851 Mcdonald, Stanton B Md C Phone: (801) 224-4550 Lehi, Ut 84043 Languages Spoken: Spanish 35 S 500 E Languages Spoken: Spanish Phone: (801) 768-2800 UT Urban Medicaid Heber City, Ut 84032 UT Urban Medicaid UT Urban Medicaid Phone: (435) 654-1501 Petersen, Winston N Pa C UT Rural Medicaid Zollo, Kenneth Allen Md C Benally, Heather Pa C Eagle Mountain Family Medicine Pediatric Care Alpine Pediatrics 1305 N Commerce Dr, #120 Pitts, George D Md C 1675 N Freedom Blvd, #3 77 E Commerce Dr Saratoga Springs, Ut 84045 Wasatch Medical Clinic Provo, Ut 84604 Saratoga Springs, Ut 84045 Phone: (801) 766-2121 35 S 500 E Phone: (801) 377-8000 Phone: (801) 922-9222 Languages Spoken: German, Heber City, Ut 84032 UT Urban Medicaid UT Urban Medicaid Phone: (435) 654-1501 Spanish UT Rural Medicaid Caldwell, Catherine G Pa C UT Urban Medicaid Alpine Pediatrics Sabey, Aaron Jay Pa C Saturnino, Lisa M Md C 1912 W 930 N Alpine Pediatrics Heber Valley Medical Center Pleasant Grove, Ut 84062 1912 W 930 N 1485 S Hwy 40 Phone: (801) 492-1999 Pleasant Grove, Ut 84062 Heber City, Ut 84032 UT Urban Medicaid Phone: (801) 492-1999 Phone: (435) 654-2500 UT Urban Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 78 Wasatch WPrimary Care Providers Network ashington Tayler, Gregory P Md C Schaffer, Monica Maria Md C Booth, Craig L Md D Chamberlain, Howard Lee Md D 1469 S Hwy 40, #C Wasatch Pediatrics In Heber Valley Ihc Health Center - St George St George Clinic Heber City , Ut 84032 380 E 1500 S, #201 577 S River Rd 736 S 900 E, #203 Phone: (435) 654-3535 Heber City, Ut 84032 St George, Ut 84790 St George, Ut 84790 Languages Spoken: German Phone: (435) 657-0101 Phone: (435) 688-6100 Phone: (435) 674-6068 UT Rural Medicaid Languages Spoken: Spanish UT Rural Medicaid Languages Spoken: Spanish UT Rural Medicaid UT Rural Medicaid Tullis, David T Md C Busk, Neal Christian Md C Heber Valley Clinic St George Clinic Christian, Mckay Douglas Md C 1473 S Hwy 40, #E Physician Assistant 736 S 900 E, #203 St George Clinic Heber City, Ut 84032 Christensen, Heather H Pa C St George, Ut 84770 736 S 900 E, #203 Phone: (435) 654-2500 Heber Valley Pediatrics Phone: (435) 674-6068 St George, Ut 84790 Languages Spoken: 380 E 1500 S, #201 UT Rural Medicaid Phone: (435) 674-6068 Portuguese, Spanish Heber City, Ut 84032 UT Rural Medicaid UT Rural Medicaid Cain, Lawrence A Md C Phone: (435) 657-0101 Intermountain River Road Clinic Clark, Stephen E Do C Wilde, Jeffrey Virgil Md C Languages Spoken: Spanish 577 S River Rd Intermountain River Road Clinic Heber Valley Medical Center UT Rural Medicaid St George, Ut 84790 577 S River Rd 1485 S Hwy 40 Phone: (435) 688-6000 St George, Ut 84790 Heber City, Ut 84032 Washington County Languages Spoken: Spanish Phone: (435) 688-6000 Phone: (435) 654-2500 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Advanced Practice Callahan, Thomas D Md C Gardner, Jed R Md C Family Nurse Callahan Clinic Intermountain Hurricane Valley Midwife 1240 E 100 S, #15a Clinic Practitioner C St George, Ut 84790 75 N 2260 W Barlow, Martha Cnm Phone: (435) 656-5323 Hurricane, Ut 84737 Campbell, Cynthia Lynn Np C Hildale Health Center UT Rural Medicaid Phone: (435) 635-6500 Spring Creek Family Medicine 1065 N Hildale St Languages Spoken: Spanish 728 W 100 S, #1 Hildale, Ut 84784 Callahan, Thomas D Md C UT Rural Medicaid Heber City, Ut 84032 Phone: (435) 874-2217 Dixie Regional Medical Center - Phone: (435) 654-4192 UT Rural Medicaid 400 East Goodger, William P Md C Languages Spoken: Spanish D 544 S 400 E Intermountain Sunset Family UT Rural Medicaid Barlow, Shirley J Cnm St George, Ut 84770 Medicine Hildale Health Center Phone: (435) 688-4343 1739 W Sunset Blvd Internal Medicine 1065 N Hildale St UT Rural Medicaid St George, Ut 84770 Hildale, Ut 84784 Phone: (435) 634-6000 Hansen, Marlan L Md C Phone: (435) 874-2217 Carter, Boyd Allen Md C UT Rural Medicaid Heber Valley Medical Center UT Rural Medicaid Intermountain River Road Clinic 1485 S Hwy 40 577 S River Rd Graff, William Tolley Md D Heber City, Ut 84032 Family Medicine St George, Ut 84790 630 S 400 E, #101 Phone: (435) 654-2500 Phone: (435) 688-6000 St George, Ut 84770 UT Rural Medicaid Allen, Daniel Jude Do C UT Rural Medicaid Phone: (435) 673-9653 Shivwits Medical Clinic UT Rural Medicaid Mitchell, Charles R Md C 6109 W 3700 N Carter, Curtis A Md C Heber Valley Medical Center Ivins, Ut 84738 Dixie Regional Medical Center - Graff, William Tolley Md C 1485 S Hwy 40 Phone: (435) 688-8198 400 East Enterprise Valley Medical Clinic Heber City, Ut 84032 Languages Spoken: Spanish 544 S 400 E 223 S 200 E Phone: (435) 654-2500 UT Rural Medicaid St George, Ut 84770 Enterprise, Ut 84725 UT Rural Medicaid Phone: (435) 688-4343 Phone: (435) 878-2281 Barlow, Lehi S Do C Languages Spoken: Spanish UT Rural Medicaid Hildale Health Center UT Rural Medicaid Pediatrics 1065 N Hildale St Gray, Jarid D Md C Chamberlain, Michelle Ann Md Hildale, Ut 84784 Carter, Curtis Md C Shivwits Medical Clinic C Phone: (801) 572-3750 St George Clinic 6109 W 3700 N Wasatch Pediatrics In Heber Valley Languages Spoken: Spanish 736 S 900 E, #203 Ivins, Ut 84738 380 E 1500 S, #201 UT Rural Medicaid St George, Ut 84790 Phone: (435) 688-8198 Phone: (435) 674-6068 UT Rural Medicaid Heber City, Ut 84032 Barton, Scott David Md C Phone: (435) 657-0101 Languages Spoken: Spanish St George Clinic UT Rural Medicaid Grygla, David Glen Do C UT Rural Medicaid 736 S 900 E, #203 Family Healthcare Larson, David Charles Md C St George, Ut 84790 Carter, Melvin R Md C 25 N 100 E, #102 Heber Valley Pediatrics Phone: (435) 674-6068 Hurricane Family Practice St George, Ut 84770 380 E 1500 S, #201 Languages Spoken: Swedish 11 S Main St Phone: (435) 986-2565 Heber City, Ut 84032 UT Rural Medicaid Hurricane, Ut 84737 Languages Spoken: Danish, Phone: (435) 635-9444 Norwegian, Spanish, Phone: (435) 657-0101 Bigham, Thomas Holland Do C UT Rural Medicaid Languages Spoken: Spanish Swedish Family Healthcare UT Rural Medicaid UT Rural Medicaid 25 N 100 E, #102 St George, Ut 84770 Phone: (435) 986-2565 Languages Spoken: Spanish UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 79 Washington WPrimary Care Providers Network ashington Hardin, Dana Browning Md C Polson, Drew E Md C Worwood, Danny K Md C Frame, Joshua Do D Snow Canyon Clinic Shivwits Medical Clinic Intermountain Hurricane Valley Southwest Internal Medicine 272 E Center St, #201 6109 W 3700 N Clinic 1404 W Sun River Pkwy, #100 Ivins, Ut 84738 Ivins, Ut 84738 75 N 2260 W St George, Ut 84790 Phone: (435) 986-2300 Phone: (435) 688-8198 Hurricane, Ut 84737 Phone: (435) 628-9200 Languages Spoken: Thai UT Rural Medicaid Phone: (435) 635-6500 Languages Spoken: Spanish UT Rural Medicaid Languages Spoken: UT Rural Medicaid Schlotterback, Matthew Md C Portuguese Hinkle, Jack Terrell Do C Ihc Health Center - St George UT Rural Medicaid Frame, Joshua Do D 595 S Bluff St, #6 577 S River Rd Southwest Internal Medicine St George, Ut 84770 St George, Ut 84790 Family Nurse 1490 E Foremaster Dr, #210 Phone: (435) 628-5851 Phone: (435) 688-6100 St George, Ut 84790 UT Rural Medicaid UT Rural Medicaid Practitioner Phone: (435) 628-9200 Languages Spoken: Spanish Hubbard, Jonathan Pharis Do C Spanos, Seth Anthony Md C Burnett, Bonnie A Aprn C UT Rural Medicaid Intermountain River Road Family Intermountain River Road Clinic Drmc - Diabetes Clinic Medicine 577 S River Rd 736 S 900 E, #107 Hagen, Jerold L Md C 577 S River Rd St George, Ut 84790 St George, Ut 84790 Intermountain River Road Clinic St George, Ut 84790 Phone: (435) 688-6000 Phone: (435) 251-2888 577 S River Rd Phone: (435) 688-6000 UT Rural Medicaid UT Rural Medicaid St George, Ut 84790 UT Rural Medicaid Phone: (435) 688-6000 Spanos, Seth Anthony Md C Carter, Kristine Rowe Aprn C Languages Spoken: German Hubbard, Jonathan Pharis Do C Intermountain Sunset Family Intermountain Sunset Family UT Rural Medicaid St George Clinic Medicine Medicine 736 S 900 E, #203 1739 W Sunset Blvd 1739 W Sunset Blvd Jones, Thomas Kelly Md C St George, Ut 84790 St George, Ut 84770 St George, Ut 84770 Intermountain River Road Clinic Phone: (435) 674-6068 Phone: (435) 634-6000 Phone: (435) 634-6000 577 S River Rd UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid St George, Ut 84790 Phone: (435) 688-6000 Last, George Gregory Md C Staheli, Clark John Md C Davis, Nancy R Np D UT Rural Medicaid Intermountain Hurricane Valley St George Clinic St George Clinic Clinic 736 S 900 E, #203 736 S 900 E, #203 Madsen, Daniel B Md D 75 N 2260 W St George, Ut 84790 St George, Ut 84790 Southwest Internal Medicine Hurricane, Ut 84737 Phone: (435) 674-6068 Phone: (435) 674-6068 1404 W Sun River Pkwy, #100 Phone: (435) 635-6500 UT Rural Medicaid UT Rural Medicaid St George, Ut 84790 Languages Spoken: Italian Phone: (435) 628-9200 UT Rural Medicaid Stratford, C Kerry Md C Emett, Penny Ann Np C UT Rural Medicaid St George Clinic Intermountain Hurricane Valley Middleton, Raymond Jack Md C 736 S 900 E, #203 Clinic Madsen, Daniel B Md D Snow Canyon Clinic St George, Ut 84790 75 N 2260 W Southwest Internal Medicine 272 E Center St, #201 Phone: (435) 674-6068 Hurricane, Ut 84737 1490 E Foremaster Dr, #210 Ivins, Ut 84738 Languages Spoken: German Phone: (435) 635-6500 St George, Ut 84790 Phone: (435) 986-2300 UT Rural Medicaid UT Rural Medicaid Phone: (435) 628-9200 UT Rural Medicaid UT Rural Medicaid Thompson, Bradley S Do C Holm, Miryam F Np C Moore, Dennis J Md C Intermountain River Road Clinic Hildale Health Center Mahajan, Renu Sharma Md C Intermountain Sunset Family 577 S River Rd 1065 N Hildale St Intermountain River Road Clinic Medicine St George, Ut 84790 Hildale, Ut 84784 577 S River Rd 1739 W Sunset Blvd Phone: (435) 688-6000 Phone: (435) 874-2217 St George, Ut 84790 St George, Ut 84770 UT Rural Medicaid UT Rural Medicaid Phone: (435) 688-6000 Phone: (435) 634-6000 Languages Spoken: Hindi, UT Rural Medicaid Welker, Robert W Md C Mcmahon, Kristina Tiffany Np C Punjabi Advanced Family Medicine Southern Utah Womens Health UT Rural Medicaid Newman, Steven Richard Md C 195 W Telegraph St Center Shivwits Medical Clinic Washington, Ut 84780 515 S 300 E, #206 Mcdonald, Kent B Md C 6109 W 3700 N Phone: (435) 628-4444 St George, Ut 84770 515 S 300 E, #105 Ivins, Ut 84738 Languages Spoken: Spanish Phone: (435) 628-1662 St George, Ut 84770 Phone: (435) 688-8198 UT Rural Medicaid UT Rural Medicaid Phone: (435) 628-2814 UT Rural Medicaid UT Rural Medicaid Welker, Robert W Md C Whittemore, Karen W Np C Parson, Broc B Do C Dixie Regional Medical Center - Hurricane Family Practice Obray, Cathleen M Md C Intermountain Hurricane Valley 400 East 11 S Main St Intermountain River Road Clinic Clinic 544 S 400 E Hurricane, Ut 84737 577 S River Rd 75 N 2260 W St George, Ut 84770 Phone: (435) 635-9444 St George, Ut 84790 Hurricane, Ut 84737 Phone: (435) 688-4343 UT Rural Medicaid Phone: (435) 688-6000 Phone: (435) 635-6500 UT Rural Medicaid UT Rural Medicaid Languages Spoken: Spanish Internal Medicine UT Rural Medicaid Parkinson, J Scott Do C Barney, William Wesley Md D Intermountain River Road Clinic Pendleton, Gus Curtis Md C Heart Of Dixie 577 S River Rd St George Clinic 1380 E Medical Center Dr, #4100 St George, Ut 84790 736 S 900 E, #203 St George, Ut 84790 Phone: (435) 688-6000 St George, Ut 84790 Phone: (435) 251-2900 Languages Spoken: Swedish Phone: (435) 674-6068 Languages Spoken: Spanish UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 80 Washington WPrimary Care Providers Network ashington Patilano Jr, Richard Romero Md Obstetrics And Lunt, Chad Curtis Md C Kaddu, Rajiv Jayakumar Md C C Lunt & Kvarfordt Intermountain Redrock Pediatrics Intermountain River Road Clinic Gynecology 515 S 300 E, #205 1380 E Medical Center Dr, #3100 577 S River Rd Astle, Craig Dee Md C St George, Ut 84770 St George, Ut 84790 St George, Ut 84790 Southern Utah Womens Health Phone: (435) 674-0999 Phone: (435) 251-2740 Phone: (435) 688-6200 Center UT Rural Medicaid Languages Spoken: Hindi UT Rural Medicaid UT Rural Medicaid 515 S 300 E, #206 Rogers, Jeffrey G Md C Rignell, Robert Paul Md C St George, Ut 84770 Southern Utah Womens Health Marsden, Michael Clark Do C 515 S 300 E, #105 Phone: (435) 628-1662 Center Intermountain Redrock Pediatrics St George, Ut 84770 UT Rural Medicaid 515 S 300 E, #206 1380 E Medical Center Dr, #3100 Phone: (435) 628-3651 Benham, Brady Nolan Md C St George, Ut 84770 St George, Ut 84790 UT Rural Medicaid Southern Utah Womens Health Phone: (435) 628-1662 Phone: (435) 251-2740 Center Languages Spoken: German UT Rural Medicaid Sabol, Dusan Md C UT Rural Medicaid Intermountain River Road Clinic 515 S 300 E, #206 Newbold, Scott Gilbert Do C 577 S River Rd St George, Ut 84770 Winward, Tracy Willow Md C Intermountain Sunset Family St George, Ut 84790 Phone: (435) 628-1662 Southern Utah Womens Health Medicine Phone: (435) 688-6200 Languages Spoken: Spanish Center 1739 W Sunset Blvd UT Rural Medicaid UT Rural Medicaid 515 S 300 E, #206 St George, Ut 84770 St George, Ut 84770 Phone: (435) 634-6000 Sabol, Dusan Md C Chalmersiv, Robert Wallace Md C Phone: (435) 628-1662 Languages Spoken: Spanish Intermountain River Road Internal UT Rural Medicaid UT Rural Medicaid Medicine Intermountain Womens Health 577 S River Rd Specialists Pediatric Nurse Nilson, Wendell T Md C St George, Ut 84790 346 E 600 S Cache Pediatrics Clinic Phone: (435) 688-6200 St George, Ut 84770 Practitioner 1490 E Foremaster Dr, #130 UT Rural Medicaid Phone: (435) 688-4600 St George, Ut 84790 UT Rural Medicaid Johnson, Charlotte B Aprn C Phone: (435) 634-0055 Smallwood, Julie L Md C Hildale Health Center Languages Spoken: French, Intermountain Sunset Family Eggert, Joan Vann Md C 1065 N Hildale St Southern Utah Womens Health Spanish Medicine Hildale, Ut 84784 UT Rural Medicaid 1739 W Sunset Blvd Center Phone: (435) 874-2217 St George, Ut 84770 515 S 300 E, #206 UT Rural Medicaid Nygaard, Martin J Md C Phone: (435) 868-5500 St George, Ut 84770 Intermountain Redrock Pediatrics UT Rural Medicaid Phone: (435) 628-1662 Mcmullin, Karl T Aprn C 1380 E Medical Center Dr, #3100 UT Rural Medicaid Dixie Pediatrics St George, Ut 84790 Smith, Gordon L Md C 1240 E 100 S, #14 Phone: (435) 251-2740 Intermountain River Road Clinic Fagnant, Robert John Md C St George, Ut 84790 Dixie Regional Medical Center - Languages Spoken: Indonesian 577 S River Rd Phone: (435) 628-8232 UT Rural Medicaid St George, Ut 84790 Mfm Dept Languages Spoken: Spanish Phone: (435) 688-6000 544 S 400 E UT Rural Medicaid Nygaard, Martin J Md C UT Rural Medicaid St George, Ut 84770 Intermountain Sunset Family Phone: (435) 688-4000 Mcmullin, Karl T Aprn C Medicine Warner, Claude A Md C Languages Spoken: French Night Light Pediatrics 1739 W Sunset Blvd Intermountain River Road Clinic UT Rural Medicaid 1240 E 100 S, #14 St George, Ut 84770 577 S River Rd St George, Ut 84790 Phone: (435) 634-6000 St George, Ut 84790 Fagnant, Robert John Md C Phone: (435) 628-8034 Intermountain Womens Health Languages Spoken: Indonesian Phone: (435) 688-6000 Languages Spoken: Spanish UT Rural Medicaid UT Rural Medicaid Specialists UT Rural Medicaid 346 E 600 S Smith, Kerri N Do C Woolley, Joseph H Md D St George, Ut 84770 Pediatrics Dixie Regional Medical Center Southwest Internal Medicine Phone: (435) 688-4439 544 S 400 E 1404 W Sun River Pkwy, #100 Languages Spoken: French Allen, Louis S Md C St George, Ut 84770 St George, Ut 84790 UT Rural Medicaid Children With Special Healthcare Phone: (435) 688-4770 Phone: (435) 628-9200 Needs UT Rural Medicaid UT Rural Medicaid Kvarfordt, Tracy D Md C 620 S 400 E, #400 Lunt & Kvarfordt St George, Ut 84770 Smith, Kerri N Do C Woolley, Joseph H Md D 515 S 300 E, #205 Phone: (435) 986-2559 Intermountain Redrock Pediatrics Southwest Internal Medicine St George, Ut 84770 UT Rural Medicaid 1380 E Medical Center Dr, #3100 1490 E Foremaster Dr, #210 Phone: (435) 674-0999 St George, Ut 84790 St George, Ut 84790 UT Rural Medicaid Carbone, Paul Sean Md C Phone: (435) 251-2740 Phone: (435) 628-9200 Children With Special Healthcare UT Rural Medicaid UT Rural Medicaid Lash, Stephen David Md C Needs Ihc Health Center - Hurricane 620 S 400 E, #400 Twiggs, Jerry Douglas Md C 90 S 700 W St George, Ut 84770 Dixie Pediatrics Hurricane, Ut 84737 Phone: (435) 986-2559 1240 E 100 S, #14 Phone: (435) 635-7227 Languages Spoken: Spanish St George, Ut 84790 UT Rural Medicaid UT Rural Medicaid Phone: (435) 628-8232 Languages Spoken: Spanish UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 81 Washington WPrimary Care Providers Network eber Twiggs, Jerry Douglas Md C Powell, John Jacob Pa D Physician Assistant Robbins, Karina M Cnm C Night Light Pediatrics Southwest Internal Medicine Midtown Community Health 1240 E 100 S, #14 1490 E Foremaster Dr, #210 Millward, Anthony Frederick Center St George, Ut 84790 St George, Ut 84790 Pa C 2240 Adams Ave Phone: (435) 628-8034 Phone: (435) 628-9200 Wayne Community Health Ogden, Ut 84401 Languages Spoken: Spanish UT Rural Medicaid Centers Phone: (801) 393-5355 UT Rural Medicaid 128 S 300 W UT Urban Medicaid Rossi, Louis Pa C Bicknell, Ut 84715 Walker, Adrianne R Md C Hurricane Family Practice Phone: (435) 425-3744 Intermountain Redrock Pediatrics 11 S Main St UT Rural Medicaid Family Medicine 1380 E Medical Center Dr, #3100 Hurricane, Ut 84737 Amann, Kelly Richard Do D St George, Ut 84790 Phone: (435) 635-9444 Ogden Clinic - Roy Phone: (435) 251-2740 UT Rural Medicaid Weber County 3485 W 5200 S UT Rural Medicaid Sorensen, Pamela J Pa C Roy, Ut 84067 Southern Utah Womens Health Adult Health Nurse Phone: (801) 475-3000 Physician Assistant UT Urban Medicaid Center Practitioner Bean, Thomas Scott Pa C 515 S 300 E, #206 Arbogast, Richard C Md C Hurricane Family Practice St George, Ut 84770 Cox, Marilyn Udy Np C Ihc Mckay Dee Porter Family 11 S Main St Phone: (435) 628-1662 Health Clinics Of Utah Practice Hurricane, Ut 84737 UT Rural Medicaid 2540 Washington Blvd, #122 4403 Harrison Blvd, #A700 Phone: (435) 635-9444 Ogden, Ut 84401 Ogden, Ut 84403 Wilcken, Julie A Pa C Phone: (801) 626-3670 UT Rural Medicaid Shivwits Medical Clinic Phone: (801) 387-5300 UT Urban Medicaid UT Urban Medicaid Beaumont, Kelly Dean Pa C 6109 W 3700 N Night Light Pediatrics Ivins, Ut 84738 Advanced Practice Baires, Enrique P Md D 1240 E 100 S, #14 Phone: (435) 688-8198 Ogden Clinic - Canyon View St George, Ut 84790 UT Rural Medicaid Midwife 1159 E 12th St Phone: (435) 628-8034 Ogden, Ut 84404 Cox, Guy Taylor Cnm C UT Rural Medicaid Wayne County 5495 S 500 E, #320 Phone: (801) 334-3000 Ogden, Ut 84405 Languages Spoken: Spanish Heaton, Rex Pa C UT Urban Medicaid Shivwits Medical Clinic Phone: (801) 476-7300 6109 W 3700 N Family Medicine UT Urban Medicaid Baires, Enrique P Md D Ivins, Ut 84738 Brown, Jeffrey James Do C Francis, Christina Marie Cnm C Ogden Clinic - Harrison Blvd Phone: (435) 688-8198 Ihc Health Center - Bicknell 5495 S 500 E, #320 4650 Harrison Blvd UT Rural Medicaid 128 S 300 W Ogden, Ut 84405 Ogden, Ut 84403 Bicknell, Ut 84715 Phone: (801) 476-7300 Phone: (801) 479-4621 Hofheins, Bryan Bernell Pa C Languages Spoken: Spanish Dixie Pediatrics Phone: (435) 425-3744 UT Urban Medicaid UT Rural Medicaid UT Urban Medicaid 1240 E 100 S, #14 Jones, Catherine Mary Cnm C St George, Ut 84790 Brown, Jeffrey James Do C 5495 S 500 E, #310 Belfry, Carolyn Chalmers Md D Phone: (435) 628-8232 Wayne Community Health Ogden, Ut 84405 Ogden Clinic - Harrison Blvd UT Rural Medicaid Centers - Hanksville Phone: (801) 479-0361 4650 Harrison Blvd Ogden, Ut 84403 Macfarlene, Michelle Pa C 160 S Highway 95 UT Urban Medicaid Hanksville, Ut 84715 Phone: (801) 475-3000 Southern Utah Womens Health Knowles, Machel Morris Cnm C UT Urban Medicaid Center Phone: (435) 425-3744 UT Rural Medicaid Circle Of Life Womens Center 515 S 300 E, #206 1525 E 6000 S Belfry, Carolyn Chalmers Md D St George, Ut 84770 Chappell, Leland Jeffery Md C Ogden, Ut 84405 Ogden Clinic - Mountain View Phone: (435) 628-1662 Wayne Community Health Phone: (801) 337-5800 1100 W 2700 N UT Rural Medicaid Centers UT Urban Medicaid Ogden, Ut 84414 Phone: (801) 475-3000 Mcbride, Shauna Lynn Pa C 128 S 300 W Bicknell, Ut 84715 Mark, Kathleen C Cnm C UT Urban Medicaid Family Healthcare Circle Of Life Womens Center 25 N 100 E, #102 Phone: (435) 425-3744 Belfry, Carolyn Chalmers Md D UT Rural Medicaid 1525 E 6000 S St George, Ut 84770 Ogden, Ut 84405 Ogden Clinic - Roy Phone: (435) 986-2565 Chappell, Leland Jeffery Md C Phone: (801) 337-5800 3485 W 5200 S Languages Spoken: Spanish Wayne Community Health UT Urban Medicaid Roy, Ut 84067 UT Rural Medicaid Centers - Hanksville Phone: (801) 475-3000 Mcbride, Karen E Cnm C UT Urban Medicaid Pearson, Adon L Pa C 160 S Highway 95 Hanksville, Ut 84715 Circle Of Life Womens Center Family Healthcare 1525 E 6000 S Bledsoe, James Aaron Md C 25 N 100 E, #102 Phone: (435) 425-3744 South Ogden Center For Family UT Rural Medicaid Ogden, Ut 84405 St George, Ut 84770 Phone: (801) 337-5800 Medicine Phone: (435) 986-2565 UT Urban Medicaid 5740 Crestwood Dr Languages Spoken: Spanish Ogden, Ut 84405 UT Rural Medicaid Robbins, Karina M Cnm C Phone: (801) 479-7771 James Madison Elementary Health Languages Spoken: Spanish Center UT Urban Medicaid 781 25th St Ogden, Ut 84401 Phone: (801) 393-5355 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 82 Weber WPrimary Care Providers Network eber Bruce, Stephen J Md C Gregoire, Richard J Md C Nebeker, Adam Rich Md C Riggs, Brannick Barton Md C South Ogden Center For Family James Madison Elementary Health James Madison Elementary Health Rock Run Medical Medicine Center Center 5991 S 3500 W, #400 5740 Crestwood Dr 781 25th St 781 25th St Roy, Ut 84067 Ogden, Ut 84405 Ogden, Ut 84401 Ogden, Ut 84401 Phone: (801) 773-2838 Phone: (801) 479-7771 Phone: (801) 393-5355 Phone: (801) 393-5355 Languages Spoken: German UT Urban Medicaid Languages Spoken: Spanish Languages Spoken: UT Urban Medicaid UT Urban Medicaid Portuguese, Spanish Campbell, Bryan Joe Md D UT Urban Medicaid Scharmann, Stephen Daryl Md C Ihc Mckay Dee Porter Family Gregoire, Richard J Md C Ihc Mckay Dee Porter Family Practice Midtown Community Health Nebeker, Adam Rich Md C Practice 4403 Harrison Blvd, #A700 Center Midtown Community Health 4403 Harrison Blvd, #A700 Ogden, Ut 84403 2240 Adams Ave Center Ogden, Ut 84403 Phone: (801) 387-5300 Ogden, Ut 84403 2240 Adams Ave Phone: (801) 387-5300 UT Urban Medicaid Phone: (801) 393-5355 Ogden, Ut 84401 UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 393-5355 Christiansen, Van G Md D UT Urban Medicaid Languages Spoken: Schmitz, J David Md D Ogden Clinic - Canyon View Portuguese, Spanish Ogden Clinic - Canyon View 1159 E 12th St Hassrick, Philip Heyl Md D UT Urban Medicaid 1159 E 12th St Ogden, Ut 84404 Ogden Clinic - Harrison Blvd Ogden, Ut 84404 Phone: (801) 334-3000 4650 Harrison Blvd Nemetz, David W Md D Phone: (801) 334-3000 UT Urban Medicaid Ogden, Ut 84403 Ogden Clinic - Canyon View UT Urban Medicaid Phone: (801) 479-4621 1159 E 12th St Christiansen, Van G Md D UT Urban Medicaid Ogden, Ut 84404 Smith, Rhonda E Md C Ogden Clinic - Harrison Blvd Phone: (801) 334-3000 James Madison Elementary Health 4650 Harrison Blvd Hemmersmeier, John Matthew UT Urban Medicaid Center Ogden, Ut 84403 Md C 781 25th St Phone: (801) 479-4621 Farr West Family Medicine O’brien, Grace Maria Do D Ogden, Ut 84401 UT Urban Medicaid 2850 N 2000 W, #101 Ogden Clinic - Harrison Blvd Phone: (801) 393-5355 Farr West, Ut 84404 4650 Harrison Blvd UT Urban Medicaid Christiansen, Van G Md D Phone: (801) 731-1222 Ogden, Ut 84403 Ogden Clinic - Mountain View UT Urban Medicaid Phone: (801) 479-4621 Stelter, Casey Lawrence Md C 1100 W 2700 N UT Urban Medicaid Farr West Family Medicine Pleasant View, Ut 84414 Hemmersmeier, John Matthew 2850 N 2000 W, #101 Phone: (801) 786-4000 Md C O’brien, Grace Maria Do D Ogden, Ut 84404 UT Urban Medicaid South Ogden Center For Family Ogden Clinic - Skyline Phone: (801) 731-1222 Medicine 6112 S 1550 E, #101 Languages Spoken: German Christiansen, Van G Md D 5740 Crestwood Dr Ogden, Ut 84405 UT Urban Medicaid Ogden Clinic - Roy Ogden, Ut 84405 Phone: (801) 476-8688 3485 W 5200 S Phone: (801) 479-7771 UT Urban Medicaid Wayment, Nadya P Md C Roy, Ut 84067 UT Urban Medicaid Mountainstar Primary Care Phone: (801) 475-3000 Petersen, Darlene L Md D 5405 S 500 E, #100 UT Urban Medicaid Housley, Mark Delmon Md D Rock Run Medical Ogden, Ut 84405 James Madison Elementary Health 5991 S 3500 W, #400 Phone: (801) 568-5999 Clemens, Peter Conver Do D Center Roy, Ut 84067 UT Urban Medicaid Paramount Medical Care 781 25th St Phone: (801) 773-2838 434 E 5350 S, #B Ogden, Ut 84401 UT Urban Medicaid West, Renee Rochelle Md D Ogden, Ut 84405 Phone: (801) 393-5355 Ogden Clinic - Harrison Blvd Phone: (801) 475-7100 UT Urban Medicaid Qader, Nameer Tarik Md C 4650 Harrison Blvd Languages Spoken: German 5275 Adams Ave, #A Ogden, Ut 84403 UT Urban Medicaid Housley, Mark Delmon Md D Ogden, Ut 84405 Phone: (801) 479-4621 Midtown Community Health Phone: (801) 475-5335 UT Urban Medicaid Gochnour, Gregory L Md D Center UT Urban Medicaid Ihc Mckay Dee Porter Family 2240 Adams Ave White, Justin Shane Do C Practice Ogden, Ut 84401 Rifleman, Kurt Edward Md C Midtown Community Health 4403 Harrison Blvd, #A700 Phone: (801) 393-5355 Health Clinics Of Utah Center Ogden, Ut 84403 UT Urban Medicaid 2540 Washington Blvd, #122 2240 Adams Ave Phone: (801) 387-5300 Ogden, Ut 84401 Ogden, Ut 84401 UT Urban Medicaid Hutchinson, Anne M Md C Phone: (801) 626-3670 Phone: (801) 393-5355 Ihc Mckay Dee Porter Family UT Urban Medicaid Languages Spoken: Spanish Gregoire, Richard J Md C Practice UT Urban Medicaid Health Clinics Of Utah 4403 Harrison Blvd, #A700 Rifleman, Kurt Edward Md D 2540 Washington Blvd, #122 Ogden, Ut 84403 Midtown Community Health Woolman, Michael D Md C Ogden, Ut 84401 Phone: (801) 387-5300 Center South Ogden Center For Family Phone: (801) 626-3670 UT Urban Medicaid 2240 Adams Ave Medicine Languages Spoken: Spanish Ogden, Ut 84403 5740 Crestwood Dr UT Urban Medicaid Mcclellan, Bruce Clark Md C Phone: (801) 393-5355 Ogden, Ut 84405 South Ogden Center For Family UT Urban Medicaid Phone: (801) 479-7771 Medicine UT Urban Medicaid 5740 Crestwood Dr Ogden, Ut 84405 Phone: (801) 479-7771 Languages Spoken: Spanish UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 83 Weber WPrimary Care Providers Network eber Zavala, Jeffrey S Md D Dodenbier, Cindie G Np D Whipple, Debra M Aprn D Reis, John Kleber Md C Ogden Clinic - Harrison Blvd Ogden Clinic - Harrison Blvd Ogden Clinic - Roy Ogden Internal Medicine & 4650 Harrison Blvd 4650 Harrison Blvd 3485 W 5200 S Urology Ogden, Ut 84403 Ogden, Ut 84403 Roy, Ut 84067 5405 S 500 E, #203 Phone: (801) 479-4621 Phone: (801) 479-4621 Phone: (801) 475-3000 Ogden, Ut 84405 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 475-8600 UT Urban Medicaid UT Urban Medicaid Zavala, Jeffrey S Md D Wise, Marilyn Aprn D Ogden Clinic - Roy Dodenbier, Cindie G Np D Ogden Clinic - Harrison Blvd Tilaro, Frank E Md C 3485 W 5200 S Ogden Clinic - Skyline 4650 Harrison Blvd 425 E 5350 S, #335 Roy, Ut 84067 6112 S 1550 E, #101 Ogden, Ut 84403 Ogden, Ut 84405 Phone: (801) 475-3000 Ogden, Ut 84405 Phone: (801) 479-4621 Phone: (801) 475-8600 UT Urban Medicaid Phone: (801) 476-8688 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish Zega, Nancy Jo Md C UT Urban Medicaid Obstetrics And Odgen Adult And Senior Medicine Internal Medicine 5405 S 500 E, #100a Fischer, Roxina Np D Deremer, Kathleen Rose Md C Gynecology Ogden, Ut 84405 Ogden Clinic - Skyline 5405 S 500 E, #101 Ahlstrom, Jon W Md D Phone: (801) 479-2911 6112 S 1550 E, #101 Ogden, Ut 84405 UT Urban Medicaid Ogden, Ut 84405 Ogden Clinic - Harrison Blvd Phone: (801) 475-5100 4650 Harrison Blvd Phone: (801) 476-8688 UT Urban Medicaid Family Nurse UT Urban Medicaid Ogden, Ut 84403 Deremer, Kathleen Rose Md C Phone: (801) 479-4621 Practitioner Fowers, Jody Lynn Np C Ogden Internal Medicine & UT Urban Medicaid Farr West Family Medicine Arbon, Brett J Np D Urology Alejo, Randy Simpliciano Md C 2850 N 2000 W, #101 5405 S 500 E, #203 Ogden Clinic - Canyon View Farr West, Ut 84404 Circle Of Life Womens Center 1159 E 12th St Ogden, Ut 84405 1525 E 6000 S Phone: (801) 731-1222 Phone: (801) 475-8600 Ogden, Ut 84404 UT Urban Medicaid Ogden, Ut 84405 Phone: (801) 334-3000 UT Urban Medicaid Phone: (801) 337-5800 Languages Spoken: Danish Haun, Tiffanie Ann Aprn C Goncharova, Elena L Md C Languages Spoken: Spanish UT Urban Medicaid Midtown Community Health 5405 S 500 E, #101 UT Urban Medicaid Center Arbon, Brett J Np D Ogden, Ut 84405 Arrington, Jeffrey Todd Md C 2240 Adams Ave Phone: (801) 475-5100 Ogden Clinic - Harrison Blvd Ogden, Ut 84401 Ogden Womens Clinic 4650 Harrison Blvd Languages Spoken: Russian 4403 Harrison Blvd, #4650 Phone: (801) 393-5355 UT Urban Medicaid Ogden, Ut 84403 UT Urban Medicaid Ogden, Ut 84403 Phone: (801) 479-4621 Herold, Richard J Md C Phone: (801) 387-4400 Languages Spoken: Danish Hogan, Kathleen Np C Ogden Adult And Senior Medicine UT Urban Medicaid UT Urban Medicaid Health Clinics Of Utah 5405 S 500 E, #100a Bierer, David Roy Md C 2540 Washington Blvd, #122 Ogden, Ut 84405 Arbon, Brett J Np D Ogden, Ut 84401 Circle Of Life Womens Center Ogden Clinic - Mountain View Phone: (801) 479-2911 1525 E 6000 S Phone: (801) 626-3670 UT Urban Medicaid 1100 W 2700 N UT Urban Medicaid Ogden, Ut 84405 Pleasant View, Ut 84414 Herold, Richard J Md C Phone: (801) 337-5800 Phone: (801) 786-4000 Judd, Deborah Marie Np C Ogden Internal Medicine & Languages Spoken: Spanish Languages Spoken: Danish Health Clinics Of Utah Urology UT Urban Medicaid UT Urban Medicaid 2540 Washington Blvd, #122 5405 S 500 E, #203 Davis, Wesley Boyd Md C Ogden, Ut 84401 Ogden, Ut 84405 Atwood, Lynne G Np C Phone: (801) 626-3670 Circle Of Life Womens Center Midtown Community Health Phone: (801) 475-8600 1525 E 6000 S Languages Spoken: Spanish UT Urban Medicaid Center UT Urban Medicaid Ogden, Ut 84405 2240 Adams Ave Lewis, Seth Rich Md C Phone: (801) 337-5800 Ogden, Ut 84401 Vastardis, Karen Sue Aprn D 5405 S 500 E, #101 UT Urban Medicaid Phone: (801) 393-5355 Ogden Clinic - Canyon View Ogden, Ut 84405 UT Urban Medicaid 1159 E 12th St Hartman, Albert R Md C Phone: (801) 475-5100 4403 Harrison Blvd, #4625 Ogden, Ut 84404 UT Urban Medicaid Cate, Rebecca Sue Np C Phone: (801) 334-3000 Ogden, Ut 84403 Health Clinics Of Utah UT Urban Medicaid Mohr, Robert Russell Md C Phone: (801) 387-4800 2540 Washington Blvd, #122 Mountainstar Primary Care UT Urban Medicaid Ogden, Ut 84401 Whipple, Debra M Aprn D 5405 S 500 E, #100 Housel, Darren Wayne Md C Phone: (801) 626-3670 Ogden Clinic - Canyon View Ogden, Ut 84405 UT Urban Medicaid 1159 E 12th St Circle Of Life Womens Center Phone: (801) 475-7966 1525 E 6000 S Ogden, Ut 84404 UT Urban Medicaid Craner, Adam Craig Aprn C Phone: (801) 476-2200 Ogden, Ut 84405 Mountainstar Primary Care UT Urban Medicaid Reis, John Kleber Md C Phone: (801) 337-5800 5405 S 500 E, #100 Ogden Adult And Senior Medicine UT Urban Medicaid Ogden, Ut 84405 Whipple, Debra M Aprn D 5405 S 500 E, #100a Johansson, Julia W Md D Phone: (801) 475-7966 Ogden Clinic - Harrison Blvd Ogden, Ut 84405 UT Urban Medicaid 4650 Harrison Blvd Circle Of Life Womens Center Phone: (801) 479-2911 1525 E 6000 S Ogden, Ut 84403 UT Urban Medicaid Phone: (801) 479-4621 Ogden, Ut 84405 UT Urban Medicaid Phone: (801) 337-5800 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 84 Weber WPrimary Care Providers Network eber Kammeyer, Steven E Md C Pediatric Nurse Boehm, Mindy M Md D Owan, Patience E Md C Ogden Womens Clinic Ogden Clinic - Mountain View Midtown Community Health 4403 Harrison Blvd, #4650 Practitioner 1100 W 2700 N Center Ogden, Ut 84403 Bond-Jorgensen, Stacey Ann Pleasant View, Ut 84414 5285 S 400 E, #A Phone: (801) 387-4400 Aprn D Phone: (801) 786-4000 Ogden, Ut 84405 UT Urban Medicaid Wee Care Pediatrics UT Urban Medicaid Phone: (801) 475-7707 5991 S 3500 W, #100 Languages Spoken: Spanish Lesser, Rosemary T Md D Brown, Edward D Md D UT Urban Medicaid Ogden Womens Clinic Roy, Ut 84067 Ogden Clinic - Harrison Blvd 4403 Harrison Blvd, #4650 Phone: (801) 773-8644 4650 Harrison Blvd Rose, Allyn Patrick Md D Ogden, Ut 84403 UT Urban Medicaid Ogden, Ut 84403 5495 S 500 E, #330 Phone: (801) 387-4400 Ellis-Benigni, Karen Aprn D Phone: (801) 479-4621 Ogden, Ut 84405 UT Urban Medicaid Wee Care Pediatrics UT Urban Medicaid Phone: (801) 476-2717 UT Urban Medicaid Lesser II, John David Md C 5991 S 3500 W, #100 Church, Jason Md D Ogden Womens Clinic Roy, Ut 84067 Ogden Clinic - Mountain View Stevenson, Kenneth Edward Md 4403 Harrison Blvd, #4650 Phone: (801) 773-8644 1100 W 2700 N C Ogden, Ut 84403 UT Urban Medicaid Pleasant View, Ut 84414 Mountainstar Ogden Pediatrics Phone: (801) 387-4400 Phone: (801) 786-4000 5495 S 500 E, #120 UT Urban Medicaid Pediatrics Languages Spoken: Spanish Ogden, Ut 84405 UT Urban Medicaid Phone: (801) 479-0174 Marriott, Rodney G Md C Allen, Louis S Md D UT Urban Medicaid 5495 S 500 E, #310 Children With Special Healthcare Hawkes, Cody J Do C Ogden, Ut 84405 Needs Wee Care Pediatrics Taveras-Espinal, Carmen Marila Phone: (801) 479-0361 2540 Washington Blvd 5991 S 3500 W, #100 Md C UT Urban Medicaid Ogden, Ut 84401 Roy, Ut 84067 Wee Care Pediatrics Phone: (801) 626-3645 Phone: (801) 773-8644 5991 S 3500 W, #100 Merrill, Rodney Stephen Do C UT Urban Medicaid UT Urban Medicaid Roy, Ut 84067 425 E 5350 S, #125 Phone: (801) 773-8644 Ogden, Ut 84405 Allen, Louis S Md D Kluthe, Margaret A Md C UT Urban Medicaid Phone: (801) 479-1641 Children With Special Healthcare James Madison Elementary Health UT Urban Medicaid Needs Center 5475 S 500 E 781 25th St Physician Assistant Naisbitt, Byron Hunter Md D Ogden, Ut 84405 Ogden, Ut 84401 Circle Of Life Womens Center Anderson, Elisabeth Gay Pa D Phone: (801) 479-2541 Phone: (801) 393-5355 Ogden Clinic - Harrison Blvd 1525 E 6000 S UT Urban Medicaid UT Urban Medicaid Ogden, Ut 84405 4650 Harrison Blvd Phone: (801) 337-5800 Allred, John Gordon Do D Kluthe, Margaret A Md C Ogden, Ut 84403 Languages Spoken: Spanish Ogden Clinic - Roy Midtown Community Health Phone: (801) 479-4621 UT Urban Medicaid 3485 W 5200 S Center UT Urban Medicaid Roy, Ut 84067 425 E 5350 S, #355 Anderson, Jeffrey W Pa C Naisbitt, Jed P Md D Phone: (801) 475-3000 Ogden, Ut 84405 Circle Of Life Womens Center Rock Run Medical UT Urban Medicaid Phone: (801) 475-7007 5991 S 3500 W, #400 1525 E 6000 S UT Urban Medicaid Ogden, Ut 84405 Alvey, Justin C Md C Roy, Ut 84067 Phone: (801) 337-5800 Wee Care Pediatrics Lau, Isabel C Md C Phone: (801) 773-2838 UT Urban Medicaid 5991 S 3500 W, #100 Mountainstar Ogden Pediatrics UT Urban Medicaid Roy, Ut 84067 5495 S 500 E, #120 Seale Iv, Fred George Md C Baker, Thomas J Pa C Phone: (801) 773-8644 Ogden, Ut 84405 Mountainstar Farr West Family Ogden Womens Clinic UT Urban Medicaid Phone: (801) 479-0174 4403 Harrison Blvd, #4650 Medicine Languages Spoken: Spanish 2850 N 2000 W Ogden, Ut 84403 Blanca, Haydee Larralde Md C UT Urban Medicaid Phone: (801) 387-4400 Midtown Community Health Farr West, Ut 84404 UT Urban Medicaid Center Lloyd, Michael B Md D Phone: (801) 731-1222 5285 S 400 E, #A Children With Special Healthcare UT Urban Medicaid Smithing, Larry Orme Md D Ogden, Ut 84405 Needs Ogden Clinic - Harrison Blvd Barber, Kara Pa C Phone: (801) 475-7007 2540 Washington Blvd Rock Run Medical 4650 Harrison Blvd Languages Spoken: Spanish Ogden, Ut 84401 Ogden, Ut 84403 5991 S 3500 W, #400 UT Urban Medicaid Phone: (801) 626-3645 Roy, Ut 84067 Phone: (801) 479-4621 UT Urban Medicaid UT Urban Medicaid Bodnar, Anna S Md D Phone: (801) 773-2838 Children With Special Healthcare Macgregor, Elenor Do C UT Urban Medicaid Swift, Scott Dee Md C Needs Wee Care Pediatrics Ogden Womens Clinic Berger, Vicki Linn Pa D 5475 S 500 E 5991 S 3500 W, #100 Wee Care Pediatrics 4403 Harrison Blvd, #4650 Ogden, Ut 84405 Roy, Ut 84067 Ogden, Ut 84403 5991 S 3500 W, #100 Phone: (801) 479-2541 Phone: (801) 773-8644 Roy, Ut 84067 Phone: (801) 387-4400 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 773-8644 Boehm, Mindy M Md D UT Urban Medicaid Woods, Hyrum D Md C Ogden Clinic - Canyon View 4403 Harrison Blvd, #4440 1159 E 12th St Ogden, Ut 84403 Ogden, Ut 84404 Phone: (801) 387-4490 Phone: (801) 334-3000 UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 85 Weber WPrimary Care Providers Network eber Bowden, Craig S Pa C Colvin, Laura Pa D Hastings, Susan B Pa D Larson, Dallen J Pa D James Madison Elementary Health Ogden Clinic - Mountain View Ogden Clinic - Roy Ogden Clinic - Canyon View Center 1100 W 2700 N 3485 W 5200 S 1159 E 12th St 781 25th St Pleasant View, Ut 84414 Roy, Ut 84067 Ogden, Ut 84404 Ogden, Ut 84401 Phone: (801) 786-4000 Phone: (801) 475-3481 Phone: (801) 334-3000 Phone: (801) 393-5355 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Languages Spoken: German, Spanish Dawson, Micheal Shawn Pa C Havey, Dustin A Pa D Larson, Dallen J Pa D UT Urban Medicaid Rock Run Medical Ogden Clinic - Harrison Blvd Ogden Clinic - Harrison Blvd 5991 S 3500 W, #400 4650 Harrison Blvd 4650 Harrison Blvd Bowden, Craig S Pa C Roy, Ut 84067 Ogden, Ut 84403 Ogden, Ut 84403 Midtown Community Health Phone: (801) 773-2838 Phone: (801) 479-4621 Phone: (801) 479-4621 Center UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid 2240 Adams Ave Ogden, Ut 84401 Earl, Brett Somasundrum Pa D Henry, Kevin L Pa D Lee, Rhonda L Pa C Phone: (801) 393-5355 Circle Of Life Womens Center Ogden Clinic - Skyline Health Clinics Of Utah Languages Spoken: German, 1525 E 6000 S 6112 S 1550 E, #101 2540 Washington Blvd, #122 Spanish Ogden, Ut 84405 Ogden, Ut 84405 Ogden, Ut 84401 UT Urban Medicaid Phone: (801) 337-5800 Phone: (801) 476-8688 Phone: (801) 626-3670 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Bybee, Alan N Pa D South Ogden Center For Family Epstein, Angela A Pa C Horning, Ryan R Pa C Marchand, Kolleen Pa D Medicine Midtown Community Health James Madison Elementary Health Ogden Clinic - Canyon View 5740 Crestwood Dr Center Center 1159 E 12th St Ogden, Ut 84405 2240 Adams Ave 781 25th St Ogden, Ut 84404 Phone: (801) 479-7771 Ogden, Ut 84403 Ogden, Ut 84401 Phone: (801) 334-3000 Languages Spoken: French Phone: (801) 393-5355 Phone: (801) 393-5355 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Marchand, Kolleen Pa D Carlson, Dennis Jason Pa D Epstein, Angela A Pa C Ogden Clinic - Harrison Blvd Wee Care Pediatrics Rock Run Medical Horning, Ryan R Pa C 4650 Harrison Blvd 5991 S 3500 W, #100 5991 S 3500 W, #400 Midtown Community Health Ogden, Ut 84403 Roy, Ut 84067 Roy, Ut 84067 Center Phone: (801) 479-4621 Phone: (801) 773-8644 Phone: (801) 773-2838 2240 Adams Ave UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Ogden, Ut 84403 Phone: (801) 393-5355 Marsh, Damon B Pa D Castro, David F Pa C Grogan, Rodney Keith Pa D Languages Spoken: Spanish Ogden Clinic - Canyon View Mountainstar Ogden Pediatrics Ogden Clinic - Canyon View UT Urban Medicaid 1159 E 12th St 5495 S 500 E, #120 1159 E 12th St Ogden, Ut 84404 Ogden, Ut 84405 Ogden, Ut 84404 Jackson, Sheldon Leo Pa C Phone: (801) 334-3000 Phone: (801) 479-0174 Phone: (801) 334-3000 Rock Run Medical Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid 5991 S 3500 W, #400 UT Urban Medicaid Roy, Ut 84067 Castro, Jan M Pa C Grogan, Rodney Keith Pa D Phone: (801) 773-2838 Maxwell, Roderick D Pa D Mountainstar Ogden Pediatrics Ogden Clinic - Harrison Blvd UT Urban Medicaid Wee Care Pediatrics 5495 S 500 E, #120 4650 Harrison Blvd 5991 S 3500 W, #100 Ogden, Ut 84405 Ogden, Ut 84403 Johnson, Eric Benjamin Pa D Roy, Ut 84067 Phone: (801) 479-0174 Phone: (801) 479-4621 Ogden Clinic - Canyon View Phone: (801) 773-8644 UT Urban Medicaid UT Urban Medicaid 1159 E 12th St UT Urban Medicaid Ogden, Ut 84404 Chesley, Tanya Jean Pa D Hansen, Davin Boyd Pa D Phone: (801) 334-3000 Ortega, Catherine L Pa D Ogden Clinic - Harrison Blvd Wee Care Pediatrics UT Urban Medicaid Ogden Clinic - Canyon View 4650 Harrison Blvd 5991 S 3500 W, #100 1159 E 12th St Ogden, Ut 84403 Roy, Ut 84067 Larsen, Brad R Pa C Ogden, Ut 84404 Phone: (801) 479-4621 Phone: (801) 773-8644 James Madison Elementary Health Phone: (801) 334-3000 UT Urban Medicaid UT Urban Medicaid Center UT Urban Medicaid 781 25th St Colvin, Laura Pa D Hastings, Susan B Pa D Ogden, Ut 84401 Ortega, Catherine L Pa D Ogden Clinic - Canyon View Ogden Clinic - Canyon View Phone: (801) 393-5355 Ogden Clinic - Harrison Blvd 1159 E 12th St 1159 E 12th St Languages Spoken: Spanish 4650 Harrison Blvd Ogden, Ut 84404 Ogden, Ut 84404 UT Urban Medicaid Ogden, Ut 84403 Phone: (801) 334-3000 Phone: (801) 334-3000 Phone: (801) 479-4621 UT Urban Medicaid UT Urban Medicaid Larsen, Brad R Pa C UT Urban Medicaid Midtown Community Health Colvin, Laura Pa D Hastings, Susan B Pa D Center Ortega, Catherine L Pa D Ogden Clinic - Harrison Blvd Ogden Clinic - Harrison Blvd 2240 Adams Ave Ogden Clinic - Roy 4650 Harrison Blvd 4650 Harrison Blvd Ogden, Ut 84401 3485 W 5200 S Ogden, Ut 84403 Ogden, Ut 84403 Phone: (801) 393-5355 Roy, Ut 84067 Phone: (801) 479-4621 Phone: (801) 479-4621 Languages Spoken: Spanish Phone: (801) 475-3481 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 86 Weber WPrimary Care Providers Network eber Owens, Joshua Morgan Pa C Parker, James Edward Pa D Severance, Michael E Pa D Wasden, Michelle Pa D Health Clinics Of Utah Ogden Clinic - Roy South Ogden Center For Family Ogden Clinic - Canyon View 2540 Washington Blvd, #122 3485 W 5200 S Medicine 1159 E 12th St Ogden, Ut 84401 Roy, Ut 84067 5740 Crestwood Dr Ogden, Ut 84403 Phone: (801) 626-3670 Phone: (801) 475-3481 Ogden, Ut 84405 Phone: (801) 334-3000 UT Urban Medicaid UT Urban Medicaid Phone: (801) 479-7771 UT Urban Medicaid UT Urban Medicaid Pace, Bradley Rudolph Pa C Ryan, Jeffrey L Pa D Wasden, Michelle Pa D Midtown Community Health Ogden Clinic - Harrison Blvd Snethen-Boyer, Kimberly Ann Ogden Clinic - Mountain View Center 4650 Harrison Blvd Pa D 1100 W 2700 N 2240 Adams Ave Ogden, Ut 84403 Ogden Clinic - Harrison Blvd Pleasant View, Ut 84414 Ogden, Ut 84401 Phone: (801) 479-4621 1159 E 12th St Phone: (801) 786-4000 Phone: (801) 393-5355 Languages Spoken: Spanish Ogden, Ut 84404 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 334-3000 UT Urban Medicaid UT Urban Medicaid Williams, Zane H Pa D Ryan, Jeffrey L Pa D Ogden Clinic - Mountain View Parker, James Edward Pa D Ogden Clinic - Roy Snethen-Boyer, Kimberly Ann 1100 W 2700 N Ogden Clinic - Canyon View 3485 W 5200 S Pa D Pleasant View, Ut 84414 1159 E 12th St Roy, Ut 84067 Ogden Clinic - Harrison Blvd Phone: (801) 786-4000 Ogden, Ut 84404 Phone: (801) 475-3481 4650 Harrison Blvd UT Urban Medicaid Phone: (801) 334-3000 Languages Spoken: Spanish Ogden, Ut 84403 UT Urban Medicaid UT Urban Medicaid Phone: (801) 479-4621 UT Urban Medicaid Parker, James Edward Pa D Schelling, Travis Kay Pa D Ogden Clinic - Harrison Blvd Ogden Clinic - Harrison Blvd Ward, Parker James Pa C 4650 Harrison Blvd 4650 Harrison Blvd South Ogden Center For Family Ogden, Ut 84403 Ogden, Ut 84403 Medicine Phone: (801) 479-4621 Phone: (801) 479-4621 5740 Crestwood Dr UT Urban Medicaid UT Urban Medicaid Ogden, Ut 84405 Phone: (801) 479-7771 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 87 Bannock Specialty Care Network Cache Higbee, Daniel Dale Md C Shippee, Jared C Dpm C Bunch, Thomas Jared Md C Bannock County Sumko-Bitner Orthopaedic And Alpine Orthopaedic Specialists Intermountain Heart Rhythm Sports Medicine Clinic 1930 S Hwy 89 Specialists 990 Medical Dr, #G4 Brigham City, Ut 84302 1300 N 500 E, #320 Cardiovascular Brigham City, Ut 84302 Phone: (435) 723-9700 Logan, Ut 84341 Disease Phone: (435) 734-2151 UT Rural Medicaid Phone: (801) 507-3513 UT Rural Medicaid Languages Spoken: Spanish Crandall, Brian Gregory Md C UT Rural Medicaid Intermountain Heart Rhythm Mackay III, Dewey Calder Md C Rheumatology Specialists Brigham City Orthopedic Clinic Vonk, Harold Md D Otrusinik, Rudolf Md C 1352 E Center St 990 S Medical Dr, #Gl5 Brigham City Arthritis Clinic Cache Valley Cardiology Pocatello, Id 83205 Brigham City, Ut 84302 984 S Medical Dr, #3 1300 N 500 E, #320 Phone: (801) 507-3500 Phone: (435) 734-2151 Brigham City, Ut 84302 Logan, Ut 84341 UT Rural Medicaid UT Rural Medicaid Phone: (435) 723-5500 Phone: (435) 755-8200 Languages Spoken: Czech, Sumko, Michael Henry Do C Languages Spoken: Dutch UT Rural Medicaid Slovak Box Elder County Sumko-Bitner Orthopaedic And UT Rural Medicaid Sports Medicine Clinic 935 N 1000 W Surgery Saul, William L Md C Dermatology Tremonton, Ut 84337 C Cache Valley Cardiology Phone: (801) 732-1175 Ashdown, Jan Michael Md 1300 N 500 E, #320 Urry, Larry E Md C UT Rural Medicaid Ashdown Surgical Logan, Ut 84341 950 S 500 W, #103 950 S 500 W, #104 Phone: (435) 755-8200 Brigham City, Ut 84302 Sumko, Michael Henry Do C Brigham City, Ut 84302 UT Rural Medicaid Phone: (801) 914-9259 Sumko-Bitner Orthopaedic And Phone: (435) 723-1114 UT Rural Medicaid Sports Medicine Clinic Languages Spoken: Japanese Saul, William L Md C 990 Medical Dr, #G4 UT Rural Medicaid Cache Valley Heart Clinic Ophthalmology Brigham City, Ut 84302 C 1300 N 500 E, #320 Phone: (435) 734-2151 Bryce, Lance Richard Md Logan, Ut 84341 Lewis, David P Md C UT Rural Medicaid Mountainstar Canyon Surgical Phone: (435) 755-8200 Brigham Eye Specialists Clinic UT Rural Medicaid 990 S Medical Dr, #Gl3 Physical Medicine 984 S Medical Dr, #2 Brigham City, Ut 84302 Brigham City, Ut 84302 Phone: (435) 734-2097 And Rehabilitation Phone: (435) 723-0329 Dermatology Languages Spoken: Spanish UT Rural Medicaid Pugsley, Jacob B Do C Hanson, Nathan William Md C UT Rural Medicaid Intermountain Budge Clinic Turner, Scott Darren Md C Physical Medicine & Rehabilitation 1930 S Hwy 89 Murphy, Kevin A Md C 1350 N 500 E Brigham Eye Specialists Logan, Ut 84341 990 S Medical Dr, #Gl3 Brigham City, Ut 84302 Intermountain Bear River Family Phone: (435) 723-9704 Medicine Phone: (435) 792-1950 Brigham City, Ut 84302 UT Rural Medicaid Phone: (435) 734-2097 Languages Spoken: Spanish 935 N 1000 W UT Rural Medicaid UT Rural Medicaid Tremonton, Ut 84337 Hubbard, Kelly W Md C Phone: (435) 207-4800 2380 N 400 E, #B Orthopaedic Surgery Physician Assistant Languages Spoken: Spanish Logan, Ut 84341 UT Rural Medicaid Phone: (435) 752-5741 Bitner, Matthew F Md C Hunsaker, Teryl R Pa C UT Rural Medicaid Sumko-Bitner Orthopaedic And Bear River Specialists Sports Medicine Clinic 935 N 1000 W Cache County Young, Robert P Md C 935 N 1000 W Tremonton, Ut 84337 Rocky Mountain Dermatology Tremonton, Ut 84337 Phone: (435) 207-4800 Allergy & 1400 N 550 E Phone: (801) 732-1175 UT Rural Medicaid Logan, Ut 84341 UT Rural Medicaid Immunology Phone: (435) 787-0560 Podiatrist UT Rural Medicaid Bitner, Matthew F Md C Johnson, F Matthew Md C Sumko-Bitner Orthopaedic And Cook, William Bryce Dpm C Cache Valley Allergy & Family Sports Medicine Clinic 990 S Medical Dr, #U3 Medicine Gastroenterology 990 Medical Dr, #G4 Brigham City, Ut 84302 550 E 1400 N, #L Bohman, Verle Duane Md C Brigham City, Ut 84302 Phone: (435) 734-9623 Logan, Ut 84341 Northern Utah Gastroenterology Phone: (435) 734-2151 Languages Spoken: French Phone: (435) 750-6212 & Endoscopy Specialists UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid 630 E 1400 N, #100a Logan, Ut 84341 Higbee, Daniel Dale Md C Heninger, Spencer B Dpm C Cardiovascular Phone: (435) 787-0270 Sumko-Bitner Orthopaedic And Alpine Orthopaedic Specialists UT Rural Medicaid Sports Medicine Clinic 1930 S Hwy 89 Disease 935 N 1000 W Brigham City, Ut 84302 Bunch, Thomas Jared Md C Davis, Dirk R Md C Tremonton, Ut 84337 Phone: (435) 787-2000 Intermountain Heart Rhythm Northern Utah Gastroenterology Phone: (801) 732-1175 UT Rural Medicaid Specialists & Endoscopy Specialists UT Rural Medicaid Heninger, Spencer B Dpm C 1300 N 500 E, #320 630 E 1400 N, #100a Alpine Orthopaedic Specialists Logan, Ut 84341 Logan, Ut 84341 905 N 1000 W Phone: (801) 507-3513 Phone: (435) 787-0270 Tremonton, Ut 84337 Languages Spoken: Spanish UT Rural Medicaid Phone: (435) 787-2000 UT Rural Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 88 Cache Specialty Care Network Cache Garg, Vikram Md C Neonatal - Perinatal Howard, James G Md C Swartz, Mano Md C Intermountain Budge Clinic Retina Associates Of Utah Retina Associates Of Utah 1300 N 500 E, #340 Medicine 272_ N Main St 272_ N Main St Logan, Ut 84341 Clark, John M Md C Logan, Ut 84321 Logan, Ut 84321 Phone: (435) 716-5900 Neonatal Perinatal Department Phone: (801) 408-2020 Phone: (801) 408-2020 Languages Spoken: Hindi 1400 N 500 E Languages Spoken: Spanish Languages Spoken: German, UT Rural Medicaid Logan, Ut 84341 UT Rural Medicaid Spanish UT Rural Medicaid Larsen, Bryan R Md C Phone: (435) 716-5502 Jaussi, Walter Reed Md C Northern Utah Gastroenterology UT Rural Medicaid Northern Utah Eye Center Winward, Kirk Edward Md C & Endoscopy Specialists 550 E 1400 N, #T Retina Associates Of Utah 630 E 1400 N, #100a Neurology Logan, Ut 84341 272_ N Main St Logan, Ut 84341 Phone: (435) 752-2020 Logan, Ut 84321 Phone: (435) 787-0270 Astle, Hal G Md C UT Rural Medicaid Phone: (801) 408-2020 UT Rural Medicaid Cache Valley Specialty Hospital Languages Spoken: Spanish 2380 N 400 E Nilson, Christian David Md C UT Rural Medicaid Hand Surgery Logan, Ut 84341 Northern Utah Eye Center Phone: (435) 713-9700 550 E 1400 N, #T Orthopaedic Surgery Miller, Brent Warburton Md C UT Rural Medicaid Logan, Ut 84341 Alpine Orthopaedic Specialists Phone: (435) 752-2020 Felix, Brent A Md D Williams, Michael Henry Md C UT Rural Medicaid 2310 N 400 E, #A Intermountain Budge Clinic Alpine Orthopaedic Specialists Logan, Ut 84341 1350 N 500 E Raymond, John Scott Md C 2310 N 400 E, #A Phone: (435) 787-2000 Logan, Ut 84341 550 E 1400 N, #P Logan, Ut 84341 Languages Spoken: Spanish Phone: (435) 792-1980 Logan, Ut 84341 Phone: (435) 787-2000 UT Rural Medicaid UT Rural Medicaid Phone: (435) 753-4541 UT Rural Medicaid Maternal & Fetal Languages Spoken: Spanish Finlayson, Terry Inkley Md C Obstetrics And UT Rural Medicaid Alpine Orthopaedic Specialists Medicine Gynecology Siler, Jon Alan Md C 2310 N 400 E, #A Logan, Ut 84341 Andres, Robert L Md C C Cache Valley Eye Associates Major, Heather Donahoe Md 1300 N 500 E, #350 Phone: (435) 787-2000 Intermountain Logan Maternal Logan Regional Maternal Fetal UT Rural Medicaid Fetal Medicine Medicine Logan, Ut 84341 1400 N 500 E 1400 N 500 E Phone: (435) 752-7445 Higginbotham, Thomas O Md C Logan, Ut 84341 Logan, Ut 84341 UT Rural Medicaid Intermountain Canyon View Phone: (435) 716-1958 Phone: (435) 716-1000 Waterman, David Glenn Md C Orthopedics & Associates UT Rural Medicaid UT Rural Medicaid Cache Valley Eye Associates 1300 N 500 E, #130 1300 N 500 E, #350 Logan, Ut 84341 Byrne, Janice L Md C Trauscht-Vanhorn, Jennifer Md Phone: (435) 716-2800 1400 N 500 E C Logan, Ut 84341 Phone: (435) 752-7445 Languages Spoken: Spanish Logan, Ut 84341 Planned Parenthood Associtation UT Rural Medicaid Phone: (435) 387-4342 Of Utah UT Rural Medicaid UT Rural Medicaid 550 N Main St, #117 Young, Steven R Md C Higginbotham, Thomas O Md C Logan, Ut 84321 1300 N 500 E, #220 Intermountain South Cache Valley Draper, Michael L Md C Clinic 1400 N 500 E Phone: (435) 753-0724 Logan, Ut 84341 UT Rural Medicaid Phone: (435) 753-5220 190 S Hwy 165 Logan, Ut 84341 Providence, Ut 84332 Phone: (435) 387-4342 C Languages Spoken: Spanish Varner, Michael W Md UT Rural Medicaid Phone: (435) 755-3300 Languages Spoken: French 1400 N 500 E Languages Spoken: Spanish UT Rural Medicaid Logan, Ut 84341 Ophthalmology / UT Rural Medicaid Varner, Michael W Md C Phone: (435) 387-4342 UT Rural Medicaid Retina Specialist Hooley, Eric Md C 1400 N 500 E Intermountain Canyon View Logan, Ut 84341 Brinton, Gregory S Md C Orthopedics & Associates Phone: (435) 387-4342 Ophthalmology 1300 N 500 E, #130 UT Rural Medicaid Retina Associates Of Utah Feistmann, Jonathan A Md C 272_ N Main St Logan, Ut 84341 120 W Cache Valley Dr, #100 Logan, Ut 84321 Phone: (435) 716-2800 Medical Oncology Logan, Ut 84341 Phone: (801) 408-2020 UT Rural Medicaid Ben-Jacob, Ali Md C Phone: (435) 713-2222 Languages Spoken: Japanese, UT Rural Medicaid Russian King, Bryan C Md C Cache Valley Cancer Treatment & UT Rural Medicaid Intermountain Canyon View Research Clinic Hammond, Matthew D Md C Orthopedics & Associates 550 E 1400 N, #W Wasatch Eye Specialists Kwun, Robert C Md C 1300 N 500 E, #130 Logan, Ut 84341 120 Cache Valley Blvd, #100 Retina Associates Of Utah Logan, Ut 84341 Phone: (435) 752-5999 Logan, Ut 84341 272_ N Main St Phone: (435) 716-2800 UT Rural Medicaid Phone: (435) 787-7200 Logan, Ut 84321 UT Rural Medicaid Languages Spoken: French Phone: (801) 408-2020 UT Rural Medicaid Languages Spoken: Korean, Larson, Brad J Md C Spanish Alpine Orthopaedic Specialists UT Rural Medicaid 2310 N 400 E, #A Logan, Ut 84341 Phone: (435) 787-2000 UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 89 Cache Specialty Care Network Cache Murray, David P Md C Molina, Kimberly Md C Isom, Casey N Md C Shippee, Jared C Dpm C Intermountain Canyon View Logan Regional Ekg Intermountain Isom Plastic Alpine Orthopaedic Specialists Orthopedics & Associates 500 E 1400 N Surgery 2310 N 400 E, #A 1300 N 500 E, #130 Logan, Ut 84341 1350 N 500 E, #310 Logan, Ut 84341 Logan, Ut 84341 Phone: (435) 716-2050 Logan, Ut 84341 Phone: (435) 787-2000 Phone: (435) 716-2800 UT Rural Medicaid Phone: (435) 787-1108 UT Rural Medicaid Languages Spoken: Spanish Languages Spoken: Cantonese UT Rural Medicaid Pediatric Genetics UT Rural Medicaid Radiation Oncology Nelson, Keith Jay Md C Williams, Marc S Md C Podiatrist Ingersoll, Leslye L Md C Alpine Orthopaedic Specialists 500 E 1400 N Logan Radiation Oncology 2310 N 400 E, #A Logan, Ut 84341 Bell, David D Dpm C 500 E 1400 N Logan, Ut 84341 Phone: (435) 716-2050 1219 N 400 E Logan, Ut 84341 Phone: (435) 787-2000 UT Rural Medicaid Logan, Ut 84341 Phone: (435) 716-1000 UT Rural Medicaid Phone: (435) 753-7000 UT Rural Medicaid Physical Medicine UT Rural Medicaid Otolaryngology And Rehabilitation Cook, Gregory Bryce Dpm C Rheumatology (Ent) Foot Clinic Of Logan Clegg, Michael Luke Md C Walker, Corey Wyn Md C Bennion, Jeffrey Green Md C 550 E 1400 N, #B Intermountain Budge Clinic Alpine Orthopaedic Specialists Logan, Ut 84341 Cache Valley Ent 2310 N 400 E, #A 1350 N 500 E 2380 N 400 E, #D Phone: (435) 752-9011 Logan, Ut 84341 Logan, Ut 84341 UT Rural Medicaid Logan, Ut 84341 Phone: (435) 787-2000 Phone: (435) 792-1980 Phone: (435) 753-7880 UT Rural Medicaid Cook, William Bryce Dpm C Languages Spoken: Korean UT Rural Medicaid UT Rural Medicaid C 550 E 1400 N, #B Blotter, James Wallentin Md C Peterson, Cameron Glade Md Logan, Ut 84341 Canyon View Orthopedics Phone: (435) 752-9011 Surgery Cache Valley Ent 1300 N 500 E, #130 2380 N 400 E, #D Languages Spoken: French C Logan, Ut 84341 UT Rural Medicaid Anderson, Allan D Md Logan, Ut 84341 Phone: (435) 716-2800 Canyon View Orthopedics Phone: (435) 753-7880 UT Rural Medicaid Edwards, David G Dpm C 1300 N 500 E, #130 Languages Spoken: Spanish Alpine Orthopaedic Specialists Logan, Ut 84341 UT Rural Medicaid Pugsley, Jacob B Do C 2310 N 400 E, #A Phone: (435) 716-2800 Physical Medicine & Rehabilitation Logan, Ut 84341 UT Rural Medicaid Keyser, Jeffrey S Md C 2310 N 400 E, #A Intermountain Budge Clinic Phone: (435) 787-2000 C Logan, Ut 84341 UT Rural Medicaid Anderson, Allan D Md 1350 N 500 E Phone: (435) 787-2000 Intermountain Budge Clinic Logan, Ut 84341 Languages Spoken: Spanish Heninger, Spencer B Dpm C 1350 N 500 E Phone: (435) 792-1950 UT Rural Medicaid Alpine Orthopaedic Specialists Logan, Ut 84341 Languages Spoken: Spanish 2310 N 400 E, #A Phone: (435) 792-1950 UT Rural Medicaid Physician Assistant Logan, Ut 84341 UT Rural Medicaid Wood Jr, Gordon Stacey Md C Phone: (435) 787-2000 Broadbent, Lee Stokes Md C Cache Valley Ent Hunsaker, Teryl R Pa C UT Rural Medicaid Intermountain Budge Clinic 550 E 1400 N, #D 2380 N 400 E, #D Logan, Ut 84341 Logan, Ut 84341 1350 N 500 E Heninger, Spencer B Dpm C Logan, Ut 84341 Mountain View Foot & Ankle Phone: (435) 752-7122 Phone: (435) 753-7880 UT Rural Medicaid UT Rural Medicaid Phone: (435) 792-1950 Specialists UT Rural Medicaid 2380 N 400 E, #G C Logan, Ut 84341 Grover, Scott W Do Pain Medicine Hunt, Wilson Scott Pa C Phone: (435) 753-9044 Cache Valley Surgical Consultants Intermountain Canyon View UT Rural Medicaid 550 E 1400 N, #D Skabelund, Courtney R Md C Orthopedics & Associates Logan, Ut 84341 274 N Main St 1300 N 500 E, #130 Pedersen, Curtis Charles Dpm C Phone: (435) 752-7122 Logan, Ut 84321 Logan, Ut 84341 Intermountain Canyon View UT Rural Medicaid Phone: (435) 752-7644 Phone: (435) 716-2800 Orthopedics & Associates Hansen, Mark Traveller Md C UT Rural Medicaid UT Rural Medicaid 1300 N 500 E, #130 Logan, Ut 84341 2380 N 400 E, #G Pediatric Pitcher, Brent D Pa C Phone: (435) 716-2800 Logan, Ut 84341 Intermountain Budge Clinic UT Rural Medicaid Phone: (435) 713-1300 Cardiology 1350 N 500 E Languages Spoken: Spanish Jou, Chuanchau Jerry Do C Logan, Ut 84341 Pedersen, Curtis Charles Dpm C UT Rural Medicaid Logan Regional Ekg Phone: (435) 792-1950 Intermountain South Cache Valley Harker, David L Md C 500 E 1400 N UT Rural Medicaid Clinic Intermountain Budge Clinic Logan, Ut 84341 190 S Hwy 165 1350 N 500 E Phone: (435) 716-2050 Plastic Surgery Providence, Ut 84332 Logan, Ut 84341 UT Rural Medicaid Phone: (435) 755-3300 Phone: (435) 792-1950 Andersen, Blaine Perkes Md C UT Rural Medicaid C Languages Spoken: German Mccandless, Rachel Md 1300 N 500 E, #260 UT Rural Medicaid Logan Regional Ekg Logan, Ut 84341 Richman, Brian H Dpm C 500 E 1400 N Phone: (435) 753-3400 1400 N 550 E, #N Logan, Ut 84341 UT Rural Medicaid Logan, Ut 84321 Phone: (435) 716-2050 Phone: (435) 752-1038 UT Rural Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 90 Cache Specialty Care Network Clark Murphy, Kevin A Md C Ophthalmology Yarger, Richard J Md C Forage, James Steven Md C Outpatient Psychiatry Castleview Surgical Associates Western Regional Center For Brain 1350 N 500 E Byers, Timothy L Md C 280 N Hospital Dr, #5 & Spine Surgery Logan, Ut 84341 Eastern Utah Eye Physicians Price, Ut 84501 3061 S Maryland Pkwy, #200 Phone: (435) 792-1950 200 N Fairgrounds Rd, #2 Phone: (435) 637-4590 Las Vegas, Nv 89109 Languages Spoken: Spanish Price, Ut 84501 Languages Spoken: French Phone: (702) 737-1948 UT Rural Medicaid Phone: (435) 637-8689 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Weiss, Bartley Myron Md C Garber, Jason Eric Md C Intermountain Budge Clinic Hansen, Jeffrey E Md C Clark County Western Regional Center For Brain 1350 N 500 E Eastern Utah Eye Physicians & Spine Surgery Logan, Ut 84341 200 N Fairgrounds Rd, #2 3061 S Maryland Pkwy, #200 Phone: (435) 792-1950 Price, Ut 84501 Dermatology Las Vegas, Nv 89109 Languages Spoken: Spanish Phone: (435) 637-8689 Phone: (702) 737-1948 UT Rural Medicaid UT Rural Medicaid Aspacio, Reuel Martin-Abaya UT Rural Medicaid Md C Orthopaedic Surgery Summerlin Dermatology Kaplan, Stuart S Md C Urology 911 N Buffalo Dr, #113 Western Regional Center For Brain Callister, Michael Scott Md C Justesen, Scott C Md C Las Vegas, Nv 89128 & Spine Surgery Intermountain Budge Clinic Castleview Orthopedic & Sport Phone: (702) 243-4501 3061 S Maryland Pkwy, #200 1350 N 500 E Medicine Languages Spoken: Llocano, Las Vegas, Nv 89109 Logan, Ut 84341 377 N Fairgrounds Rd Spanish, Tagalog Phone: (702) 737-1948 Phone: (435) 792-1950 Price, Ut 84501 UT Rural Medicaid UT Rural Medicaid Languages Spoken: Phone: (435) 613-6600 UT Rural Medicaid Bettencourt, Miriam S Md C Seiff, Michael Eric Md C Portuguese Bettencourt Skin Center Western Regional Center For Brain UT Rural Medicaid Otolaryngology 601 Whitney Ranch Dr, #C13 & Spine Surgery Callister, Michael Scott Md C Henderson, Nv 89014 3061 S Maryland Pkwy, #200 Logan Urology Clinic (Ent) Phone: (702) 257-7546 Las Vegas, Nv 89109 550 E 1400 N, #J Beus, Kirt Scott Md C Languages Spoken: Italian, Phone: (702) 737-1948 Logan, Ut 84341 Portuguese, Spanish UT Rural Medicaid Peak Ent Associates UT Rural Medicaid Phone: (435) 753-1171 377 N Fairgrounds Rd Smith, William D Md C Languages Spoken: Price, Ut 84501 Neurological Western Regional Center For Brain Portuguese Phone: (435) 637-8000 & Spine Surgery UT Rural Medicaid UT Rural Medicaid Surgery 3061 S Maryland Pkwy, #200 Larsen, Ryan H Md C Parsons, Stephen Paul Md C Anson, John A Md C Las Vegas, Nv 89109 Logan Urology Clinic Peak Ent Associates Western Regional Center For Brain Phone: (702) 737-1948 550 E 1400 N, #J 377 N Fairgrounds Rd & Spine Surgery UT Rural Medicaid Logan, Ut 84341 Price, Ut 84501 3061 S Maryland Pkwy, #200 Phone: (435) 753-1171 Phone: (435) 637-8000 Las Vegas, Nv 89109 Neurology UT Rural Medicaid UT Rural Medicaid Phone: (702) 737-1948 C UT Rural Medicaid Farrow, Simon John Md 2655 Box Canyon Dr, #110 Carbon County Podiatrist Duke, Derek A Md C Las Vegas, Nv 89128 Griffeth, Brian James Dpm C Western Regional Center For Brain Phone: (702) 818-3231 Medical Genetics - Castle Valley Foot & Ankle & Spine Surgery Languages Spoken: French 250 N Fairgrounds Rd, #3 3061 S Maryland Pkwy, #200 UT Rural Medicaid Clinical Genetics Price, Ut 84501 Las Vegas, Nv 89109 (M.D.) Phone: (435) 637-6797 Phone: (702) 737-1948 Ophthalmology UT Rural Medicaid UT Rural Medicaid Lewin, Susan O Md C Hollifield, Rodney Deleon Md C C Children With Special Healthcare Surgery Duke, Derek A Md Retina Consultants Of Nevada Needs Western Regional Center For Brain 3650 S Point Cr, #210 25 S 100 E Patel, Ateeq Ahmed & Spine Surgery Laughlin, Nv 89029 Price, Ut 84501 Siddiqhussain Md C 861 Coronado Center Dr, #200 Phone: (702) 369-0200 Phone: (435) 637-3671 945 W Hospital Dr, #4 Henderson, Nv 89052 UT Rural Medicaid UT Rural Medicaid Price, Ut 84501 Phone: (702) 737-1948 UT Rural Medicaid Loo, Roy H Md C Phone: (435) 637-1776 Retina Consultants Of Nevada Nephrology UT Rural Medicaid Forage, James Steven Md C 653 N Town Center Dr, #518 Smith, John Taylor Md C Western Regional Center For Brain Las Vegas, Nv 89144 Filloux, Francis M Md C & Spine Surgery Phone: (702) 369-0200 Children With Special Healthcare Children With Special Healthcare Needs 3061 S Maryland Pkwy, #200 UT Rural Medicaid Needs Las Vegas, Nv 89109 25 S 100 E 25 S 100 E Parker, Robert Jeffrey Md C Price, Ut 84501 Phone: (702) 737-1948 Price, Ut 84501 UT Rural Medicaid Retina Consultants Of Nevada Phone: (435) 637-3671 Phone: (435) 637-3671 2845 Siena Heights Dr, #300 UT Rural Medicaid UT Rural Medicaid Henderson , Nv 89052 Phone: (702) 369-0200 UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 91 Clark DSpecialty Care Network avis Parker, Robert Jeffrey Md C Thach, Allen Bradford Md C Olsen, Stephanie Md C Retina Consultants Of Nevada Retina Consultants Of Nevada Davis County Utah Cardiology 3006 S Maryland Pkwy, #710 3650 S Point Cr, #210 2132 N 1700 W, #200 Las Vegas, Nv 89109 Laughlin, Nv 89029 Layton, Ut 84041 Phone: (702) 369-0200 Phone: (702) 369-0200 Allergy & Phone: (801) 776-0174 UT Rural Medicaid UT Rural Medicaid Immunology UT Urban Medicaid Parker, Robert Jeffrey Md C Thach, Allen Bradford Md C Jones, Douglas Harry Md C West, Scott H Md C Retina Consultants Of Nevada Retina Consultants Of Nevada Rocky Mountain Allergy Asthma Utah Cardiology 3650 S Point Cr, #210 653 N Town Center Dr, #518 & Immunology 520 E Medical Dr, #300 Laughlin, Nv 89029 Las Vegas, Nv 89144 1660 W Antelope Dr, #310 Bountiful, Ut 84010 Phone: (702) 369-0200 Phone: (702) 369-0200 Layton, Ut 84041 Phone: (801) 292-1315 UT Rural Medicaid UT Rural Medicaid Phone: (801) 775-9800 UT Urban Medicaid Languages Spoken: Korean Parker, Robert Jeffrey Md C UT Urban Medicaid Retina Consultants Of Nevada Physician Assistant Dermatology 653 N Town Center Dr, #518 Delappi, Joseph Anthony Pa C Jones, Douglas