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

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

2011-2012 Utah CHIP Member Service Guide 8903UT0911

21148 UT-MS CHIP Handbook 2011-2012 English.indd 1 9/22/11 1:48 PM Table of Contents

INTRODUCTION Introduction...... 1

ACCESSING CARE Language Translation Services (Talking to someone who speaks your language)...... 2 Nurse Advice Line...... 3 Chip Premiums...... 3 Term of Membership with Molina Healthcare...... 3 Ensuring Appropriate Utilization...... 3 Member Services...... 4 Summary of Covered Health Care Services...... 4 Case Manager Services...... 5 How to Get Vision Care...... 5 Dental Services...... 5 Co-Payments...... 5 Your Personal Physician...... 6 Referrals...... 6 Molina Healthcare Identification Cards...... 6 How to Get Routine (Non-Emergency) Health Care Services...... 6 Making An Appointment...... 7 How to Get Emergency Care Services...... 7 Poison Emergency...... 8 Out of Area Emergency / Urgent Care...... 8 Urgent Care...... 8 After Hours Care...... 9 Medical Care in a Hospital...... 9 Out of Area Medical Care in a Hospital...... 10 Payment for Services...... 10 How to Submit a Claim for Covered Services...... 11 Family Planning (Birth Control)...... 11 Getting Authorization For Services...... 12 Changing Your Contact Information...... 12 Well Child...... 13 Other Medical Services...... 13 Pre-Natal and Maternity Care ...... 13 Membership and Coverage of Newborn Babies...... 14 Prescription Drugs...... 14

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.

8903UT0911 BENEFITS Experimental or Investigational Medical Practices...... 15 Review of New Technology for Inclusion as a Covered Benefit...... 15 Family Assistance Program...... 15 Mental Health Services...... 16 How to Get Routine (Non-Emergency) Mental Health Services...... 16 How to Get Emergency Mental Health Services...... 17 Copay Summary...... 18 Out of Pocket Max Claim Form...... 20 OTHER SERVICES Grievance System...... 22 Actions...... 22 Member Medical Appeals...... 22 Expedited (Quick) Appeal...... 22 State Fair Hearing...... 23 Complaints / Grievances...... 23 Appealing a Complaint or Grievance...... 24 Expedited (Quick) Grievance Appeal...... 24 State Fair Hearing...... 24 Getting Information about Practitioners or Care / Grievances or Privacy...... 25 Involuntary Disenrollment...... 25 Ending Your Membership with Molina (Disenrollment)...... 25 Non-Discrimination...... 25 Rights and Responsibilities...... 26 Fraud, Waste and Abuse...... 28 We Protect Your Privacy...... 29 Contact Information...... 34 NETWORK LISTINGS Primary Care Physicians Network...... 37 Specialty Care Network...... 90 Ancillary Providers...... 141 Hospitals...... 164 Suppliers...... 166 Agencies...... 170 Ambulatory Health Care Facilities...... 173 Urgent Care Facilities...... 177 Nursing & Custodial Care Facilities...... 179 Laboratories...... 180 Primary Care Physician Index of Providers...... 182

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. Introduction Introduction

Welcome and thank you for choosing Molina It is important to remember that you must receive Healthcare of Utah as your health care provider. all medically-necessary covered health care services from Molina Healthcare facilities and/or providers.

We know your health is important to you, and we will The Provider Directory lists all of our panel providers, Accessing Care do all we can to help you and your family with your as well as other providers you can see. This list health care needs. of network providers is available on the Molina Healthcare website at www.molinahealthcare.com Molina Healthcare may not discriminate on the basis of race, color religion, sex, sexual orientation, age, It is very important that we know how to contact you. disability, national origin, veteran status, ancestry, If you have a change of address or telephone number, health status, or need for health service. please call Member Services between the hours of 9:00 a.m. and 5:00 p.m., Monday through Friday, CHIP stands for Children’s Health Insurance at 1-888-483-0760. Also, please notify your CHIP Program. CHIP offers medical insurance to children Eligibility Worker of these changes as soon as you under 19 years of age, who don’t have access to health can. Benefits insurance or Medicaid. Please call Member Services for any questions or This booklet contains information on the services information you may need, or to inform us of any that are available to you as a CHIP member of Molina concerns or complaints you may have with our Healthcare. Please review this booklet carefully. services. You can also visit us at www.molinahealthcare.com. New members can expect a welcome call within 10 days after you join Molina Healthcare of Utah, Thank you for joining the Molina Healthcare family! Other Services if we have a correct phone number. 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 speak to a representative, please call 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.