Harry Md C Bishop, B Grant Md C Las Vegas, Nv 89144 Western Regional Center For Brain Rocky Mountain Allergy Asthma Tanner Memorial Clinic Phone: (702) 369-0200 & Spine Surgery & Immunology 2038 W 1900 S UT Rural Medicaid 3061 S Maryland Pkwy, #200 620 E Medical Dr, #150 Syracuse, Ut 84075 Las Vegas, Nv 89109 Bountiful, Ut 84010 Phone: (801) 773-4840 Wickens, Jason Craig Md C Phone: (801) 775-9800 Retina Consultants Of Nevada Phone: (702) 737-1948 UT Urban Medicaid UT Rural Medicaid Languages Spoken: Korean 2845 Siena Heights Dr, #300 UT Urban Medicaid Bishop, B Grant Md C Henderson, Nv 89052 425 Medical Dr, #218 Phone: (702) 369-0200 Podiatrist Cardiovascular Bountiful, Ut 84010 Languages Spoken: Spanish Powell, Andrew Bert Dpm C Phone: (801) 298-3802 UT Rural Medicaid Foot & Ankle Institute Disease UT Urban Medicaid Wickens, Jason Craig Md C 340 Falcon Ridge Pkwy, #300 Aggarwala, Gaurav Md C Checketts, Scott Richard Md C Retina Consultants Of Nevada Mesquite, Nv 89027 Utah Cardiology Tanner Memorial Clinic 3006 S Maryland Pkwy, #710 Phone: (800) 768-2671 2132 N 1700 W, #200 2121 N 1700 W Las Vegas, Nv 89109 UT Rural Medicaid Layton, Ut 84041 Layton, Ut 84041 Phone: (702) 369-0200 Reber, Leon Keith Dpm C Phone: (801) 776-0174 Phone: (801) 773-4840 Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid UT Rural Medicaid Foot & Ankle Institute 340 Falcon Ridge Pkwy, #300 Anding, Eric S Md C Martineau, Michael Reed Md D Wickens, Jason Craig Md C Mesquite, Nv 89027 Utah Cardiology Tanner Memorial Clinic Retina Consultants Of Nevada Phone: (800) 768-2671 520 E Medical Dr, #300 2121 N 1700 W 3650 S Point Cr, #210 UT Rural Medicaid Bountiful, Ut 84010 Layton, Ut 84041 Laughlin, Nv 89029 Smith, Lary J Dpm C Phone: (801) 292-1315 Phone: (801) 773-4840 Phone: (702) 369-0200 Foot & Ankle Institute UT Urban Medicaid Languages Spoken: Languages Spoken: Spanish Portuguese UT Rural Medicaid 340 Falcon Ridge Pkwy, #300 Cody, Michael C Md C Mesquite, Nv 89027 Utah Cardiology UT Urban Medicaid Wickens, Jason Craig Md C Phone: (800) 768-2671 2132 N 1700 W, #200 Neuenschwander, Bradley George Retina Consultants Of Nevada UT Rural Medicaid Layton, Ut 84041 Do C 653 N Town Center Dr, #518 Phone: (801) 776-0174 Tanner Memorial Clinic Las Vegas, Nv 89144 UT Urban Medicaid 2038 W 1900 S Phone: (702) 369-0200 Coconino County Forstall, Peter George Md C Syracuse, Ut 84075 Languages Spoken: Spanish Phone: (801) 773-4840 UT Rural Medicaid Utah Cardiology Podiatrist 2132 N 1700 W, #200 Languages Spoken: German, Layton, Ut 84041 Polish Ophthalmology / Cook, Terry R Dpm C UT Urban Medicaid Navajo Mountain Community Phone: (801) 776-0174 Retina Specialist Health Center UT Urban Medicaid Neuenschwander, Bradley George Thach, Allen Bradford Md C 2 Rainbow Rd Humiston, Daniel J Md C Do C Retina Consultants Of Nevada Tonalea, Az 86044 Utah Cardiology Tanner Memorial Clinic 2845 Siena Heights Dr, #300 Phone: (928) 672-2839 2132 N 1700 W, #200 2121 N 1700 W Henderson, Nv 89052 UT Rural Medicaid Layton, Ut 84041 Layton, Ut 84041 Phone: (702) 369-0200 Phone: (801) 776-0174 Phone: (801) 773-4840 UT Rural Medicaid UT Urban Medicaid Languages Spoken: German, Polish Thach, Allen Bradford Md C Kim, Christopher Y Md C UT Urban Medicaid Retina Consultants Of Nevada Utah Cardiology 3006 S Maryland Pkwy, #710 2132 N 1700 W Neuenschwander, Bradley George Las Vegas, Nv 89109 Layton, Ut 84041 Do C Phone: (702) 369-0200 Phone: (801) 776-0174 Tanner Memorial Clinic UT Rural Medicaid UT Urban Medicaid 380 N 400 W Kaysville, Ut 84037 Phone: (801) 773-4840 Languages Spoken: German, Polish UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 92 Davis DSpecialty Care Network avis Thomson, Stephen Talmage Md Doxey, Brett W Md C Medical Oncology Nephrology C Mountain West Gastroenterology Tanner Memorial Clinic 620 E Medical Dr, #205 Beck, Anna C Md C Leach, Robert James Md C 2038 W 1900 S Bountiful, Ut 84010 Utah Cancer Specialists Khiu Syracuse, Ut 84075 Phone: (801) 298-0057 1492 W Antelope Dr, #125 2132 N 1700 W, #110 Phone: (801) 773-4840 UT Urban Medicaid Layton, Ut 84041 Layton, Ut 84041 UT Urban Medicaid Phone: (801) 525-3022 Phone: (801) 779-3500 Hilbig, Clarke Andrew Md C Languages Spoken: Spanish UT Urban Medicaid Thomson, Stephen Talmage Md Mountain West Gastroenterology UT Urban Medicaid C 620 E Medical Dr, #205 Mcdonald, Ryan Parker Md C Tanner Memorial Clinic Bountiful, Ut 84010 Beck, Anna C Md C Khiu 2121 N 1700 W Phone: (801) 298-0057 Utah Cancer Specialists 2132 N 1700 W, #110 Layton, Ut 84041 Languages Spoken: German 520 E Medical Dr, #340 Layton, Ut 84041 Phone: (801) 773-4840 UT Urban Medicaid Bountiful, Ut 84010 Phone: (801) 779-3500 UT Urban Medicaid Phone: (801) 296-6665 UT Urban Medicaid Moore, David R Md C Languages Spoken: Spanish Thomson, Stephen Talmage Md Mountain West Gastroenterology UT Urban Medicaid Neurology C 620 E Medical Dr, #205 Tanner Memorial Clinic Bountiful, Ut 84010 Frame, Richard N Md C Chowdhury, Arif A Md C 380 N 400 W Phone: (801) 298-0057 Utah Cancer Specialists North Davis Neurology Kaysville, Ut 84037 UT Urban Medicaid 1492 W Antelope Dr, #125 1660 W Antelope Dr, #320 Phone: (801) 773-4840 Layton, Ut 84041 Layton, Ut 84041 UT Urban Medicaid Thomason, Isaac R Md C Phone: (801) 525-3022 Phone: (801) 825-8900 Mountain West Gastroenterology UT Urban Medicaid UT Urban Medicaid Endocrinology, 620 E Medical Dr, #205 Bountiful, Ut 84010 Hansen, Vincent Lee Md C Harker, Dustin Brook Md C Diabetes & Phone: (801) 298-0057 Tanner Memorial Clinic Tanner Memorial Clinic Metabolism UT Urban Medicaid 380 N 400 W 2121 N 1700 W Kaysville, Ut 84037 Layton, Ut 84041 Alrayess, Khaldoun Mohammad Hematology & Phone: (801) 773-4840 Phone: (801) 773-4840 Md C Languages Spoken: UT Urban Medicaid Intermountain Multispecialty Oncology Portuguese, Spanish D Clinic Gray, Carl Roger Md C UT Urban Medicaid Imani, Jahangir N Md 2102 N 1700 W Intermountain Neurology Clinic Utah Hematology Oncology Klein, Regina C Md C Layton, Ut 84041 2132 N 1700 W, #301 2102 N 1700 W, #1 Phone: (801) 766-8080 Utah Cancer Specialists Layton, Ut 84041 Layton, Ut 84041 1492 W Antelope Dr, #125 Languages Spoken: Arabic Phone: (801) 775-9990 Phone: (801) 776-8080 UT Urban Medicaid Layton, Ut 84041 UT Urban Medicaid UT Urban Medicaid Phone: (801) 525-3022 C Family Nurse Samuelson, Scott James Md C Languages Spoken: Sadiq, Mohamed Habibulla Md Utah Cancer Specialists Portuguese Tanner Memorial Clinic Practitioner UT Urban Medicaid 2121 N 1700 W 1492 W Antelope Dr, #125 Layton, Ut 84041 Meidinger, Gladys Kaye Aprn C Layton, Ut 84041 Klein, Regina C Md C Phone: (801) 773-4840 Mountain West Gastroenterology Phone: (801) 525-3022 Utah Cancer Specialists UT Urban Medicaid 620 E Medical Dr, #205 UT Urban Medicaid 520 E Medical Dr, #340 C Bountiful, Ut 84010 Samuelson, Scott James Md C Bountiful, Ut 84010 Shoari, Mohammad Md Phone: (801) 298-0057 Utah Cancer Specialists Phone: (801) 296-6665 Davis Comprehensive Health UT Urban Medicaid 520 E Medical Dr, #340 Languages Spoken: 1492 W Antelope Dr, #203 Bountiful, Ut 84010 Portuguese Layton, Ut 84041 Gastroenterology UT Urban Medicaid Phone: (801) 364-1117 Phone: (801) 296-6665 UT Urban Medicaid Batista, Oscar A Md C UT Urban Medicaid Stinnett, Jason Md C Mountain West Gastroenterology Utah Cancer Specialists Vine, Daniel B Md C 620 E Medical Dr, #205 Maternal & Fetal 1492 W Antelope Dr, #125 1580 W Antelope Dr, #260 Bountiful, Ut 84010 Medicine Layton, Ut 84041 Layton, Ut 84041 Phone: (801) 298-0057 Phone: (801) 525-3022 Phone: (801) 728-0976 UT Urban Medicaid Silver, Robert Mitchell Md C UT Urban Medicaid UT Urban Medicaid Davis Hospital Perinatologists Boschert, Mark E Md C 1600 W Antelope Dr Stinnett, Jason Md C Ophthalmology Mountain West Gastroenterology Layton, Ut 84041 Utah Cancer Specialists 620 E Medical Dr, #205 Phone: (801) 807-1000 520 E Medical Dr, #340 Armstrong, John D Md C Bountiful, Ut 84010 UT Urban Medicaid Bountiful, Ut 84010 Bountiful Hills Eye Center Phone: (801) 298-0057 Phone: (801) 296-6665 1551 S Renaissance Towne Dr, UT Urban Medicaid Varner, Michael W Md C UT Urban Medicaid #340 Davis Hospital Perinatologists Bountiful, Ut 84010 Canale, Christopher Copp Md C 1600 W Antelope Dr Neonatal - Perinatal Phone: (801) 677-1122 Mountain West Gastroenterology Layton, Ut 84041 UT Urban Medicaid 620 E Medical Dr, #205 Phone: (801) 807-1000 Medicine Bountiful, Ut 84010 UT Urban Medicaid Berger, James Irwin Md C Phone: (801) 298-0057 1600 W Antelope Dr Languages Spoken: French Layton, Ut 84041 UT Urban Medicaid Phone: (801) 476-4280 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 93 Davis DSpecialty Care Network avis Bowman, Adam M Md C Wallin, Trevin Richard Md C Broadbent, Michael William Dds Cook, David A Md C Mountain View Eye Center Antelope Laser & Cataract Eye C Tanner Memorial Clinic 1580 W Antelope Dr, #175 Specialists Oral & Maxillofacial Surgeons Of 2121 N 1700 W Layton, Ut 84041 1660 W Antelope Dr, #105 Utah Layton, Ut 84041 Phone: (801) 773-2233 Layton, Ut 84041 469 E Medical Dr, #202 Phone: (801) 773-4840 UT Urban Medicaid Phone: (801) 773-0690 Bountiful, Ut 84010 UT Urban Medicaid UT Urban Medicaid Phone: (801) 299-8531 Daynes, Todd Ellsworth Md C UT Urban Medicaid Jee, Kenneth W Md C 425 Medical Dr, #219 Washburn, Michael D Md C Tanner Memorial Clinic Bountiful, Ut 84010 Antelope Laser & Cataract Eye Chandler, Jason G Dds C 2121 N 1700 W Phone: (801) 294-8855 Specialists Oral & Maxillofacial Surgeons Of Layton, Ut 84041 Languages Spoken: Spanish 1660 W Antelope Dr, #105 Utah Phone: (801) 773-4840 UT Urban Medicaid Layton, Ut 84041 2297 N Hillfield Rd, #A105 Languages Spoken: French Phone: (801) 773-0690 Layton, Ut 84041 UT Urban Medicaid Faber, David Wayne Md C UT Urban Medicaid Phone: (801) 779-0506 Rocky Mountain Retina Languages Spoken: Spanish Lyman, Matthew H Md C Consultants Ophthalmology / UT Urban Medicaid Davis Orthopedic & Sports 620 E Medical Dr, #210 Medicine Bountiful, Ut 84010 Retina Specialist Chandler, Jason G Dds C 2132 N 1700 W, #230 Phone: (801) 264-4444 Oral & Maxillofacial Surgeons Of Layton, Ut 84041 Languages Spoken: Spanish Brinton, Gregory S Md C Utah Phone: (801) 773-3900 UT Urban Medicaid Retina Associates Of Utah 469 E Medical Dr, #202 UT Urban Medicaid 1660 W Antelope Dr, #325 Bountiful, Ut 84010 Hess, Christian Leonard Md C Layton, Ut 84041 Phone: (801) 299-8531 Rice, Robert S Md C Antelope Laser & Cataract Eye Phone: (801) 775-8222 Languages Spoken: Spanish Tanner Memorial Clinic Specialists Languages Spoken: Japanese, UT Urban Medicaid 2121 N 1700 W 1660 W Antelope Dr, #105 Russian Layton, Ut 84041 Layton, Ut 84041 UT Urban Medicaid Liston, Todd C Dds C Phone: (801) 773-4840 Phone: (801) 773-0690 Oral & Maxillofacial Surgeons Of Languages Spoken: Spanish UT Urban Medicaid Kwun, Robert C Md C Utah UT Urban Medicaid Retina Associates Of Utah 2297 N Hillfield Rd, Bldga #105 Howard, James G Md C 1660 W Antelope Dr, #325 Layton, Ut 84041 Svagr, Bohus Md C Retina Associates Of Utah Layton, Ut 84041 Phone: (801) 779-0506 Tanner Memorial Clinic 1660 W Antelope Dr, #325 Phone: (801) 775-8222 UT Urban Medicaid 2121 N 1700 W Layton, Ut 84041 Languages Spoken: Korean, Layton, Ut 84041 Phone: (801) 775-8222 Spanish Liston, Todd C Dds C Phone: (801) 773-4840 Languages Spoken: Spanish UT Urban Medicaid Oral & Maxillofacial Surgeons Of Languages Spoken: Czech, UT Urban Medicaid Utah German, Russian, Spanish Swartz, Mano Md C 469 E Medical Dr, #202 UT Urban Medicaid Nelson, Laurence Merl Md C Retina Associates Of Utah Bountiful, Ut 84010 Tanner Memorial Clinic 1660 W Antelope Dr, #325 Phone: (801) 299-8531 Watson, B Thomas Md C 2121 N 1700 W Layton, Ut 84041 UT Urban Medicaid Davis Orthopedic & Sports Layton, Ut 84041 Phone: (801) 775-8222 Medicine Phone: (801) 773-4840 Languages Spoken: German, 2132 N 1700 W, #230 UT Urban Medicaid Spanish Orthopaedic Surgery Layton, Ut 84041 UT Urban Medicaid Phone: (801) 773-3900 C Bean, Charles P Md C Patel, Bhupendra C Md Tanner Memorial Clinic Languages Spoken: French Insight Laser & Cataract Eye Winward, Kirk Edward Md C UT Urban Medicaid Retina Associates Of Utah 2121 N 1700 W Specialists Layton, Ut 84041 2255 N 1700 W, #100 1660 W Antelope Dr, #325 Otolaryngology Layton, Ut 84041 Layton, Ut 84041 Phone: (801) 773-4840 Phone: (801) 773-0690 Phone: (801) 775-8222 UT Urban Medicaid (Ent) Languages Spoken: French, Languages Spoken: Spanish Bosii, Norman Calvin Md C Bitner, John B Md C Gujarati, Hindi, Swahili UT Urban Medicaid Tanner Memorial Clinic Tanner Memorial Clinic UT Urban Medicaid Oral And 2121 N 1700 W 2038 W 1900 S Sykes, Scott Owen Md C Layton, Ut 84041 Syracuse, Ut 84075 Bountiful Hills Eye Center Maxillofacial Phone: (801) 773-4840 Phone: (801) 773-4840 1551 S Renaissance Towne Dr, Surgery - Dentist Languages Spoken: German Languages Spoken: #340 UT Urban Medicaid Portuguese, Spanish Bountiful, Ut 84010 Broadbent, Michael William Dds C UT Urban Medicaid C Burrell, John Charles Md Phone: (801) 677-1122 Davis Orthopedic & Sports Bitner, John B Md C Languages Spoken: Oral & Maxillofacial Surgeons Of Medicine Tanner Memorial Clinic Portuguese Utah 2132 N 1700 W, #230 2121 N 1700 W UT Urban Medicaid 2297 N Hillfield Rd, #A105 Layton, Ut 84041 Layton, Ut 84041 Layton, Ut 84041 C Phone: (801) 773-3900 Phone: (801) 773-4840 Treft, Robert L Md Phone: (801) 779-0506 Languages Spoken: French Mountain View Eye Center UT Urban Medicaid Languages Spoken: 1580 W Antelope Dr, #175 UT Urban Medicaid Portuguese, Spanish Layton, Ut 84041 UT Urban Medicaid Phone: (801) 773-2233 Languages Spoken: German, Spanish UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 94 Davis DSpecialty Care Network avis Bitner, John B Md C Vanleeuwan, Richard Neil Md C Shepherd, Douglas Tracey Md D Weber, Nancy A Pa C Tanner Memorial Clinic Tanner Memorial Clinic Alpine Spine Sports & Utah Cancer Specialists 380 N 400 W 2121 N 1700 W Rehabilitation 1492 W Antelope Dr, #125 Kaysville, Ut 84037 Layton, Ut 84041 1551 S Renaissance Towne Dr, Layton, Ut 84041 Phone: (801) 773-4840 Phone: (801) 773-4840 #420 Phone: (801) 525-3022 Languages Spoken: UT Urban Medicaid Bountiful, Ut 84010 UT Urban Medicaid Portuguese, Spanish Phone: (801) 479-0312 UT Urban Medicaid Vanleeuwan, Richard Neil Md C Languages Spoken: Spanish Weber, Nancy A Pa C Tanner Memorial Clinic UT Urban Medicaid Utah Cancer Specialists Kelly, Steven Michael Md C 380 N 400 W 520 E Medical Dr, #340 Mountain West Ent Kaysville, Ut 84037 Shepherd, Douglas Tracey Md D Bountiful, Ut 84010 1551 S Main St, #310 Phone: (801) 773-4840 Alpine Spine Sports & Phone: (801) 296-6665 Bountiful, Ut 84010 UT Urban Medicaid Rehabilitation UT Urban Medicaid Phone: (801) 295-5581 1660 W Antelope Dr, #225 Languages Spoken: Spanish Pain Medicine Layton, Ut 84041 Plastic Surgery UT Urban Medicaid Phone: (801) 479-0312 Urie, Bradley Allen Md C Languages Spoken: Spanish Ashby, Eric Robert Md C Kelly, Steven Michael Md C Davis Internal Medicine UT Urban Medicaid Tanner Memorial Clinic Mountain West Ent 1492 W Antelope Dr, #203 2121 N 1700 W 2255 N 1700 W, #205 Layton, Ut 84041 Physician Assistant Layton, Ut 84041 Layton, Ut 84041 Phone: (801) 773-7500 Phone: (801) 773-4840 Phone: (801) 776-2180 Languages Spoken: French Dawson, Micheal Shawn Pa C Languages Spoken: German Languages Spoken: Spanish UT Urban Medicaid Rocky Mountain Allergy Asthma UT Urban Medicaid UT Urban Medicaid & Immunology Cheng, Christine Ann Md C Richards, Bryan Lee Md C Physical Medicine 1660 W Antelope Dr, #310 Layton, Ut 84041 415 S Medical Dr, #D102 Tanner Memorial Clinic And Rehabilitation Bountiful, Ut 84010 2121 N 1700 W Phone: (801) 775-9800 UT Urban Medicaid Phone: (801) 298-9774 Layton, Ut 84041 Brandt, William F Md D UT Urban Medicaid Phone: (801) 773-4840 Alpine Spine Sports & Dawson, Micheal Shawn Pa C UT Urban Medicaid Rehabilitation Rocky Mountain Allergy Asthma Kjar, J Gregory Md C 1660 W Antelope Dr, #225 & Immunology Premier Plastic Surgery Group Of Skedros, Demetrios Gregory Md Layton, Ut 84041 Utah C 620 E Medical Dr, #150 Phone: (801) 479-0312 Bountiful, Ut 84010 1551 S Renaissance Towne Dr, Mountain West Ent UT Urban Medicaid #360 1551 S Main St, #310 Phone: (801) 775-9800 UT Urban Medicaid Bountiful, Ut 84010 Bountiful, Ut 84010 Humpherys, Benjamin Rich Do Phone: (801) 295-9105 Phone: (801) 295-5581 C Janssen, Kristy Lynn Pa C UT Urban Medicaid UT Urban Medicaid Tanner Memorial Clinic Alpine Spine Sports & 2038 W 1900 S Rehabilitation Thompson, Scott K Md C Skedros, Demetrios Gregory Md Syracuse, Ut 84075 Mountain West Ent C 1660 W Antelope Dr, #225 Phone: (801) 773-4840 Layton, Ut 84041 1551 S Main St, #310 Mountain West Ent UT Urban Medicaid Bountiful, Ut 84010 2255 N 1700 W, #205 Phone: (801) 479-0312 UT Urban Medicaid Phone: (801) 295-5581 Layton, Ut 84041 Humpherys, Benjamin Rich Do UT Urban Medicaid Phone: (801) 776-2180 C Odonnell, Colleen Pa C UT Urban Medicaid Tanner Memorial Clinic Davis Orthopedic & Sports Yates, York Md C 2121 N 1700 W Tanner Memorial Clinic Stock, Curt R Md C Medicine Layton, Ut 84041 2132 N 1700 W, #230 2121 N 1700 W Mountain West Ent Phone: (801) 773-4840 Layton, Ut 84041 1551 S Main St, #310 Layton, Ut 84041 UT Urban Medicaid Phone: (801) 773-3900 Phone: (801) 773-4840 Bountiful, Ut 84010 UT Urban Medicaid Phone: (801) 295-5581 Humpherys, Benjamin Rich Do UT Urban Medicaid C Languages Spoken: Italian Van Wormer, Terry Pa C Podiatrist UT Urban Medicaid Tanner Memorial Clinic Tanner Memorial Clinic 380 N 400 W C Stoker, Kelly Esperson Md C 2038 W 1900 S Anderson, Ryan K Dpm Kaysville, Ut 84037 Syracuse, Ut 84075 Advanced Foot & Ankle Mountain West Ent Phone: (801) 773-4840 1551 S Main St, #310 Phone: (801) 773-4840 1551 S Renaissance Towne Dr, UT Urban Medicaid UT Urban Medicaid #370 Bountiful, Ut 84010 Bountiful, Ut 84010 Phone: (801) 295-5581 Morgan, Brian H Md C Van Wormer, Terry Pa C Alpine Spine Sports & Phone: (801) 292-4425 Languages Spoken: Spanish Tanner Memorial Clinic UT Urban Medicaid UT Urban Medicaid Rehabilitation 2121 N 1700 W 1660 W Antelope Dr, #225 Layton, Ut 84041 Clark, Scott A Dpm C Vanleeuwan, Richard Neil Md C Layton, Ut 84041 Tanner Memorial Clinic Phone: (801) 773-4840 Utah Podiatry Group Phone: (801) 479-0312 UT Urban Medicaid 1660 W Antelope Dr, #110 2038 W 1900 S UT Urban Medicaid Layton, Ut 84041 Syracuse, Ut 84075 Van Wormer, Terry Pa C Phone: (801) 825-4709 Phone: (801) 773-4840 Tanner Memorial Clinic UT Urban Medicaid UT Urban Medicaid 380 N 400 W Kaysville, Ut 84037 Phone: (801) 773-4840 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 95 Davis DSpecialty Care Network avis Clark, Scott A Dpm C Rushton, Ryan Taylor Dpm C Hammond, Gregory Dean Md C Oberg, Jon C Md C Utah Podiatry Group Uuhc Davis Clinic Lakeview Internal Medicine And Tanner Memorial Clinic 620 E Medical Dr, #150 1492 W Antelope Dr, #150 Surgery 2121 N 1700 W Bountiful, Ut 84010 Layton, Ut 84041 520 E Medical Dr, #200 Layton, Ut 84041 Phone: (801) 292-5070 Phone: (801) 779-7804 Bountiful, Ut 84010 Phone: (801) 773-4840 UT Urban Medicaid UT Urban Medicaid Phone: (801) 294-9333 UT Urban Medicaid UT Urban Medicaid Flitton, Todd B Dpm C Seagle, Bryan L Dpm C Todd, Russell Haymore Md C Tanner Memorial Clinic Advanced Foot & Ankle Sadler, William Taylor Md C Bountiful Surgical Association 380 N 400 W 1551 S Renaissance Towne Dr, 415 S Medical Dr, #C202 425 Medical Dr, #101 Kaysville, Ut 84037 #370 Bountiful, Ut 84010 Bountiful, Ut 84010 Phone: (801) 773-4840 Bountiful, Ut 84010 Phone: (801) 295-8523 Phone: (801) 295-7444 UT Urban Medicaid Phone: (801) 292-4425 UT Urban Medicaid UT Urban Medicaid Languages Spoken: French Gaertner-Crison, Gretel K Dpm UT Urban Medicaid Wilson, Peter Vincent Md C D Surgery 1580 W Antelope Dr, #130 Davis Family Physicians Seegmiller, Richard Gregg Dpm C Clark, Kevin Newell Md C Layton, Ut 84041 3225 W Gordon Ave, #1 Utah Podiatry Group 425 Medical Dr, #101 Phone: (801) 728-9555 Layton, Ut 84041 1660 W Antelope Dr, #110 Bountiful, Ut 84010 Languages Spoken: French, Phone: (801) 773-7232 Layton, Ut 84041 Phone: (801) 298-9409 Spanish UT Urban Medicaid Phone: (801) 825-4709 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Glover, David Blaine Dpm C Flanders, E Dean Md C Urology Mountain View Orthopedics & Seegmiller, Richard Gregg Dpm C Tanner Memorial Clinic Sports Medicine Utah Podiatry Group 2121 N 1700 W Foot, Laura Marie Md C 1477 N 2000 W, #B 620 E Medical Dr, #150 Layton, Ut 84041 Tanner Memorial Clinic Clearfield, Ut 84015 Bountiful, Ut 84010 Phone: (801) 773-4840 2038 W 1900 S Phone: (801) 475-5683 Phone: (801) 292-5070 UT Urban Medicaid Syracuse, Ut 84075 UT Urban Medicaid UT Urban Medicaid Phone: (801) 773-4840 Freeman, Jan S Md C UT Urban Medicaid Gold Jr, Glenn S Dpm C Smith, Terry Paul Dpm C Bountiful Surgical Association Tanner Memorial Clinic Utah Podiatry Group 425 Medical Dr, #101 Foot, Laura Marie Md C 2121 N 1700 W 1660 W Antelope Dr, #110 Bountiful, Ut 84010 Tanner Memorial Clinic Layton, Ut 84041 Layton, Ut 84041 Phone: (801) 295-7444 2121 N 1700 W Phone: (801) 773-4840 Phone: (801) 825-4709 UT Urban Medicaid Layton, Ut 84041 UT Urban Medicaid UT Urban Medicaid Phone: (801) 773-4840 Jensen, Joseph Weldon Do C UT Urban Medicaid Green, Gary A Dpm C Smith, Terry Paul Dpm C 1580 W Antelope Dr, #130 Davis Valley Foot Clinic Utah Podiatry Group Layton, Ut 84041 Foot, Laura Marie Md C 670 W Shepard Ln, #102 620 E Medical Dr, #150 Phone: (801) 728-9555 Tanner Memorial Clinic Farmington, Ut 84025 Bountiful, Ut 84010 Languages Spoken: Spanish 380 N 400 W Phone: (801) 451-7500 Phone: (801) 292-5070 UT Urban Medicaid Kaysville, Ut 84037 UT Urban Medicaid UT Urban Medicaid Phone: (801) 773-4840 Larsen, Wade Bryant Md C UT Urban Medicaid Gulso, Gregory J Dpm C Warby, David Hyrum Dpm D Tanner Memorial Clinic Gulso Podiatry 934 S Main St 2121 N 1700 W Henderson, David J Md C 415 S Medical Dr, #C200 Layton, Ut 84041 Layton, Ut 84041 Lakeview Urology & General Bountiful, Ut 84010 Phone: (801) 544-4227 Phone: (801) 773-4840 Surgery Phone: (801) 294-8266 Languages Spoken: German Languages Spoken: Spanish 620 E Medical Dr, #300 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Bountiful, Ut 84010 Jex, Rodney Michael Dpm C Phone: (801) 298-3247 Pulmonary Disease Morrell, David Glen Md D UT Urban Medicaid Tanner Memorial Clinic Tanner Memorial Clinic 2121 N 1700 W Alexander, Gary James Md C 2121 N 1700 W Henderson, David J Md C Layton, Ut 84041 Tanner Memorial Clinic Layton, Ut 84041 Tanner Memorial Clinic Phone: (801) 773-4840 2121 N 1700 W Phone: (801) 773-4840 2121 N 1700 W Languages Spoken: French Layton, Ut 84041 UT Urban Medicaid Layton, Ut 84041 UT Urban Medicaid Phone: (801) 773-4840 Phone: (801) 773-4840 Oberg, Jon C Md C Potter, Brooks Hawks Dpm C Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Bountiful Surgical Association Tanner Memorial Clinic 425 Medical Dr, #101 Otto, Samuel James Md C 2121 N 1700 W Guidry, David Wayne Md C Bountiful, Ut 84010 Ogden Internal Medicine & Layton, Ut 84041 Silverton Group Phone: (801) 295-7444 Urology Phone: (801) 773-4840 401 S 400 E UT Urban Medicaid 620 E Medical Dr, #300 Languages Spoken: Spanish Bountiful, Ut 84010 Bountiful, Ut 84010 UT Urban Medicaid Phone: (801) 295-2361 Oberg, Jon C Md C Phone: (801) 298-3247 UT Urban Medicaid Lakeview Urology & General UT Urban Medicaid Richman, Brian H Dpm C Surgery 1660 W Antelope Dr, #110 620 E Medical Dr, #300 Layton, Ut 84041 Bountiful, Ut 84010 Phone: (801) 825-4709 Phone: (801) 298-3247 UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 96 Davis Specialty Care Network Grand Reynolds, James Robert Md C Podiatrist Lappe, Donald Lewis Md C Family Nurse Tanner Memorial Clinic Intermountain Utah Heart Clinic 2121 N 1700 W Gardner, Brian Kowallis Dpm C 200 N 400 E Practitioner Northeastern Utah Medical Group Layton, Ut 84041 Panguitch, Ut 84759 Richey, Tanya Darlene Np C Phone: (801) 773-4840 210 W 300 N, #75-3 Phone: (801) 507-3500 Roosevelt, Ut 84066 Spanish Valley Clinic Languages Spoken: Bosnian UT Rural Medicaid 11850 Hwy 191, #B10 UT Urban Medicaid Phone: (435) 725-2000 Languages Spoken: Spanish Osborn, Jeffrey Scott Md C Moab, Ut 84532 Walters, Perry T Md C UT Rural Medicaid Intermountain Heart Rhythm Phone: (435) 259-7606 425 Medical Dr, #112 Specialists UT Rural Medicaid Bountiful, Ut 84010 Surgery 200 N 400 E Phone: (801) 292-7249 Panguitch, Ut 84759 Medical Genetics - UT Urban Medicaid Krzymowski, David K Md C Phone: (801) 507-3513 Clinical Genetics Northeastern Utah Medical Group UT Rural Medicaid 210 W 300 N, #75-3 (M.D.) Duchesne County Roosevelt, Ut 84066 Walsh, Kevin J Md C Utah Heart Clinic Botto, Lorenzo Davide Md C Phone: (435) 725-2000 Children With Special Healthcare UT Rural Medicaid 200 N 400 E Dermatology Panguitch, Ut 84759 Needs 471 S Main St, #4 Phone: (801) 507-3500 Blake, John S Md C UT Rural Medicaid Moab, Ut 84532 Northeastern Utah Medical Group Franklin County Phone: (435) 259-5602 210 W 300 N, #75-3 Weiss, Jonathan Peter Md C UT Rural Medicaid Roosevelt, Ut 84066 Urology Intermountain Heart Rhythm Phone: (435) 725-2000 Specialists Lewin, Susan O Md C UT Rural Medicaid Callister, Michael Scott Md C 200 N 400 E Children With Special Healthcare Budge Surgical Specialists - Panguitch, Ut 84759 Needs Ophthalmology Preston Phone: (801) 507-3513 471 S Main St, #4 44 N 100 E UT Rural Medicaid Moab, Ut 84532 Powell, Shane K Md C Preston, Id 83263 Phone: (435) 259-5602 Northeastern Utah Medical Group Phone: (435) 792-1950 Dermatology UT Rural Medicaid 210 W 300 N, #75-3 Languages Spoken: Roosevelt, Ut 84066 Portuguese Adams, Benjamin Edward Do C Orthopaedic Surgery Phone: (435) 725-2000 UT Rural Medicaid Cedar Dermatology UT Rural Medicaid 200 N 400 E Smith, John Taylor Md C Panguitch, Ut 84759 Children With Special Healthcare Orthopaedic Surgery Garfield County Phone: (435) 586-6440 Needs UT Rural Medicaid 471 S Main St, #4 Mason, Mark W Md C Moab, Ut 84532 Northeastern Utah Medical Group Cardiovascular Colbert, Rand Lee Md C Phone: (435) 259-5602 210 W 300 N, #75-3 Disease Cedar Dermatology UT Rural Medicaid Roosevelt, Ut 84066 200 N 400 E C Phone: (435) 725-2000 Bunch, Thomas Jared Md C Panguitch, Ut 84759 Stevens, Peter M Md UT Rural Medicaid Intermountain Heart Rhythm Phone: (435) 586-6440 Children With Special Healthcare Specialists Languages Spoken: Russian Needs Otolaryngology 200 N 400 E UT Rural Medicaid 471 S Main St, #4 Panguitch, Ut 84759 Moab, Ut 84532 (Ent) Phone: (801) 507-3513 Phone: (435) 259-5602 Catten, Michael D Md C Languages Spoken: Spanish Grand County UT Rural Medicaid UT Rural Medicaid Northeastern Utah Medical Group Surgery 210 W 300 N, #75-3 C Cardiovascular Roosevelt, Ut 84066 Carter, Melvin Eric Md Intermountain Mt. Pleasant Clinic Disease Hayes, Kris Attwood Md C Phone: (435) 725-2000 1100 S Medical Dr Canyonlands Medical Center Languages Spoken: French Mount Pleasant, Ut 84647 Walsh, Kevin J Md C 630 W 400 N UT Rural Medicaid Phone: (435) 462-2441 Utah Heart Clinic Moab, Ut 84532 UT Rural Medicaid 719 W 4th N Phone: (435) 259-2772 Physical Medicine Moab, Ut 84532 Languages Spoken: Spanish And Rehabilitation Crandall, Brian Gregory Md C Phone: (801) 507-3500 UT Rural Medicaid Intermountain Heart Rhythm UT Rural Medicaid White, James Derrick Md C Specialists Hayes, Kris Attwood Md C Northeastern Utah Medical Group 200 N 400 E Spanish Valley Clinic 210 W 300 N, #75-3 Panguitch, Ut 84759 Family Medicine 11850 Hwy 191, #B10 Roosevelt, Ut 84066 Phone: (801) 507-3500 Black, Curtis L Md C Moab, Ut 84532 Phone: (435) 725-2000 UT Rural Medicaid Spanish Valley Clinic Phone: (435) 259-7606 UT Rural Medicaid 11850 Hwy 191, #B10 Languages Spoken: Spanish Day, John David Md C UT Rural Medicaid Intermountain Heart Rhythm Moab, Ut 84532 Specialists Phone: (435) 259-7606 Matteson, Kevin Michael Md C 200 N 400 E Languages Spoken: 380 N 500 W, #2 Panguitch, Ut 84759 Portuguese, Spanish Moab, Ut 84532 Phone: (801) 507-3513 UT Rural Medicaid Phone: (435) 259-7425 UT Rural Medicaid UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 97 Grand ISpecialty Care Network ron Vasquez, Juan Carlos Md C Dermatology Ophthalmology Pain Medicine Canyonlands Medical Center 630 W 400 N Adams, Benjamin Edward Do C Anderson, Chad W Md D Frieden, Derek Md C Moab, Ut 84532 Cedar Dermatology Mountain Eye Institute Intermountain Southwest Spine & Phone: (435) 259-2772 166 W 1325 N, #250 1811 W Royal Hunte Dr, #1 Pain Center Languages Spoken: Spanish Cedar City, Ut 84720 Cedar City, Ut 84720 1303 N Main St UT Rural Medicaid Phone: (435) 586-6440 Phone: (435) 586-1131 Cedar City, Ut 84720 UT Rural Medicaid UT Rural Medicaid Phone: (435) 868-5055 UT Rural Medicaid Iron County Colbert, Rand Lee Md C Faber, David Wayne Md C Cedar Dermatology Rocky Mountain Retina 166 W 1325 N, #250 Consultants Physician Assistant Allergy & Cedar City, Ut 84720 1811 W Royal Hunte Dr, #1 Ferguson, Joseph D Pa C Immunology Phone: (435) 586-6440 Cedar City, Ut 84720 Intermountain Southwest Spine & Languages Spoken: Russian Phone: (801) 264-4444 Pain Center Pinna, Kenneth Ralph Md C UT Rural Medicaid Languages Spoken: Spanish 1303 N Main St Southwest Allergy & Asthma UT Rural Medicaid Cedar City, Ut 84720 Clinic Family Medicine Goff, Mitchell J Md C Phone: (435) 868-5055 1303 N Main St, #B UT Rural Medicaid Cedar City, Ut 84720 Polson, Drew Ernest Md C Rocky Mountain Retina Phone: (435) 688-1128 Valley View Physicians Billing Consultants Fowler, Steven R Pa C UT Rural Medicaid 1303 N Main St 1811 W Royal Hunte Dr, #1 Intermountain Cedar City Cedar City, Ut 84721 Cedar City, Ut 84720 Specialty Clinic Cardiovascular Phone: (435) 586-7676 Phone: (801) 264-4444 1303 N Main St, #B UT Rural Medicaid UT Rural Medicaid Cedar City, Ut 84720 Disease Hurlbut-Miller, Peter Richard Phone: (435) 868-5500 Brizolara, Alberto A Md C Hematology & Md C UT Rural Medicaid Intermountain Cedar City Oncology Rocky Mountain Retina Haycock, Kimberly Dawn Pa C Specialty Clinic Consultants Cedar City Workmed 1303 N Main St, #D Lemon, Robert H Md C 1811 W Royal Hunte Dr, #1 962 S Sage Dr Cedar City, Ut 84720 Snow Canyon Clinic Cedar City, Ut 84720 Cedar City, Ut 84720 Phone: (435) 868-5500 110 W 1325 N, #200 Phone: (801) 264-4444 Phone: (435) 865-3460 Languages Spoken: Cedar City, Ut 84721 UT Rural Medicaid UT Rural Medicaid Portuguese, Spanish Phone: (435) 986-2300 UT Rural Medicaid UT Rural Medicaid Orthopaedic Surgery Johnson, Dayne Pa C Cedar City Workmed Jentzer, John H Md C Neurology Cain, James E Md C 962 S Sage Dr Intermountain Cedar City Southwest Spine & Pain Center Cedar City, Ut 84720 Specialty Clinic Jones, Gary Lee Md C 1303 N Main St Phone: (435) 865-3460 1303 N Main St, #B Snow Canyon Clinic Cedar City, Ut 84720 UT Rural Medicaid Cedar City, Ut 84720 110 W 1325 N, #200 Phone: (435) 868-5055 Phone: (435) 868-5500 Cedar City, Ut 84721 UT Rural Medicaid Johnson, Dayne Pa C UT Rural Medicaid Phone: (435) 986-2300 Intermountain Southwest Spine & UT Rural Medicaid Major, Michael R Md C Pain Center Jentzer, John H Md C Intermountain Southwest Spine & 1303 N Main St Intermountain Southwest Kirk, Vernon H Md C Pain Center Cedar City, Ut 84720 Cardiology Snow Canyon Clinic 1303 N Main St Phone: (435) 868-5055 110 W 1325 N, #100 110 W 1325 N, #200 Cedar City, Ut 84720 UT Rural Medicaid Cedar City, Ut 84721 Cedar City, Ut 84721 Phone: (435) 868-5055 Phone: (435) 251-2500 Phone: (435) 986-2300 UT Rural Medicaid Newman, Steve C Pa C UT Rural Medicaid UT Rural Medicaid 166 W 1325 N, #150 Nakken, Robert Eugene Md C Cedar City, Ut 84720 Manchanda, Aarush Md C Schlagel, Laura J Md C 166 W 1325 N, #150 Phone: (435) 586-6962 Intermountain Cedar City Snow Canyon Clinic Cedar City, Ut 84720 UT Rural Medicaid Specialty Clinic 110 W 1325 N, #200 Phone: (435) 586-6962 1303 N Main St, #B Cedar City, Ut 84721 Languages Spoken: Swedish Plastic Surgery Cedar City, Ut 84720 Phone: (435) 986-2300 UT Rural Medicaid Phone: (435) 868-5500 UT Rural Medicaid Klomp, Steven Aaron Md C UT Rural Medicaid Schmidt, John Gerhard Md C Otolaryngology Intermountain Cedar City Pulsipher, Mark William Md C Snow Canyon Clinic (Ent) Specialty Clinic Intermountain Southwest 110 W 1325 N, #200 1303 N Main St, #B Cardiology Cedar City, Ut 84721 Pearson, Robert Dean Md C Cedar City, Ut 84720 110 W 1325 N, #100 Phone: (435) 986-2300 1251 N Northfield Rd, #200 Phone: (435) 868-5500 Cedar City, Ut 84721 UT Rural Medicaid Cedar City, Ut 84720 UT Rural Medicaid Phone: (435) 251-2500 Phone: (435) 867-8719 UT Rural Medicaid UT Rural Medicaid Podiatrist Clark, Gary W Dpm C 166 W 1325 N, #300 Cedar City, Ut 84720 Phone: (435) 867-8521 UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 98 Iron MSpecialty Care Network illard Reber, Leon Keith Dpm C Stults, Michael G Md C Otolaryngology Parry, Scott A Md C Foot & Ankle Institute Intermountain Southern Utah Cuc - Coral Desert Orthopedics 1811 Royal Hunte Dr, #2 Surgical Associates (Ent) 180 W 300 N Cedar City, Ut 84720 166 W 1325 N, #350 Beus, Kirt Scott Md C Kanab, Ut 84741 Phone: (435) 586-2225 Cedar City, Ut 84720 Peak Ent Associates Phone: (800) 239-9393 UT Rural Medicaid Phone: (435) 586-8192 48 W 1500 N Languages Spoken: French UT Rural Medicaid UT Rural Medicaid Webb, Brad Scott Dpm C Nephi, Ut 84648 Advanced Foot & Ankle Phone: (801) 357-7499 Prince, Edward J Md C 1811 W Royal Hunte Dr, #2 Vascular Surgery UT Rural Medicaid Cuc - Coral Desert Orthopedics Cedar City, Ut 84720 Khoury, Michael David Md C 180 W 300 N Phone: (435) 586-2225 Intermountain Cedar City Podiatrist Kanab, Ut 84741 UT Rural Medicaid Specialty Clinic Clegg, Jared Truman Dpm C Phone: (800) 239-9393 1303 N Main St, #B Cascade Foot & Ankle Languages Spoken: Japanese Webb, Brad Scott Dpm C UT Rural Medicaid Foot & Ankle Institute Cedar City, Ut 84720 48 W 1500 N Phone: (435) 868-5500 1811 Royal Hunte Dr, #2 Nephi, Ut 84648 Cedar City, Ut 84720 UT Rural Medicaid Phone: (435) 623-3200 Mesa County Phone: (435) 586-2225 Languages Spoken: Swedish UT Rural Medicaid UT Rural Medicaid Juab County Ophthalmology Pulmonary Disease Urology Dermatology Lenahan, Deborah S Md C Hallenborg, Carl P Md C Collins, William T Md C Pediatric Eyecare Of Western Snow Canyon Clinic Eyre, Michael P Do C Cuc - Nephi - Urology Colorado 110 W 1325 N, #200 Aspen Dermatology 48 W 1500 N 3150 N 12th St Cedar City, Ut 84721 48 W 1500 N Nephi, Ut 84648 Grand Junction, Co 81506 Phone: (435) 986-2300 Nephi, Ut 84648 Phone: (801) 465-2511 Phone: (970) 254-4600 UT Rural Medicaid Phone: (435) 623-2023 UT Rural Medicaid Languages Spoken: Spanish UT Rural Medicaid UT Rural Medicaid Kline, Michael R Md C Kronmiller, Patrick W Md C Intermountain Cedar City Peterson, Chad R Md C Cuc - Nephi - Urology Specialty Clinic Aspen Dermatology 48 W 1500 N Millard County 1303 N Main St, #B 48 W 1500 N Nephi, Ut 84648 Cedar City, Ut 84720 Nephi, Ut 84648 Phone: (801) 465-2511 Cardiovascular Phone: (435) 868-5500 Phone: (435) 623-2023 UT Rural Medicaid UT Rural Medicaid Disease UT Rural Medicaid Saifee, Mustufa T Md C Hematology & Kane County Allen, Marvin R Md C Advanced Pulmonary Sleep 674 S Hwy 99 Disorders & Internal Medicine Oncology Cardiovascular Fillmore, Ut 84631 110 W 1325 N, #175 D Phone: (435) 743-5591 Cedar City, Ut 84721 Wallentine, Steven Lee Md Disease UT Rural Medicaid Phone: (435) 688-7770 Cuc - Nephi - Urology Languages Spoken: Hindi 48 W 1500 N Jentzer, John H Md C Bingham, Scott Eugene Md C UT Rural Medicaid Nephi, Ut 84648 Intermountain Southwest 674 S Hwy 99 Phone: (801) 465-2511 Cardiology Fillmore, Ut 84631 UT Rural Medicaid 355 N Main St Phone: (435) 743-5591 Radiation Oncology Kanab, Ut 84741 UT Rural Medicaid Donaldson, Craig W Md C Ophthalmology Phone: (435) 251-2500 UT Rural Medicaid Carter, Melvin Eric Md C Radiation Oncology Group Lohner, William Scott Md C 674 S Hwy 99 1303 N Main St Nephi Medical Clinic Fillmore, Ut 84631 Cedar City, Ut 84720 48 W 1500 N Ophthalmology Phone: (435) 743-5591 Phone: (435) 688-4175 UT Rural Medicaid UT Rural Medicaid Nephi, Ut 84648 Anderson, Chad W Md D Phone: (435) 623-3200 Mountain Eye Institute Cragun, David Turley Md C Hyde, Christian Cooper Md C UT Rural Medicaid 76 E 100 S 674 S Hwy 99 Radiation Oncology Group Kanab, Ut 84741 Fillmore, Ut 84631 1303 N Main St Orthopaedic Surgery Phone: (435) 586-1131 Phone: (435) 743-5591 Cedar City, Ut 84720 UT Rural Medicaid UT Rural Medicaid Phone: (435) 688-4175 Holman, Joel E Md C UT Rural Medicaid Nephi Medical Clinic Orthopaedic Surgery Dahl, Charles F Md C 48 W 1500 N 674 S Hwy 99 Surgery Nephi, Ut 84648 Anderson, Michael B Md C Fillmore, Ut 84631 Phone: (435) 623-3200 Cuc - Coral Desert Orthopedics Phone: (435) 743-5591 Munford, Michael Irving Md C UT Rural Medicaid 180 W 300 N UT Rural Medicaid 166 W 1325 N, #360 Kanab, Ut 84741 Cedar City, Ut 84720 Phone: (800) 239-9393 Frischknecht, John Kay Md C Phone: (435) 586-8192 UT Rural Medicaid 674 S Hwy 99 UT Rural Medicaid Fillmore, Ut 84631 Phone: (435) 743-5591 UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 99 Millard Specialty Care Network Salt Lake Smith, Douglas Richard Md C Hansen, Thomas Randy Md C Chenworth, Eric C Do D Brown, Ronald Earl Md C 674 S Hwy 99 Ihc Health Center - Delta Intermountain Allergy & Asthma Heart Center Fillmore, Ut 84631 126 S White Sage Ave Clinic 1160 E 3900 S, #2000 Phone: (435) 743-5591 Delta, Ut 84624 6065 S Fashion Blvd, #255 Holladay, Ut 84124 UT Rural Medicaid Phone: (435) 864-5591 Murray, Ut 84107 Phone: (801) 266-3418 UT Rural Medicaid Phone: (801) 266-4115 UT Urban Medicaid Dermatology Languages Spoken: Spanish Stults, Michael G Md C UT Urban Medicaid Calame, Thomas Robert Md C Adams, Benjamin Edward Do C Intermountain Southern Utah Cardiovascular Consultants Of Cedar Dermatology Surgical Associates Cardiovascular Utah 126 S White Sage Ave 700 S Hwy 99 24 S 1100 E, #304 Delta, Ut 84624 Fillmore, Ut 84631 Disease Salt Lake City, Ut 84102 Phone: (435) 864-5591 Phone: (435) 743-5555 Phone: (801) 746-4440 UT Rural Medicaid Adjei-Poku, Michael Md C UT Urban Medicaid UT Rural Medicaid Heart Center Adams, Benjamin Edward Do C Urology 1160 E 3900 S, #2000 Calame, Thomas Robert Md C Cedar Dermatology Holladay, Ut 84124 Multispecialty Partners 674 S Hwy 99 Collins, William T Md C Phone: (801) 266-3418 24 S 1100 E, #304 Fillmore, Ut 84631 Cuc - Delta - Urology UT Urban Medicaid Salt Lake City, Ut 84102 Phone: (435) 743-5555 126 S White Sage Ave Phone: (801) 746-4440 Adjei-Poku, Michael Md C UT Urban Medicaid UT Rural Medicaid Delta, Ut 84624 Heart Center Phone: (801) 465-2511 3584 W 9000 S, #209 Edwards II, Thomas S Md C Colbert, Rand Lee Md C UT Rural Medicaid Cedar Dermatology West Jordan, Ut 84088 Heart Center 126 S White Sage Ave Kronmiller, Patrick W Md C Phone: (801) 676-3776 1160 E 3900 S, #2000 Delta, Ut 84624 Cuc - Delta - Urology UT Urban Medicaid Holladay, Ut 84124 Phone: (435) 864-5591 126 S White Sage Ave Phone: (801) 266-3418 Adjei-Poku, Michael Md C UT Urban Medicaid Languages Spoken: Russian Delta, Ut 84624 Heart Center UT Rural Medicaid Phone: (801) 465-2511 3725 W 4100 S, 1st Fl Ganellen, Edward Md C UT Rural Medicaid Colbert, Rand Lee Md C West Valley City, Ut 84120 Heart Center Cedar Dermatology Phone: (801) 968-1818 1160 E 3900 S, #2000 674 S Hwy 99 Montezuma County UT Urban Medicaid Holladay, Ut 84124 Fillmore, Ut 84631 Phone: (801) 266-3418 Brann, William Marcus Md C UT Urban Medicaid Phone: (435) 743-5555 Cardiovascular Consultants Of Languages Spoken: Russian Surgery Utah Ganellen, Edward Md C UT Rural Medicaid Matteson, Kevin Michael Md C 82 S 1100 E, #103 Heart Center Four Corners Surgical Salt Lake City, Ut 84102 5169 S Cottonwood St, #B620 Family Medicine 111 N Park St Phone: (801) 746-4440 Murray, Ut 84107 Cortez, Co 81321 Languages Spoken: French Phone: (801) 507-8600 Polson, Drew Ernest Md C UT Urban Medicaid Fillmore Community Medical Phone: (970) 565-6670 UT Urban Medicaid Center UT Rural Medicaid Brann, William Marcus Md C Gilmore, Paul Stephen Md C 674 S Hwy 99 The Heart And Lung Institute Of Heart Center Fillmore, Ut 84631 Salt Lake County Utah 1160 E 3900 S, #2000 Phone: (435) 743-5591 3336 S 4155 W, #203 Holladay, Ut 84124 UT Rural Medicaid Salt Lake City, Ut 84120 Phone: (801) 266-3418 Adult Health Nurse Phone: (801) 263-2370 UT Urban Medicaid Ophthalmology Languages Spoken: French Practitioner UT Urban Medicaid Gilmore, Paul Stephen Md C Lohner, William Scott Md C Terry, Kayleen Aprn C Heart Center Delta Family Medicine Mountain Medical Vein Center Brann, William Marcus Md C 3584 W 9000 S, #209 140 S White Sage Ave 5323 S Woodrow St, #102 The Heart And Lung Institute Of West Jordan, Ut 84088 Delta, Ut 84624 Murray, Ut 84107 Utah Phone: (801) 676-3776 Phone: (435) 864-3333 Phone: (801) 713-1010 5979 S Fashion Blvd UT Urban Medicaid UT Rural Medicaid Murray, Ut 84107 UT Urban Medicaid Phone: (801) 263-2370 Gilmore, Paul Stephen Md C Lohner, William Scott Md C Languages Spoken: French Heart Center Fillmore Family Medical Center Allergy & UT Urban Medicaid 3725 W 4100 S, 1st Fl 674 S Hwy 99 Immunology West Valley City, Ut 84120 Fillmore, Ut 84631 Brann, William Marcus Md C Phone: (801) 968-1818 Phone: (435) 743-5555 Chenworth, Eric C Do D The Heart And Lung Institute Of UT Urban Medicaid UT Rural Medicaid Intermountain Allergy & Asthma Utah Clinic 82 S 1100 E, #103 Hacking, Scott B Md C Surgery 150 S 1000 E Salt Lake City, Ut 84102 Heart Center Salt Lake City, Ut 84102 Phone: (801) 263-2370 1160 E 3900 S, #2000 Butte, Jeffery Brandon Do C Phone: (801) 363-4071 Languages Spoken: French Holladay, Ut 84124 Intermountain Mt. Pleasant Clinic Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 266-3418 126 White Sage Ave UT Urban Medicaid UT Urban Medicaid Delta, Ut 84624 Phone: (435) 864-5591 UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 100 Salt Lake Specialty Care Network Salt Lake Hacking, Scott B Md C Mackie, Robert William Md C Milavetz, James J Md C Sharma, Pawan Kumar Md C Heart Center Heart Center The Heart And Lung Institute Of Heart Center 3584 W 9000 S, #209 5169 S Cottonwood St, #B620 Utah 1160 E 3900 S, #2000 West Jordan, Ut 84088 Murray, Ut 84107 3336 S 4155 W, #203 Holladay, Ut 84124 Phone: (801) 676-3776 Phone: (801) 507-8600 Salt Lake City, Ut 84120 Phone: (801) 266-3418 UT Urban Medicaid UT Urban Medicaid Phone: (801) 263-2370 Languages Spoken: Hindi UT Urban Medicaid UT Urban Medicaid Haws, Charles W Md C Madsen, Bard R Md C Heart Center The Heart And Lung Institute Of Milavetz, James J Md C Sharp, Sally Dee Md C 1160 E 3900 S, #2000 Utah The Heart And Lung Institute Of Heart Center Holladay, Ut 84124 3336 S 4155 W, #203 Utah 1160 E 3900 S, #2000 Phone: (801) 266-3418 Salt Lake City, Ut 84120 3570 E 9000 S, #110 Holladay, Ut 84124 UT Urban Medicaid Phone: (801) 263-2370 West Jordan, Ut 84088 Phone: (801) 284-4515 UT Urban Medicaid Phone: (801) 263-2370 UT Urban Medicaid Haws, Charles W Md C UT Urban Medicaid Heart Center Madsen, Bard R Md C Szwajkun, Konstantyn Y Md C 3584 W 9000 S, #209 The Heart And Lung Institute Of Milavetz, James J Md C The Heart And Lung Institute Of West Jordan, Ut 84088 Utah The Heart And Lung Institute Of Utah Phone: (801) 676-3776 3570 W 9000 S, #110 Utah 3336 S 4155 W, #203 UT Urban Medicaid West Jordan, Ut 84108 5979 S Fashion Blvd Salt Lake City, Ut 84120 Phone: (801) 233-0140 Murray, Ut 84107 Phone: (801) 263-2370 Haws, Charles W Md C UT Urban Medicaid Phone: (801) 263-2370 UT Urban Medicaid Heart Center UT Urban Medicaid 3725 W 4100 S, 1st Fl Madsen, Bard R Md C Szwajkun, Konstantyn Y Md C West Valley City, Ut 84120 The Heart And Lung Institute Of Milavetz, James J Md C The Heart And Lung Institute Of Phone: (801) 968-1818 Utah The Heart And Lung Institute Of Utah UT Urban Medicaid 5979 S Fashion Blvd Utah 3570 W 9000 S, #110 Murray, Ut 84107 82 S 1100 E, #103 West Jordan, Ut 84108 Keep, Mark Hawthorne Md C Phone: (801) 263-2370 Salt Lake City, Ut 84102 Phone: (801) 233-0140 Canyon Crest Heart And Health UT Urban Medicaid Phone: (801) 263-2370 UT Urban Medicaid 11762 S State St, #360 UT Urban Medicaid Draper, Ut 84020 Madsen, Bard R Md C Szwajkun, Konstantyn Y Md C Phone: (801) 571-6364 The Heart And Lung Institute Of Nielson, Kenneth George Md C The Heart And Lung Institute Of UT Urban Medicaid Utah Heart Center Utah 82 S 1100 E, #103 1160 E 3900 S, #2000 5979 S Fashion Blvd Kenwood, Bruce Richard Do C Salt Lake City, Ut 84102 Holladay, Ut 84124 Murray, Ut 84107 The Heart And Lung Institute Of Phone: (801) 263-2370 Phone: (801) 266-3418 Phone: (801) 263-2370 Utah UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid 3336 S 4155 W, #203 Salt Lake City, Ut 84120 Massinople, David Samuel Md C Polukoff, Gerald Ira Md C Szwajkun, Konstantyn Y Md C Phone: (801) 263-2370 The Heart And Lung Institute Of Heart Center The Heart And Lung Institute Of UT Urban Medicaid Utah 1160 E 3900 S, #2000 Utah 3336 S 4155 W, #203 Holladay, Ut 84124 82 S 1100 E, #103 Kenwood, Bruce Richard Do C Salt Lake City, Ut 84120 Phone: (801) 266-3418 Salt Lake City, Ut 84102 The Heart And Lung Institute Of Phone: (801) 263-2370 UT Urban Medicaid Phone: (801) 263-2370 Utah UT Urban Medicaid UT Urban Medicaid 3570 W 9000 S, #110 Polukoff, Gerald Ira Md C West Jordan, Ut 84108 Massinople, David Samuel Md C Heart Center Zebrack, James Scott Md C Phone: (801) 233-0140 The Heart And Lung Institute Of 5169 S Cottonwood St, #B620 Heart Center UT Urban Medicaid Utah Murray, Ut 84107 1160 E 3900 S, #2000 3570 W 9000 S, #110 Phone: (801) 507-8600 Holladay, Ut 84124 Kenwood, Bruce Richard Do C West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 284-4515 The Heart And Lung Institute Of Phone: (801) 233-0140 UT Urban Medicaid Utah UT Urban Medicaid Rawling, David A Md D 5979 S Fashion Blvd Wasatch Cardiology Consultants Zebrack, James Scott Md C Murray, Ut 84107 Massinople, David Samuel Md C 6011 S Redwood Rd Heart Center Phone: (801) 263-2370 The Heart And Lung Institute Of Taylorsville, Ut 84123 5169 S Cottonwood St, #B620 UT Urban Medicaid Utah Phone: (801) 293-7001 Murray, Ut 84107 5979 S Fashion Blvd UT Urban Medicaid Phone: (801) 507-8600 Kenwood, Bruce Richard Do C Murray, Ut 84107 UT Urban Medicaid The Heart And Lung Institute Of Phone: (801) 263-2370 Rokeach, Steven Alan Md C Utah UT Urban Medicaid Heart Center Colon & Rectal 82 S 1100 E, #103 1160 E 3900 S, #2000 Salt Lake City, Ut 84102 Massinople, David Samuel Md C Holladay, Ut 84124 Surgery Phone: (801) 263-2370 The Heart And Lung Institute Of Phone: (801) 266-3418 UT Urban Medicaid Utah UT Urban Medicaid Bossart, Peter William Md C 82 S 1100 E, #103 Colon & Rectal Center Of Utah Mackie, Robert William Md C Salt Lake City, Ut 84102 Rokeach, Steven Alan Md C 324 E 10th Ave, #280 Heart Center Phone: (801) 263-2370 Heart Center Salt Lake City, Ut 84103 1160 E 3900 S, #2000 UT Urban Medicaid 5169 S Cottonwood St, #B620 Phone: (801) 408-5930 Holladay, Ut 84124 Murray, Ut 84107 UT Urban Medicaid Phone: (801) 266-3418 Phone: (801) 507-8600 UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 101 Salt Lake Specialty Care Network Salt Lake Eyring, Edward Joseph Md C Johnson, Joyce Dunn Md C Goodman, Gordon Timothy Md Barnett, Robert Kyle Md C 10011 S Centennial Pkwy, #150 Health Clinics Of Utah C Granite Peaks Gastroenterology Sandy, Ut 84070 168 N 1950 W, #201 Salt Lake Senior Clinic 10150 S Petunia Way, #B Phone: (801) 265-3978 Salt Lake City, Ut 84114 82 S 1100 E, #204 Sandy, Ut 84094 UT Urban Medicaid Phone: (801) 715-3500 Salt Lake City, Ut 84102 Phone: (801) 619-1115 UT Urban Medicaid Phone: (801) 350-4602 UT Urban Medicaid Griffin, John Anthony Md C UT Urban Medicaid Cuc - Sl - Colon & Rectal Surgery Southwick, Edward G Md C Barnett, Robert Kyle Md C 1250 E 3900 S, # 220 3465 S 4155 W, #1 Grua, James R Md C Granite Peaks Gastroenterology Salt Lake City, Ut 84124 West Valley City, Ut 84120 Utah Endocrinology Associates 9829 S 1300 E, #200 Phone: (801) 265-9139 Phone: (801) 966-1403 470 E 3900 S, #200 Sandy, Ut 84094 UT Urban Medicaid UT Urban Medicaid Murray, Ut 84107 Phone: (801) 619-9000 Phone: (801) 747-2800 UT Urban Medicaid Hughes, Joseph P Md C Topham, E Barry Md C UT Urban Medicaid 1250 E 3900 S, #320 1775 E 4500 S Boschert, Mark E Md C Salt Lake City, Ut 84124 Salt Lake City, Ut 84117 Raman, Vandana S Md C Mountain West Gastroenterology Phone: (801) 266-1409 Phone: (801) 272-4408 Utah Diabetes Center 6360 S 3000 E, #320 UT Urban Medicaid UT Urban Medicaid 615 Arapeen Dr, #100 Salt Lake City, Ut 84121 Salt Lake City, Ut 84108 Phone: (801) 944-3166 Murday, Michelle Elise Md C Williams, Brian J Md C Phone: (801) 588-2000 UT Urban Medicaid 1250 E 3900 S, #330 602 E Fort Union Blvd, 2nd Fl UT Urban Medicaid Holladay, Ut 84124 Midvale, Ut 84047 Bowers, John H Md C Phone: (801) 263-1621 Phone: (801) 313-1010 Family Nurse Mountain West Gastroenterology UT Urban Medicaid UT Urban Medicaid 6360 S 3000 E, #320 Practitioner Salt Lake City, Ut 84121 Waldron, Jill Elisabeth Md C Endocrinology, Phone: (801) 944-3166 1220 E 3900 S, #4i Atwood, Lynne G Np C UT Urban Medicaid Salt Lake City, Ut 84124 Diabetes & Copper Canyon Womens Center Phone: (801) 263-1621 Metabolism 3336 S Pioneer Pkwy, #301 Box, Terry D Md C UT Urban Medicaid West Valley City, Ut 84120 Mountain West Gastroenterology Abu-Khalaf, Susan M Md C Phone: (801) 964-3865 6360 S 3000 E, #320 Dermatology Utah Endocrinology Associates UT Urban Medicaid Salt Lake City, Ut 84121 470 E 3900 S, #200 Phone: (801) 944-3166 Bradley, R Ralph Md C Murray, Ut 84107 Bleak, Shirley Np C UT Urban Medicaid 166 E 5900 S, #B111 Phone: (801) 747-2800 Utah Cancer Specialists Murray, Ut 84107 UT Urban Medicaid 5121 S Cottonwood St, Bldga-2 Buchi, Kenneth N Md D Phone: (801) 268-9672 Murray, Ut 84107 3584 W 9000 S, #300 UT Urban Medicaid Brady, Bruce Ryan Md C Phone: (801) 263-3416 West Jordan, Ut 84084 Utah Endocrinology Associates UT Urban Medicaid Phone: (801) 254-8620 Flint, Ivan Dean Md C 470 E 3900 S, #200 UT Urban Medicaid 1250 E 3900 S, #450 Murray, Ut 84107 Cox, Linda S Aprn C Holladay, Ut 84124 Phone: (801) 747-2800 Advanced Wound Care Of Canale, Christopher Copp Md C Phone: (801) 262-3600 UT Urban Medicaid America Mountain West Gastroenterology Languages Spoken: Spanish 2520 W 4700 S, #2a 6360 S 3000 E, #320 UT Urban Medicaid Burr, Robert Eaton Md C Taylorsville, Ut 84118 Salt Lake City, Ut 84121 Granger Medical Clinic Phone: (801) 964-2008 Phone: (801) 944-3166 Hinckley, Michael R Md C 3725 W 4100 S UT Urban Medicaid Languages Spoken: French Granger Medical Clinic West Valley City, Ut 84120 UT Urban Medicaid 12391 S 4000 W Phone: (801) 965-3600 Litchman, Michelle Leann Aprn Riverton, Ut 84065 Languages Spoken: Spanish C Clark, Holly B Md C Phone: (801) 302-1700 UT Urban Medicaid Wasatch Endocrinology Gastroenterology Associates Languages Spoken: Czech, 807 E South Temple, #101 1250 E 3900 S, #360 Spanish Burr, Robert Eaton Md D Salt Lake City, Ut 84102 Holladay, Ut 84124 UT Urban Medicaid Wasatch Endocrinology Phone: (801) 746-0776 Phone: (801) 263-3041 807 E South Temple, #101 UT Urban Medicaid UT Urban Medicaid Hinckley, Michael R Md C Salt Lake City, Ut 84102 Granger Medical Clinic Phone: (801) 746-0776 Meidinger, Gladys Kaye Aprn C Craig, Richard Md C 3725 W 4100 S Languages Spoken: Spanish Mountain West Gastroenterology Uuhc Redwood Clinic West Valley City, Ut 84120 UT Urban Medicaid 6360 S 3000 E, #320 1525 W 2100 S Phone: (801) 965-3600 Salt Lake City, Ut 84121 West Valley City, Ut 84119 Languages Spoken: Czech, Falahati-Nini, Alireza Md C Phone: (801) 944-3166 Phone: (801) 213-9900 Spanish Utah Endocrinology Associates UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid 470 E 3900 S, #200 Murray, Ut 84107 Gastroenterology Cutler, Christopher S Md C Johnson, Joyce Dunn Md C Phone: (801) 747-2800 Granite Peaks Gastroenterology Alpine Internal Medicine Division UT Urban Medicaid Adler, Douglas Graham Md C 9829 S 1300 E, #200 1060 E 100 S, #L10 Uuhc Redwood Clinic Sandy, Ut 84094 Salt Lake City, Ut 84102 Goodman, Gordon Timothy Md 1525 W 2100 S Phone: (801) 619-9000 Phone: (801) 328-1260 C West Valley City, Ut 84119 UT Urban Medicaid UT Urban Medicaid Lakeside Comprehensive Health Phone: (801) 213-9900 3336 S Pioneer Pkwy, #203 UT Urban Medicaid West Valley City, Ut 84121 Phone: (801) 964-3697 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 102 Salt Lake Specialty Care Network Salt Lake Desautels, Steven Gregg Md C Joseph, Ronald D Md C Ryser, Randall James Md C Zempolich, Karen Ann Md C Granite Peaks Gastroenterology Gastroenterology Associates Mountain West Gastroenterology Monarch Womens Cancer Center 9829 S 1300 E, #200 1250 E 3900 S, #360 5770 S 250 E, #445 1140 E 3900 S, #340 Sandy, Ut 84094 Holladay, Ut 84124 Murray, Ut 84107 Holladay, Ut 84124 Phone: (801) 619-9000 Phone: (801) 263-3041 Phone: (801) 314-4222 Phone: (801) 743-4730 UT Urban Medicaid UT Urban Medicaid Languages Spoken: German UT Urban Medicaid UT Urban Medicaid Doxey, Brett W Md C Karnam, Umaprasanna S Md C Mountain West Gastroenterology Gut Whisperer Sossenheimer, Michael J Md C Hand Surgery 6360 S 3000 E, #320 2295 S Foothill Dr Mountain West Gastroenterology Burrows, James Douglas Md D Salt Lake City, Ut 84121 Salt Lake City, Ut 84109 6360 S 3000 E, #320 Associates In Orthopaedic Surgery Phone: (801) 944-3166 Phone: (801) 254-8620 Salt Lake City, Ut 84121 3336 S Pioneer Pkwy, #102 UT Urban Medicaid UT Urban Medicaid Phone: (801) 944-3166 West Valley City, Ut 84120 Languages Spoken: German Phone: (801) 964-3925 Ellington, Stewart Lane Md C Karnam, Umaprasanna S Md C UT Urban Medicaid Salt Lake Endoscopy Center Gut Whisperer UT Urban Medicaid 24 S 1100 E, #103 24 S 1100 E, #103 Trowbridge, David Bradley Md C Burrows, James Douglas Md D Salt Lake City, Ut 84102 Salt Lake City, Ut 84102 Gastroenterology Associates Associates In Orthopaedic Surgery Phone: (801) 364-5767 Phone: (801) 521-0861 1250 E 3900 S, #360 3665 S 8400 W, #200 Languages Spoken: Spanish UT Urban Medicaid Holladay, Ut 84124 Magna, Ut 84044 UT Urban Medicaid Phone: (801) 263-3041 Phone: (801) 964-3925 Karnam, Umaprasanna S Md C UT Urban Medicaid Fenton, Peter C Md C Gut Whisperer UT Urban Medicaid Mountain West Gastroenterology 3584 W 9000 S, #300 Wills, Jason C Md C 6360 S 3000 E, #320 West Jordan, Ut 84088 Gastroenterology Associates Hematology & Salt Lake City, Ut 84121 Phone: (801) 254-8620 1250 E 3900 S, #360 Oncology Phone: (801) 944-3166 UT Urban Medicaid Holladay, Ut 84124 UT Urban Medicaid Phone: (801) 263-3041 Chandramouli, Nitin Basaviah Moore, David R Md C Languages Spoken: Spanish Md C Frech, Edward J Md C Mountain West Gastroenterology UT Urban Medicaid Utah Cancer Specialists Mountain West Gastroenterology 3741 W 12600 S, #470 3838 S 700 E, #100 5770 S 250 E, #445 Salt Lake City, Ut 84065 Salt Lake City, Ut 84106 Murray, Ut 84107 Phone: (801) 285-4850 Gynecology Phone: (801) 269-0231 Phone: (801) 314-4222 UT Urban Medicaid Chichester, Danny L Md D UT Urban Medicaid UT Urban Medicaid Moore, David R Md C Gynecology Affiliates Chandramouli, Nitin Basaviah Frech, Edward J Md C Mountain West Gastroenterology 1140 E 3900 S, #300 Md C Mountain West Gastroenterology 5770 S 250 E, #445 Salt Lake City, Ut 84124 Utah Cancer Specialists 6360 S 3000 E, #320 Murray, Ut 84107 Phone: (801) 268-8222 9720 S 1300 E, #W210 Murray, Ut 84107 Phone: (801) 314-4222 UT Urban Medicaid Sandy, Ut 84094 Phone: (801) 944-3166 UT Urban Medicaid Graul, Elizabeth Ann Md C Phone: (801) 262-5679 UT Urban Medicaid Moore, David R Md C Phase II Womens Center UT Urban Medicaid Harmston, Gordon Eugene Md C Mountain West Gastroenterology 348 E 4500 S, #200 Difiore, Kent Christopher Md C Mountain West Gastroenterology 6360 S 3000 E, #320 Murray, Ut 84107 Utah Cancer Specialists 6360 S 3000 E, #320 Salt Lake City, Ut 84121 Phone: (801) 262-9800 3838 S 700 E, #100 Salt Lake City, Ut 84121 Phone: (801) 944-3166 UT Urban Medicaid Salt Lake City, Ut 84106 Phone: (801) 944-3166 UT Urban Medicaid Hurst, Barbara Md C Phone: (801) 269-0231 UT Urban Medicaid Oelsner, David Howard Md C Phase II Womens Center UT Urban Medicaid Heiner, Andrew Martin Md C Granger Medical Clinic 348 E 4500 S, #200 Difiore, Kent Christopher Md C Granite Peaks Gastroenterology 3725 W 4100 S Murray, Ut 84107 Utah Cancer Specialists 9829 S 1300 E, #200 West Valley City, Ut 84120 Phone: (801) 262-9800 9720 S 1300 E, #W210 Sandy, Ut 84094 Phone: (801) 965-3600 UT Urban Medicaid Sandy, Ut 84094 Phone: (801) 619-9000 UT Urban Medicaid Mainwaring, Robin Gay Md C Phone: (801) 262-5679 Languages Spoken: French Gynecology Affiliates UT Urban Medicaid UT Urban Medicaid Pedersen, Peder Jens Md C Gastroenterology Associates 1140 E 3900 S, #300 Gregg, Xylina Thais Md C Jones, Robert Glenn Md C 1250 E 3900 S, #360 Salt Lake City, Ut 84124 Utah Cancer Specialists Mountain West Gastroenterology Holladay, Ut 84124 Phone: (801) 268-8222 333 S 900 E 5770 S 250 E, #445 Phone: (801) 263-3041 UT Urban Medicaid Salt Lake City, Ut 84102 Murray, Ut 84107 UT Urban Medicaid Morgan, Lisa Ann Md C Phone: (801) 535-8166 Phone: (801) 314-4222 Gynecology Affiliates UT Urban Medicaid UT Urban Medicaid Radwin, Martin Ira Md C Granger Medical Clinic 1140 E 3900 S, #300 Gregg, Xylina Thais Md C Jones, Robert Glenn Md C 3725 W 4100 S Salt Lake City, Ut 84124 Utah Cancer Specialists Mountain West Gastroenterology West Valley City, Ut 84120 Phone: (801) 268-8222 3838 S 700 E, #100 6360 S 3000 E, #320 Phone: (801) 965-3600 UT Urban Medicaid Salt Lake City, Ut 84106 Salt Lake City, Ut 84121 UT Urban Medicaid Rhode, Jennifer M Md C Phone: (801) 269-0231 Phone: (801) 944-3166 Monarch Womens Cancer Center UT Urban Medicaid UT Urban Medicaid 1140 E 3900 S, #340 Holladay, Ut 84124 Phone: (801) 743-4730 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 103 Salt Lake Specialty Care Network Salt Lake Prystas, Elizabeth M Md C Internal Medicine Zubair, Imran Md C Medical Oncology Wasatch Hematology/Oncology Cardiovascular Consultants Of Associates Bitar, Hussam Md C Utah Beck, Anna C Md C 324 E 10th Ave, #274 Institute For Specialty Surgery 24 S 1100 E, #205 Utah Cancer Specialists Salt Lake City, Ut 84103 3336 S Pioneer Pkwy, #306 Salt Lake City, Ut 84102 3838 S 700 E, #100 Phone: (801) 408-5757 West Valley City, Ut 84120 Phone: (801) 746-0430 Salt Lake City, Ut 84106 UT Urban Medicaid Phone: (801) 964-3855 UT Urban Medicaid Phone: (801) 269-0231 UT Urban Medicaid Languages Spoken: Spanish Samuelson, Scott James Md C Maternal & Fetal UT Urban Medicaid Utah Cancer Specialists Harold, Emily Jane Md C 333 S 900 E Uuhc Redwood Clinic Medicine Beck, Anna C Md C Salt Lake City, Ut 84102 1525 W 2100 S Utah Cancer Specialists Phone: (801) 535-8166 West Valley City, Ut 84119 Ball, Robert Henry Md C 4052 W Pioneer Pkwy, #101 UT Urban Medicaid Phone: (801) 213-9900 St Marks Maternal Fetal Associates West Valley City, Ut 84120 UT Urban Medicaid 1140 E 3900 S, #390 Phone: (801) 967-1000 Samuelson, Scott James Md C Holladay, Ut 84124 Languages Spoken: Spanish Utah Cancer Specialists Nabi, Syed Iftikharun Md C Phone: (801) 743-4700 UT Urban Medicaid 3838 S 700 E, #100 The Sleep Institute Of Utah UT Urban Medicaid Salt Lake City, Ut 84106 8706 S 700 E, #207 Beck, Anna C Md C Phone: (801) 269-0231 Sandy, Ut 84070 Belfort, Michael Anthony Md C Utah Cancer Specialists UT Urban Medicaid Phone: (866) 227-5337 St Marks Maternal Fetal Associates 5121 S Cottonwood St, Bldga-2 Languages Spoken: Urdu 1140 E 3900 S, #390 Murray, Ut 84157 Samuelson, Scott James Md C UT Urban Medicaid Holladay, Ut 84124 Phone: (801) 263-3416 Utah Cancer Specialists Phone: (801) 743-4700 Languages Spoken: Spanish 5121 S Cottonwood St, Bldga-2 Schmidt, John David Md C UT Urban Medicaid UT Urban Medicaid Murray, Ut 84107 Granite Peaks Gastroenterology Phone: (801) 263-3416 9829 S 1300 E, #200 Branch, D Ware Md C Beck, Anna C Md C UT Urban Medicaid Sandy, Ut 84094 100 N Mario Capecchi Dr Utah Cancer Specialists Phone: (801) 619-9000 Salt Lake City, Ut 84113 9720 S 1300 E, #W210 Samuelson, Scott James Md C UT Urban Medicaid Phone: (801) 662-1000 Sandy, Ut 84094 Utah Cancer Specialists UT Urban Medicaid Phone: (801) 262-5679 82 S 1100 E, #403 Vacharothone, Rachot K Md C Dildy III, Gary Andrew Md C Languages Spoken: Spanish Salt Lake City, Ut 84102 Utah Pain Relief Institute South UT Urban Medicaid Phone: (801) 364-1006 32 W 6400 S, #201 Maternal Fetal Services Of Utah UT Urban Medicaid Murray, Ut 84107 1140 E 3900 S, #390 Corcoran, Melissa Charlene Md Phone: (801) 281-0555 Holladay, Ut 84124 C Languages Spoken: Thai Phone: (801) 743-4700 Utah Cancer Specialists Infectious Disease UT Urban Medicaid UT Urban Medicaid 3838 S 700 E, #100 Amber, Ina J Md C Herbst, Melissa Ann Md C Salt Lake City, Ut 84106 1151 E 3900 S, #B299 Interventional St Marks Maternal Fetal Associates Phone: (801) 269-0231 Holladay, Ut 84124 Cardiology 1140 E 3900 S, #390 UT Urban Medicaid Phone: (801) 268-6830 Salt Lake City, Ut 84124 UT Urban Medicaid Corcoran, Melissa Charlene Md Elhaddi, Adam M Md C Phone: (801) 743-4700 C Oliver, Marquam R Md D The Heart And Lung Institute Of UT Urban Medicaid Utah Cancer Specialists Utah 5121 S Cottonwood St, Bldga-2 Internal Medicine At St Marks 3336 S 4155 W, #203 Holmgren, Calla M Md C Hospital Ldsh Maternal Fetal Medicine Murray, Ut 84157 Salt Lake City, Ut 84120 Phone: (801) 263-3416 1160 E 3900 S, #1200 Phone: (801) 263-2370 8th Ave & C St Holladay, Ut 84124 Salt Lake City, Ut 84143 UT Urban Medicaid Phone: (801) 261-9651 Languages Spoken: Arabic UT Urban Medicaid Phone: (801) 408-3446 Corcoran, Melissa Charlene Md UT Urban Medicaid UT Urban Medicaid C C Trachtenberg, Joel D Md D Elhaddi, Adam M Md Utah Cancer Specialists Internal Medicine At St Marks The Heart And Lung Institute Of Medical Genetics - 9720 S 1300 E, #W210 Hospital Utah Clinical Genetics Sandy, Ut 84094 1160 E 3900 S, #1200 5979 S Fashion Blvd Phone: (801) 262-5679 Murray, Ut 84107 (M.D.) UT Urban Medicaid Holladay, Ut 84124 Phone: (801) 263-2370 Phone: (801) 261-9651 Rope, Alan F Md C UT Urban Medicaid Languages Spoken: Arabic Frame, Richard N Md C UT Urban Medicaid Pcmc - Pediatric Genetics Utah Cancer Specialists 100 N Medical Dr Updike, Wanda S Md C C 333 S 900 E Alpine Internal Medicine Division Elhaddi, Adam M Md Salt Lake City, Ut 84132 Salt Lake City, Ut 84102 1060 E 100 S, #L10 The Heart And Lung Institute Of Phone: (801) 581-8943 Phone: (801) 535-8166 Utah UT Urban Medicaid UT Urban Medicaid Salt Lake City, Ut 84102 82 S 1100 E, #103 Phone: (801) 328-1260 Viskochil, David H Md D UT Urban Medicaid Salt Lake City, Ut 84102 Frame, Richard N Md C Phone: (801) 263-2370 Children With Special Healthcare Utah Cancer Specialists Languages Spoken: Arabic Needs 3838 S 700 E, #100 UT Urban Medicaid 55 Mario Capecchi Dr Salt Lake City, Ut 84106 Salt Lake City, Ut 84114 Phone: (801) 269-0231 Phone: (801) 584-8284 UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 104 Salt Lake Specialty Care Network Salt Lake Frame, Richard N Md C Morgan, Ross Eric Md C La Pine, Timothy R Md C Junejo, Nazia Md C Utah Cancer Specialists Wasatch Hematology/Oncology Western Newborn Specialists Davita Nephrology Partners 82 S 1100 E, #403 Associates 1200 E 3900 S 880 E 3900 S, #B Salt Lake City, Ut 84102 324 E 10th Ave, #274 Holladay, Ut 84124 Murray, Ut 84107 Phone: (801) 364-1006 Salt Lake City, Ut 84103 Phone: (801) 743-6520 Phone: (801) 268-1296 UT Urban Medicaid Phone: (801) 408-5757 Languages Spoken: Spanish Languages Spoken: Arabic, UT Urban Medicaid UT Urban Medicaid German, Hindi, Persian, Frame, Richard N Md C Sindhi, Urdu Utah Cancer Specialists Nibley, William Eliott Md C Liu, Ellen Anita Md C UT Urban Medicaid 9720 S 1300 E, #W210 Utah Cancer Specialists Western Newborn Specialists Sandy, Ut 84094 333 S 900 E 1200 E 3900 S Junejo, Nazia Md C Phone: (801) 262-5679 Salt Lake City, Ut 84102 Holladay, Ut 84124 Granger Medical Clinic UT Urban Medicaid Phone: (801) 535-8166 Phone: (801) 743-6520 3725 W 4100 S UT Urban Medicaid UT Urban Medicaid West Valley City, Ut 84120 Harker, William Graydon Md C Phone: (801) 965-3600 Utah Cancer Specialists Nibley, William Eliott Md C Nold, Joan Lee Md C Languages Spoken: Arabic, 3838 S 700 E, #100 Utah Cancer Specialists Western Newborn Specialists German, Hindi, Persian, Salt Lake City, Ut 84106 5121 S Cottonwood St, Bldga-2 1200 E 3900 S Sindhi, Urdu Phone: (801) 269-0231 Murray, Ut 84157 Holladay, Ut 84124 UT Urban Medicaid UT Urban Medicaid Phone: (801) 263-3416 Phone: (801) 743-6520 UT Urban Medicaid UT Urban Medicaid Junejo, Nazia Md C Harker, William Graydon Md C Kidney And Internal Medicine Utah Cancer Specialists Nibley, William Eliott Md C Peterson, Evelyn C Md C 1561 W 7000 S 4052 W Pioneer Pkwy, #101 Utah Cancer Specialists Western Newborn Specialists West Jordan, Ut 84084 West Valley City, Ut 84120 9720 S 1300 E, #W210 1200 E 3900 S Phone: (801) 542-7115 Phone: (801) 967-1000 Sandy, Ut 84094 Holladay, Ut 84124 Languages Spoken: Arabic, UT Urban Medicaid Phone: (801) 262-5679 Phone: (801) 743-6520 German, Hindi, Persian, UT Urban Medicaid UT Urban Medicaid Harker, William Graydon Md C Sindhi, Urdu Utah Cancer Specialists Rich, Nathan Terry Md C Smith, Robin S Md C UT Urban Medicaid 9720 S 1300 E, #W210 Utah Cancer Specialists Western Newborn Specialists Lambert, Richard Gary Md C Sandy, Ut 84094 3838 S 700 E, #100 1200 E 3900 S Nephrology Associates Phone: (801) 262-5679 Salt Lake City, Ut 84106 Holladay, Ut 84124 650 E 4500 S, #210 UT Urban Medicaid Phone: (801) 269-0231 Phone: (801) 743-6520 Murray, Ut 84107 Languages Spoken: Japanese UT Urban Medicaid Klein, Regina C Md C Phone: (801) 288-2634 UT Urban Medicaid UT Urban Medicaid Utah Cancer Specialists Nephrology 9720 S 1300 E, #W210 Stinnett, Jason Md C Lambert, Richard Gary Md C Sandy, Ut 84094 Utah Cancer Specialists Abraham, Josephine D Md C Nephrology Associates Phone: (801) 262-5679 3838 S 700 E, #100 Nephrology Associates 650 E 4500 S, #210 Languages Spoken: Salt Lake City, Ut 84106 650 E 4500 S, #210 Murray, Ut 84107 Portuguese Phone: (801) 269-0231 Murray, Ut 84107 Phone: (801) 288-2634 UT Urban Medicaid UT Urban Medicaid Phone: (801) 288-2634 UT Urban Medicaid UT Urban Medicaid Legant, Patricia Md C Whisenant, Johnathan Reed Md Lau, Sey M Md C 164 E 5900 S, #A106 C Barklow, Jeff A Md C Nephrology Associates Murray, Ut 84107 Utah Cancer Specialists Nephrology Associates 650 E 4500 S, #210 Phone: (801) 263-3003 3838 S 700 E, #100 650 E 4500 S, #210 Murray, Ut 84107 UT Urban Medicaid Salt Lake City, Ut 84106 Murray, Ut 84107 Phone: (801) 288-2634 Phone: (801) 269-0231 Litton, Gregory James Md C Phone: (801) 288-2634 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Utah Cancer Specialists Mcanulty, Melinda Jean Md C 333 S 900 E Whisenant, Jonathan Reed Md C Cline, Richard C Md C Nephrology Associates Salt Lake City, Ut 84102 Utah Cancer Specialists Nephrology Associates 650 E 4500 S, #210 Phone: (801) 535-8166 5121 S Cottonwood St, Bldga-2 650 E 4500 S, #210 Murray, Ut 84107 UT Urban Medicaid Murray, Ut 84157 Murray, Ut 84107 Phone: (801) 288-2634 Phone: (801) 263-3416 Litton, Gregory James Md C Phone: (801) 288-2634 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Utah Cancer Specialists Morris Jr, Donald R Md C 5121 S Cottonwood St, Bldga-2 Neonatal - Perinatal Eduljee, Arish Y Md C Nephrology Associates Murray, Ut 84157 Neurology Associates 650 E 4500 S, #210 Phone: (801) 263-3416 Medicine 3590 W 9000 S, #120 Murray, Ut 84107 UT Urban Medicaid Kirk, Amy Tremain Md C West Jordan, Ut 84088 Phone: (801) 288-2634 Litton, Gregory James Md C Western Newborn Specialists Phone: (801) 352-8373 UT Urban Medicaid UT Urban Medicaid Utah Cancer Specialists 1200 E 3900 S Shah, Sheetal Rajiv Md C 9720 S 1300 E, #W210 Holladay, Ut 84124 Jansen, Kevin L Md C Nephrology Associates Sandy, Ut 84094 Phone: (801) 743-6520 Nephrology Associates 650 E 4500 S, #210 Phone: (801) 262-5679 UT Urban Medicaid 650 E 4500 S, #210 Murray, Ut 84107 UT Urban Medicaid Murray, Ut 84107 Phone: (801) 288-2634 Phone: (801) 288-2634 Languages Spoken: Hindi UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 105 Salt Lake Specialty Care Network Salt Lake Stinson, James Battey Md C Rivacambrin, Jay K Md C Nurse Practitioner Trauscht-Vanhorn, Jennifer Md Nephrology Associates Pcmc Pediatric Neurosurgery C 650 E 4500 S, #210 100 N Mario Capecchi Dr Aseltine, Phyllis A Np C Planned Parenthood Associtation Murray, Ut 84107 Salt Lake City, Ut 84113 Nephrology Associates Of Utah Phone: (801) 288-2634 Phone: (801) 558-8340 650 E 4500 S, #210 654 S 900 E UT Urban Medicaid Languages Spoken: French Murray, Ut 84107 Salt Lake City, Ut 84102 UT Urban Medicaid Phone: (801) 288-2634 Phone: (801) 322-5571 Tien, Dave Md C UT Urban Medicaid UT Urban Medicaid Nephrology Associates Neurology 650 E 4500 S, #210 Cobb, Deborah D Np C Occupational Murray, Ut 84107 Buchanan, Thomas Maurice Md Mountain West Gastroenterology Phone: (801) 288-2634 C 6360 S 3000 E, #320 Medicine Salt Lake City, Ut 84121 UT Urban Medicaid Neurological Associates Brown, Terry A Md C 3590 W 9000 S Phone: (801) 944-3166 UT Urban Medicaid Rmts At Firstmed Industrial Neurological West Jordan, Ut 84088 441 S Redwood Rd Surgery Phone: (801) 352-8373 Douglas, Wendy S Aprn C Salt Lake City, Ut 84104 Languages Spoken: Spanish Mountainstar Cardiovascular Phone: (801) 973-2580 Hood, Robert Sidney Md C UT Urban Medicaid Surgery UT Urban Medicaid Neurosurgical Clinic Of Utah James, Mary Elena Md C 1160 E 3900 S, #3500 24 S 1100 E, #302 Holladay, Ut 84124 Brown, Wesley R Md C Salt Lake City, Ut 84102 Comprehensive Neurology Of Ent Specialists Utah Phone: (801) 743-4750 Phone: (801) 531-7806 UT Urban Medicaid 4000 S 700 E, #10 UT Urban Medicaid 82 S 1100 E, #103 Murray, Ut 84107 Salt Lake City, Ut 84102 Hedin-Goldsmith, Kristina Np D Phone: (801) 268-4141 Kestle, John R W Md C Phone: (801) 819-7287 Gynecology Affiliates UT Urban Medicaid 100 N Mario Capecchi Dr UT Urban Medicaid 1140 E 3900 S, #300 Salt Lake City, Ut 84113 Salt Lake City, Ut 84124 Edwards, Hannah E Md C Phone: (801) 662-1000 Moress, Gerald Md C Uuhc Redwood Clinic 370 E South Temple, #300 Phone: (801) 268-8222 UT Urban Medicaid UT Urban Medicaid 1525 W 2100 S Salt Lake City, Ut 84111 West Valley City, Ut 84119 Levitt, Jodie Karen Md C Phone: (801) 363-7386 Mortensen, Nancy L Aprn C Phone: (801) 213-9900 Salt Lake Region Neurosurgery UT Urban Medicaid Utah Cancer Specialists UT Urban Medicaid 82 S 1100 E, #303 Reiser, Rebecca H Md C 9720 S 1300 E, #W210 Salt Lake City, Ut 84102 Sandy, Ut 84094 Hegmann, Kurt T Md C Phone: (801) 363-2473 Neurology Associates Uuhc Redwood Clinic 3590 W 9000 S, #120 Phone: (801) 262-5679 Languages Spoken: French UT Urban Medicaid 1525 W 2100 S UT Urban Medicaid West Jordan, Ut 84088 West Valley City, Ut 84119 Phone: (801) 352-8373 Paskett, Marinda Dawn Np C Phone: (801) 213-9900 Macfarlane, John R Md D UT Urban Medicaid Mountain Medical Vein Center UT Urban Medicaid Neurosurgical Associates Shoari, Mohammad Md C 5323 S Woodrow St, #102 5171 S Cottonwood St, #950 Murray, Ut 84107 Holmes, Edward B Md C Murray, Ut 84107 Comprehensive Neurology Of Uuhc Redwood Clinic Utah Phone: (801) 713-1010 Phone: (801) 507-9555 UT Urban Medicaid 1525 W 2100 S UT Urban Medicaid 82 S 1100 E, #103 West Valley City, Ut 84119 Salt Lake City, Ut 84102 Obstetrics And Phone: (801) 213-9900 Margetts, Jeffrey C Md C Phone: (801) 819-7287 UT Urban Medicaid 1250 E 3900 S, #200 UT Urban Medicaid Gynecology Salt Lake City, Ut 84124 Hughes, Matthew A Md C Phone: (801) 264-9521 Thompson, Joel A Md D Tilly, Shannon L Md C Uuhc Redwood Clinic UT Urban Medicaid Children With Special Healthcare Uuhc Redwood Clinic 1525 W 2100 S Needs 1525 W 2100 S West Valley City, Ut 84119 Nathan, David Jay Md C 54 Mario Capecchi Dr West Valley City, Ut 84119 Phone: (801) 213-9900 Neurosurgical Clinic Of Utah Salt Lake City, Ut 84114 Phone: (801) 213-9900 UT Urban Medicaid 24 S 1100 E, #302 Phone: (801) 584-8284 UT Urban Medicaid Salt Lake City, Ut 84102 UT Urban Medicaid Moser Jr, Royce Md C Phone: (801) 531-7806 Trauscht-Vanhorn, Jennifer Md Uuhc Redwood Clinic UT Urban Medicaid Vine, Daniel B Md C C 1525 W 2100 S 3980 S 700 E Planned Parenthood Associtation West Valley City, Ut 84119 Nathan, David Jay Md C Murray, Ut 84107 Of Utah Phone: (801) 213-9900 Wasatch Brain And Spine Surgery Phone: (801) 288-1115 1091 W South Jordan Pkwy, #100 UT Urban Medicaid 82 S 1100 E, #103 UT Urban Medicaid South Jordan, Ut 84095 Salt Lake City, Ut 84102 Phone: (801) 254-2052 Wood, Eric Marshall Md C Phone: (801) 819-7287 Zimmerman, Susan Michelle UT Urban Medicaid Uuhc Redwood Clinic UT Urban Medicaid Md D 1525 W 2100 S Granger Medical Clinic Trauscht-Vanhorn, Jennifer Md West Valley City, Ut 84119 Reichman, Mark V Md C 3725 W 4100 S C Phone: (801) 213-9900 Neurosurgical Associates West Valley City, Ut 84120 Planned Parenthood Associtation UT Urban Medicaid 5171 S Cottonwood St, #950 Phone: (801) 965-3600 Of Utah Murray, Ut 84107 UT Urban Medicaid 1906 W 3600 S Phone: (801) 507-9555 West Valley City, Ut 84119 UT Urban Medicaid Phone: (801) 973-9675 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 106 Salt Lake Specialty Care Network Salt Lake Ophthalmology Faber, David Wayne Md C Johnsen, Justin Rodney Md C Pingree, Michael Frederick Md C Rocky Mountain Retina Advanced Eye Care 3465 S 4155 W, #5 Alldredge, Claron D Md C Consultants 1250 E 3900 S, #310 West Valley City, Ut 84120 Retinapro 4400 S 700 E, #200 Salt Lake City, Ut 84124 Phone: (801) 966-0081 440 D St, #210 Murray, Ut 84107 Phone: (801) 263-2020 Languages Spoken: Spanish Salt Lake City, Ut 84103 Phone: (801) 264-4444 Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 408-3705 Languages Spoken: Spanish UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Poll, Jed T Md C UT Urban Medicaid Johnsen, Justin Rodney Md C Eye Foundation Of Utah Fassio, John B Md C Utah Eye And Facial Plastic 201 E 5900 S, #201 Brockbank, David Thomas Md C Mountain Valley Eye Institute Surgery Salt Lake City, Ut 84107 Olympus Eye Associates 4568 S Highland Dr, #160 5296 S Commerce Dr, #206 Phone: (801) 268-6408 6065 S Fashion Blvd, #125 Holladay, Ut 84117 Murray, Ut 84107 UT Urban Medicaid Salt Lake City, Ut 84107 Phone: (801) 424-3090 Phone: (801) 281-3223 Phone: (801) 261-0726 UT Urban Medicaid Languages Spoken: Spanish Ramsey, John F Md C UT Urban Medicaid UT Urban Medicaid Alta View Eye Care Center Goff, Mitchell J Md C 9720 S 1300 E, #E210 Call, Newel Branson Md C Rocky Mountain Retina Kottler, Michael Stephen Md C Sandy, Ut 84094 4400 S 700 E, #130 Consultants Mountain Valley Eye Institute Phone: (801) 572-0631 Murray, Ut 84107 4400 S 700 E, #200 4568 S Highland Dr, #160 UT Urban Medicaid Phone: (801) 264-4420 Murray, Ut 84107 Holladay, Ut 84117 UT Urban Medicaid Phone: (801) 264-4444 Phone: (801) 424-3090 Smith, Robert E Md C UT Urban Medicaid UT Urban Medicaid Granger Medical Clinic Charlton, Kevin H Md C 3725 W 4100 S Rocky Mountain Eye Care Hoffman, Robert O Md D Mccann, John David Md C West Valley City, Ut 84120 Associates Children With Special Healthcare Center For Facial Appearances Phone: (801) 965-3600 4400 S 700 E, #100 Needs 1002 E South Temple, #308 Languages Spoken: French Murray, Ut 84107 44 Mario Capecchi Dr Salt Lake City, Ut 84102 UT Urban Medicaid Phone: (801) 264-4450 Salt Lake City, Ut 84114 Phone: (801) 363-3355 UT Urban Medicaid Phone: (801) 584-8284 UT Urban Medicaid Smith, Stacy Ruth Md C UT Urban Medicaid Mountain Valley Eye Institute Chou, Stella Y Md C Mccann, John David Md C 4568 S Highland Dr, #160 Avec Eye Center Howard, James G Md C Eye Foundation Of Utah Holladay, Ut 84117 8789 S Highland Dr, #100 Retina Associates Of Utah 201 E 5900 S, #201 Phone: (801) 424-3090 Sandy, Ut 84093 5169 S Cottonwood St, Bldgb #630 Murray, Ut 84107 UT Urban Medicaid Phone: (801) 943-4999 Murray, Ut 84107 Phone: (801) 268-6408 Languages Spoken: Chinese Phone: (801) 312-2020 UT Urban Medicaid Spencer, David Arthur Md C UT Urban Medicaid Languages Spoken: Spanish 6412 S 900 E, #101 UT Urban Medicaid Merkley, Kevin H Md C Salt Lake City, Ut 84121 Cionni, Robert J Md C Avec Eye Center Phone: (801) 262-3344 The Eye Institute Of Utah Hurlbut-Miller, Peter Richard 8789 S Highland Dr, #100 UT Urban Medicaid 755 E 3900 S Md C Sandy, Ut 84093 Murray, Ut 84107 Rocky Mountain Retina Phone: (801) 943-4999 Stanford, Gary B Md C Phone: (801) 266-2283 Consultants UT Urban Medicaid Advanced Eye Care UT Urban Medicaid 4400 S 700 E, #200 1250 E 3900 S, #310 Parker, Jared Wayne Md C Salt Lake City, Ut 84124 C Murray, Ut 84107 Crandall, Alan S Md Phone: (801) 264-4444 Ungricht Eye Associates Phone: (801) 263-2020 University Of Utah Rocky UT Urban Medicaid 5770 S 250 E, #410 UT Urban Medicaid Mountain Ophthalmology Murray, Ut 84107 4400 S 700 E, #240 Jackson, Alan E Md C Phone: (801) 314-4420 Sykes, Scott Owen Md C Murray, Ut 84107 Cottonwood Eye & Laser Center UT Urban Medicaid Eye Foundation Of Utah Phone: (801) 264-4464 201 E 5900 S, #101 201 E 5900 S, #201 UT Urban Medicaid Murray, Ut 84107 Patel, Bhupendra C Md C Murray, Ut 84107 Salt Lake Eye Associates Phone: (801) 268-6408 C Phone: (801) 261-0726 Davis, Brian R Md UT Urban Medicaid 1025 E 3300 S Languages Spoken: Davis Vision Center Salt Lake City, Ut 84106 Portuguese 1325 W South Jordan Pkwy, #103 Jackson, Steven T Md C Phone: (801) 281-2020 UT Urban Medicaid South Jordan, Ut 84095 Cottonwood Eye & Laser Center Languages Spoken: French, Phone: (801) 253-3080 201 E 5900 S, #101 Gujarati, Hindi, Swahili Tempest, Mathew Richard Md C UT Urban Medicaid Murray, Ut 84107 UT Urban Medicaid Alta View Eye Care Center 9720 S 1300 E, #E210 C Phone: (801) 261-0726 Davis, Brian R Md UT Urban Medicaid Petersen, David Byrum Md C Sandy, Ut 84094 Davis Vision Center Rocky Mountain Eye Care Phone: (801) 572-0631 3741 W 12600 S, #480 Jeppsen, Paul S Md C Associates Languages Spoken: Spanish Riverton, Ut 84065 Rocky Mountain Eye Care 4400 S 700 E, #100 UT Urban Medicaid Phone: (801) 285-4000 Associates Murray, Ut 84107 UT Urban Medicaid 4400 S 700 E, #100 Phone: (801) 264-4450 Teske, Michael P Md C Eye Foundation Of Utah C Murray, Ut 84107 Languages Spoken: Spanish Daynes, Todd Ellsworth Md Phone: (801) 264-4450 UT Urban Medicaid 201 E 5900 S, #201 324 E 10th Ave, #260 Languages Spoken: Spanish Murray, Ut 84107 Salt Lake City, Ut 84103 UT Urban Medicaid Phone: (801) 268-6408 Phone: (801) 408-2020 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 107 Salt Lake Specialty Care Network Salt Lake Ungricht, Albert Lon Md C Mehr, Douglas Stewart Md C Cooper, Andrew D Md C Howe, David James Md C Ungricht Eye Associates Advanced Eye Care Salt Lake Regional Family Practice Slr Comprehensive Orthopedics & 5770 S 250 E, #410 1250 E 3900 S, #310 & Sports Medicine Sports Medicine Murray, Ut 84107 Salt Lake City, Ut 84124 82 S 1100 E, #303 9350 S 150 E, #460 Phone: (801) 314-4420 Phone: (801) 263-2020 Salt Lake City, Ut 84102 Sandy, Ut 84070 Languages Spoken: German Languages Spoken: Phone: (801) 533-2002 Phone: (801) 533-2002 UT Urban Medicaid Portuguese, Spanish UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Wapner, Francis J Md C Cooper, Andrew D Md C Khachatryan, Armen Md C Advanced Eye Care Mehr, Douglas Stewart Md C Salt Lake Regional Family Practice Center For Orthopedic & 1250 E 3900 S, #310 Granger Medical Clinic & Sports Medicine Rehabilitation Excellence Salt Lake City, Ut 84124 3725 W 4100 S 9350 S 150 E, #460 3584 W 9000 S, #405 Phone: (801) 263-2020 West Valley City, Ut 84120 Sandy, Ut 84070 West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 965-3600 Phone: (801) 533-2002 Phone: (801) 568-3480 Languages Spoken: UT Urban Medicaid UT Urban Medicaid Wapner, Francis J Md C Portuguese, Spanish Advanced Eye Care UT Urban Medicaid Gordon, Anthony Scott Md D Kimball, Gordon R Md C 3584 W 9000 S, #301 9844 S 1300 E, #100 Lone Peak Orthopedics West Jordan, Ut 84088 Mehr, Douglas Stewart Md C Sandy, Ut 84094 9844 S 1300 E, #275 Phone: (801) 255-8633 3855 W 7800 S, #210 Phone: (801) 571-9433 Sandy, Ut 84094 UT Urban Medicaid West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 571-7061 Phone: (801) 260-0034 UT Urban Medicaid Wilcox, Michael Blair Md C Languages Spoken: Gordon, Dennis H Md C Eye Foundation Of Utah Portuguese, Spanish Associates In Orthopaedic Surgery Klatt, Joshua William Md D 201 E 5900 S, #201 UT Urban Medicaid 3336 S Pioneer Pkwy, #102 Children With Special Healthcare Murray, Ut 84107 West Valley City, Ut 84120 Needs Phone: (801) 268-6408 Swartz, Mano Md C Phone: (801) 964-3925 47 Mario Capecchi Dr UT Urban Medicaid Retina Associates Of Utah UT Urban Medicaid Salt Lake City, Ut 84114 5169 S Cottonwood St, Bldgb #630 Phone: (801) 584-8284 Wilkinson, E Leigh Md C Murray, Ut 84107 Harris, Leslie J Md C UT Urban Medicaid Rocky Mountain Eye Care Phone: (801) 312-2020 Center For Orthopedic & Associates Languages Spoken: German, Rehabilitation Excellence Lauritzen, Renee S Md C 4400 S 700 E, #100 Spanish 3584 W 9000 S, #405 Lone Peak Orthopedics Murray, Ut 84107 UT Urban Medicaid West Jordan, Ut 84088 9844 S 1300 E, #275 Phone: (801) 264-4450 Phone: (801) 568-3480 Sandy, Ut 84094 UT Urban Medicaid Winward, Kirk Edward Md C UT Urban Medicaid Phone: (801) 571-7061 Retina Associates Of Utah UT Urban Medicaid Wirostko, Barbara M Md C 5169 S Cottonwood St, Bldgb #630 Harris, Leslie J Md C Avec Eye Center Murray, Ut 84107 Institute For Specialty Surgery Mackey, Richard Brian Md C 8789 S Highland Dr, #100 Phone: (801) 312-2020 3336 S Pioneer Pkwy, #306 Center For Orthopedic & Sandy, Ut 84093 Languages Spoken: Spanish West Valley City, Ut 84120 Rehabilitation Excellence Phone: (801) 349-4999 UT Urban Medicaid Phone: (801) 964-3855 3584 W 9000 S, #405 Languages Spoken: Spanish UT Urban Medicaid West Jordan, Ut 84088 UT Urban Medicaid Oral And Phone: (801) 568-3480 Heiden, Eric A Md C UT Urban Medicaid Zabriskie, Norman A Md C Maxillofacial Heiden Orthopedics University Of Utah Rocky 4888 S Highland Dr Marshall Jr, Stuart Charles Md C Mountain Ophthalmology Surgery - Dentist Salt Lake City, Ut 84117 Center For Orthopedic & 4400 S 700 E, #240 Austin, Blaine D Dds C Phone: (801) 615-8822 Rehabilitation Excellence Murray, Ut 84107 2180 E 4500 S, #285 UT Urban Medicaid 3584 W 9000 S, #405 Phone: (801) 264-4464 West Jordan, Ut 84088 Salt Lake City, Ut 84117 Hofmann, Aaron A Md C Languages Spoken: Spanish Phone: (801) 277-3942 Phone: (801) 568-3480 UT Urban Medicaid Hofmann Arthritis Institute UT Urban Medicaid Languages Spoken: Spanish 24 S 1100 E, #101 UT Urban Medicaid Ophthalmology / Salt Lake City, Ut 84102 Mccandless, Jeremy Bell Md C Haymond, Creed S Dds C Phone: (801) 355-6468 Hofmann Arthritis Institute Retina Specialist 1434 E 9400 S, #102 UT Urban Medicaid 24 S 1100 E, #101 Sandy, Ut 84093 Salt Lake City, Ut 84102 Brinton, Gregory S Md C Holmes, Stephanie M Md D Phone: (801) 355-6468 Retina Associates Of Utah Phone: (801) 576-0077 Children With Special Healthcare Languages Spoken: Italian, Languages Spoken: Spanish 5169 S Cottonwood St, Bldgb #630 Needs UT Urban Medicaid Murray, Ut 84107 Spanish 44 Mario Capecchi Dr Phone: (801) 312-2020 UT Urban Medicaid Salt Lake City, Ut 84114 Momberger, Nathan G Md C Languages Spoken: Japanese, Phone: (801) 584-8284 5848 S Fashion Blvd, #110 Russian Orthopaedic Surgery UT Urban Medicaid Murray, Ut 84107 UT Urban Medicaid C Phone: (801) 314-4013 Beck Jr, Charles L Md Howe, David James Md C UT Urban Medicaid Kwun, Robert C Md C Center For Orthopedic & Slr Comprehensive Orthopedics & Retina Associates Of Utah Rehabilitation Excellence Sports Medicine Nelson, Russell Lee Md C 5169 S Cottonwood St, Bldgb #630 3584 W 9000 S, #405 82 S 1100 E, #303 Utah Bone & Joint Center Murray, Ut 84107 West Jordan, Ut 84088 Salt Lake City, Ut 84102 5323 S Woodrow St, #202 Phone: (801) 312-2020 Phone: (801) 568-3480 Phone: (801) 533-2002 Murray, Ut 84107 Languages Spoken: Korean, UT Urban Medicaid UT Urban Medicaid Phone: (801) 713-0606 Spanish UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 108 Salt Lake Specialty Care Network Salt Lake Rasmussen, Gary Lynn Md C Smith, John Lynn Md C Anderson, Craig W Md C Gull, Justin Daniel Md C 5848 S Fashion Blvd Associates In Orthopaedic Surgery Intermountain Ear Nose And Ent Specialists Murray, Ut 84107 3336 S Pioneer Pkwy, #102 Throat Specialists 4000 S 700 E, #10 Phone: (801) 314-4002 West Valley City, Ut 84120 22 S 900 E Murray, Ut 84107 UT Urban Medicaid Phone: (801) 964-3925 Salt Lake City, Ut 84102 Phone: (801) 268-4141 UT Urban Medicaid Phone: (801) 363-3125 UT Urban Medicaid Richards, Daniel Todd Do C UT Urban Medicaid Granger Medical Clinic Stevens, Peter M Md D Gull, Justin Daniel Md C 3725 W 4100 S Children With Special Healthcare Anderson, Craig W Md C Ent Specialists West Valley City, Ut 84120 Needs Intermountain Ear Nose And 5770 S 250 E, #285 Phone: (801) 965-3600 53 Mario Capecchi Dr Throat Specialists Murray, Ut 84107 Languages Spoken: Spanish Salt Lake City, Ut 84114 756 E 12200 S Phone: (801) 268-2822 UT Urban Medicaid Phone: (801) 584-8284 Draper, Ut 84020 UT Urban Medicaid UT Urban Medicaid Phone: (801) 328-2522 Schmidt, Donald A Md C UT Urban Medicaid Gull, Justin Daniel Md C Lone Peak Orthopedics Stotts, Alan K Md C Jordan Family Health 9844 S 1300 E, #275 100 N Mario Capecchi Dr Aoki, Jon R Md C 8846 S Redwood Rd, #E121 Sandy, Ut 84094 Salt Lake City, Ut 84113 Granger Medical Clinic West Jordan, Ut 84088 Phone: (801) 571-7061 Phone: (801) 662-2000 3725 W 4100 S Phone: (801) 569-1999 UT Urban Medicaid UT Urban Medicaid West Valley City, Ut 84120 UT Urban Medicaid Phone: (801) 965-3600 Scholl, Mark David Md C Trawick, Roy H Md C UT Urban Medicaid Hunter, Robert Gail Md C Slr Family Practice & Sports 5848 S Fashion Blvd, #110 5169 S Cottonwood St, #310 Medicine Murray, Ut 84107 Barr, Lucy J Md C Murray, Ut 84107 4888 S Highland Dr Phone: (801) 314-4013 24 S 1100 E, #301 Phone: (801) 507-3444 Salt Lake City, Ut 84117 UT Urban Medicaid Salt Lake City, Ut 84102 UT Urban Medicaid Phone: (801) 424-5042 Phone: (801) 355-3404 UT Urban Medicaid Walker, Dean Nichols Md D UT Urban Medicaid Kelly, Steven Michael Md C Granger Medical Clinic Mountain West Ent Scholl, Mark David Md C 3725 W 4100 S Bennett, John R Md C 114 E 12450 S, #206 Slr Family Practice & Sports West Valley City, Ut 84120 Intermountain Ear Nose And Draper, Ut 84020 Medicine Phone: (801) 965-3600 Throat Specialists Phone: (801) 501-8239 82 S 1100 E, #303 UT Urban Medicaid 22 S 900 E Languages Spoken: Spanish Salt Lake City, Ut 84102 Salt Lake City, Ut 84102 UT Urban Medicaid Phone: (801) 533-2002 Winter, Bret Ryan Md C Phone: (801) 363-3125 UT Urban Medicaid Associates In Orthopaedic Surgery Languages Spoken: Spanish Kelly, Steven Michael Md C 3336 S Pioneer Pkwy, #102 UT Urban Medicaid Mountain West Ent Scholl, Mark David Md C West Valley City, Ut 84120 114 E 12450 S, #206 Slr Family Practice & Sports Phone: (801) 964-3925 Bennett, John R Md C Draper, Ut 84020 Medicine UT Urban Medicaid Intermountain Ear Nose And Phone: (801) 501-8239 9350 S 150 E, #460 Throat Specialists Languages Spoken: Spanish Sandy, Ut 84070 Winter, Bret Ryan Md C 756 E 12200 S UT Urban Medicaid Phone: (801) 533-2002 Associates In Orthopaedic Surgery Draper, Ut 84020 UT Urban Medicaid 3665 S 8400 W, #200 Phone: (801) 328-2522 Meads Jr, Garner B Md C Magna, Ut 84044 Languages Spoken: Spanish South Valley Ent Associates Sessions, Wade Manning Md C Phone: (801) 964-3925 UT Urban Medicaid 3584 W 9000 S, #311 Center For Orthopedic & UT Urban Medicaid West Jordan, Ut 84088 Rehabilitation Excellence Butler, John E Md C Phone: (801) 566-8304 3584 W 9000 S, #405 Winterton, Paul William Md C Ent Specialists UT Urban Medicaid West Jordan, Ut 84088 10011 S Centennial Pkwy, #230 4000 S 700 E, #10 Phone: (801) 568-3480 Sandy, Ut 84070 Murray, Ut 84107 Miller, Steven K Md C UT Urban Medicaid Phone: (801) 561-3101 Phone: (801) 268-4141 Intermountain Ear Nose And UT Urban Medicaid UT Urban Medicaid Throat Specialists Silvero, Peter Randolph Md C 22 S 900 E Associates In Orthopaedic Surgery Woiczik, Marcella Rae Md C Dahl, Matthew Eric Md C Salt Lake City, Ut 84102 3665 S 8400 W, #200 100 N Mario Capecchi Dr Intermountain Ear Nose And Phone: (801) 363-3125 Magna, Ut 84044 Salt Lake City, Ut 84113 Throat Specialists UT Urban Medicaid Phone: (801) 964-3925 Phone: (801) 662-5600 22 S 900 E UT Urban Medicaid UT Urban Medicaid Salt Lake City, Ut 84102 Miller, Steven K Md C Phone: (801) 363-3125 Intermountain Ear Nose And Silvero, Peter Randolph Md C Otolaryngology UT Urban Medicaid Throat Specialists Physicians Group Of Utah (Ent) 756 E 12200 S 3584 W 9000 S Dahl, Matthew Eric Md C Draper, Ut 84020 West Jordan, Ut 84088 Aldous, Edwin Winder Md C Intermountain Ear Nose And Phone: (801) 328-2522 Phone: (801) 984-3418 Granger Medical Clinic Throat Specialists UT Urban Medicaid UT Urban Medicaid 3725 W 4100 S 756 E 12200 S West Valley City, Ut 84120 Draper, Ut 84020 Muntz, Harlan R Md C Skedros, John Gregory Md C Phone: (801) 965-3600 Phone: (801) 328-2522 Pcmc Pediatric Ent Utah Bone & Joint Center UT Urban Medicaid UT Urban Medicaid 100 N Medical Dr 5323 S Woodrow St, #202 Salt Lake City, Ut 84132 Murray, Ut 84107 Gilbert, Ryan M Md C Phone: (801) 622-1742 Phone: (801) 713-0606 3584 W 9000 S, #311 UT Urban Medicaid UT Urban Medicaid West Jordan, Ut 84088 Phone: (801) 566-8304 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 109 Salt Lake Specialty Care Network Salt Lake Nelson, Jeffrey J Md C Sonkens, Jerry Wayne Md D Lewis, Katrina Md D Mccandless, Rachel Md C South Valley Ent Associates Ent Specialists Summit Pain Management Primary Childrens Ekg 3584 W 9000 S, #311 4000 S 700 E, #10 5250 S Commerce Dr, #305 100 N Mario Capecchi Dr West Jordan, Ut 84088 Murray, Ut 84107 Murray, Ut 84107 Salt Lake City, Ut 84113 Phone: (801) 566-8304 Phone: (801) 268-4141 Phone: (801) 262-7246 Phone: (801) 662-5400 Languages Spoken: French UT Urban Medicaid Languages Spoken: French UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Swenson, Randal W Md C Molina, Kimberly Md C Nielsen, Richard Wendell Md C Ent Specialists Lordon, Stephen P Md D Primary Childrens Ekg Intermountain Ear Nose And 4000 S 700 E, #10 Summit Pain Management 100 N Mario Capecchi Dr Throat Specialists Murray, Ut 84107 5250 S Commerce Dr, #305 Salt Lake City, Ut 84113 22 S 900 E Phone: (801) 268-4141 Murray, Ut 84107 Phone: (801) 662-5400 Salt Lake City, Ut 84102 UT Urban Medicaid Phone: (801) 262-7246 UT Urban Medicaid Phone: (801) 363-3125 Languages Spoken: Spanish UT Urban Medicaid Tagge, Bryan Curtis Md C UT Urban Medicaid Pilcher, Thomas A Md C Intermountain Ear Nose And 100 N Mario Capecchi Dr Nielsen, Richard Wendell Md C Throat Specialists Pulley, Steven C Md C Salt Lake City, Ut 84113 Intermountain Ear Nose And 22 S 900 E Lifetree Pain Clinic Phone: (801) 662-1000 Throat Specialists Salt Lake City, Ut 84102 3838 S 700 E, #200 UT Urban Medicaid 756 E 12200 S Phone: (801) 363-3125 Salt Lake City, Ut 84106 Draper, Ut 84020 Languages Spoken: Spanish Phone: (801) 261-4988 Pediatric Phone: (801) 328-2522 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Endocrinology Tagge, Bryan Curtis Md C Talbott, Andrew P Md C Palmer, David K Md D Intermountain Ear Nose And Lifetree Pain Clinic Donaldson, David L Md C Ent Specialists Throat Specialists 3838 S 700 E, #200 Utah Diabetes Center 4000 S 700 E, #10 756 E 12200 S Salt Lake City, Ut 84106 615 Arapeen Dr, #100 Murray, Ut 84107 Draper, Ut 84020 Phone: (801) 261-4988 Salt Lake City, Ut 84108 Phone: (801) 268-4141 Phone: (801) 328-2522 UT Urban Medicaid Phone: (801) 581-7761 Languages Spoken: Spanish Languages Spoken: Spanish Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Webster, Lynn R Md D UT Urban Medicaid Lifetree Pain Clinic Palmer, David K Md C Yorgason, Joshua Gayle Md C 3838 S 700 E, #200 Lindsay, Alan Rob Md C Jordan Family Health Ent Specialists Salt Lake City, Ut 84106 508 E South Temple, #310 8846 S Redwood Rd, #E121 4000 S 700 E, #10 Phone: (801) 261-4988 Salt Lake City, Ut 84102 West Jordan, Ut 84088 Murray, Ut 84107 UT Urban Medicaid Phone: (801) 355-4316 Phone: (801) 569-1999 Phone: (801) 268-4141 UT Urban Medicaid Webster, Lynn R Md D Languages Spoken: Spanish UT Urban Medicaid Murray, Mary A Md C UT Urban Medicaid Lifetree Pain Clinic 617 E 3900 S Utah Diabetes Center Peterson, Brian R Md C Pain Medicine Murray, Ut 84107 615 Arapeen Dr, #100 Salt Lake City, Ut 84108 3584 W 9000 S, #311 Byrd, David D Md C Phone: (801) 261-8272 West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 581-7761 St Marks Pain Center UT Urban Medicaid Phone: (801) 566-8304 1250 E 3900 S, #30 Languages Spoken: French Holladay, Ut 84124 Pediatric Simard, Marie F Md C UT Urban Medicaid Phone: (801) 268-7729 Cardiology Utah Diabetes Center Shah, Saurabh B Md C UT Urban Medicaid 615 Arapeen Dr, #100 Arrington, Cammon Bart Md C Salt Lake City, Ut 84108 Granger Medical Clinic Davis, Craig William Md D 3725 W 4100 S 100 N Mario Capecchi Dr, #1500 Phone: (801) 581-7761 Granger Medical Clinic Salt Lake City, Ut 84113 Languages Spoken: French West Valley City, Ut 84120 3181 W 9000 S Phone: (801) 965-3600 Phone: (801) 662-5443 UT Urban Medicaid West Jordan, Ut 84088 UT Urban Medicaid UT Urban Medicaid Phone: (801) 352-5900 Pediatric Sharma, Pramod Kumar Md C UT Urban Medicaid Jou, Chuanchau Jerry Do C Pcmc - Pediatric Cardiology Gastroenterology Intermountain Ear Nose And Davis, Craig William Md D Throat Specialists 100 N Mario Capecchi Dr Granger Medical Clinic Salt Lake City, Ut 84113 Harnsberger, Janet K Md C 22 S 900 E 3725 W 4100 S Pediatric Gastroenterology & Salt Lake City, Ut 84102 Phone: (801) 662-5400 West Valley City, Ut 84120 UT Urban Medicaid Nutrition Phone: (801) 363-3125 Phone: (801) 965-3600 250 E 5770 S, #330 Languages Spoken: Hindi UT Urban Medicaid Jou, Chuanchau Jerry Do C Murray, Ut 84107 UT Urban Medicaid Primary Childrens Ekg Phone: (801) 314-4444 Finnegan, Robert F Md C Sharma, Pramod Kumar Md C 100 N Mario Capecchi Dr UT Urban Medicaid Health Clinics Of Utah Salt Lake City, Ut 84113 Intermountain Ear Nose And 168 N 1950 W, #201 Mizell Jr, Louis L Md C Throat Specialists Phone: (801) 662-5400 Salt Lake City, Ut 84114 UT Urban Medicaid Pediatric Gastroenterology & 756 E 12200 S Phone: (801) 715-3500 Nutrition Draper, Ut 84020 UT Urban Medicaid Mack, Gordon K Md C 250 E 5770 S, #330 Phone: (801) 328-2522 Pcmc - Pediatric Cardiology Murray, Ut 84107 Languages Spoken: Hindi 100 N Mario Capecchi Dr Phone: (801) 314-4444 UT Urban Medicaid Salt Lake City, Ut 84113 UT Urban Medicaid Phone: (801) 662-5400 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 110 Salt Lake Specialty Care Network Salt Lake Pediatric Fyans, Joseph Clark Md C Stokes, Wayne Laurence Md C Davis II, France A Pa C Jordan Valley Internal Medicine Uuhc Redwood Clinic Center For Orthopedic & Nephrology 3570 W 9000 S, #100 1525 W 2100 S Rehabilitation Excellence Nelson, Raoul C Md C West Jordan, Ut 84088 West Valley City, Ut 84119 3584 W 9000 S, #405 Pcmc - Pediatric Nephrology Phone: (801) 569-2384 Phone: (801) 213-9900 West Jordan, Ut 84088 100 N Mario Capecchi Dr UT Urban Medicaid UT Urban Medicaid Phone: (801) 568-3480 UT Urban Medicaid Salt Lake City, Ut 84113 Giovanniello, Michael Thomas Witter, David Michael Md C Phone: (801) 662-5400 Md C Associates In Orthopaedic Surgery Deaton, Scott Philip Pa C UT Urban Medicaid Smart Clinic 3336 S Pioneer Pkwy, #102 Neurosurgical Clinic Of Utah 10011 S Centennial Pkwy, #500 West Valley City, Ut 84120 24 S 1100 E, #302 Pediatric Neurology Sandy, Ut 84070 Phone: (801) 964-3925 Salt Lake City, Ut 84102 Phone: (801) 676-7627 UT Urban Medicaid Phone: (801) 531-7806 Winter, Sarah L Md D UT Urban Medicaid UT Urban Medicaid Children With Special Healthcare Witter, David Michael Md C Needs Grange, Timothy S Md D Associates In Orthopaedic Surgery Desonia, Sally Joye Pa C 44 Mario Capecchi Dr The Spine Orthopedic And Pain 3665 S 8400 W, #200 Western Neurological Associates Salt Lake City, Ut 84114 Center Magna, Ut 84044 1151 E 3900 S, #B150 Phone: (801) 584-8284 4052 W Pioneer Pkwy, #208 Phone: (801) 964-3925 Salt Lake City, Ut 84124 UT Urban Medicaid West Valley City, Ut 84120 UT Urban Medicaid Phone: (801) 262-3441 Phone: (801) 955-1232 UT Urban Medicaid UT Urban Medicaid Pediatrics Physician Assistant Dresher, Rachel Pa C Bybee, Blair L Md D Hansen, Colby Reed Md C Anderson, Clint S Pa C Mountain Medical Physicians Children With Special Healthcare Primary Childrens Medical Center The Heart And Lung Institute Of Specialists Needs 100 N Mario Capecchi Dr Utah 5323 S Woodrow St, #102 44 Mario Capecchi Dr Salt Lake City, Ut 84113 5979 S Fashion Blvd Murray, Ut 84107 Salt Lake City, Ut 84114 Phone: (801) 743-0700 Murray, Ut 84107 Phone: (801) 713-1010 Phone: (801) 584-8284 UT Urban Medicaid Phone: (801) 263-2370 UT Urban Medicaid UT Urban Medicaid Khan, Qamar R Md C UT Urban Medicaid Fagan, Mccall Pa C Campbell, Kristine A Md C Granger Medical Clinic Barnes, Patrick Allen Pa C Utah Bone & Joint Center Primary Children Center For 3181 W 9000 S Center For Orthopedic & 5323 S Woodrow St, #202 Saving Healthy Families West Jordan, Ut 84088 Rehabilitation Excellence Murray, Ut 84107 675 E 500 S, #300 Phone: (801) 352-5900 3584 W 9000 S, #405 Phone: (801) 713-0606 Salt Lake City, Ut 84102 UT Urban Medicaid West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 662-3600 Khan, Qamar R Md C Phone: (801) 568-3480 Frischknecht, Scott C Pa C UT Urban Medicaid Granger Medical Clinic UT Urban Medicaid Hofmann Arthritis Institute Physical Medicine 3725 W 4100 S Berrett, Gerald Pa C 24 S 1100 E, #101 & 105 West Valley City, Ut 84120 Granger Medical Clinic Salt Lake City, Ut 84102 And Rehabilitation Phone: (801) 965-3600 3181 W 9000 S Phone: (801) 355-6468 UT Urban Medicaid UT Urban Medicaid Cunniff, Joseph G Md C West Jordan, Ut 84088 The Smart Clinic Krull, Angel Marie Md C Phone: (801) 352-5900 Gaffney, Michael Richard Pa C 10011 S Centennial Pkwy, #500 The Smart Clinic UT Urban Medicaid Utah Cancer Specialists Sandy, Ut 84070 10011 S Centennial Pkwy, #500 Berrett, Gerald Pa C 5121 S Cottonwood St, Bldga-2 Phone: (801) 676-7627 Sandy, Ut 84070 Granger Medical Clinic Murray, Ut 84157 UT Urban Medicaid Phone: (801) 676-7627 3725 W 4100 S Phone: (801) 263-3416 UT Urban Medicaid West Valley City, Ut 84120 Languages Spoken: Spanish Djurich, Milan Do C UT Urban Medicaid Healthsouth Rehabilitation Lewelt, Aga Julia Md C Phone: (801) 965-3600 8074 S 1300 E 100 N Mario Capecchi Dr UT Urban Medicaid Gaffney, Michael Richard Pa C Sandy, Ut 84094 Salt Lake City, Ut 84113 Boehmer, Robyn Elizabeth Pa C Utah Cancer Specialists Phone: (801) 565-6600 Phone: (801) 662-4949 South Valley Urology 9720 S 1300 E, #W210 Languages Spoken: Bosnian, UT Urban Medicaid 3584 W 9000 S, #405 Sandy, Ut 84094 Croatian, Serbian Phone: (801) 262-5679 C West Jordan, Ut 84088 UT Urban Medicaid Oki, Allison Md Phone: (801) 566-0204 Languages Spoken: Spanish 100 N Mario Capecchi Dr UT Urban Medicaid Djurich, Milan Do C Salt Lake City, Ut 84113 UT Urban Medicaid Jordan Valley Internal Medicine Phone: (801) 662-4949 Carpenter, Scott Pa C Hanson, Richard Edward Pa C 3570 W 9000 S, #100 UT Urban Medicaid Granger Medical Clinic Utah Cancer Specialists West Jordan, Ut 84088 3838 S 700 E, #100 C 3725 W 4100 S Phone: (801) 569-2384 Stokes, Wayne Laurence Md West Valley City, Ut 84120 Salt Lake City, Ut 84106 Languages Spoken: Bosnian, Uuhc Greenwood Clinic Phone: (801) 965-3600 Phone: (801) 269-0231 Croatian, Serbian 7495 S State St UT Urban Medicaid Languages Spoken: German UT Urban Medicaid Midvale, Ut 84047 UT Urban Medicaid Phone: (801) 213-9400 Creer, Analee S Pa C Duerksen, Ronald Gary Md C UT Urban Medicaid Mountainstar Cardiovascular Hanson, Richard Edward Pa C Health Clinics Of Utah Surgery Utah Cancer Specialists 168 N 1950 W, #201 1160 E 3900 S, #3500 9720 S 1300 E, #W210 Salt Lake City, Ut 84114 Holladay, Ut 84124 Sandy, Ut 84094 Phone: (801) 715-3500 Phone: (801) 743-4750 Phone: (801) 262-5697 UT Urban Medicaid UT Urban Medicaid Languages Spoken: German UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 111 Salt Lake Specialty Care Network Salt Lake Hewitt, Patrick Vernon Pa C Maitre, Patrick Pa C Plastic Surgery Motoki, David S Md C South Valley Urology Uuhc Redwood Clinic 11762 S State St, #220 3584 W 9000 S, #401 1525 W 2100 S Bennett, Stephen H Md C Draper, Ut 84020 West Jordan, Ut 84088 West Valley City, Ut 84119 1045 E 3900 S, #201 Phone: (801) 571-2020 Phone: (801) 566-0204 Phone: (801) 213-9900 Holladay, Ut 84124 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 266-4212 UT Urban Medicaid Rodrigues, Robert Lynn Md D Hodson, Amber Pa C Neville, Christopher A Pa C Granger Medical Clinic Center For Orthopedic & 1250 E 3900 S, #450 Blocksom, Jason M Md C 3725 W 4100 S Rehabilitation Excellence Holladay, Ut 84124 100 N Mario Capecchi Dr West Valley City, Ut 84120 3584 W 9000 S, #405 Phone: (801) 262-3600 Salt Lake City, Ut 84113 Phone: (801) 965-3600 West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 662-1700 UT Urban Medicaid Phone: (801) 568-3480 UT Urban Medicaid UT Urban Medicaid Plasmancole, Deborah A Pa C Siddiqi, Faizi Md C Granger Medical Clinic Blocksom, Jason Matthew Md C Primary Childrens Medical Center Jarrett, Ross Michael Pa C 3725 W 4100 S 5089 S 900 E, #100 100 N Mario Capecchi Dr Associates In Orthopaedic Surgery West Valley City, Ut 84120 Salt Lake City, Ut 84117 Salt Lake City, Ut 84113 3336 S Pioneer Pkwy, #102 Phone: (801) 965-3600 Phone: (801) 743-0700 Phone: (801) 662-1000 West Valley City, Ut 84120 UT Urban Medicaid Languages Spoken: Fante UT Urban Medicaid Phone: (801) 964-3925 UT Urban Medicaid UT Urban Medicaid Pulver, Mark P Pa C Warnock, Steven H Md C 602 E Fort Union Blvd, 2ndflr Cheng, Christine Ann Md C 11762 S State St, #220 Johnson, Kira Dove Pa C Midvale, Ut 84047 1002 E South Temple, #202 Draper, Ut 84020 Heart Center Phone: (801) 313-1010 Salt Lake City, Ut 84102 Phone: (801) 571-2020 1160 E 3900 S, #2000 UT Urban Medicaid Phone: (801) 299-7625 UT Urban Medicaid Holladay, Ut 84124 UT Urban Medicaid Satterwhite, Malea G Pa C Warnock, Steven H Md C Phone: (801) 266-3418 C UT Urban Medicaid Hofmann Arthritis Institute Chick, Leland Russel Md 100 N Mario Capecchi Dr 24 S 1100 E, #101 & 105 Premier Plastic Surgery Group Of Salt Lake City, Ut 84113 Johnson, Kira Dove Pa C Salt Lake City, Ut 84102 Utah Phone: (801) 662-1000 Heart Center Phone: (801) 355-6468 24 S 1100 E, #201 UT Urban Medicaid 1160 E 3900 S, #2000 UT Urban Medicaid Salt Lake City, Ut 84102 Holladay, Ut 84124 Phone: (801) 322-1188 Podiatrist Phone: (801) 266-3418 Simpson, Jared Maurice Pa C UT Urban Medicaid UT Urban Medicaid The Heart And Lung Institute Of Anderson, Mikol Robert Dpm C Utah Fairbanks, Grant A Md C 1250 E 3900 S, #420 Johnson, Kira Dove Pa C 5979 S Fashion Blvd 100 N Mario Capecchi Dr Salt Lake City, Ut 84124 Heart Center Murray, Ut 84107 Salt Lake City, Ut 84113 Phone: (801) 269-9939 3584 W 9000 S, #209 Phone: (801) 263-2370 Phone: (801) 662-1700 UT Urban Medicaid West Jordan, Ut 84088 Languages Spoken: Spanish Languages Spoken: Italian Phone: (801) 676-3776 UT Urban Medicaid UT Urban Medicaid Anderson, Ryan K Dpm C UT Urban Medicaid Advanced Foot & Ankle Sorensen, Jennifer Anne Pa C Fryer, Richard H Md C 3590 W 9000 S, #215 Johnson, Kira Dove Pa C Mountain West Gastroenterology Steven Hansen Warnock West Jordan, Ut 84088 Heart Center 6360 S 3000 E, #310 11762 S State St, #220 Phone: (801) 566-7297 3725 W 4100 S, 1st Fl Salt Lake City, Ut 84121 Draper, Ut 84020 UT Urban Medicaid West Valley City, Ut 84120 Phone: (801) 944-3144 Phone: (801) 571-2020 Phone: (801) 968-1818 UT Urban Medicaid UT Urban Medicaid Blackburn, Dennis A Dpm C UT Urban Medicaid Uuhc Redwood Clinic Syddall, Tracy Pa C Haupt, Russell Scott Md C 1525 W 2100 S Johnson, Kira Dove Pa C Jordan Valley Surgical Specialists Utah Cosmetic Surgery West Valley City, Ut 84119 Heart Center 3584 W 9000 S, #304 5292 S College Dr, #302 Phone: (801) 213-9900 3725 W 4100 S, 1st Fl West Jordan, Ut 84088 Salt Lake City, Ut 84123 UT Urban Medicaid West Valley City, Ut 84120 Phone: (801) 601-4423 Phone: (801) 293-8100 Phone: (801) 968-1818 UT Urban Medicaid UT Urban Medicaid Brown, H Ronald Dpm C UT Urban Medicaid 4370 S Redwood Rd Taylor, Scott D Pa C Morales, Louis Md C Salt Lake City, Ut 84123 Johnson, Oscar C Pa C Mountain Medical Physicians 100 N Mario Capecchi Dr Phone: (801) 967-3338 Center For Orthopedic & Specialists Salt Lake City, Ut 84113 UT Urban Medicaid Rehabilitation Excellence 5323 S Woodrow St, #102 Phone: (801) 662-1600 3336 S 4155 W, #306 Murray, Ut 84107 Languages Spoken: Spanish Call Jr, Donald Romney Dpm C West Valley City, Ut 84120 Phone: (801) 713-1010 UT Urban Medicaid 1325 W South Jordan Pkwy, #105 Phone: (801) 547-1155 UT Urban Medicaid C South Jordan, Ut 84095 UT Urban Medicaid Morales Jr, Louis Md Phone: (801) 254-3123 Townsley, Robert William Pa C 5089 S 900 E, #100 Languages Spoken: Spanish Johnson, Oscar C Pa C Center For Orthopedic & Salt Lake City, Ut 84117 UT Urban Medicaid Center For Orthopedic & Rehabilitation Excellence Phone: (801) 743-0770 Rehabilitation Excellence 3584 W 9000 S, #405 UT Urban Medicaid Call Jr, Donald Romney Dpm C 3584 W 9000 S, #405 West Jordan, Ut 84088 C Ob/Gyn Associates West Jordan, Ut 84088 Phone: (801) 568-3480 Morales Jr, Louis Md 12176 S 1000 E, #B1 Phone: (801) 568-3480 UT Urban Medicaid Primary Childrens Medical Center Draper, Ut 84020 UT Urban Medicaid 100 N Mario Capecchi Dr Phone: (801) 523-3053 Salt Lake City, Ut 84113 Languages Spoken: Spanish Phone: (801) 743-0770 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 112 Salt Lake Specialty Care Network Salt Lake Campbell, Craig J Dpm C Hamblin, Kelly L Dpm C Rushton, Ryan Taylor Dpm C Smith, Terry Paul Dpm C Southwest Foot Clinic Granger Medical Clinic Uuhc Redwood Clinic Utah Podiatry Group 5255 S 4015 W, #140 3725 W 4100 S 1525 W 2100 S 4578 S Highland Dr, #380 Kearns, Ut 84118 West Valley City, Ut 84120 West Valley City, Ut 84119 Salt Lake City, Ut 84117 Phone: (801) 969-1434 Phone: (801) 965-3600 Phone: (801) 213-9900 Phone: (801) 274-9062 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Clark, Francis J Dpm D Harper, Spence D Dpm C Schiffgen, Stephen T Dpm C Smith, Terry Paul Dpm C 3584 W 9000 S, #301 Utah Podiatry Group 9690 S 1300 E, #120 Utah Podiatry Group West Jordan, Ut 84088 4578 S Highland Dr, #380 Sandy, Ut 84094 82 S 1100 E, #301 Phone: (801) 255-8633 Salt Lake City, Ut 84117 Phone: (801) 501-4335 Salt Lake City, Ut 84102 UT Urban Medicaid Phone: (801) 274-9062 UT Urban Medicaid Phone: (801) 505-5277 UT Urban Medicaid UT Urban Medicaid Clark, Scott A Dpm C Seagle, Bryan L Dpm C Utah Podiatry Group Harper, Spence D Dpm C Advanced Foot & Ankle Smith, Terry Paul Dpm C 2178 S 900 E, #1 Utah Podiatry Group 3590 W 9000 S, #215 Utah Podiatry Group Salt Lake City, Ut 84106 82 S 1100 E, #301 West Jordan, Ut 84088 8822 S Redwood Rd, #E121 Phone: (801) 466-8206 Salt Lake City, Ut 84102 Phone: (801) 566-7297 West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 505-5277 Languages Spoken: French Phone: (801) 505-5277 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Clark, Scott A Dpm C Utah Podiatry Group Harper, Spence D Dpm C Seegmiller, David Craig Dpm C Soulier, Scott Martin Dpm C 4578 S Highland Dr, #380 Utah Podiatry Group Utah Podiatry Group 4578 S Highland Dr, #380 Salt Lake City, Ut 84117 8822 S Redwood Rd, #E121 3920 S 1100 E, #115 Salt Lake City, Ut 84117 Phone: (801) 274-9062 West Jordan, Ut 84088 Salt Lake City, Ut 84124 Phone: (801) 274-9060 UT Urban Medicaid Phone: (801) 505-5277 Phone: (801) 685-7129 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Clark, Scott A Dpm C Soulier, Scott Martin Dpm C Utah Podiatry Group Jones, Steven R Dpm C Seegmiller, David Craig Dpm C 7321 S State St 82 S 1100 E, #301 2361 Murray-Holladay Rd Utah Podiatry Group Midvale, Ut 84047 Salt Lake City, Ut 84102 Salt Lake City, Ut 84117 82 S 1100 E, #301 Phone: (801) 561-1011 Phone: (801) 505-5277 Phone: (801) 277-8512 Salt Lake City, Ut 84102 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 505-5277 UT Urban Medicaid Stoker, Douglas Green Dpm C Clark, Scott A Dpm C Kotter, Michael W Dpm C Podiatry Center Utah Podiatry Group Kotter Foot & Ankle Center Seegmiller, David Craig Dpm C 144 S 700 E 8822 S Redwood Rd, #E121 3590 W 9000 S, #215 Utah Podiatry Group Salt Lake City, Ut 84102 West Jordan, Ut 84088 West Jordan, Ut 84088 8822 S Redwood Rd, #E121 Phone: (801) 532-1822 Phone: (801) 505-5277 Phone: (801) 566-7297 West Jordan, Ut 84088 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 505-5277 UT Urban Medicaid Williams, Trevor Richard Dpm C Collins, Tyler Lewis Dpm C Larsen, Clark C Dpm C Foot & Ankle Specialists Collins Foot & Ankle Clinic 5801 S Fashion Blvd, #120 Seegmiller, Richard Gregg Dpm C 1561 W 7000 S, #100 1377 E 3900 S, #100 Murray, Ut 84107 Utah Podiatry Group West Jordan, Ut 84084 Salt Lake City, Ut 84124 Phone: (801) 261-1391 82 S 1100 E, #301 Phone: (801) 569-2696 Phone: (801) 273-0100 UT Urban Medicaid Salt Lake City, Ut 84102 UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 505-5277 UT Urban Medicaid Larsen, Louis Craig Dpm C UT Urban Medicaid Young, Jon Randal Dpm C 5801 S Fashion Blvd, #120 3336 S Pioneer Pkwy, #302 Daniels, Paul Norman Dpm C Murray, Ut 84107 Seegmiller, Richard Gregg Dpm C West Valley City, Ut 84120 1449 E 3300 S Phone: (801) 261-1391 Utah Podiatry Group Phone: (801) 417-5347 Salt Lake City, Ut 84106 UT Urban Medicaid 8822 S Redwood Rd, #E121 Languages Spoken: Spanish Phone: (801) 483-1015 West Jordan, Ut 84088 UT Urban Medicaid Languages Spoken: Russian Lowe, Michael K Dpm C Phone: (801) 505-5277 UT Urban Medicaid Podiatry Center UT Urban Medicaid Psychiatric/Mental 144 S 700 E Davis, Nathan Wayne Dpm C Salt Lake City, Ut 84102 Shelton, Steven J Dpm C Health Nurse 154 Myrtle Ave, #201 Phone: (801) 532-1822 1434 E 9400 S Practitioner Murray, Ut 84107 UT Urban Medicaid Sandy, Ut 84094 Phone: (801) 743-2909 Phone: (801) 571-7911 Dario Sr, Joel Salindong Aprn C UT Urban Medicaid Phillips, Stanley J Dpm C UT Urban Medicaid Gero Psych 9690 S 1300 E, #120 1050 E South Temple Hamblin, Kelly L Dpm C Sandy, Ut 84094 Shelton, Steven J Dpm C Salt Lake City, Ut 84102 Granger Medical Clinic Phone: (801) 501-4335 850 E 300 S Phone: (801) 350-4111 2751 W 9000 S UT Urban Medicaid Salt Lake City, Ut 84102 UT Urban Medicaid West Jordan, Ut 84088 Phone: (801) 355-6175 Phone: (801) 352-5900 Rushton, Ryan Taylor Dpm C UT Urban Medicaid UT Urban Medicaid Uuhc Greenwood Clinic Pulmonary Disease 7495 S State St Smith, Terry Paul Dpm C C Hamblin, Kelly L Dpm C Midvale, Ut 84047 Utah Podiatry Group Ahmed, Ali Md Granger Medical Clinic Phone: (801) 213-9400 2178 S 900 E, #1 Sleep And Lung Clinic Of Utah 3181 W 9000 S UT Urban Medicaid Salt Lake City, Ut 84106 5801 Fashion Blvd, #280 West Jordan, Ut 84088 Phone: (801) 466-8206 Murray, Ut 84107 Phone: (801) 352-5900 UT Urban Medicaid Phone: (801) 260-5864 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 113 Salt Lake Specialty Care Network Salt Lake Al Shuqairat, Talaat Adnan Md C Peng, Wei Md C Hayes, John K Md C Belnap, Legrand P Md C The Sleep Institute Of Utah Cardiovascular Consultants Of Gammawest Brachytherapy Belnap Surgical Associates 8706 S 700 E, #207 Utah 1050 E South Temple 470 E 3900 S, #200 Sandy, Ut 84070 82 S 1100 E, #103 Salt Lake City, Ut 84102 Murray, Ut 84107 Phone: (866) 227-5337 Salt Lake City, Ut 84102 Phone: (801) 350-8400 Phone: (801) 262-9782 Languages Spoken: Arabic Phone: (801) 746-4440 Languages Spoken: Chinese, UT Urban Medicaid UT Urban Medicaid Languages Spoken: Chinese Mandarin UT Urban Medicaid UT Urban Medicaid Belnap, Legrand P Md C Dienhart, David George Md C Canyon Surgical Associates Sleep And Lung Clinic Of Utah Pfeffer, Kathleen Denise Md C Lee, Robert Jeffrey Md C 5171 S Cottonwood St, #650 5801 Fashion Blvd, #280 Utah Sleep Specialists Utah Cancer Specialists Murray, Ut 84107 Murray, Ut 84107 9103 S 1300 W, #103 3838 S 700 E, #100 Phone: (801) 507-9600 Phone: (801) 260-5864 West Jordan, Ut 84088 Salt Lake City, Ut 84106 UT Urban Medicaid UT Urban Medicaid Phone: (801) 432-8690 Phone: (801) 269-0231 UT Urban Medicaid UT Urban Medicaid Cavin, Ian Richard Do C Dupont, Gregory Patrick Md C Jordan Family Health Utah Sleep Specialists Rasmussen, James Anthony Md C Reilly, Mark William Md C 8846 S Redwood Rd, #E121 9103 S 1300 W, #103 Multispecialty Partners Gammawest Brachytherapy West Jordan, Ut 84088 West Jordan, Ut 84088 24 S 1100 E, #304 1050 E South Temple Phone: (801) 569-1999 Phone: (801) 432-8690 Salt Lake City, Ut 84102 Salt Lake City, Ut 84102 UT Urban Medicaid UT Urban Medicaid Phone: (801) 746-4440 Phone: (801) 350-8400 UT Urban Medicaid UT Urban Medicaid Cavin, Ian Richard Do C Farrukh, Imad S Md C Lone Peak General Surgery Utah Lung Center Sadler, William Taylor Md C Rogers, Charles Leland Md C 4000 S 700 E, #9 3584 W 9000 S, #201 The Sleep Institute Of Utah Gammawest Brachytherapy Murray, Ut 84107 West Jordan, Ut 84088 8706 S 700 E, #207 1050 E South Temple Phone: (801) 262-3564 Phone: (801) 562-5864 Sandy, Ut 84070 Salt Lake City, Ut 84102 UT Urban Medicaid Languages Spoken: Arabic Phone: (866) 227-5337 Phone: (801) 350-8400 UT Urban Medicaid UT Urban Medicaid Languages Spoken: German Cavin, Ian Richard Do C UT Urban Medicaid Lone Peak General Surgery Francis, Kurt F Md D Shockey, Mark Steven Md D 74 Kimballs Ln, #210 Pulmonary Internal Medicine Pulmonary Internal Medicine Draper, Ut 84020 1220 E 3900 S, #2c 1220 E 3900 S, #2c Rheumatology Phone: (801) 566-3062 Holladay, Ut 84124 Holladay, Ut 84124 Shaskey, David Jonathan Md D UT Urban Medicaid Phone: (801) 263-2482 Phone: (801) 263-2482 Wasatch Internal Medicine & UT Urban Medicaid UT Urban Medicaid Chachas, Angelo Gregory Md C Family Medicine Alpine Surgery Division Guidry, David Wayne Md C 1160 E 3900 S, #1000 24 S 1100 E, #201 Silverton Group Radiation Oncology Salt Lake City, Ut 84124 Salt Lake City, Ut 84102 1050 E South Temple, 3rd Fl Phone: (801) 262-1771 Phone: (801) 478-0010 Avizonis, Vilija N Md C UT Urban Medicaid Salt Lake City, Ut 84102 Utah Cancer Specialists UT Urban Medicaid Phone: (801) 350-4110 3838 S 700 E, #100 UT Urban Medicaid Sleep Medicine Cottam, Daniel Rhead Md C Salt Lake City, Ut 84106 Bariatric Medicine Institute Klein, David Md D Phone: (801) 269-0231 Nabi, Syed Iftikharun Md C 1046 E 100 S Pulmonary Internal Medicine Languages Spoken: Spanish Utah Sleep Specialists Salt Lake City, Ut 84102 1220 E 3900 S, #2c UT Urban Medicaid 9103 S 1300 W, #103 Phone: (801) 746-2885 Holladay, Ut 84124 Fischbach, Ada J Md C West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 263-2482 Utah Cancer Specialists Phone: (801) 432-8690 UT Urban Medicaid Languages Spoken: Urdu Cottam, Daniel Rhead Md C 3838 S 700 E, #100 UT Urban Medicaid Surgical Weight Loss Center Kurrus, Jeffery Anton Md C Salt Lake City, Ut 84106 24 S 1100 E, #304 Phone: (801) 269-0231 Pulmonary Internal Medicine Sports Medicine Salt Lake City, Ut 84102 1220 E 3900 S, #2c UT Urban Medicaid Phone: (801) 746-2885 Holladay, Ut 84124 Hansen, Roger S Md C Testa, Massimo Max Md C UT Urban Medicaid Phone: (801) 263-2482 Ldsh Health & Fitness Institute Gammawest Brachytherapy Davis, Charles Reese Md C UT Urban Medicaid 1050 E South Temple 440 D St, #206 Salt Lake City, Ut 84103 Jordan Family Health Nelson, Patricia L Md C Salt Lake City, Ut 84102 8846 S Redwood Rd, #E121 Phone: (801) 350-8400 Phone: (801) 408-5764 Sleep And Lung Clinic Of Utah UT Urban Medicaid West Jordan, Ut 84088 5801 Fashion Blvd, #280 UT Urban Medicaid Phone: (801) 569-1999 Murray, Ut 84107 Harris, Robert Alan Md C Surgery Languages Spoken: Japanese, Phone: (801) 260-5864 Gammawest Brachytherapy Spanish UT Urban Medicaid 1050 E South Temple Alonso, Diane Md C UT Urban Medicaid Pandita, Sunny Md C Salt Lake City, Ut 84102 Canyon Surgical Associates Davis, Charles Reese Md C Sleep And Lung Clinic Of Utah Phone: (801) 350-8400 5171 S Cottonwood St, #650 Lone Peak General Surgery 5801 Fashion Blvd, #280 UT Urban Medicaid Murray, Ut 84107 4000 S 700 E, #9 Murray, Ut 84107 Phone: (801) 507-9600 Murray, Ut 84107 Phone: (801) 260-5864 UT Urban Medicaid Phone: (801) 262-3564 Languages Spoken: Hindi, Urdu Languages Spoken: Japanese, UT Urban Medicaid Spanish UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 114 Salt Lake Specialty Care Network Salt Lake Davis, Charles Reese Md C Mintz, Steve Jay Md C Richards, Christina Gail Md C Voorhees, Hugh D Md C Lone Peak General Surgery Alpine Medical Group Bariatric Medicine Institute Jordan Family Health 74 Kimballs Ln, #210 24 S 1100 E, #201 1046 E 100 S 8846 S Redwood Rd, #E121 Draper, Ut 84020 Salt Lake City, Ut 84102 Salt Lake City, Ut 84102 West Jordan, Ut 84088 Phone: (801) 566-3062 Phone: (801) 478-0010 Phone: (801) 746-2885 Phone: (801) 569-1999 Languages Spoken: Japanese, UT Urban Medicaid Languages Spoken: French UT Urban Medicaid Spanish UT Urban Medicaid UT Urban Medicaid Noyes, Robert Dirk Md C Voorhees, Hugh D Md C Intermountain Noyes Surgical Richards, Christina Gail Md C Lone Peak General Surgery Fine, Stephanie G Md C Oncology Surgical Weight Loss Center 4000 S 700 E, #9 Jordan Valley Surgical Specialists 5169 Cottonwood St, #440 24 S 1100 E, #304 Murray, Ut 84107 3584 W 9000 S, #304 Murray, Ut 84107 Salt Lake City, Ut 84102 Phone: (801) 262-3564 West Jordan, Ut 84088 Phone: (801) 507-3915 Phone: (801) 746-4440 UT Urban Medicaid Phone: (801) 601-4423 Languages Spoken: Spanish Languages Spoken: French UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Thoracic Surgery Halversen, R Scott Md C Noyes, Robert Dirk Md C Robb, J Barry Md C (Cardiothoracic 1160 E 3900 S, #4100 Noyes Surgical Oncology 1220 E 3900 S, #3f Vascular Surgery) Salt Lake City, Ut 84124 324 10th Ave, #249 Salt Lake City, Ut 84124 Phone: (801) 577-7055 Salt Lake City, Ut 84103 Phone: (801) 268-2531 Affleck, David G Md C UT Urban Medicaid Phone: (801) 408-3555 UT Urban Medicaid Mountainstar Cardiovascular Languages Spoken: Spanish Surgery Hollingsed, Timothy C Md C UT Urban Medicaid Slawson, Edward Douglas Md C 1160 E 3900 S, #3500 Granger Medical Clinic Jordan Valley Surgical Specialists Salt Lake City, Ut 84124 3725 W 4100 S Porretta, Jane Marie Md C 3584 W 9000 S, #304 Phone: (801) 743-4750 West Valley City, Ut 84120 Jordan Valley Surgical Specialists West Jordan, Ut 84088 Languages Spoken: Spanish Phone: (801) 965-3600 3584 W 9000 S, #304 Phone: (801) 601-4423 UT Urban Medicaid UT Urban Medicaid West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 601-4423 Graham, Joseph Eugene Md C Irvine, Bruce Chamberlin Md C UT Urban Medicaid Smith, John Taylor Md D Mountainstar Cardiovascular Granger Medical Clinic Children With Special Healthcare Surgery 3725 W 4100 S Preciado, Alfonso Md C Needs 1160 E 3900 S, #3500 West Valley City, Ut 84120 Jordan Valley Surgical Specialists 52 Mario Capecchi Dr Holladay, Ut 84124 Phone: (801) 965-3600 3584 W 9000 S, #304 Salt Lake City, Ut 84114 Phone: (801) 743-4750 UT Urban Medicaid West Jordan, Ut 84088 Phone: (801) 584-8284 UT Urban Medicaid Phone: (801) 601-4423 UT Urban Medicaid Kim, Benjamin Md C UT Urban Medicaid Karwande, Shreekanth V Md C Utah Cancer Institute Steppacher Jr, Robert Clark Md C Mountainstar Cardiovascular 1220 E 3900 S, #4f Rabinovich, Aaron Md C Mountain Medical Physicians Surgery Salt Lake City, Ut 84124 Associates In Orthopaedic Surgery Specialists 1160 E 3900 S, #3500 Phone: (801) 268-8223 3665 S 8400 W, #200 1160 E 3900 S, #G300 Holladay, Ut 84124 UT Urban Medicaid Magna, Ut 84044 Salt Lake City, Ut 84124 Phone: (801) 743-4750 Phone: (801) 964-3855 Phone: (801) 313-4101 UT Urban Medicaid Le, Dinhkim Md C Languages Spoken: Russian UT Urban Medicaid Jordan Valley Surgical Specialists UT Urban Medicaid Schorlemmer, Gilbert R Md C 3584 W 9000 S, #304 Steppacher Jr, Robert Clark Md C Mountainstar Cardiovascular West Jordan, Ut 84088 Rabinovich, Aaron Md C Mountain Medical Vein Center Surgery Phone: (801) 562-3150 Institute For Specialty Surgery 5323 S Woodrow St, #102 1160 E 3900 S, #3500 UT Urban Medicaid 3336 S Pioneer Pkwy, #306 Murray, Ut 84107 Holladay, Ut 84124 West Valley City, Ut 84120 Phone: (801) 713-1010 Leckman, Scott A Md C Phone: (801) 743-4750 Phone: (801) 964-3855 UT Urban Medicaid UT Urban Medicaid 1220 E 3900 S, #3g Languages Spoken: Russian Salt Lake City, Ut 84124 UT Urban Medicaid Swenson, Lori Raelynn Md C Stringham, James Cannon Md C Phone: (801) 266-4924 Associates In Orthopaedic Surgery Cardiovascular Consultants Of UT Urban Medicaid Richards, C David Md C 3665 S 8400 W, #200 Utah Belnap Surgical Associates Magna, Ut 84044 Livers, Gregory Lawerance Md C 82 S 1100 E, #103 470 E 3900 S, #200 Phone: (801) 964-3855 Salt Lake City, Ut 84102 24 S 1100 E, #302 Murray, Ut 84107 UT Urban Medicaid Salt Lake City, Ut 84102 Phone: (801) 746-4440 Phone: (801) 262-9782 UT Urban Medicaid Phone: (801) 478-0010 UT Urban Medicaid Swenson, Lori Raelynn Md C Languages Spoken: Spanish Institute For Specialty Surgery Thorne, J Kent Md C UT Urban Medicaid Richards, Christina Gail Md C 3336 S Pioneer Pkwy, #306 Mountainstar Cardiovascular Alpine Medical Group West Valley City, Ut 84120 Surgery Mckinlay, Rodrick D Md C 24 S 1100 E, #201 Phone: (801) 964-3855 Rocky Mountain Associated 1160 E 3900 S, #3500 Salt Lake City, Ut 84102 UT Urban Medicaid Holladay, Ut 84124 Physicians Phone: (801) 478-0010 1160 E 3900 S, #4100 C Phone: (801) 743-4750 Languages Spoken: French Vanderwerf, Willem Joseph Md UT Urban Medicaid Salt Lake City, Ut 84124 UT Urban Medicaid Canyon Surgical Associates Phone: (801) 268-3800 5171 S Cottonwood St, #650 Languages Spoken: Spanish Murray, Ut 84107 UT Urban Medicaid Phone: (801) 507-9600 Languages Spoken: Dutch UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 115 Salt Lake Specialty Care Network San Juan Undersea And Mcfadden, Michael R Md D Goodman, Greg R Md C South Valley Urology Mountain Medical Vein Center San Juan County Hyperbaric Medicine 3584 W 9000 S, #401 5323 S Woodrow St, #102 West Jordan, Ut 84088 Murray, Ut 84107 Boyle, Bret Robert Do C Family Medicine Physician Wound Care & Phone: (801) 566-0204 Phone: (801) 713-1010 Hyperbaric Service UT Urban Medicaid UT Urban Medicaid Black, Curtis L Md C 6508 Canyon Cove Dr Oottamasathien, Siam Md C Merrell, Steven W Md C Blanding Medical Clinic Salt Lake City, Ut 84121 100 N Mario Capecchi Dr Mountain Medical Physicians 804 N 400 W Phone: (801) 272-0355 Salt Lake City, Ut 84113 Specialists Blanding, Ut 84511 UT Urban Medicaid Phone: (801) 662-1700 1160 E 3900 S, #G300 Phone: (435) 678-2254 UT Urban Medicaid Salt Lake City, Ut 84124 Languages Spoken: Urology Phone: (801) 313-4101 Portuguese, Spanish Parkinson, Justin Paul Md C UT Urban Medicaid UT Rural Medicaid Cartwright, Patrick C Md C Associates In Orthopaedic Surgery 100 N Mario Capecchi Dr 3665 S 8400 W, #200 Merrell, Steven W Md C Black, Curtis L Md C Salt Lake City, Ut 84113 Magna, Ut 84044 Mountain Medical Vein Center San Juan Clinic Phone: (801) 662-1000 Phone: (801) 955-4685 5323 S Woodrow St, #102 380 W 100 N UT Urban Medicaid UT Urban Medicaid Murray, Ut 84107 Monticello, Ut 84535 Phone: (801) 713-1010 Phone: (435) 587-5054 Childs, Lane C Md C Parkinson, Justin Paul Md C UT Urban Medicaid Languages Spoken: Western Urological Clinic Urology Specialists Of Utah Portuguese, Spanish 4252 S Highland Dr, #200 3336 S 4155 W, #202 Whitten, Matthew Guyon Md C UT Rural Medicaid Salt Lake City, Ut 84124 West Valley City, Ut 84120 Mountain Medical Physicians Phone: (801) 993-1800 Phone: (801) 955-4685 Specialists Family Nurse Languages Spoken: French UT Urban Medicaid 1160 E 3900 S, #G300 UT Urban Medicaid Salt Lake City, Ut 84124 Practitioner Snow, Brent W Md C Phone: (801) 313-4101 Richey, Tanya Darlene Np C Devries, Catherine R Md C 100 N Mario Capecchi Dr UT Urban Medicaid Spina Bifida Clinic Salt Lake City, Ut 84113 Blanding Medical Clinic 100 N Mario Capecchi Dr Phone: (801) 662-5555 Whitten, Matthew Guyon Md C 804 N 400 W Salt Lake City, Ut 84113 UT Urban Medicaid Mountain Medical Vein Center Blanding, Ut 84511 Phone: (801) 662-1700 5323 S Woodrow St, #102 Phone: (435) 678-2254 UT Urban Medicaid Snyder, Orrenzo Benally Md C Murray, Ut 84107 UT Rural Medicaid Granger Medical Clinic Phone: (801) 713-1010 Richey, Tanya Darlene Np C Fisher, Peter C Md C 12391 S 4000 W UT Urban Medicaid Western Urological Clinic Riverton, Ut 84065 San Juan Clinic 4252 S Highland Dr, #200 Phone: (801) 302-1700 Wirthlin, Douglas James Md C 380 W 100 N Salt Lake City, Ut 84124 UT Urban Medicaid Mountain Medical Physicians Monticello, Ut 84535 Phone: (801) 993-1800 Specialists Phone: (435) 587-5054 Languages Spoken: Japanese Snyder, Orrenzo Benally Md C 1160 E 3900 S, #G300 UT Rural Medicaid UT Urban Medicaid Granger Medical Clinic Salt Lake City, Ut 84124 3725 W 4100 S Phone: (801) 313-4101 Medical Genetics - Gange, Steven N Md C West Valley City, Ut 84120 Languages Spoken: Spanish Clinical Genetics Western Urological Clinic Phone: (801) 965-3600 UT Urban Medicaid 4252 S Highland Dr, #200 UT Urban Medicaid (M.D.) Salt Lake City, Ut 84124 Wirthlin, Douglas James Md C Botto, Lorenzo Davide Md C Phone: (801) 993-1800 Vascular Surgery Mountain Medical Vein Center UT Urban Medicaid 5323 S Woodrow St, #102 Children With Special Healthcare Galt, Spencer W Md C Murray, Ut 84107 Needs Hibbert, Daniel L Md C Mountain Medical Physicians Phone: (801) 713-1010 117 S Main St South Valley Urology Specialists Languages Spoken: Spanish Monticello, Ut 84535 3584 W 9000 S, #405 1160 E 3900 S, #G300 UT Urban Medicaid Phone: (435) 587-2021 West Jordan, Ut 84088 Salt Lake City, Ut 84124 UT Rural Medicaid Phone: (801) 566-0204 Phone: (801) 313-4101 UT Urban Medicaid Womens Health Lewin, Susan O Md C UT Urban Medicaid Nurse Practitioner Children With Special Healthcare Hibbert, Daniel L Md C Galt, Spencer W Md C Needs Urology Specialists Of Utah Mountain Medical Vein Center Gitlin, Denise Aprn C 117 S Main St 3336 S 4155 W, #202 5323 S Woodrow St, #102 Monarch Womens Cancer Center Monticello, Ut 84535 West Valley City, Ut 84120 Murray, Ut 84107 1140 E 3900 S, #340 Phone: (435) 587-2021 Phone: (801) 955-4685 Phone: (801) 713-1010 Holladay, Ut 84124 UT Rural Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 743-4730 UT Urban Medicaid Neurology Hopkin, Scott A Md C Goodman, Greg R Md C Western Urological Clinic Mountain Medical Physicians Nielson, Denise M Md C 4252 S Highland Dr, #200 Specialists Children With Special Healthcare Salt Lake City, Ut 84124 1160 E 3900 S, #G300 Needs Phone: (801) 993-1800 Salt Lake City, Ut 84124 117 S Main St UT Urban Medicaid Phone: (801) 313-4101 Monticello, Ut 84535 UT Urban Medicaid Phone: (435) 587-2021 UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 116 San Juan Specialty Care Network Sanpete Orthopaedic Surgery Hayes, Kris Attwood Md C Smith, Douglas Richard Md C Tudor, Brian P Md C San Juan Clinic Intermountain Mt. Pleasant Clinic Cuc - Gunnison - Medical Kloepper, Robert G Md C 380 W 100 N 1100 S Medical Dr Oncology Montezuma Creek Community Monticello, Ut 84535 Mount Pleasant, Ut 84647 65 E 100 N Health Center Phone: (435) 587-5054 Phone: (435) 462-2441 Gunnison, Ut 84634 East Hwy 262 Languages Spoken: Spanish UT Rural Medicaid Phone: (801) 374-2367 Montezuma Creek, Ut 84534 UT Rural Medicaid UT Rural Medicaid Phone: (435) 651-3291 Walsh, Kevin J Md C UT Rural Medicaid Utah Heart Clinic Wallentine, Steven Lee Md D Sanpete County 1100 S Medical Dr Cuc - Gunnison - Medical Stevens, Peter M Md C Mount Pleasant, Ut 84647 Oncology