1 Accessing Care

Language Translation Services (Talking to someone who speaks your language)

We know that it may be hard to understand what If you have a hard time speaking, you can call your doctor is telling you if your first language is not 1-888-346-5822 and a specially trained person will English or if you are hard of hearing. We may have help you. doctors who speak or sign your language. You may ask to receive services from them. If you are hard of hearing, you can call Utah Relay Services at 711 or 1-800-346-4128. This is a We also contract with interpreters who will help telephone relay service or TTY/TDD that is a free you to talk to your doctor and understand what public service. Si usted habla español, usted puede your doctor or health plan tells you. Interpreters llamar - Spanish Relay Utah at 1-888-436-3162. are available in all languages and are free of charge. Molina Healthcare will get an interpreter to help We also have this booklet and other important you over the telephone or to meet you at medical written information in Spanish. You may call appointments. If you need an interpreter call Member Services at 1-888-483-0760 and ask for a 1-888-483-0760 and a Member Service copy. Representative will get one for you. Tenemos este folleto e importante información If you are deaf and need the help of a signer call adicional disponible en español. Llameal Member Services at 1-888-483-0760 we will get one Departamento de Servicio al Cliente al for you. 1-888-483-0760 y pida una copia.

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

Nurse Advice Line CHIP Premiums

When should Molina members call the Nurse If you have any questions about your CHIP

Advice Line? premiums, please call the DWS Business Office at Accessing Care 1-866-435-7414 option 5. • If you have questions about your health • If you need medical care and your doctor’s Term of Membership with office is closed Molina Healthcare • If you are not sure whether you need to go to an Emergency Room for a health problem Your membership with Molina Healthcare will continue up to the age of 19 or until you: (1) lose your If it is after hours and your PCP’s office is closed you eligibility under the CHIP program, (2) move from can call Molina Healthcare’s Nurse Advice Line at our service area, or (3) change to another health plan during the annual plan switch.

1-888-275-8750. Nurses are available to help you 24 Benefits hours a day, 7 days a week. Ensuring Appropriate Linea de Consejeria Medica Utilization

Cuándo puede un miembro de Molina llamar a la Molina helps to deliver appropriate care and monitors Linea de Consejeria Médica? the impact of its Utilization Management program to detect and correct potential under- and over-

• Si tiene preguntas referente a su salud. utilization of services for medical and behavioral Other Services • Si necesita cuidado médico y la oficina de su healthcare services. doctor está cerrada. • Utilization management decisions are based • Si no está seguro si tiene que ir a una sala de only on appropriateness of care, service and emergencia por un problema médico. existence of coverage. • There is no reward for physicians or other Si es después de horas hábiles y el consultorio de su practitioners conducting utilization review for PCP se encuentra cerrado; puede llamar a la Línea denying coverage or service. de Consejos de Enfermeras de Molina Healthcare Network Listings al 1-866-648-3537. Enfermeras están disponibles a • No financial incentives are given to encourage ayudarle las 24 horas del día, 7 días a la semana. decisions that result in under utilization.

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

As a member of Molina Healthcare you will receive • Well child visits care when you need it, for as long as you need it and • Laboratory and x-ray services in the quantities you need it. The service must be a covered benefit, medically necessary and must be • Pre-natal and maternity ordered by your doctor. Molina does not reward • Injections and immunizations doctors, employees, or other people to deny or limit • Optometric (eye care) your care. • Audiology (hearing care) Member Services • Physical, occupational or speech therapy • Durable medical equipment and prosthetic Molina Healthcare’s Member Services Team is here devices to help you, Monday through Friday from 9:00 am- • Hospice services 5:00 pm at 1-888-483-0760. We will answer all of • Foot Care your questions and concerns. We can help you find a doctor in your area or change from the doctor that • Home Health you have to a new one. • Mental Health services • Case Manager Services We also have Spanish speaking Member Service Representatives to help you if you do not speak • Prescription drugs English. If you are hearing impaired please use our • Urgent and Emergency care TDD/TTY line at 1-800-346-4128. Some of the above services have limited benefits and Summary of Covered Health ALL services listed above must be provided directly Care Services by a doctor or provider that is part of the Molina Healthcare network. See the CHIP co-pay summary Molina Healthcare will provide or arrange for the sheet sent with your ID card. following services: • Doctor/primary care physician office visits • Doctor/specialty care physician office visits • Ambulance • Hospital services (inpatient and outpatient)