Children With Special Healthcare Phone: (801) 507-3500 65 E 100 N Needs Cardiovascular UT Rural Medicaid Gunnison, Ut 84634 117 S Main St Disease Phone: (801) 374-2367 Monticello, Ut 84535 Dermatology UT Rural Medicaid Phone: (435) 587-2021 Allen, Marvin R Md C UT Rural Medicaid Intermountain Mt. Pleasant Clinic Eyre, Michael P Do C Ophthalmology 1100 S Medical Dr Aspen Dermatology Physician Assistant Mount Pleasant, Ut 84647 49 E Center St Parsons, Matthew Reed Md C Phone: (435) 462-2441 Gunnison, Ut 84634 Excel Eye Center Freestone, Blen Arlow Pa C UT Rural Medicaid Phone: (801) 794-1490 1100 S Medical Dr Blanding Medical Clinic UT Rural Medicaid Mount Pleasant, Ut 84647 804 N 400 W Bingham, Scott Eugene Md C Phone: (435) 462-4607 Blanding, Ut 84511 Intermountain Mt. Pleasant Clinic Eyre, Michael P Do C Languages Spoken: Cantonese Phone: (435) 678-2254 1100 S Medical Dr Aspen Dermatology UT Rural Medicaid UT Rural Medicaid Mount Pleasant, Ut 84647 525 N Main St Phone: (435) 462-2441 Ephraim, Ut 84627 Parsons, Matthew Reed Md C Freestone, Blen Arlow Pa C UT Rural Medicaid Phone: (801) 794-1490 Excel Eye Center San Juan Clinic UT Rural Medicaid 79 E Center St 380 W 100 N Cragun, David Turley Md C Gunnison, Ut 84634 Monticello, Ut 84535 Intermountain Mt. Pleasant Clinic Peterson, Chad R Md C Phone: (435) 528-2107 Phone: (435) 587-5054 1100 S Medical Dr Aspen Dermatology Languages Spoken: Cantonese UT Rural Medicaid Mount Pleasant, Ut 84647 49 E Center St UT Rural Medicaid Phone: (435) 462-2441 Gunnison, Ut 84634 Podiatrist UT Rural Medicaid Phone: (801) 794-1490 UT Rural Medicaid Orthopaedic Surgery Dahl, Charles F Md C Cook, Terry R Dpm C Smith, Jeffrey R Md C Blanding Family Practice Intermountain Mt. Pleasant Clinic Peterson, Chad R Md C 1100 S Medical Dr Aspen Dermatology Intermountain Ephraim Clinic Community Health Center 525 N Main St 799 S 200 W Mount Pleasant, Ut 84647 525 N Main St Phone: (435) 462-2441 Ephraim, Ut 84627 Ephraim, Ut 84627 Blanding, Ut 84511 Phone: (435) 283-4076 Phone: (435) 678-3601 UT Rural Medicaid Phone: (801) 794-1490 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Frischknecht, John Kay Md C Intermountain Mt. Pleasant Clinic Wallentine, Jeffrey Max Md C Cook, Terry R Dpm C Family Medicine Cuc - Mt Pleasant - Urology Montezuma Creek Community 1100 S Medical Dr Mount Pleasant, Ut 84647 1100 S Medical Dr Health Center Hanna, Allison Do C Mount Pleasant, Ut 84647 East Hwy 262 Phone: (435) 462-2441 Sanpete Valley Hospital UT Rural Medicaid Phone: (801) 357-7327 Montezuma Creek, Ut 84534 1100 S Medical Dr UT Rural Medicaid Phone: (435) 651-3291 Hwang, Chun Md C Mount Pleasant, Ut 84647 UT Rural Medicaid Intermountain Mt. Pleasant Clinic Phone: (435) 462-2441 Otolaryngology UT Rural Medicaid Cook, Terry R Dpm C 1100 S Medical Dr (Ent) Monument Valley Community Mount Pleasant, Ut 84647 Holland, Gary F Md C Health Center Phone: (435) 462-2441 Sanpete Valley Hospital Parsons, Stephen Paul Md C 30 W Medical Dr UT Rural Medicaid 1100 S Medical Dr Peak Ent Associates Mount Pleasant, Ut 84647 1100 S Medical Dr Monument Valley, Ut 84536 Lappe, Donald Lewis Md C Mount Pleasant, Ut 84647 Phone: (435) 727-3000 Intermountain Utah Heart Clinic Phone: (435) 462-2441 UT Rural Medicaid Phone: (801) 357-7499 UT Rural Medicaid 1100 S Medical Dr UT Rural Medicaid Mount Pleasant, Ut 84647 Hematology & Surgery Phone: (801) 507-3500 Surgery C UT Rural Medicaid Oncology Hayes, Kris Attwood Md Butte, Jeffery Brandon Do C Blanding Medical Clinic Meredith, Kent G Md C Bott, Jay Cordell Md C Intermountain Mt. Pleasant Clinic 804 N 400 W Utah Heart Clinic Cuc - Gunnison - Medical 1100 S Medical Dr Blanding, Ut 84511 1100 S Medical Dr Oncology Mount Pleasant, Ut 84647 Phone: (435) 678-2254 Mount Pleasant, Ut 84647 65 E 100 N Phone: (435) 462-3471 UT Rural Medicaid Phone: (801) 507-3500 Gunnison, Ut 84634 UT Rural Medicaid UT Rural Medicaid Phone: (801) 374-2367 UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 117 Sanpete SSpecialty Care Network ummit Hansen, Thomas Randy Md C Frischknecht, John Kay Md C Nephrology Carter, Melvin Eric Md C Intermountain Ephraim Clinic 1000 N Main St Park City Medical Center 525 N Main St Richfield, Ut 84701 Filloux, Francis M Md C 900 Round Valley Dr Ephraim, Ut 84627 Phone: (435) 896-8271 Children With Special Healthcare Park City, Ut 84060 Phone: (435) 283-4076 UT Rural Medicaid Needs Phone: (435) 658-7000 UT Rural Medicaid 70 Westview Dr UT Rural Medicaid Lappe, Donald Lewis Md C Richfield, Ut 84701 Intermountain Utah Heart Clinic Phone: (435) 896-5451 Dahl, Charles F Md C Urology 1100 N Main St UT Rural Medicaid Park City Medical Center Collins, William T Md C Richfield, Ut 84701 900 Round Valley Dr Cuc - Gunnison - Urology Phone: (801) 507-3500 Podiatrist Park City, Ut 84060 13 E Center St UT Rural Medicaid Phone: (435) 658-7000 Gunnison, Ut 84634 Zobell, Blake O Dpm C UT Rural Medicaid Osborn, Jeffrey Scott Md C 1000 N Main St Phone: (801) 465-2511 Intermountain Heart Rhythm Frischknecht, John Kay Md C UT Rural Medicaid Richfield, Ut 84701 Specialists Phone: (435) 896-8271 Park City Medical Center Kronmiller, Patrick W Md C 1100 N Main St UT Rural Medicaid 900 Round Valley Dr Cuc - Gunnison - Urology Richfield, Ut 84701 Park City, Ut 84060 13 E Center St Phone: (435) 893-0343 Surgery Phone: (435) 658-7000 Gunnison, Ut 84634 UT Rural Medicaid UT Rural Medicaid Phone: (801) 465-2511 Walsh, Kevin J Md C Allen, Brent J Md C Orford, James L Md C UT Rural Medicaid Utah Heart Clinic 1000 N Main St Utah Heart Clinic 1100 N Main St Richfield, Ut 84701 900 Round Valley Dr Sevier County Richfield, Ut 84701 Phone: (435) 896-8271 Park City, Ut 84060 Phone: (801) 507-3500 Languages Spoken: Spanish Phone: (801) 507-3500 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Cardiovascular Smith, John Taylor Md C Weiss, Jonathan Peter Md C Colon & Rectal Disease Intermountain Heart Rhythm Children With Special Healthcare Needs C Specialists Surgery Bunch, Thomas Jared Md 1100 N Main St 70 Westview Dr Intermountain Heart Rhythm Richfield, Ut 84701 Richfield, Ut 84701 Griffin, John Anthony Md C Specialists Phone: (801) 507-3513 Phone: (435) 896-5451 Cuc - Park City 1100 N Main St UT Rural Medicaid UT Rural Medicaid 1665 Bonanza Dr Richfield, Ut 84701 Park City, Ut 84068 Phone: (801) 507-3513 Thaung, Mehm T Md C Phone: (435) 649-7640 Languages Spoken: Spanish Dermatology Intermountain Sevier Valley Clinic UT Rural Medicaid UT Rural Medicaid 1000 N Main St Adams, Benjamin Edward Do C Richfield, Ut 84701 Carter, Melvin Eric Md C Cedar Dermatology Phone: (435) 893-0580 Dermatology 1000 N Main St 70 E 1100 N UT Rural Medicaid Richfield, Ut 84701 Kern, Steven Mark Md C Richfield, Ut 84701 The Center For Cosmetic & Phone: (435) 896-8271 Phone: (435) 896-8254 UT Rural Medicaid Dermatology UT Rural Medicaid Summit County 2700 W Homestead Rd, #30 Cragun, David Turley Md C Colbert, Rand Lee Md C Park City, Ut 84098 1000 N Main St Cedar Dermatology Cardiovascular Phone: (435) 658-1013 Richfield, Ut 84701 70 E 1100 N Disease UT Rural Medicaid Phone: (435) 896-8271 Richfield, Ut 84701 UT Rural Medicaid Phone: (435) 896-8254 Bingham, Scott Eugene Md C Gastroenterology Languages Spoken: Russian Park City Medical Center Crandall, Brian Gregory Md C UT Rural Medicaid 900 Round Valley Dr Karnam, Umaprasanna S Md C Intermountain Heart Rhythm Park City, Ut 84060 Gut Whisperer Specialists Hyperbaric Medicine Phone: (435) 658-7000 1665 Bonanza Dr 1100 N Main St UT Rural Medicaid Park City, Ut 84068 Richfield, Ut 84701 Robins, Marc S Do C Phone: (435) 776-3499 Phone: (801) 507-3500 Sevier Valley Medical Center Brann, William Marcus Md C UT Rural Medicaid UT Rural Medicaid 1000 N Main St Snow Creek Medical Center Richfield, Ut 84701 1600 Snow Creek Dr, #B Internal Medicine Dahl, Charles F Md C Phone: (435) 893-4100 Park City, Ut 84060 1000 N Main St UT Rural Medicaid Phone: (801) 746-4440 Mazzola, Robert Louis Md C Richfield, Ut 84701 Languages Spoken: French Park City Medical Center - Sleep Phone: (435) 896-8271 Medical Genetics - UT Rural Medicaid Medicine Dept UT Rural Medicaid 900 Round Valley Dr Clinical Genetics Burke, James Lee Md C Park City, Ut 84060 Day, John David Md C (M.D.) Utah Heart Clinic Phone: (435) 658-7000 Intermountain Heart Rhythm 900 Round Valley Dr UT Rural Medicaid Specialists Lewin, Susan O Md C Park City, Ut 84060 1100 N Main St Children With Special Healthcare Phone: (801) 507-3500 Richfield, Ut 84701 Needs UT Rural Medicaid Phone: (801) 507-3513 70 Westview Dr UT Rural Medicaid Richfield, Ut 84701 Phone: (435) 896-5451 UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 118 Summit TSpecialty Care Network ooele Peacock, Penny Md C Riddle, Seth Allred Md C Pulmonary Disease Munday, G David Md C Park City Medical Center Peak Ent Associates Intermountain Park City Specialty Physicians Group 900 Round Valley Dr, #200 Cloward, Tom V Md C Clinic 900 Round Valley Dr Park City, Ut 84060 Park City Medical Center 900 Round Valley Dr, #200 Park City, Ut 84060 Phone: (435) 615-7500 900 Round Valley Dr Park City, Ut 84060 Phone: (435) 658-6705 UT Rural Medicaid Park City, Ut 84060 Phone: (435) 658-7400 UT Rural Medicaid Phone: (435) 658-7000 UT Rural Medicaid Tagge, Bryan Curtis Md C UT Rural Medicaid Obstetrics And Intermountain Ear Nose And Parkinson, Justin Paul Md C Throat Specialists Farney, Robert J Md C Snow Creek Medical Center Gynecology 1777 W Sun Peak Dr, #150 Park City Medical Center 1600 Snow Creek Dr, #B Park City, Ut 84098 900 Round Valley Dr Park City, Ut 84060 Trauscht-Vanhorn, Jennifer Md Phone: (435) 645-0800 Park City, Ut 84060 Phone: (801) 746-4440 C Languages Spoken: Spanish Phone: (435) 658-7000 UT Rural Medicaid Planned Parenthood Associtation UT Rural Medicaid UT Rural Medicaid Of Utah Shilling, Kevin C Md C Vascular Surgery 1670 Bonanza Dr Pain Medicine Park City, Ut 84068 Park City Medical Center Galt, Spencer W Md C Phone: (435) 649-5989 Talbott, Andrew P Md C 900 Round Valley Dr Mountain Medical Vein Center UT Rural Medicaid Intermountain Park City Specialty Park City, Ut 84060 1526 Ute Blvd, #104 Clinic Phone: (435) 658-7000 Park City, Ut 84098 Ophthalmology 900 Round Valley Dr, #200 UT Rural Medicaid Phone: (435) 649-8346 Park City, Ut 84060 UT Rural Medicaid Fassio, John B Md C Phone: (435) 658-7400 Sleep Medicine Mountain Valley Eye Institute UT Rural Medicaid Goodman, Greg R Md C 2700 W Homestead Rd, #30 Leaman, Howard M Md C Mountain Medical Vein Center Park City, Ut 84098 Pediatric Park City Medical Center - Sleep 1526 Ute Blvd, #104 Phone: (435) 658-3093 Medicine Dept Park City, Ut 84098 UT Rural Medicaid Cardiology 900 Round Valley Dr Phone: (435) 649-8346 Park City, Ut 84060 UT Rural Medicaid Smith, Stacy Ruth Md C Jou, Chuanchau Jerry Do C Phone: (435) 658-7000 Mountain Valley Eye Institute Park City Ekg UT Rural Medicaid Merrell, Steven W Md C 2700 W Homestead Rd, #30 900 Round Valley Dr Mountain Medical Vein Center Park City, Ut 84098 Park City, Ut 84060 Surgery 1526 Ute Blvd, #104 Phone: (435) 658-3093 Phone: (435) 658-7000 Park City, Ut 84098 UT Rural Medicaid UT Rural Medicaid Adams, Danielle M Md C Phone: (435) 649-8346 Intermountain Park City Specialty UT Rural Medicaid Orthopaedic Surgery Mccandless, Rachel Md C Clinic Park City Ekg 900 Round Valley Dr, #200 Whitten, Matthew Guyon Md C Heiden, Eric A Md C 900 Round Valley Dr Park City, Ut 84060 Mountain Medical Vein Center Heiden Orthopedics Park City, Ut 84060 Phone: (435) 658-7400 1526 Ute Blvd, #104 2200 Park Ave, Bldg D #100 Phone: (435) 658-7000 UT Rural Medicaid Park City, Ut 84098 Park City, Ut 84060 UT Rural Medicaid Phone: (435) 649-8346 C UT Rural Medicaid Phone: (435) 615-8822 Molina, Kimberly Md C Hart, Vanessa Marie Md UT Rural Medicaid Intermountain Park City Specialty Park City Ekg Clinic Wirthlin, Douglas James Md C Otolaryngology 900 Round Valley Dr 900 Round Valley Dr, #200 Mountain Medical Vein Center Park City, Ut 84060 Park City, Ut 84060 1526 Ute Blvd, #104 (Ent) Phone: (435) 658-7000 Park City, Ut 84098 UT Rural Medicaid Phone: (435) 658-7400 Beus, Kirt Scott Md C UT Rural Medicaid Phone: (435) 649-8346 Peak Ent Associates Languages Spoken: Spanish 900 Round Valley Dr, #200 Physical Medicine Steppacher Jr, Robert Clark Md C UT Rural Medicaid Park City, Ut 84060 And Rehabilitation Mountain Medical Vein Center Phone: (435) 615-7500 1526 Ute Blvd, #104 Tooele County UT Rural Medicaid Stokes, Wayne Laurence Md C Park City, Ut 84098 Uuhc Redstone Clinic Phone: (435) 649-8346 Miller, Steven K Md C 1743 W Redstone Ctr, #115 UT Rural Medicaid Cardiovascular Intermountain Ear Nose And Park City, Ut 84098 Throat Specialists Phone: (435) 658-9200 Urology Disease 1777 W Sun Peak Dr, #150 UT Rural Medicaid Lynch, Steven C Md C Bunch, Thomas Jared Md C Park City, Ut 84098 Intermountain Heart Rhythm Phone: (435) 645-0800 Podiatrist Intermountain Park City Specialty UT Rural Medicaid Clinic Specialists Rushton, Ryan Taylor Dpm C 900 Round Valley Dr, #200 196 E 2000 N Nielsen, Richard Wendell Md C Uuhc Redstone Clinic Park City, Ut 84060 Tooele, Ut 84074 Intermountain Ear Nose And 1743 W Redstone Ctr, #115 Phone: (435) 658-7400 Phone: (801) 507-3513 Throat Specialists Park City, Ut 84098 UT Rural Medicaid Languages Spoken: Spanish 1777 W Sun Peak Dr, #150 Phone: (435) 658-9200 UT Rural Medicaid Park City, Ut 84098 UT Rural Medicaid Phone: (435) 645-0800 UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 119 Tooele USpecialty Care Network intah Garr, Robert Jackson Do C Otolaryngology Rushton, Ryan Taylor Dpm C Medical Genetics - Oquirrh Cardiology Uuhc Stansbury Clinic 196 E 2000 N, #106 (Ent) 220 Millpond Rd, #100 Clinical Genetics Tooele, Ut 84074 Ventura, Peter G Md C Stansbury Park, Ut 84074 (M.D.) Phone: (435) 843-3643 Ent Surgical Associates Phone: (435) 843-3000 Languages Spoken: Spanish 2376 N 400 E, #202 UT Rural Medicaid Botto, Lorenzo Davide Md C UT Rural Medicaid Tooele, Ut 84074 Children With Special Healthcare Phone: (435) 833-9600 Sports Medicine Needs Colon & Rectal UT Rural Medicaid 147 E Main St C Vernal, Ut 84078 Surgery Haggart, Marie South Md Pain Medicine Uuhc Stansbury Clinic Phone: (435) 781-5475 Griffin, John Anthony Md C 220 Millpond Rd, #100 UT Rural Medicaid Gateway Professional Center Davis, Craig William Md D Stansbury Park, Ut 84074 Lewin, Susan O Md C 1244 N Main St, #101 Granger Medical Clinic Phone: (435) 843-3000 Children With Special Healthcare Tooele, Ut 84074 2376 N 400 E, #203 UT Rural Medicaid Needs Phone: (801) 265-9139 Tooele, Ut 84074 147 E Main St UT Rural Medicaid Phone: (801) 965-3634 Surgery Vernal, Ut 84078 UT Rural Medicaid Phone: (435) 781-5475 Family Nurse Cashmore, Blaine Johnson Md C Physical Medicine Oquirrh Surgical Services UT Rural Medicaid Practitioner 196 E 2000 N, #106 Rope, Alan F Md C And Rehabilitation Tooele, Ut 84074 Litchman, Michelle Leann Aprn Children With Special Healthcare C Phone: (435) 228-0061 Needs C Khan, Qamar R Md UT Rural Medicaid Wasatch Endocrinology Granger Medical Clinic 147 E Main St 210 Millpond Rd 2376 N 400 E, #203 Hansen, Thomas Randy Md C Vernal, Ut 84078 Tooele, Ut 84074 Tooele, Ut 84074 Oquirrh Surgical Services Phone: (435) 781-5475 Phone: (435) 882-3782 Phone: (801) 965-3634 196 E 2000 N, #106 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Tooele, Ut 84074 Phone: (435) 228-0061 Orthopaedic Surgery Nephrology Physician Assistant UT Rural Medicaid Massand, Ghanshyam Pribdhas Junejo, Nazia Md C Berrett, Gerald Pa C Strindberg, Gail Md C Md C Tooele Clinic Corporation Granger Medical Clinic Oquirrh Surgical Services Ashley Valley Physician Practice 1959 N Aaron Dr, #C 2376 N 400 E, #203 196 E 2000 N, #106 175 N 100 W, #204 Tooele, Ut 84074 Tooele, Ut 84074 Tooele, Ut 84074 Vernal, Ut 84078 Phone: (435) 882-1644 Phone: (801) 965-3634 Phone: (435) 228-0061 Phone: (435) 789-1522 Languages Spoken: Arabic, UT Rural Medicaid UT Rural Medicaid Languages Spoken: Hindi UT Rural Medicaid German, Hindi, Persian, Packham, Craig A Pa C Sindhi, Urdu Urology Stotts, Alan Kendrick Md C UT Rural Medicaid Tooele Orthopedics & Sports Medicine Specialists Hibbert, Daniel L Md C Children With Special Healthcare 2356 N 400 E, Bldgb,#102 Tooele Urology Needs Ophthalmology Tooele, Ut 84074 2376 N 400 E, #A203 147 E Main St Vernal, Ut 84078 Griffeth, Michael T Md C Phone: (435) 833-9180 Tooele, Ut 84074 UT Rural Medicaid Phone: (435) 882-0071 Phone: (435) 781-5475 Griffeth Vision Group UT Rural Medicaid 2376 N 400 E, Bldga #101 Yerke, Craig Howard Pa C UT Rural Medicaid Tooele, Ut 84074 Mountain West Orthopedics & Young, Burk Teal Md C Phone: (435) 843-8333 Sports Medicine Uintah County 175 N 100 W, #201 Languages Spoken: Spanish 1929 N Aaron Dr, #L Vernal, Ut 84078 UT Rural Medicaid Tooele, Ut 84074 Phone: (435) 789-7845 Phone: (435) 843-3859 Interventional Languages Spoken: Korean Orthopaedic Surgery UT Rural Medicaid Cardiology UT Rural Medicaid Belton, Christopher Garry Do C Podiatrist Zubair, Imran Md C Podiatrist Mountain West Orthopedics & Cardiovascular Consultants Of Sports Medicine Halladay, Kim A Dpm C Utah Jones, Harold Kim Dpm C 1929 N Aaron Dr, #L Tooele Foot & Ankle Clinic 175 N 100 W, #205a 75 N 200 W, #1 Tooele, Ut 84074 2356 N 400 E, #104 Vernal, Ut 84078 Vernal, Ut 84078 Phone: (435) 843-3859 Tooele, Ut 84074 Phone: (801) 746-0430 Phone: (435) 789-2062 UT Rural Medicaid Phone: (435) 882-0711 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Douglas, John Antoni Do D Surgery Tooele Orthopedics & Sports Rogers, Scott F Dpm C Medicine Specialists Tooele Foot & Ankle Clinic Richards, David T Md C 2356 N 400 E, Bldgb #102 2356 N 400 E, #104 175 N 100 W, #202 Tooele, Ut 84074 Tooele, Ut 84074 Vernal, Ut 84078 Phone: (435) 833-9180 Phone: (438) 882-0711 Phone: (435) 789-4180 UT Rural Medicaid Languages Spoken: German UT Rural Medicaid UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 120 Uintah USpecialty Care Network tah Urology Frischknecht, John Kay Md C Donaldson, Mark L Md D Endocrinology, Cuc - Provo - Cardiology Cuc - Provo - Dermatology & Skin Ilievski, Peter Mihajlo Md C 1055 N 500 W, #101 Cancer Diabetes & Ashley Valley Physician Practice Provo, Ut 84604 1055 N 500 W, #111 Metabolism 150 W 100 N, #102 Phone: (801) 373-4633 Provo, Ut 84604 Vernal, Ut 84078 UT Urban Medicaid Phone: (801) 374-8999 Maturlo, Susan Joy Md D Phone: (435) 789-5533 UT Urban Medicaid Cuc - Provo - Endocrinology UT Rural Medicaid Hwang, Chun Md C 1055 N 500 W, #212 Cuc - Provo - Cardiology Eyre, Michael P Do C Provo, Ut 84604 1055 N 500 W, #101 Aspen Dermatology Phone: (801) 429-8095 Utah County Provo, Ut 84604 114 E 800 N UT Urban Medicaid Phone: (801) 373-4366 Spanish Fork, Ut 84660 Languages Spoken: Korean, Phone: (801) 794-1490 Family Medicine Cardiovascular Portuguese, Spanish UT Urban Medicaid Disease UT Urban Medicaid Garner, Gary M Md D Eyre, Michael P Do C Cuc - Provo - Radiation Oncology Allen, Marvin R Md C Smith, Douglas R Md C Aspen Dermatology 1055 N 500 W, #102 Cuc - Provo - Cardiology Cuc - Provo - Cardiology 123 N 500 E Provo, Ut 84604 1055 N 500 W, #101 1055 N 500 W, #101 Payson, Ut 84651 Phone: (801) 374-2367 Provo, Ut 84604 Provo, Ut 84604 Phone: (801) 465-8001 UT Urban Medicaid Phone: (801) 373-4366 Phone: (801) 373-4366 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Walton, Matthew S Do C Huber, Brad Settle Md C Santaquin Medical Clinic Asay, Ronald W Md C Walker Jr, Jerry Dale Md C Cuc - Lehi - Dermatology 94 W Main St Cuc - Provo Cuc - Af - Cardiology 220 N 1200 E, #203 Santaquin, Ut 84655 1055 N 500 W, #101 1175 E 50 S, #251 Lehi, Ut 84043 Phone: (801) 754-3122 Provo, Ut 84604 American Fork, Ut 84003 Phone: (801) 418-0920 UT Urban Medicaid Phone: (801) 373-4366 Phone: (801) 492-2815 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish Family Nurse UT Urban Medicaid Peterson, Chad R Md C Bingham, Scott Eugene Md C Aspen Dermatology Practitioner Cuc - Provo - Cardiology Wang, David Chih Md C 114 E 800 N 1055 N 500 W, #101 Cuc - Provo - Cardiology Spanish Fork, Ut 84660 Anderson, Christy B Aprn C Provo, Ut 84604 1055 N 500 W, #101 Phone: (801) 794-1490 Utah County Surgical Associates Phone: (801) 373-4366 Provo, Ut 84604 UT Urban Medicaid 3550 N University Ave, #250 UT Urban Medicaid Phone: (801) 373-4366 Provo, Ut 84604 UT Urban Medicaid Peterson, Chad R Md C Phone: (801) 374-9625 Carter, Melvin Eric Md C Aspen Dermatology UT Urban Medicaid Cuc - Af - Cardiology Weaver, Aaron N Md C 123 N 500 E 1175 E 50 S, #251 Cuc - Provo - Cardiology Payson, Ut 84651 Harvey, Jinil K Np C American Fork, Ut 84003 1055 N 500 W, #101 Phone: (801) 465-8001 Peak Ent Associates Phone: (801) 492-2815 Provo, Ut 84604 UT Urban Medicaid 1055 N 300 W, #401 UT Urban Medicaid Phone: (801) 373-4366 Provo, Ut 84604 Languages Spoken: Russian Peterson, Michael Warren Do C Phone: (801) 357-7499 Carter, Melvin Eric Md C UT Urban Medicaid Aspen Dermatology UT Urban Medicaid Cuc - Provo - Cardiology 114 E 800 N 1055 N 500 W, #101 Weaver, Aaron N Md C Spanish Fork, Ut 84660 Larsen, Wesley Reed Aprn C Provo, Ut 84604 Cuc - Saratoga Springs Phone: (801) 794-1490 Utah County Surgical Associates Phone: (801) 373-4366 1305 N Commerce Dr UT Urban Medicaid 3550 N University Ave, #250 UT Urban Medicaid Saratoga Springs, Ut 84045 Provo, Ut 84604 Phone: (801) 753-7424 Peterson, Samuel Ray Md C Phone: (801) 374-9625 Carter, Melvin Eric Md C Languages Spoken: Russian Cuc - Provo - Dermatology & Skin UT Urban Medicaid Cuc - Saratoga Springs UT Urban Medicaid Cancer 1305 N Commerce Dr 1055 N 500 W, #111 Lewis, Amanda Gloria Np C Saratoga Springs, Ut 84045 Provo, Ut 84604 Peak Otolaryngology Phone: (801) 753-7424 Dermatology Phone: (801) 374-8999 1055 N 300 W, #401 UT Urban Medicaid Bezzant, John L Md C Languages Spoken: Spanish Provo, Ut 84604 84 S Main St UT Urban Medicaid Phone: (801) 357-7499 Cragun, David Turley Md C UT Urban Medicaid Cuc - Provo - Cardiology Pleasant Grove, Ut 84062 Peterson, Warren Albert Do C 1055 N 500 W, #101 Phone: (801) 785-7414 Aspen Dermatology Mathers, Tavia Aprn C Provo, Ut 84604 UT Urban Medicaid 114 E 800 N Utah County Surgical Associates Phone: (801) 373-4366 Bradshaw, Brian Richard Md D Spanish Fork, Ut 84660 3550 N University Ave, #250 Languages Spoken: Italian Cuc - Provo - Dermatology & Skin Phone: (801) 794-1490 Provo, Ut 84604 UT Urban Medicaid Cancer UT Urban Medicaid Phone: (801) 374-9625 1055 N 500 W, #111 Languages Spoken: Spanish Dahl, Charles Frelen Md C Peterson, Warren Albert Do C UT Urban Medicaid Cuc - Provo - Cardiology Provo, Ut 84604 Aspen Dermatology 1055 N 500 W, #101 Phone: (801) 374-8999 123 N 500 E Nyman, Lindsey Ann Np C Provo, Ut 84604 UT Urban Medicaid Payson, Ut 84651 Utah County Surgical Associates Phone: (801) 373-4366 Phone: (801) 465-8001 3550 N University Ave, #250 UT Urban Medicaid UT Urban Medicaid Provo, Ut 84604 Phone: (801) 374-9625 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 121 Utah USpecialty Care Network tah Gastroenterology Johnson, Curtis Carl Md C Infectious Disease Latta, George Md C Cuc - Provo - Orthopedic Uvrmc Neonatology Alsolaiman, Mohammad Modar Specialty Ctr Abolnik, Igor Ziv Md C 1034 N 500 W Md C 1055 N 500 W, #121 Cuc - Provo - Infectious Disease Provo, Ut 84604 Cuc - Provo - Digestive Diseases Provo, Ut 84604 1055 N 500 W, #202 Phone: (801) 357-7707 Ctr Phone: (801) 373-7350 Provo, Ut 84604 UT Urban Medicaid 1055 N 500 W, Bldgb #100 UT Urban Medicaid Phone: (801) 374-2367 Provo, Ut 84604 Languages Spoken: Russian Minton, Stephen Md C Phone: (801) 374-1268 Richards, Ryan A Md C UT Urban Medicaid Uvrmc Neonatology Languages Spoken: Arabic Cuc - Orem - Orthopedic 1034 N 500 W UT Urban Medicaid Specialty Ctr Ford Jr, Larry Creed Md C Provo, Ut 84604 700 W 800 N, #100 Cuc - Provo - Infectious Disease Phone: (801) 357-7707 Bodily, Kurt Olsen Md C Orem, Ut 84057 1055 N 500 W, #202 UT Urban Medicaid Cuc - Provo - Digestive Diseases Phone: (801) 224-5373 Provo, Ut 84604 Ctr UT Urban Medicaid Phone: (801) 374-2367 Ogden, Bruce E Md C 1055 N 500 W, Bldgb #100 UT Urban Medicaid Uvrmc Neonatology Provo, Ut 84604 Richards, Ryan A Md C 1034 N 500 W Phone: (801) 374-1268 Cuc - Payson - Orthopedic Medical Oncology Provo, Ut 84604 UT Urban Medicaid Specialty Ctr Phone: (801) 357-7707 15 S 1000 E, #150 Beck, Anna C Md C UT Urban Medicaid Dickinson, Thomas A Md C Payson, Ut 84651 Utah Cancer Specialists Cuc - Provo - Digestive Diseases Phone: (801) 465-2527 1034 N 500 W Schemmer, Glenn Md C Ctr UT Urban Medicaid Provo, Ut 84604 Utah Valley Regional Medical 1055 N 500 W, Bldgb #100 Phone: (801) 357-8200 Center Provo, Ut 84604 Richards, Ryan A Md C Languages Spoken: Spanish 1034 N 500 W Phone: (801) 374-1268 Cuc - Provo - Orthopedic UT Urban Medicaid Provo, Ut 84604 UT Urban Medicaid Specialty Ctr Phone: (801) 357-7565 1055 N 500 W, #121 Breyer, Wendy Anne Md C UT Urban Medicaid Hemmert, Wynn H Md C Provo, Ut 84604 Cuc - Af - Cancer Ctr Cuc - Af - Gastroenterology Phone: (801) 373-7350 1152 E 200 N Stoddard, Ronald Md C 1175 E 50 S, #231 UT Urban Medicaid American Fork, Ut 84003 Uvrmc Neonatology American Fork, Ut 84003 Phone: (801) 772-0698 1034 N 500 W Phone: (801) 772-0775 Richards, Ryan A Md C UT Urban Medicaid Provo, Ut 84604 UT Urban Medicaid Cuc - Saratoga Springs Phone: (801) 357-7707 1305 N Commerce Dr Corcoran, Melissa Charlene Md UT Urban Medicaid Hemmert, Wynn H Md C Saratoga Springs, Ut 84045 C Cuc - Provo - Digestive Diseases Phone: (801) 753-7424 Utah Cancer Specialists Nephrology Ctr UT Urban Medicaid 1034 N 500 W 1055 N 500 W, Bldgb #100 Provo, Ut 84604 Ahlstrom, Nancy G Md C Provo, Ut 84604 Hematology & Phone: (801) 357-8200 Cuc - Provo - Nephrology Phone: (801) 374-1268 UT Urban Medicaid 1055 N 500 W, #222 UT Urban Medicaid Oncology Provo, Ut 84604 C Bott, Jay Cordell Md C Rich, Nathan Terry Md Phone: (801) 377-4623 Thorpe, Brett L Md C Utah Cancer Specialists UT Urban Medicaid Cuc - Provo - Digestive Diseases Cuc - Af - Cancer Ctr 1034 N 500 W Ctr 1152 E 200 N Provo, Ut 84604 Hammond, Terry Craig Md C 1055 N 500 W, Bldgb #100 American Fork, Ut 84003 Phone: (801) 357-8200 Cuc - Provo - Nephrology Provo, Ut 84604 Phone: (801) 772-0698 Languages Spoken: Japanese 1055 N 500 W, #222 Phone: (801) 374-1268 UT Urban Medicaid UT Urban Medicaid Provo, Ut 84604 Languages Spoken: Italian Bott, Jay Cordell Md C Phone: (801) 377-4623 UT Urban Medicaid Cuc - Provo - Medical Oncology Neonatal - Perinatal UT Urban Medicaid 1055 N 500 W, #202 Medicine Stephanz Jr, Gerald B Md C Hand Surgery Provo, Ut 84604 Cuc - Provo - Nephrology Johnson, Curtis Carl Md C Phone: (801) 374-2367 Cheatham, Anna Md C 1055 N 500 W, #222 Cuc - Orem - Orthopedic UT Urban Medicaid Uvrmc Neonatology Provo, Ut 84604 Specialty Ctr 1034 N 500 W Phone: (801) 377-4623 Tudor, Brian P Md C Provo, Ut 84604 700 W 800 N, #100 Cuc - Provo - Medical Oncology UT Urban Medicaid Orem, Ut 84057 Phone: (801) 357-7707 1055 N 500 W, #202 UT Urban Medicaid Phone: (801) 224-5373 Provo, Ut 84604 Neurological UT Urban Medicaid Phone: (801) 374-2367 Gerstmann, Dale Richard Md C Surgery UT Urban Medicaid Wasatch Neonatal Johnson, Curtis Carl Md C Gardner, Paul Kenneth Md D Cuc - Payson - Orthopedic 730 W 800 N, #340b Wallentine, Steven Lee Md D Orem, Ut 84057 Utah Neurological Clinic Specialty Ctr Cuc - Provo - Medical Oncology 1055 N 300 W, #400 15 S 1000 E, #150 Phone: (801) 655-5425 1055 N 500 W, #202 UT Urban Medicaid Provo, Ut 84604 Payson, Ut 84651 Provo, Ut 84604 Phone: (801) 357-7404 Phone: (801) 465-2527 Phone: (801) 374-2367 Lang, Leslie Md C UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Uvrmc Neonatology 1034 N 500 W Provo, Ut 84604 Phone: (801) 357-7707 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 122 Utah USpecialty Care Network tah Gaufin, Lynn M Md D Nurse Practitioner Obstetrics And Dries, David C Md D Utah Neurological Clinic Children With Special Healthcare 1055 N 300 W, #400 Badger, Matthew Jonathon Np C Gynecology Needs Utah Neurological Clinic Provo, Ut 84604 Trauscht-Vanhorn, Jennifer Md 151 S University Ave Phone: (801) 357-7404 1055 N 300 W, #400 Provo, Ut 84601 Provo, Ut 84604 C UT Urban Medicaid Planned Parenthood Associtation Phone: (801) 370-8764 Phone: (801) 357-7404 UT Urban Medicaid Reichman, Howard Reed Md D UT Urban Medicaid Of Utah Utah Neurological Clinic 1086 N 1200 W Engen, Todd B Md C 1055 N 300 W, #400 Boyer, Luz E Np C Orem, Ut 84057 Excel Cosmetic Surgery Center Provo, Ut 84604 3685 N 100 E, #A Phone: (801) 226-5246 1735 N State St, #201 Phone: (801) 357-7404 Provo, Ut 84604 UT Urban Medicaid Provo, Ut 84604 UT Urban Medicaid Phone: (801) 785-7237 Phone: (801) 379-2900 Languages Spoken: Spanish Ophthalmology UT Urban Medicaid UT Urban Medicaid Neurology Abrams, Michael S Md C Gunther, Jonathan B Md C Altamirano, Lucía G Md C Glassford, David Reed Np D Excel Eye Center Excel Eye Center Neurological Center Utah Neurological Clinic 700 W 800 N, #160 1735 N State St 3685 N 100 E, #A 1055 N 300 W, #400 Orem, Ut 84057 Provo, Ut 84604 Provo, Ut 84604 Provo, Ut 84604 Phone: (801) 426-9800 Phone: (801) 374-1818 Phone: (801) 229-1054 Phone: (801) 357-7404 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Languages Spoken: Italian, Carver, John A Md C Howard, James G Md C Spanish Gronseth, Margrit Louise Aprn Retina & Vitreous Surgeons Of Ut Retina Associates Of Utah UT Urban Medicaid C 1055 N 300 W, #210 1055 N 300 W, #420 Benedict, Susan L Md D Wasatch Neonatal Provo, Ut 84604 Provo, Ut 84604 Children With Special Healthcare 730 W 800 N, #340b Phone: (801) 357-7704 Phone: (801) 375-7999 Needs Orem, Ut 84057 Languages Spoken: German Languages Spoken: Spanish 1034 N 500 W Phone: (801) 655-5425 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Provo, Ut 84604 Cook, Loran Davis Md C Larson, Scott Alan Md C Phone: (801) 357-7627 Grover, Olivia Jennie Np C Utah Valley Eye Center Uuhc Parkway Clinic UT Urban Medicaid Peak Otolaryngology 1055 N 300 W, #204 145 W University Pkwy Benedict, Susan L Md D 1055 N 300 W, #401 Provo, Ut 84604 Orem, Ut 84058 Children With Special Healthcare Provo, Ut 84604 Phone: (801) 357-7373 Phone: (801) 234-8600 Needs Phone: (801) 357-7499 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid 151 S University Ave Cook, Todd Md C Linton, Norman Kent Md C Provo, Ut 84601 Mortensen, Nancy L Aprn C Utah Valley Eye Center Excel Eye Center Phone: (801) 370-8764 Utah Cancer Specialists 1055 N 300 W, #204 1172 E 100 N, #4 UT Urban Medicaid 1034 N 500 W Provo, Ut 84604 Payson, Ut 84651 Entezari-Taher, Mohammad Md Provo, Ut 84604 Phone: (801) 357-7373 Phone: (801) 465-2575 C Phone: (801) 357-8200 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Neurological Associates Corey, Richard P Md C Lloyd, Michael J Md C 52 N 1100 E Porter, Heidi Np C Retina & Vitreous Surgeons Of Ut Utah Valley Eye Center American Fork, Ut 84003 Utah County Surgical Associates 1055 N 300 W, #210 1055 N 300 W, #204 Phone: (801) 763-0901 3550 N University Ave, #250 Provo, Ut 84604 Provo, Ut 84604 Languages Spoken: Persian Provo, Ut 84604 Phone: (801) 357-7704 Phone: (801) 357-7373 UT Urban Medicaid Phone: (801) 374-9625 Languages Spoken: Mandarin UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Groves, Jeffrey W Md C Lohner, William Scott Md C Cuc - Provo - Neurology Sorensen, Jory Quayne Aprn C Donaldson, Stephen L Md C Excel Eye Center 1055 N 500 W, #212 Utah County Surgical Associates 1275 N University Ave, #10 1735 N State St Provo, Ut 84604 3550 N University Ave, #250 Provo, Ut 84604 Provo, Ut 84604 Phone: (801) 429-8095 Provo, Ut 84604 Phone: (801) 375-6565 Phone: (801) 374-1818 UT Urban Medicaid Phone: (801) 374-9625 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Nguyen, Thu A Md C Donaldson, Stephen L Md C Myers, Thomas Dyreng Md C Cuc - Af - Neurology Stock, Cindy Aprn C Cuc - Provo - Ophthalmology 280 W River Park Dr, #220 1175 E 50 S, #161 Utah County Surgical Associates 1275 N University Ave, #10 Provo, Ut 84604 American Fork, Ut 84003 3550 N University Ave, #250 Provo, Ut 84604 Phone: (801) 224-3565 Phone: (801) 492-5992 Provo, Ut 84604 Phone: (801) 375-6565 Languages Spoken: Japanese UT Urban Medicaid Phone: (801) 374-9625 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Watkins, Joseph R Md D Dries, David C Md D Nelson, Duane James Md C 1055 N 300 W, #404 Children With Special Healthcare Utah Valley Eye Center Provo, Ut 84604 Needs 1055 N 300 W, #204 Phone: (801) 357-7401 1034 N 500 W Provo, Ut 84604 Languages Spoken: Spanish Provo, Ut 84604 Phone: (801) 357-7373 UT Urban Medicaid Phone: (801) 357-7627 UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 123 Utah USpecialty Care Network tah Olson, Paul F Md C Kwun, Robert C Md C Faux, Jonathan R Md C Jackson, Richard Taylor Md C Utah Valley Eye Center Retina Associates Of Utah Cuc - Orem - Orthopedic Cuc - Provo - Orthopedic 1055 N 300 W, #204 1055 N 300 W, #420 Specialty Ctr Specialty Ctr Provo, Ut 84604 Provo, Ut 84604 700 W 800 N, #100 1055 N 500 W, #121 Phone: (801) 357-7373 Phone: (801) 357-7999 Orem, Ut 84057 Provo, Ut 84604 UT Urban Medicaid Languages Spoken: Korean, Phone: (801) 224-5373 Phone: (801) 373-7350 Spanish UT Urban Medicaid UT Urban Medicaid Parsons, Matthew Reed Md C UT Urban Medicaid Excel Eye Center Faux, Jonathan R Md C Jackson, Robert Taylor Md C 1735 N State St Swartz, Mano Md C Cuc - Payson - Orthopedic Cuc - Orem - Orthopedic Provo, Ut 84604 Retina Associates Of Utah Specialty Ctr Specialty Ctr Phone: (801) 374-1818 1055 N 300 W, #420 15 S 1000 E, #150 700 W 800 N, #100 Languages Spoken: Cantonese Provo, Ut 84604 Payson, Ut 84651 Orem, Ut 84057 UT Urban Medicaid Phone: (801) 357-7999 Phone: (801) 465-2527 Phone: (801) 224-5373 Languages Spoken: German, UT Urban Medicaid UT Urban Medicaid Patel, Bhupendra C Md C Spanish Cataract & Lasik Center Of Utah UT Urban Medicaid Faux, Jonathan R Md C Jackson, Robert Taylor Md C 175 N 400 W Cuc - Provo - Orthopedic Cuc - Payson - Orthopedic Orem, Ut 84057 Winward, Kirk Edward Md C Specialty Ctr Specialty Ctr Phone: (801) 224-6767 Retina Associates Of Utah 1055 N 500 W, #121 15 S 1000 E, #150 Languages Spoken: French, 1055 N 300 W, #420 Provo, Ut 84604 Payson, Ut 84651 Gujarati, Hindi, Swahili Provo, Ut 84604 Phone: (801) 373-7350 Phone: (801) 465-2527 UT Urban Medicaid Phone: (801) 357-7999 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish Smalley, Aaron David Md C UT Urban Medicaid Faux, Jonathan R Md C Jackson, Robert Taylor Md C Excel Eye Center Cuc - Saratoga Springs Cuc - Provo - Orthopedic 1735 N State St 1305 N Commerce Dr Specialty Ctr Provo, Ut 84604 Orthopaedic Surgery Saratoga Springs, Ut 84045 1055 N 500 W, #121 Phone: (801) 374-1818 Bacon, Carl William Md C Phone: (801) 753-7424 Provo, Ut 84604 UT Urban Medicaid Cuc - Orem - Orthopedic UT Urban Medicaid Phone: (801) 373-7350 UT Urban Medicaid Smalley, Aaron David Md C Specialty Ctr Frazier, Matthew Shane Do C Excel Eye Center 700 W 800 N, #100 Cuc - Provo - Orthopedic Jackson, Scott T Md C 220 N 1200 E, #101 Orem, Ut 84057 Specialty Ctr Cuc - Orem - Orthopedic Lehi, Ut 84043 Phone: (801) 224-5373 1055 N 500 W, #121 Specialty Ctr Phone: (801) 341-6200 UT Urban Medicaid Provo, Ut 84604 700 W 800 N, #100 UT Urban Medicaid Bacon, Carl William Md C Phone: (801) 373-7350 Orem, Ut 84057 Cuc - Payson - Orthopedic UT Urban Medicaid Phone: (801) 224-5373 Theurer, James G Md C UT Urban Medicaid Excel Eye Center Specialty Ctr Frazier, Matthew Shane Do C 1172 E 100 N, #4 15 S 1000 E, #150 Cuc - Saratoga Springs Jackson, Scott T Md C Payson, Ut 84651 Payson, Ut 84651 1305 N Commerce Dr Cuc - Payson - Orthopedic Phone: (801) 465-2575 Phone: (801) 465-2527 Saratoga Springs, Ut 84045 Specialty Ctr Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 753-7424 15 S 1000 E, #150 UT Urban Medicaid Bacon, Carl William Md C UT Urban Medicaid Payson, Ut 84651 Cuc - Provo - Orthopedic Phone: (801) 465-2527 Theurer, James G Md C Holmes, Stephanie M Md D UT Urban Medicaid Excel Eye Center Specialty Ctr Children With Special Healthcare 1735 N State St 1055 N 500 W, #121 Needs Jackson, Scott T Md C Provo, Ut 84604 Provo, Ut 84604 151 S University Ave Cuc - Provo - Orthopedic Phone: (801) 374-1818 Phone: (801) 373-7350 Provo, Ut 84601 Specialty Ctr Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 370-8764 1055 N 500 W, #121 UT Urban Medicaid Barker, Brady P Md C UT Urban Medicaid Provo, Ut 84604 Cuc - Provo - Orthopedic Phone: (801) 373-7350 Valentine, Jeremy Reid Md C Jackson, Richard Taylor Md C UT Urban Medicaid Cuc - Provo - Ophthalmology Specialty Ctr Cuc - Orem - Orthopedic 1275 N University Ave, #10 1055 N 500 W Specialty Ctr Kimball, Kirt M Md D Provo, Ut 84604 Provo, Ut 84604 700 W 800 N, #100 Cuc - Orem - Orthopedic Phone: (801) 375-6565 Phone: (801) 373-7350 Orem, Ut 84057 Specialty Ctr Languages Spoken: Spanish UT Urban Medicaid Phone: (801) 224-5373 700 W 800 N, #100 UT Urban Medicaid Callahan, Michael E Md C UT Urban Medicaid Orem, Ut 84057 Cuc - North Valley Orthopedics & Phone: (801) 224-5373 Ophthalmology / Jackson, Richard Taylor Md C UT Urban Medicaid Plastic Surgery Cuc - Payson - Orthopedic Retina Specialist 1184 E 80 N Specialty Ctr Kimball, Kirt M Md D American Fork, Ut 84003 15 S 1000 E, #150 Cuc - Payson - Orthopedic Brinton, Gregory S Md C Phone: (801) 763-3885 Payson, Ut 84651 Specialty Ctr Retina Associates Of Utah UT Urban Medicaid Phone: (801) 465-2527 15 S 1000 E, #150 1055 N 300 W, #420 UT Urban Medicaid Payson, Ut 84651 Provo, Ut 84604 Callahan, Michael E Md C Cuc - Saratoga Springs Phone: (801) 465-2527 Phone: (801) 375-7999 UT Urban Medicaid Languages Spoken: Japanese, 1305 N Commerce Dr Russian Saratoga Springs, Ut 84045 UT Urban Medicaid Phone: (801) 753-7424 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 124 Utah USpecialty Care Network tah Kimball, Kirt M Md D Richey, Joseph L Md C Wallentine, Jeffrey Max Md C Hamilton, Sanford Todd Md C Cuc - Provo - Orthopedic Cuc - Orem - Orthopedic Cuc - Provo - Orthopedic Cuc - Af - Otolaryngology Specialty Ctr Specialty Ctr Specialty Ctr 1175 E 50 S, #211 1055 N 500 W, #121 700 W 800 N, #100 1055 N 500 W, #121 American Fork, Ut 84003 Provo, Ut 84604 Orem, Ut 84057 Provo, Ut 84604 Phone: (801) 418-0870 Phone: (801) 373-7350 Phone: (801) 224-5373 Phone: (801) 373-7350 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Heras, Heidi A Md C Larsen, Mitchell Williams Md C Richey, Joseph L Md C Wells, John Tracy Md C 482 W 50 N, #14 Cuc - Orem - Orthopedic Cuc - Payson - Orthopedic Cuc - Lehi - North Valley American Fork, Ut 84003 Specialty Ctr Specialty Ctr Orthopedic & Plastic Surgery Phone: (801) 492-7662 700 W 800 N, #100 15 S 1000 E, #150 680 E Main St UT Urban Medicaid Orem, Ut 84057 Payson, Ut 84651 Lehi, Ut 84043 Phone: (801) 224-5373 Phone: (801) 465-2527 Phone: (801) 763-3885 Parsons, Stephen Paul Md C Languages Spoken: UT Urban Medicaid Languages Spoken: Spanish Peak Ent Associates Portuguese, Spanish UT Urban Medicaid 1055 N 300 W, #401 UT Urban Medicaid Richey, Joseph L Md C Provo, Ut 84604 Cuc - Provo - Orthopedic Wells, John Tracy Md C Phone: (801) 357-7499 Larsen, Mitchell Williams Md C Specialty Ctr Cuc - North Valley Orthopedics & UT Urban Medicaid Cuc - Payson - Orthopedic 1055 N 500 W, #121 Plastic Surgery Specialty Ctr Provo, Ut 84604 1184 E 80 N Parsons, Stephen Paul Md C 15 S 1000 E, #150 Phone: (801) 373-7350 American Fork, Ut 84003 Peak Ent Associates Payson, Ut 84651 UT Urban Medicaid Phone: (801) 763-3885 220 N 1200 E, #101 Phone: (801) 465-2527 Languages Spoken: Spanish Lehi, Ut 84043 Languages Spoken: Ritchie, Paul Kohler Md C UT Urban Medicaid Phone: (801) 768-3500 Portuguese, Spanish Cuc - Lehi - North Valley UT Urban Medicaid UT Urban Medicaid Orthopedic & Plastic Surgery Otolaryngology 680 E Main St Porter, Glen T Md C Larsen, Mitchell Williams Md C Lehi, Ut 84043 (Ent) 1159 E 200 N , #325 American Fork, Ut 84003 Cuc - Provo - Orthopedic Phone: (801) 763-3885 Beus, Kirt Scott Md C Specialty Ctr Languages Spoken: Spanish Phone: (801) 756-5291 Peak Ent Associates UT Urban Medicaid 1055 N 500 W, #121 UT Urban Medicaid 1055 N 300 W, #401 Provo, Ut 84604 Provo, Ut 84604 Porter, Glen T Md C Phone: (801) 373-7350 Ritchie, Paul Kohler Md C Cuc - North Valley Orthopedics & Phone: (801) 357-7499 354 W State Road 73 Languages Spoken: UT Urban Medicaid Saratoga Springs, Ut 84045 Portuguese, Spanish Plastic Surgery 1184 E 80 N Phone: (801) 855-2930 UT Urban Medicaid Beus, Kirt Scott Md C UT Urban Medicaid American Fork, Ut 84003 Peak Ent Associates Nelson, Devon A Md C Phone: (801) 763-3885 220 N 1200 E, #101 Riddle, Seth Allred Md C Cuc - Orem - Orthopedic Languages Spoken: Spanish Lehi, Ut 84043 Peak Otolaryngology Specialty Ctr UT Urban Medicaid Phone: (801) 768-3500 1055 N 300 W, #401 700 W 800 N, #100 UT Urban Medicaid Provo, Ut 84604 Orem, Ut 84057 Ritchie, Paul Kohler Md C Cuc - Saratoga Springs Phone: (801) 357-7499 Phone: (801) 224-5373 Denys, Douglas Md C UT Urban Medicaid UT Urban Medicaid 1305 N Commerce Dr 1159 E 200 N, #325 Saratoga Springs, Ut 84045 American Fork, Ut 84003 Robins, Kipp Moreno Md C Nelson, Devon A Md C Phone: (801) 753-7424 Phone: (801) 855-2930 2230 N University Pkwy, #9b Cuc - Payson - Orthopedic Languages Spoken: Spanish UT Urban Medicaid Provo, Ut 84604 Specialty Ctr UT Urban Medicaid Phone: (801) 375-3175 15 S 1000 E, #150 Ence, Bradford Kelly Md C Schow Jr, Douglas Md C Languages Spoken: Japanese Payson, Ut 84651 Cuc - Payson - Ent UT Urban Medicaid Phone: (801) 465-2527 1055 N 300 W, #203 39 Professional Way, #1 UT Urban Medicaid Provo, Ut 84604 Payson, Ut 84651 Rowley, Steven D Md C Phone: (801) 374-9053 Phone: (801) 465-4805 48 N 1100 E, #B Nelson, Devon A Md C UT Urban Medicaid UT Urban Medicaid American Fork, Ut 84003 Cuc - Provo - Orthopedic Wallentine, Jeffrey Max Md C Phone: (801) 373-5211 Specialty Ctr Gibb, Randal B Md C UT Urban Medicaid 1055 N 500 W, #121 Cuc - Orem - Orthopedic Cuc - Orem - Ent Provo, Ut 84604 Specialty Ctr 700 W 800 N, #230 Shipley, Scott G Md C Phone: (801) 373-7350 700 W 800 N, #100 Orem, Ut 84057 Peak Ent Associates UT Urban Medicaid Orem, Ut 84057 Phone: (801) 465-4805 1055 N 300 W, #401 Phone: (801) 224-5373 UT Urban Medicaid Provo, Ut 84604 Poulsen, Matthew R Md C UT Urban Medicaid Phone: (801) 357-7499 Cuc - Orem - Orthopedic Gibb, Randal B Md C Languages Spoken: Specialty Ctr Wallentine, Jeffrey Max Md C Cuc - Payson - Ent Cuc - Payson - Orthopedic Portuguese 700 W 800 N, #100 39 Professional Way, #1 UT Urban Medicaid Orem, Ut 84057 Specialty Ctr Payson, Ut 84651 Phone: (801) 357-8858 15 S 1000 E, #150 Phone: (801) 465-4805 Sobol, Steven M Md C UT Urban Medicaid Payson, Ut 84651 UT Urban Medicaid Peak Ent Associates Phone: (801) 465-2527 1055 N 300 W, #401 UT Urban Medicaid Provo, Ut 84604 Phone: (801) 357-7499 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 125 Utah USpecialty Care Network tah Pain Medicine Li, Tao Md C Peterson, David L Pa C Sanderson, Mark C Md C Nexus Pain Care Utah County Surgical Associates Cuc - Lehi - North Valley Rosenthal, Richard M Md C 3585 N University Ave, #150 3550 N University Ave, #250 Orthopedic & Plastic Surgery Nexus Pain Care Provo, Ut 84604 Provo, Ut 84604 680 E Main St 3585 N University Ave, #150 Phone: (801) 356-6100 Phone: (801) 374-9625 Lehi, Ut 84043 Provo, Ut 84604 Languages Spoken: Chinese UT Urban Medicaid Phone: (801) 763-3885 Phone: (801) 356-6100 UT Urban Medicaid Languages Spoken: Korean UT Urban Medicaid Pierson, Jeffery D Pa C UT Urban Medicaid Monreal, Rebeca M Do C Utah Valley Pain Management Pediatrics Nexus Pain Care 412 W 800 N Sanderson, Mark C Md C 3585 N University Ave, #150 Orem, Ut 84057 Cuc - North Valley Orthopedics & Bybee, Blair L Md D Provo, Ut 84604 Phone: (801) 235-7246 Plastic Surgery Children With Special Healthcare Phone: (801) 356-6100 UT Urban Medicaid 1184 E 80 N Needs UT Urban Medicaid American Fork, Ut 84003 1034 N 500 W Sullivan, Cynthia Collin Pa C Phone: (801) 763-3885 Provo, Ut 84604 Ockey, Robin R Md C Utah Valley Pain Management Languages Spoken: Korean Phone: (801) 357-7627 Utah Valley Pain Management 412 W 800 N UT Urban Medicaid UT Urban Medicaid 412 W 800 N Orem, Ut 84057 Orem, Ut 84057 Phone: (801) 235-7246 Bybee, Blair L Md D Phone: (801) 235-7243 UT Urban Medicaid Podiatrist Children With Special Healthcare Languages Spoken: Spanish Black, John Laning Dpm C Needs UT Urban Medicaid Yates, Karee Michelle Pa C Utah Valley Pain Management Foot & Ankle Podiatry 151 S University Ave 875 E 100 N, #7 Provo, Ut 84601 Stokes, Wayne Laurence Md C 412 W 800 N Uuhc Parkway Clinic Orem, Ut 84057 Payson, Ut 84651 Phone: (801) 370-8764 Phone: (801) 465-1345 UT Urban Medicaid 145 W University Pkwy Phone: (801) 235-7246 Orem, Ut 84058 UT Urban Medicaid Languages Spoken: Czech, Slovak Physical Medicine Phone: (801) 234-8600 UT Urban Medicaid Plastic Surgery UT Urban Medicaid And Rehabilitation Clegg, Jared Truman Dpm C Bishop, Jon Bradley Md C Ahmed, Syed R Do C Physician Assistant Cascade Foot & Ankle 700 W 800 N, #442 1937 N 1120 W Nexus Pain Care Bramble, Scott M Pa C Orem, Ut 84057 3585 N University Ave, #150 Provo, Ut 84604 Utah County Surgical Associates Phone: (801) 802-0120 Phone: (801) 373-2499 Provo, Ut 84604 3550 N University Ave, #250 UT Urban Medicaid Phone: (801) 356-6100 Languages Spoken: Swedish Provo, Ut 84604 UT Urban Medicaid UT Urban Medicaid Phone: (801) 374-9625 Jensen, Mark H Md C Cuc - Af - Otolaryngology Colledge, Alan Lawrence Md C UT Urban Medicaid Gibson, Brandt Ryan Dpm C 1175 E 50 S, #211 Mountain West Foot & Ankle Cuc - Orem - Orthopedic Brock, David Wesley Pa C American Fork, Ut 84003 Specialty Ctr Institute Utah County Surgical Associates Phone: (801) 418-0870 36 N 1100 E, #B 700 W 800 N, #100 3550 N University Ave, #250 UT Urban Medicaid Orem, Ut 84057 American Fork, Ut 84003 Provo, Ut 84604 Phone: (801) 756-0765 Phone: (801) 224-5373 Phone: (801) 374-9625 Jensen, Mark H Md C UT Urban Medicaid Cuc - Payson - Orthopedic Languages Spoken: Languages Spoken: Portuguese Portuguese Specialty Ctr Colledge, Alan Lawrence Md C 15 S 1000 E, #150 UT Urban Medicaid Cuc - Payson - Orthopedic UT Urban Medicaid Payson, Ut 84651 Gomez, Kelly Allan Dpm C Specialty Ctr Creer, Analee S Pa C Phone: (801) 465-9534 15 S 1000 E, #150 Rocky Mountain Foot And Ankle Mountainstar Cardiovascular UT Urban Medicaid 777 N 500 W, #105 Payson, Ut 84651 Surgery Phone: (801) 465-2527 Jensen, Mark H Md C Provo, Ut 84601 698 W 800 N, #210 Phone: (801) 375-6677 UT Urban Medicaid Orem, Ut 84057 Cuc - Provo - Orthopedic Specialty Ctr UT Urban Medicaid Colledge, Alan Lawrence Md C Phone: (801) 714-6412 UT Urban Medicaid 1055 N 500 W, #121 Hoyal, James Irvin Dpm C Cuc - Provo - Orthopedic Provo, Ut 84604 Specialty Ctr 1798 N State St Dimond, Travis Lee Pa C Phone: (801) 373-7350 Orem, Ut 84057 1055 N 500 W, #121 Utah Valley Pain Management UT Urban Medicaid Provo, Ut 84604 Phone: (801) 224-6464 412 W 800 N UT Urban Medicaid Phone: (801) 373-7350 Orem, Ut 84057 Rose, Kevin Gordon Md C UT Urban Medicaid Phone: (801) 235-7246 The Rose Clinic For Plastic & Humpherys, Scott Brett Dpm C Migraine Surgery Dana, John A Md C UT Urban Medicaid 1928 N 1120 W 320 W River Park Dr, #245 Provo, Ut 84604 Utah Valley Pain Management Hill, Megan Jensen Pa C Provo, Ut 84604 412 W 800 N Phone: (801) 785-9015 Utah Valley Pain Management Phone: (801) 375-7673 UT Urban Medicaid Orem, Ut 84057 412 W 800 N Languages Spoken: Spanish Phone: (801) 235-7246 Orem, Ut 84057 UT Urban Medicaid Mckell, Scott R Dpm C UT Urban Medicaid Phone: (801) 235-7246 Foot & Ankle Clinics Of Utah Duerksen, Ronald Gary Md C UT Urban Medicaid 157 N 400 W, #B7 1055 N 300 W, #416 Orem, Ut 84057 Provo, Ut 84604 Phone: (801) 226-2421 Phone: (801) 357-7770 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 126 Utah USpecialty Care Network tah Morley, H Gary Dpm C Rogers, Scott F Dpm C Hill, Tracy Arnold Md C Mcallister, Bruce C Md C 1275 N University Ave, #12 Central Utah Foot Clinic Intermountain Utah Valley Cuc - Provo - Radiation Oncology Provo, Ut 84604 150 W 800 N Pulmonary Clinic 1055 N 500 W, #102 Phone: (801) 374-6900 Provo, Ut 84601 1055 N 300 W, #500 Provo, Ut 84604 UT Urban Medicaid Phone: (801) 375-5353 Provo, Ut 84604 Phone: (801) 374-2367 Languages Spoken: German Phone: (801) 357-7291 UT Urban Medicaid Nelson, Michael Lee Dpm C UT Urban Medicaid UT Urban Medicaid Nebo Foot & Ankle Reilly, Mark William Md C 800 N 100 E Rogers, Thomas Glen Dpm C Pearce, Michael J Md C Gammawest Brachytherapy Spanish Fork, Ut 84660 Central Utah Foot Clinic Intermountain Utah Valley 674 W 800 N, #B10 Phone: (801) 794-3856 120 N 1220 E, #12 Pulmonary Clinic Orem, Ut 84057 UT Urban Medicaid American Fork, Ut 84003 1055 N 300 W, #500 Phone: (801) 852-0210 Phone: (801) 756-4200 Provo, Ut 84604 UT Urban Medicaid Ollerton, Matthew Gerald Dpm C Languages Spoken: Spanish Phone: (801) 357-7291 Foot & Ankle Clinics Of Utah UT Urban Medicaid UT Urban Medicaid Rogers, Charles Leland Md C 5 E 400 N Gammawest Brachytherapy Springville, Ut 84663 Rogers, Thomas Glen Dpm C Ross, Douglas S Md C 674 W 800 N, #B10 Phone: (801) 491-3668 Central Utah Foot Clinic Intermountain Utah Valley Orem, Ut 84057 Languages Spoken: German 150 W 800 N Pulmonary Clinic Phone: (801) 852-0210 UT Urban Medicaid Provo, Ut 84601 1055 N 300 W, #500 Languages Spoken: German Phone: (801) 375-5353 Provo, Ut 84604 UT Urban Medicaid Ollerton, Matthew Gerald Dpm C Languages Spoken: Spanish Phone: (801) 357-7291 Foot & Ankle Clinics Of Utah UT Urban Medicaid UT Urban Medicaid 57 W Main St Rheumatology Santaquin, Ut 84655 Rushton, Ryan Taylor Dpm C Sperry, Matthew B Md C Hanczyc, Malgorzata Md C Phone: (801) 754-3122 Uuhc Parkway Clinic Intermountain Utah Valley Central Utah Clinic Languages Spoken: German 145 W University Pkwy Pulmonary Clinic 1055 N 500 W, #205 UT Urban Medicaid Orem, Ut 84058 1055 N 300 W, #500 Provo, Ut 84604 Phone: (801) 234-8600 Provo, Ut 84604 Phillips, Stanley J Dpm C Phone: (801) 375-8858 UT Urban Medicaid Phone: (801) 357-7291 UT Urban Medicaid Cuc - North Valley Orthopedics & UT Urban Medicaid Plastic Surgery Savage, David T Dpm C 1184 E 80 N Aspen Foot And Ankle Sundar, Krishna Murthy Md C Sports Medicine American Fork, Ut 84003 875 E 100 N, #7 Intermountain Utah Valley C Phone: (801) 763-3885 Payson, Ut 84651 Pulmonary Clinic Weenig, Karl N Md UT Urban Medicaid Phone: (801) 465-1345 1055 N 300 W, #500 Cuc - Lehi - North Valley UT Urban Medicaid Provo, Ut 84604 Orthopedic & Plastic Surgery Phillips, Stanley J Dpm C 680 E Main St Phone: (801) 357-7291 Lehi, Ut 84043 Foot & Ankle Clinics Of Utah Pulmonary Disease Languages Spoken: Hindi 680 E Main St UT Urban Medicaid Phone: (801) 763-3885 Lehi, Ut 84043 C Languages Spoken: Finnish Alshuqairat, Tala’at A Md UT Urban Medicaid Phone: (801) 763-3885 Cuc - Payson - Internal Medicine Radiation Oncology UT Urban Medicaid & Pulmonary Weenig, Karl N Md C Ridge, Gary Royce Dpm C 1120 E 100 N, #1 Blair, Tarlton J Md C Cuc - North Valley Orthopedics & Foot & Ankle Clinics Of Utah Payson, Ut 84651 Cuc - Provo - Radiation Oncology Plastic Surgery 157 N 400 W, #B7 Phone: (801) 465-4813 1055 N 500 W, #102 1184 E 80 N Orem, Ut 84057 Languages Spoken: Arabic Provo, Ut 84604 American Fork, Ut 84003 Phone: (801) 226-2421 UT Urban Medicaid Phone: (801) 374-2367 Phone: (801) 763-3885 UT Urban Medicaid UT Urban Medicaid C Languages Spoken: Finnish Alward, William T Md UT Urban Medicaid Rogers, Mark Flake Dpm C Intermountain Utah Valley Hansen, Roger S Md C Central Utah Foot Clinic Pulmonary Clinic Gammawest Brachytherapy Weenig, Karl N Md C 120 N 1220 E, #12 1055 N 300 W, #500 674 W 800 N, #B10 Cuc - Orem - Orthopedic American Fork, Ut 84003 Provo, Ut 84604 Orem, Ut 84057 Specialty Ctr Phone: (801) 756-4200 Phone: (801) 357-7291 Phone: (801) 852-0210 700 W 800 N, #100 Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Orem, Ut 84057 UT Urban Medicaid C C Phone: (801) 224-5373 Campbell, Edward Joseph Md Harris, Robert Alan Md Languages Spoken: Finnish Rogers, Mark Flake Dpm C Intermountain Utah Valley Gammawest Brachytherapy UT Urban Medicaid Central Utah Foot Clinic Pulmonary Clinic 674 W 800 N, #B10 150 W 800 N 1055 N 300 W, #500 Orem, Ut 84057 Weenig, Karl N Md C Provo, Ut 84601 Provo, Ut 84604 Phone: (801) 852-0210 Cuc - Payson - Orthopedic Phone: (801) 375-5353 Phone: (801) 357-7291 UT Urban Medicaid Specialty Ctr UT Urban Medicaid Languages Spoken: Spanish Hayes, John K Md C 15 S 1000 E, #150 UT Urban Medicaid C Payson, Ut 84651 Harris, Dixie Lee Md Gammawest Brachytherapy Phone: (801) 465-2527 Rogers, Scott F Dpm C Intermountain Utah Valley 674 W 800 N, #B10 Languages Spoken: Finnish Central Utah Foot Clinic Pulmonary Clinic Orem, Ut 84057 UT Urban Medicaid 120 N 1220 E, #12 1055 N 300 W, #500 Phone: (801) 852-0210 American Fork, Ut 84003 Provo, Ut 84604 Languages Spoken: Chinese, Phone: (801) 756-4200 Phone: (801) 357-7291 Mandarin Languages Spoken: German UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 127 Utah WSpecialty Care Network asatch Weenig, Karl N Md C Patterson, Robert Md C Urology Cardiovascular Cuc - Provo - Orthopedic Intermountain American Fork Specialty Ctr Surgical Associates Collins, William T Md C Disease 1055 N 500 W, #121 1159 E 200 N, #350 Cuc - Payson - Urology 15 S 1000 E, #225 Allen, Marvin R Md C Provo, Ut 84604 American Fork, Ut 84003 Heber Valley Medical Center Phone: (801) 373-7350 Phone: (801) 855-2941 Payson, Ut 84651 Phone: (801) 465-2511 1485 S Hwy 40 Languages Spoken: Finnish UT Urban Medicaid Heber City, Ut 84032 UT Urban Medicaid UT Urban Medicaid Peterson, Lee M Md C Phone: (435) 654-2500 Weenig, Karl N Md C Utah County Surgical Associates Crowley, Jim D Md C UT Rural Medicaid Cuc - Provo - Urology Cuc - Saratoga Springs 3550 N University Ave, #250 Bingham, Scott Eugene Md C 1305 N Commerce Dr Provo, Ut 84604 1055 N 500 W, #211 Provo, Ut 84604 Heber Valley Medical Center Saratoga Springs, Ut 84045 Phone: (801) 374-9625 1485 S Hwy 40 Phone: (801) 753-7424 Languages Spoken: German Phone: (801) 357-7327 UT Urban Medicaid Heber City, Ut 84032 Languages Spoken: Finnish UT Urban Medicaid Phone: (435) 654-2500 UT Urban Medicaid Rasmussen, Ralph Richard Md C Kronmiller, Patrick W Md C UT Rural Medicaid Cuc - Payson - Urology Surgery Utah County Surgical Associates Carter, Melvin Eric Md C 3550 N University Ave, #250 15 S 1000 E, #225 Heber Valley Medical Center Cook, Craig Sheldon Md C Provo, Ut 84604 Payson, Ut 84651 1485 S Hwy 40 Utah County Surgical Associates Phone: (801) 374-9625 Phone: (801) 465-2511 Heber City, Ut 84032 3550 N University Ave, #250 Languages Spoken: Spanish UT Urban Medicaid Phone: (435) 654-2500 Provo, Ut 84604 UT Urban Medicaid Matern, Richard V Md C UT Rural Medicaid Phone: (801) 374-9625 Sheffield, Clark W Md C Intermountain Urological Institute UT Urban Medicaid Cragun, David Turley Md C American Fork General Surgeons 5169 Cottonwood St, #420 Heber Valley Medical Center Garry, David Patrick John Md C 1159 E 200 N, #350 Murray, Ut 84107 1485 S Hwy 40 Utah County Surgical Associates American Fork, Ut 84003 Phone: (801) 507-3400 Heber City, Ut 84032 3550 N University Ave, #250 Phone: (801) 756-4781 Languages Spoken: Phone: (435) 654-2500 Provo, Ut 84604 Languages Spoken: Japanese Portuguese UT Rural Medicaid Phone: (801) 374-9625 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid C Dahl, Charles F Md C Thomas, Richard Milton Md C Platt, Mckay Lyman Md Heber Valley Medical Center Gill, Brian M Md C Utah County Surgical Associates Cuc - Provo - Urology 1485 S Hwy 40 Utah County Surgical Associates 3550 N University Ave, #250 1055 N 500 W, #211 Heber City, Ut 84032 3550 N University Ave, #250 Provo, Ut 84604 Provo, Ut 84604 Phone: (435) 654-2500 Provo, Ut 84604 Phone: (801) 374-9625 Phone: (801) 357-7327 UT Rural Medicaid Phone: (801) 374-9625 Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Frischknecht, John Kay Md C Vascular Surgery Heber Valley Medical Center Hill, Bruce B Md C Tittensor, Jennifer Md C 1485 S Hwy 40 Utah County Surgical Associates Utah County Surgical Associates Francis, Karla M Md C Heber City, Ut 84032 1000 E 15 S, #350 3550 N University Ave, #250 Utah County Surgical Associates Phone: (435) 654-2500 Payson, Ut 84651 Provo, Ut 84604 3550 N University Ave, #250 UT Rural Medicaid Phone: (801) 374-9625 Phone: (801) 374-9625 Provo, Ut 84604 Languages Spoken: Italian Languages Spoken: Spanish Phone: (801) 374-9625 Smith, Douglas Richard Md C UT Urban Medicaid UT Urban Medicaid Languages Spoken: French Heber Valley Medical Center UT Urban Medicaid 1485 S Hwy 40 Hill, Bruce B Md C Watts, David Michael Md C Heber City, Ut 84032 Utah County Surgical Associates Utah County Surgical Associates Smilanich, Robert P Md C Phone: (435) 654-2500 3550 N University Ave, #250 3550 N University Ave, #250 Utah Vascular Center UT Rural Medicaid Provo, Ut 84604 Provo, Ut 84604 1055 N 300 W, #205 Phone: (801) 374-9625 Phone: (801) 374-9625 Provo, Ut 84604 Dermatology Languages Spoken: Italian UT Urban Medicaid Phone: (801) 374-9100 UT Urban Medicaid Languages Spoken: Spanish Kern, Steven Mark Md C Thoracic Surgery UT Urban Medicaid The Center For Cosmetic & Lichti, Douglas Jon Md C (Cardiothoracic Dermatology Utah County Surgical Associates 1473 S Hwy 40, #E 3550 N University Ave, #250 Vascular Surgery) Wasatch County Heber City, Ut 84032 Provo, Ut 84604 Karwande, Shreekanth V Md C Phone: (435) 658-1013 Phone: (801) 374-9625 UT Rural Medicaid UT Urban Medicaid Mountainstar Cardiovascular Allergy & Surgery Immunology Peterson, Warren Albert Do C Neeleman, Stephen D Md C 698 W 800 N, #210 Aspen Dermatology Lone Peak Surgery Orem, Ut 84057 Jones, Douglas Harry Md C 150 N Main St, #202 1159 E 200 N, #350 Phone: (801) 714-6412 Rocky Mountain Allergy Asthma Heber City, Ut 84032 American Fork, Ut 84003 UT Urban Medicaid & Immunology Phone: (801) 794-1490 Phone: (801) 855-2944 380 E 1500 S, #201 UT Rural Medicaid UT Urban Medicaid Heber City, Ut 84032 Phone: (801) 775-9800 Languages Spoken: Korean UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 128 Wasatch WSpecialty Care Network ashington Ophthalmology Taylor, Ryan D Dpm C Chander, Keshav Md C Duke, Dean W Md D Timpanogos Foot & Ankle Intermountain Southwest Southwest Skin And Cancer Fassio, John B Md C 150 N Main St, #202 Cardiology 383 S 300 E Mountain Valley Eye Institute Heber City, Ut 84032 1380 E Medical Center Dr, #1500 St George, Ut 84770 1471 S Hwy 40 Phone: (435) 671-4726 St George, Ut 84790 Phone: (435) 628-2826 Heber City, Ut 84032 Languages Spoken: Japanese Phone: (435) 251-2500 UT Rural Medicaid Phone: (435) 654-3090 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Larson, April A Md C Jentzer, John H Md C Intermountain Dixie Plastic & Smith, Stacy Ruth Md C Surgery Intermountain Southwest Reconstructive Surgery Mountain Valley Eye Institute Adams, Danielle M Md C Cardiology 652 S Medical Center Dr, #300 1471 S Hwy 40 Heber Valley Clinic 1380 E Medical Center Dr, #1500 St George, Ut 84790 Heber City, Ut 84032 1473 S Hwy 40, #E St George, Ut 84790 Phone: (435) 251-3670 Phone: (435) 654-3090 Heber City, Ut 84032 Phone: (435) 251-2500 Languages Spoken: Spanish UT Rural Medicaid Phone: (435) 654-2500 UT Rural Medicaid UT Rural Medicaid Oral And UT Rural Medicaid Jones, Jamison Cullimore Md C Larson, April A Md C Maxillofacial Hart, Vanessa Marie Md C Heart Of Dixie 169 W 2710 S, #101 Heber Valley Clinic 1380 E Medical Center Dr, #4100 St George, Ut 84790 Surgery - Dentist 1473 S Hwy 40, #E St George, Ut 84790 Phone: (435) 652-9127 Heber City, Ut 84032 Phone: (435) 251-2900 Languages Spoken: Spanish Haymond, Creed S Dds C UT Rural Medicaid UT Rural Medicaid 160 S 100 W Phone: (435) 654-2500 Heber City, Ut 84032 UT Rural Medicaid Jones, Jamison Cullimore Md C Smith, Wallace Bret Md D Phone: (435) 654-5459 1380 E Medical Center Dr, #4100 Southwest Skin And Cancer Languages Spoken: Italian, Washington County St George, Ut 84790 383 S 300 E Spanish Phone: (435) 251-2900 St George, Ut 84770 UT Rural Medicaid UT Rural Medicaid Phone: (435) 628-2826 Adult Health Nurse UT Rural Medicaid Mcdonnell, Mary Ann Md C Orthopaedic Surgery Practitioner Heart Of Dixie Trimble, Karl Kirk Md C Olsen, Gordon Scott Do C Ross, Lucinda Aprn C 1380 E Medical Center Dr, #4100 Dixie Dermatology 1485 S Highway 40, #D Dixie Regional Medical Center St George, Ut 84790 169 W 2710 S Cir, #101 Heber City, Ut 84032 Diabetes Clinic Phone: (435) 251-2900 St George, Ut 84790 Phone: (435) 654-6360 UT Rural Medicaid Phone: (435) 674-3552 352 E Riverside Dr, #A9 UT Rural Medicaid Languages Spoken: French St George, Ut 84790 Nautiyal, Ashoka Md C UT Rural Medicaid Phone: (435) 251-2888 Ihc Health Center - Sw Cardiology Endocrinology, UT Rural Medicaid 1380 E Medical Center Dr, #1500 Physician Assistant St George, Ut 84790 Diabetes & Allergy & C Phone: (435) 251-2500 Metabolism Dawson, Micheal Shawn Pa UT Rural Medicaid Rocky Mountain Allergy Asthma Immunology Grua, James R Md C & Immunology Pinna, Kenneth Ralph Md C Nimer, Lynn Roy Md C Ihc Health Center - St George 380 E 1500 S, #201 Southwest Allergy & Asthma 1380 E Medical Center Dr, #3500 577 S River Rd Heber City, Ut 84032 Clinic St George, Ut 84790 St George, Ut 84790 Phone: (801) 775-9800 515 S 300 E, #101 Phone: (435) 251-2150 Phone: (435) 688-6100 UT Rural Medicaid St George, Ut 84770 UT Rural Medicaid UT Rural Medicaid Phone: (435) 688-1128 Pricesr, Gregory Md D Podiatrist UT Rural Medicaid Snyder, James W Md C Heart Of Dixie Drmc Diabetes Clinic Clark, Scott A Dpm C 1380 E Medical Center Dr, #4100 736 S 900 E, #107 Utah Podiatry Group Cardiovascular St George, Ut 84790 St George, Ut 84790 1471 S Hwy 40, #E Disease Phone: (435) 251-2900 Phone: (435) 251-2888 Heber City, Ut 84032 UT Rural Medicaid UT Rural Medicaid Phone: (435) 657-0329 Boorman, David C Md C UT Rural Medicaid Heart Of Dixie Pulsipher, Mark William Md C 1380 E Medical Center Dr, #4100 Intermountain Southwest Family Medicine Harper, Spence D Dpm C St George, Ut 84790 Cardiology Millward, Christian Scott Md C Utah Podiatry Group Phone: (435) 251-2900 1380 E Medical Center Dr, #1500 Intermountain Sports Medicine 1471 S Hwy 50, #C UT Rural Medicaid St George, Ut 84790 Specialists - St George Heber City, Ut 84032 Phone: (435) 251-2500 Brizolara, Alberto A Md C 652 S Medical Center Dr, #Ll20 Phone: (435) 657-0329 UT Rural Medicaid St George, Ut 84790 UT Rural Medicaid Intermountain Southwest Phone: (435) 634-6000 Cardiology Dermatology Smith, Terry Paul Dpm C 1380 E Medical Center Dr, #1500 Languages Spoken: Spanish Utah Podiatry Group St George, Ut 84790 Carter, Benjamin Gill Md C UT Rural Medicaid 1471 S Hwy 40, #E Phone: (435) 251-2500 Southern Utah Dermatology And Millward, Christian Scott Md C Heber City, Ut 84032 Languages Spoken: Surgical Arts Rim Rock Orthopaedics Phone: (435) 657-0329 Portuguese, Spanish 1068 E Riverside Dr 652 S Medical Center Dr, #120 UT Rural Medicaid UT Rural Medicaid St George, Ut 84790 St George, Ut 84790 Phone: (435) 628-6466 Phone: (435) 628-4460 UT Rural Medicaid Languages Spoken: Spanish UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 129 Washington WSpecialty Care Network ashington Family Nurse Perino, Lloyd E Md C Molden, Jaime Md C Heuser, Cara C Md C Intermountain Redrock Digestive Intermountain Southwest Intermountain Dixie Maternal Practitioner Health Cardiology Fetal Medicine Bacon, Deidra Dawn Np C 652 S Medical Center Dr, #330 1380 E Medical Center Dr, #4100 544 S 400 E Diabetic Clinic St George, Ut 84790 St George, Ut 84790 St George, Ut 84770 736 S 900 E Phone: (435) 251-3800 Phone: (435) 654-2500 Phone: (435) 688-4770 St George, Ut 84790 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Phone: (435) 688-4293 Siddoway, Roger L Md C Interventional Holmgren, Calla M Md C UT Rural Medicaid Mountain West Gastroenterology Intermountain Dixie Maternal Bacon, Deidra Dawn Np C 368 E Riverside Dr, #A Cardiology Fetal Medicine Dixie Regional Medical Center - St George, Ut 84790 544 S 400 E Phone: (435) 673-1149 Owan, Theophilus E Md C St George, Ut 84770 400 East Heart Of Dixie 544 S 400 E Languages Spoken: Italian Phone: (435) 688-4770 UT Rural Medicaid 1380 E Medical Center Dr, #4100 UT Rural Medicaid St George, Ut 84770 St George, Ut 84790 Phone: (435) 688-4343 Phone: (435) 251-2900 Jackson, G Marc Md C UT Rural Medicaid Geriatric Medicine UT Rural Medicaid 544 S 400 E Barlow, Rebecca Stohel Aprn C Carey, John C Md C St George, Ut 84770 Radiation Exposure And Screening Children With Special Healthcare Maternal & Fetal Phone: (435) 688-4770 Clinic Needs Medicine UT Rural Medicaid 736 S 900 E, #107 620 S 400 E, #400 C Porter, Troy Flint Md C St George, Ut 84790 St George, Ut 84770 Branch, D Ware Md 544 S 400 E Phone: (435) 251-2875 Phone: (435) 986-2559 1380 E Medical Center Dr St George, Ut 84770 UT Rural Medicaid UT Rural Medicaid St George, Ut 84790 Phone: (435) 251-1000 Phone: (435) 688-4770 Benedict, Amy Aprn C Hematology & UT Rural Medicaid UT Rural Medicaid Southwest Surgical Associates C Richards, Douglas S Md C 1490 E Foremaster Dr, #200 Oncology Branch, D Ware Md Intermountain Dixie Maternal St George, Ut 84790 544 S 400 E Anwar, Karim Md C St George, Ut 84770 Fetal Medicine Phone: (435) 628-1641 Southwest Regional Cancer Clinic 544 S 400 E UT Rural Medicaid Phone: (435) 251-1000 544 S 400 E UT Rural Medicaid St George, Ut 84770 Brown, Kristy L Aprn C St George, Ut 84770 Phone: (435) 688-4770 Dixie Regional Critical Care Phone: (435) 688-4900 Byrne, Janice L Md C UT Rural Medicaid Pulmonary UT Rural Medicaid Intermountain Dixie Maternal Fetal Medicine Medical Genetics - 1380 E Medical Center Dr Haslem, Derrick S Md C St George, Ut 84790 544 S 400 E Clinical Genetics Intermountain Southwest Regional St George, Ut 84770 Phone: (435) 251-2474 Cancer Clinic UT Rural Medicaid Phone: (435) 688-4770 (M.D.) 544 S 400 E UT Rural Medicaid Christensen, Autum Aprn C St George, Ut 84770 Longo, Nicola Md C Southwest Surgical Associates Phone: (435) 688-4900 Draper, Michael L Md C Children With Special Healthcare 1490 E Foremaster Dr, #200 UT Rural Medicaid Dixie Regional Medical Center - Needs St George, Ut 84790 Mfm Dept 620 S 400 E, #400 Lemon, Robert H Md C 544 S 400 E St George, Ut 84770 Phone: (435) 628-1641 Snow Canyon Clinic UT Rural Medicaid St George, Ut 84770 Phone: (435) 986-2559 272 E Center St, #201 Phone: (435) 688-4000 UT Rural Medicaid Ivins, Ut 84738 Languages Spoken: French C Gastroenterology Phone: (435) 986-2300 UT Rural Medicaid Rope, Alan F Md UT Rural Medicaid Children With Special Healthcare Bown, James W Md C Needs Mountain West Gastroenterology Draper, Michael L Md C Infectious Disease Intermountain Dixie Maternal 620 S 400 E, #400 368 E Riverside Dr, #A Fetal Medicine St George, Ut 84770 St George, Ut 84790 Cobb, William B Md C 544 S 400 E Phone: (435) 986-2559 Phone: (435) 673-1149 1380 E Medical Center Dr UT Rural Medicaid UT Rural Medicaid St George, Ut 84770 St George, Ut 84790 Phone: (435) 688-4770 Viskochil, David H Md C Hixson, Lee J Md C Phone: (435) 251-1000 UT Rural Medicaid UT Rural Medicaid Children With Special Healthcare Mountain West Gastroenterology Eller, Alexandra G Md C Needs 368 E Riverside Dr, #A Drmc - Maternal Fetal Medicine 620 S 400 E, #400 St George, Ut 84790 Internal Medicine 544 S 400 E St George, Ut 84770 Phone: (435) 673-1149 Phone: (435) 986-2559 UT Rural Medicaid Bentley, Kenneth Md C St George, Ut 84770 Dixie Regional Critical Care Phone: (435) 688-4000 UT Rural Medicaid Moore, David R Md C Pulmonary UT Rural Medicaid Mountain West Gastroenterology 1380 E Medical Center Dr Medical Oncology 368 E Riverside Dr, #A St George, Ut 84790 Esplin, M Sean Md C St George, Ut 84790 Phone: (435) 251-2474 Intermountain Dixie Maternal Amer, Magid H Md C UT Rural Medicaid Fetal Medicine Southwest Regional Cancer Clinic Phone: (435) 673-1149 544 S 400 E 544 S 400 E UT Rural Medicaid St George, Ut 84770 St George, Ut 84770 Phone: (435) 688-4770 Phone: (435) 688-4900 Languages Spoken: Spanish Languages Spoken: Arabic UT Rural Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 130 Washington WSpecialty Care Network ashington Rupard, Erik Johnston Md C Neurology Kirk, Vernon H Md C Hartley-Clanton, Patricia Aprn Southwest Regional Cancer Clinic Snow Canyon Clinic C 544 S 400 E Choucair, Ali K Md C 272 E Center St, #201 Heart Of Dixie St George, Ut 84770 Dixie Regional Medical Center - Ivins, Ut 84738 1380 E Medical Center Dr, #4100 Phone: (435) 688-4900 Cancer Center Phone: (435) 986-2300 St George, Ut 84790 UT Rural Medicaid 544 S 400 E UT Rural Medicaid Phone: (435) 251-2900 St George, Ut 84770 UT Rural Medicaid Neonatal - Perinatal Phone: (435) 688-4080 Schlagel, Laura J Md C Languages Spoken: German Snow Canyon Clinic Jacques, Charlie R Aprn C Medicine UT Rural Medicaid 272 E Center St, #201 Intermountain Southwest Ivins, Ut 84738 Cardiology Carroll, Patrick Douglas Md C Choucair, Ali K Md C Phone: (435) 986-2300 1380 E Medical Center Dr, #1500 Dixie Neonatology 544 S 400 E UT Rural Medicaid St George, Ut 84790 544 S 400 E St George, Ut 84770 Phone: (435) 251-2500 St George, Ut 84770 Phone: (435) 251-1000 Schmidt, John Gerhard Md C UT Rural Medicaid Phone: (435) 688-4640 Languages Spoken: Arabic, Snow Canyon Clinic UT Rural Medicaid German 272 E Center St, #201 Jacques, Charlie R Aprn C UT Rural Medicaid Ivins, Ut 84738 Intermountain St George Gerday, Erick B Md C Phone: (435) 986-2300 Pulmonary Dixie Neonatology De Saibro, Luciana Md C UT Rural Medicaid 1380 E Medical Center Dr, #1400 544 S 400 E Snow Canyon Clinic St George, Ut 84790 St George, Ut 84770 272 E Center St Vanorman, Colin B Md C Phone: (435) 251-2600 Phone: (435) 688-4640 Ivins, Ut 84738 1380 E Medical Center Dr UT Rural Medicaid Languages Spoken: French Phone: (435) 986-2300 St George, Ut 84790 UT Rural Medicaid Languages Spoken: Phone: (435) 251-1000 Marchant, David R Np C UT Rural Medicaid Intermountain Southern Utah Miner, Lonnie J Md C Portuguese, Spanish UT Rural Medicaid Behavioral Health Neonatology Drmc Nurse Practitioner 1054 E Riverside Dr, #202 544 S 400 E De Saibro, Luciana Md C St George, Ut 84790 St George, Ut 84770 Southwest Neurology Associates Abegglen, Joanne Np D Phone: (435) 634-6100 Phone: (435) 688-4000 652 S Medical Center Dr, #320 Zion Pain Management Center UT Rural Medicaid UT Rural Medicaid St George, Ut 84790 301 N 200 E, #2a Phone: (435) 251-3950 St George, Ut 84770 Mickelson, Brookanne J Np D Nephrology Languages Spoken: Phone: (435) 688-7246 Zion Pain Management Center Portuguese, Spanish UT Rural Medicaid 301 N 200 E, #2a Filloux, Francis M Md C UT Rural Medicaid St George, Ut 84770 Children With Special Healthcare Barton, Deborah David Np C Phone: (435) 688-7246 Needs De Saibro, Luciana Md C Heart Of Dixie UT Rural Medicaid 620 S 400 E, #400 1380 E Medical Center Dr 1380 E Medical Center Dr, #4100 St George, Ut 84770 St George, Ut 84790 St George, Ut 84790 Palmer, Sara S Np C Phone: (435) 986-2559 Phone: (435) 251-1067 Phone: (435) 251-2900 Heart Of Dixie UT Rural Medicaid Languages Spoken: UT Rural Medicaid 1380 E Medical Center Dr, #4100 Portuguese, Spanish St George, Ut 84790 Leon Forero, Carlos A Md C UT Rural Medicaid Bedingfield, Heide SA prn C Phone: (435) 251-2900 Khiu Heart Of Dixie UT Rural Medicaid 1173 S 250 W, #402 De Saibro, Luciana Md C 1380 E Medical Center Dr, #4100 St George, Ut 84770 577 S River Rd St George, Ut 84790 Obstetrics And Phone: (435) 652-1135 St George, Ut 84790 Phone: (435) 251-2900 Languages Spoken: Spanish Phone: (435) 688-6200 UT Rural Medicaid Gynecology UT Rural Medicaid Languages Spoken: Boyer, Mark C Np C Manuck, Tracy A Md C Portuguese, Spanish Dixie Regional Medical Center Mercado, Carlos Md C UT Rural Medicaid Sleep Medicine Department Southern Utah Kidney And 652 S Medical Center Dr, #310 544 S 400 E Hypertension Fleischer, Barry Richard Do C St George, Ut 84790 St George, Ut 84770 1173 S 250 W, #402 Southwest Neurology Associates Phone: (435) 251-3940 Phone: (435) 688-4000 St George, Ut 84770 652 S Medical Center Dr, #320 UT Rural Medicaid UT Rural Medicaid Phone: (435) 652-1135 St George, Ut 84790 Brown, Roxie Ann Aprn C Ott, Richard Wayne Md C Languages Spoken: Spanish Phone: (435) 251-3950 Intermountain Womens Health UT Rural Medicaid UT Rural Medicaid Mountain West Gastroenterology 368 E Riverside Dr, #A Specialists Neurological Fleischer, Barry Richard Do C St George, Ut 84790 346 E 600 S 1380 E Medical Center Dr Phone: (435) 673-1149 St George, Ut 84770 Surgery St George, Ut 84790 UT Rural Medicaid Phone: (435) 688-4600 Phone: (435) 251-1000 UT Rural Medicaid Klara, Peter M Md C UT Rural Medicaid Clark, Bonnie B Aprn C Intermountain Southwest Intermountain Southwest Silver, Robert M Md C Neurology Associates Jones, Gary Lee Md C Cardiology Intermountain Dixie Maternal 577 S River Rd Snow Canyon Clinic 1380 E Medical Center Dr, #1500 Fetal Medicine St George, Ut 84790 272 E Center St, #201 St George, Ut 84790 544 S 400 E Phone: (435) 251-3950 Ivins, Ut 84738 Phone: (435) 251-2500 St George, Ut 84770 UT Rural Medicaid Phone: (435) 986-2300 UT Rural Medicaid Phone: (435) 688-4770 UT Rural Medicaid UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 131 Washington WSpecialty Care Network ashington Trauscht-Vanhorn, Jennifer Md Hurlbut-Miller, Peter Richard Patel, Bhupendra C Md C Green, Michael Richard Md C C Md C Zion Eye Institute 1490 E Foremaster Dr, #260 Planned Parenthood Associtation Rocky Mountain Retina 1791 E 280 N St George, Ut 84790 Of Utah Consultants St George, Ut 84790 Phone: (435) 688-0156 595 S Bluff St 1085 S Bluff St Phone: (435) 656-2020 UT Rural Medicaid St George, Ut 84770 St George, Ut 84770 Languages Spoken: French, Phone: (435) 674-9933 Phone: (801) 264-4444 Gujarati, Hindi, Swahili Jevsevar, David S Md C UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Intermountain Zion Orthopaedics & Sports Medicine Varner, Michael W Md C Jayne, Russell Patrick Md C Richens, Sharon Rose Md C 1380 E Medical Center Dr, #2100 Intermountain Dixie Maternal Retina Consultants Of Southern Richens Eye Center St George, Ut 84790 Fetal Medicine Utah 161 W 200 N, #200 Phone: (435) 251-2650 544 S 400 E 1791 E 280 N St George, Ut 84770 UT Rural Medicaid St George, Ut 84770 St George, Ut 84790 Phone: (435) 652-4040 Phone: (435) 688-4770 Phone: (702) 369-0200 UT Rural Medicaid Klatt, Joshua William Md C UT Rural Medicaid Languages Spoken: German Children With Special Healthcare UT Rural Medicaid Wickens, Jason Craig Md C Needs Retina Consultants Of Southern 620 S 400 E, #400 Ophthalmology Lewis, Mark M Md C Utah St George, Ut 84770 Ahee, Jason A Md C Southern Utah Eye Physicians 1791 E 280 N Phone: (435) 986-2559 Dixie Ophthalmic Specialists & 1791 E 280 N St George, Ut 84790 UT Rural Medicaid St George, Ut 84790 Phone: (702) 369-0200 Laser Eye Center C 1791 E 280 N Phone: (435) 656-2020 Languages Spoken: Spanish Leitze, Zachary Robert Md St George, Ut 84790 Languages Spoken: UT Rural Medicaid Intermountain Dixie Orthopaedics Phone: (435) 688-2020 Portuguese, Spanish 652 S Medical Center Dr, #120 UT Rural Medicaid Ophthalmology / St George, Ut 84790 UT Rural Medicaid Phone: (435) 628-4460 Barlow, William Ritcher Md C Loo, Roy H Md C Retina Specialist Languages Spoken: Chinese Dixie Ophthalmic Specialists & Retina Consultants Of Southern UT Rural Medicaid Utah Thach, Allen Bradford Md C Laser Eye Center Retina Consultants Of Southern C 1791 E 280 N 1791 E 280 N Leitze, Zachary Robert Md St George, Ut 84790 Utah Rim Rock Orthopaedics St George, Ut 84790 1791 E 280 N Phone: (435) 688-2020 Phone: (702) 369-0200 75 N 2260 W UT Rural Medicaid St George, Ut 84790 Hurricane, Ut 84737 UT Rural Medicaid Phone: (702) 369-0200 Phone: (435) 628-4460 Cohen, David Bennett Md C Parker, Robert Jeffrey Md C UT Rural Medicaid Languages Spoken: Chinese Southern Utah Eye Physicians Retina Consultants Of Southern UT Rural Medicaid Utah 1791 E 280 N Orthopaedic Surgery C St George, Ut 84790 1791 E 280 N Major, Michael R Md Phone: (435) 656-2020 St George, Ut 84790 Anderson, Michael B Md C Intermountain Southwest Spine & Languages Spoken: Japanese Phone: (702) 369-0200 Cuc - Coral Desert Orthopedics Pain Center UT Rural Medicaid UT Rural Medicaid 11 S Main St 652 S Medical Center Dr, #110 Hurricane, Ut 84737 St George, Ut 84790 Faber, David Wayne Md C Parker, Robert Jeffrey Md C Phone: (800) 239-9393 Phone: (435) 251-3700 Rocky Mountain Retina 1791 E 280 N UT Rural Medicaid UT Rural Medicaid St George, Ut 84790 Consultants C 1085 S Bluff St Phone: (702) 369-0200 Anderson, Michael B Md C Parry, Scott A Md St George, Ut 84770 UT Rural Medicaid Cuc - Coral Desert Orthopedics Cuc - Coral Desert Orthopedics Phone: (801) 264-4444 1404 Sun River Pkwy, #101 1404 Sun River Pkwy, #101 Patel, Bhupendra C Md C St George, Ut 84790 St George, Ut 84790 Languages Spoken: Spanish Southern Utah Eye Physicians UT Rural Medicaid Phone: (800) 239-9393 Phone: (800) 239-9393 1791 E 280 N UT Rural Medicaid Languages Spoken: French Goff, Mitchell J Md C St George, Ut 84790 UT Rural Medicaid Phone: (435) 656-2020 Anderson, Michael B Md C Rocky Mountain Retina C Consultants Languages Spoken: French, Cuc - Coral Desert Orthopedics Parry, Scott A Md 1085 S Bluff St Gujarati, Hindi, Swahili 1490 E Foremaster Dr, #150 Cuc - Coral Desert Orthopedics St George, Ut 84770 UT Rural Medicaid St George, Ut 84790 1490 E Foremaster Dr, #150 Phone: (801) 264-4444 Phone: (435) 628-9393 St George, Ut 84790 Patel, Bhupendra C Md C UT Rural Medicaid Phone: (435) 628-9393 UT Rural Medicaid Surgical Care Associates Of St Languages Spoken: French Hendrix, Jason Wayne Md C George Andruss, Robert J Md C UT Rural Medicaid 676 S Bluff St Intermountain Zion Orthopaedics Cuc - Sg - Ophthalmology D 676 S Bluff St, #208 St George, Ut 84770 & Sports Medicine Parry, Todd Richard Md St George, Ut 84770 Phone: (435) 628-4507 1380 E Medical Center Dr, #2100 Cuc - Coral Desert Orthopedics Phone: (435) 628-4507 Languages Spoken: French, St George, Ut 84790 1404 Sun River Pkwy, #101 UT Rural Medicaid Gujarati, Hindi, Swahili Phone: (435) 251-2650 St George, Ut 84790 UT Rural Medicaid UT Rural Medicaid Phone: (800) 239-9393 Hollifield, Rodney Deleon Md C UT Rural Medicaid Cain, James E Md C Retina Consultants Of Southern D Utah Southwest Spine & Pain Center Parry, Todd Richard Md 1791 E 280 N 652 S Medical Center Dr, #110 Cuc - Coral Desert Orthopedics St George, Ut 84790 St George, Ut 84790 1490 E Foremaster Dr, #150 Phone: (702) 369-0200 Phone: (435) 251-3700 St George, Ut 84790 UT Rural Medicaid Phone: (435) 628-9393 UT Rural Medicaid UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 132 Washington WSpecialty Care Network ashington Prince, Edward J Md C Vaughan, Andrew H Md C Pediatrics Hafen , K C Pa C Cuc - Coral Desert Orthopedics Southern Utah Ear Nose & Throat Zion Orthopaedics & Sports 1404 Sun River Pkwy, #101 1490 E Foremaster Dr, #350 Norlin, E (Chuck) Charles Md C Medicine St George, Ut 84790 St George, Ut 84790 Children With Special Healthcare 1380 E Medical Center Dr, #2100 Phone: (800) 239-9393 Phone: (435) 628-3334 Needs St George, Ut 84790 Languages Spoken: Japanese UT Rural Medicaid 620 S 400 E, #400 Phone: (435) 251-2650 UT Rural Medicaid St George, Ut 84770 UT Rural Medicaid Phone: (435) 986-2559 Prince, Edward J Md C Pain Medicine UT Rural Medicaid Johnson, Dayne Pa C Cuc - Coral Desert Orthopedics Empey, Joseph Courtney Md C Intermountain Southwest Spine & 1490 E Foremaster Dr, #150 Desert Pain Specialists Physical Medicine Pain Center St George, Ut 84790 368 E Riverside Dr, #3b 652 S Medical Center Dr, #110 Phone: (435) 628-9393 St George, Ut 84790 And Rehabilitation St George, Ut 84790 Languages Spoken: Japanese Phone: (435) 216-7000 Hansen, Mette Ulrich Md C Phone: (435) 251-3700 UT Rural Medicaid Languages Spoken: German Zion Orthopedics UT Rural Medicaid Smith, Scott M Md C UT Rural Medicaid 1380 E Medical Center Dr, #2100 Mcpherson, Bruce A Pa C Intermountain Dixie Orthopaedics Frieden, Derek Md C St George, Ut 84790 Coral Desert Orthopedics 652 S Medical Center Dr, #120 Intermountain Southwest Spine & Phone: (435) 251-2650 1490 E Foremaster Dr, #150 St George, Ut 84790 Pain Center UT Rural Medicaid St George, Ut 84790 Phone: (435) 628-4460 652 S Medical Center Dr, #110 Phone: (435) 628-9393 Languages Spoken: Spanish St George, Ut 84790 Physician Assistant UT Rural Medicaid UT Rural Medicaid Phone: (435) 251-3700 Bernardo, Cortney A Pa C Mendenhall, Jeromy Ron Pa C Stotts, Alan Kendrick Md C UT Rural Medicaid Desert Pain Specialists Coral Desert Orthopedics Children With Special Healthcare Obray, Jon B Md C 368 E Riverside Dr, #3b 1490 E Foremaster Dr, #150 Needs Intermountain Southwest Spine & St George, Ut 84790 St George, Ut 84790 620 S 400 E, #400 Pain Center Phone: (435) 216-7000 Phone: (435) 628-9393 St George, Ut 84770 652 S Medical Center Dr, #110 UT Rural Medicaid Languages Spoken: Phone: (435) 986-2559 St George, Ut 84790 Portuguese UT Rural Medicaid Ferguson, Joseph D Pa C UT Rural Medicaid Phone: (435) 251-3700 Intermountain Southwest Spine & UT Rural Medicaid Otolaryngology Pain Center Needham, Grant Alma Jason Pa C Ryskin, Alexey A Md C 652 S Medical Center Dr, #110 Southern Utah Ear Nose & Throat (Ent) Advanced Pain Management St George, Ut 84790 1490 E Foremaster Dr, #350 Chase, Steven Paul Md C 620 E 400 S, #201 Phone: (435) 251-3700 St George, Ut 84790 Southern Utah Ear Nose & Throat St George, Ut 84770 UT Rural Medicaid Phone: (435) 628-3334 UT Rural Medicaid 1490 E Foremaster Dr, #350 Phone: (435) 656-0029 Fowler, Steven R Pa C St George, Ut 84790 Languages Spoken: Russian Intermountain Southwest Penman, Stephen L Pa C Phone: (435) 628-3334 UT Rural Medicaid Cardiology Intermountain Dixie Orthopaedics Languages Spoken: French Stott, Dale G Md D 1380 E Medical Center Dr, #1500 652 S Medical Center Dr, #120 UT Rural Medicaid Zion Pain Management Center St George, Ut 84790 St George, Ut 84790 Doxey, G Paul Md C 301 N 200 E, #2a Phone: (435) 251-2500 Phone: (435) 628-4460 736 S 900 E, #201 St George, Ut 84770 UT Rural Medicaid UT Rural Medicaid St George, Ut 84790 Phone: (435) 688-7246 Gerber, Trevor Michael Pa C Schmidt, Trevor Andreas Pa C Phone: (435) 628-3342 Languages Spoken: Spanish Intermountain Cardiovascular & Coral Desert Orthopedics UT Rural Medicaid UT Rural Medicaid Thoracic Surgery 1490 E Foremaster Dr, #150 Gardner, Kent Eric Md C Pediatric 1380 E Medical Center Dr, #2600 St George, Ut 84790 Southern Utah Ear Nose & Throat St George, Ut 84790 Phone: (435) 628-9393 1490 E Foremaster Dr, #350 Cardiology Phone: (435) 251-2500 UT Rural Medicaid UT Rural Medicaid St George, Ut 84790 Jou, Chuanchau Jerry Do C Stirling, Todd Alan Pa C Phone: (435) 628-3334 Dixie Regional Ekg Goodrich, Paul Wallace Pa C Advanced Pain Management Languages Spoken: Japanese 1380 E Medical Center Dr Intermountain Cardiovascular & 620 E 400 S, #201 UT Rural Medicaid St George, Ut 84790 Thoracic Surgery St George, Ut 84770 Marsden, Jerry Md C Phone: (435) 251-1000 1380 E Medical Center Dr, #2600 Phone: (435) 656-0029 1490 E Foremaster Dr, #350 UT Rural Medicaid St George, Ut 84790 UT Rural Medicaid Phone: (435) 251-2500 St George, Ut 84790 C Phone: (435) 628-2891 Mccandless, Rachel Md UT Rural Medicaid Plastic Surgery UT Rural Medicaid Dixie Regional Ekg 1380 E Medical Center Dr Hafen, K C Pa C Klomp, Steven Aaron Md C Stevens, Michael H Md C St George, Ut 84790 Intermountain Zion Orthopaedics Intermountain Dixie Plastic & Southern Utah Ear Nose & Throat Phone: (435) 251-1000 & Sports Medicine Reconstructive Surgery 1490 E Foremaster Dr, #350 UT Rural Medicaid 1380 E Medical Center Dr, #2100 652 S Medical Center Dr, #300 St George, Ut 84790 St George, Ut 84790 C St George, Ut 84790 Phone: (435) 628-3334 Molina, Kimberly Md Phone: (435) 251-2650 Phone: (435) 688-4650 Dixie Regional Ekg UT Rural Medicaid UT Rural Medicaid 1380 E Medical Center Dr UT Rural Medicaid St George, Ut 84790 Phone: (435) 251-1000 UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 133 Washington WSpecialty Care Network ashington Podiatrist Reber, Leon Keith Dpm C Saifee, Mustufa T Md C Surgery Foot & Ankle Institute Advanced Pulmonary Sleep Burton, Stephen K Dpm C 754 S Main St, #3 Disorders & Internal Medicine Lewis, Ryan L Do C Foot & Ankle Institute St George, Ut 84770 640 E 700 S, #105 Southwest Surgical Associates 272 E Center St, #101 Phone: (435) 628-2671 St George, Ut 84770 1490 E Foremaster Dr, #200 Ivins, Ut 84738 UT Rural Medicaid Phone: (435) 688-7770 St George, Ut 84790 Phone: (435) 628-2671 Languages Spoken: Hindi Phone: (435) 628-1641 UT Rural Medicaid Smith, Lary J Dpm C UT Rural Medicaid Languages Spoken: Spanish Foot & Ankle Institute UT Rural Medicaid Burton, Stephen K Dpm C 272 E Center St, #101 Taub, Lewis D Md C Foot & Ankle Institute Ivins, Ut 84738 1380 E Medical Center Dr Miller, John Tuggey Md C 52 S 850 W, #101 Phone: (435) 628-2671 St George, Ut 84770 Southwest Surgical Associates Hurricane, Ut 84737 UT Rural Medicaid Phone: (435) 251-2600 1490 E Foremaster Dr, #200 Phone: (435) 635-4609 UT Rural Medicaid St George, Ut 84790 UT Rural Medicaid Smith, Lary J Dpm C Phone: (435) 628-1641 Foot & Ankle Institute UT Rural Medicaid Magnesen, David T Dpm C 52 S 850 W, #101 Radiation Oncology 676 S Bluff St, #205 Hurricane, Ut 84737 Clarke, James W Md C Myers, Brad A Md D St George, Ut 84770 Phone: (435) 635-4609 Gammawest Brachytherapy Southwest Surgical Associates Phone: (435) 628-5690 UT Rural Medicaid 1490 E Foremaster Dr, Bldgc 1490 E Foremaster Dr, #200 Languages Spoken: Spanish St George, Ut 84790 Smith, Lary J Dpm C St George, Ut 84790 UT Rural Medicaid Phone: (435) 627-5327 Phone: (801) 628-1641 Foot & Ankle Institute UT Rural Medicaid Powell, Andrew Bert Dpm C 754 S Main St, #3 UT Rural Medicaid Foot & Ankle Institute St George, Ut 84770 Donaldson, Craig W Md C Myers, Brad A Md C 272 E Center St, #101 Phone: (435) 628-2671 Radiation Oncology Group Southwest Surgical Associates Ivins, Ut 84738 UT Rural Medicaid 544 S 400 E 1490 E Foremaster Dr, #200 Phone: (435) 628-2671 St George, Ut 84770 Stewart, Jeffery Lee Dpm C St George, Ut 84770 UT Rural Medicaid Phone: (435) 688-4175 Phone: (435) 628-1641 Coral Desert Foot And Ankle UT Rural Medicaid Powell, Andrew Bert Dpm C 1490 E Foremaster Dr, #250 UT Rural Medicaid Foot & Ankle Institute St George, Ut 84790 Harris, Robert Alan Md C Smith, John Taylor Md C 52 S 850 W, #101 Phone: (435) 634-9225 Gammawest Brachytherapy Children With Special Healthcare Hurricane, Ut 84737 Languages Spoken: Italian, 1490 E Foremaster Dr, Bldgc Needs Phone: (435) 635-4609 Spanish St George, Ut 84790 620 S 400 E, #400 UT Rural Medicaid UT Rural Medicaid Phone: (435) 627-5327 St George, Ut 84770 UT Rural Medicaid Phone: (435) 986-2559 Powell, Andrew Bert Dpm C Vangils, Carl Christian Dpm C UT Rural Medicaid Foot & Ankle Institute Foot & Ankle Institute Hyde, Christian Cooper Md C 754 S Main St, #3 272 E Center St, #101 Radiation Oncology Group Speakman, J Jared Md C St George, Ut 84770 Ivins, Ut 84738 544 S 400 E Southwest Surgical Associates Phone: (435) 628-2671 Phone: (435) 628-2671 St George, Ut 84770 1490 E Foremaster Dr, #200 UT Rural Medicaid UT Rural Medicaid Phone: (435) 688-4175 St George, Ut 84790 UT Rural Medicaid Phone: (435) 628-1641 Reber, Keith R Dpm C Vangils, Carl Christian Dpm C Languages Spoken: Spanish Foot & Ankle Institute Foot & Ankle Institute Reilly, Mark William Md C UT Rural Medicaid 272 E Center St, #101 52 S 850 W, #101 Gammawest Brachytherapy Ivins, Ut 84738 Hurricane, Ut 84737 1490 E Foremaster Dr, Bldgc Watson, Gregory Lynn Do C Phone: (435) 628-2671 Phone: (435) 635-4609 St George, Ut 84790 Southwest Surgical Associates UT Rural Medicaid UT Rural Medicaid Phone: (435) 627-5327 1490 E Foremaster Dr, #200 UT Rural Medicaid St George, Ut 84790 Reber, Keith R Dpm C Vangils, Carl Christian Dpm C Phone: (435) 628-1641 Foot & Ankle Institute Foot & Ankle Institute Richards, Ray S Md C UT Rural Medicaid 52 S 850 W, #101 754 S Main St, #3 Gammawest Brachytherapy Hurricane, Ut 84737 St George, Ut 84770 1490 E Foremaster Dr, Bldgc Williams, Bruce C Md C Phone: (435) 635-4609 Phone: (435) 628-2671 St George, Ut 84790 Southwest Surgical Associates UT Rural Medicaid UT Rural Medicaid Phone: (435) 627-5327 1490 E Foremaster Dr, #200 UT Rural Medicaid St George, Ut 84790 Reber, Keith R Dpm C Phone: (801) 628-1641 Foot & Ankle Institute Pulmonary Disease UT Rural Medicaid 754 S Main St, #3 Hallenborg, Carl P Md C Rheumatology St George, Ut 84770 Snow Canyon Clinic Wintch, Richard W Md C Phone: (435) 628-2671 Andersen, Sara Jane Md C 515 S 300 E, #102 272 E Center St, #201 Intermountain Southwest UT Rural Medicaid Ivins, Ut 84738 St George, Ut 84770 Rheumatology Associates Phone: (435) 628-4489 Reber, Leon Keith Dpm C Phone: (435) 986-2300 577 S River Rd UT Rural Medicaid Languages Spoken: German Foot & Ankle Institute St George, Ut 84790 UT Rural Medicaid 52 S 850 W, #101 Kline, Michael R Md C Phone: (435) 688-6262 Hurricane, Ut 84737 Intermountain St George UT Rural Medicaid Phone: (435) 635-4609 Pulmonary UT Rural Medicaid 1380 E Medical Center Dr, #1400 St George, Ut 84790 Phone: (435) 251-2600 UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 134 Washington WSpecialty Care Network eber Thoracic Surgery Allergy & Dermatology Lowe, John Earl Md C Utah Digestive Health Institute (Cardiothoracic Immunology Allen, David Edgar Md C 6028 S Ridgeline Dr, #201 Vascular Surgery) Intermountain Skin, Cancer & Ogden, Ut 84405 Lyons, Vicki Jennifer Md C Esthetics Center 4403 Harrison Blvd, #4640 Phone: (801) 475-5400 Bowles, Brent Jason Md C 3860 Jackson Ave, #2 UT Urban Medicaid Intermountain Cardiovascular & Ogden, Ut 84403 Ogden, Ut 84403 Thoracic Surgery Phone: (801) 387-4850 Phone: (801) 627-0515 Poole, Jeffrey S Md C 1380 E Medical Center Dr, #2600 UT Urban Medicaid UT Urban Medicaid Utah Digestive Health Institute St George, Ut 84790 6028 S Ridgeline Dr, #201 Phone: (435) 251-2500 Cardiovascular Allen, David More Md C Ogden, Ut 84405 UT Rural Medicaid Disease Intermountain Skin, Cancer & Phone: (801) 475-5400 Esthetics Center Languages Spoken: Spanish Millar, Roger C Md C Almony, Gregory T Md C 3860 Jackson Ave, #2 UT Urban Medicaid Intermountain Cardiovascular & Utah Cardiology Ogden, Ut 84403 Thoracic Surgery 5405 S 500 E, #204 Phone: (801) 627-0515 Porter, Steven Alexander Md C 1380 E Medical Center Dr, #2600 Ogden, Ut 84405 Languages Spoken: Spanish 4403 Harrison Blvd, #2855 St George, Ut 84790 Phone: (801) 479-0184 UT Urban Medicaid Ogden, Ut 84403 Phone: (435) 251-2500 UT Urban Medicaid Phone: (801) 387-2550 UT Rural Medicaid Hansen, Daniel Joseph Do C Languages Spoken: Spanish Crawford, Michael E Md C 6028 S Ridgeline Dr, #102 UT Urban Medicaid Woodbury, Kory U Md C Utah Cardiology Ogden, Ut 84405 Intermountain Cardiovascular & 5405 S 500 E, #204 Phone: (801) 399-3324 Pugh, Brian W Do C Thoracic Surgery Ogden, Ut 84405 Languages Spoken: Spanish Utah Digestive Health Institute 1380 E Medical Center Dr, #2600 Phone: (801) 479-0184 UT Urban Medicaid 6028 S Ridgeline Dr, #201 St George, Ut 84790 UT Urban Medicaid Ogden, Ut 84405 Phone: (435) 251-2500 Lyons, John Hugh Md D Phone: (801) 475-5400 Languages Spoken: Spanish Diehl, Michael J Md C Ogden Clinic - Harrison Blvd UT Urban Medicaid UT Rural Medicaid Utah Cardiology 4650 Harrison Blvd 5405 S 500 E, #204 Ogden, Ut 84403 Sobotka, Dennis W Md C Urology Ogden, Ut 84405 Phone: (801) 479-4621 Utah Digestive Health Institute Phone: (801) 479-0184 UT Urban Medicaid 6028 S Ridgeline Dr, #201 Adams Jr, David Michael Md C UT Urban Medicaid Ogden, Ut 84405 Intermountain Southwest Urology Maughan, Julie Anne Md C Phone: (801) 475-5400 1380 E Medical Center Dr, #2100 Forstall, Peter George Md C 6028 S Ridgeline Dr, #200 UT Urban Medicaid St George, Ut 84790 Utah Cardiology Ogden, Ut 84405 5405 S 500 E, #204 Phone: (801) 475-5210 Tadros, Caroline R Md C Phone: (435) 251-3250 4403 Harrison Blvd, #2855 UT Rural Medicaid Ogden, Ut 84405 UT Urban Medicaid Phone: (801) 479-0184 Ogden, Ut 84403 Ellsworth, John Bryan Md D UT Urban Medicaid Maughan, Willard Z Md C Phone: (801) 387-2550 Urology Associates 6028 S Ridgeline Dr, #200 UT Urban Medicaid 391 E 500 S Gallant, Ellen M Md C Ogden, Ut 84405 Heart Of Utah Phone: (801) 475-5210 Ziegler, Robert Henry Md D St George, Ut 84770 Ogden Clinic - Harrison Blvd Phone: (435) 688-2104 4403 Harrison Blvd, #3400 UT Urban Medicaid Ogden, Ut 84403 4650 Harrison Blvd Languages Spoken: Spanish Thomson, Stephen Talmage Md Ogden, Ut 84403 UT Rural Medicaid Phone: (801) 387-3400 UT Urban Medicaid C Phone: (801) 479-4621 6028 S Ridgeline Dr, #102 UT Urban Medicaid Vascular Surgery Holland, Grant K Md C Ogden, Ut 84405 Heart Of Utah Phone: (801) 399-3324 Gynecology Khoury, Michael David Md C 4403 Harrison Blvd, #3400 UT Urban Medicaid Intermountain Cardiovascular & Ogden, Ut 84403 Stevenson, Leo Monte Md C Thoracic Surgery Phone: (801) 387-3400 Tingey, Chad Wesley Md D 555 E 5300 S, #7 1380 E Medical Center Dr, #2600 UT Urban Medicaid Ogden Clinic - Harrison Blvd Ogden, Ut 84405 St George, Ut 84790 4650 Harrison Blvd Phone: (801) 621-1781 Phone: (435) 251-2500 Milavetz, James J Md C Ogden, Ut 84403 UT Urban Medicaid UT Rural Medicaid Heart Of Utah Phone: (801) 475-3000 4403 Harrison Blvd, #3400 Languages Spoken: Spanish Hematology & Ogden, Ut 84403 UT Urban Medicaid Weber County Oncology Phone: (801) 387-3400 Urry, Larry E Md C UT Urban Medicaid 4403 Harrison Blvd, #2635 Gray, Carl Roger Md C Advanced Practice Rigby, Dwight A Md C Ogden, Ut 84403 Utah Hematology Oncology Midwife Heart Of Utah Phone: (801) 387-3515 5290 S 400 E 4403 Harrison Blvd, #3400 UT Urban Medicaid Ogden, Ut 84405 Stuart, Mari Cnm D Ogden, Ut 84403 Phone: (801) 476-1777 Ogden Clinic - Roy Phone: (801) 387-3400 Gastroenterology UT Urban Medicaid 3485 W 5200 S UT Urban Medicaid Roy, Ut 84067 Gonzales, Chad Michael Md C Johnson, Harold Mark Md C Phone: (801) 475-3000 4403 Harrison Blvd, #2855 Utah Hematology Oncology Languages Spoken: Japanese Ogden, Ut 84403 5290 S 400 E UT Urban Medicaid Phone: (801) 387-2560 Ogden, Ut 84405 Languages Spoken: Spanish Phone: (801) 476-1777 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 135 Weber WSpecialty Care Network eber Internal Medicine Hammond, Richard Chris Do D Clayson, Fred Eli Md C Wilcox, Michael Blair Md C Ogden Clinic - Harrison Blvd 4403 Harrison Blvd, #3600 Mount Ogden Eye Center Whitaker, Julia F Md C 4650 Harrison Blvd Ogden, Ut 84403 4360 Washington Blvd, #A Ogden Pulmonary Associates Ogden, Ut 84403 Phone: (801) 387-3550 Ogden, Ut 84403 4403 Harrison Blvd, #3815 Phone: (801) 479-4621 Languages Spoken: German Phone: (801) 476-0494 Ogden, Ut 84403 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 387-2575 UT Urban Medicaid Hammond, Richard Chris Do D Dastrup, Benjamin T Md C Oral And Ogden Clinic - Skyline Country Hills Eye Center Maxillofacial Medical Oncology 6112 S 1550 E, #101 875 E Country Hills Dr Ogden, Ut 84405 Ogden, Ut 84403 Surgery - Dentist Hansen, Vincent Lee Md C Phone: (801) 476-8688 Phone: (801) 399-1149 Utah Hematology Oncology UT Urban Medicaid UT Urban Medicaid Austin, Blaine D Dds C 4403 Harrison Blvd, #1685 5742 S 1475 E, #100 Ogden, Ut 84403 Imani, Jahangir N Md D Felt, Douglas P Md C Ogden, Ut 84403 Phone: (801) 387-7150 Intermountain Neurology Clinic Country Hills Eye Center Phone: (801) 399-3701 Languages Spoken: 6112 S 1550 E, #100 875 E Country Hills Dr Languages Spoken: Spanish Portuguese, Spanish Ogden, Ut 84405 Ogden, Ut 84403 UT Urban Medicaid UT Urban Medicaid Phone: (801) 475-7707 Phone: (801) 399-1149 UT Urban Medicaid UT Urban Medicaid Broadbent, Michael William Dds C Neonatal - Perinatal Thompson, Joel A Md D Hoffman, Robert O Md D Oral & Maxillofacial Surgeons Of Medicine Children With Special Healthcare Children With Special Healthcare Utah Needs Needs 2711 N Hwy 89, #200 Berger, James Irwin Md C 2540 Washington Blvd 5475 S 500 E Ogden, Ut 84414 Pediatrix Medical Ogden, Ut 84401 Ogden, Ut 84405 Phone: (801) 782-7175 5475 S 500 E Phone: (801) 626-3645 Phone: (801) 479-2541 UT Urban Medicaid Ogden, Ut 84405 UT Urban Medicaid UT Urban Medicaid Phone: (801) 476-4280 Broadbent, Michael William Dds UT Urban Medicaid Thompson, Joel A Md D Patel, Bhupendra C Md C C Children With Special Healthcare Mount Ogden Eye Center Oral & Maxillofacial Surgeons Of Nephrology Needs 4360 Washington Blvd, #A Utah 5475 S 500 E Ogden, Ut 84403 3590 Harrison Blvd, #2 Agarwal, Adhish Kumar Md C Ogden, Ut 84405 Phone: (801) 476-0494 Ogden, Ut 84403 Nephrology Of Northern Utah Phone: (801) 479-2541 Languages Spoken: French, Phone: (801) 392-7176 425 E 5350 S, #320 UT Urban Medicaid Gujarati, Hindi, Swahili UT Urban Medicaid Ogden, Ut 84405 UT Urban Medicaid Phone: (801) 479-1117 Obstetrics And Chandler, Jason G Dds C Languages Spoken: Hindi Poll, Jed T Md C Oral & Maxillofacial Surgeons Of UT Urban Medicaid Gynecology Mount Ogden Eye Center Utah 4360 Washington Blvd, #A 2711 N Hwy 89, #200 Trauscht-Vanhorn, Jennifer Md Ogden, Ut 84403 Indahyung, Ruth Merry Md C C Ogden, Ut 84414 Nephrology Of Northern Utah Phone: (801) 476-0494 Phone: (801) 782-7175 Planned Parenthood Associtation UT Urban Medicaid 425 E 5350 S, #320 Of Utah Languages Spoken: Spanish Ogden, Ut 84405 4387 Harrison Blvd, #D8 Richards, Bradley Wayne Md C UT Urban Medicaid Phone: (801) 479-1117 Ogden, Ut 84403 UT Urban Medicaid Country Hills Eye Center Chandler, Jason G Dds C Phone: (801) 479-7721 875 E Country Hills Dr Oral & Maxillofacial Surgeons Of Mian, Hamid Md C UT Urban Medicaid Ogden, Ut 84403 Utah Khiu Phone: (801) 399-1149 3590 Harrison Blvd, #2 4780 Old Post Rd Ophthalmology UT Urban Medicaid Ogden, Ut 84403 Ogden, Ut 84403 Phone: (801) 392-7176 Armstrong, John D Md C Richards, Scott C Md C Phone: (801) 476-3400 Country Hills Eye Center Languages Spoken: Spanish Languages Spoken: Hindi, Mount Ogden Eye Center UT Urban Medicaid Punjabi, Spanish, Urdu 4360 Washington Blvd, #A 875 E Country Hills Dr UT Urban Medicaid Ogden, Ut 84403 Ogden, Ut 84403 Jessen, Gregory Shane Dds C Phone: (801) 476-0494 Phone: (801) 399-1149 1508 E Skyline Dr, #800 Senekjian, Harry O Md C UT Urban Medicaid UT Urban Medicaid Ogden, Ut 84405 Nephrology Of Northern Utah Phone: (801) 479-8200 Ballif, Mark Gordon Md C Sykes, Scott Owen Md C 425 E 5350 S, #320 Mount Ogden Eye Center Languages Spoken: Spanish Ogden, Ut 84405 Mount Ogden Eye Center UT Urban Medicaid Phone: (801) 479-1117 4360 Washington Blvd, #A 4360 Washington Blvd, #A UT Urban Medicaid Ogden, Ut 84403 Ogden, Ut 84403 Liston, Todd C Dds C Phone: (801) 476-0494 Phone: (801) 476-0494 Oral & Maxillofacial Surgeons Of Languages Spoken: German Languages Spoken: Utah Neurology UT Urban Medicaid Portuguese 2711 N Hwy 89, #200 UT Urban Medicaid Ogden, Ut 84414 Alsadat, Ahmad Nadim Md D Brodstein, David Edwin Md C Ogden Clinic - Harrison Blvd Turner, Scott Darren Md C Phone: (801) 782-7175 Country Hills Eye Center UT Urban Medicaid 4650 Harrison Blvd 875 E Country Hills Dr 3615 N 2000 W Ogden, Ut 84403 Ogden, Ut 84403 Ogden, Ut 84404 Phone: (801) 479-4621 Phone: (801) 399-1149 Phone: (801) 731-6426 Languages Spoken: Arabic, UT Urban Medicaid UT Urban Medicaid Spanish UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 136 Weber WSpecialty Care Network eber Liston, Todd C Dds C Stucki, Kevin Lamarr Do D Pediatric Jones, Galen Ray Pa C Oral & Maxillofacial Surgeons Of Ogden Clinic - Harrison Blvd Intermountain Skin, Cancer & Utah 4650 Harrison Blvd Endocrinology Esthetics Center 3590 Harrison Blvd, #2 Ogden, Ut 84403 Swinyard, Michael T Md C 3860 Jackson Ave, #2 Ogden, Ut 84403 Phone: (801) 479-4621 5495 S 500 E, #120 Ogden, Ut 84403 Phone: (801) 392-7176 UT Urban Medicaid Ogden, Ut 84405 Phone: (801) 627-0515 UT Urban Medicaid Phone: (801) 479-0174 Languages Spoken: Spanish Stucki, Kevin Lamarr Do D UT Urban Medicaid Roberts, Greg A Dds C Ogden Clinic - Skyline UT Urban Medicaid 5742 S 1475 E, #100 6112 S 1550 E, #101 Mcmillan, Blake Allen Pa D Ogden, Ut 84403 Ogden, Ut 84405 Pediatric Neurology Ogden Clinic - Washington Blvd Phone: (801) 479-8200 Phone: (801) 476-8688 4350 Washington Blvd UT Urban Medicaid UT Urban Medicaid Winter, Sarah L Md D Ogden, Ut 84403 Children With Special Healthcare Phone: (801) 476-5100 Sumko, Michael Henry Do C Needs UT Urban Medicaid Orthopaedic Surgery Sumko-Bitner Orthopaedic And 2540 Washington Blvd Baranko, Brent Michael Md D Sports Medicine Clinic Ogden, Ut 84401 Merrill Jr, Philemon Ray Pa C Ogden Clinic - Harrison Blvd 2850 N 2000 W Phone: (801) 626-3645 4403 Harrison Blvd, #2855 4650 Harrison Blvd Ogden, Ut 84404 UT Urban Medicaid Ogden, Ut 84403 Ogden, Ut 84403 Phone: (801) 732-1175 Phone: (801) 387-2550 Phone: (801) 479-4621 UT Urban Medicaid Pediatrics UT Urban Medicaid UT Urban Medicaid Otolaryngology Bybee, Blair L Md D Mitchell, Colby John Pa C Bitner, Matthew F Md C Children With Special Healthcare Ogden Ear Nose & Throat Sumko-Bitner Orthopaedic And (Ent) Needs 425 E 5350 S, #130 Sports Medicine Clinic Anderson, Douglas Kent Md C 5475 S 500 E Ogden, Ut 84405 2850 N 2000 W Ogden Ear Nose & Throat Ogden, Ut 84405 Phone: (801) 476-0342 Ogden, Ut 84404 425 E 5350 S, #130 Phone: (801) 479-2541 UT Urban Medicaid Phone: (801) 732-1175 Ogden, Ut 84405 UT Urban Medicaid Vincent, Brian Scott Pa D UT Urban Medicaid Phone: (801) 476-0342 Physical Medicine Ogden Clinic - Harrison Blvd Crosland, Jack Weatherly Md C Languages Spoken: Spanish 4650 Harrison Blvd Midtown Community Health UT Urban Medicaid And Rehabilitation Ogden, Ut 84403 Center Barlow, Stewart E Md C Phone: (801) 479-4621 Anden, Corey D Md C UT Urban Medicaid 2240 Adams Ave 3955 Harrison Blvd, #U6 4403 S Harrison Blvd, #D Ogden, Ut 84401 Ogden, Ut 84403 Ogden, Ut 84403 Vincent, Brian Scott Pa D Phone: (801) 393-5355 Phone: (801) 621-0350 Phone: (801) 387-2090 Ogden Clinic - Washington Blvd UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid 4350 Washington Blvd Hall, Michael Joel Md D Bikhazi, Nadim B Md D Ogden, Ut 84403 Ogden Clinic - Washington Blvd Ogden Clinic - Harrison Blvd Physician Assistant Phone: (801) 476-5100 4350 Washington Blvd 4650 Harrison Blvd UT Urban Medicaid Ogden, Ut 84403 Ogden, Ut 84403 Hawkins, Michael C Pa D Phone: (801) 476-5100 Phone: (801) 479-4621 Ogden Clinic - Harrison Blvd Plastic Surgery UT Urban Medicaid UT Urban Medicaid 4650 Harrison Blvd Ogden, Ut 84403 Malan, Lee J Md C Higbee, Daniel Dale Md C Gordon, Ronald F Md C Phone: (801) 479-4621 3955 Harrison Blvd, #U1 Sumko-Bitner Orthopaedic And 3955 Harrison Blvd, #U5 UT Urban Medicaid Ogden, Ut 84403 Sports Medicine Clinic Ogden, Ut 84403 Phone: (801) 621-3591 2850 N 2000 W Phone: (801) 627-1363 Hawkins, Michael C Pa D UT Urban Medicaid Ogden, Ut 84404 UT Urban Medicaid Ogden Clinic - Skyline Phone: (801) 732-1175 6112 S 1550 E, #101 Podiatrist UT Urban Medicaid Major, Michael Scott Md C Ogden, Ut 84405 Wasatch Ear Nose Throat & Phone: (801) 476-8688 Agres, Susan Jespersen Dpm C Sorensen, Jeffery Todd Md D Allergy UT Urban Medicaid Wasatch Podiatry Ogden Clinic - Washington Blvd 5896 S Ridgeline Dr, #B D 5275 Adams Ave, #A 4350 Washington Blvd Ogden, Ut 84405 Jelaco, Robert A Pa Ogden, Ut 84405 Ogden, Ut 84403 Phone: (801) 866-0170 Ogden Clinic - Canyon View Phone: (801) 645-5255 Phone: (801) 476-5100 Languages Spoken: German 1159 E 12th St UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Ogden, Ut 84404 Phone: (801) 334-3000 Fawson, Lorell B Dpm C Stotts, Alan Kendrick Md D Moesinger, Robert Lionel Md C UT Urban Medicaid 3590 Harrison Blvd, #Gl1 Children With Special Healthcare Medicine Shop D Ogden, Ut 84403 Needs 3955 Harrison Blvd, #U6 Jelaco, Robert A Pa Phone: (801) 627-2122 2540 Washington Blvd Ogden, Ut 84403 Ogden Clinic - Harrison Blvd UT Urban Medicaid Ogden, Ut 84401 Phone: (801) 393-5324 4650 Harrison Blvd Phone: (801) 626-3645 UT Urban Medicaid Ogden, Ut 84403 Glover, David Blaine Dpm C UT Urban Medicaid Phone: (801) 479-4621 Mountain View Orthopedics & Siddoway, John R Md D UT Urban Medicaid Sports Medicine Ogden Clinic - Harrison Blvd 1486 E Skyline Dr, #202 4650 Harrison Blvd Ogden, Ut 84405 Ogden, Ut 84403 Phone: (801) 475-5683 Phone: (801) 479-4621 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 137 Weber WSpecialty Care Network eber Glover, David Blaine Dpm C Radiation Oncology Grunander, Megan Wolthuis Md Otto, Samuel James Md C Mountain View Orthopedics & C Ogden Internal Medicine & Sports Medicine Hansen, Roger S Md C Ogden Clinic - Harrison Blvd Urology 5957 S Fashion Point Dr, #101 Gammawest Brachytherapy 4650 Harrison Blvd 5405 S 500 E, #203 Ogden, Ut 84403 425 E 5350 S, #180 Ogden, Ut 84403 Ogden, Ut 84405 Phone: (801) 475-5683 Ogden, Ut 84405 Phone: (801) 475-3000 Phone: (801) 475-8600 UT Urban Medicaid Phone: (801) 475-4571 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Murrah, Chantel B Dpm C Jordan, Edward Md D Vanbibber, Michael Ernest Md D 3590 Harrison Blvd, #G1 Harris, Robert Alan Md C Ogden Clinic - Skyline Ogden Clinic - Harrison Blvd Ogden, Ut 84403 Gammawest Brachytherapy 6112 S 1550 E, #101 4650 Harrison Blvd Phone: (801) 627-2122 425 E 5350 S, #180 Ogden, Ut 84405 Ogden, Ut 84403 Languages Spoken: Spanish Ogden, Ut 84405 Phone: (801) 476-8688 Phone: (801) 475-3000 UT Urban Medicaid Phone: (801) 475-4571 UT Urban Medicaid Languages Spoken: French UT Urban Medicaid UT Urban Medicaid Stagg, Kelly S Dpm D Steppacher Jr, Robert Clark Md C Ogden Clinic - Washington Blvd Hayes, John K Md C Mountain Medical Vein Center Wayment, Robert O Md D 4350 Washington Blvd Gammawest Brachytherapy 1486 E Skyline Dr, #201 Ogden Clinic - Harrison Blvd Ogden, Ut 84403 425 E 5350 S, #180 Ogden, Ut 84405 4650 Harrison Blvd Phone: (801) 476-5100 Ogden, Ut 84405 Phone: (801) 476-8346 Ogden, Ut 84403 UT Urban Medicaid Phone: (801) 475-4571 UT Urban Medicaid Phone: (801) 479-4621 Languages Spoken: Chinese, UT Urban Medicaid Mandarin Whipple, Robert Douglas Md D Pulmonary Disease UT Urban Medicaid Ogden Clinic - Harrison Blvd Wolthuis, John S Md D Abel, Jeffrey A Md C 4650 Harrison Blvd Ogden Clinic - Harrison Blvd Ogden Pulmonary Associates Reilly, Mark William Md C Ogden, Ut 84403 4650 Harrison Blvd 4403 Harrison Blvd, #3815 Gammawest Brachytherapy Phone: (801) 479-4621 Ogden, Ut 84403 Ogden, Ut 84403 425 E 5350 S, #180 UT Urban Medicaid Phone: (801) 479-4621 Phone: (801) 387-2575 Ogden, Ut 84405 UT Urban Medicaid UT Urban Medicaid Phone: (801) 475-4571 Thoracic Surgery UT Urban Medicaid Vascular Surgery Goucher, Gary K Md C (Cardiothoracic Ogden Pulmonary Associates Rogers, Charles Leland Md C Vascular Surgery) Whitten, Matthew Guyon Md C 4403 Harrison Blvd, #3815 Gammawest Brachytherapy Mountain Medical Vein Center Ogden, Ut 84403 425 E 5350 S, #180 Graham, Joseph Eugene Md C 1486 E Skyline Dr, #201 Phone: (801) 387-2575 Ogden, Ut 84405 Mountainstar Cardiovascular Ogden, Ut 84405 UT Urban Medicaid Phone: (801) 475-4571 Surgery Phone: (801) 476-8346 Languages Spoken: German 5405 S 500 E, #110 UT Urban Medicaid Ivester, Charles Md C UT Urban Medicaid Ogden, Ut 84405 Ogden Pulmonary Associates Phone: (801) 476-6900 Womens Health 4403 Harrison Blvd, #3815 Surgery UT Urban Medicaid Ogden, Ut 84403 Nurse Practitioner Phone: (801) 387-2575 Bryce, Lance Richard Md C Graham, Joseph Eugene Md C UT Urban Medicaid Farr West Family Medicine Mountainstar Cardiovascular Gundy, Leanne P Np C 2850 N 2000 W, #101 Surgery Ogden Womens Clinic Pittman, Joel E Md C Farr West, Ut 84404 5405 S 500 E, #200 4403 Harrison Blvd, #4650 Ogden Pulmonary Associates Phone: (801) 731-1222 Ogden, Ut 84405 Ogden, Ut 84403 4403 Harrison Blvd, #3815 Languages Spoken: Spanish Phone: (801) 476-6900 Phone: (801) 387-4400 Ogden, Ut 84403 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 387-2575 UT Urban Medicaid Garvey, Sheila Gay Md D Ogden Clinic - Harrison Blvd Urology 4650 Harrison Blvd Christensen, Tyler L Md D Ogden, Ut 84403 Ogden Clinic - Harrison Blvd Phone: (801) 479-4621 4650 Harrison Blvd UT Urban Medicaid Ogden, Ut 84403 Phone: (801) 479-4621 Languages Spoken: Afar UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 138 Box Elder Ancillary Providers Cache Anderson, Alyssa Kay Rd C Boyce, Neal Shane Pt C Speech-Language Box Elder County Cache Valley Community Health 1400 N 500 E Center Logan, Ut 84341 Pathology 26 W Main St Phone: (435) 716-1000 Physical Therapy Corbin-Lewis, Kim Slp C Hyrum, Ut 84319 UT Rural Medicaid 1400 N 500 E Phone: (435) 245-6988 Cottle, Jay E Pt C Cole, John D Pt C Logan, Ut 84341 Bear River Valley Hospital Languages Spoken: Phone: (435) 716-1000 Portuguese 1400 N 500 E 905 N 1000 W Logan, Ut 84341 UT Rural Medicaid Tremonton, Ut 84337 UT Rural Medicaid Phone: (435) 716-1000 Gantz, Kathryn S Slp C Phone: (435) 207-4515 UT Rural Medicaid UT Rural Medicaid Genetic Counselor 1400 N 500 E Dahle, Shaun P Pt C Logan, Ut 84341 Cottle, Jay E Pt C Dunn, Katherine R Lgc C 1400 N 500 E Phone: (435) 716-1000 Bear River Valley Hospital 500 E 1400 N Logan, Ut 84341 UT Rural Medicaid 905 N 1000 W Logan, Ut 84341 Phone: (435) 716-1000 Thornley, Shellie D Slp C Tremonton, Ut 84337 Phone: (435) 716-2050 UT Rural Medicaid Phone: (435) 257-7441 UT Rural Medicaid 1400 N 500 E UT Rural Medicaid Doucette, Susan A Pt C Logan, Ut 84341 Hafen, L Brent Lgc C Logan Physical Therapy Phone: (435) 716-5010 Herzog, Carol Pt C 500 E 1400 N 2310 N 400 E, #C UT Rural Medicaid 905 N 1000 W Logan, Ut 84341 Logan, Ut 84341 Tremonton, Ut 84337 Phone: (435) 716-2050 Phone: (435) 752-5200 Phone: (435) 207-4774 UT Rural Medicaid UT Rural Medicaid Carbon County UT Rural Medicaid Hulinsky, Rebecca Becky S Lgc C Greenwood, Brandon D Pt C Intermountain Logan Maternal 1400 N 500 E Audiology Cache County Fetal Medicine Logan, Ut 84341 1400 N 500 E Hanson, Ryan Mark Aud C Phone: (435) 716-1000 945 W Hospital Dr, #1 Logan, Ut 84341 UT Rural Medicaid Audiology Phone: (435) 716-1958 Price, Ut 84501 UT Rural Medicaid Larsen, Brian T Pt C Phone: (435) 637-4327 Jensen, Steven R Aud C 1300 N 500 E, #130 UT Rural Medicaid 1400 N 500 E Occupational Logan, Ut 84341 Harward, Richard S Ccc-A C Logan, Ut 84341 Phone: (435) 716-2880 Phone: (435) 716-1000 Therapy Children With Special Healthcare UT Rural Medicaid Needs UT Rural Medicaid C Blotter, J Greg Ot Malan, Vernon R Pt C 25 S 100 E Lindquist, Carla S Ccc-A C 1400 N 500 E Gateway Medical Price, Ut 84501 Cache Valley Ent Logan, Ut 84341 2380 N 400 E Phone: (435) 637-3671 2380 N 400 E, #D Phone: (435) 716-1000 Logan, Ut 84341 UT Rural Medicaid Logan, Ut 84341 UT Rural Medicaid Phone: (435) 713-9700 Phone: (435) 753-7880 Carling, Diane Ot C Languages Spoken: Spanish Occupational UT Rural Medicaid 1400 N 500 E UT Rural Medicaid Therapy Stevenson, Robert L Ccc-A C Logan, Ut 84341 Ross, George L Pt C Bridgerland Audiology & Hearing Phone: (435) 716-1000 Boomer, Lois Ot C UT Rural Medicaid 1400 N 500 E Children With Special Healthcare Aids Logan, Ut 84341 Needs 293 S Main St Holt, Debbie L Ot C Phone: (435) 716-1000 25 S 100 E Logan, Ut 84321 1400 N 500 E UT Rural Medicaid Price, Ut 84501 Phone: (435) 753-4133 Logan, Ut 84341 Phone: (435) 637-3671 Languages Spoken: French Phone: (435) 716-1000 Stromberg, Douglas W Pt C UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid 1400 N 500 E Logan, Ut 84341 Speech-Language Uyematsu, Jennifer A Aud C Thompson, Darin L Ot C Phone: (435) 716-1000 1400 N 500 E 1400 N 500 E UT Rural Medicaid Pathology Logan, Ut 84341 Logan, Ut 84341 Phone: (435) 716-1000 Phone: (435) 716-1000 Walker, Tracy L Pt C Hunt, Roxanne B Slp C UT Rural Medicaid UT Rural Medicaid 1400 N 500 E Children With Special Healthcare Logan, Ut 84341 Needs Dietitian Phone: (435) 716-1000 25 S 100 E Physical Therapy UT Rural Medicaid Price, Ut 84501 Anderson, Alyssa Kay Rd C Allred, Breeann V Pt C Phone: (435) 637-3671 Cache Valley Community Health Young, Nathan A Pt C UT Rural Medicaid Center 1400 N 500 E 1400 N 500 E 1515 N 400 E, #104 Logan, Ut 84321 Logan, Ut 84341 Logan, Ut 84341 Phone: (435) 716-5010 Phone: (435) 716-1000 Phone: (435) 755-6061 UT Rural Medicaid UT Rural Medicaid Languages Spoken: Berryhill, John Hillary Pt C Portuguese Complete Fitness Innovations UT Rural Medicaid 1177 S Main St Smithfield, Ut 84335 Phone: (435) 563-0750 Languages Spoken: Spanish UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 139 Clark DAncillary Providers avis Mollerup, Jennie Lynn Ccc-A C Delong, Samuel J Ot C Deagostine, Keith M Pt C Clark County Hearing Zone Summit Hand Therapy Mountain Land Rehabilitation 70 S Fairfield Rd, #10 2179 N 1700 W, #5 3072 W 300 N, #A Layton, Ut 84041 Layton, Ut 84041 Clearfield, Ut 84015 Audiology Phone: (801) 444-0300 Phone: (801) 773-2633 Phone: (801) 825-7500 Luekenga Jr, Richard Layne UT Urban Medicaid Languages Spoken: Chinese, Languages Spoken: Spanish Ccc-A C Mandarin UT Urban Medicaid Mollerup, Jennie Lynn Ccc-A C UT Urban Medicaid Dixie Hearing & Balance Ctr Hearing Zone Flinders, Mark Alan Pt C 1301 Bertha Howe Ave, #6 74 E 500 S, #112 Haywood-Breault, Julia L Ot C Mountain Land Rehabilitation Mesquite, Nv 89027 Bountiful, Ut 84010 Pcmc Rehab Bountiful 1477 N 2000 W, #A Phone: (435) 688-8991 Phone: (801) 294-6200 280 N Main St Clinton, Ut 84015 Languages Spoken: Spanish UT Urban Medicaid Bountiful, Ut 84010 Phone: (801) 773-4191 UT Rural Medicaid Phone: (801) 292-8665 UT Urban Medicaid Norby, Jason R Aud C UT Urban Medicaid Pcmc Audiology Flinders, Mark Alan Pt C Davis County 280 N Main St Mountain Land Rehabilitation Bountiful, Ut 84010 Physical Therapy 3072 W 300 N, #A Phone: (801) 292-8665 Arrington, Brandon Irby Pt C West Point, Ut 84015 Audiology UT Urban Medicaid Farmington Physical Therapy Phone: (801) 825-7500 UT Urban Medicaid Bennett, Carolyn Sydnee Ccc-A Pergler, Harold R Ccc-A C 47 S 100 E C Bountiful Hearing Center Farmington, Ut 84025 Forsyth, Marlin M Pt C Hearing Zone 425 Medical Dr, #200 Phone: (801) 451-5985 Bountiful Physical Therapy Sports 70 S Fairfield Rd, #10 Bountiful, Ut 84010 Languages Spoken: Russian Medicine Layton, Ut 84041 Phone: (801) 295-9644 UT Urban Medicaid 425 Medical Dr, #104 Phone: (801) 444-0300 Languages Spoken: German Bountiful, Ut 84010 UT Urban Medicaid Bowser, Rick A Pt C UT Urban Medicaid Aspen Ridge Physical Therapy Phone: (801) 292-5011 UT Urban Medicaid Bennett, Carolyn Sydnee Ccc-A Sacco, Robert C Ccc-A C 2121 N 1700 W, #A C Tanner Memorial Clinic Layton, Ut 84041 Frinkman, Pamela L Pt C Hearing Zone 2121 N 1700 W Phone: (801) 773-1350 Wasatch Therapy & Fitness 74 E 500 S, #112 Layton, Ut 84041 UT Urban Medicaid 1795 Chelemes Way Bountiful, Ut 84010 Phone: (801) 773-4840 Brady, Margo Jones Pt C Clearfield, Ut 84015 Phone: (801) 294-6200 Languages Spoken: Spanish Phone: (801) 479-9865 UT Urban Medicaid Hand & Orthopedic Rehabilitation UT Urban Medicaid Specialists UT Urban Medicaid Boman, Tel S Ccc-A C Turgoose, Aaron Craig Ccc-A C 535 E 500 S, #8 Goff, Megan Elizabeth Pt C Mountain West Ent Hearing Zone Bountiful, Ut 84010 Mountain Land Rehabilitation 2255 N 1700 W, #205 70 S Fairfield Rd, #10 Phone: (801) 298-2533 3225 W Gordon Ave, #3 Layton, Ut 84041 Layton, Ut 84041 UT Urban Medicaid Layton, Ut 84041 Phone: (801) 776-2180 Phone: (801) 444-0300 Phone: (801) 497-0800 UT Urban Medicaid Bravo, Alexander James Pt C UT Urban Medicaid Performance West Physical UT Urban Medicaid Boman, Tel S Ccc-A C Turgoose, Aaron Craig Ccc-A C Therapy Hawkes, Robert A Pt C Mountain West Ent Hearing Zone 1551 S Renaissance Towne Dr, Sports Med Physical Therapy 425 Medical Dr, #205 74 E 500 S, #112 #350 1551 S Renaissance Towne Dr, Bountiful, Ut 84010 Bountiful, Ut 84010 Bountiful, Ut 84010 #420 Phone: (801) 295-5581 Phone: (801) 294-6200 Phone: (801) 295-3553 Bountiful, Ut 84010 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 295-8999 Bunker, Michelle Aud C Buchheister, Klementina T Pt C UT Urban Medicaid 280 N Main St Chiropractor Performance West Physical Henderson, Trent C Pt C Bountiful, Ut 84010 Therapy Performance West Physical Phone: (801) 292-8665 Mayer, Steven D Dc C 1551 S Renaissance Towne Dr, Mayer Chiropractic & Wellness Therapy UT Urban Medicaid #350 1266 S Legend Hills Dr, #B2 926 W Antelope Dr, #B Bountiful, Ut 84010 Butler, Stacey Rebecca Aud C Clearfield, Ut 84015 Clearfield, Ut 84015 Phone: (801) 295-3553 Phone: (801) 776-6000 280 N Main St Phone: (801) 775-8880 UT Urban Medicaid Bountiful, Ut 84010 UT Urban Medicaid UT Urban Medicaid Phone: (801) 292-8665 Chavez, Ernest Casias Pt C Itaaehau, Melissa A Pt C UT Urban Medicaid Occupational Wasatch Therapy & Fitness Wasatch Therapy & Fitness 360 S State St Hogge, Jennifer A Ccc-A C Therapy 360 S State St Clearfield, Ut 84015 Clearfield, Ut 84015 Tanner Memorial Clinic Phone: (801) 479-9865 2121 N 1700 W Beauregard, Roxann Ot C Phone: (801) 479-9865 Pcmc Rehab Bountiful Languages Spoken: Spanish UT Urban Medicaid Layton, Ut 84041 280 N Main St UT Urban Medicaid Phone: (801) 773-4840 Bountiful, Ut 84010 Johnson, Nylin J Pt C UT Urban Medicaid Colledge, Kenneth Paul Pt C Mountain Land Rehabilitation Phone: (801) 292-8665 Fit Quest Therapy UT Urban Medicaid 1188 Sportsplex Dr, #101 335 N 300 W, #103 Kaysville, Ut 84037 Kaysville, Ut 84037 Phone: (801) 547-1155 Phone: (801) 546-6868 UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 140 Davis Ancillary Providers Garfield Johnson, Nylin J Pt C Meads, David T Pt C Tenney, Chad J Pt C Howe, Marilyn K Slp C Mountain Land Rehabilitation Aspen Ridge Physical Therapy Mountain Land Rehabilitation Hearing Zone 3072 W 300 N, #A 2121 N 1700 W, #A 3072 W 300 N, #A 70 S Fairfield Rd, #10 West Point, Ut 84015 Layton, Ut 84041 West Point, Ut 84015 Layton, Ut 84041 Phone: (801) 825-7500 Phone: (801) 773-1350 Phone: (801) 825-7500 Phone: (801) 444-0300 UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Johnson, Nylin J Pt C Miller, Susan Pt C Howe, Marilyn K Slp C Mountain Land Rehabilitation Mountain Land Rehabilitation Tenney, Chad J Pt C Hearing Zone 3225 W Gordon Ave, #3 124 S Fairfield Rd, #A Mountain Land Rehabilitation 74 E 500 S, #112 Layton, Ut 84041 Layton, Ut 84041 3225 W Gordon Ave, #3 Bountiful, Ut 84010 Phone: (801) 497-0800 Phone: (801) 547-9462 Layton, Ut 84041 Phone: (801) 294-6200 UT Urban Medicaid UT Urban Medicaid Phone: (801) 497-0800 UT Urban Medicaid Languages Spoken: Spanish Jolley, Curtis Brian Pt C Miller, Susan Pt C UT Urban Medicaid Plumley, Mark Raymond Slp C Performance West Physical Mountain Land Rehabilitation Hearing Zone Therapy 3225 W Gordon Ave, #3 Thompson, Amanda Pt D 70 S Fairfield Rd, #10 1266 S Legend Hills Dr, #B2 Layton, Ut 84041 Performance West Physical Layton, Ut 84041 Clearfield, Ut 84015 Phone: (801) 497-0800 Therapy Phone: (801) 444-0300 Phone: (801) 776-6000 UT Urban Medicaid 1266 S Legend Hills Dr, #B2 UT Urban Medicaid UT Urban Medicaid Clearfield, Ut 84015 Osteyee, David Boles Pt C Phone: (801) 776-6000 Plumley, Mark Raymond Slp C Jolley, Curtis Brian Pt C Fit Quest Therapy UT Urban Medicaid Hearing Zone Performance West Physical 335 N 300 W, #103 74 E 500 S, #112 Therapy Kaysville, Ut 84037 Thompson, Amanda Pt D Bountiful, Ut 84010 1551 S Renaissance Towne Dr, Phone: (801) 546-6868 Performance West Physical Phone: (801) 294-6200 #350 UT Urban Medicaid Therapy UT Urban Medicaid Bountiful, Ut 84010 1551 S Renaissance Towne Dr, Phone: (801) 295-3553 Reid, Kim Wayne Pt C #350 Tibbitts, Susan J B Slp C UT Urban Medicaid Performance West Physical Bountiful, Ut 84010 Pcmc Rehab Bountiful Therapy Phone: (801) 295-3553 280 N Main St Judd, Robyn Marie Pt C 1266 S Legend Hills Dr, #B2 UT Urban Medicaid Bountiful, Ut 84010 Wasatch Therapy & Fitness Clearfield, Ut 84015 Phone: (801) 292-8665 360 S State St Phone: (801) 776-6000 Vendela, Tiffany Rochelle Pt C UT Urban Medicaid Clearfield, Ut 84015 UT Urban Medicaid Mountain Land Rehabilitation Phone: (801) 479-9865 124 S Fairfield Rd, #A UT Urban Medicaid Reid, Kim Wayne Pt C Layton, Ut 84041 Duchesne County Performance West Physical Phone: (801) 547-9462 Kerbs, Alan J Pt C Therapy UT Urban Medicaid Layton Physical Therapy 1551 S Renaissance Towne Dr, Audiology 2179 N 1700 W, #4 #350 Webb, Ryan Scott Pt C Layton, Ut 84041 Bountiful, Ut 84010 Wasatch Therapy Fox, Calvin Brent Ccc-A C Phone: (801) 728-4624 Phone: (801) 295-3553 505 E Gentile Audiology Associates Of Slc UT Urban Medicaid UT Urban Medicaid Layton, Ut 84041 57 N 100 E, #3 Phone: (801) 593-8300 Roosevelt, Ut 84066 Leschke, Kurt A Pt C Scott, Loni Spencer Pt C UT Urban Medicaid Phone: (800) 244-9001 Mountain Land Rehabilitation Bountiful Physical Therapy Sports UT Rural Medicaid 124 S Fairfield Rd, #A Medicine Webb, Ryan Scott Pt C Layton, Ut 84041 425 Medical Dr, #104 Wasatch Therapy & Fitness Physical Therapy Phone: (801) 547-9462 Bountiful, Ut 84010 360 S State St UT Urban Medicaid Phone: (801) 292-5011 Clearfield, Ut 84015 Kulland, Jerry D Pt C UT Urban Medicaid Phone: (801) 479-9865 Ashley Creek Physical Therapy Lloyd, Robert Craig Pt C UT Urban Medicaid 175 W 200 N Mountain Land Rehabilitation Silva, Ashley Anne Pt C Roosevelt, Ut 84066 401 S 400 E Bountiful Physical Therapy Sports Zundel, Monte R Pt C Phone: (435) 722-3177 Bountiful, Ut 84010 Medicine Fit Quest Therapy UT Rural Medicaid Phone: (801) 397-8151 425 Medical Dr, #104 335 N 300 W, #103 UT Urban Medicaid Bountiful, Ut 84010 Kaysville, Ut 84037 Phone: (801) 292-5011 Phone: (801) 546-6868 Garfield County Lund, Rebekah Elise Pt C UT Urban Medicaid UT Urban Medicaid Mountain Land Rehabilitation 1188 Sportsplex Dr, #101 Smith, Michael C Pt C Speech-Language Physical Therapy Kaysville, Ut 84037 Fit Quest Therapy Phone: (801) 547-1155 335 N 300 W, #103 Pathology Frandsen, David B Pt C UT Urban Medicaid Kaysville, Ut 84037 Frandsen Physical Therapy And Phone: (801) 546-6868 Anderson, Carey M Slp C Sports Medicine Mcarthur, Trisha Pt C Languages Spoken: Spanish Pcmc Rehab Bountiful 115 N Main St, #B Mountain Land Rehabilitation UT Urban Medicaid 280 N Main St Panguitch, Ut 84759 1188 Sportsplex Dr, #101 Bountiful, Ut 84010 Phone: (435) 646-8840 Kaysville, Ut 84037 Phone: (801) 292-8665 UT Rural Medicaid Phone: (801) 547-1155 UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 141 Grand Ancillary Providers Salt Lake Brinkerhoff, Gail Tyler Pt C Mendenhall, Adam L Pt C Grand County Southern Utah Physical Therapy & Southern Utah Physical Therapy & Rich County Rehabilitation Rehabilitation 166 W 1325 N, #100 166 W 1325 N, #100 Audiology Cedar City, Ut 84721 Cedar City, Ut 84721 Dietitian Harward, Richard S Ccc-A C Phone: (435) 586-0064 Phone: (435) 586-0064 Anderson, Alyssa Kay Rd C Children With Special Healthcare UT Rural Medicaid UT Rural Medicaid Bear Lake Community Health Needs Brinkerhoff, Gail Tyler Pt C Center 471 S Main St, #4 Southern Utah Physical Therapy & Kane County 325 W Logan Hwy Moab, Ut 84532 Rehabilitation Garden City, Ut 84028 Phone: (435) 259-5602 990 S Bentley Blvd Phone: (435) 946-3660 UT Rural Medicaid Cedar City, Ut 84720 Physical Therapy Languages Spoken: Phone: (435) 867-8024 Portuguese Occupational Adams, Shaun B Pt C UT Rural Medicaid UT Rural Medicaid Mountain Land Rehabilitation Therapy Englestead, Brady Karl Pt C 355 N Main St Boomer, Lois Ot C Southern Utah Physical Therapy & Kanab, Ut 84741 Salt Lake County Children With Special Healthcare Rehabilitation Phone: (435) 644-4199 UT Rural Medicaid Needs 1335 N Northfield Rd, #300 Audiology 471 S Main St, #4 Cedar City, Ut 84721 Stubbs, Brandon Pt C Moab, Ut 84532 Phone: (435) 865-1902 Mountain Land Rehabilitation Anthony, Meghan Aud C Phone: (435) 259-5602 Languages Spoken: Japanese 355 N Main St Pcmc - Audiology UT Rural Medicaid UT Rural Medicaid Kanab, Ut 84741 100 N Medical Dr Englestead, Brady Karl Pt C Phone: (435) 644-4199 Salt Lake City, Ut 84113 Physical Therapy Southern Utah Physical Therapy & UT Rural Medicaid Phone: (801) 662-4949 Rehabilitation UT Urban Medicaid Lewis, James Anderson Pt C Mountain Land Rehabilitation 166 W 1325 N, #100 Millard County Bunker, Michelle Aud C 450 W Williams Way Cedar City, Ut 84721 100 N Mario Capecchi Dr Moab, Ut 84532 Phone: (435) 586-0064 Salt Lake City, Ut 84113 Phone: (435) 259-3600 Languages Spoken: Japanese Physical Therapy Phone: (801) 662-4949 Languages Spoken: Dutch UT Rural Medicaid UT Urban Medicaid UT Rural Medicaid Quackenbush II, Howard L Pt C Forsyth, Randy J Pt C Delta Physical Therapy & Sports Butler, Stacey Rebecca Aud C Southern Utah Physical Therapy & Medicine 100 N Mario Capecchi Dr Iron County Rehabilitation 130 S White Sage Ave, #C Salt Lake City, Ut 84113 1335 N Northfield Rd, #300 Delta, Ut 84624 Phone: (801) 662-4942 Cedar City, Ut 84721 Phone: (435) 864-2551 UT Urban Medicaid Audiology Phone: (435) 865-1902 Languages Spoken: Spanish UT Rural Medicaid UT Rural Medicaid Clark, Caroline N Ccc-A C Luekenga Jr, Richard Layne Rocky Mountain Hearing And Ccc-A C Forsyth, Randy J Pt C Stinson, Randy Dale Pt C Balance Dixie Hearing & Balance Ctr Southern Utah Physical Therapy & Delta Physical Therapy & Sports 1255 E 3900 S, #106c 166 W 1325 N, #350 Rehabilitation Medicine Salt Lake City, Ut 84124 Cedar City, Ut 84720 166 W 1325 N, #100 130 White Sage Ave, #C Phone: (801) 268-3277 Phone: (435) 867-1736 Cedar City, Ut 84721 Delta, Ut 84624 UT Urban Medicaid Languages Spoken: Spanish Phone: (435) 586-0064 Phone: (435) 864-2551 UT Rural Medicaid UT Rural Medicaid Languages Spoken: Dutch Cox, Walter Keith Ccc-A C UT Rural Medicaid Advanced Hearing Center Maxwell, Eric Leon Ccc-A C Forsyth, Tori B Pt C 1137 E 2100 S Southern Utah Physical Therapy & Intermountain Hearing Clinics Salt Lake City, Ut 84106 1870 N Main St, #202 Rehabilitation Morgan County Phone: (801) 486-9309 Cedar City, Ut 84720 1335 N Northfield Rd, #300 UT Urban Medicaid Phone: (435) 867-0714 Cedar City, Ut 84721 Languages Spoken: Phone: (435) 865-1902 Physical Therapy Cronin, Pamela J Ccc-A C Portuguese UT Rural Medicaid South Valley Ent Associates UT Rural Medicaid Kerbs, Alan J Pt C 3584 W 9000 S, #311 Lunt, Kregg Tyler Pt C Physical Therapy & Sports West Jordan, Ut 84088 Southern Utah Physical Therapy & Medicine Phone: (801) 566-8304 Physical Therapy Rehabilitation 143 N State St UT Urban Medicaid 1335 N Northfield Rd, #300 Morgan, Ut 84050 Brinkerhoff, Gail Tyler Pt C Cedar City, Ut 84721 Fox, Calvin Brent Ccc-A C Southern Utah Physical Therapy & Phone: (801) 876-2413 Phone: (435) 865-1902 UT Rural Medicaid Audiology Associates Of Slc Rehabilitation UT Rural Medicaid 1377 E 3900 S, #201 1335 N Northfield Rd, #300 Kerbs, Alan J Pt C Holladay, Ut 84124 Cedar City, Ut 84721 Lunt, Kregg Tyler Pt C Physical Therapy & Sports Phone: (801) 272-1232 Phone: (435) 865-1902 Southern Utah Physical Therapy & Medicine UT Urban Medicaid UT Rural Medicaid Rehabilitation 4883 Old Highway Rd, Bldg C 166 W 1325 N, #100 Morgan, Ut 84050 Cedar City, Ut 84721 Phone: (801) 876-2413 Phone: (435) 586-0064 UT Rural Medicaid UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 142 Salt Lake Ancillary Providers Salt Lake Fox, Damon Brent Ccc-A C Leroy, Molly Malissa Aud C Randall, Kurt Dale Ccc-A D Occupational Audiology Associates Of Slc Utah Hearing And Balance Center Children With Special Healthcare 1377 E 3900 S, #201 8806 S Redwood Rd, #103 Needs Therapy Holladay, Ut 84124 West Jordan, Ut 84088 51 Mario Capecchi Dr Andersen, Adrianne Ot C Phone: (801) 272-1232 Phone: (801) 205-6207 Salt Lake City, Ut 84114 Pcmc Rehab Sandy UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 584-8284 870 E 9400 S, #112 UT Urban Medicaid UT Urban Medicaid Harward, Richard S Ccc-A D Sandy, Ut 84094 Children With Special Healthcare Mcvicar, Stephanie Ccc-A D Scott, Charles Rex Ccc-A C Phone: (801) 571-3081 Needs Children With Special Healthcare Audiology Associates Of Slc