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

Case Manager Services • Give your identification number to the doctor (this number is on your Member identification A case manager is a specially trained nurse who card); works with you, your family, and your doctor to help • Your MVC doctor will check with Molina Accessing Care you get the care that you need. A case manager can Healthcare to see if the service is covered. If the also answer questions about your medical care. If you service is not covered, your MVC doctor will let have certain medical needs, Molina may assign a case you know. manager to work with you. If you think you need a case manager, you may call Member Services at 1-888-483-0760. Quality of care is the overall goal. 3. After your Eye Exam • Your MVC doctor will discuss your eyewear How to Get Vision Care and/or treatment options with you. • Please be sure to review your CHIP benefits so Regular eye exams are important. These exams allow you understand which service CHIP will pay for. your March Vision Care (MVC) doctor to find and Benefits treat potential eye problems early. This can happen even before you notice any problems. Follow these Dental Services simple steps when you are ready to use your MVC Dental services are a covered benefit and provided benefit: through Premier Access at 1-877-854-4242 and DentaQuest at 1-800-483-0031. Molina does not 1. Find a MVC Doctor provide these services. If you are not sure what • Call a representative toll free at (888) 493-4070; dental plan you selected, please contact your CHIP Other Services • Visit www.marchvisioncare.com; Health Plan Representative, inside Salt Lake County • For TTY/TDD (for hearing impaired) toll free at 1-801-526-9422 and outside of Salt Lake County at at (877) 627-2480; 1-866-608-9422. • Or call (801) 858-0400 or (888) 483-0760 and ask for the Member Services department. Co-Payments

There are co-payments and deductibles when you use 2. Call a MVC Doctor medical services. A summary of co-payments has been included with your Molina Healthcare ID card. • Make an appointment; Network Listings If you did not receive a co-pay summary sheet and • Tell the doctor you are a Molina Healthcare would like one, call our Member Service Department member; at 1-888-483-0760. There are no co-payments for preventive care visits including checkups, immunizations, and dental checkups.

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

Your PERSONAL Physician Referrals

Molina Healthcare of Utah does not require you to You do not need a referral to see any Molina choose a Primary Care Provider (PCP) or personal Specialist. However, working with your personal doctor. However, there are a lot of good reasons to doctor may get you an appointment sooner. For help have a personal physician who sees you for most of choosing a Molina Provider, call Member Services at your medical care. Some of these reasons include: 1-888-483-0760. · Your personal physician knows you and your medical history the best. Molina Healthcare · You and your personal physician manage your Identification Cards medical needs from one place. · Your personal physician will help you get the You will receive an identification card from Molina care you need when you need it. Healthcare. You need to show this card when you go to any appointment. · If you need to see a specialist, your personal physician will send you to the right doctor. How to Get Routine · Your medical information from the specialist will be given to your personal physician. (Non-Emergency) Health Care Services Having a personal physician is especially helpful for people with special health care needs. Other benefits Once you have chosen a Molina doctor: include: • Call your Molina doctor when you need to see · Better care of chronic problems. him or her. · Better access to needed care. • If you cannot keep your appointment, call and schedule another time · Better care coordination. • If you feel better and do not need to keep your · Better prevention of diseases. appointment, call and cancel your appointment. This will allow someone else to use your If you would like help finding a personal physician, appointment time. please call our Member Services Department at 1-888-483-0760. Your Molina doctor will: • See you for routine care • Recommend a specialist when needed • Call Molina Healthcare for services that need approval before you can get them.