UT Urban Medicaid 44 Mario Capecchi Dr Needs 10441 S Redwood Rd Barnhart, Jill Mckay Ot C Salt Lake City, Ut 84113 49 Mario Capecchi Dr South Jordan, Ut 84095 100 N Mario Capecchi Dr Phone: (801) 584-8284 Salt Lake City, Ut 84114 Phone: (801) 302-8022 Salt Lake City, Ut 84113 UT Urban Medicaid Phone: (801) 584-8284 UT Urban Medicaid Phone: (801) 662-4949 UT Urban Medicaid Hohler, Nancy Kayleen Aud C Scott, Charles Rex Ccc-A C UT Urban Medicaid 100 N Mario Capecchi Dr Moncrief, Laura R Aud C Audiology Associates Of Slc Boomer, Lois Ot D Salt Lake City, Ut 84113 Pcmc Audiology 1377 E 3900 S, #201 Children With Special Healthcare Phone: (801) 662-4919 3845 W 4700 S Holladay, Ut 84124 Needs UT Urban Medicaid Taylorsville, Ut 84118 Phone: (801) 272-1232 44 Mario Capecchi Dr Phone: (801) 840-4360 UT Urban Medicaid Salt Lake City, Ut 84114 Iwamoto, Patti Kiyomi Ccc-A C UT Urban Medicaid Audiology Associates Of Slc Scott, Charles Rex Ccc-A C Phone: (801) 584-8284 10441 S Redwood Rd Murray, Nancy A Aud C Audiology Associates Of Slc UT Urban Medicaid South Jordan, Ut 84095 Pcmc Audiology 370 E South Temple, #150 Comer, Teresa Renee Ot C Phone: (801) 302-8022 3845 W 4700 S Salt Lake City, Ut 84111 100 N Mario Capecchi Dr UT Urban Medicaid Taylorsville, Ut 84118 Phone: (801) 364-8692 Salt Lake City, Ut 84113 Phone: (801) 840-4360 UT Urban Medicaid Phone: (801) 662-4980 Iwamoto, Patti Kiyomi Ccc-A C UT Urban Medicaid Audiology Associates Of Slc Scott, Charles Rex Ccc-A C UT Urban Medicaid 370 E South Temple, #150 Murray, Nancy A Aud C 3387 Los Altos St Dower, Kimber Lee Ot C Salt Lake City, Ut 84111 Pcmc Audiology Salt Lake City, Ut 84109 Mountain Land Rehabilitation Phone: (801) 364-8692 3845 W 4700 S Phone: (801) 364-8692 1952 E 7000 S, #100 UT Urban Medicaid Taylorsville, Ut 84118 UT Urban Medicaid Salt Lake City, Ut 84121 Phone: (801) 840-4360 Phone: (801) 942-3311 Jackson, Adrienne B Aud C UT Urban Medicaid Sturgill, Nanette L Aud C Pcmc Audiology Pcmc Audiology UT Urban Medicaid 100 N Mario Capecchi Dr Murray, Nancy A Aud C 100 N Mario Capecchi Dr Golley, Theresa A Ot C Salt Lake City, Ut 84113 Pcmc Rehab Salt Lake Salt Lake City, Ut 84113 3845 W 4700 S Phone: (801) 662-4947 100 N Mario Capecchi Dr Phone: (801) 662-4949 Taylorsville, Ut 84118 UT Urban Medicaid Salt Lake City, Ut 84113 UT Urban Medicaid Phone: (801) 840-4360 Phone: (801) 662-4949 UT Urban Medicaid Jensen, Heather Jo Ccc-A C UT Urban Medicaid Vanwagoner, Richard S Ccc-A C House Of Hearing Mountain West Hearing Center Huff, Karen Ann Ot C 1588 E 3300 S Murray, Nancy A Aud C 777 E 4500 S, #110 Mountain Land Rehabilitation Salt Lake City, Ut 84106 Pcmc Rehab Salt Lake Murray, Ut 84107 1952 E 7000 S, #100 Phone: (801) 485-5534 100 N Mario Capecchi Dr Phone: (801) 268-6497 Salt Lake City, Ut 84121 UT Urban Medicaid Salt Lake City, Ut 84113 UT Urban Medicaid Phone: (801) 942-3311 Phone: (801) 662-4949 UT Urban Medicaid Jensen, Heather Jo Ccc-A C UT Urban Medicaid Young, Alan Ccc-A C House Of Hearing Hearing Zone Jones, Lisa M Ot C 8806 S Redwood Rd, #103 Norby, Jason R Aud C 5642 S 900 E, #1 Pcmc Rehab Sandy West Jordan, Ut 84088 Pcmc Audiology Salt Lake City, Ut 84121 870 E 9400 S, #112 Phone: (801) 495-4800 100 N Mario Capecchi Dr Phone: (801) 713-0101 Sandy, Ut 84094 UT Urban Medicaid Salt Lake City, Ut 84113 UT Urban Medicaid Phone: (801) 571-3081 Phone: (801) 662-4949 UT Urban Medicaid Layton, Ranae L Aud C UT Urban Medicaid Dietitian Pcmc Audiology Lalor, Catalina Ot C 100 N Mario Capecchi Dr Osborne, Christine S Ccc-A C Saffel-Shrier, Susan Rd C Primary Childrens Medical Center Salt Lake City, Ut 84113 Rocky Mountain Hearing And Uuhc Sugarhouse Clinic 100 N Mario Capecchi Dr Phone: (801) 662-4949 Balance 1138 Wilmington Ave Salt Lake City, Ut 84113 UT Urban Medicaid 1255 E 3900 S, #106c Salt Lake City, Ut 84106 Phone: (801) 662-4940 Salt Lake City, Ut 84124 Layton, Ranae L Aud C Phone: (801) 581-2000 UT Urban Medicaid Phone: (801) 268-3277 UT Urban Medicaid Pcmc Audiology UT Urban Medicaid Mackay-Clark, Deanna Ot C 3845 W 4700 S Mountain Land Rehabilitation Taylorsville, Ut 84118 Pater, John Ralph Ccc-A C Neuropsychology 9301 S Wights Fort Rd, #215 Phone: (801) 840-4360 Granger Medical Clinic Burr, Robert B Phd C West Jordan, Ut 84088 UT Urban Medicaid 3725 W 4100 S 675 E 500 S, #300 Phone: (801) 282-2200 West Valley City, Ut 84120 Salt Lake City, Ut 84102 UT Urban Medicaid Phone: (801) 965-3600 Phone: (801) 662-5592 UT Urban Medicaid UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 143 Salt Lake Ancillary Providers Salt Lake Minnis, Andrea Jean Ot C Peterson, Emily R Ot C Arnold, Shannon L Pt C Baker, Greg J Pt C Pcmc Rehab Taylorsville 3845 W 4700 S Pcmc Rehab Taylorsville Registered Physical Therapists 3845 W 4700 S Taylorsville, Ut 84118 3845 W 4700 S 1577 W 7000 S, #100 Taylorsville, Ut 84118 Phone: (801) 840-4360 Taylorsville, Ut 84118 West Jordan, Ut 84088 Phone: (801) 840-4360 UT Urban Medicaid Phone: (801) 840-4360 Phone: (801) 566-6301 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Rosello, Amy Jo Ot C Niedzwecki, Christian M Ot C Pcmc Rehab Taylorsville Astle, David John Pt C Baker, Greg J Pt C Pcmc - Physical Therapy 3845 W 4700 S First Med East Physical Therapy Registered Physical Therapists 100 N Mario Capecchi Dr Taylorsville, Ut 84118 1950 E 7000 S 1868 W 9800 S, #200 Salt Lake City, Ut 84113 Phone: (801) 840-4360 Salt Lake City, Ut 84121 South Jordan, Ut 84095 Phone: (801) 662-1000 UT Urban Medicaid Phone: (801) 943-1041 Phone: (801) 676-2210 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Ross, Kimberly M Ot C Nielson-Jones, Kristen V Ot C Hand & Orthopedic Rehabilitation Astle, David John Pt C Baker, Greg J Pt C First Med East Physical Therapy Specialists Rmts At Firstmed Industrial Registered Physical Therapists 1950 E 7000 S 5151 S 900 E, #100 441 S Redwood Rd 74 E 11800 S, #200 Salt Lake City, Ut 84121 Salt Lake City, Ut 84117 Salt Lake City, Ut 84104 Draper, Ut 84020 Phone: (801) 943-1041 Phone: (801) 261-3321 Phone: (801) 973-2580 Phone: (801) 432-2070 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Nielson-Jones, Kristen V Ot C Stotts, Paige Ot C Astle, David John Pt C Baker, Greg J Pt C Rmts At Firstmed Industrial Hand & Orthopedic Rehabilitation Rocky Mountain Therapy Registered Physical Therapists 441 S Redwood Rd Specialists 3725 W 4100 S 9720 S 1300 E, #W200 Salt Lake City, Ut 84104 5151 S 900 E, #100 West Valley City, Ut 84120 Sandy, Ut 84094 Phone: (801) 973-2580 Salt Lake City, Ut 84117 Phone: (801) 679-0123 Phone: (801) 572-0690 UT Urban Medicaid Phone: (801) 261-3321 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Nielson-Jones, Kristen V Ot C Astle, David John Pt C Beckstrand, Jared M Pt C Rocky Mountain Therapy Stotts, Paige Ot C Rocky Mountain Therapy Services Mountain Land Rehabilitation 3725 W 4100 S Hand & Orthopedic Rehabilitation - Firstmed 1952 E 7000 S, #100 West Valley City, Ut 84120 Specialists 8822 S Redwood Rd, #E122 Salt Lake City, Ut 84121 Phone: (801) 679-0123 702 E South Temple, #102 West Jordan, Ut 84088 Phone: (801) 942-3311 UT Urban Medicaid Salt Lake City, Ut 84102 Phone: (801) 566-7080 Languages Spoken: Croatian Phone: (801) 328-8535 UT Urban Medicaid UT Urban Medicaid Nielson-Jones, Kristen V Ot C UT Urban Medicaid Rocky Mountain Therapy Services Astle, David John Pt C Bennett, Laurel Kaye Pt C - Firstmed Teitt, Amy Ot C Rocky Mountain Therapy Services Utah Physical Therapy Specialists 8822 S Redwood Rd, #E122 Pcmc Rehab Taylorsville - West Valley 3181 W 9000 S, #103 West Jordan, Ut 84088 3845 W 4700 S 3497 W 3500 S West Jordan, Ut 84088 Phone: (801) 566-7080 Salt Lake City, Ut 84118 West Valley City, Ut 84119 Phone: (801) 561-1061 UT Urban Medicaid Phone: (801) 840-4362 Phone: (801) 964-5565 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Nielson-Jones, Kristen V Ot C Benson, Scott C Pt C Rocky Mountain Therapy Services Tiley, Donna Marie Ot C Baer, Lawrence Logan Pt C Registered Physical Therapists - West Valley Hand & Orthopedic Rehabilitation Hofmann Arthritis Institute 12391 S 4000 W, #210 3497 W 3500 S Specialists 24 S 1100 E, #101&105 Riverton, Ut 84065 West Valley City, Ut 84120 5151 S 900 E, #100 Salt Lake City, Ut 84102 Phone: (801) 446-0990 Phone: (801) 964-5565 Salt Lake City, Ut 84117 Phone: (801) 355-6468 UT Urban Medicaid UT Urban Medicaid Phone: (801) 261-3321 Languages Spoken: Samoan UT Urban Medicaid UT Urban Medicaid Benson, Scott C Pt C Noren, Eve Ot C Registered Physical Therapists Pcmc Rehab Taylorsville Baer, Lawrence Logan Pt C 1577 W 7000 S, #100 3845 W 4700 S Physical Therapy Wasatch Physical Therapy West Jordan, Ut 84088 Taylorsville, Ut 84118 Allen, Travis N Pt C 5323 S Woodrow St, #202 Phone: (801) 566-6301 Phone: (801) 840-4360 Meier & Marsh Professional Murray, Ut 84107 UT Urban Medicaid UT Urban Medicaid Phone: (801) 713-0606 Therapies Benson, Scott C Pt C 4785 W 4100 S Languages Spoken: Samoan Oberg, Wende A Ot C UT Urban Medicaid Registered Physical Therapists Pcmc Rehab Sandy Salt Lake City, Ut 84114 1868 W 9800 S, #200 870 E 9400 S, #112 Phone: (801) 955-0500 Baer, Lawrence Logan Pt C South Jordan, Ut 84095 Sandy, Ut 84094 UT Urban Medicaid Wasatch Physical Therapy & Phone: (801) 676-2210 Phone: (801) 571-3081 Anderson, Mark David Pt C Rehabilitation UT Urban Medicaid UT Urban Medicaid 5323 S Woodrow St, #204 Mountain Land Rehabilitation Benson, Scott C Pt C 508 E South Temple, #100 Murray, Ut 84107 Ozaki, Susan S Ot C Phone: (801) 713-0606 Registered Physical Therapists Hand & Orthopedic Rehabilitation Salt Lake City, Ut 84102 74 E 11800 S, #200 Phone: (801) 521-9222 Languages Spoken: Samoan Specialists UT Urban Medicaid Draper, Ut 84020 5151 S 900 E, #100 Languages Spoken: Spanish Phone: (801) 432-2070 Salt Lake City, Ut 84117 UT Urban Medicaid Baker, Greg J Pt C UT Urban Medicaid Phone: (801) 261-3321 Registered Physical Therapists UT Urban Medicaid 12391 S 4000 W, #210 Riverton, Ut 84065 Phone: (801) 466-0990 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 144 Salt Lake Ancillary Providers Salt Lake Benson, Scott C Pt C Brady, Margo Jones Pt C Clark, Holly M Pt C Eckert, Jeffery Pt C Registered Physical Therapists Hand & Orthopedic Rehabilitation 3845 W 4700 S Registered Physical Therapists 9720 S 1300 E, #W200 Specialists Taylorsville, Ut 84118 1868 W 9800 S, #200 Sandy, Ut 84094 5151 S 900 E, #100 Phone: (801) 840-4360 South Jordan, Ut 84095 Phone: (801) 572-0690 Salt Lake City, Ut 84117 UT Urban Medicaid Phone: (801) 676-2210 UT Urban Medicaid Phone: (801) 261-3321 UT Urban Medicaid UT Urban Medicaid Colosimo, Lauri B Pt C Biddle, Lyle N Pt C Gardner Kelly Rehabilitation Eckert, Jeffery Pt C Uuhc Redwood Clinic Brady, Margo Jones Pt C Services Registered Physical Therapists 1525 W 2100 S Hand & Orthopedic Rehabilitation 9350 S 150 E, #460 74 E 11800 S, #200 West Valley City, Ut 84119 Specialists Sandy, Ut 84070 Draper, Ut 84020 Phone: (801) 213-9900 702 E South Temple, #102 Phone: (801) 255-4999 Phone: (801) 432-2070 UT Urban Medicaid Salt Lake City, Ut 84102 UT Urban Medicaid UT Urban Medicaid Phone: (801) 328-8535 Black, Jan R Pt C UT Urban Medicaid Crandall, Steven G Pt C Eckert, Jeffery Pt C Neuroworks Hand & Orthopedic Rehabilitation Registered Physical Therapists 10382 South Jordan Gateway Brown, Todd Elliot Pt C Specialists 9720 S 1300 E, #W200 South Jordan, Ut 84095 First Med East Physical Therapy 11762 S State St Sandy, Ut 84094 Phone: (801) 719-3670 1950 E 7000 S Draper, Ut 84020 Phone: (801) 572-0690 UT Urban Medicaid Salt Lake City, Ut 84121 Phone: (801) 501-8359 UT Urban Medicaid Phone: (801) 943-1041 UT Urban Medicaid Blake, Bevan D Pt C UT Urban Medicaid Emerson, Mary L Pt C Hand & Orthopedic Rehabilitation Crandall, Steven G Pt C Pcmc Rehab Taylorsville Specialists Brown, Todd Elliot Pt C Hand & Orthopedic Rehabilitation 3845 W 4700 S 11762 S State St Rmts At Firstmed Industrial Specialists Taylorsville, Ut 84118 Draper, Ut 84020 441 S Redwood Rd 5151 S 900 E, #100 Phone: (801) 840-4360 Phone: (801) 501-8359 Salt Lake City, Ut 84104 Salt Lake City, Ut 84117 UT Urban Medicaid UT Urban Medicaid Phone: (801) 973-2580 Phone: (801) 261-3321 UT Urban Medicaid UT Urban Medicaid Esplin, Jared F Pt C Blake, Bevan D Pt C Uuhc Redwood Clinic Hand & Orthopedic Rehabilitation Brown, Todd Elliot Pt C Crookston, Craig M Pt C 1525 W 2100 S Specialists Rocky Mountain Therapy 100 N Mario Capecchi Dr West Valley City, Ut 84119 5151 S 900 E, #100 3725 W 4100 S Salt Lake City, Ut 84113 Phone: (801) 213-9900 Salt Lake City, Ut 84117 West Valley City, Ut 84120 Phone: (801) 662-4949 UT Urban Medicaid Phone: (801) 261-3321 Phone: (801) 679-0123 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Fails, Kirsten L Pt C Crosby, Darlene J Pt C Uuhc Redwood Clinic Boden, Erinlee Pt C Brown, Todd Elliot Pt C Mountain Land Rehabilitation 1525 W 2100 S Utah Physical Therapy Specialists Rocky Mountain Therapy Services 1952 E 7000 S, #100 West Valley City, Ut 84119 3181 W 9000 S, #103 - Firstmed Salt Lake City, Ut 84121 Phone: (801) 213-9900 West Jordan, Ut 84088 8822 S Redwood Rd, #E122 Phone: (801) 942-3311 UT Urban Medicaid Phone: (801) 561-1061 West Jordan, Ut 84088 UT Urban Medicaid Languages Spoken: Spanish Phone: (801) 566-7080 Farnsworth, Cheryl Ann Pt C UT Urban Medicaid UT Urban Medicaid Dahlgren, Kristina A Pt C Hand & Orthopedic Rehabilitation Uuhc Redwood Clinic Specialists Booth, Travis S Pt C Brown, Todd Elliot Pt C 1525 W 2100 S 11762 S State St Rocky Mountain Therapy Services Rocky Mountain Therapy Services West Valley City, Ut 84119 Draper, Ut 84020 - Firstmed - West Valley Phone: (801) 213-9900 Phone: (801) 501-8359 8822 S Redwood Rd, #E122 3497 W 3500 S Languages Spoken: Spanish UT Urban Medicaid West Jordan, Ut 84088 West Valley City, Ut 84119 UT Urban Medicaid Phone: (801) 566-7080 Phone: (801) 964-5565 Farnsworth, Cheryl Ann Pt C UT Urban Medicaid UT Urban Medicaid Dougher, Robert Lance Pt C 1151 E 3900 S, #B199 Advanced Motion Physical Salt Lake City, Ut 84121 Booth, Travis S Pt C Budge, Edward H Pt C Therapy Phone: (801) 685-9212 Rocky Mountain Therapy Services Peak Physical Therapy & Sports 3665 S 8400 W, #210 UT Urban Medicaid West Jordan Medicine Magna, Ut 84044 8822 S Redwood Rd, #E122 12198 S Factory Outlet Dr, #3 Phone: (801) 250-6733 Felix, Mitchell Pt C West Jordan, Ut 84088 Draper, Ut 84020 Languages Spoken: Spanish First Med East Physical Therapy Phone: (801) 566-7080 Phone: (801) 571-6600 UT Urban Medicaid 1950 E 7000 S UT Urban Medicaid UT Urban Medicaid Salt Lake City, Ut 84121 Eckert, Jeffery Pt C Phone: (801) 943-1041 Brady, Margo Jones Pt C Butler, David Darrell Pt C Registered Physical Therapists UT Urban Medicaid Hand & Orthopedic Rehabilitation Mountain Land Rehabilitation 12391 S 4000 W, #210 Specialists 885 E 9400 S Riverton, Ut 84065 Felix, Mitchell Pt C 11762 S State St Sandy, Ut 84171 Phone: (801) 446-0990 Rmts At Firstmed Industrial Draper, Ut 84020 Phone: (801) 562-0066 UT Urban Medicaid 441 S Redwood Rd Phone: (801) 501-8359 UT Urban Medicaid Salt Lake City, Ut 84104 UT Urban Medicaid Eckert, Jeffery Pt C Phone: (801) 973-2580 Child, Bryan Francis Pt C Registered Physical Therapists UT Urban Medicaid Heiden Orthopedics 1577 W 7000 S, #100 4888 S Highland Dr West Jordan, Ut 84088 Salt Lake City, Ut 84117 Phone: (801) 566-6301 Phone: (801) 615-8822 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 145 Salt Lake Ancillary Providers Salt Lake Felix, Mitchell Pt C Fullmer, Larry Don Pt C Geurts, Gerald H Pt C Hanson, Tyler Marvin Pt C Rocky Mountain Therapy Registered Physical Therapists Rocky Mountain Therapy Services Hand & Orthopedic Rehabilitation 3725 W 4100 S 1868 W 9800 S, #200 - West Valley Specialists West Valley City, Ut 84120 South Jordan, Ut 84095 3497 W 3500 S 11762 S State St Phone: (801) 679-0123 Phone: (801) 676-2210 West Valley City, Ut 84119 Draper, Ut 84020 UT Urban Medicaid UT Urban Medicaid Phone: (801) 964-5565 Phone: (801) 501-8359 UT Urban Medicaid Languages Spoken: Spanish Felix, Mitchell Pt C Fullmer, Larry Don Pt C UT Urban Medicaid Rocky Mountain Therapy Services Registered Physical Therapists Gibson, Sean David Pt C - Firstmed 74 E 11800 S, #200 Utah Physical Therapy Specialists Hanson, Tyler Marvin Pt C 8822 S Redwood Rd, #E122 Draper, Ut 84020 3181 W 9000 S, #103 Hand & Orthopedic Rehabilitation West Jordan, Ut 84088 Phone: (801) 432-2070 West Jordan, Ut 84088 Specialists Phone: (801) 566-7080 UT Urban Medicaid Phone: (801) 561-1061 702 E South Temple, #102 UT Urban Medicaid Languages Spoken: Spanish Salt Lake City, Ut 84102 Fullmer, Larry Don Pt C UT Urban Medicaid Phone: (801) 328-8535 Felix, Mitchell Pt C Registered Physical Therapists Languages Spoken: Spanish Rocky Mountain Therapy Services 9720 S 1300 E, #W200 Hackett, Aaron M Pt C UT Urban Medicaid - West Valley Sandy, Ut 84094 Registered Physical Therapists 3497 W 3500 S Phone: (801) 572-0690 12391 S 4000 W, #210 Harkness, Steve H Pt C West Valley City, Ut 84119 UT Urban Medicaid Riverton, Ut 84065 Mountain Land Rehabilitation Phone: (801) 964-5565 Phone: (801) 446-0990 5250 S Commerce Dr, #320 UT Urban Medicaid Gardner, Gregory James Pt C Languages Spoken: Murray, Ut 84107 Gardner Kelly Rehabilitation Portuguese Phone: (801) 747-3889 Fontenot, Marty William Pt C Services UT Urban Medicaid Languages Spoken: Tagalog Mountain Land Rehabilitation 9350 S 150 E, #460 UT Urban Medicaid 1153 E 3900 S Sandy, Ut 84070 Hackett, Aaron M Pt C Salt Lake City, Ut 84124 Phone: (801) 255-4999 Registered Physical Therapists Harper, Christopher W Pt C Phone: (801) 262-6331 UT Urban Medicaid 1577 W 7000 S, #100 Mountain Land Rehabilitation UT Urban Medicaid West Jordan, Ut 84088 9301 S Wights Fort Rd, #215 Gardner, Gregory James Pt C Phone: (801) 566-6301 West Jordan, Ut 84088 Fontenot, Marty William Pt C Registered Physical Therapists Languages Spoken: Phone: (801) 282-2200 Mountain Land Rehabilitation 9720 S 1300 E, #W200 Portuguese UT Urban Medicaid 4624 S Holladay Blvd Sandy, Ut 84094 UT Urban Medicaid Salt Lake City, Ut 84117 Phone: (801) 572-0690 Harrison, James D Pt C Phone: (801) 277-1028 UT Urban Medicaid Hackett, Aaron M Pt C South Mountain Physical & Rehab UT Urban Medicaid Registered Physical Therapists 11223 S Sandy Dunes Dr Gerpheide, Karen C Pt C 1868 W 9800 S, #200 Sandy, Ut 84094 Fuhriman, Joshua David Pt C Uuhc Greenwood Clinic South Jordan, Ut 84095 Phone: (801) 897-0934 Mountain Land Rehabilitation 7495 S State St Phone: (801) 676-2210 UT Urban Medicaid 4624 S Holladay Blvd Midvale, Ut 84047 Languages Spoken: Holladay, Ut 84117 Phone: (801) 213-9400 Portuguese Harward, Joshua A Pt C Phone: (801) 277-1028 UT Urban Medicaid UT Urban Medicaid Registered Physical Therapists UT Urban Medicaid 12391 S 4000 W, #210 Geurts, Gerald H Pt C Hackett, Aaron M Pt C Riverton, Ut 84065 Fuhriman, Ryan Russell Pt C First Med East Physical Therapy Registered Physical Therapists Phone: (801) 446-0990 Hand & Orthopedic Rehabilitation 1950 E 7000 S 9720 S 1300 E, #W200 Languages Spoken: Spanish Specialists Salt Lake City, Ut 84121 Sandy, Ut 84094 UT Urban Medicaid 11762 S State St Phone: (801) 943-1041 Phone: (801) 572-0690 Draper, Ut 84020 UT Urban Medicaid Languages Spoken: Harward, Joshua A Pt C Phone: (801) 501-8359 Registered Physical Therapists Geurts, Gerald H Pt C Portuguese Languages Spoken: Spanish UT Urban Medicaid 1577 W 7000 S, #100 UT Urban Medicaid Rmts At Firstmed Industrial West Jordan, Ut 84088 441 S Redwood Rd Hall, Aaron C Pt C Phone: (801) 566-6301 Fuhriman, Ryan Russell Pt C Salt Lake City, Ut 84104 Hofmann Arthritis Institute Languages Spoken: Spanish Hand & Orthopedic Rehabilitation Phone: (801) 973-2580 24 S 1100 E, #101&105 UT Urban Medicaid Specialists UT Urban Medicaid Salt Lake City, Ut 84102 5151 S 900 E, #100 Harward, Joshua A Pt C Geurts, Gerald H Pt C Phone: (801) 355-6468 Salt Lake City, Ut 84117 UT Urban Medicaid Registered Physical Therapists Phone: (801) 261-3321 Rocky Mountain Therapy 1868 W 9800 S, #200 Languages Spoken: Spanish 3725 W 4100 S Hall, Aaron C Pt C South Jordan, Ut 84095 UT Urban Medicaid West Valley City, Ut 84120 Wasatch Physical Therapy Phone: (801) 676-2210 Phone: (801) 679-0123 5323 S Woodrow St, #202 Languages Spoken: Spanish Fullmer, Larry Don Pt C UT Urban Medicaid Murray, Ut 84107 UT Urban Medicaid Registered Physical Therapists Geurts, Gerald H Pt C Phone: (801) 713-0606 12391 S 4000 W, #210 UT Urban Medicaid Harward, Joshua A Pt C Riverton, Ut 84065 Rocky Mountain Therapy Services Registered Physical Therapists Phone: (801) 446-0990 - Firstmed Hall, Aaron C Pt C 74 E 11800 S, #200 UT Urban Medicaid 8822 S Redwood Rd, #E122 Wasatch Physical Therapy & Draper, Ut 84020 West Jordan, Ut 84088 Rehabilitation Phone: (801) 432-2070 Fullmer, Larry Don Pt C Phone: (801) 566-7080 5323 S Woodrow St, #204 Languages Spoken: Spanish Registered Physical Therapists UT Urban Medicaid Murray, Ut 84107 UT Urban Medicaid 1577 W 7000 S, #100 Phone: (801) 713-0606 West Jordan, Ut 84088 UT Urban Medicaid Phone: (801) 566-6301 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 146 Salt Lake Ancillary Providers Salt Lake Harward, Joshua A Pt C Hirai, Stanford K Pt C Lajom, Jeanne J Pt C Littledike, Jason Stanley Pt C Registered Physical Therapists Registered Physical Therapists Registered Physical Therapists Peak Physical Therapy & Sports 9720 S 1300 E, #W200 9720 S 1300 E, #W200 1577 W 7000 S, #100 Medicine Sandy, Ut 84094 Sandy, Ut 84094 West Jordan, Ut 84088 12198 S Factory Outlet Dr, #3 Phone: (801) 572-0690 Phone: (801) 572-0690 Phone: (801) 566-6301 Draper, Ut 84020 Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Phone: (801) 571-6600 UT Urban Medicaid UT Urban Medicaid Hobusch, Frederick L Pt C Lajom, Jeanne J Pt C Hatfield, Gregory Keith Pt C Westwood Physical Therapy Clinic Registered Physical Therapists Lobb, Jason David Pt C Mountain Land Rehabilitation 5547 S 4015 W, #7 1868 W 9800 S, #200 Mountain Land Rehabilitation 451 Bishop Federal Ln Salt Lake City, Ut 84129 South Jordan, Ut 84095 1153 E 3900 S Salt Lake City, Ut 84115 Phone: (801) 967-6055 Phone: (801) 676-2210 Salt Lake City, Ut 84124 Phone: (801) 487-7557 UT Urban Medicaid UT Urban Medicaid Phone: (801) 262-6331 UT Urban Medicaid UT Urban Medicaid Hodlmair, Camie Platt Pt C Lajom, Jeanne J Pt C Heinhold, Stephanie Pt C Utah Physical Therapy Specialists Registered Physical Therapists Lovell, Dallen B Pt C 3845 W 4700 S 3181 W 9000 S, #103 74 E 11800 S, #200 Balanced Body Physical Therapy Taylorsville, Ut 84118 West Jordan, Ut 84088 Draper, Ut 84020 4465 S 900 E, #250 Phone: (801) 840-4360 Phone: (801) 561-1061 Phone: (801) 432-2070 Salt Lake City, Ut 84124 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 293-8888 UT Urban Medicaid Hensley, Bonnie Ross Pt C Jabez, Melody Antora Pt C Lajom, Jeanne J Pt C Hand & Orthopedic Rehabilitation Westwood Physical Therapy Clinic Registered Physical Therapists Lowry, Aaron J Pt C Specialists 5547 S 4015 W, #7 9720 S 1300 E, #W200 Hand & Orthopedic Rehabilitation 11762 S State St Salt Lake City, Ut 84129 Sandy, Ut 84094 Specialists Draper, Ut 84020 Phone: (801) 967-6055 Phone: (801) 572-0690 11762 S State St Phone: (801) 501-8359 Languages Spoken: Bengali UT Urban Medicaid Draper, Ut 84020 UT Urban Medicaid UT Urban Medicaid Phone: (801) 501-8359 Lane, Heidi L Pt C UT Urban Medicaid Hensley, Bonnie Ross Pt C Jackson, Robert L Pt C 100 N Mario Capecchi Dr Hand & Orthopedic Rehabilitation Mountain Land Rehabilitation Salt Lake City, Ut 84113 Lowry, Aaron J Pt C Specialists 1952 E 7000 S, #100 Phone: (801) 662-1000 Hand & Orthopedic Rehabilitation 5151 S 900 E, #100 Salt Lake City, Ut 84121 UT Urban Medicaid Specialists Salt Lake City, Ut 84117 Phone: (801) 942-3311 5151 S 900 E, #100 Phone: (801) 261-3321 UT Urban Medicaid Larson, Roger Lee Pt C Salt Lake City, Ut 84117 UT Urban Medicaid Cottonwood Medical Plaza Phone: (801) 261-3321 Jarvis, Louise Lokey Pt C Physical Therapy UT Urban Medicaid Hill, Von Oberhansley Pt C 6146 New Haven Dr 6040 S Fashion Blvd, #200 Peak Physical Therapy & Sports Salt Lake City, Ut 84121 Murray, Ut 84107 Lu, Elaine T Pt C Medicine Phone: (801) 979-5825 Phone: (801) 266-7534 3220 S State St 12198 S Factory Outlet Dr, #3 UT Urban Medicaid UT Urban Medicaid Salt Lake City, Ut 84115 Draper, Ut 84020 Phone: (801) 463-1101 Phone: (801) 571-6600 Jespersen, Megan Kay Pt C Latimer, Noall H Pt C Languages Spoken: Spanish UT Urban Medicaid Pcmc Physical Therapy 3441 S 8400 W, #F UT Urban Medicaid 3845 W 4700 S Magna, Ut 84044 Hirai, Stanford K Pt C Taylorsville, Ut 84118 Phone: (801) 250-9107 Ludwig, B Jay Pt C Registered Physical Therapists Phone: (801) 840-4360 Languages Spoken: Spanish Rocky Mountain Therapy Services 12391 S 4000 W, #210 UT Urban Medicaid UT Urban Medicaid - West Valley Riverton, Ut 84065 3497 W 3500 S Phone: (801) 446-0990 Kelly, Patrick Mark Pt C Lee, Leslie Shisler Pt C West Valley City, Ut 84119 UT Urban Medicaid Gardner Kelly Rehabilitation Utah Physical Therapy Specialists Phone: (801) 964-5565 Services 3181 W 9000 S, #103 UT Urban Medicaid Hirai, Stanford K Pt C 9350 S 150 E, #460 West Jordan, Ut 84088 Registered Physical Therapists Sandy, Ut 84070 Phone: (801) 561-1061 Ludwig, Keith Jay Pt C 1577 W 7000 S, #100 Phone: (801) 255-4999 UT Urban Medicaid First Med East Physical Therapy West Jordan, Ut 84088 UT Urban Medicaid 1950 E 7000 S Phone: (801) 566-6301 Leiseth, Amy Lynne Pt C Salt Lake City, Ut 84121 UT Urban Medicaid Kelly, Patrick Mark Pt C Utah Physical Therapy Specialists Phone: (801) 943-1041 Uuhc Greenwood Clinic 3181 W 9000 S, #103 UT Urban Medicaid Hirai, Stanford K Pt C 7495 S State St West Jordan, Ut 84088 Registered Physical Therapists Midvale, Ut 84047 Phone: (801) 561-1061 Ludwig, Keith Jay Pt C 1868 W 9800 S, #200 Phone: (801) 213-9400 UT Urban Medicaid Rmts At Firstmed Industrial South Jordan, Ut 84095 UT Urban Medicaid 441 S Redwood Rd Phone: (801) 676-2210 Linford, Jill Williams Pt C Salt Lake City, Ut 84104 UT Urban Medicaid Lajom, Jeanne J Pt C Mountain Land Rehabilitation Phone: (801) 973-2580 Registered Physical Therapists 1952 E 7000 S, #100 UT Urban Medicaid Hirai, Stanford K Pt C 12391 S 4000 W, #210 Salt Lake City, Ut 84121 Registered Physical Therapists Riverton, Ut 84065 Phone: (801) 942-3311 Ludwig, Keith Jay Pt C 74 E 11800 S, #200 Phone: (801) 446-0990 UT Urban Medicaid Rocky Mountain Therapy Draper, Ut 84020 UT Urban Medicaid 3725 W 4100 S Phone: (801) 432-2070 West Valley City, Ut 84120 UT Urban Medicaid Phone: (801) 679-0123 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 147 Salt Lake Ancillary Providers Salt Lake Ludwig, Keith Jay Pt C Meier, Charles Wade Pt C Monger, Brock Philip Pt C Nelson, Ashley Pt C Rocky Mountain Therapy Services Meier & Marsh Professional Rmts At Firstmed Industrial Hand & Orthopedic Rehabilitation - Firstmed Therapies 441 S Redwood Rd Specialists 8822 S Redwood Rd, #E122 4785 W 4100 S Salt Lake City, Ut 84104 5151 S 900 E, #100 West Jordan, Ut 84088 Salt Lake City, Ut 84114 Phone: (801) 973-2580 Salt Lake City, Ut 84117 Phone: (801) 566-7080 Phone: (801) 955-0500 UT Urban Medicaid Phone: (801) 261-3321 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Monger, Brock Philip Pt C Ludwig, Keith Jay Pt C Rocky Mountain Therapy Services Norwood, Drew Richard Pt C Rocky Mountain Therapy Services Metzger, Suzanne E Pt C - Firstmed Registered Physical Therapists - West Valley Mountain Land Rehabilitation 8822 S Redwood Rd, #E122 12391 S 4000 W, #210 3497 W 3500 S 1952 E 7000 S, #100 West Jordan, Ut 84088 Riverton, Ut 84065 West Valley City, Ut 84119 Salt Lake City, Ut 84121 Phone: (801) 566-7080 Phone: (801) 446-0990 Phone: (801) 964-5565 Phone: (801) 942-3311 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Monger, Brock Philip Pt C Marietta, Gail L Pt C Miller, Brent Lee Pt C Rocky Mountain Therapy Services Norwood, Drew Richard Pt C Hand & Orthopedic Rehabilitation Registered Physical Therapists - West Valley Registered Physical Therapists Specialists 12391 S 4000 W, #210 3497 W 3500 S 1577 W 7000 S, #100 11762 S State St Riverton, Ut 84065 West Valley City, Ut 84119 West Jordan, Ut 84088 Draper, Ut 84020 Phone: (801) 466-0990 Phone: (801) 964-5565 Phone: (801) 566-6301 Phone: (801) 501-8359 Languages Spoken: Spanish UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Monger, Karin Elizabeth Pt C Marietta, Gail L Pt C Miller, Brent Lee Pt C First Med East Physical Therapy Norwood, Drew Richard Pt C Hand & Orthopedic Rehabilitation Registered Physical Therapists 1950 E 7000 S Registered Physical Therapists Specialists 1577 W 7000 S, #100 Salt Lake City, Ut 84121 1868 W 9800 S, #200 5151 S 900 E, #100 West Jordan, Ut 84088 Phone: (801) 943-1041 South Jordan, Ut 84095 Salt Lake City, Ut 84117 Phone: (801) 566-6301 UT Urban Medicaid Phone: (801) 676-2210 Phone: (801) 261-3321 Languages Spoken: Spanish Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Monger, Karin Elizabeth Pt C UT Urban Medicaid Rmts At Firstmed Industrial Mazzella, Kimberly Schonrock Miller, Brent Lee Pt C 441 S Redwood Rd Norwood, Drew Richard Pt C Pt C Registered Physical Therapists Salt Lake City, Ut 84104 Registered Physical Therapists First Med East Physical Therapy 1868 W 9800 S, #200 Phone: (801) 973-2580 74 E 11800 S, #200 1950 E 7000 S South Jordan, Ut 84095 UT Urban Medicaid Draper, Ut 84020 Salt Lake City, Ut 84121 Phone: (801) 676-2210 Phone: (801) 432-2070 Phone: (801) 943-1041 Languages Spoken: Spanish Monger, Karin Elizabeth Pt C Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Rocky Mountain Therapy Services UT Urban Medicaid - Firstmed Mcatee, Daniel J Pt C Miller, Brent Lee Pt C 8822 S Redwood Rd, #E122 Norwood, Drew Richard Pt C Advanced Motion Physical Registered Physical Therapists West Jordan, Ut 84088 Registered Physical Therapists Therapy 74 E 11800 S, #200 Phone: (801) 566-7080 9720 S 1300 E, #W200 3665 S 8400 W, #210 Draper, Ut 84020 UT Urban Medicaid Sandy, Ut 84094 Magna, Ut 84044 Phone: (801) 432-2070 Phone: (801) 572-0690 Phone: (801) 250-6733 Languages Spoken: Spanish Monger, Karin Elizabeth Pt C Languages Spoken: Spanish Languages Spoken: Spanish UT Urban Medicaid Rocky Mountain Therapy Services UT Urban Medicaid UT Urban Medicaid - West Valley Miller, Brent Lee Pt C 3497 W 3500 S Numbers, Charles Brent Pt C Mcnulty, Dawn Ann Pt C Registered Physical Therapists West Valley City, Ut 84119 South Mountain Sports Medicine Pcmc - Physical Therapy 9720 S 1300 E, #W210 Phone: (801) 964-5565 & Rehabilitation 100 N Mario Capecchi Dr Sandy, Ut 84094 UT Urban Medicaid 12226 S 1000 E, #1 Salt Lake City, Ut 84113 Phone: (801) 262-5679 Draper, Ut 84020 Phone: (801) 662-1000 Languages Spoken: Spanish Myers, Annette G Pt C Phone: (801) 523-3415 UT Urban Medicaid UT Urban Medicaid Pcmc Rehab Sandy UT Urban Medicaid 870 E 9400 S, #112 Mcnulty, Dawn Ann Pt C Miyasaki, Rodney Alan Pt C Sandy, Ut 84094 Orr, John Michael Pt C Primary Children’s Rehab - Sandy Westwood Physical Therapy Clinic Phone: (801) 571-3081 Hand & Orthopedic Rehabilitation 840 E 9400 S, #112 5547 S 4015 W, #7 UT Urban Medicaid Specialists Sandy, Ut 84070 Salt Lake City, Ut 84129 11762 S State St Phone: (801) 571-3081 Phone: (801) 967-6055 Myrick, Curt D Pt C Draper, Ut 84020 UT Urban Medicaid UT Urban Medicaid Mountain Land Rehabilitation Phone: (801) 501-8359 1952 E 7000 S, #100 UT Urban Medicaid Mehler, Mandy C Pt C Monger, Brock Philip Pt C Salt Lake City, Ut 84121 Mountain Land Rehabilitation First Med East Physical Therapy Phone: (801) 942-3311 Orr, John Michael Pt C 1153 E 3900 S 1950 E 7000 S UT Urban Medicaid Hand & Orthopedic Rehabilitation Salt Lake City, Ut 84124 Salt Lake City, Ut 84121 Specialists Phone: (801) 262-6331 Phone: (801) 943-1041 Nelson, Ashley Pt C 5151 S 900 E, #100 UT Urban Medicaid UT Urban Medicaid Hand & Orthopedic Rehabilitation Salt Lake City, Ut 84117 Specialists Phone: (801) 261-3321 11762 S State St UT Urban Medicaid Draper, Ut 84020 Phone: (801) 501-8359 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 148 Salt Lake Ancillary Providers Salt Lake Perron, Ryan Michael Pt C Schulz, Shaun S Pt C Stevenson, Trevor Jack Pt C Taylor, Braden Justin Pt C Rocky Mountain Therapy Services Beyond Limits Physical Therapy Registered Physical Therapists First Med East Physical Therapy - Firstmed 5734 W 13400 S, #300 1577 W 7000 S, #100 1950 E 7000 S 8822 S Redwood Rd, #E122 Herriman, Ut 84096 West Jordan, Ut 84088 Salt Lake City, Ut 84121 West Jordan, Ut 84088 Phone: (801) 302-7232 Phone: (801) 566-6301 Phone: (801) 943-1041 Phone: (801) 566-7080 Languages Spoken: German UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Stevenson, Trevor Jack Pt C Taylor, Braden Justin Pt C Quintana, Lisa Pt C Schwalbe, Valerie A Pt C Registered Physical Therapists Rocky Mountain Therapy Pcmc Rehab Bountiful Mountain Land Rehabilitation 1868 W 9800 S, #200 3725 W 4100 S 100 N Mario Capecchi Dr 5250 S Commerce Dr, #320 South Jordan, Ut 84095 West Valley City, Ut 84120 Salt Lake City, Ut 84113 Murray, Ut 84107 Phone: (801) 676-2210 Phone: (801) 679-0123 Phone: (801) 662-4949 Phone: (801) 747-3889 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Stevenson, Trevor Jack Pt C Taylor, Braden Justin Pt C Riley, Seth M Pt C Schwartz, Todd Daniel Pt C Registered Physical Therapists Rocky Mountain Therapy Services Hand & Orthopedic Rehabilitation Hand & Orthopedic Rehabilitation 74 E 11800 S, #200 - West Valley Specialists Specialists Draper, Ut 84020 3497 W 3500 S 11762 S State St 11762 S State St Phone: (801) 432-2070 West Valley City, Ut 84119 Draper, Ut 84020 Draper, Ut 84020 UT Urban Medicaid Phone: (801) 964-5565 Phone: (801) 501-8359 Phone: (801) 501-8359 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Stevenson, Trevor Jack Pt C Registered Physical Therapists Verhaaren, Steven Robert Pt C Riley, Seth M Pt C Schwartz, Todd Daniel Pt C 9720 S 1300 E, #W200 Registered Physical Therapists Hand & Orthopedic Rehabilitation Hand & Orthopedic Rehabilitation Sandy, Ut 84094 12391 S 4000 W, #210 Specialists Specialists Phone: (801) 572-0690 Riverton, Ut 84065 5151 S 900 E, #100 5151 S 900 E, #100 UT Urban Medicaid Phone: (801) 446-0990 Salt Lake City, Ut 84117 Salt Lake City, Ut 84117 Languages Spoken: Spanish Phone: (801) 261-3321 Phone: (801) 261-3321 Sudweeks, Matthew Philip Pt C UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Herriman Physical Therapy 5734 W 13400 S, #300 Verhaaren, Steven Robert Pt C Riley, Seth M Pt C Shepherd, Kevin L Pt C Herriman, Ut 84096 Registered Physical Therapists Hand & Orthopedic Rehabilitation South Mountain Sports Medicine Phone: (801) 302-7232 1577 W 7000 S, #100 Specialists & Rehabilitation Languages Spoken: Korean West Jordan, Ut 84088 702 E South Temple, #102 12226 S 1000 E, #1 UT Urban Medicaid Phone: (801) 566-6301 Salt Lake City, Ut 84102 Draper, Ut 84020 Languages Spoken: Spanish Phone: (801) 328-8535 Phone: (801) 523-3415 Suker, Jared M Pt C UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Registered Physical Therapists 12391 S 4000 W, #210 Verhaaren, Steven Robert Pt C Robbins, Steven Edward Pt C Siebert, Elizabeth Beth Anne Pt Riverton, Ut 84065 Registered Physical Therapists Peak Physical Therapy & Sports C Phone: (801) 446-0990 1868 W 9800 S, #200 Medicine Pcmc Rehab Sandy Languages Spoken: Italian South Jordan, Ut 84095 12198 S Factory Outlet Dr, #3 870 E 9400 S, #112 UT Urban Medicaid Phone: (801) 676-2210 Draper, Ut 84020 Sandy, Ut 84094 Languages Spoken: Spanish Phone: (801) 571-6600 Phone: (801) 571-3081 Suker, Jared M Pt C UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Registered Physical Therapists 1577 W 7000 S, #100 Verhaaren, Steven Robert Pt C Rodriguez, Brian J Pt C Smith, Andrea Jill Pt C West Jordan, Ut 84088 Registered Physical Therapists Utah Physical Therapy Specialists Uuhc Redwood Clinic Phone: (801) 566-6301 74 E 11800 S, #200 3181 W 9000 S, #103 1525 W 2100 S Languages Spoken: Italian Draper, Ut 84020 West Jordan, Ut 84088 West Valley City, Ut 84119 UT Urban Medicaid Phone: (801) 432-2070 Phone: (801) 561-1061 Phone: (801) 213-9900 Languages Spoken: Spanish Languages Spoken: Spanish UT Urban Medicaid Suker, Jared M Pt C UT Urban Medicaid UT Urban Medicaid Registered Physical Therapists Sorensen, Oryslava C Pt C 1868 W 9800 S, #200 Verhaaren, Steven Robert Pt C Rossow, Beth Marie Pt D Mountain Land Rehabilitation South Jordan, Ut 84095 Registered Physical Therapists Mountain Land Rehabilitation 4624 S Holladay Blvd Phone: (801) 676-2210 9720 S 1300 E, #W200 1153 E 3900 S Salt Lake City, Ut 84117 Languages Spoken: Italian Sandy, Ut 84094 Salt Lake City, Ut 84124 Phone: (801) 277-1028 UT Urban Medicaid Phone: (801) 572-0690 Phone: (801) 262-6331 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Suker, Jared M Pt C UT Urban Medicaid Sorensen, Oryslava C Pt C Registered Physical Therapists Schonrock-Mazzella, Kimberly Mountain Land Rehabilitation 74 E 11800 S, #200 Wehrli, Jared Pt C J Pt C 508 E South Temple, #100 Draper, Ut 84020 Uuhc Greenwood Clinic First Med East Physical Therapy Salt Lake City, Ut 84102 Phone: (801) 432-2070 7495 S State St 1950 E 7000 S Phone: (801) 521-9222 Languages Spoken: Italian Midvale, Ut 84047 Salt Lake City, Ut 84121 UT Urban Medicaid UT Urban Medicaid Phone: (801) 213-9400 Phone: (801) 943-3300 UT Urban Medicaid UT Urban Medicaid Stevenson, Trevor Jack Pt C Suker, Jared M Pt C Registered Physical Therapists Registered Physical Therapists West, Jason C Pt C 12391 S 4000 W, #210 9720 S 1300 E, #W200 Registered Physical Therapists Riverton, Ut 84065 Sandy, Ut 84094 12391 S 4000 W, #210 Phone: (801) 446-0990 Phone: (801) 572-0690 Riverton, Ut 84065 UT Urban Medicaid Languages Spoken: Italian Phone: (801) 446-0990 UT Urban Medicaid UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 149 Salt Lake Ancillary Providers Salt Lake West, Jason C Pt C Wortley, James M Pt C Wortley, Richard D Pt C Gurrister, Maria G Hildalg Slp C Registered Physical Therapists First Med East Physical Therapy First Med East Physical Therapy Wasatch Speech & Language 1577 W 7000 S, #100 1950 E 7000 S 1950 E 7000 S Center West Jordan, Ut 84088 Salt Lake City, Ut 84121 Salt Lake City, Ut 84121 2120 E 3900 S, #100 Phone: (801) 566-6301 Phone: (801) 943-1041 Phone: (801) 943-1041 Salt Lake City, Ut 84124 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 308-0400 UT Urban Medicaid West, Jason C Pt C Wortley, James M Pt C Wortley, Richard D Pt C Registered Physical Therapists Rmts At Firstmed Industrial Rmts At Firstmed Industrial Gurrister, Thomas W Slp C 1868 W 9800 S, #200 441 S Redwood Rd 441 S Redwood Rd Wasatch Speech & Language South Jordan, Ut 84095 Salt Lake City, Ut 84104 Salt Lake City, Ut 84104 Center Phone: (801) 676-2210 Phone: (801) 973-2580 Phone: (801) 973-2580 2120 E 3900 S, #100 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Salt Lake City, Ut 84124 Phone: (801) 308-0400 West, Jason C Pt C Wortley, James M Pt C Wortley, Richard D Pt C UT Urban Medicaid Registered Physical Therapists Rocky Mountain Therapy Rocky Mountain Therapy 74 E 11800 S, #200 3725 W 4100 S 3725 W 4100 S Howe, Marilyn K Slp D Draper, Ut 84020 West Valley City, Ut 84120 West Valley City, Ut 84120 Children With Special Healthcare Phone: (801) 432-2070 Phone: (801) 679-0123 Phone: (801) 679-0123 Needs UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid 45 Mario Capecchi Dr Salt Lake City, Ut 84114 West, Jason C Pt C Wortley, James M Pt C Wortley, Richard D Pt C Phone: (801) 584-8284 Registered Physical Therapists Rocky Mountain Therapy Services Rocky Mountain Therapy Services UT Urban Medicaid 9720 S 1300 E, #W200 - Firstmed - Firstmed Sandy, Ut 84094 8822 S Redwood Rd, #E122 8822 S Redwood Rd, #E122 Johnson, Lori Ann Slp C Phone: (801) 572-0690 West Jordan, Ut 84088 West Jordan, Ut 84088 Mountain Land Rehabilitation UT Urban Medicaid Phone: (801) 566-7080 Phone: (801) 566-7080 1952 E 7000 S, #100 UT Urban Medicaid UT Urban Medicaid Salt Lake City, Ut 84121 West, Jason C Pt C Phone: (801) 942-3311 Salt Lake Physical Therapy Wortley, James M Pt C Wortley, Richard D Pt C UT Urban Medicaid Associates Rocky Mountain Therapy Services Rocky Mountain Therapy Services 4888 S Highland Dr - West Valley - West Valley Jones, Courtney E Slp C Holladay, Ut 84117 3497 W 3500 S 3497 W 3500 S Pcmc Rehab Sandy Phone: (801) 264-9855 West Valley City, Ut 84119 West Valley City, Ut 84119 870 E 9400 S, #112 UT Urban Medicaid Phone: (801) 964-5565 Phone: (801) 964-5565 Sandy, Ut 84094 UT Urban Medicaid UT Urban Medicaid Phone: (801) 571-3081 Wetzel, Dave L Pt C UT Urban Medicaid Balance For Life Center Wortley, Paul G Pt C Speech-Language 291 E 4500 S, #B2 First Med East Physical Therapy Krantz, Amy C Slp C Murray, Ut 84107 1950 E 7000 S Pathology Pcmc - Occupational Therapy Phone: (801) 264-1010 Salt Lake City, Ut 84121 100 N Mario Capecchi Dr Languages Spoken: German Phone: (801) 943-1041 Clerico, Gina Marie Slp C Salt Lake City, Ut 84113 UT Urban Medicaid UT Urban Medicaid 1805 Lone Oak Dr Phone: (801) 715-1498 Draper, Ut 84020 UT Urban Medicaid Wixom, Steven Michael Pt C Wortley, Paul G Pt C Phone: (801) 495-1245 Hand & Orthopedic Rehabilitation Rmts At Firstmed Industrial UT Urban Medicaid Landro, Diana Lucile Slp C Specialists 441 S Redwood Rd Taylorsville Audiology 11762 S State St Salt Lake City, Ut 84104 Condra, Jonel M Slp C 3845 W 4700 S Draper, Ut 84020 Phone: (801) 973-2580 Pcmc Rehab Sandy Taylorsville, Ut 84118 Phone: (801) 501-8359 UT Urban Medicaid 870 E 9400 S, #112 Phone: (801) 840-4360 Languages Spoken: Spanish Sandy, Ut 84094 UT Urban Medicaid UT Urban Medicaid Wortley, Paul G Pt C Phone: (801) 571-3081 Rocky Mountain Therapy UT Urban Medicaid Lobb, Andrea R Slp C Wixom, Steven Michael Pt C 3725 W 4100 S Pcmc Rehab Sandy Hand & Orthopedic Rehabilitation West Valley City, Ut 84120 Costello, Martina H Slp C 870 E 9400 S, #112 Specialists Phone: (801) 679-0123 Pcmc Rehab Sandy Sandy, Ut 84094 5151 S 900 E, #100 UT Urban Medicaid 870 E 9400 S, #112 Phone: (801) 571-3081 Salt Lake City, Ut 84117 Sandy, Ut 84094 UT Urban Medicaid Phone: (801) 261-3321 Wortley, Paul G Pt C Phone: (801) 571-3081 Languages Spoken: Spanish Rocky Mountain Therapy Services UT Urban Medicaid Lobb, Andrea R Slp C UT Urban Medicaid - Firstmed Pcmc Rehab Taylorsville 8822 S Redwood Rd, #E122 Edwards, Natalie Brooke Slp C 3845 W 4700 S Wixom, Steven Michael Pt C West Jordan, Ut 84088 Pcmc Rehab Taylorsville Taylorsville, Ut 84118 Hand & Orthopedic Rehabilitation Phone: (801) 566-7080 3845 W 4700 S Phone: (801) 840-4360 Specialists UT Urban Medicaid Taylorsville, Ut 84118 UT Urban Medicaid 702 E South Temple, #102 Phone: (801) 840-4360 Salt Lake City, Ut 84102 Wortley, Paul G Pt C UT Urban Medicaid Murray, Nancy A Slp C Phone: (801) 328-8535 Rocky Mountain Therapy Services Pcmc Audiology - West Valley Fox, Lori Mcclure Slp C 3845 W 4700 S Languages Spoken: Spanish Pcmc Rehab Sandy UT Urban Medicaid 3497 W 3500 S Taylorsville, Ut 84118 West Valley City, Ut 84119 870 E 9400 S, #112 Phone: (801) 840-4360 Phone: (801) 964-5565 Sandy, Ut 84094 UT Urban Medicaid UT Urban Medicaid Phone: (801) 571-3081 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 150 Salt Lake Ancillary Providers Sevier Murray, Nancy A Aud C Williams, Margaret Slp C Harward, Richard S Ccc-A C Pcmc Audiology Mountain Land Rehabilitation Sanpete County Children With Special Healthcare 3845 W 4700 S 50 E 9000 S Needs Taylorsville, Ut 84118 Sandy, Ut 84070 70 Westview Dr Phone: (801) 840-4360 Phone: (801) 562-0066 Audiology Richfield, Ut 84701 UT Urban Medicaid UT Urban Medicaid Fox, Calvin Brent Ccc-A C Phone: (435) 896-5451 UT Rural Medicaid Murray, Nancy A Slp C Worwood, Kevin B Slp C Audiology Associates Of Slc Pcmc Rehab Salt Lake Pcmc Rehab Taylorsville 1100 S Medical Dr Luekenga Jr, Richard Layne 100 N Mario Capecchi Dr 3845 W 4700 S Mount Pleasant, Ut 84647 Ccc-A C Salt Lake City, Ut 84113 Taylorsville, Ut 84118 Phone: (800) 244-9001 Dixie Hearing & Balance Ctr Phone: (801) 662-4949 Phone: (801) 840-4360 UT Rural Medicaid 145 N 100 E UT Urban Medicaid UT Urban Medicaid Richfield, Ut 84701 Physical Therapy Phone: (435) 688-8991 Murray, Nancy A Aud C Languages Spoken: Spanish Pcmc Rehab Salt Lake San Juan County Howe, Joseph E Pt C UT Rural Medicaid 100 N Mario Capecchi Dr Therapy West Salt Lake City, Ut 84113 13 E Center St Randall, Kurt Dale Ccc-A C Phone: (801) 662-4949 Audiology Gunnison, Ut 84634 Child And Family Eye Care Center UT Urban Medicaid Phone: (435) 528-7575 70 Westview Dr Harward, Richard S Ccc-A C UT Rural Medicaid Richfield, Ut 84701 Nations, Patricia Klotz Slp C Children With Special Healthcare Phone: (435) 896-5451 100 N Mario Capecchi Dr Needs Howe, Joseph E Pt C UT Rural Medicaid Salt Lake City, Ut 84113 117 S Main St Therapy West Phone: (801) 662-4980 Monticello, Ut 84535 59 W 700 S Occupational UT Urban Medicaid Phone: (435) 587-2021 Ephraim, Ut 84627 UT Rural Medicaid Phone: (435) 283-6334 Therapy Rasmussen, Paula J Slp C UT Rural Medicaid Pcmc Audiology Occupational Boomer, Lois Ot C 100 N Mario Capecchi Dr Overly, Dallas Clayton Pt C Children With Special Healthcare Salt Lake City, Ut 84113 Therapy Therapy West Needs Phone: (801) 662-4949 C 13 E Center St 70 Westview Dr UT Urban Medicaid Boomer, Lois Ot Gunnison, Ut 84634 Richfield, Ut 84701 Children With Special Healthcare Phone: (435) 528-7575 Phone: (435) 896-5451 Rasmussen, Paula J Slp C Needs UT Rural Medicaid UT Rural Medicaid Pcmc Audiology 117 S Main St 3845 W 4700 S Monticello, Ut 84535 Overly, Dallas Clayton Pt C Taylorsville, Ut 84118 Phone: (435) 587-2021 Therapy West Physical Therapy Phone: (801) 840-4360 UT Rural Medicaid 59 W 700 S Langford, Jay Mcrae Pt C UT Urban Medicaid Ephraim, Ut 84627 Therapeutic Milestones Physical Therapy Phone: (435) 283-6334 26 E 1000 N, #B Shenk, Kalomyra Myra C Slp C UT Rural Medicaid Richfield, Ut 84701 Pcmc Rehab Taylorsville Ward, Richard T Pt C Phone: (801) 896-5090 3845 W 4700 S Montezuma Creek Community Robinson, Benjamin Ray Pt C UT Rural Medicaid Taylorsville, Ut 84118 Health Center Therapy West Phone: (801) 840-4360 East Hwy 262 1050 S Medical Dr Miles-Wehrli, Teri Ann Pt C UT Urban Medicaid Montezuma Creek, Ut 84534 Mount Pleasant, Ut 84647 Therapeutic Milestones Phone: (435) 651-3291 Phone: (435) 462-0178 26 E 1000 N, #B Stapley, Marcia E Slp C Languages Spoken: Spanish UT Rural Medicaid Richfield, Ut 84701 Hand & Orthopedic Rehabilitation UT Rural Medicaid Phone: (435) 896-5090 Specialists UT Rural Medicaid 5151 S 900 E, #100 Ward, Richard T Pt C Sevier County Salt Lake City, Ut 84117 Mountain Land Rehabilitation Phone: (801) 261-3321 818 N 400 W Speech-Language UT Urban Medicaid Blanding, Ut 84511 Audiology Pathology Phone: (435) 678-3869 Tanner, Allison Rae Slp C Languages Spoken: Spanish Fox, C Brent Aud C Hunt, Roxanne B Slp C Pcmc Rehab Sandy UT Rural Medicaid 1000 N Main St Children With Special Healthcare 870 E 9400 S, #112 Richfield, Ut 84701 Needs Sandy, Ut 84094 Speech-Language Phone: (435) 893-0332 70 Westview Dr Phone: (801) 571-3081 UT Rural Medicaid Richfield, Ut 84701 UT Urban Medicaid Pathology Phone: (435) 896-5451 Fox, Calvin Brent Ccc-A C UT Rural Medicaid Taylor, Helene Mary Slp C Hunt, Roxanne B Slp C Audiology Associates Of Slc Pcmc Rehab Taylorsville Children With Special Healthcare 1100 N Main St 3845 W 4700 S Needs Richfield, Ut 84701 Taylorsville, Ut 84118 117 S Main St Phone: (800) 244-9001 Phone: (801) 840-4360 Monticello, Ut 84535 UT Rural Medicaid UT Urban Medicaid Phone: (435) 587-2021 UT Rural Medicaid White, Linda Rae Slp C 11934 S Cedar Ridge Rd Sandy, Ut 84094 Phone: (801) 576-9606 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 151 Summit UAncillary Providers intah Johnson, Beau Q Pt C Allen, Travis N Pt C Meier, Charles Wade Pt C Summit County Park City Medical Center Meier & Marsh Professional Meier & Marsh Professional 900 Round Valley Dr Therapies Therapies Park City, Ut 84060 1929 N Aaron Dr, #K 1929 N Aaron Dr, #K Occupational Phone: (435) 658-7000 Tooele, Ut 84074 Tooele, Ut 84074 Therapy UT Rural Medicaid Phone: (435) 843-1311 Phone: (435) 843-1311 UT Rural Medicaid Languages Spoken: Spanish Elliott, Rhonda Ot C Smith, Blair A Pt C UT Rural Medicaid Park City Medical Center - Park City Medical Center Barlett, Steven Brett Pt C Occupational Therapy 900 Round Valley Dr Grantsville Physical Therapy Pagnani, Robert Oliver Pt C 900 Round Valley Dr Park City, Ut 84060 822 E Main St Mountain Land Rehabilitation Park City, Ut 84060 Phone: (435) 658-7000 Grantsville, Ut 84029 29 S Main St Phone: (435) 658-7000 UT Rural Medicaid Phone: (435) 882-1263 Tooele, Ut 84074 UT Rural Medicaid Languages Spoken: Spanish Phone: (435) 843-7466 Toole, Douglas Boyd Pt C UT Rural Medicaid Languages Spoken: Spanish Labree-Berg, Michele Ot C Toole & Associates UT Rural Medicaid Park City Medical Center 142 S 50 E Cracroft, Kimberly Ann Pt C 900 Round Valley Dr Coalville, Ut 84017 Mountain Land Rehabilitation Ploehn, Nathan Pt C Park City, Ut 84060 Phone: (435) 336-9355 220 Millpond Rd, #109 Mountain Land Rehabilitation Phone: (435) 658-7000 UT Rural Medicaid Tooele, Ut 84074 29 S Main St UT Rural Medicaid Phone: (435) 882-4144 Tooele, Ut 84074 Wade, Rodney Edward Pt C UT Rural Medicaid Phone: (435) 843-7466 Papi-Baker, Kathleen M Ot C Peak Performance Pt UT Rural Medicaid Park City Medical Center 23 S Main St Hardman, Paisley Alene Pt C 900 Round Valley Dr Coalville, Ut 84017 Mountain Land Rehabilitation Park City, Ut 84060 Phone: (435) 336-5440 220 Millpond Rd, #109 Uintah County Phone: (435) 658-7000 UT Rural Medicaid Tooele, Ut 84074 UT Rural Medicaid Phone: (435) 882-4144 Wade, Rodney Edward Pt C UT Rural Medicaid Audiology Williams, Megan B Ot C Peak Performance Pt Park City Medical Center 6531 N Landmark Dr, #E Hardman, Paisley Alene Pt C Fox, Calvin Brent Ccc-A C 900 Round Valley Dr Kimball Junction, Ut 84098 Mountain Land Rehabilitation Audiology Associates Of Slc Park City, Ut 84060 Phone: (435) 649-7335 29 S Main St 38 E 100 N Phone: (435) 658-7000 UT Rural Medicaid Tooele, Ut 84074 Vernal, Ut 84078 UT Rural Medicaid Phone: (435) 843-7466 Phone: (800) 244-9001 Wade, Rodney Edward Pt C UT Rural Medicaid UT Rural Medicaid Williams, Megan B Ot C Toole & Associates 1850 Sidewinder Dr, #310 142 S 50 E Marsh, Troy B Pt C Harward, Richard S Ccc-A C Park City, Ut 84060 Coalville, Ut 84017 Meier & Marsh Professional Children With Special Healthcare Phone: (435) 647-5955 Phone: (435) 336-9355 Therapies Needs UT Rural Medicaid UT Rural Medicaid 1226 N Main St 147 E Main St Tooele, Ut 84074 Vernal, Ut 84078 Physical Therapy Watts, Jan Pt C Phone: (435) 843-1311 Phone: (435) 781-5475 Park City Medical Center UT Rural Medicaid UT Rural Medicaid Child, Bryan Francis Pt C 900 Round Valley Dr Heiden Orthopedics Park City, Ut 84060 Marsh, Troy B Pt C Occupational 2200 Park Ave, Bldg D #100 Phone: (435) 658-7000 Meier & Marsh Professional Park City, Ut 84060 UT Rural Medicaid Therapies Therapy Phone: (435) 615-8822 1929 N Aaron Dr, #K Boomer, Lois Ot C UT Rural Medicaid Tooele, Ut 84074 Tooele County Phone: (435) 843-1311 Children With Special Healthcare Hatch, S Marlene Pt C UT Rural Medicaid Needs Park City Medical Center 147 E Main St 900 Round Valley Dr Audiology Marton, Debra Pt C Vernal, Ut 84078 Park City, Ut 84060 Mountain Land Rehabilitation Phone: (435) 781-5475 Jensen, Heather Jo Ccc-A C 220 Millpond Rd, #109 UT Rural Medicaid Phone: (435) 658-7000 House Of Hearing UT Rural Medicaid Tooele, Ut 84074 23 E Vine St Phone: (435) 882-4144 Physical Therapy Horner, Byron Harvey Pt C Tooele, Ut 84074 UT Rural Medicaid Summit Physical Therapy & Sports Phone: (435) 882-8383 Kulland, Jerry D Pt C Medicine UT Rural Medicaid Marton, Debra Pt C Ashley Creek Physical Therapy 228 W State Rd, #248 Mountain Land Rehabilitation 595 N Vernal Ave Kamas, Ut 84036 Physical Therapy 29 S Main St Vernal, Ut 84078 Phone: (435) 783-2659 Tooele, Ut 84074 Phone: (435) 789-0022 UT Rural Medicaid Allen, Travis N Pt C Phone: (435) 843-7466 UT Rural Medicaid Meier & Marsh Professional UT Rural Medicaid Hughes, Enid Pt C Therapies Park City Medical Center 1226 N Main St Meier, Charles Wade Pt C 900 Round Valley Dr Tooele, Ut 84074 Meier & Marsh Professional Park City, Ut 84060 Phone: (435) 843-1311 Therapies Phone: (435) 658-7000 UT Rural Medicaid 1226 N Main St UT Rural Medicaid Tooele, Ut 84074 Phone: (435) 843-1311 Languages Spoken: Spanish UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 152 Uintah UAncillary Providers tah Speech-Language Sacco, Robert C Ccc-A C Austin, Todd W Pt C Branch, Jeremy Pt C 700 W 800 N, #340 Saratoga Physical Therapy & Spine Orthopedic & Sports Pathology Orem, Ut 84057 Sports Medicine Physical Therapy Hunt, Roxanne B Slp C Phone: (801) 714-6401 24 W Sergent Court Dr, #204 1067 N 500 W, #B Children With Special Healthcare Languages Spoken: Spanish Saratoga Springs, Ut 84045 Provo, Ut 84604 Needs UT Urban Medicaid Phone: (801) 766-0103 Phone: (801) 370-9981 147 E Main St UT Urban Medicaid Languages Spoken: Dutch UT Urban Medicaid Vernal, Ut 84078 Chiropractor Averett, Darren H Pt C Phone: (435) 781-5475 Bowers, Marc V Dc C Physical & Sports Therapy Services Branch, Jeremy Pt C UT Rural Medicaid Chiropractic Care & Massage 15 S 1000 E, #25 Spine Orthopedic & Sports 777 N 500 W, #205 Payson, Ut 84651 Physical Therapy Utah County Provo, Ut 84601 Phone: (801) 465-5610 3303 N University Ave Phone: (801) 377-0898 UT Urban Medicaid Provo, Ut 84604 UT Urban Medicaid Phone: (801) 373-7438 Audiology Bagley, Dougals K Pt C Languages Spoken: Dutch Physical & Sports Therapy Services UT Urban Medicaid Daniels, Gary Chad Ccc-A C Dietitian 684 W 800 N, #110 Wasatch Audiology Cushing, Rebecca E Rd C Orem, Ut 84057 Buchanan, Stephen J Pt C 2545 N Canyon Rd, #100 Cuc - Provo - Wellness Institute Phone: (801) 224-2250 Dry Creek Physical Therapy & Provo, Ut 84604 UT Urban Medicaid Wellness 1055 N 500 W, #122 3300 N Running Creek Way, Bldgb Phone: (801) 373-1108 Provo, Ut 84604 Bagley, Douglas K Pt C UT Urban Medicaid #150 Phone: (801) 812-5400 Cuc - Provo - Orthopedic Lehi, Ut 84043 Dansie, Joseph Evans Ccc-A C UT Urban Medicaid Specialty Ctr Phone: (801) 766-4244 Peak Ent Associates 1055 N 500 W, #121 Languages Spoken: Russian 1055 N 300 W, #401 Occupational Provo, Ut 84604 UT Urban Medicaid Provo, Ut 84604 Therapy Phone: (801) 373-7350 Phone: (801) 357-7499 UT Urban Medicaid Budge, Edward H Pt C Boomer, Lois Ot D Peak Physical Therapy & Sports Languages Spoken: Spanish Beagley, Alysa C Pt C UT Urban Medicaid Children With Special Healthcare Medicine Needs Lehi Physical Therapy 77 S 400 W Fox, Calvin Brent Ccc-A C 1034 N 500 W 123 N Center St Spanish Fork, Ut 84660 Audiology Associates Of Slc Provo, Ut 84604 Lehi, Ut 84043 Phone: (801) 798-1626 130 W Main St, #E Phone: (801) 357-7627 Phone: (801) 766-8460 UT Urban Medicaid Lehi, Ut 84043 UT Urban Medicaid UT Urban Medicaid Bushnell, Matthew Frampton Phone: (800) 244-9001 Bliss, Brandon Kenneth Pt C UT Urban Medicaid Boomer, Lois Ot D Pt C Children With Special Healthcare Orem Sports Medicine Center Orem Sports Medicine Center Harward, Richard S Ccc-A D Needs 252 N State St 252 N State St Children With Special Healthcare 151 S University Ave Orem, Ut 84057 Orem, Ut 84057 Needs Provo, Ut 84601 Phone: (801) 226-0599 Phone: (801) 226-0599 1034 N 500 W Phone: (801) 370-8764 Languages Spoken: UT Urban Medicaid Provo, Ut 84604 UT Urban Medicaid Portuguese, Spanish Phone: (801) 357-7627 UT Urban Medicaid Bushnell, Matthew Frampton UT Urban Medicaid Pt C Physical Therapy Bliss, Brandon Kenneth Pt C Spine Orthopedic & Sports Harward, Richard S Ccc-A D Spine Orthopedic & Sports Physical Therapy Adams, Lynn George Pt C Physical Therapy Children With Special Healthcare South Valley Physical Therapy 1067 N 500 W, #B Needs 1067 N 500 W, #B Provo, Ut 84604 867 S 500 W Provo, Ut 84604 151 S University Ave Payson, Ut 84651 Phone: (801) 370-9981 Provo, Ut 84601 Phone: (801) 370-9981 UT Urban Medicaid Phone: (801) 465-7979 Languages Spoken: Phone: (801) 370-8764 UT Urban Medicaid UT Urban Medicaid Portuguese, Spanish Bushnell, Ned B Pt C Allen, Dennis R Pt C UT Urban Medicaid Orem Sports Medicine Center Sacco, Robert C Ccc-A C 252 N State St Cuc - Provo - Sports Fitness/ Bliss, Brandon Kenneth Pt C Family Audiology & Hearing Physical Therapy Orem, Ut 84097 Services Spine Orthopedic & Sports Phone: (801) 226-0599 1055 N 500 W, #122 Physical Therapy 2230 N University Pkwy Provo, Ut 84604 UT Urban Medicaid Provo, Ut 84604 3303 N University Ave Phone: (801) 429-0610 Provo, Ut 84604 C Phone: (801) 375-3175 UT Urban Medicaid Bushnell, Ned B Pt Languages Spoken: Spanish Phone: (801) 373-7438 Spine Orthopedic & Sports UT Urban Medicaid Anderson, James N Pt C Languages Spoken: Physical Therapy Cuc - Provo - Sports Fitness/ Portuguese, Spanish 1067 N 500 W, #B Sacco, Robert C Ccc-A C Physical Therapy UT Urban Medicaid Provo, Ut 84604 Family Audiology & Hearing Phone: (801) 370-9981 1055 N 500 W, #122 Branch, Jeremy Pt C Services Provo, Ut 84604 UT Urban Medicaid 39 Professional Way, #1 Orem Sports Medicine Center Phone: (801) 429-0610 252 N State St Payson, Ut 84651 UT Urban Medicaid Phone: (801) 465-4805 Orem, Ut 84057 Languages Spoken: Spanish Phone: (801) 226-0599 UT Urban Medicaid Languages Spoken: Dutch UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 153 Utah UAncillary Providers tah Bushnell, Ned B Pt C Littledike, Jason Stanley Pt C Mendenhall, Wendell B Pt C Peterson, Brian K Pt C Spine Orthopedic & Sports Peak Physical Therapy & Sports Professional Physical Therapy & Westlake Physical Therapy Physical Therapy Medicine Sports Medicine 1305 N Commerce Dr, #100 3303 N University Ave 77 S 400 W 680 E Main St, #101 Saratoga Springs, Ut 84045 Provo, Ut 84604 Spanish Fork, Ut 84660 Lehi, Ut 84043 Phone: (801) 768-3105 Phone: (801) 373-7438 Phone: (801) 798-1626 Phone: (801) 768-2723 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid Peterson, Mark H Pt C Butler, Brent R Pt C Lybbert, Eric D Pt C Orem Sports Medicine Center Cuc - Provo - Sports Fitness/ Lehi Physical Therapy Mortensen, Bartley Brett Pt C 252 N State St Physical Therapy 123 N Center St Cuc - Provo - Sports Fitness/ Orem, Ut 84057 1055 N 500 W, #122 Lehi, Ut 84043 Physical Therapy Phone: (801) 226-0599 Provo, Ut 84604 Phone: (801) 766-8460 1055 N 500 W, #122 UT Urban Medicaid Phone: (801) 429-0610 UT Urban Medicaid Provo, Ut 84604 UT Urban Medicaid Phone: (801) 429-0610 Peterson, Mark H Pt C Lybbert, Eric D Pt C Languages Spoken: Danish Spine Orthopedic & Sports Hill, Von Oberhansley Pt C Westlake Physical Therapy UT Urban Medicaid Physical Therapy Professional Therapy & 1305 N Commerce Dr, #100 1067 N 500 W, #B Rehabilitation Saratoga Springs, Ut 84045 Newbold, Kirk Wallace Pt C Provo, Ut 84604 77 S 400 W Phone: (801) 768-3105 Physical & Sports Therapy Services Phone: (801) 370-9981 Spanish Fork, Ut 84660 UT Urban Medicaid 380 E 400 S UT Urban Medicaid Phone: (801) 798-1626 Springville, Ut 84663 UT Urban Medicaid Mangum, Brad A Pt C Phone: (801) 489-5669 Peterson, Mark H Pt C Physical & Sports Therapy Services Languages Spoken: Spine Orthopedic & Sports Horrocks, Bradley D Pt C 1000 E Us Hwy 6 Portuguese, Spanish Physical Therapy Mountain Land Rehabilitation Payson, Ut 84651 UT Urban Medicaid 3303 N University Ave 94 W Main St, #1 Phone: (801) 465-7070 Provo, Ut 84604 Santaquin, Ut 84655 UT Urban Medicaid Orrock, Steven J Pt C Phone: (801) 373-7438 Phone: (801) 754-5700 Professional Physical Therapy & UT Urban Medicaid Languages Spoken: Spanish Mangum, Brad A Pt C Sports Medicine UT Urban Medicaid Physical & Sports Therapy Services 1325 S 800 E, #215 Robbins, Steven Edward Pt C 15 S 1000 E, #25 Orem, Ut 84097 Peak Physical Therapy & Sports Lambert, Brian Ballif Pt C Payson, Ut 84651 Phone: (801) 373-1053 Medicine Physical & Sports Therapy Services Phone: (801) 465-5610 Languages Spoken: Chinese, 77 S 400 W 380 E 400 S UT Urban Medicaid Mandarin Spanish Fork, Ut 84660 Springville, Ut 84663 UT Urban Medicaid Phone: (801) 798-1626 Phone: (801) 489-5669 Mcewan, Joseph K Pt C UT Urban Medicaid UT Urban Medicaid Cuc - Provo - Sports Fitness/ Orrock, Steven J Pt C Physical Therapy Professional Physical Therapy & Roberson, Marvin Roland Pt C Lambert, Brian Ballif Pt C 1055 N 500 W, #122 Sports Medicine Professional Physical Therapy & Physical & Sports Therapy Services Provo, Ut 84604 155 W Canyon Crest Rd, #100 Sports Medicine 684 W 800 N, #110 Phone: (801) 429-0610 Alpine, Ut 84004 1325 S 800 E, #215 Orem, Ut 84057 UT Urban Medicaid Phone: (801) 756-7061 Orem, Ut 84097 Phone: (801) 224-2250 Languages Spoken: Chinese, Phone: (801) 373-1053 UT Urban Medicaid Mckell, John S Pt C UT Urban Medicaid Mckell Therapy Group Mandarin Lillywhite, Daniel Ross Pt C 504 E 770 N UT Urban Medicaid Roberson, Marvin Roland Pt C Orem Sports Medicine Center Orem, Ut 84097 Orrock, Steven J Pt C Professional Physical Therapy & 252 N State St Phone: (801) 224-2177 Professional Physical Therapy & Sports Medicine Orem, Ut 84057 Languages Spoken: Spanish Sports Medicine 155 W Canyon Crest Rd, #100 Phone: (801) 226-0599 UT Urban Medicaid 680 E Main St, #101 Alpine, Ut 84004 UT Urban Medicaid Lehi, Ut 84043 Phone: (801) 756-7061 Mendenhall, Wendell B Pt C UT Urban Medicaid Lillywhite, Daniel Ross Pt C Professional Physical Therapy & Phone: (801) 768-2723 Spine Orthopedic & Sports Sports Medicine Languages Spoken: Chinese, Roberson, Marvin Roland Pt C Physical Therapy 1325 S 800 E, #215 Mandarin Professional Physical Therapy & 1067 N 500 W, #B Orem, Ut 84097 UT Urban Medicaid Sports Medicine Provo, Ut 84604 Phone: (801) 373-1053 Pack, Roger E Pt C 680 E Main St, #101 Phone: (801) 370-9981 Languages Spoken: Spanish Utah Valley Pain Management Lehi, Ut 84043 UT Urban Medicaid UT Urban Medicaid 412 W 800 N Phone: (801) 768-2723 UT Urban Medicaid Lillywhite, Daniel Ross Pt C Mendenhall, Wendell B Pt C Orem, Ut 84057 Spine Orthopedic & Sports Professional Physical Therapy & Phone: (801) 235-7246 Schultz, Craig Alan Pt C Physical Therapy Sports Medicine UT Urban Medicaid Physical & Sports Therapy Services 3303 N University Ave 155 W Canyon Crest Rd, #100 Peterson, Brian K Pt C 380 E 400 S Provo, Ut 84604 Alpine, Ut 84004 Lehi Physical Therapy Springville, Ut 84663 Phone: (801) 373-7438 Phone: (801) 756-7061 123 N Center St Phone: (801) 489-5669 UT Urban Medicaid Languages Spoken: Spanish Lehi, Ut 84043 UT Urban Medicaid UT Urban Medicaid Phone: (801) 766-8460 Schultz, Craig Alan Pt C UT Urban Medicaid Physical & Sports Therapy Services 684 W 800 N, #110 Orem, Ut 84057 Phone: (801) 224-2250 UT Urban Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 154 Utah WAncillary Providers ashington Schulz, Shaun S Pt C Taylor, Rogan L Pt C Harward, Richard S Ccc-A C Occupational Beyond Limits Physical Therapy Spine Orthopedic & Sports Children With Special Healthcare 3726 E Campus Dr, #H Physical Therapy Needs Therapy Eagle Mountain, Ut 84005 3303 N University Ave 620 S 400 E Boomer, Lois Ot C Phone: (801) 789-7333 Provo, Ut 84604 St George, Ut 84770 Children With Special Healthcare Languages Spoken: German Phone: (801) 373-7438 Phone: (435) 986-2559 Needs UT Urban Medicaid Languages Spoken: Korean UT Rural Medicaid 620 S 400 E, #400 UT Urban Medicaid Shelton, Wayne Lewis Pt C Luekenga Jr, Richard Layne St George, Ut 84770 317 W Center St, #203 Thorpe, Greg R Pt C Ccc-A C Phone: (435) 986-2559 Spanish Fork, Ut 84660 Physical & Sports Therapy Services Dixie Hearing & Balance Ctr UT Rural Medicaid Phone: (801) 798-9100 380 E 400 S 630 S 400 E, #103 Christensen, Quinn H Ot C UT Urban Medicaid Springville, Ut 84663 St George, Ut 84770 Mountain Land Outpatient Phone: (801) 489-5669 Phone: (435) 688-8991 Sumsion, William G Pt C Services UT Urban Medicaid Languages Spoken: Spanish 754 S Main St, #4 Physical & Sports Therapy Services UT Rural Medicaid 380 E 400 S Speech-Language St George, Ut 84770 Springville, Ut 84663 Manwaring, Jeffrey A Ccc-A C Phone: (435) 673-0191 Phone: (801) 489-5669 Pathology Intermountain Audiology UT Rural Medicaid UT Urban Medicaid 515 S 300 E, #109 Christensen, Quinn H Ot C Boucher, Kurtt Russell Slp C St George, Ut 84770 Sumsion, William G Pt C Physical & Sports Therapy Services Mountain Land Rehabilitation Phone: (435) 688-2456 324 N 1680 E Physical & Sports Therapy Services 15 S 1000 E, #25 UT Rural Medicaid 684 W 800 N, #110 Payson, Ut 84651 St George, Ut 84790 Orem, Ut 84057 Phone: (801) 465-5610 Phone: (435) 674-1269 Phone: (801) 224-2250 UT Urban Medicaid Chiropractor UT Rural Medicaid UT Urban Medicaid Thomas, Curtis G Aud C Labrum, I Clark Dc C Dower, Kimber Lee Ot C Taylor, Kimball Rogan Pt C Peak Otolaryngology 415 W Tabernacle St Riverside Rehab Orem Sports Medicine Center 1055 N 300 W, #401 St George, Ut 84770 1449 N 1400 W, #21 252 N State St Provo, Ut 84604 Phone: (435) 673-2700 St George, Ut 84770 Provo, Ut 84057 Phone: (801) 357-7499 Languages Spoken: German Phone: (435) 632-3423 Phone: (801) 226-0599 UT Urban Medicaid UT Rural Medicaid UT Rural Medicaid Languages Spoken: Genetic Counselor Edwards, Matthew G Ot C Portuguese Wasatch County Drmc Rehab Services UT Urban Medicaid Dunn, Katherine R Lgc C 652 S Medical Center Dr, #Ll10 Taylor, Kimball Rogan Pt C 1380 E Medical Center Dr St George, Ut 84790 Spine Orthopedic & Sports Physical Therapy St George, Ut 84790 Phone: (435) 251-2250 Physical Therapy Phone: (435) 251-1000 UT Rural Medicaid Clyde, Willis K Pt C UT Rural Medicaid 1067 N 500 W, #B Heber Valley Physical Therapy Gottfredson, Gary L Ot C Provo, Ut 84604 19 N Main St Dunn, Katherine R Lgc C Drmc Rehab Services Phone: (801) 370-9981 Heber City, Ut 84032 544 S 400 E 652 S Medical Center Dr, #Ll10 Languages Spoken: Phone: (435) 654-0804 St George, Ut 84770 St George, Ut 84790 Portuguese UT Rural Medicaid Phone: (435) 688-4000 Phone: (435) 251-2250 UT Urban Medicaid UT Rural Medicaid UT Rural Medicaid

Taylor, Kimball Rogan Pt C Washington County Hafen, L Brent Lgc C Hugunin, Ted A Ot C Spine Orthopedic & Sports Drmc Maternal Fetal Medicine Drmc Rehab Services Physical Therapy Dept 652 S Medical Center Dr, #Ll10 3303 N University Ave Audiology 1380 E Medical Center Dr St George, Ut 84790 Provo, Ut 84604 St George, Ut 84790 Phone: (435) 251-2250 Phone: (801) 373-7438 Forbes, Kimball B Ccc-A C Phone: (435) 251-1000 UT Rural Medicaid Languages Spoken: Deseret Audiology & Hearing UT Rural Medicaid Portuguese 1490 E Foremaster Dr, #360 Humphrey, Kerryann Ot C UT Urban Medicaid St George, Ut 84790 Hafen, L Brent Lgc C Drmc Rehab Services Phone: (435) 688-8866 Intermountain Dixie Maternal 652 S Medical Center Dr, #Ll10 Taylor, Rogan L Pt C Languages Spoken: Spanish Fetal Medicine St George, Ut 84790 Orem Sports Medicine Center UT Rural Medicaid 544 S 400 E Phone: (435) 251-2250 252 N State St St George, Ut 84770 UT Rural Medicaid Orem, Ut 84057 Greer, Lance F Ccc-A C Phone: (435) 688-4770 Phone: (801) 226-0599 L & S Hearing Healthcare Corp UT Rural Medicaid Moe, Lorraine G Ot C Languages Spoken: Korean 1490 E Foremaster Dr, #360 Drmc Rehab Services UT Urban Medicaid St George, Ut 84790 Hulinsky, Rebecca Becky S Lgc C 652 S Medical Center Dr, #Ll10 Phone: (435) 688-8866 Intermountain Dixie Maternal St George, Ut 84790 Taylor, Rogan L Pt C Languages Spoken: Italian Fetal Medicine Phone: (435) 251-2250 Spine Orthopedic & Sports UT Rural Medicaid 544 S 400 E UT Rural Medicaid Physical Therapy St George, Ut 84770 1067 N 500 W, #B Phone: (435) 688-4770 Munson, Scott S Ot C Provo, Ut 84604 UT Rural Medicaid Drmc Rehab Services Phone: (801) 370-9981 652 S Medical Center Dr, #Ll10 Languages Spoken: Korean St George, Ut 84790 UT Urban Medicaid Phone: (435) 251-2250 UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 155 Washington WAncillary Providers ashington Munson, Scott S Ot C Farrer, Rhett Paul Pt C Johnson, Richard J Pt C Ogilvie, Paul Mark Pt C Intermountain Hurricane Valley Drmc Rehab Services Advanced Physical Therapy Drmc Rehab Services Clinic 652 S Medical Center Dr, #Ll10 484 N Mall Dr 652 S Medical Center Dr, #Ll10 75 N 2260 W St George, Ut 84790 St George, Ut 84790 St George, Ut 84790 Hurricane, Ut 84737 Phone: (435) 251-2250 Phone: (435) 652-6657 Phone: (435) 251-2250 Phone: (435) 635-6480 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Farrer, Rhett Paul Pt C Johnson, Richard J Pt C Reynolds, Joshua L Pt C Summit Physical Therapy Advanced Physical Therapy Drmc Rehab Services Physical Therapy 1532 E 1450 S 545 W State St, #3 652 S Medical Center Dr, #Ll10 Beck, Virgil C Pt C St George, Ut 84790 Hurricane, Ut 84737 St George, Ut 84790 Drmc Rehab Services Phone: (435) 251-4545 Phone: (435) 635-7994 Phone: (435) 251-2250 652 S Medical Center Dr, #Ll10 UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid St George, Ut 84790 Gillespie, Daniel Scott Pt C Jorgensen, Colbie J Pt C Rolfe, Jack Wynn Pt C Phone: (435) 251-2250 Drmc Rehab Services Advanced Physical Therapy Mountain Land Rehabilitation UT Rural Medicaid 652 S Medical Center Dr, #Ll10 1490 E Foremaster Dr, #110 324 N 1680 E Bennett, Steven Clark Pt C St George, Ut 84790 St George, Ut 84790 St George, Ut 84790 Mountain Land Outpatient Phone: (435) 251-2250 Phone: (435) 652-4455 Phone: (435) 674-1269 Services UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid 754 S Main St, #4 Gubler, Troy Cal Pt C Jorgensen, Colbie J Pt C Schiwal, Lacy J Pt C St George, Ut 84770 Gubler’s Physical Therapy Advanced Physical Therapy Drmc Rehab Services Phone: (435) 673-0191 68 S 700 W 484 N Mall Dr 652 S Medical Center Dr, #Ll10 UT Rural Medicaid Hurricane, Ut 84737 St George, Ut 84790 St George, Ut 84790 Bennett, Steven Clark Pt C Phone: (435) 635-9333 Phone: (435) 652-6657 Phone: (435) 251-2250 Mountain Land Rehabilitation UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid 324 N 1680 E Harward, Roger J Pt C Jorgensen, Colbie J Pt C Sparks, Jonathan L Pt C St George, Ut 84790 Advanced Physical Therapy Advanced Physical Therapy Drmc Rehab Services Phone: (435) 674-1269 1490 E Foremaster Dr, #110 545 W State St, #3 652 S Medical Center Dr, #Ll10 UT Rural Medicaid St George, Ut 84790 Hurricane, Ut 84737 St George, Ut 84790 Carey, Sean W Pt C Phone: (435) 652-4455 Phone: (435) 635-7994 Phone: (435) 251-2250 Drmc Rehab Services UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid 652 S Medical Center Dr, #Ll10 Hugunin, Jane A Pt C Mccausland, William Luke Pt C Terry, Kirk L Pt C St George, Ut 84790 Drmc Rehab Services Dixie Regional Medical Center Mountain Land Rehabilitation Phone: (435) 251-2250 652 S Medical Center Dr, #Ll10 652 S Medical Center Dr 1404 W Sun River Pkwy, #100 UT Rural Medicaid St George, Ut 84790 St George, Ut 84130 St George, Ut 84790 Carey, Sean W Pt C Phone: (435) 251-2250 Phone: (435) 251-2250 Phone: (435) 767-9094 Intermountain Hurricane Valley UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Clinic Jackson, Kelly James Pt C Meek, Michael B Pt C Terry, Kirk L Pt C 75 N 2260 W Drmc Rehab Services Drmc Rehab Services Mountain Land Rehabilitation Hurricane, Ut 84737 652 S Medical Center Dr, #Ll10 652 S Medical Center Dr, #Ll10 736 S 900 E, #B101 Phone: (435) 635-6480 St George, Ut 84790 St George, Ut 84790 St George, Ut 84790 UT Rural Medicaid Phone: (435) 251-2250 Phone: (435) 251-2250 Phone: (435) 673-2781 Daniels, Ronald Kolby Pt C UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Drmc - Physical Therapy Johnson, Benjamin John Pt C Mendenhall, Ronnie L Pt C Tomlinson, Stephan Jason Pt C 1380 E Medical Center Dr Advanced Physical Therapy Mountain Land Rehabilitation Sunset Physical Therapy St George, Ut 84790 1490 E Foremaster Dr, #110 754 S Main St, #4 1812 W Sunset Blvd, #17 Phone: (435) 251-2250 St George, Ut 84790 St George, Ut 84770 St George, Ut 84770 UT Rural Medicaid Phone: (435) 652-4455 Phone: (435) 673-0191 Phone: (435) 652-9188 Dumitru, Samantha Pt C Languages Spoken: Spanish UT Rural Medicaid UT Rural Medicaid UT Rural Medicaid Drmc Rehab Services Mendenhall, Troy Lynn Pt C Tomlinson, Stephen Jason Pt C 652 S Medical Center Dr, #Ll10 Johnson, Benjamin John Pt C Drmc Rehab Services Southern Utah Physical Therapy St George, Ut 84790 Advanced Physical Therapy 652 S Medical Center Dr, #Ll10 1490 E Foremaster Dr, #260 Phone: (435) 251-2250 484 N Mall Dr St George, Ut 84790 St George, Ut 84790 UT Rural Medicaid St George, Ut 84790 Phone: (435) 251-2250 Phone: (435) 652-9188 Esplin, Dave C Pt C Phone: (435) 652-6657 UT Rural Medicaid UT Rural Medicaid Drmc Rehab Services Languages Spoken: Spanish UT Rural Medicaid Mills, Mark A Pt C Webb, Adam Boyd Pt C 652 S Medical Center Dr, #Ll10 Drmc Rehab Services Mountain Land Outpatient St George, Ut 84790 Johnson, Richard J Pt C 652 S Medical Center Dr, #Ll10 Services Phone: (435) 251-2250 Advanced Physical Therapy St George, Ut 84790 575 S 200 E, #2 UT Rural Medicaid 1490 E Foremaster Dr, #110 Phone: (435) 251-2250 Ivins, Ut 84738 Ettinger, Michael Locke Pt C St George, Ut 84790 UT Rural Medicaid Phone: (435) 673-0191 Drmc Rehab Services Phone: (435) 652-4455 UT Rural Medicaid 652 S Medical Center Dr, #Ll10 UT Rural Medicaid St George, Ut 84790 Phone: (435) 251-2250 UT Rural Medicaid CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 156 Washington WAncillary Providers eber Webb, Adam Boyd Pt C Harward, Richard S Ccc-A D Gold, Nephi A Ot D Mountain Land Rehabilitation Wayne County Children With Special Healthcare Ogden Clinic - Harrison Blvd 324 N 1680 E Needs 4650 Harrison Blvd St George, Ut 84790 5475 S 500 E Ogden, Ut 84403 Phone: (435) 674-1269 Physical Therapy Ogden, Ut 84405 Phone: (801) 475-3000 UT Rural Medicaid Howe, Joseph E Pt C Phone: (801) 479-2541 UT Urban Medicaid UT Urban Medicaid Webb, Adam Boyd Pt C Therapy West Gold, Nephi A Ot D Mountain Land Rehabilitation 128 S 300 W Harward, Stephen B Ccc-A C Ogden Clinic - Mountain View 575 S 200 E, #2 Bicknell, Ut 84715 Ogden Audiology Services 1100 W 2700 N Ivins, Ut 84738 Phone: (435) 425-3744 425 E 5350 S, #120 Ogden, Ut 84414 Phone: (435) 674-1269 UT Rural Medicaid Ogden, Ut 84405 Phone: (801) 475-3600 UT Rural Medicaid Overly, Dallas Clayton Pt C Phone: (801) 479-3346 UT Urban Medicaid UT Urban Medicaid Speech-Language Therapy West Gold, Nephi A Ot D 128 S 300 W Mollerup, Jennie Lynn Ccc-A C Ogden Clinic - Physical Therapy Pathology Bicknell, Ut 84715 Hearing Zone 4700 Harrison Blvd Phone: (435) 425-3744 3651 Wall Ave, #1127 Ogden, Ut 84403 Boggs, Elizabeth A Slp C UT Rural Medicaid Ogden, Ut 84405 Phone: (801) 475-3000 Drmc Rehab Services Phone: (801) 612-0202 UT Urban Medicaid 652 S Medical Center Dr, #Ll10 UT Urban Medicaid St George, Ut 84790 Weber County Gold, Nephi A Ot D Phone: (435) 251-2250 Randall, Kurt Dale Ccc-A C Ogden Clinic - Physical Therapy 2 UT Rural Medicaid Child And Family Eye Care Center 1186 E 4600 S, #320 Audiology 2540 Washington Blvd Ogden, Ut 84403 Downs, Lindsay Slp C Ogden, Ut 84401 Phone: (801) 475-3870 652 S Medical Center Dr, #Ll Bennett, Carolyn Sydnee Ccc-A C Phone: (801) 626-3645 UT Urban Medicaid St George, Ut 84790 UT Urban Medicaid Phone: (435) 251-2250 Hearing Zone Gold, Nephi A Ot D UT Rural Medicaid 3651 Wall Ave, #1127 Turgoose, Aaron Craig Ccc-A C Ogden Clinic - Roy Ogden, Ut 84405 Hearing Zone 3485 W 5200 S Hunt, Roxanne B Slp C Phone: (801) 612-0202 3651 Wall Ave, #1127 Roy, Ut 84067 Children With Special Healthcare UT Urban Medicaid Ogden, Ut 84405 Phone: (801) 475-3000 Needs Boman, Tel S Ccc-A C Phone: (801) 612-0202 UT Urban Medicaid 620 S 400 E, #400 UT Urban Medicaid St George, Ut 84770 Ogden Speech & Hearing Center Gold, Nephi A Ot D Phone: (435) 986-2559 978 E Chambers St, #1 Weber, Larry Dwayne Ccc-A C Ogden Clinic - Skyline UT Rural Medicaid Ogden, Ut 84403 Weber Audiology & Hearing Aids 6112 S 1550 E Phone: (801) 399-5601 2510 Washington Blvd, #100 Ogden, Ut 84405 Jones, Jessica Laura Slp C UT Urban Medicaid Ogden, Ut 84401 Phone: (801) 475-3800 Riverside Rehab Braunberger, Kerry Ccc-A C Phone: (801) 627-3001 UT Urban Medicaid 1449 N 1400 W, #21 UT Urban Medicaid St George, Ut 84770 Ear Technology Gold, Nephi A Ot D 3955 Harrison Blvd, #U7 Phone: (435) 632-3423 Occupational Ogden Clinic - Washington Blvd UT Rural Medicaid Ogden, Ut 84403 4350 Washington Blvd Phone: (801) 339-9955 Therapy Ogden, Ut 84403 Nelson, Breanna R Slp C UT Urban Medicaid Phone: (801) 475-3300 Drmc Rehab Services Boomer, Lois Ot D UT Urban Medicaid 652 S Medical Center Dr, #Ll10 Brewer, Laurel Ccc-A D Children With Special Healthcare St George, Ut 84790 Ogden Clinic - Harrison Blvd Needs Lister, Camille Hulet Ot C Phone: (435) 251-2250 4650 Harrison Blvd 2540 Washington Blvd Wasatch Therapy UT Rural Medicaid Ogden, Ut 84403 Ogden, Ut 84401 5349 S Adams Ave, #A Phone: (801) 479-4621 Phone: (801) 626-3645 Ogden, Ut 84405 Peters, Jane M Slp C UT Urban Medicaid UT Urban Medicaid Phone: (801) 479-9865 Drmc Rehab Services UT Urban Medicaid 652 S Medical Center Dr, #Ll10 Christensen, Lisa K Ccc-A C Boomer, Lois Ot D St George, Ut 84790 Audiology Professionals Children With Special Healthcare Lyman, Marilyn Kay Ot C Phone: (435) 251-2250 3955 Harrison Blvd, #U7 Needs Wasatch Therapy UT Rural Medicaid Ogden, Ut 84403 5475 S 500 E 5349 S Adams Ave, #A Phone: (801) 394-4399 Ogden, Ut 84405 Ogden, Ut 84405 Werrett, Amy C Slp C Languages Spoken: Spanish Phone: (801) 479-2541 Phone: (801) 479-9865 Drmc Rehab Services UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid 652 S Medical Center Dr, #Ll10 St George, Ut 84790 Harward, Richard S Ccc-A D Gold, Nephi A Ot D Maughan, Lori A Ot C Phone: (435) 251-2250 Children With Special Healthcare Ogden Clinic - Canyon View Pcmc Rehab Ogden UT Rural Medicaid Needs 1159 E 12th St 2955 Harrison Blvd, #101 2540 Washington Blvd Ogden, Ut 84404 Ogden, Ut 84403 Woodside, Melissa J Slp C Ogden, Ut 84401 Phone: (801) 475-3700 Phone: (801) 395-2634 Drmc Rehab Services Phone: (801) 626-3645 UT Urban Medicaid UT Urban Medicaid 652 S Medical Center Dr, #Ll10 UT Urban Medicaid St George, Ut 84790 Phone: (435) 251-2250 UT Rural Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 157 Weber WAncillary Providers eber Oversteg, Mona D Ot C Cresswell, Ashlee Dawn Pt C Goff, Nathan Smith Pt D Lane, Steve Patrick Pt D 1771 Doxey St Wasatch Therapy Ogden Clinic - Physical Therapy Ogden Clinic - Harrison Blvd Ogden, Ut 84403 5349 S Adams Ave, #A 4700 Harrison Blvd 4650 Harrison Blvd Phone: (801) 564-8330 Ogden, Ut 84405 Ogden, Ut 84403 Ogden, Ut 84403 UT Urban Medicaid Phone: (801) 479-9865 Phone: (801) 475-3000 Phone: (801) 475-3000 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Robinson, Tera C Ot C Pcmc Rehab Ogden Duft, Sherri Pt C Goff, Nathan Smith Pt D Lane, Steve Patrick Pt D 2955 Harrison Blvd, #101 Sundance Physical Therapy Ogden Clinic - Physical Therapy 2 Ogden Clinic - Mountain View Ogden, Ut 84403 2701 University Cir 1186 E 4600 S, #320 1100 W 2700 N Phone: (801) 395-2634 Ogden, Ut 84408 Ogden, Ut 84403 Ogden, Ut 84414 UT Urban Medicaid Phone: (801) 626-7712 Phone: (801) 475-3870 Phone: (801) 475-3600 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Stanley, Sherman D Ot D Wasatch Therapy Duft, Sherri Pt C Goff, Nathan Smith Pt D Lane, Steve Patrick Pt D 5349 S Adams Ave, #A Sundance Physical Therapy Farr Ogden Clinic - Roy Ogden Clinic - Physical Therapy Ogden, Ut 84405 West 3485 W 5200 S 4700 Harrison Blvd Phone: (801) 479-9865 2850 N 2000 W, #204 Roy, Ut 84067 Ogden, Ut 84403 UT Urban Medicaid Ogden, Ut 84404 Phone: (801) 475-3000 Phone: (801) 475-7010 Phone: (801) 731-5421 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Physical Therapy Goff, Nathan Smith Pt D Lane, Steve Patrick Pt D Anderson, Mary Ann O Pt C Felt, James G Pt C Ogden Clinic - Skyline Ogden Clinic - Physical Therapy 2 Pcmc Rehab Ogden Felt Mountain Land 6112 S 1550 E 1186 E 4600 S, #320 2955 Harrison Blvd, #101 5734 S 1475 E Ogden, Ut 84405 Ogden, Ut 84403 Ogden, Ut 84403 Ogden, Ut 84403 Phone: (801) 475-3800 Phone: (801) 475-3870 Phone: (801) 395-2634 Phone: (801) 475-7628 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Goff, Nathan Smith Pt D Lane, Steve Patrick Pt D Askins, Sally M Pt C Frinkman, Pamela L Pt C Ogden Clinic - Washington Blvd Ogden Clinic - Roy Wasatch Therapy Sundance Physical Therapy 4350 Washington Blvd 3485 W 5200 S 5349 S Adams Ave, #A 2701 University Cir Ogden, Ut 84403 Roy, Ut 84067 Ogden, Ut 84405 Ogden, Ut 84408 Phone: (801) 475-3300 Phone: (801) 475-3000 Phone: (801) 479-9865 Phone: (801) 626-7712 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Hall, John Pt C Lane, Steve Patrick Pt D Black, Robert Grant Pt C Frinkman, Pamela L Pt C North View Physical Therapy And Ogden Clinic - Skyline Wasatch Therapy Sundance Physical Therapy Farr Industrial Care 6112 S 1550 E 5349 S Adams Ave, #A West 349 12th St Ogden, Ut 84405 Ogden, Ut 84405 2850 N 2000 W, #204 Ogden, Ut 84404 Phone: (801) 475-3800 Phone: (801) 479-9865 Ogden, Ut 84404 Phone: (801) 393-0900 UT Urban Medicaid Languages Spoken: Danish Phone: (801) 731-5421 UT Urban Medicaid UT Urban Medicaid Lane, Steve Patrick Pt D UT Urban Medicaid Henderson, Trent C Pt C Ogden Clinic - Washington Blvd Bouck, Julie A Pt C Gilbert, Dennis Tracy Pt C Performance West Physical 4350 Washington Blvd Pcmc Rehab Ogden Fit Quest Therapy Therapy Ogden, Ut 84403 2955 Harrison Blvd, #101 4607 S 3500 W 4920 E 2550 N, #C Phone: (801) 475-3300 Ogden, Ut 84403 Roy, Ut 84067 Eden, Ut 84310 UT Urban Medicaid Phone: (801) 395-2634 Phone: (801) 732-8700 Phone: (801) 745-3200 UT Urban Medicaid UT Urban Medicaid Mcgeorge, Gillian Margeau Pt C UT Urban Medicaid Mountain Land Rehabilitation Colledge, Kenneth Paul Pt C Goff, Nathan Smith Pt D Johnson, Nylin J Pt C 698 E 12th St, #300 Fit Quest Therapy Ogden Clinic - Canyon View Mountain Land Rehabilitation Ogden, Ut 84404 1885 E Skyline Dr 1159 E 12th St 698 E 12th St Phone: (801) 782-0300 Ogden, Ut 84403 Ogden, Ut 84404 Ogden, Ut 84404 UT Urban Medicaid Phone: (801) 476-4141 Phone: (801) 475-3700 Phone: (801) 782-0300 UT Urban Medicaid UT Urban Medicaid Reid, Kim Wayne Pt C UT Urban Medicaid Performance West Physical Colledge, Kenneth Paul Pt C Goff, Nathan Smith Pt D Jolley, Curtis Brian Pt C Therapy Fit Quest Therapy Ogden Clinic - Harrison Blvd Performance West Physical 4920 E 2550 N, #C 2120 N 400 E 4650 Harrison Blvd Therapy Eden, Ut 84310 North Ogden, Ut 84414 Ogden, Ut 84403 4920 E 2550 N, #C Phone: (801) 745-3200 Phone: (801) 782-3500 Phone: (801) 475-3000 Eden, Ut 84310 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 745-3200 UT Urban Medicaid Rhodes, Jonathan P Pt D Colledge, Kenneth Paul Pt C Goff, Nathan Smith Pt D Ogden Clinic - Canyon View Fit Quest Therapy Ogden Clinic - Mountain View Lane, Steve Patrick Pt D 1159 E 12th St 4607 S 3500 W 1100 W 2700 N Ogden Clinic - Canyon View Ogden, Ut 84404 Roy, Ut 84401 Ogden, Ut 84414 1159 E 12th St Phone: (801) 475-3700 Phone: (801) 732-8700 Phone: (801) 475-3600 Ogden, Ut 84404 UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Phone: (801) 475-3700 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 158 Weber WAncillary Providers eber Rhodes, Jonathan P Pt D Smith, Michael C Pt C Wood, Dorian M Pt D Gunnell, Trent K Slp C Ogden Clinic - Harrison Blvd Fit Quest Therapy Ogden Clinic - Mountain View Pcmc Rehab Ogden 4650 Harrison Blvd 4607 S 3500 W 1100 W 2700 N 3903 Harrison Blvd, #400 Ogden, Ut 84403 Roy, Ut 84401 Ogden, Ut 84414 Ogden, Ut 84403 Phone: (801) 479-4621 Phone: (801) 732-8700 Phone: (801) 475-3600 Phone: (801) 387-2080 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid UT Urban Medicaid Rhodes, Jonathan P Pt D Wood, Dorian M Pt D Hanson, Hugh Jalmer Slp C Ogden Clinic - Mountain View Sniteman, Clay Stephen Pt C Ogden Clinic - Physical Therapy Ogden Speech & Hearing Center 1100 W 2700 N Sundance Physical Therapy 4700 Harrison Blvd 978 E Chambers St, #1 Ogden, Ut 84414 2701 University Cir Ogden, Ut 84403 Ogden, Ut 84403 Phone: (801) 475-3600 Ogden, Ut 84408 Phone: (801) 475-7010 Phone: (801) 399-5601 UT Urban Medicaid Phone: (801) 626-7712 UT Urban Medicaid Languages Spoken: Spanish UT Urban Medicaid UT Urban Medicaid Rhodes, Jonathan P Pt D Wood, Dorian M Pt D Ogden Clinic - Physical Therapy Sniteman, Clay Stephen Pt C Ogden Clinic - Physical Therapy 2 Howe, Marilyn K Slp D 4700 Harrison Blvd Sundance Physical Therapy Farr 1186 E 4600 S, #320 Children With Special Healthcare Ogden, Ut 84403 West Ogden, Ut 84403 Needs Phone: (801) 475-3000 2850 N 2000 W, #204 Phone: (801) 475-3870 2540 Washington Blvd UT Urban Medicaid Ogden, Ut 84404 UT Urban Medicaid Ogden, Ut 84401 Phone: (801) 731-5421 Phone: (801) 626-3645 Rhodes, Jonathan P Pt D UT Urban Medicaid Wood, Dorian M Pt D UT Urban Medicaid Ogden Clinic - Physical Therapy 2 Ogden Clinic - Roy 1186 E 4600 S, #320 Spencer, Stephen R Pt C 3485 W 5200 S Howe, Marilyn K Slp C Ogden, Ut 84403 Felt Mountain Land Roy, Ut 84067 Hearing Zone Phone: (801) 475-3870 5734 S 1475 E Phone: (801) 475-3000 3651 Wall Ave, #1127 UT Urban Medicaid Ogden, Ut 84403 UT Urban Medicaid Ogden, Ut 84405 Phone: (801) 475-7628 Phone: (801) 612-0202 Rhodes, Jonathan P Pt D Languages Spoken: Korean Wood, Dorian M Pt D UT Urban Medicaid Ogden Clinic - Roy UT Urban Medicaid Ogden Clinic - Skyline 3485 W 5200 S 6112 S 1550 E Hunt, Roxanne B Slp D Roy, Ut 84067 Stokes, Corbin J Pt C Ogden, Ut 84405 Children With Special Healthcare Phone: (801) 475-3000 North View Physical Therapy And Phone: (801) 475-3800 Needs UT Urban Medicaid Industrial Care UT Urban Medicaid 2540 Washington Blvd 349 12th St Ogden, Ut 84401 Rhodes, Jonathan P Pt D Ogden, Ut 84404 Wood, Dorian M Pt D Phone: (801) 626-3645 Ogden Clinic - Skyline Phone: (801) 393-0900 Ogden Clinic - Washington Blvd UT Urban Medicaid 6112 S 1550 E Languages Spoken: Spanish 4350 Washington Blvd Ogden, Ut 84405 UT Urban Medicaid Ogden, Ut 84403 Nakasone, Shelley Slp C Phone: (801) 475-3800 Phone: (801) 475-3300 Pcmc Rehab Ogden UT Urban Medicaid Webb, Brent A Pt C UT Urban Medicaid 2955 Harrison Blvd, #101 Horizon Balance & Dizzines Ogden, Ut 84403 Rhodes, Jonathan P Pt D Center Zundel, Monte R Pt C Phone: (801) 395-2634 Ogden Clinic - Washington Blvd 1452 E Ridgeline Dr, #51 Fit Quest Therapy UT Urban Medicaid 4350 Washington Blvd Ogden, Ut 84405 2120 N 400 E Ogden, Ut 84403 Phone: (801) 479-5777 North Ogden, Ut 84414 Nakasone, Shelley Slp C Phone: (801) 475-3300 UT Urban Medicaid Phone: (801) 782-3500 Pcmc Rehab Ogden UT Urban Medicaid UT Urban Medicaid 3903 Harrison Blvd, #400 Webb, Ryan Scott Pt C Ogden, Ut 84403 Smith, Michael C Pt C Wasatch Therapy Zundel, Monte R Pt C Phone: (801) 387-2080 Fit Quest Therapy 1957 W 5700 S Fit Quest Therapy UT Urban Medicaid 1885 E Skyline Dr Roy, Ut 84067 4607 S 3500 W Ogden, Ut 84403 Phone: (801) 774-8600 Roy, Ut 84401 Neider, Tristan Slp C Phone: (801) 476-4141 UT Urban Medicaid Phone: (801) 732-8700 Ogden Speech & Hearing Center Languages Spoken: Spanish UT Urban Medicaid 978 E Chambers St, #1 UT Urban Medicaid Wood, Dorian M Pt D Ogden, Ut 84403 Ogden Clinic - Canyon View Speech-Language Phone: (801) 399-5601 Smith, Michael C Pt C 1159 E 12th St UT Urban Medicaid Fit Quest Therapy Ogden, Ut 84404 Pathology 2120 N 400 E Plumley, Mark Raymond Slp C Phone: (801) 475-3700 Gunnell, Trent K Slp C North Ogden, Ut 84414 UT Urban Medicaid Hearing Zone Phone: (801) 782-3500 Pcmc Rehab Ogden 3651 Wall Ave, #1127 Languages Spoken: Spanish Wood, Dorian M Pt D 2955 Harrison Blvd, #101 Ogden, Ut 84405 UT Urban Medicaid Ogden Clinic - Harrison Blvd Ogden, Ut 84403 Phone: (801) 612-0202 4650 Harrison Blvd Phone: (801) 395-2634 UT Urban Medicaid Ogden, Ut 84403 UT Urban Medicaid Phone: (801) 475-3000 UT Urban Medicaid

CAccepting new patients DNot accepting new patients Acepta pacientes nuevos No acepta pacientes nuevos NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 159 Beaver Hospitals Salt Lake General Acute Care LDS Hospital Beaver County Iron County 8th Ave & C St Hospital Salt Lake City , UT 84143 General Acute Care Davis Hospital & Medical Center General Acute Care Phone: (801) 408-1100 1600 W Antelope Dr UT Medicaid Hospital Layton, UT 84041 Hospital Pioneer Valley Hospital Campus Beaver Valley Hospital Phone: (801) 807-1000 Valley View Medical Center JVMC 1109 N 100 W UT Medicaid 1303 N Main St 3460 S Pioneer Pkwy Beaver, UT 84713 Lakeview Hospital Cedar City, UT 84720 West Valley City, UT 84120 Phone: (435) 438-7100 630 E Medical Dr Phone: (435) 868-5000 Phone: (801) 964-3100 UT Medicaid Bountiful, UT 84010 UT Medicaid UT Medicaid Milford Valley Memorial Hospital Phone: (801) 292-6231 Primary Children’s Medical 451 N Main St UT Medicaid Juab County Center Milford, UT 84751 100 N Mario Capecchi Dr Phone: (435) 387-2411 Rehabilitation Unit Salt Lake City , UT 84132 UT Medicaid General Acute Care Phone: (801) 588-2000 Davis Hospital & Medical Center Hospital UT Medicaid 1600 W Antelope Dr Box Elder County Layton, UT 84041 Central Valley Medical Center Salt Lake Regional Medical Phone: (801) 807-1000 48 W 1500 N Center UT Medicaid Nephi, UT 84648 1050 E South Temple General Acute Care Phone: (435) 623-3000 Salt Lake City , UT 84102 Hospital UT Medicaid Phone: (801) 350-4111 Duchesne County UT Medicaid Bear River Hospital 905 N 1000 W General Acute Care Kane County St Mark’s Hospital Tremonton, UT 84337 1200 E 3900 S Phone: (435) 207-4500 Hospital Salt Lake City , UT 84124 UT Medicaid General Acute Care Phone: (801) 268-7111 Uintah Basin Medical Center UT Medicaid Brigham City Community 250 W 300 N 75-2 Hospital Hospital Roosevelt, UT 84066 Kane County Hospital University of Utah Hospital 950 S Medical Dr Phone: (435) 722-4691 355 N Main St 50 N Medical Dr Brigham City, UT 84302 UT Medicaid Kanab, UT 84741 Salt Lake City , UT 84132 Phone: (435) 734-9471 Phone: (435) 644-4100 Phone: (801) 581-2121 UT Medicaid Garfield County UT Medicaid UT Medicaid Rehabilitation Cache County General Acute Care Millard County Hospital Hospital Healthsouth Rehab Hospital of General Acute Care General Acute Care Utah Hospital Garfield Memorial Hospital & Hospital 8074 S 1300 E Clinic Sandy, UT 84093 Cache Valley Specialty Hospital 200 N 400 E Delta Community Medical Center Phone: (801) 561-3400 2380 N 400 E Panguitch, UT 84759 126 White Sage Ave UT Medicaid Logan, UT 84341 Phone: (435) 676-8811 Delta, UT 84624 Phone: (435) 713-9700 UT Medicaid Phone: (435) 864-5591 Pioneer Valley Hospital Campus UT Medicaid UT Medicaid JVMC 3460 S Pioneer Pkwy Logan Regional Hospital Grand County Fillmore Community Medical West Valley City, UT 84120 1400 N 500 E Center Phone: (801) 964-3100 Logan, UT 84341 General Acute Care 674 S Highway 99 UT Medicaid Phone: (435) 716-1000 Fillmore, UT 84631 UT Medicaid Hospital Phone: (435) 743-5591 SLRMC - Quinney Rehabilitation UT Medicaid 1050 E South Temple Moab Regional Hospital Salt Lake City , UT 84102 Davis County 450 W Williams Way Phone: (801) 350-4111 Moab, UT 84532 Salt Lake County UT Medicaid Phone: 4357193500 Chronic Disease UT Medicaid University of Utah Hospital Hospital General Acute Care 50 N Medical Dr Salt Lake City , UT 84132 South Davis Community Hospital Phone: (801) 581-2121 Hospital Jordan Valley Medical Center UT Medicaid 401 S 400 E 3580 W 9000 S Bountiful, UT 84010 West Jordan , UT 84088 Phone: (801) 295-2361 Phone: (801) 561-8888 UT Medicaid UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 160 San Juan Hospitals Weber San Juan County Sevier County Utah County Washington County General Acute Care General Acute Care General Acute Care General Acute Care Hospital Hospital Hospital Hospital Blue Mountain Hospital Sevier Valley Medical Center Mountain View Hospital Dixie Regional Medical Center 802 S 200 W 1000 N Main St 1000 E 100 N 1380 E Medical Center Dr Blanding, UT 84511 Richfield, UT 84701 Payson, UT 84651 St George, UT 84790 Phone: (435) 678-3993 Phone: (435) 896-8271 Phone: (801) 465-7000 Phone: (435) 251-1000 UT Medicaid UT Medicaid UT Medicaid UT Medicaid San Juan Hospital Timpanogos Regional Hospital Dixie Regional Medical Center 380 W 100 N Summit County 750 W 800 N 544 S 400 E Monticello, UT 84535 Orem, UT 84057 St George, UT 84770 Phone: (435) 587-2116 Phone: (801) 714-6000 Phone: (435) 251-1000 UT Medicaid General Acute Care UT Medicaid UT Medicaid Hospital Utah Valley Regional Medical Rehabilitation Unit Sanpete County Park City Medical Center Center 900 Round Valley Dr 1034 N 500 W Dixie Regional Medical Center Park City, UT 84060 Provo, UT 84604 1380 E Medical Center Dr General Acute Care Phone: (435) 638-7000 Phone: (801) 357-7850 St George, UT 84790 Hospital UT Medicaid UT Medicaid Phone: (435) 251-1000 UT Medicaid Gunnison Valley Hospital Rehabilitation Unit 64 E 100 N Tooele County Gunnison, UT 84634 Utah Valley Regional Medical Weber County Phone: (435) 528-7752 Center UT Medicaid General Acute Care 1034 N 500 W Hospital Provo, UT 84604 General Acute Care Sanpete Valley Hospital Phone: (801) 357-7850 Hospital 1100 S Medical Dr Mountain West Medical Center UT Medicaid Mount Pleasant, UT 84647 2055 N Main St Ogden Regional Medical Center Phone: (435) 462-2441 Tooele, UT 84074 5475 S 500 E UT Medicaid Phone: (435) 843-3600 Wasatch County Ogden, UT 84405 UT Medicaid Phone: (801) 479-2111 General Acute Care UT Medicaid Hospital Heber Valley Medical Center 1485 S Highway 40 Heber City, UT 84032 Phone: (435) 654-2500 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 161 Bannock ISuppliers ron Shopko Optical 4091 Dr Larsen Eye Care Bannock County 1341 N Main St 815 W 2000 N Fulton County Logan, UT 84341 Layton, UT 84041 Phone: (435) 753-0700 Phone: (801) 776-4426 Durable Medical UT Medicaid UT Medicaid Durable Medical Equipment & Medical Equipment & Medical Standard Optical Mount Ogden Eye Center Supplies 1153 N Main St, #A120 1551 S Renaissance Towne Dr, Supplies Rocky Mountain Artificial Limb Logan, UT 84321 #340 Uromed 285 Jefferson St Phone: (435) 752-2092 Bountiful, UT 84010 1095 Winward Ridge Pkwy, #170 Pocatello, ID 83201 UT Medicaid Phone: (801) 677-1122 Alpharetta, GA 30005 UT Medicaid Phone: (208) 232-6611 Prosthetic/Orthotic Phone: (800) 841-1233 UT Medicaid Mountain View Eye Center UT Medicaid Supplier 1580 W Antelope Dr, #175 Layton, UT 84041 Box Elder County Utah Prosthetics & Orthotics Phone: (801) 773-2233 Gwinnett County 1153 N Main St, #B130 UT Medicaid Logan, UT 84341 Eyewear Supplier Phone: (435) 750-6579 Shopko Optical 4088 Durable Medical (Equipment, not the UT Medicaid 1150 N Main St Equipment & Medical service) Layton, UT 84041 Supplies Phone: (801) 547-9100 Shopko Optical 4104 Carbon County UT Medicaid Advanced Diabetic Solutions 747 S Main St 1576 Atkinson Rd Brigham City, UT 84302 Durable Medical Shopko Optical 4107 Lawrenceville, GA 30043 Phone: (435) 723-1800 190 S 500 W Phone: (770) 339-1190 UT Medicaid Equipment & Medical West Bountiful, UT 84010 UT Medicaid Supplies Phone: (801) 295-9200 UT Medicaid Cache County Apria Healthcare - Price Hamilton County 60 S 700 E, #1 Standard Optical Price, UT 84501 1076 Layton Hills Mall Durable Medical Phone: (435) 637-9500 Layton, UT 84041 Durable Medical Equipment & Medical Phone: (801) 546-0255 Equipment & Medical UT Medicaid UT Medicaid Supplies Supplies Standard Optical Alpine Home Medical Equipment Davis County 140 W 500 S National Seating & Mobility 60 W 1725 N Bountiful, UT 84010 5959 Shallowford Rd, #443 Logan, UT 84341 Durable Medical Phone: (801) 292-0479 Chattanooga, TN 37421 Phone: (435) 774-4500 UT Medicaid Phone: (615) 595-1115 UT Medicaid Equipment & Medical UT Medicaid Supplies Wasatch Eye & Optical Apria Healthcare - Logan 1747 S Heritage ln, #A2 165 E 1400 N, #D Amara Home Medical Syracuse, UT 84075 Iron County Logan, UT 84341 1367 Fairway Cir Phone: (801) 774-8707 Phone: (435) 752-2100 Farmington, UT 84025 UT Medicaid UT Medicaid Phone: (801) 447-9059 Durable Medical Equipment & Medical Rocky Mountain Artificial Limb UT Medicaid Prosthetic/Orthotic 1515 N 400 E Apria Healthcare - Layton Supplier Supplies Logan, UT 84341 2864 N Fairfield Rd, #130-140 Apria Healthcare - Cedar City Phone: (435) 753-5100 Layton, UT 84041 Priority Footwear & Pedorthic UT Medicaid Svcs 987 N Main St, #5 Phone: (801) 771-1102 Cedar City, UT 84721 UT Medicaid 45 N Main St Bountiful, UT 84010 Phone: (435) 586-0379 Eyewear Supplier UT Medicaid (Equipment, not the Medsource Phone: (801) 688-5787 3075 N Fairfield Rd, #A UT Medicaid Parowan Drug & Gift service) Layton, UT 84041 20 N Main St Phone: (801) 771-3939 Parowan, UT 84761 Baldwin Optical UT Medicaid Duchesne County 1097 N Main St Phone: (435) 477-3000 Logan, UT 84341 Eyewear Supplier UT Medicaid Phone: (435) 752-6110 Durable Medical UT Medicaid (Equipment, not the Equipment & Medical Eyewear Supplier (Equipment, not the Krystal Vision & Sunwear service) Supplies 550 E 1400 N, #P Bountiful Hearing Center Home Health Equipment & service) Logan, UT 84341 425 Medical Dr, #200 Supplies David R Albrecht Phone: (435) 787-2593 Bountiful, UT 84010 26 W 200 N 78-15 UT Medicaid 70 E 200 N, #2 Phone: (801) 295-9644 Roosevelt, UT 84066 Cedar City, UT 84720 UT Medicaid Phone: (435) 722-2418 Phone: (435) 586-0316 UT Medicaid UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 162 Kane Suppliers Salt Lake Apria Healthcare - Salt Lake City Eyewear Supplier Progressive Eye Care Kane County 1555 W 2200 S 3556 W 9800 S, #104 West Valley City, UT 84119 (Equipment, not the South Jordan, UT 84095 Phone: (801) 972-5353 service) Phone: (801) 676-2020 Durable Medical UT Medicaid UT Medicaid Equipment & Medical Abundo Eye Care Carols Personal Mastectomy 589 E Ft union Blvd Redwood Vision Center Supplies Boutique Midvale, UT 84047 6705 S Redwood Rd Zion Pharmacy 3165 S Main St Phone: (801) 255-8500 West Jordan , UT 84084 14 E Center St South Salt Lake, UT 84115 UT Medicaid Phone: (801) 268-0866 Kanab, UT 84741 Phone: (801) 483-1262 UT Medicaid UT Medicaid Apple Contact Lens Center Phone: (435) 644-2693 10498 S Redwood Rd Regis Optical UT Medicaid Center for Prosthetics South Jordan, UT 84095 5770 S 250 E, #410 148 S 500 E Phone: (801) 302-0800 Murray, UT 84107 Eyewear Supplier Salt Lake City , UT 84102 UT Medicaid Phone: (801) 314-4410 (Equipment, not the Phone: (801) 364-0083 UT Medicaid UT Medicaid Apple Contact Lens Center service) 2282 W 5400 S Shopko Optical 4082 Deseret Medical Taylorsville, UT 84118 5959 S State St Kane County Eye Care 560 W Fine Dr Phone: (801) 963-2773 Murray, UT 84107 75 E 100 S, #1 Salt Lake City, UT 84115 UT Medicaid Phone: (801) 261-1113 Kanab, UT 84741 Phone: (801) 270-8440 UT Medicaid Phone: (435) 644-5717 UT Medicaid Apple Contact Lens Center UT Medicaid 897 E 9400 S Shopko Optical 4083 Diabetes Specialty Center Sandy, UT 84094 2165 E 9400 S 3793 S State St Phone: (801) 561-5124 Sandy, UT 84093 Morris County Salt Lake City , UT 84115 UT Medicaid Phone: (801) 942-7171 Phone: (801) 268-9699 UT Medicaid UT Medicaid Audiology Associates of Utah Durable Medical 1377 E 3900 S, #201 Shopko Optical 4084 Equipment & Medical Eye Prosthetics of Utah Salt Lake City, UT 84124 1553 W 9000 S 7400 Union Park Ave, #102 Phone: (801) 272-1232 West Jordan, UT 84088 Supplies Midvale, UT 84047 UT Medicaid Phone: (801) 561-7300 EBI Phone: (801) 942-1600 UT Medicaid UT Medicaid Berner Eye Clinic 100 Interpace Pkwy 250 E 300 S Shopko Optical 4085 Parsippany, NJ 07054 Hanger Prosthetics & Orthotics Salt Lake City , UT 84111 5800 S Redwood Rd Phone: (800) 526-2579 5292 S College Dr, #103 Phone: (801) 322-0467 Salt Lake city, UT 84123 UT Medicaid Salt Lake City , UT 84123 UT Medicaid Phone: (801) 964-1300 Phone: (801) 266-7768 UT Medicaid UT Medicaid Eye Foundation of Utah Ramsey County 201 E 5900 S, #201 Shopko Optical 4097 Kal Medical Supplies Murray, UT 84107 4850 W 3500 S Durable Medical 220 E 3900 S, #4 Phone: (801) 268-6408 West Valley City, UT 84120 Murray, UT 84107 UT Medicaid Phone: (801) 967-6300 Equipment & Medical Phone: (801) 266-2795 UT Medicaid Supplies UT Medicaid Granger Optical 3725 W 4100 S Shopko Optical 4110 Respiratory Technologies Medicor West Valley City, UT 84120 2290 S 1300 E 2896 Centre Pointe Dr 2469 E Fort Union Blvd Phone: (801) 965-3636 Salt Lake City, UT 84106 St Paul, MN 55113 Salt Lake City , UT 84121 UT Medicaid Phone: (801) 467-8989 Phone: (651) 379-8999 Phone: (801) 942-5543 UT Medicaid UT Medicaid UT Medicaid Jordan Vision Clinic 9237 S Redwood Rd, #5A Standard Optical Medicor West Jordan , UT 84088 1656 W 9000 S Salt Lake County 3652 E Brighton Point Dr Phone: (801) 561-2020 West Jordan , UT 84088 Salt Lake City , UT 84121 UT Medicaid Phone: (801) 255-5454 Phone: (801) 942-5543 UT Medicaid Durable Medical UT Medicaid Modern Optical Company Equipment & Medical 4568 S Highland Dr, #160 Standard Optical Praxair - Rehab Service Center Salt Lake City, UT 84117 1901 W Parkway Blvd Supplies 5924 S 350 W Phone: (801) 277-4690 West Valley City, UT 84119 Murray, UT 84107 UT Medicaid Phone: (801) 972-0203 Advanced Care Home Medical & Phone: (801) 281-6601 UT Medicaid Oxygen UT Medicaid Mountain Valley Eye Institute 6182 S Stratler St 4568 S Highland Dr, #160 Standard Optical Murray, UT 84107 Specialized Prosthetic & Orthotic Salt Lake City , UT 84032 2190 Highland Dr Phone: (801) 262-2210 Tech Phone: (801) 424-3090 Salt Lake City , UT 84106 UT Medicaid 5292 S College Dr, #103 UT Medicaid Phone: (801) 487-4138 Salt Lake City, UT 84123 UT Medicaid Alpine Home Medical Equipment Phone: (801) 266-7768 Mountain West Eyecare 4030 S State St UT Medicaid 2727 W 3500 S Murray, UT 84107 West Valley City, UT 84119 Phone: (801) 463-0044 Phone: (801) 968-6772 UT Medicaid UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 163 Salt Lake Suppliers Utah Standard Optical Prosthetic/Orthotic Hanger Prosthetics & Orthotics 3754 W 5400 S Tooele County 1355 N University Ave, #160 Kearns, UT 84118 Supplier Provo, UT 84604 Phone: (801) 964-9911 Fit Well Prosthetic & Orthotic Ctr Phone: (801) 356-1830 UT Medicaid Durable Medical UT Medicaid 50 S 900 E, #1 Equipment & Medical Standard Optical Salt Lake City , UT 84102 Petersen Medical 4835 S Highland Dr Phone: (801) 364-3100 Supplies 325 E University Pkwy UT Medicaid Holladay, UT 84117 Apria Healthcare - Tooele Orem, UT 84058 Phone: (801) 272-8861 36 N Main St, #4 Phone: (801) 374-8101 UT Medicaid San Diego County Tooele, UT 84074 UT Medicaid Standard Optical Phone: (435) 882-4334 Valley Home Medical Pharmacy 5289 S State St Durable Medical UT Medicaid 538 S Commerce Dr Murray, UT 84107 Equipment & Medical Oxygen For You Orem, UT 84058 Phone: (801) 506-1111 1214 N Main St Phone: (801) 544-8866 UT Medicaid Supplies Tooele, UT 84074 UT Medicaid Standard Optical DJO LLC Phone: (435) 882-7306 Eyewear Supplier 834 E 9400 S 1430 Decision St UT Medicaid Sandy, UT 84094 Vista, CA 92081 (Equipment, not the Phone: (801) 572-9280 Phone: (800) 321-9549 Eyewear Supplier service) UT Medicaid UT Medicaid (Equipment, not the American Fork Vision Center Sugar House Vision Clinic service) 24 W Main St 2178 S 900 E, #4 San Juan County American Fork, UT 84003 Salt Lake City , UT 84106 Standard Optical 196 E 2000 N, #101 Phone: (801) 756-7996 Phone: (801) 484-8759 UT Medicaid UT Medicaid Durable Medical Tooele, UT 84074 Equipment & Medical Phone: (435) 882-4815 Excel Optical Utah Eye Associates UT Medicaid 1735 N State St 160 S 1000 E, #220 Supplies Provo, UT 84604 Salt Lake City , UT 84102 Hearing Aid Phone: (801) 374-1818 Phone: (801) 363-2851 Petersen Medical UT Medicaid UT Medicaid 154 S Main St Equipment Blanding, UT 84511 House of Hearing Eye Clinic at Village Green Vision Care Center Phone: (435) 678-2250 23 E Vine St 1675 N 200 W, #11A 8522 S 1300 E UT Medicaid Tooele, UT 84074 Provo, UT 84604 Sandy, UT 84094 Phone: (435) 882-8383 Phone: (801) 374-2227 Phone: (801) 566-4119 UT Medicaid UT Medicaid Summit County UT Medicaid Shopko Optical 4086 Wasatch Vision Clinic 2266 N University Pkwy 849 E 400 S Durable Medical Uintah County Provo, UT 84604 Salt Lake City , UT 84102 Equipment & Medical Phone: (801) 373-1300 Phone: (801) 328-2020 Durable Medical UT Medicaid UT Medicaid Supplies Equipment & Medical Shopko Optical 4105 West Valley Optical Edgepark Medical Supplies Supplies 125 S State St 3485 S 4155 W, #3 1810 Summit Commerce Park Orem, UT 84058 West Valley City, UT 84120 Twinsburg, OH 44087 Apria Healthcare - Vernal Phone: (801) 225-4700 Phone: (801) 963-9335 Phone: (800) 321-0591 1218 W Hwy 40 UT Medicaid UT Medicaid UT Medicaid Vernal, UT 84078 Galaxy Medical Products Phone: (435) 789-9500 Shopko Optical 4108 Hearing Aid 1245 S Cleveland Massillon Rd, UT Medicaid 955 N Main St Equipment #205 Spanish Fork, UT 84660 Akron, OH 44321 Phone: (801) 798-3557 House of Hearing Phone: (888) 573-1400 Utah County UT Medicaid 1588 E 3300 S UT Medicaid Sixty Minute Eyewear Salt Lake City, UT 84106 Durable Medical 2255 N University Pkwy Phone: (801) 485-5534 Eyewear Supplier Equipment & Medical Provo, UT 84604 UT Medicaid (Equipment, not the Phone: (801) 374-2220 Supplies UT Medicaid House of Hearing service) 8806 S Redwood Rd, #103 Alpine Home Medical Equipment Springville Eye Clinic West Jordan, UT 84088 Mountain Valley Eye Institute 1481 N State St 374 E 400 S Phone: (801) 495-4800 2700 W Homestad Rd, #30 Provo, UT 84604 Springville, UT 84663 UT Medicaid Park City, UT 84098 Phone: (801) 852-0077 Phone: (801) 489-5111 Phone: (435) 654-3093 UT Medicaid UT Medicaid Mountain West Hearing Center UT Medicaid 777 E 4500 S, #110 Apria Healthcare - Lindon Murray, UT 84107 400 N Geneva Rd, #F Phone: (801) 268-6497 Lindon, UT 84042 UT Medicaid Phone: (801) 785-1000 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 164 Utah WSuppliers hatcom Standard Optical Apria Healthcare - St George Standard Optical 1200 Provo Towne Ctr Blvd, #1060 1509 S 270 E, #9 Weber County 4305 S Harrison Blvd, #9B Provo, UT 84601 St George, UT 84790 Ogden, UT 84403 Phone: (801) 373-2254 Phone: (435) 628-5222 Phone: (801) 479-5060 UT Medicaid UT Medicaid Durable Medical UT Medicaid Equipment & Medical Standard Optical Carols Post Masectomy Specialist Standard Optical 1455 S State St 330 E 600 S Supplies 5421 S 1900 W Orem, UT 84057 St George, UT 84790 Alpine Home Medical Equipment Roy, UT 84067 Phone: (801) 226-3044 Phone: (435) 688-0452 4669 S Harrison Blvd Phone: (801) 825-9703 UT Medicaid UT Medicaid Ogden, UT 84403 UT Medicaid Hearing Aid Petersen Medical Phone: (801) 393-0015 Hearing Aid 1490 E Foremaster Dr, #100 UT Medicaid Equipment St George, UT 84790 Apria Healthcare - Ogden Equipment Phone: (435) 628-4949 206 W 36th St Wasatch Audiology UT Medicaid Ogden Speech & Hearing Center 2545 N Canyon Road, #100 Ogden, UT 84405 978 E Chambers st, #1 Provo, UT 84604 Phone: (801) 394-4000 Ogden, UT 84403 Phone: (801) 373-1108 Eyewear Supplier UT Medicaid Phone: (801) 399-5601 (Equipment, not the UT Medicaid Petersen Medical UT Medicaid service) 5434 S 1900 W, #3 Prosthetic/Orthotic Roy, UT 84067 Prosthetic/Orthotic Supplier Dixie Ophthalmic Specialists Phone: (801) 728-3333 Supplier 1791 E 280 N UT Medicaid Northwest Orthotics & St George, UT 84790 Fit Well Prosthetic & Orthotic Ctr Prosthetics Phone: (435) 688-2020 4699 Harrison Blvd, #302 UT Medicaid Eyewear Supplier 1675 N 200 W, Bldg 12C (Equipment, not the Ogden, UT 84403 Provo, UT 84604 Excellens Optical Phone: (801) 364-3100 Phone: (801) 377-3433 1085 S Bluff St service) UT Medicaid UT Medicaid St George, UT 84770 Knighton Vision Ogden Orthotics & Prosthetics Phone: (435) 628-3600 404 Washignton Blvd 3585 Harrison Blvd, #100 Wasatch County UT Medicaid Ogden, UT 84404 Ogden, UT 84403 Southwest Vision Phone: (801) 627-1054 Phone: (801) 392-5999 Eyewear Supplier 720 S River Rd, #C130 UT Medicaid UT Medicaid (Equipment, not the St George, UT 84790 Mount Ogden Eye Center Phone: (435) 673-5577 4360 Washington Blvd Whatcom County service) UT Medicaid Ogden, UT 84403 Mountain Valley Eye Institute Standard Optical Phone: (801) 476-0494 UT Medicaid Durable Medical 1471 S Highway 40 250 Red Cliffs Dr Equipment & Medical Heber City, UT 84032 St George, UT 84790 Shopko Optical 4087 Phone: (435) 654-3090 Phone: (435) 674-2020 1018 Washington Blvd Supplies UT Medicaid UT Medicaid Ogden, UT 84404 Cascade Prosthetics & Orthotics Prosthetic/Orthotic Phone: (801) 392-5100 1360 Sunset Ave Washington County UT Medicaid Ferndale, WA 98248 Supplier Shopko Optical 4109 Phone: (800) 848-7332 Durable Medical Hanger Prosthetics & Orthotics 4060 Riverdale Rd UT Medicaid 630 S 400 E, #102 Riverdale, UT 84405 Equipment & Medical St George, UT 84770 Phone: (801) 392-4300 Supplies Phone: (435) 673-6449 UT Medicaid UT Medicaid Alpine Home Medical Equipment 42 S River Rd, #10 St George, UT 84790 Phone: (435) 674-0080 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 165 Beaver Agencies Juab Home Infusion South Davis Comm Hospital HH Beaver County Agency Garfield County Community Nursing Services - 401 S 400 E CNS Bountiful, UT 84010 Public Health or 1155 N Main St, #B5 Phone: (801) 295-2361 Public Health or Welfare Logan, UT 84341 UT Medicaid Welfare Phone: (435) 752-3355 Southwest Utah Public Health UT Medicaid Southwest Utah Public Health 75 W 1175 N Home Infusion 609 N Main St Beaver, UT 84713 Hospice Care, Community Nursing Services - Panguitch, UT 84759 Phone: (435) 438-2482 CNS Phone: (435) 676-8800 UT Medicaid Community Based 2102 N Robbins, #102 UT Medicaid Access Hospice Care Layton, UT 84041 74 W 100 N Phone: (801) 776-4445 Box Elder County Logan, UT 84321 UT Medicaid Iron County Phone: (435) 755-6599 Home Health UT Medicaid Hospice Care, Home Health Access Home Care Community Nursing Services - Community Based Iron County Home Health 453 S Main St CNS Applegate Homecare & Hospice 965 S Main St Brigham City, UT 84302 1155 N Main St, #B5 445 S 100 W Cedar City, UT 84720 Phone: (435) 723-7883 Logan, UT 84341 Bountiful, UT 84010 Phone: (435) 586-3939 UT Medicaid Phone: (435) 752-3355 Phone: (801) 447-3379 UT Medicaid UT Medicaid UT Medicaid Hospice Care, Public Health or Public Health or Aspire Hospice Care Community Based Welfare Welfare 420 W 1500 S, #100 Access Hospice Care Bountiful, UT 84010 Southwest Utah Public Health 453 S Main St Bear River Health Department Phone: (801) 292-0296 260 E DL Sargent Dr Brigham City, UT 84302 655 E 1300 N UT Medicaid Cedar City, UT 84720 Phone: (435) 723-7883 Logan, UT 84341 Community Nursing Services - Phone: (435) 586-2437 UT Medicaid Phone: (435) 792-6500 CNS UT Medicaid UT Medicaid 2102 N Robbins, #102 Public Health or Layton, UT 84041 Juab County Welfare Carbon County Phone: (801) 776-4445 UT Medicaid Bear River Health Department Home Health 817 W 950 S Home Health South Davis Hospice Brigham City, UT 84302 401 S 400 E Central Valley Home Health Phone: (435) 734-0845 Rocky Mountain Home Care Bountiful, UT 84010 152 W 1500 N UT Medicaid 60 E 100 S Phone: (801) 295-2361 Nephi, UT 84648 Price, UT 84501 UT Medicaid Phone: (435) 623-3050 Phone: (435) 637-0665 UT Medicaid Cache County UT Medicaid Duchesne County Hospice Care,

Home Health Davis County Community Based Home Health Access Home Care Central Valley Hospice 74 W 100 N Home Health Uintah Basin Home Health 152 W 1500 N Logan, UT 84321 26 W 200 N 78-15 Nephi, UT 84648 Phone: (435) 755-6599 Applegate Homecare & Hospice Roosevelt, UT 84066 Phone: (435) 623-3050 UT Medicaid 445 S 100 W Phone: (435) 722-2418 UT Medicaid Bountiful, UT 84010 UT Medicaid CNS - Home Health Plus Phone: (801) 447-3379 Public Health or 221 Spring Creek Pkwy, #G UT Medicaid Hospice Care, Providence, UT 84332 Welfare Phone: (435) 752-3355 CNS - Home Health Plus Community Based UT Medicaid 2102 N Robbins, #102 Central Utah Public Health Dept Layton, UT 84041 Uintah Basin Hospice 146 N Main St Rocky Mountain Home Care Phone: (801) 774-4960 26 W 200 N 78-15 Nephi, UT 84648 95 W Golf Course Rd, #106 UT Medicaid Roosevelt, UT 84066 Phone: (435) 623-0696 Logan, UT 84321 Phone: (435) 722-2418 UT Medicaid Phone: (435) 753-8220 Rocky Mountain Home Care UT Medicaid UT Medicaid 523 W Heritage Park Blvd Bountiful, UT 84010 Phone: (801) 397-4800 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 166 Millard SAgencies evier Applegate Homecare & Hospice Applegate Homecare & Hospice Public Health or Millard County 5330 S 900 E, #250 5330 S 900 E, #250 Salt Lake City, UT 84117 Salt Lake City, UT 84117 Welfare Public Health or Phone: (801) 763-0101 Phone: (801) 763-0101 Ellis R Shipp Center UT Medicaid UT Medicaid 4535 S 5600 W Welfare At Home Personal Care Community Nursing Services - West Valley City, UT 84120 Central Utah Public Health Dept 230 W 200 S, #2114 CNS Phone: (801) 963-7335 428 E Topaz Blvd, #D Salt Lake City, UT 84101 383 W Vine St, #300 UT Medicaid Delta, UT 84624 Phone: (801) 746-5558 Murray, UT 84123 Phone: (435) 864-3612 UT Medicaid Phone: (801) 233-6100 UT Medicaid UT Medicaid San Juan County CNS - Home Health Plus Central Utah Public Health Dept 383 W Vine St, #300 Good Shepherd Hospice 55 S 400 W Murray, UT 84123 5383 S 900 E, #102 Home Health Fillmore, UT 84631 Phone: (801) 233-6100 Salt Lake City, UT 84117 Rocky Mountain Home Care Phone: (435) 743-5723 UT Medicaid Phone: (801) 277-6474 92 E 100 S UT Medicaid UT Medicaid Good Shepherd Home Health Blanding , UT 84511 Phone: (435) 678-3266 5383 S 900 E, #102 Haven Hospice Piute County Salt Lake City, UT 84117 5292 S College Dr, #304 UT Medicaid Phone: (801) 277-6474 Murray, UT 84123 UT Medicaid Phone: (801) 676-6000 Sanpete County Public Health or UT Medicaid Welfare Haven Home Health 5292 S College Dr, #304 Rocky Mountain Hospice Home Health Central Utah Public Health Dept Murray, UT 84123 5250 S Commerce Dr, #310 550 N Main St Phone: (801) 676-6000 Murray, UT 84107 Gunnison Valley Home Health Junction, UT 84740 UT Medicaid Phone: (801) 397-4083 Agency UT Medicaid Phone: (435) 577-2521 Home Caregivers Home Health 45 E 100 N UT Medicaid Gunnison, UT 84634 455 E 400 S, #410 Public Health or Salt Lake City, UT 84111 Phone: (435) 528-3955 Phone: (801) 485-6166 Welfare UT Medicaid Rich County UT Medicaid Rose Park Center Hospice Care, Lifepath Home Health Care 1625 W 700 N, #H Home Health 5801 S Fashion Blvd, #200 Salt Lake City, UT 84116 Community Based Access Home Care Murray, UT 84107 Phone: (801) 521-0778 Gunnison Valley Hospital 96 W Logan Rd, #2 Phone: (801) 293-0444 UT Medicaid Hospice UT Medicaid Garden City, UT 84028 Salt Lake City Center 45 E 100 N Phone: (435) 946-2620 610 S 200 E Gunnison, UT 84634 UT Medicaid Rocky Mountain Home Care Phone: (435) 528-3955 5242 S College Dr, #150 Salt Lake City, UT 84111 UT Medicaid Hospice Care, Salt Lake City , UT 84117 Phone: (801) 534-4568 Phone: (801) 397-4950 UT Medicaid Public Health or Community Based UT Medicaid Salt Lake Valley Health Welfare Access Hospice Care Wasatch Home Health Care Department 96 W Logan Rd, #2 1750 W Research Way, #103 2001 S State St, #S2500 Central Utah Public Health Dept Garden City, UT 84028 Salt Lake City, UT 84119 Salt Lake City, UT 84190 20 S 100 W, #30 Phone: (435) 946-2620 Phone: (801) 953-1713 Phone: (801) 468-2704 Mt Pleasant, UT 84642 UT Medicaid UT Medicaid UT Medicaid Phone: (435) 462-2449 UT Medicaid South East Center Public Health or Home Infusion 9340 S 700 E Central Utah Public Health Dept Welfare Community Nursing Services - Sandy, UT 84070 40 W 200 N Phone: (801) 255-7114 Manti, UT 84642 Bear River Health Department CNS 383 W Vine St, #300 UT Medicaid Phone: (435) 835-2231 275 N Main St UT Medicaid Randolph, UT 84064 Murray, UT 84123 South Main Center Phone: (435) 793-2445 Phone: (801) 233-6100 3690 S Main St UT Medicaid UT Medicaid Salt Lake City, UT 84115 Sevier County Phone: (801) 468-3690 Hospice Care, UT Medicaid Salt Lake County Community Based Public Health or Hospice Care, Access Hospice Care Welfare Home Health 12272 S 800 E, #B Community Based Central Utah Public Health Dept Access Home Care Draper, UT 84020 Lifepath Hospice & Family Care 70 Westview Dr 12272 S 800 E, #B Phone: (801) 495-3090 5801 S Fashion Blvd, #200 Richfield, UT 84701 Draper, UT 84020 UT Medicaid Murray, UT 84107 Phone: (435) 896-5451 Phone: (801) 495-3090 Phone: (801) 293-0444 UT Medicaid UT Medicaid UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 167 Tooele WAgencies eber Hospice Care, CNS - Home Health Plus Tooele County 321 N Mall Dr Wayne County Community Based St George, UT 84790 Public Health or Applegate Homecare & Hospice Phone: (435) 652-9027 Public Health or 28 S 1100 E, #C UT Medicaid Welfare American Fork, UT 84003 Rocky Mountain Home Care Welfare Tooele County Health Phone: (801) 763-0101 230 N 1680 E, #V-1 Central Utah Public Health Dept Department UT Medicaid St George, UT 84770 18 S Main St 151 N Main St Community Nursing Services - Phone: (435) 673-6699 Loa, UT 84747 Tooele, UT 84074 CNS UT Medicaid Phone: (435) 836-1317 Phone: (435) 843-2310 667 N 1890 W UT Medicaid UT Medicaid Southern Utah Home Care Provo, UT 84604 640 E 700 S, #101 Phone: (801) 224-8138 St George, UT 84770 Weber County Uintah County UT Medicaid Phone: (435) 673-8666 UT Medicaid Public Health or Home Health Home Health Welfare Home Infusion Access Home Care Applegate Homecare & Hospice Utah County BYB Community Nursing Services - 4300 S Harrison Blvd, #12 266 W 100 N, #2 151 S University Ave, #1900 CNS Ogden, UT 84403 Vernal, UT 84078 Provo, UT 84601 321 N Mall Dr Phone: (801) 475-7500 Phone: (435) 789-3981 Phone: (801) 370-8700 St George, UT 84790 UT Medicaid UT Medicaid UT Medicaid Phone: (435) 652-9077 Applegate Homecare & Hospice UT Medicaid 1492 E Ridgeline Dr, #1 Hospice Care, Utah County Health Department Ogden, UT 84405 Community Based 151 S University Ave, #1900 Hospice Care, Phone: (801) 621-4027 Provo, UT 84601 UT Medicaid Applegate Homecare & Hospice Phone: (801) 370-8700 Community Based 266 W 100 N, #2 UT Medicaid Applegate Homecare & Hospice Hospice Care, Vernal, UT 84078 1490 E Foremaster Dr, #340 Phone: (435) 789-3981 Wasatch County St George, UT 84790 Community Based UT Medicaid Phone: (435) 628-1569 Access Hospice Care UT Medicaid 4300 S Harrison Blvd, #12 Public Health or Home Health Ogden, UT 84403 Welfare Community Nursing Services - Phone: (801) 475-7500 Applegate Homecare & Hospice CNS UT Medicaid TriCounty Health Department 123 S Main St 321 N Mall Dr 133 S 500 E Heber City, UT 84032 St George, UT 84790 Applegate Homecare & Hospice Vernal, UT 84078 Phone: (435) 654-5983 Phone: (435) 652-9077 1492 E Ridgeline Dr, #1 Phone: (435) 247-1177 UT Medicaid UT Medicaid Ogden, UT 84405 UT Medicaid Phone: (801) 621-4027 Hospice Care, Southern Utah Hospice 640 E 700 S, #101 UT Medicaid Community Based St George, UT 84770 Utah County Phone: (435) 673-8666 In Home Supportive Applegate Homecare & Hospice UT Medicaid Care Home Health 123 S Main St Heber City, UT 84032 Public Health or Be at Home Applegate Homecare & Hospice Phone: (435) 654-5983 5256 S 2300 W 28 S 1100 E, #C UT Medicaid Welfare Roy, UT 84067 American Fork, UT 84003 Phone: (801) 628-1963 Southwest Utah Public Health Phone: (801) 763-0101 Washington County 620 S 400 E, #400 UT Medicaid UT Medicaid St George, UT 84770 Home Health Specialists Phone: (435) 673-3528 495 S Orem Blvd Home Health UT Medicaid Orem, UT 84058 Applegate Homecare & Hospice Southwest Utah Public Health Phone: (801) 359-5437 1490 E Foremaster Dr, #340 708 N 195 W UT Medicaid St George, UT 84790 La Verkin, UT 84745 Rocky Mountain Home Care Phone: (435) 628-1569 Phone: (435) 635-4458 473 W 1400 N UT Medicaid UT Medicaid Orem, UT 84057 Phone: (801) 765-4907 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 168 Cache Ambulatory Health Care Facilities Kane End-Stage Renal Life Care Center of Bountiful Cache County 460 W 2600 S Iron County Disease (ESRD) Bountiful, UT 84010 Treatment Phone: (801) 295-3135 Ambulatory Surgical UT Medicaid Ambulatory Surgical Liberty Dialysis - Layton Northern Utah Endoscopy Center 2132 N 1700 W, #120 Mountain Land Rehabilitation Cedar Surgical Associates 630 E 1400 N Layton, UT 84041 124 S Fairfield Rd, #A 1811 W Royal Hunte Dr, #3 Logan, UT 84341 Phone: (801) 779-6100 Layton, UT 84041 Cedar City, UT 84720 Phone: (435) 787-0270 UT Medicaid Phone: (801) 547-9462 Phone: (435) 586-3402 UT Medicaid UT Medicaid UT Medicaid Liberty Dialysis - Woods Cross Physical Therapy 572 W 750 S Mountain Land Rehabilitation Magnetic Resonance Bountiful, UT 84010 2275 N Main St Complete Fitness Innovations Phone: (801) 292-2658 Sunset, UT 84015 Imaging (MRI) 3935 N 75 W UT Medicaid Phone: (801) 773-4191 Southern Utah MRI Hyde Park, UT 84318 UT Medicaid 1335 N Northfield Rd, #100 Phone: (435) 563-4141 Ophthalmologic Cedar City, UT 84720 UT Medicaid Mountain Land Rehabilitation Surgery 69 E 200 N Phone: (435) 865-9293 Mountain West Physical Therapy Kaysville, UT 84037 UT Medicaid 1655 N 200 E, #2 Retina Associates of Utah Phone: (801) 547-1155 Logan, UT 84341 1492 W Antelope, #208 UT Medicaid Ophthalmologic Phone: (435) 753-1844 Layton, UT 84041 Surgery UT Medicaid Phone: (801) 408-2020 Performance West Physical UT Medicaid Therapy Mountain Eye Institute Mountain West Physical Therapy 1551 S Renaissance Towne Dr, 1811 W Royal Hunte Dr, #1 2380 N 400 E Physical Therapy #350 Cedar City, UT 84720 Logan, UT 84341 Bountiful, UT 84010 Phone: (435) 586-1131 Phone: (435) 713-9680 Aspen Ridge Physical Therapy Phone: (801) 295-3553 UT Medicaid UT Medicaid 2121 N 1700 W, #A UT Medicaid Layton, UT 84041 Physical Therapy Radiology Phone: (801) 773-1350 Sports Med PT of Bountiful UT Medicaid 1551 S Renaissance Towne Dr, San Juan Health Service District Budge Clinic Radiology #420 Bountiful PT Sports Medicine 166 W 1325 N, #100 1350 N 500 E Bountiful, UT 84010 Cedar City, UT 84720 Logan, UT 84341 425 Medical Dr, #104 Phone: (801) 295-8999 Bountiful, UT 84010 Phone: (435) 587-2116 Phone: (435) 752-0422 UT Medicaid UT Medicaid UT Medicaid Phone: (801) 292-5011 UT Medicaid Public Health, State Southern Utah PT & Rehab Davis Hospital & Medical Center or Local 1335 N Northfield Rd, #300 Carbon County 1600 W Antelope Dr Cedar City, UT 84720 Layton, UT 84041 Davis County Health Department Phone: (435) 865-1902 Ambulatory Surgical Phone: (801) 825-9561 50 E State St UT Medicaid UT Medicaid Farmington, UT 84025 Southern Utah PT & Rehab Eastern Utah Surgical Center Phone: (801) 451-3340 Farmington Physical Therapy 166 W 1325 N, #100 200 N Fairgrounds Rd, #1 UT Medicaid Cedar City, UT 84720 Price, UT 84501 47 S 100 E Farmington, UT 84025 Phone: (435) 586-0064 Phone: (435) 637-1744 Radiology UT Medicaid UT Medicaid Phone: (801) 451-5985 UT Medicaid Kings Medical Imaging at Layton 2071 N Main St, #100 Kane County Davis County Fit Quest Therapy Layton, UT 84041 275 N 300 W, #403 Phone: (801) 825-4040 Kaysville, UT 84037 UT Medicaid Ophthalmologic Ambulatory Surgical Phone: (801) 546-6868 UT Medicaid Utah Imaging Associates (Admin) Surgery Davis Surgical Center 380 N 200 W, #209 1544 W Antelope Dr Fit Quest Therapy Bountiful, UT 84010 Mountain Eye Institute Layton, UT 84041 790 E 700 S Phone: (801) 298-1300 76 E 100 S Phone: (801) 773-3339 Clearfield, UT 84015 UT Medicaid Kanab, UT 84741 UT Medicaid Phone: (801) 779-3231 Phone: (435) 586-1131 UT Medicaid UT Medicaid Lakeview Endoscopy Center Grand County 620 E Medical Dr, #200 Hand & Orthopedic Rehab Physical Therapy Bountiful, UT 84010 Specialists Phone: (801) 299-6760 535 E 500 S, #7 Physical Therapy Mountain Land Rehabilitation UT Medicaid Bountiful, UT 84010 355 N Main St Phone: (801) 295-3599 Mountain Land Rehabilitation Kanab, UT 84741 UT Medicaid 450 W Williams Way Phone: (435) 644-4199 Moab, UT 84532 UT Medicaid Phone: (435) 259-3600 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 169 Salt Lake Ambulatory Health Care Facilities Salt Lake Wasatch Artificial Kidney Center Hand & Orthopedic Rehab Registered Physical Therapists Salt Lake County 650 E 4500 S, #200 Specialists 1577 W 7000 S, #100 Murray, UT 84107 5151 S 900 E, #100 West Jordan, UT 84088 Phone: (801) 747-0880 Holladay, UT 84117 Phone: (801) 566-6301 Ambulatory Surgical UT Medicaid Phone: (801) 261-3321 UT Medicaid Family Surgical Suite UT Medicaid 151 E 5600 S, #104 Hearing and Speech Registered Physical Therapists Murray, UT 84107 Hand & Orthopedic Rehab 1738 W 12600 S Phone: (801) 495-1064 Audiology Associates of Utah Specialists Riverton, UT 84065 UT Medicaid 10441 S Redwood Rd 702 E South Temple, #102 Phone: (801) 466-0990 South Jordan, UT 84095 Salt Lake City , UT 84102 UT Medicaid Phone: (801) 328-8535 Mountain West Endoscopy Phone: (801) 302-8022 Registered Physical Therapists Center UT Medicaid UT Medicaid 6360 S 3000 E, #320 389 W 10000 S Salt Lake City , UT 84121 Audiology Associates of Utah Herriman Physical Therapy South Jordan, UT 84095 Phone: (801) 944-3166 1377 E 3900 S, #201 5734 W 13400 S Phone: (801) 676-2210 Salt Lake City , UT 84124 Riverton, UT 84065 UT Medicaid UT Medicaid Phone: (801) 302-7232 Phone: (801) 272-1232 Registered Physical Therapists Salt Lake Endoscopy Center UT Medicaid UT Medicaid 24 S 1100 E, #103 9720 S 1300 E, #W200 Salt Lake City , UT 84102 Audiology Associates of Utah Jordan Valley Medical Center Sandy, UT 84094 Phone: (801) 233-0707 508 E South Temple, #203 3580 W 9000 S Phone: (801) 572-0690 Salt Lake City , UT 84102 West Jordan , UT 84088 UT Medicaid UT Medicaid Phone: (801) 561-8888 Phone: (801) 364-8692 RMTS - Firstmed Salt Lake Surgical Center UT Medicaid UT Medicaid 617 E 3900 S 8822 S Redwood Rd, #E122 Murray, UT 84107 Mountain West Hearing Center Mountain Land RehabilitationD West Jordan, UT 84088 Phone: (801) 261-3145 4000 S 700 E, #10 1153 E 3900 S Phone: (801) 566-7080 UT Medicaid Murray, UT 84107 Salt Lake City , UT 84124 UT Medicaid Phone: (801) 268-6497 Phone: (801) 262-6331 UT Medicaid RMTS - West Valley South Towne Surgery Center UT Medicaid 3497 W 3500 S 10011 S Centennial Pkwy, #100 Mountain Land Rehabilitation West Valley City, UT 84119 Sandy, UT 84070 Ophthalmologic 1952 E 7000 S, #100 Phone: (801) 964-5565 Phone: (801) 233-9300 Surgery Salt Lake City , UT 84121 UT Medicaid UT Medicaid Phone: (801) 942-3311 Utah Surgery Center Retina Associates of Utah UT Medicaid RMTS at Firstmed Industrial 3715 W 4100 S 359 8th Ave, #210 441 S Redwood Rd West Valley City, UT 84120 Salt Lake City , UT 84103 Mountain Land Rehabilitation Salt Lake City , UT 84104 Phone: (801) 957-0200 Phone: (801) 408-2020 451 Bishop Federal Ln Phone: (801) 975-1403 UT Medicaid Salt Lake City , UT 84115 UT Medicaid UT Medicaid Phone: (801) 493-8814 Wasatch Endoscopy Center Pain UT Medicaid Rocky Mountain Therapy 1220 W 3900 S, #1B 3725 W 4100 S Salt Lake City , UT 84124 Lifetree Medical Mountain Land Rehabilitation West Valley City, UT 84120 Phone: (801) 281-3657 3838 S 700 E 4624 S Holladay Blvd Phone: (801) 965-3545 UT Medicaid Murray, UT 84107 Salt Lake City , UT 84117 UT Medicaid Phone: (801) 261-4988 Phone: (801) 277-1028 UT Medicaid Salt Lake Regional Medical End-Stage Renal UT Medicaid Center Disease (ESRD) Lifetree Medical Mountain Land Rehabilitation 1050 E South Temple 617 E 3900 S 50 E 9000 S Salt Lake City , UT 84102 Treatment Murray, UT 84107 Sandy, UT 84070 Phone: (801) 350-4111 Liberty Dialysis - West Jordan Phone: (801) 261-8272 Phone: (801) 562-0066 UT Medicaid UT Medicaid 3823 W 9000 S, #D UT Medicaid South Mountain Sports Med & West Jordan, UT 84088 Mountain Land Rehabilitation Rehab Phone: (801) 280-4600 Physical Therapy 9301 S Wights Ford Rd, #215 12226 S 1000 E, #1 UT Medicaid West Jordan, UT 84088 Draper, UT 84020 Advanced Motion Physical South Mountain Dialysis Phone: (801) 282-2200 Phone: (810) 523-3415 Therapy UT Medicaid UT Medicaid 10969 Riverfront Pkwy, #100 8089 W 3500 S South Jordan, UT 84095 Magna, UT 84044 Peak Physical Therapy & Sports Utah Bone & Joint Center Phone: (801) 747-0880 Phone: (801) 250-6733 Med 5323 S Woodrow St, #202 UT Medicaid UT Medicaid 12198 S Factory Outlet Dr, #3 Murray, UT 84107 Draper, UT 84020 Phone: (801) 713-0606 Oquirrh