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

Making an Appointment How to Get Emergency Care Services You should be able to get an appointment with your Accessing Care Molina doctor as follows: An emergency is when an average person, untrained • Within 21 days for routine, non urgent in medical care feels like they are having severe pain, appointments illness or injury which would lead to disability, • Within 60 days for school physicals permanent harm or death if not treated right away. Some examples of emergency conditions are: • Within 2 days for urgent, but not life- threatening care (care that can be done in a • Chest pains doctor’s office). • Difficulty breathing • Severe bleeding You should be able to get an appointment with a • Shock Specialist as follows: Benefits • Within 30 days for non-urgent appointments If you have an emergency (as defined), • Within 2 days for urgent, but not life- IMMEDIATELY call 911 or go to the nearest threatening care (care that can be done in a emergency room. If you have an urgent medical doctor’s office). need, and are not sure if it is an emergency, please call your Molina doctor and he or she will tell you what If you have trouble getting an appointment when you to do. If your Molina doctor is not available, a doctor taking calls for him or her can help you or there will need one, call us at 1-888-483-0760. Other Services be a message telling you what to do. If you have an Remember to bring your Molina Healthcare urgent matter that does not threaten your life, you can identification card with you to all of your also call Molina Healthcare’s Nurse Advice Line at appointments. Please be on time so that you can be 1-888-275-8750, 24 hours a day, 7 days a week. 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.

7 Accessing Care

POISON EMERGENCY Out of Area Emergency / Urgent Care When you think you or someone you know has a poison or possible poison exposure emergency, call If you are traveling and have an emergency 1-800-222-1222. If someone is not breathing, call 911 condition, as defined, go to the nearest emergency now. room for care. Show your Molina Healthcare ID card.

The poison control center has specially trained staff You will need to contact Molina Healthcare and on duty all of the time. They can answer questions report this incident within 48 hours or have the about poison emergency or possible poison exposure. emergency room staff call for you. They will provide immediate treatment advice for any kind of poisoning concern. Do not use the emergency room for routine medical care. You may be responsible for the charges. Examples of a poison emergency: • Swallowed household cleaning chemical Urgent Care • Splashed chemical in the eye • Chemical on skin “Urgently needed care” is when you need medical attention right away and it is not reasonable given • Breathed fumes after mixing chemicals together the situation for you to get medical care from your or after a gas leak Molina doctor. In these cases, your health is not in • Took too much (overdose) or the wrong serious danger. medication or supplement • Bad reaction to medication Some medical conditions need to be attended to quickly, but are not considered “emergencies”. Some examples are: ALWAYS CARRY YOUR MOLINA HEALTHCARE IDENTIFICATION CARD WITH YOU AND • Cuts that need stitches PRESENT IT WHEN SEEKING EMERGENCY • High fevers CARE. NEVER SEEK ROUTINE, NON- • Sprains and strains EMERGENCY CARE THROUGH AN EMERGENCY ROOM. • Burns that are not life threatening • Severe vomiting AMBULANCES ARE ONLY PROVIDED IN THE EVENT OF A MEDICAL EMERGENCY.

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

Call your Molina doctor anytime for urgent care. If Molina uses the following hospitals for inpatient care: your Molina doctor cannot see you, someone there will tell you what to do. You can also go to any urgent Primary Care Hospitals