Artificial Kidney Center First Med East Physical Therapy 2496 W 4700 S Phone: (801) 571-6600 UT Medicaid 1950 E 7000 S UT Medicaid Taylorsville, UT 84118 Salt Lake City , UT 84121 Wasatch Physical Therapy Phone: (801) 417-9900 Phone: (801) 943-3300 Pioneer Valley Hospital Campus 5323 S Woodrow St, #204 UT Medicaid UT Medicaid JVMC Murray, UT 84107 3460 S Pioneer Pkwy Phone: (801) 713-0610 West Valley City, UT 84120 UT Medicaid Phone: (801) 964-3100 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 170 Salt Lake Ambulatory Health Care Facilities Washington Westwood Physical Therapy Mt Timpanogos Therapy Services Clinic San Juan County Utah County 147 W 400 N 5547 S 4015 W, #7 Orem, UT 84057 Kearns, UT 84118 Phone: (801) 224-2177 Phone: (801) 967-6055 Physical Therapy Ambulatory Surgical UT Medicaid UT Medicaid Mountain Land Rehabilitation American Fork Surgical Center Physical & Sports Therapy 364 W 100 N 1175 E 50 S, #101 Services Radiology Monticello, UT 84535 American Fork, UT 84003 380 E 400 S Kings Medical Imaging at Phone: (435) 587-2116 Phone: (801) 492-5994 Springville, UT 84663 Redwood UT Medicaid UT Medicaid Phone: (801) 489-5669 6243 S Redwood Rd, #130 Mountain Land Rehabilitation Central Utah Surgical Center UT Medicaid Taylorsville, UT 84123 818 N 400 W 1067 N 500 W Physical & Sports Therapy Phone: (801) 288-9671 Blanding, UT 84511 Provo, UT 84604 Services UT Medicaid Phone: (801) 277-1028 Phone: (801) 374-0354 684 W 800 N, #110 Millcreek Imaging Center UT Medicaid UT Medicaid Orem, UT 84057 3738 S 900 E Phone: (801) 224-2250 Salt Lake City, UT 84124 Sanpete County End-Stage Renal UT Medicaid Phone: (801) 313-1955 Disease (ESRD) Professional Therapy & Rehab UT Medicaid Treatment 77 S 400 W Physical Therapy Spanish Fork, UT 84660 RGL Medical Services Lone Peak Dialysis 1561 W 7800 S Therapy West Phone: (801) 798-1626 1175 E 50 S, #11 UT Medicaid West Jordan, UT 84088 13 E Center St American Fork, UT 84003 Phone: (801) 352-9500 Gunnison, UT 84634 Phone: (801) 763-1304 Spine Orthopedic & Sports PT UT Medicaid Phone: (435) 528-7575 UT Medicaid 1067 N 500 W, #B UT Medicaid Provo, UT 84604 Utah Imaging Associates Timpanogos Dialysis 3970 S 700 E, #14 Therapy West Phone: (801) 370-9981 1055 N 300 W, #222 UT Medicaid Murray, UT 84107 59 W 700 S Provo, UT 84604 Phone: (801) 226-3820 Ephraim, UT 84627 Phone: (801) 356-8907 Spine Orthopedic & Sports PT UT Medicaid Phone: (435) 283-6334 UT Medicaid 3303 N University Ave UT Medicaid Provo, UT 84604 Utah Imaging West Valley Utah Valley Dialysis - Davita 3715 W 4100 S, #150 Phone: (801) 373-7438 1055 N 500 W, #221 UT Medicaid West Valley City, UT 84120 Summit County Provo, UT 84604 Phone: (801) 951-2323 Phone: (801) 373-5400 Timpanogos Regional Hospital UT Medicaid Radiology UT Medicaid 750 W 800 N Sleep Disorder Orem, UT 84057 Park City Imaging Hearing and Speech Phone: (801) 714-6000 Diagnostic 1850 Sidewinder Dr, #410 UT Medicaid Park City, UT 84060 Audiology Associates of Utah Precision Diagnostic Services Phone: (435) 615-0251 130 W Main St, #C Radiology 4885 S 900 E, #107 UT Medicaid Lehi, UT 84043 Salt Lake City, UT 84117 Phone: (801) 272-1232 Utah Valley OB Ultrasound Phone: (801) 266-0399 UT Medicaid 1055 N 300 W, #303 UT Medicaid Tooele County Provo, UT 84604 Ophthalmologic Phone: (801) 357-7377 Utah Sleep Center UT Medicaid 515 E 4500 S, #G220 Physical Therapy Surgery Murray, UT 84107 Phone: (801) 746-0292 Mountain Land Rehabilitation Retina Associates of Utah Washington County UT Medicaid 17 S Main St 1055 N 300 W, #420 Tooele, UT 84074 Provo, UT 84132 Ambulatory Surgical Phone: (435) 843-7466 Phone: (801) 357-7999 Ambulatory Surgical UT Medicaid UT Medicaid St Marks Outpatient Surgery Coral Desert Surgery Center Center Mountain Land Rehabilitation Physical Therapy 1490 E Foremaster Dr, #C 1250 E 3900 S, #100 220 Millpond, #109 St George, UT 84790 Salt Lake City, UT 84124 Stansbury, UT 84074 Central Utah Clinic Phone: (435) 674-5230 Phone: (801) 262-0358 Phone: (435) 882-4144 1055 N 500 W UT Medicaid UT Medicaid UT Medicaid Provo, UT 84604 Phone: (801) 375-8858 Dixie Surgery Center UT Medicaid 1085 S Bluff St St George, UT 84770 Lehi Physical Therapy Phone: (435) 688-2020 123 N Center St UT Medicaid Lehi, UT 84043 Phone: (801) 766-8460 South Main Surgery Center UT Medicaid 754 S Main St, #3 St George, UT 84770 Phone: (435) 628-2671 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 171 Washington WAmbulatory Health Care Facilities eber St George Endoscopy Center Advanced Physical Therapy Physical Therapy 368 E Riverside Dr, #B Services Weber County St George, UT 84790 225 S 700 E Fit Quest Therapy Phone: (435) 674-3109 St George, UT 84770 1885 E Skyline Dr UT Medicaid Phone: (435) 652-4455 Ambulatory Surgical Ogden, UT 84403 UT Medicaid Phone: (801) 476-4141 St George Surgical Center Mt Ogden Surgical Center UT Medicaid 676 S Bluff St Mountain Land Rehabilitation 4364 Washington Blvd St George, UT 84770 324 N 1680 E Ogden, UT 84403 Fit Quest Therapy Phone: (435) 673-8080 St George, UT 84790 Phone: (801) 479-4470 2120 N 400 E UT Medicaid Phone: (435) 674-1269 UT Medicaid Ogden, UT 84414 UT Medicaid Phone: (801) 782-3500 End-Stage Renal End-Stage Renal UT Medicaid Mountain Land Rehabilitation Disease (ESRD) 42 S 850 W Disease (ESRD) Fit Quest Therapy Treatment Hurricane, UT 84737 Treatment 4607 S 3500 W Phone: (435) 635-4609 Ogden, UT 84401 Liberty Dialysis - St George UT Medicaid Liberty Dialysis - Ogden Phone: (801) 732-8700 1173 S 250 W, #2 4780 Old Post Rd UT Medicaid St George, UT 84770 Mountain Land Rehabilitation Ogden, UT 84403 Phone: (435) 652-7154 736 S 900 E, #B101 Phone: (801) 394-1230 Mountain Land Rehabilitation UT Medicaid St George, UT 84790 UT Medicaid 2731 N 1600 W Phone: (435) 673-2781 Pleasant View, UT 84404 UT Medicaid Weber Valley Dialysis Phone: (801) 782-0300 Ophthalmologic 1920 W 250 N UT Medicaid Surgery Mountain Land Rehabilitation Ogden, UT 84404 754 S Main St, #4 Phone: (801) 731-4178 Ogden Regional Medical Center Southern Utah Eye Physicians St George, UT 84790 UT Medicaid 5475 S 500 E 1791 E 280 N Phone: (435) 673-0191 Ogden, UT 84405 St George, UT 84790 UT Medicaid Hearing and Speech Phone: (801) 479-2111 Phone: (435) 628-4429 UT Medicaid UT Medicaid Weber Audiology & Hearing Aids Radiology 2510 Washington Blvd, #100 Wasatch Therapy Zion Eye Institute Coral Desert Imaging Center Ogden, UT 84401 5405 S 500 E, #100 1791 E 280 N 1490 E Foremaster Dr, #C Phone: (801) 627-3001 Ogden, UT 84405 St George, UT 84790 St George, UT 84790 UT Medicaid Phone: (801) 479-9865 Phone: (435) 628-4429 Phone: (435) 986-2238 UT Medicaid UT Medicaid UT Medicaid Pain Radiology Physical Therapy Lifetree Medical Wayne County 1740 E Combe Rd, #4 Utah Imaging Ogden Advanced Physical Therapy Ogden, UT 84403 5322 S 400 E Services Phone: (801) 475-6566 Ogden, UT 84405 1490 E Foremaster Dr, #110 Physical Therapy UT Medicaid Phone: (801) 475-0800 St George, UT 84790 UT Medicaid Phone: (435) 652-4455 Therapy West UT Medicaid 128 S 300 W Bicknell, UT 84715 Phone: (435) 425-3744 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 172 Cache UUrgent Care Facilities tah First Med Murray Cache County Iron County 5911 S Fashion Blvd Utah County Murray, UT 84107 Phone: (801) 266-6483 Urgent Care Urgent Care UT Medicaid Urgent Care Logan InstaCare Cedar City InstaCare First Med West After Hours Medical Company 412 N 200 E 962 S Sage Dr 8822 S Redwood Rd, #E122 476 N 900 W, #C Logan, UT 84321 Cedar City, UT 84720 West Jordan , UT 84088 American Fork, UT 84003 Phone: (435) 713-2710 Phone: (435) 865-3440 Phone: (801) 256-0009 Phone: (801) 492-1611 UT Medicaid UT Medicaid UT Medicaid UT Medicaid Firstmed Industrial Clinic American Fork Clinic Davis County Kane County 441 S Redwood Rd 226 N 1100 E, #A Salt Lake City, UT 84104 American Fork, UT 84003 Phone: (801) 973-2588 Phone: (801) 855-3843 Urgent Care Urgent Care UT Medicaid UT Medicaid After Hours Medical Company Kane County Medical Clinic Granger Medical Clinic Art City Family Medical Center 1550 N Main St, #E 355 N Main St 3725 W 4100 S 5 E 400 N Layton, UT 84041 Kanab, UT 84741 West Valley City, UT 84120 Springville, UT 84663 Phone: (801) 614-9030 Phone: (435) 644-4100 Phone: (801) 965-3600 Phone: (801) 489-8464 UT Medicaid UT Medicaid UT Medicaid UT Medicaid First Med North Magna Center for Family Expressmed 214 W 1500 S Mohave County Medicine 415 N Main St Bountiful, UT 84010 8211 W 3500 S Spanish Fork, UT 84660 Phone: (801) 295-6483 Magna, UT 84044 Phone: (801) 798-9700 UT Medicaid Urgent Care Phone: (801) 250-9638 UT Medicaid Layton Family Practice Hildale Health Center UT Medicaid Mountain Medical Urgent Care 124 S Fairfield Rd 20 S Colvin St Nurse Practitioner Healthcare 127 E Main St, #E Layton, UT 84041 Colorado City, UT 86021 Assoc Lehi, UT 84043 Phone: (801) 546-9441 Phone: (928) 875-2217 4568 S Highland Dr, #290 Phone: (801) 768-1515 UT Medicaid UT Medicaid Salt Lake City , UT 84117 UT Medicaid Tanner Memorial Clinic Phone: (801) 274-6127 Mountain View Family Medicine 2038 W 1900 S Salt Lake County UT Medicaid 97 S Professional Way, #2 Syracuse, UT 84075 UUHC Redwood Center Payson, UT 84651 Phone: (801) 773-4840 1525 W 2100 S Phone: (801) 465-4896 UT Medicaid Urgent Care West Valley City, UT 84119 UT Medicaid Tanner Memorial Clinic After Hours Medical Company Phone: (801) 213-9700 Riverwoods Urgent Care 2121 N 1700 W 10433 S Redwood Rd UT Medicaid 280 W Riverpark Dr, #120 South Jordan, UT 84095 Layton, UT 84041 Valued Medical Care Provo, UT 84604 Phone: (801) 773-4840 Phone: (801) 501-0500 Phone: (801) 229-2011 UT Medicaid 9103 S 1300 W, #103 UT Medicaid West Jordan, UT 84088 UT Medicaid Tanner Memorial Clinic After Hours Medical Company Phone: (801) 208-2070 Spanish Fork Clinic 380 N 400 W 1126 E 12300 S UT Medicaid 325 W Center St Kaysville, UT 84037 Draper, UT 84020 Spanish Fork, UT 84660 Phone: (801) 773-4840 Phone: (801) 545-0600 Phone: (801) 798-7301 UT Medicaid UT Medicaid Tooele County UT Medicaid Wee Care PediatricsD After Hours Medical Company Tri City Medical Clinic 1580 W Antelope Dr, #100 3451 S 5600 W, #F Urgent Care 275 W 200 N Layton, UT 84041 West Valley City, UT 84120 Tooele InstaCare Lindon, UT 84042 Phone: (801) 773-8644 Phone: (801) 957-0900 777 N Main St Phone: (801) 796-1333 UT Medicaid UT Medicaid Tooele, UT 84074 UT Medicaid Wee Care PediatricsD After Hours Medical Company Phone: (435) 228-1200 Tri City Medical Clinic 934 S Main St, #8 7998 S 1300 E UT Medicaid 830 N 2000 W Sandy, UT 84094 Layton, UT 84041 Pleasant Grove, UT 84062 Phone: (801) 773-8644 Phone: (801) 255-2000 Uintah County Phone: (801) 756-3511 UT Medicaid UT Medicaid UT Medicaid Westside Medical First Med East Utah Valley Pediatrics 1477 N 2000 W 1950 E 7000 S Urgent Care 1355 N University Ave, #210 Clinton, UT 84015 Salt Lake City , UT 84121 Basin Clinic Urgent Care Provo, UT 84604 Phone: (801) 774-8888 Phone: (801) 943-3300 475 N 500 W Phone: (801) 373-8930 UT Medicaid UT Medicaid Vernal, UT 84078 UT Medicaid Phone: (435) 781-6634 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 173 Utah WUrgent Care Facilities eber UUHC Parkway Health Center Nightlight Pediatrics Sunset InstaCare Ogden Clinic 145 W University Pkwy 1240 E 100 S, #14 1739 W Sunset Blvd 1159 E 12th St Orem, UT 84058 St George, UT 84790 St George, UT 84770 Ogden, UT 84404 Phone: (801) 234-8600 Phone: (435) 628-8034 Phone: (435) 634-6050 Phone: (801) 475-3000 UT Medicaid UT Medicaid UT Medicaid UT Medicaid River Road InstaCare Ogden Clinic Washington County 577 S River Rd Weber County 4650 Harrison Blvd St George, UT 84790 Ogden, UT 84403 Phone: (435) 688-6300 Phone: (801) 475-3000 Urgent Care UT Medicaid Urgent Care UT Medicaid Hurricane Valley InstaCare St George Clinic Health Clinics of Utah South Ogden Center for Family 75 N 2260 W 736 S 900 E, #203 2540 Washington Blvd, #122 Med Hurricane , UT 84737 St George, UT 84790 Ogden, UT 84401 5740 Crestwood Dr Phone: (435) 635-6550 Phone: (435) 673-6131 Phone: (801) 626-3670 Ogden, UT 84405 UT Medicaid UT Medicaid UT Medicaid Phone: (801) 479-7771 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 174 Box Elder Nursing & Custodial Care Facilities Utah North Canyon Care Center Crosslands Rehab & Healthcare Trinity Mission Health & Rehab Box Elder County 350 S 400 E Ctr 1053 W 1020 S Bountiful, UT 84010 575 E 11000 S Provo, UT 84601 Phone: (801) 397-4713 Sandy, UT 84070 Phone: (801) 373-2630 Skilled Nursing UT Medicaid Phone: (801) 571-7600 UT Medicaid UT Medicaid Facility South Davis Community Care Utah State Veterans Nursing Pioneer Care Center Center Federal Heights Rehab & Nursing Home 815 S 200 W 401 S 400 E Ctr 700 Foothill Blvd Brigham City, UT 84302 Bountiful, UT 84010 41 S 900 E Salt Lake City, UT 84113 Phone: (435) 723-5289 Phone: (801) 295-2361 Salt Lake City , UT 84124 Phone: (801) 584-1900 UT Medicaid UT Medicaid Phone: (801) 532-3539 UT Medicaid UT Medicaid Willow Glen Health and Rehab 775 N 200 E Juab County Heritage – Willow Wood Care Washington County Brigham City, UT 84302 Center Phone: (435) 723-7777 1205 E 4725 S UT Medicaid Skilled Nursing Salt Lake City , UT 84117 Skilled Nursing Facility Phone: (801) 262-2908 Facility UT Medicaid Cache County Heritage Hills Rehab & Care Community Nursing Services - Center Willow Wood Care Center CNS 1100 N 400 E 1205 E 4725 S 321 N Mall Dr Skilled Nursing Nephi, UT 84648 Salt Lake City, UT 84117 St George, UT 84790 Facility Phone: (435) 623-1721 Phone: (801) 262-2908 Phone: (866) 652-9097 UT Medicaid UT Medicaid UT Medicaid Community Nursing Services - CNS St George Care & Rehabilitation 1155 N Main Salt Lake County Sevier County Ctr Logan, UT 84341 1032 E 100 S Phone: (800) 501-0014 Skilled Nursing St George, UT 84770 UT Medicaid Skilled Nursing Phone: (435) 628-0488 Facility Facility UT Medicaid

Carbon County Arlington Hills Healthcare Center Richfield Care Center 165 S 1000 E 83 E 1100 N Weber County Richfield, UT 84701 Skilled Nursing Salt Lake City, UT 84102 Phone: (801) 322-5521 Phone: (435) 896-8211 Skilled Nursing Facility UT Medicaid UT Medicaid Facility Pinnacle Nursing & Rehab Center Avalon Valley Rehabilitation 1340 E 300 N Center Utah County Heritage Park Care Center Price, UT 84501 2472 S 300 E 2700 W 5600 S Phone: (435) 637-9213 Salt Lake City , UT 84115 Skilled Nursing Roy, UT 84067 UT Medicaid Phone: (801) 466-2211 Phone: (801) 824-9731 UT Medicaid Facility UT Medicaid

Davis County Bennion Care Center Heritage Care Center Wasatch Care Center 6246 S Redwood Rd 350 E 300 N 3430 Harrison Blvd Salt Lake City , UT 84123 American Fork, UT 84003 Ogden, UT 84403 Skilled Nursing Phone: (801) 969-1420 Phone: (801) 756-5293 Phone: (801) 359-2123 Facility UT Medicaid UT Medicaid UT Medicaid Avalon Care Center Bountiful Canyon Rim Care Center Orem Nursing & Rehab Center 523 N Main St 2370 E 3300 S 575 E 1400 S Bountiful, UT 84010 Salt Lake City, UT 84109 Orem, UT 84097 Phone: (801) 951-2273 Phone: (801) 487-0896 Phone: (801) 225-4741 UT Medicaid UT Medicaid UT Medicaid Community Nursing Services - Community Nursing Services - Provo Rehabilitation & Nursing CNS CNS 1001 N 500 W 2102 N Robbins, #102 383 W Vine St, #300 Provo, UT 84604 Layton, UT 84041 Murray, UT 84123 Phone: (801) 377-9661 Phone: (888) 882-4678 Phone: (801) 233-6100 UT Medicaid UT Medicaid UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 175 Arapahoe WLaboratories ashington LabCorp Arapahoe County Denver County 1250 E 3900 S, #302 Tooele County Salt Lake City , UT 84124 Phone: (801) 264-9675 Clinical Medical Clinical Medical UT Medicaid Clinical Medical Laboratory Laboratory LabCorp Laboratory Tamarac Medical Schryver Medical Sales & 3920 S 1100 E, #175 LabCorp 7000 S Broadway, #1A Marketing Salt Lake City , UT 84124 2356 N 400 E, #204 Centennial, CO 80122 6840 Broadway, #A-I Phone: (801) 264-8351 Tooele, UT 84074 Phone: (303) 794-1083 Denver, CO 80221 UT Medicaid Phone: (435) 882-7106 UT Medicaid Phone: (303) 650-5400 UT Medicaid UT Medicaid LabCorp 5199 S Green St Cache County Murray, UT 84124 Utah County Iron County Phone: (801) 288-9000 UT Medicaid Clinical Medical Clinical Medical Laboratory Clinical Medical Microculture Laboratory Laboratory 1847 W 9000 S, #102 Quest Diagnostics West Jordan , UT 84088 LabCorp 1515 N 400 E, #104 Valley View Medical Center Phone: (801) 352-0995 1890 W 800 N Logan, UT 84341 1303 N Main St UT Medicaid Pleasant Grove, UT 84062 Phone: (435) 755-6061 Cedar City, UT 84720 Quest Diagnostics Phone: (801) 492-0507 UT Medicaid Phone: (435) 868-5000 11760 S 700 E UT Medicaid UT Medicaid Draper, UT 84020 LabCorp Carbon County Phone: (888) 277-8772 3650 N University Ave, #175 Mercer County UT Medicaid Provo, UT 84604 Phone: (801) 356-2590 Clinical Medical Quest Diagnostics Clinical Medical 3489 W 2100 S, #200 UT Medicaid Laboratory West Valley City, UT 84119 Mountain View Hospital Laboratory Phone: (888) 277-8772 1000 E Hwy 6 Quest Diagnostics UT Medicaid 377 N Fairgrounds Rd Medical Diagnostic Laboratories Payson, UT 84651 Price, UT 84501 2439 Kuser Rd Quest Diagnostics Phone: (801) 465-7090 Phone: (888) 277-8772 Hamilton, NJ 08690 470 E 3900 S, #100 UT Medicaid UT Medicaid Phone: (877) 269-0090 Salt Lake City, UT 84107 Quest Diagnostics UT Medicaid Phone: (888) 277-8772 127 E Main St, #E UT Medicaid Davis County Lehi, UT 84043 Salt lake County Salt Lake Regional Medical Phone: (801) 766-9822 UT Medicaid Clinical Medical Center Clinical Medical 1050 E South Temple Richards Laboratories of Utah Laboratory Salt Lake City , UT 84102 55 E Center St Laboratory Phone: (801) 350-4111 Pleasant Grove, UT 84062 Davis Hospital & Medical Center UT Medicaid 1600 W Antelope Dr Core Phone: (801) 785-2500 Layton, UT 84041 Lab St Mark’s Hospital UT Medicaid Phone: (801) 825-9561 5252 S Intermountain Dr 1200 E 3900 S Timpanogos Regional Hospital UT Medicaid Murray, UT 84107 Salt Lake City , UT 84124 750 W 800 N Phone: (801) 589-0228 Phone: (801) 268-7111 Orem, UT 84057 LabCorp UT Medicaid UT Medicaid 1580 Antelope Dr, #270 Phone: (801) 714-6000 Layton, UT 84041 Central Utah Pathology UUHC Central Lab UT Medicaid Phone: (801) 525-1903 750 W 800 N 1050 E South Temple UT Medicaid Midvale , UT 84047 Salt Lake City , UT 84102 Washington County Phone: (801) 714-6061 Phone: (801) 464-1825 LabCorp UT Medicaid UT Medicaid 425 Medical Dr, #200 Clinical Medical Bountiful, UT 84010 LabCorp Richards Laboratories of Utah Phone: (801) 294-4302 1060 E 100 S, #L7 3489 W 2100 S Laboratory UT Medicaid Salt Lake City , UT 84102 West Valley City, UT 84119 Phone: (801) 355-8559 Phone: (801) 355-5579 Dixie Regional Medical Center Quest Diagnostics UT Medicaid UT Medicaid 1380 E Medical Center Dr 1660 W Antelope Dr, #230 St George, UT 84790 Layton, UT 84041 LabCorp Phone: (435) 251-1000 Phone: (888) 277-8772 12176 S 1000 E UT Medicaid UT Medicaid Draper, UT 84020 LabCorp Phone: (801) 523-3013 1490 E Foremaster Dr, #230 UT Medicaid St George, UT 84797 Phone: (435) 673-8266 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 176 Washington WLaboratories eber Quest Diagnostics Ogden Regional Medical Center 736 S 900 E Weber County 5475 S 500 E St George, UT 84790 Ogden, UT 84405 Phone: (435) 628-3419 Phone: (801) 479-2111 UT Medicaid Clinical Medical UT Medicaid Laboratory LabCorp 6028 S Ridgeline Dr, #203 Ogden, UT 84405 Phone: (801) 475-7195 UT Medicaid

NOTE: This listing of participating providers is subject to change at any time without notice. As a member, it is your responsibility to verify whether or not a provider is currently participating on the plan, call Member Services at 1-888-483-0760 – Si tiene preguntas llame al 1-888-483-0760. 177 Primary Care Index of Providers Aagard, Robert L Md...... 74 Bailey, Stanton A Md...... 46, 67 Bierer, David Roy Md...... 84 Burtenshaw, Abarca, Sergio Md...... 69 Baires, Enrique P Md...... 82 Bigham, Thomas Holland Do.. 79 Bruce Francis Md...... 41 Abbott, Justin D Do...... 46, 67 Baker, Thomas J Pa...... 85 Bilanzich, Travis John Md...... 46 Busk, Neal Christian Md...... 79 Abram, Jeffery H Pa...... 78 Ball, John Harold Pa...... 63 Bingham, Jared Lee Md...... 71 Butler, Warren Leroy Md...... 39 Abueg, Florentino Manuel Md.55 Ballingham, David Jay Pa.....37, 48 Binkley, Shelley Sue Md...... 41, 58 Butters, David Eric Do...... 39 Adams, Linda Margrit Md...60, 76 Balog, Kimberly Ann Md...... 60 Birch, Richard G Do...... 44 Bybee, Alan N Pa...... 47, 86 Adams, Nathan J Pa...... 63 Bane, Jesse David Md...... 55 Bishop, Scott R Md...... 39 Cain, Lawrence A Md...... 79 Adams, Ross Mitchell Do...... 76 Bank, Stacey Md...... 49 Bitner, Mark R Md...... 41 Calame, Rosemary Aprn...... 57 Aggarwal, Nupur Md...... 45 Banks, Amy Lorraine Md...... 49 Bjork, Janeen Md...... 38 Caldwell, Catherine G Pa...... 78 Ahanonu, Cecilia Pa...... 63 Barber, Kara Pa...... 85 Blad, Kent D Np...... 75 Call, Nathan H Md...... 36 Ahlstrom, Jon W Md...... 84 Bardsley, Christine R Aprn...... 44 Blair, Veronica Carol Cnm...... 48 Callahan, Thomas D Md...... 79 Ahn, Yong Hui Md...... 55 Barker, Lance Md...... 46, 66, 67 Blanca, Haydee Larralde Md..... 85 Callis Jr, James Alton Pa...... 38 Aizad, Tazeem Md...... 60 Barker, Lance Fred Md...... 35 Bledsoe, James Aaron Md...... 82 Campbell, Bryan Joe Md...... 83 Alba, Jesse Aaron Md...... 76 Barker, Layne Thomas Md...... 39 Bloink, Steven William Md...... 65 Campbell, Cynthia Lynn Np..... 79 Albano, Joseph Md...... 48 Barlow, Lehi S Do...... 79 Bockoven, Kurt M Np...... 54 Campbell, Debra Pa...... 63 Aldridge, Rebekah Ruth Pa...... 69 Barlow, Martha Cnm...... 79 Bodnar, Anna S Md...... 60, 76, 85 Canga-Siao, Cynthia Rose Md.. 41 Alejo, Randy Simpliciano Md... 84 Barlow, Shirley J Cnm...... 79 Boehm, Mindy M Md...... 85 Carbone, Paul Sean Md Allen, Brandon R Md...... 48 Barman, Thomas F Md...... 55 Boheen, Karen Do...... 41 ...... 38, 45, 60, 67, 81 Allen, Daniel Jude Do Barnard, Peter Scott Cnm...... 48 Bond-Jorgensen, Carlson, Brian W Md...... 36 ...... 45, 46, 67, 79 Barnes, Arthur David Md...... 58 Stacey Ann Aprn...... 42, 85 Carlson, Dennis Jason Pa.....43, 86 Allen, Douglas A Md...... 74 Barney, Douglas Paul Md...... 39 Bonjour, Lauren Pa...... 69 Carlson, Vera B Md...... 36 Allen, Glori M Md...... 38, 44 Barney, Mitchell F Md...... 58 Booth, Craig L Md...... 79 Carn, Thomas R Md...... 71 Allen, Juanita Np...... 54 Barney, Spencer P Md...... 58 Borgenicht, Louis Md...... 60 Carter, Boyd Allen Md...... 79 Allen, Louis S Md Barney, William Wesley Md...... 80 Bostrom, Samantha P Md...... 42 Carter, Curtis Md...... 79 ....38, 45, 60, 66, 67, 70, 76, 81, 85 Barrett, Mark B Md...... 60 Bosworth, Darin G Md...... 60 Carter, Curtis A Md...... 79 Allen, Richard Elliot Md...... 48 Bartholomew, Bryan R Md...... 41 Bott, Wesley S Do...... 71 Carter, Kristine Rowe Aprn..... 80 Allred, Don Preston Do...... 48 Bartholomew, Jonathen Do...... 76 Boudreaux-Nippert, Carter, Melvin R Md...... 79 Allred, Heather B Pa...... 37, 48 Barton, Scott David Md...... 79 Denise J Md...... 58 Carter, Stacie B Cnm...... 38 Allred, John Gordon Do...... 85 Barton, Scott R Md...... 58 Bourne, Talmage Lee Md...... 49 Castro, David F Pa...... 86 Allred, Michael G Md...... 39 Bateman, Kim A Md...... 66 Bovos, Mike E Md...... 44 Castro, Jan M Pa...... 86 Alvey, Justin C Md...... 42, 85 Batson, Margaret K Cnm...... 48 Bowden, Craig S Pa...... 43, 86 Cate, Rebecca Sue Np...... 73, 84 Amann, Kelly Richard Do...... 82 Baur, Nisha Ray Do...... 42 Bowman, Jonathan Craig Md... 46 Cate Jr, Anders, Krista Jean Md...... 69 Baxter, Catherine Laverne Np... 54 Boyer, Ben P Np...... 36, 47 Thomas Randolph Md...... 56 Anders, Scott Gerald Md...... 49 Baxter, Mark E Md...... 39 Brady, Matthew Frank Md...... 38 Cazier, Sonja Aprn...... 47 Andersen, Dana A Md...... 49 Beales, Jason S Md...... 44 Brasher, Craig Alan Md...... 60 Chalmers IV, Andersen, Matthew Todd Md... 49 Bean, Barbara E Md...... 60 Breinholt, Lindsay P Cnm...... 48 Robert Wallace Md...... 81 Anderson, Bradley Wayne Md.. 76 Bean, Gregory H Md...... 74 Breitenbach, Karl L Md...... 70 Chamberlain, Anderson, Cameron D Md...... 74 Bean, Karin Holmes Pa...... 78 Briley, Melissa S Pa...... 63, 68 Howard Lee Md...... 79 Anderson, Elisabeth Gay Pa...... 85 Bean, Thomas Scott Pa...... 82 Broadbent, Chamberlain, Anderson, Jeffrey W Pa...... 85 Beard, Lynn Q Md...... 35 David Harrison Md...... 74 Michelle Ann Md...... 68, 79 Anderson, Jennifer H Np...... 37 Bearnson, Patricia Md...... 58 Broadbent, Kenneth R Md...... 60 Chambers, May Md...... 58 Anderson, Kirk R Md...... 73 Beaumont, Kelly Dean Pa...... 82 Broadhurst, Jeremy Do...... 36 Chandler, Carrie A Aprn...... 57 Anderson, Marc Olsen Md...... 39 Beazer, Blake Richard Md...... 69 Broberg, Jeffrey Charles Md..... 74 Chapman, Dale L Md...... 60 Anderson, Rodney S Md...... 70 Beck, Stephen A Md...... 39 Brockbank, Roger D Md...... 71 Chappell, Leland Jeffery Md..... 82 Anderson, Russell Steven Do.... 49 Beckstead, David Bradley Md... 44 Brodie, Lesley Thompson Md.. 60 Chase, Susana Pa...... 63 Anderson Dawson, Tracy Pa..... 63 Behrmann, Gary L Md...... 76 Brogli, Julia C Md...... 60 Checketts, Darin David Do...... 41 Andrew, Ray Allen Md...... 45 Belfry, Carolyn Chalmers Md... 82 Brown, Bryant J Md...... 58 Chen, Eric Hong-Wen Md...... 58 Arbogast, Richard C Md...... 82 Bell, Ryan Md...... 37 Brown, Deann R Cnm...... 44 Chen, Priscilla Aye Md...... 42 Arbon, Brett J Np...... 84 Bell Jr, Joseph W Do...... 58 Brown, Edward D Md...... 85 Cheney, Carol A Np...... 54 Archer, Cullen J Md...... 69 Benally, Heather Pa...... 78 Brown, Jeffrey James Do...... 67, 82 Cherrington, Steven Brent Do.. 71 Archer, Frank Jay Md...... 71 Bench, Pahl G Md...... 71 Brown, Nordell T Md...... 37 Chesley, Tanya Jean Pa...... 86 Archer, Sandra V Md...... 69 Benedict, James Patton Md...... 37 Brown, Todd Alma Md...... 36 Chidester, Todd L Np...... 76 Armstrong, Craig W Md...... 37 Benham, Brady Nolan Md...... 81 Brown, Wayne O Md...... 46 Chipman, Stephen Bret Md...... 71 Armstrong, Crystal M Md...... 49 Bennett, Djohn Noran Md...... 76 Brownstein, Ellie S Md...... 60 Christensen, Don Carl Np...... 40 Arnold, Bradley Clark Md...... 76 Bennett, Richard W Md...... 55, 56 Bruce, Stephen J Md...... 47, 83 Christensen, Heather H Pa...... 79 Arnold, Laura B Md...... 70 Bennion, David F Md...... 73 Buchanan, Brian J Md...... 60 Christensen, Jan F Md...... 66 Arrington, Jeffrey Todd Md...... 84 Berg, Tod L Md...... 78 Buchanan, Marcus P Md...... 35 Christensen, Malinda Ruth Pa.. 63 Arrington, Sara Jean Np...... 40 Berger, Vicki Linn Pa...... 43, 85 Bulaj, Zaneta Jadwiga Md...... 56 Christensen, Mandi J Pa...... 43 Ashby, Sarah Lyn Md...... 76 Bergeson, Lars Md...... 36 Bunker, Clint O Do...... 45 Christensen, Pamela Carol Np.. 54 Aslami, Stephen Shane Md...... 55 Berman, Joseph Harold Md...... 68 Bunnell, Robert Lee Pa...... 43 Christensen, Peter Lloyd Md.... 49 Astle, Craig Dee Md...... 81 Bernards, Steven Allen Pa...... 38 Burgett, Alton Douglas Md...... 58 Christensen, Tristy L Md...... 66 Astle, Nelson L Md...... 39 Berneike, John A Md...... 49 Burnett, Bonnie A Aprn...... 80 Christian, Grant Leroy Md...... 41 Atkin, Jonathan David Pa...... 69 Berry, Judith A Np...... 73 Burnett, Kara Elizabeth Md...... 42 Christian, Mark E Md...... 39 Atwood, Lynne G Np...... 84 Berry, Steven L Md...... 71 Burnett, Virginia D Do...... 74 Christian, Mckay Douglas Md. 79 Aune, David L Md...... 49 Berwald, Charles J Md...... 39 Burnham, Bruce M Pa...... 63 Christiansen, Alicia Md...... 60 Avery, Delwin Barton Md...... 36 Besendorfer, James M Md....46, 66 Burningham, Ted Howard Md. 39 Christiansen, Van G Md...... 83 Baiden, Erica Nancy Md...... 49 Beus, Michael Lynn Md...... 39 Burrell, Lance Aprn...... 65 Church, Jason Md...... 85 Bailey, Ernest Andrew Md...... 76 Biddulph, Glen F Md...... 41 Burrows, Brian Neal Md...... 35, 46 Civish III, Frederic Md...... 49

178 Primary Care Index of Providers Clark, Robert B Md...... 71 Day, Stefani J Md...... 49 Faucett, Gretchen T Cnm...... 38 Gibson, Keri L Md...... 58 Clark, Stephen E Do...... 79 Daynes, Gregory Sharp Md...... 49 Faux, David S Md...... 37 Gillette, Janee Pa...... 64 Clark, Thomas H Md...... 36 Daynes, Randall P Md...... 49 Feindt, Karla Ann Md...... 60 Gilsoul, Jennifer Marion Md.... 42 Clarke, Derrel W Md...... 37 Dayton, Elizabeth Anne Md..... 71 Felshaw, Allison Savanna Pa...... 43 Glade, Gordon B Md...... 76 Clayson, Brett L Pa...... 78 Degrauw, Jeffrey L Md...... 39 Fennell II, James Ashley Md..... 42 Glenn, C Joseph Md...... 75 Clayton, Daniel Bennion Md.... 60 Del Castillo, Alexander N Md... 56 Ferguson, Daniel Richard Md.. 35 Gneiting, Clayton, Keith Joseph Md...... 76 Delaney, George R Md...... 71 Fernandez, Salvador Md...... 71 Robert Wendell Aprn...... 55 Clayton, Kimberly D Md...... 49 Delaplante, Nichole A Do...... 49 Ferriter, Joseph P Md...... 68 Goates, Brad M Md...... 36 Clayton, Matthew Joseph Md... 76 Delavan, George W Md...... 66, 70 Fife, Jason Roy Do...... 39 Goble, Deserae Jeannette Md... 36 Clemens, Peter Conver Do...... 83 Demeter, Danielle M Cnm...... 68 Fillerup, Sharon Lee Md...... 41 Gochnour, Gregory L Md...... 83 Cline, Jeffrey Wade Md...... 60 Denbleyker, Jennifer Jane Md... 49 Fillmore, Randall Reid Md...... 50 Goff, Camille Aprn...... 59 Cobb, Matthew Steven Pa...... 63 Deremer, Kathleen Rose Md..... 84 Finlinson, Brandon K Pa...... 47 Gohari, Mina Md...... 50 Cobb, Nadia Miniclier Pa...... 63 Devenport, David Scott Md...... 76 Firth, Ronald Mark Md...... 36 Goldberg, Cochella, Susan Elizabeth Md.. 49 Devenport, Fischer, Roxina Np...... 84 Kenneth William Md...... 56 Colby, Spencer Neil Md...... 58 Mark Johnathan Md...... 76 Fisher, Mahana S Md.....38, 45, 65 Goncharova, Elena L Md...... 84 Cole, Gary Monroe Md...... 66 Devenport, Flansburg, Gontrum, David Martin Md.... 50 Coleby, Craig Alan Md...... 56 Stephen Brent Md...... 49, 50 Deborah Ruth Cnm...... 36 Gonzales, Gloria Raychel Md... 56 Collett, Camille Md...... 49 Devlin, Kwanza Nicole Md...... 50 Flattes, Valerie Jean Aprn...... 48 Gooch, Harold N Md...... 50 Colvin, Laura Pa...... 86 Deweese, Charles Kip Np...... 55 Flynn, Michael Clinton Md...... 56 Gooch III, Willis Manford Md. 70 Colyar, Margaret R Np...... 69 Dewey, Steven John Md...... 75 Foley, Dennis J Md...... 38 Goodger, William P Md...... 79 Concoby, Dennis Michael Do... 71 Dibble, Carlos M Md...... 35 Fonnesbeck, Brant W Do.....36, 47 Goodwin, Leslie Lash Md...... 61 Conner, Marsena Elaine Md..... 76 Dinger, Steven C Md...... 58 Fonseca, Walstir H Md...... 73 Goss, Jeffrey A Np...... 41 Coombs, Douglas Ray Md...... 42 Dinh, An Tuong Md...... 50, 69 Fonua, Jackie Anne Pa...... 63 Gottlieb, Frederick Lewis Md... 56 Cooper, Leslie Werder Md...... 49 Dixon, Tyler Carnahan Do...... 39 Food, Joseph M Pa...... 63 Gould, Jim Julian Md...... 69 Cope, David G Md...... 39 Do, Phung Kim Pa...... 63 Foote, Stephen M Do...... 39 Gould, Melinda Cnm...... 70 Coppin, Erin V Pa...... 63 Doane, John A Md...... 56 Forbes, Carolyn Md...... 69 Gourde, Theresa D Md...... 56 Corbett, Edward Reed Md...... 73 Dodenbier, Cindie G Np...... 84 Forbush, Nathan G Md...... 42 Gourley, George C Do...... 75 Corniea, Robert E Md...... 73 Dodge, Mary Delle Np...... 54, 55 Ford, Amy K Md...... 50 Gracey, Nathan J Pa...... 37, 48 Cornish, Matthew Jared Md..... 76 Dolan, Julie Anne Md...... 68 Foster, Carla Charbonneau Md.39 Graff, William Tolley Md...... 79 Corry Jr, Elwood Jones Md...... 71 Dowse, Robert Kenneth Md..... 46 Foster, Christopher C Md...... 76 Graham, Gary F Md...... 44 Corson, Robert Md...... 49 Doyle, Sean Cameron Do...... 71 Fought, Theresa Marie Cnm.... 48 Graham, Wayne R Do...... 78 Cosgrave, Michael L Md...... 71 Draper, Michael L Md...... 58 Fowers, Jody Lynn Np...... 41, 84 Gray, Jarid D Md Cosgrove, William E Md...... 60 Drewes, Peter Gilson Md...... 75 Fox, Rita K Md...... 60 ...... 45, 46, 47, 67, 79 Coursey, Jeffrey Michael Pa...... 63 Dubosky, Anne Marie Do...... 50 Frame, Joshua Do...... 80 Green, Holly Jane Np...... 41 Cox, Amy Harmer Np...... 76 Duke, Kevin R Do...... 36 Frampton, Robert A Md...... 72 Green, Patrick N Md...... 69 Cox, Guy Taylor Cnm...... 82 Durbin, Teresa Virginia Md...... 41 Francis, Christina Marie Cnm. 82 Greenberg, Johanna Pa...... 70 Cox, Jennifer Amy Md...... 60 Duros, Peter Md...... 73 Francis, Michael Reed Do...... 37 Greenberg, Richard A Md...... 61 Cox, Kristi Lyn Pa...... 78 Dustin, Curtis Rydell Np...... 69 Francis Jr, Joseph Allen Md...... 39 Greene, Douglas A Pa...... 43 Cox, Marilyn Udy Np...... 82 Earl, Brett Somasundrum Pa.... 86 Frandsen, Tracy M Md...... 72 Greenwood, Jessica L Md...... 50 Cox, Matthew Nelson Md...... 60 Eberhard, Brent K Md...... 42 Frasier, Lori Dawn Md...... 60 Greenwood, Mark Robert Md.. 67 Craig, Kristin F Md...... 37 Edson, Allan C Do...... 39 Freestone, Allen Arthur Md...... 39 Greenwood, Mark W Md...... 67 Cramer, Joseph G Md...... 60 Edwards, Heather D Md...... 68 Freestone, James Phillip Md..... 76 Greenwood, Ryan Fox Md...... 74 Crane, F Michael Md...... 37, 48 Edwards, William Foster Md.... 76 Frischknecht, Michael S Md..... 66 Greger, Susan Md...... 39 Crane, Gail A Pa...... 38 Eggert, Joan Vann Md...... 81 Fruin, Claudia J Md...... 42 Gregoire, Richard J Md...... 39, 83 Craner, Adam Craig Aprn...... 84 Ellis, Diane Elizabeth Md...... 58 Fuller, Gene Raymond Md...... 50 Griffin, Gary S Md...... 56 Crawford, Wayne Pa...... 63 Ellis-Benigni, Karen Aprn...42, 85 Fuller, Glen R Md...... 72 Griffin, Katherine GA prn...... 59 Crimin, David R Do...... 67 Elswood, Aaron Scott Pa...... 70 Fullmer, Michael P Md...... 76 Griffith, John Md...... 70 Crouch, Max J Md...... 74 Embley, Steven Len Do...... 66 Gabrielsen, Alvin A Md...... 42 Groebs, Allison Mary Md...... 42 Crouse, Danny Pa...... 63 Emett, Penny Ann Np...... 80 Gamble, Christopher J Md...... 50 Grogan, Rodney Keith Pa...... 86 Crump, Kenneth Lyle Md...... 71 Engelbert Fenton, Michael Pa... 63 Gamette, Kent R Md...... 75 Grose, Craig M Md...... 47 Curran, Marilyn L Md...... 49 Epstein, Angela A Pa...... 86 Gandolfi, Roy J Md...... 56 Grover, Bruce B Md...... 72 Curtis, Michael Steven Md...... 71 Epstein, Scott Fred Do...... 58 Gangotena, Fatima G Md...... 69 Grover, Julie S Md...... 75 Curzon, Sean Robert Do...... 73 Ericksen, Corey L Do...... 39 Garcia, Kenneth Allen Pa...... 63 Grygla, David Glen Do...... 79 Cutlip, Cheryle Lynne Md...... 49 Erickson, Scott Austin Md...... 39 Gardner, Ellen F Md...... 45 Gubler, David Brent Md...... 56 Dahle, Michelle M Np...... 54 Etzel, Glenn T Md...... 38 Gardner, Jed R Md...... 79 Guerra, Carlos A Md...... 50 Dale, Robin J Pa...... 63 Evans, Mark T Pa...... 63 Gardner, Kevin Lee Md...... 39 Guerra, Paula A Md...... 50 Dalling, Ana Melinda Pa...... 78 Evans, Matthew Craig Md...... 46 Garfield, Ryan J Pa...... 36 Gunther, Julia Kelsey Md.....76, 77 Dalton, Marlee Kestin Cnm...... 69 Evans, Ryan Newell Md...... 42 Garg, Prafulla M Md...... 37 Gupta, Sumati V Md...... 56 Daly, Anne M Np...... 54 Eyre, Alyson Md...... 60 Garrison, Andrew W Md...... 50 Gupta, Sumati Virendra Md..... 56 Daniels, Jonathan Pearson Md. 58 Fagnant, Robert John Md...... 81 Gasser, Brian Dell Np.....46, 66, 73 Hacking, Douglas Wayne Md... 77 Davie, Daniel G Md...... 46, 67 Fagnant, Robert John Md...... 81 Gatherum, Daren Owen Md..... 46 Haddy, Jessica Lynn Cnm...... 70 Davis, James W Md...... 36 Faircloth, Erica A Md...... 58 Gee, Chuck H Pa...... 64 Haderlie, Todd M Md...... 78 Davis, Nancy R Np...... 80 Fairley, Kimberly J Md...... 65 Gellner, Cynthia Lynn Md...... 61 Hafen, David Kartchner Md..... 72 Davis, Wesley Boyd Md...... 84 Falk, Jeanne M Md...... 68 Gelske, Tracy Brooke Md...... 70 Hafen, Mark Kartchner Md...... 72 Dawson, Brian Md...... 35 Falkner, Lynn Don Pa...... 70 Gertge, Robert Neil Pa...... 43, 47 Hagen, Jerold L Md...... 80 Dawson, Micheal Shawn Pa...... 86 Farley, Duane E Md...... 41 Giannini, Jacqueline K Md...... 42 Hake Brooks, Sara Jane Cnm.... 48 Day, Allen M Md...... 66 Farnsworth, Richard Y Md...... 76 Gibby, Mark Hyrum Md...... 44 Hall, Craig Robert Md...... 41 Day, Julie L Md...... 56 Farrell, Timothy William Md... 50 Gibson, Kathryn Elizabeth Md.50 Hamilton, Carlie Jo Np...... 55

179 Primary Care Index of Providers Hamp, Dennis R Do...... 50 Horsley, Ernest Brett Do...... 37 Johnson, Michael Ray Md...... 61 Lamere, Richard G Md...... 61 Hanlon, Beth Chapman Md..... 56 Horvath, Susan Toung Md...... 58 Johnson, Sara Emilie Md...... 61 Lamoreaux, James Patrick Md. 75 Hansen, Davin Boyd Pa...... 43, 86 Horwood, Keith O Md...... 50 Johnson, Steven L Md...... 41 Lane, Keith Joseph Md...... 56 Hansen, Kimberly Md...... 61 Houchins, John C Md...... 50 Jolma, Catherine Md...... 61, 77 Lang, Patrick B Pa...... 64 Hansen, Marlan L Md Hougaard, Joni W Md...... 50 Jones, Aaron W Md...... 36, 47 Langer, Kathleen M Md...... 59 ...... 47, 67, 68, 79 Housel, Darren Wayne Md...... 84 Jones, Catherine Mary Cnm..... 82 Lantz, Karen Elisabeth Md...61, 68 Hansen, Matthew C Md...... 56 Housley, Mark Delmon Md Jones, Julie M Cnm...... 48 Laquinte, Vanessa Md...... 70 Hansen, Scott Eugene Md...... 58 ...... 39, 83 Jones, Justin Earl Md...... 72 Larsen, Brad R Pa...... 43, 86 Hansen, Susan Laurie Cnm...... 45 Howard, Dnell B Np...... 36 Jones, Lloyd Val Md...... 38, 65 Larsen, Brett C Pa...... 44 Hardin, Dana Browning Md..... 80 Hsing, Grant Md...... 44 Jones, Marc Fredrick Do...... 46, 66 Larsen, David Charles Md...... 51 Hardy, Kathryn Cnm...... 70 Hubbard, Jonathan Pharis Do.. 80 Jones, Michael David Md...... 51 Larson, Dallen J Pa...... 86 Haroutunian, G Greg Md...... 69 Huddleston, Jason Mark Md.... 74 Jones, Ronald C Md...... 77 Larson, David Charles Md...68, 79 Harris, David A Md...... 61 Huff, Glen Forrest Md...... 37 Jones, Thomas Kelly Md...... 80 Larson, Kirt W Aprn...... 55 Harris, Gary Lee Md...... 36 Huffman, Jeffrey Mark Md...... 37 Jones, Thomas T Pa...... 64 Lash, Kevin Brook Md...... 61 Harrison, Heather R Do...... 72 Hughes, Craig Dale Md...... 50 Jopling, Ronald J Md...... 61 Lash, Stephen David Md...... 81 Harrison, Reid Chambers Md.. 56 Hughes, Dennis Clark Md...... 58 Jorgensen, Jesse A Pa...... 64 Last, George Gregory Md...... 80 Hartle, Aaron Christian Aprn. 73 Hughes, Jon W Md...... 70 Jorgensen, Nina Gay Md...... 37 Later, Richard W Md...... 77 Hartman, Albert R Md...... 84 Hughes, William Gregory Md.. 41 Joseph, Laurene Gay Md...... 56 Latham, Elizabeth G Fnp...... 38 Hassrick, Philip Heyl Md...... 83 Hull, Maggie Salem Md...... 61 Joseph IV, Charles W Md...... 41 Latham, Jessica Milly Pa...... 64 Hastings, Susan B Pa...... 86 Hunt, Russell Lee Pa...... 38 Joyce, Mary D Aprn...... 60 Lau, Isabel C Md...... 85 Hathaway, Bruce N Md...... 74 Hurley, David C Md...... 61 Juchau, Jeffrey Jay Md...... 72 Lauret, Michael Henry Md...... 77 Haun, Tiffanie Ann Aprn...... 84 Hurst, Craig Leroy Md...... 41 Judd, Deborah Marie Np...... 55, 84 Lautenschlaeger, Havey, Dustin A Pa...... 86 Husseman, Michael Patrick Md Judd, Earl Robert Md...... 42 Natascha Susanne Md...... 68 Hawkes, Cody J Do...... 42, 85 ...... 42 Judd, Thomas Elwyn Md...... 75 Le, Trung Minh Md...... 61 Hays, Christopher L Md...... 68 Hutchinson, Anne M Md...... 83 Judy, Cary J Do...... 66 Lebras, Michael Do...... 77 Healy, Michael John Md...... 41 Hutchison, Christopher Va Md Julien, Craig K Md...... 39 Lee, Gary David Md...... 40 Heath, Steven Wright Md...... 50 ...... 58, 59 Julien, Katie Ann Md...... 51 Lee, Jeffrey D Md...... 69 Heath, Terence Alon Md...... 46 Hyldahl, Douglas R Md...... 36, 47 Kaddu, Rajiv Jayakumar Md..... 81 Lee, Rhonda L Pa...... 86 Heaton, Rex Pa...... 46, 47, 67, 82 Isaacson, Bruce Arnold Md...... 36 Kamalu, Layne Keliiokalam Md Lei, Paul Shing-Jian Md...... 61 Heder, Lane Orr Pa...... 43 Isenberg, Philip Nathanael Md.61 ...... 40 Leiser, Jennifer P Md...... 51 Hemmersmeier, Jaatoul, Raquel Md...... 50 Kammeyer, Steven E Md...... 85 Leiser, Jennifer Paul Md...... 51 John Matthew Md...... 39, 83 Jack, David B Md...... 50 Kasper, Joseph Francis Md...... 51 Lenthe, Mark Robert Do...... 40 Hendrix, Bruce Allen Md...... 45 Jackson, Brent D Md...... 47 Keller, Bruce W Md...... 35 Leroy, Ellis W Md...... 74 Hennagir, Barbara L Pa...... 67 Jackson, Christine Md...... 66 Keller, Jean Mary Pa...... 64 Lesser, Rosemary T Md...... 85 Henriksen III, Jackson, Easton David Md...... 51 Keller, Merle L Md...... 77 Lesser II, John David Md...... 85 Clarence Richard Md...... 50 Jackson, Eileen K Md...... 66 Kelly, Colin K Md...... 61 Lesueur, Bret Nielsen Do...... 72 Henry, Kevin L Pa...... 86 Jackson, Jeffrey Barrett Md...... 61 Kendall, Melissa Ann Md...... 77 Lewis, Henry Md...... 70 Hernandez, Maria Dolores Md.41 Jackson, John W Md...... 66 Kennedy, Michael S Md...... 72 Lewis, Linda Young Aprn...... 55 Herold, Richard J Md...... 84 Jackson, Sheldon Leo Pa...... 86 Khatua, Sutapa Md...... 61 Lewis, Randal John Md...... 51 Herzog, Hazen T Pa...... 64 Jacob, Scott Md...... 75 Kielar, Mariusz Lewlaw Md...... 74 Lewis, Seth Rich Md...... 84 Hiatt, Virginia Lynn Aprn...... 59 Jacobs, Francine Nadeen Md.... 61 Kierstead, Allison Md...... 56 Libre, Kenneth Paul Md...... 51 Hibbard, Julie Cleek Md...... 39 Jacobs-Peterson, Lu Ann Np..... 69 Killebrew, Claudia Cnm...... 70 Liddle, Joseph Brent Md...... 72 Hightower, R Ross Md...... 61 Jarrett, Arlen K Md...... 59 Killpack, Michael Md...... 56 Lindsay, Alan Rob Md...... 61 Hildebrand, Pamela Japlit Md.. 42 Jarvis, Chad S Pa...... 70 Kimball, Chad Brigham Md..... 74 Ling, Yun Md...... 74 Hillam, David R Md...... 72 Jenkins, Darren B Do...... 51 King, Bari Michelle Np...... 55 Liou, Kathleen M Md...... 43 Hilton, Bret D Pa...... 68 Jensen, Adam M Md...... 66 Kinghorn, Jennifer Carter Md.. 59 Lish, Jeffrey R Md...... 35 Hinde, Jacqueline J Pa...... 47 Jensen, Jeffrey Louis Md...... 77 Kiraly, Bernadette O Md...... 51 Lister, Donna J Aprn...... 45 Hinkle, Jack Terrell Do...... 80 Jensen, Joseph Davis Md...... 41 Kirby, Karl A Md...... 51 Liu, Vernon K Md...... 56 Hinson, Joanne Sumpio Md..... 58 Jensen, Tate Alan Pa...... 64 Kirkham, Mark D Md...... 40 Lloyd, Carey D Md...... 35 Hoagland, Jason Ray Md...... 42 Jeppson, Taylor Alan Md...... 51 Kirkham, Michael D Md...... 40 Lloyd, Marliese Lorelei Pa...... 64 Hobbs, Rachel B Md...... 39 Jesri, Ammar Md...... 56 Kirstein, Judith Lee Md...... 51 Lloyd, Michael B Md Hodo, Laura Nell Md...... 50 Johansson, Julia W Md...... 84 Kluthe, Margaret A Md...... 43, 85 ...... 43, 61, 67, 70, 85 Hofheins, Bryan Bernell Pa...... 82 Johnson, Catherine Bogan Md.61 Knochel, Miguel Luis Md...... 77 Loeb, Lola J Md...... 47 Hogan, Kathleen Np...... 55, 84 Johnson, Charlotte B Aprn...... 81 Knorr, Brett Kelsey Md...... 77 Lofgran, Brian C Md...... 35, 78 Hogenson, Eric M Md...... 72 Johnson, Cheryl Anne Md...... 72 Knowles, Machel Morris Cnm. 82 Lopez, Ronald F Md...... 51 Hoggard, Timo J Md...... 72 Johnson, David Sterling Md..... 77 Konesavanh, Soutsada Nikki Pa Ludlow, David Emil Md...... 75 Holbrook, Suzanne Tiann Md.. 61 Johnson, Eric Benjamin Pa...... 86 ...... 64 Luikenaar, Rixt Anne Md...... 59 Holland, Gary F Md...... 47 Johnson, George Brent Md...... 72 Kottarathil, Thomas J Md...... 56 Lunceford, Troy Adam Md...... 74 Hollingsworth, Martin All Md. 61 Johnson, Heather A Cnm...... 70 Kramer, Frank Dieter Md...... 43 Lundell, Randy R Do...... 72 Holm, Miryam F Np...... 80 Johnson, Jason Lynn Md...... 59 Krebs, Jennifer J Cnm...... 71 Lunt, Chad Curtis Md...... 81 Holmes, Richard J Md...... 72 Johnson, Jeffrey W Md...... 74 Krogh, Benjamin J Do...... 69 Lunt, Margaret Sydnie Md...... 56 Holsten Ll, Raymond L Md...... 38 Johnson, Joseph Michael Md.... 77 Kundra, Hena Md...... 56 Luras, John Chris Md...... 57 Holtey, Ana I Do...... 69 Johnson, Kevin Barrus Md...... 56 Kuo, David Md...... 56 Lusty, Kaydon B Cnm...... 48 Hooda, Pragati Md...... 50 Johnson, Laura Ann Md...... 51 Kvarfordt, Tracy D Md...... 81 Lyman, Michele Pa...... 66 Hooper, Rina Melanie Md...... 50 Johnson, Leeann Np...... 55 Kwak, Daniel J Md...... 70 Lyman, Michele Smith Pa...... 66 Horkley, Tyson Stuart Md...... 37 Johnson, Mandy Jo Aprn...... 65 Lam, Toan H Md...... 43, 61 Lynch, Steven Mark Md...... 61 Horning, Ryan R Pa...... 43, 86 Johnson, Mark Dale Md...... 51, 56 Lamalfa, Toni V Np...... 57, 58 Lyons, Trek Daniel Md...... 36 Hornyik, Galina Renata Md...... 61 Johnson, Matthew Brent Md.... 51 Lamb, Stephen Earl Md...... 59 Lytle, Carter Sanders Md...... 72

180 Primary Care Index of Providers Maass, Amelia S Np...... 55 Miller, Garron Eugene Md...... 77 Nguyen, Viet Dung N Md....62, 68 Parker II, Alma L Md...... 70 Macarthur, Toran James Md..... 72 Miller, Gia Degiovanni Md...... 46 Nichols, John Milton Do...... 59 Parkinson, J Scott Do...... 80 Macey, Wendy Marie Pa...... 64 Miller, Kathleen G Cnm...... 48 Nielsen, Gregory William Md... 77 Parson, Broc B Do...... 45, 80 Macfarlane, Kevin Burnham Pa Miller, Mitchell R Do...... 44, 47 Nielsen, Terrance Paul Md...... 38 Parsons, Mary Helen Md...... 68 ...... 64 Miller, Todd J Md...... 35 Nielson, Craig Scott Do...... 35, 46 Parzych, Kevin K Md...... 52 Macfarlene, Michelle Pa...... 82 Miller II, Garry Tim Do...... 74 Nielson, Eric Cline Md...... 59 Patilano Jr, Richard Romero Md Macgregor, Elenor Do...... 43, 85 Mills, Lisa Ann Md...... 46 Nielson, Joshua Hinckley Do ...... 81 Madsen, Daniel B Md...... 80 Millward, Anthony Frederick Pa ...... 38, 65 Patterson, Julie Ann Pa...... 38, 48 Madsen, Edward Keith Md...... 38 ...... 82 Nielson, Norman S Md...... 38, 65 Patterson, Rebekah Amy Aprn.67 Magill, Michael Kevin Md...... 51 Miner, Joseph Kay Md...... 72 Nilson, Wendell T Md...... 81 Paulson, Jennifer Sue Np...... 45 Mahajan, Renu Sharma Md...... 80 Mitchell, Charles R Md Nobuhara, Lawrence Ken Md... 74 Pavich, Greg Matthew Md...... 77 Mair, Anna Isabella Pa...... 64 ...... 47, 67, 74, 79 Nolte, John D Md...... 44 Paxton, Richard Devon Md...... 77 Mallender, Charles D Md...... 57 Mohlman, Susan E Np...... 73 Noonan, Erika M Md...... 72 Payne, Wendy Jade Md...... 72 Malone, Jennifer Lynn Pa...... 64 Mohr, Robert Russell Md...... 84 Norman, Mary Jane Md...... 52 Peacock, Penny J Md...... 68 Mandujano, Martha Patricia Pa Molberg, Holly J Md...... 62 Norris, Jennifer Lyn Md...... 57 Pead, William Gene Md...... 42 ...... 64 Moloney, Amanda J Pa...... 64 North, Jason Karl Do...... 45 Pearson, Adon L Pa...... 82 Mangelson, Christie L Np.....46, 66 Money, Nolan B Md...... 72 Nunn, Charles Edward Md...... 66 Pedersen, Kathy Jane Pa...... 64 Marchand, Kolleen Pa...... 86 Montgomerie, Bruce Z Md...... 62 Nuttall, David C Md...... 77 Pendleton, Gus Curtis Md...... 80 Maready, Douglas Milan Md.... 44 Montiel, Amanda Sue Cnm...... 48 Nye, Noel Christian Do...... 43 Pennington, Mary Jane Md...... 62 Mark, Kathleen C Cnm...... 82 Mooney, Todd Stanley Md...... 44 Nygaard, Martin J Md...... 81 Penrod, Marc Allan Md...... 73 Markeson, John R Md...... 35 Moore, Dennis J Md...... 80 O’brien, Grace Maria Do...... 83 Petersen, Darlene L Md...... 83 Marriott, Rodney G Md...... 85 Mooy, Nancie J Cnm...... 39 O’mara, Kathleen A Md...... 62 Petersen, Sarah Connors Md.... 62 Marsden, Michael Clark Do..... 81 Moreland, Jay Ceasar Md...... 51 O’very, Bruce Alan Md...... 37 Petersen, Winston N Pa...... 78 Marsh, Damon B Pa...... 86 Moreland, Kimberly Smith Md Oakden, Richard Wade Md.35, 45 Peterson, David Noel Md...... 73 Marshall, Kent Grover Md...... 74 ...... 59 Obray, Cathleen M Md...... 80 Peterson, Dennis Roger Md...... 40 Marshall, Thomas Tebbs Md.... 45 Morgan, Jessica Angela Md...... 51 Odell, John Dennis Md...... 37 Peterson, Jonathan Paul Md..... 77 Martinez-Ferrate, Rodolfo Md.51 Morin, Sylvia S Aprn...... 60 Odell, Timothy Wade Do...... 68 Peterson, Michael Cary Md Mashkuri, Pari L Md...... 61 Morrell, Stephen Lynn Md...... 40 Ogden, Jeffrey Gale Md...... 74 ...... 46, 47, 67 Matheny, Cali C Md...... 61 Morrill, Arnold B Do...... 40, 51 Ogden, Lida Jimena Md...... 72 Peterson, Michael James Md..... 52 Matich, Andrea Jensen Md...... 51 Morrill, Lawrence Lynn Do...... 44 Oglesby, John S Md...... 59 Peterson, Scott David Md...... 73 Matson, Summer Pa...... 64 Morris, Jared Abraham Md...... 40 Okerlund, Jason Aprn...... 67 Pham, Marian Hong Md...... 41 Matson, Summer Ann Pa...... 64 Morris, Maisa Md...... 51 Okubo, David H Md...... 62 Phillips, Sandra Arico Md...... 62 Matthews, Thomas M Md...... 35 Morris III, Ray Md...... 52 Olesen, Renee Elizabeth Md..... 62 Piacitelli, Annliza Lachica Md.. 52 Maxwell, Roderick D Pa...... 44, 86 Mower, Douglas R Md...... 72 Ollerton, Ryan C Do...... 75 Pidwell, William B Md...... 68 Mcbride, Brayden Md...... 72 Muije, Elizabeth H Aprn...... 58 Olsen, Amy Aprn...... 70 Pieri, Danielle Do...... 38 Mcbride, Jill Diane Md...... 51 Mumford, Scott Harris Md...... 77 Olsen, Darrel W Md...... 66 Pippitt, Karly Ann Md...... 52 Mcbride, Karen E Cnm...... 82 Munger, Jonas Seth Md...... 45 Olsen, Maynard Md...... 72 Pitts, George D Md...... 78 Mcbride, Shauna Lynn Pa...... 82 Murdock, Kenneth Joe Md...... 72 Olsen, Michael Md...... 70 Plunkett, Earl K Md...... 38, 65 Mcclellan, Bruce Clark Md..47, 83 Murillo, Ena C Np...... 37 Olsen, Richard Kent Md...... 74 Pohl, Susan D Md...... 52 Mccune, Brian Clark Md...... 77 Murnin, Kelly P Md...... 57 Olsen, Tandy Garth Md...... 37 Pollary, Rodney Anthony Md... 70 Mcdonald, Kent B Md...... 80 Murphy, Melanie Norene Pa..... 78 Omura, Terry H Md...... 62 Polson, Drew E Md..45, 47, 67, 80 Mcdonald, Stanton B Md...... 78 Muscolino, Gina M Md...... 41 Oneal, Andrea Vicki Cnm...... 48 Ponce, Sean Anthony Md...... 52 Mcelwain, Kristin Kaye Aprn... 57 Myers, Bethany Ann Pa...... 64 Oneida, Maria A Md...... 52 Poor, David Dewile Md...... 52 Mcgovern, Cheryl Jean Pa...... 64 Nabi, Syed Iftikharun Md...... 57 Orchard, Anna Grace Md...... 62 Pope, David Michael Md...... 67 Mckenna, Russell T Do...... 37 Naisbitt, Byron Hunter Md...... 85 Oremland, Gordon Their Md... 52 Poppen, Robin Scott Md...... 57 Mclay, Michael S Md...... 72 Naisbitt, Jed P Md...... 85 Orians, Mary E Aprn...... 36 Porter, Stuart Brent Do...... 73 Mcmahon, Kristina Tiffany Np.80 Nance, Steven G Md...... 75 Ormond, Dallen K Aprn...... 55 Potter, Sterling Glade Md...... 38 Mcmanus, Shawn Patrick Do... 72 Nash, Karen A Aprn...... 60 Ormsby, Sarah Ann Md...... 62 Potter, Steven Jared Md...... 40 Mcmaster, Ian Bruce Md...... 72 Nash, Robert Michael Md...... 37 Ortega, Catherine L Pa...... 86 Powel, Robert S Md...... 57 Mcmillan, Heidi Susan Md...... 69 Nay, Richard Bill Md...... 66 Ortiz-Pacheco, Clarivette Md... 52 Powell, John Jacob Pa...... 82 Mcmullin, Karl T Aprn...... 81 Nebeker, Adam Rich Md...... 40, 83 Ostler, Kathy M Md...... 68 Powell, Melinda Pa...... 70 Meek, Steven C Md...... 41 Neeley, June E Aprn...... 68 Ostler, Leslie Ann Md...... 41 Price, Lynn Md...... 52 Melendez, Terry D Md...... 75 Nelson, Chadd Dee Do...... 41 Ott, Darin Dale Do...... 46 Price, Torilynn Aprn...... 70 Melling, Mitchell J Md...... 35 Nelson, David Christian Do..... 52 Overas, Mark F Pa...... 38 Priest, Nicole L Md...... 52 Memmott, Jim Cleon Md...... 61 Nelson, Erica C Cnm...... 71 Oveson, Mark C Md...... 46, 66 Probst, Jared Md...... 52 Merrell, Chad L Md...... 35 Nelson, James Robert Md...... 59 Owan, Patience E Md...... 85 Pruitt, Anthony Gene Md...... 43 Merrell, Rodney W Md...... 35 Nelson, Jeanette Claire Pa...... 64 Owen, David Gareth Md...... 52 Pugh, Brenten Clark Md...... 52 Merrill, Rodney Stephen Do..... 85 Nelson, Joseph W Do...... 69 Owen, Robert Evan Md...... 43 Pulley, Jeffrey Pa...... 38, 48 Merrill, Steven L Md...... 74 Nelson, Todd Robert Md...... 52 Owens, Cynthia Smart Md...... 62 Qader, Nameer Tarik Md...... 83 Messinger, Kristin Elaine Aprn Nemetz, David W Md...... 83 Owens, Joshua Morgan Pa...... 87 Quinton, Connie Kim Aprn.... 38 ...... 55 Neubert, Martin G Pa...... 66 Ozbolt, Julia A Md...... 57 Rabin, Mara Lee Md...... 52 Metcalf, Thomas James Md...... 61 Neville, Roark Bradford Md..... 40 Pace, Bradley Rudolph Pa....64, 87 Rada, Mark Alan Md...... 57 Michalek, George Horacio Md.77 Newbold, Scott Gilbert Do..46, 81 Packer, Alissa A Md...... 62 Rahaniotis, Valerie Louise Md.. 62 Mickelson, Steven A Np...... 55, 73 Newman, Steven R Md...... 45 Panisi, Uaisele Pa...... 64 Rahimi, Danesh Md...... 57 Middleton, Raymond Jack Md. 80 Newman, Steven Richard Md Park, Gordon Sherman Md...... 59 Ralston, Charles W Md...... 62 Midgley, Melinda M Md...... 72 ...... 45, 47, 67, 80 Parker, Edward W Md...... 75 Ramsey, Keith P Md...... 62 Miles, Jeffrey Grady Md...... 51 Ngatuvai, Tauaina James Md.... 72 Parker, James Edward Pa...... 87 Rappleye, Alan Tunis Md...... 59 Miller, Christopher Wayne Md.61 Nguyen, Ahn Tai Md...... 52 Parker, Robert Gil Do...... 52 Rasmussen, Brian Craig Md..... 52

181 Primary Care Index of Providers Rasmussen, Carol F Np...... 55 Saturnino, Lisa M Md...... 68, 78 Smith Holmen, Barbara E Aprn Tanner, Gregory Charles Md.... 59 Rasmussen, Dixie S Cnm...... 67 Savage, Shelly Lynne Md...... 73 ...... 55 Taveras-Espinal, Rasmussen, Grant J Md...... 46, 66 Schaat, Timothy Md...... 53 Smith III, Russell N Md...... 44 Carmen Marila Md...... 43, 85 Rassner, Leslie H Md...... 52 Schaecher, Kenneth L Md...... 57 Smithers, Jacqueline Cnm...... 48 Tayler, Gregory P Md...... 79 Rawling, David A Md...... 38 Schaelling, Michael P Md...... 40 Smithing, Larry Orme Md...... 85 Taylor, James R Md...... 35 Reay, Paul Robert Md...... 45, 65 Schaffer, Monica Maria Md Snethen-Boyer, Taylor, Jerald Bruce Do...... 46 Redd, Edward H Md...... 37 ...... 68, 79 Kimberly Ann Pa...... 87 Taylor, John Stewart Md...... 73 Rees, James H Md...... 40 Scharmann, Stephen Daryl Md Sojourner, Heather Diemer Md.53 Taylor, Leroy Cecil Md...... 40 Rees, Scott Stephen Do...... 75 ...... 83 Solomon, Margaret Hope Md Taylor, Roy R Md...... 41 Reineke, Barbara Patterson Np. 55 Schauers, Todd Neil Pa...... 64 ...... 57, 69 Templeman, Mark C Md...... 62 Reis, John Kleber Md...... 84 Schellenberg, Sorensen, Jennifer A Cnm...... 35 Terashima, Robert S Md...... 62 Renstrom, Collette Campbell Np Matthew Michael Do...... 53 Sorensen, Pamela J Pa...... 82 Terry, Susan A Md...... 57 ...... 41 Schelling, Travis Kay Pa...... 87 Sorensen, Teela Southwick Md.42 Tew, Jonathan M Md...... 62 Reynolds, Brand Paxton Np...... 69 Schlichter, Gary W Md...... 62 Southwick, Martha Fern Np...... 55 Thacker, Paula G Cnm...... 48 Reynolds, Brandon Lee Do...... 59 Schlisman, Alison K Md...... 57 Southworth, Scott E Md...... 41 Thackeray, Steven Milton Md... 59 Rifleman, Kurt Edward Md...... 83 Schlotterback, Matthew Md..... 80 Spackman, Jared Paul Pa...... 64 Thomas, Kathleen W Aprn...... 68 Rigby, Rohn Clark Md...... 40 Schmitz, J David Md...... 83 Spangrude, Kimberly Ann Aprn Thomas, Kelly Laforge Do...... 53 Riggs, Brannick Barton Md.40, 83 Schneider, Stephen D Md...... 37 ...... 55 Thomas, Tiffany A Md...... 62 Riggs, Freddie Pa...... 66 Scholes, Cheryl Aprn...... 55 Spanos, Seth Anthony Md...... 80 Thompson, Angie C Np...... 37 Rignell, Robert Paul Md...... 81 Schow, Jan-Erik Md...... 35 Speakman, Robert L Do...... 53, 68 Thompson, Bradley S Do...... 80 Ring, Shellie Jean Md...... 62 Schriewer, Sharon K Md...... 62 Spector, Jay M Md...... 69 Thompson, Brooks David Md.. 65 Ripplinger, Rex F Md...... 74 Schultz, Edward Richard Md.... 53 Spencer, Matthew S Md...... 35 Thompson, Daniel Owen Md... 53 Rizk, Abigail Hattie Cnm...... 71 Scott, Elizabeth Aprn...... 76 Spencer, Michelle Np...... 55 Thorpe, Jefforey Ruel Md...... 75 Robbins, Brett E Np...... 45 Scoville, Spencer Lee Do...... 67 Spencer, Neil Orrin Md...... 42 Thur, Vilate M Aprn...... 55 Robbins, Karina M Cnm.....39, 82 Seale IV, Fred George Md...... 85 Spencer, Steven J Md...... 53 Tilaro, Frank E Md...... 84 Roberts, Becky Sue Aprn Seibert, Hilary Smith Do...... 69 Spencer, Weston Eugene Md..... 77 Tipton, David J Md...... 73 ...... 44, 45, 47 Severance, Michael E Pa...... 87 Speth, Chad Brent Np...... 36, 48 Tipton, Mary Delila Md...... 57 Roberts, Joseph Allen Md....43, 62 Shakeri, Mehrnoosh Md...... 57 Staheli, Clark John Md...... 80 Tomco, Abraham Robert Md.... 73 Roberts, Philip Leonard Md..... 57 Shamo, Steven Wayne Md...... 47 Staheli, John K Md...... 74 Townson, Walter Karl Md...... 59 Robertson, Glenn L Md...... 44 Shapiro, Mary Md...... 62 Stahl, Kathleen M Np...... 37 Tran, Tan Duy Md...... 53 Robins III, Mont Clinton Pa..... 44 Sharp, Lisa Ann Np...... 41 Staker, Gregory L Md...... 44 Trudel, Ronald Raymond Md... 69 Robinson, Aaron M Md...... 73 Shaw, Dana M Np...... 55 Stampfl, Daniel Ray Md...... 62 Tschetter, Kevin William Md.... 57 Robinson, David Edward Md... 52 Shaw, Michael C Md...... 35 Standteiner, Heidi Elizabeth Md Tubay, Amy Michele Md...... 53 Robinson, Dawn O Md...... 69 Shen, Katherine Anne Md...... 53 ...... 57 Tufts, Gillian Md...... 53 Robinson, Janice H Aprn...... 73 Sheridan, Scott Daniel Md...... 53 Stanford, Joseph Barney Md..... 53 Tullis, David T Md...... 79 Rodgers, Brian Joseph Do...... 40 Shields, Russell B Md...... 41 Stanford, Melinda J Aprn...... 45 Tully, Jacqueline Rachel Pa...... 46 Rogers, Jeffrey G Md...... 81 Shifrar, Jacolin Anne Cnm...... 48 Stanger, Victoria Pa...... 64 Turok, David Keith Md...... 59 Roperhodges, Sheryl A Np...... 37 Shurtliff, Shaun C Do...... 70 Steele, Sabrina L Pa...... 64 Twede, Michael L Md...... 59 Rose, Allyn Patrick Md...... 85 Siciliano, Paula Marie Aprn..... 55 Stelter, Casey Lawrence Md Twelves, Tricia Anne Md...... 59 Rose Jr, James J Md...... 73 Sigg, Laurent Christophe Md... 43 ...... 40, 83 Twiggs, Jerry Douglas Md....81, 82 Rosenbeck, James Franklin Do Silas, Peter E Md...... 43 Stevens, Richard Thomas Md... 36 Valdez, Orlando Raymond Md.77 ...... 46, 66 Simmons, Daniel Glen Md...... 77 Stevenson, Camille Md...... 59 Valentine, Christopher B Md.... 53 Rosenfield, Micah Gulick Md... 52 Singer, Christopher Np...... 38, 65 Stevenson, Kenneth Edward Md Valentine, Marilyn Md...... 62 Rossi, Louis Pa...... 82 Singer, Stephanie Marie Do...... 68 ...... 85 Vance, Rebecca Michele Cnm... 39 Roth, James Thomas Md...... 59 Sittler, Susan Joan Np...... 55 Stewart, Gayle M Md...... 59 Vanhala, Sonja Nadeen Md...... 53 Rouzer, Steven V Md...... 45 Sjoquist-Terry, Lena Kris Md.... 68 Stewart, Ryan Lee Md...... 40 Vanstaden, Gavin Nicholas Md.40 Rowan, Ryan David Pa...... 70 Skinner, Reed J Md...... 75 Stipelman, Carole H Md...... 62 Vargo, Beverly Luann Md...... 77 Rush, Brian J Md...... 68 Skousen, Gale J Md...... 73 Stock, Jennifer Susan Aprn...... 55 Vastardis, Karen Sue Aprn...... 84 Ryan, Jeffrey L Pa...... 87 Slack, Caryn Kendra Md...... 53 Stockman, Paula Elizabeth Pa... 64 Verbrugge, Dorothea J Md...... 53 Ryan, Jimmy Lynn Md...... 62 Slavens, Gary D Md...... 45 Stoesser, Kirsten L Md...... 53 Vered, Eldad Md...... 69 Sabella, Lareine Stampfle Md... 68 Sloan, Carrie Leigh Md...... 59 Stoneburner, Hugh M Md...... 57 Villalobos, Miguel Angel Md.... 53 Sabey, Aaron Jay Pa...... 78 Smallwood, Julie L Md...... 81 Stones, Michael John Md...... 37 Villalva, Venus Louise Md...... 63 Sabol, Dusan Md...... 81 Smith, Alan R Md...... 47 Storz, Benjamin Md...... 53 Vis, Christopher Anthony Pa.... 65 Sadiq, Smitha Md...... 47 Smith, Andrea Nicole Md...... 59 Stowell, Carol Jean Np...... 55 Visick, Michael K Md...... 37 Sahuc, Martha Kay Cnm...... 48 Smith, Daniel Criag Md...... 67 Stratford, C Kerry Md...... 80 Vlam, Sheri Lynn Aprn...... 48 Saidi, Merium K Md...... 62 Smith, Elizabeth Rowe Md...... 69 Street, Nelladee Aprn...... 66 Vogeler, Douglas M Md...... 53 Salari, Ali Do...... 69 Smith, Garrett Bona Do...... 73 Strong, Jeffrey S Md...... 37 Voss, Stephen C Md...... 59 Salek, Allyson Md...... 62 Smith, Gordon L Md...... 81 Summerhays, Haley M Cnm.... 48 Voss, William David Do...... 73 Salem, Allen Md...... 41 Smith, Kent E Md...... 44 Sumsion, Kevin Spafford Md... 42 Vroman, Stacy Pa...... 65 Salter, David Michael Md...... 46 Smith, Kerri N Do...... 81 Swensen, Paul H Md...... 62 Vroman, Stacy Theresa Pa...... 65 Samsonfang, Lisa J Md...... 62 Smith, Lance C Md...... 35, 45 Swift, Scott Dee Md...... 85 Wade, Ralph David Do...... 40 Sandberg, Emily Pa...... 44 Smith, Layne Alan Md...... 59 Swoboda, Paul Richard Md...... 53 Wadwekar, Saudamini D Md.... 54 Sandberg, Rebecca W Np...... 41 Smith, Michelle D Aprn...... 76 Syddall, Tracy Pa Walker, Adrianne R Md...... 82 Sanders, Stephen Michael Md.. 46 Smith, Philip E Md...... 46 ...... 44, 64, 65, 68, 70, 78 Walker, Douglas C Do...... 35 Sanderson, Jody L Pa...... 38 Smith, Rhonda E Md...... 83 Syndergaard, Clayton Scott Do.44 Walker, Jennifer Page Cnm...... 71 Sanderson, Michael J Md.....52, 53 Smith, Roger Hal Md...... 35, 45 Szpunar, Agnieszka M Md...... 37 Wall, John B Md...... 63 Sandvig, Jennifer Lynn Md...... 62 Smith, Scott Leroy Md...... 73 Takasaki, Roman Yasuo Md...... 73 Wall, Jon Thomas Md...... 54 Sanyer, Osman N Md...... 53 Smith, Traysa Suzzann Pa...... 44 Tan, Sally Suk Lun Md...... 40 Wallace, Seth Md...... 54

182 Primary Care Index of Providers Wallin, Richard K Md...... 40 West, Renee Rochelle Md...... 83 Williams, Katherine K Md...... 45 Wright-Bennion, Jennifer Cnm Walsh III, William Joseph Md.. 57 Whipple, Debra M Aprn...... 84 Williams, Kenneth Lewis Md.... 45 ...... 71 Walton, Matthew S Do...... 73 White, Charles D Md...... 40 Williams, Robert D Md...... 54 Wynn, Gregory Scott Md...... 78 Ward, Nathan Clark Md...... 42, 59 White, Gary B Md...... 44 Williams, Zane H Pa...... 87 Wynn, John Richard Md...... 78 Ward, Parker James Pa...... 87 White, Justin Shane Do...... 83 Willis Jr, Marshall F Md...... 73 Yamashiro, Vernon Koyu Md Ward, Raymond Paul Md...... 40 White, Vernon F Md...... 73 Wilson, George Samuel Md...... 40 ...... 59, 68 Ward, Roberta Lynn Cnm...... 71 Whiting, David Todd Md...... 78 Wilson, Kathleen Barrett Md.... 57 Yaroshchuk, Larisa Borisovna Md Wardle, Mark Lee Do.....47, 66, 67 Whiting, Michael Don Md...... 78 Winward, Tracy Willow Md...... 81 ...... 54 Warner, Claude A Md...... 81 Whittaker, Kay C Np...... 73 Wirkus, Paul Egbert Md...... 63 Yarrish, Daniel Walter Md...... 57 Warner, William Lawrence Md.75 Whittaker, Thomas Carlyle Md Wise, Dustin Md...... 78 Yates, Jay Reese Md...... 40 Wasden, Michelle Pa...... 87 ...... 35, 54 Wise, Marilyn Aprn...... 84 Young, David Barton Do...... 75 Watson, Randall L Md...... 54 Whittemore, Karen W Np....45, 80 Witter, Lori Md...... 57 Young, Shane S Md...... 54 Watts, Daren A Md...... 59 Wight, Ryan Dennis Pa...... 65 Wolsey, Brian L Md...... 75 Young, Timothy P Md...... 54 Wayment, Nadya P Md...... 83 Wilcken, Julie A Pa...46, 47, 68, 82 Wonnacott, Monica C Md...... 63 Zackrison, David R Md...... 57 Webster, Leslie Worthen Md..... 68 Wilcox, Justin Carl Pa...... 65 Woodmansee, James A Md...... 73 Zarbock, Zachary Robert Md... 63 Weeks, Jonathan Andrew Md... 40 Wilcox, Ryan Brent Md...... 78 Woods, Hyrum D Md...... 85 Zaugg, Laura Maudlyn Cnm.... 39 Weibell, Nicholai J Md...... 75 Wilde, Jeffrey Virgil Md...... 79 Woods, Jackson Jay Md...... 54 Zavala, Jeffrey S Md...... 84 Weipert, John D Md...... 77 Wilding, David Gregg Md...... 35 Woods, Rachel J Md...... 63 Zega, Nancy Jo Md...... 84 Weir, Peter Thompson Md...... 54 Wilding, Gregg Harry Md...... 35 Woodward, Kirk J Md...... 70 Zehnder, Brian Keith Md...... 54 Welker, Robert W Md...... 80 Wilkerson II, Julie Sun Md...... 63 Woolley, Joseph H Md...... 81 Zelenkov, Kristine Mary Md..... 42 Weller, Dana Pa...... 65 Willden, Gerald J Md...... 66 Woolman, Michael D Md...... 83 Zimmerman, Patrick H Md...... 67 Wells, John Spencer Md...... 44 Williams, Anneli Sarah Pa...... 65 Woolsey, Sarah Lynn Md...... 54 Zirkle, Toby A Md...... 54 Welter, Matthew John Md...... 36 Williams, Ben Douglas Md...... 44 Worwood, Danny K Md...... 80 Zollo, Kenneth Allen Md...... 78 Werner, Matthew J Md...... 35 Williams, Garett Randal Md..... 54

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