care facility that accepts CHIP. If you have an urgent Allen Memorial Hospital- Grand Accessing Care matter that does not threaten your life, you can also Ashley Regional Medical Center- Uintah call Molina Healthcare’s Nurse Advice Line at Bear River Valley Hospital- Box Elder 1-888-275-8750, 24 hours a day, 7 days a week. Beaver Valley Hospital- Beaver If you are not sure, you can also call Member Services Blue Mountain Hospital- San Juan at 1-888-483-0760. Brigham City Hospital- Box Elder Specialty Hospital- Cache After Hours Care Cassia Regional Medical Center- Cassia CastleView Memorial Hospital- Carbon Your Molina doctor’s office has a doctor “on-call” in Central Valley Medical Center- Juab the evenings, at night, on weekends, and on holidays. Davis Hospital and Medical Center- Davis Delta Community Medical Center- Millard If you have a problem after regular office hours, call Benefits your Molina doctor’s office and talk with the doctor Dixie Regional Hospital- Washington on-call. Tell the doctor about your problem, and Fillmore Community Medical Center- Millard follow the instructions of the doctor. The Molina Garfield Memorial Hospital- Garfield doctor may ask you to come to the office or may Gunnison Valley Hospital- San Pete refer you to an Urgent Care Clinic or emergency Heber Valley Medical Center- Wasatch room. Be sure to tell the doctor that you are a Molina Jordan Valley Hospital- Salt Lake Healthcare member. Kane County Hospital- Kane Lakeview Hospital- Davis Other Services Medical Care in a Hospital LDS Hospital- Salt Lake Logan Regional Hospital- Cache Milford Valley Memorial Hospital- Beaver Molina must pre-approve all inpatient hospital stays. Mountain View Hospital- Utah The hospital MUST call Molina to get approval for all Mountain West Medical Center-Tooele inpatient hospital admissions. It is important to let Ogden Regional Medical Center- Weber the hospital know that Molina is your health plan so Park City Medical Center- Summit the hospital can call us if they want to admit you. The Pioneer Valley Hospital- Salt Lake hospital can call us at 1-888-483-0760 to talk with us Primary Children’s Medical Center- Salt Lake about your need for inpatient care. Network Listings Salt Lake Regional Medical Center- Salt Lake San Juan Hospital- San Juan - Sanpete Sevier Valley Medical Center- Sevier

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

St. Marks Hospital- Salt Lake Payment for Services Timpanogas Regional Hospital- Utah Uintah Basin Medical Center- Duchesne Co-pay / Co-Insurance University of Utah Hospital- Salt Lake You may have a co-pay and/or co-insurance due at Utah Valley Regional Medical Center- Utah the time you receive medical care, if the care you are Valley View Medical Center- Iron getting is a covered benefit. Co-payments are listed on your Molina Healthcare ID card that you receive. Inpatient hospital care is called post-stabilization Please take your co-payment with you when you go services if you are admitted after you have been to the doctor or he or she may not see you. If you treated in an emergency room. Molina may have are admitted to the hospital and have a co-insurance, you stay at that hospital even if it is not one of the the hospital will help you to make arrangements to hospitals listed above. Or they may transfer you to pay it. another hospital. It is important to let the hospital know Molina is your CHIP provider so they can call You may have to pay for services if: us if they are admitting you. Molina and the hospital • You get a service that is not covered by Molina need to work out the details about your admission, Healthcare including whether you should stay there or you should be transferred to one of our hospitals. The • You get a service that is not pre-approved by hospital can call us at 1-888-483-0760 to talk with us Molina Healthcare but should have been about your need for inpatient care. • You get non-emergency service from a doctor or hospital that is not a provider with Molina Out of Area Medical Care Healthcare. in a Hospital • You do not go to a Molina Provider.

If you are out of the Molina’s service area (for If any of the above four things happen, the provider instance, when you are on vacation) and you need to might ask you to pay for the service. You should only be admitted to a hospital, be sure to let the hospital be billed if you signed in writing that you would pay know you have CHIP and that Molina Healthcare for the service, before you received the service. is your health plan. It is the hospital’s job to call us when they admit you to make sure they have the necessary approval.

Out-of-area hospitals may call 1-888-483-0760 to let us know they want to admit you for care.

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

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

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

Getting Authorization Usually we make a decision about approving a for Services service within 14 calendar days after we receive the request. Sometimes you or your doctor might think it is important to make a decision quickly about Your Molina doctor or specialist needs to contact approving the service. If so, we will try to make a Molina Healthcare before you can receive any of these decision within 3 working days. We will notify your services. Prior authorization is needed for: doctor about our decision. If the request for service -Hospital or Outpatient facilities is not approved by Molina we will send you a letter -Surgery telling you why. You then have the right to appeal that -Some office procedures decision if you do not agree (see the Member Medical -Some x-rays and laboratory tests Appeal section of this booklet). -Home Health Care -Long Term Care (nursing home or rehab) -Equipment and supplies Changing Your Contact -Physical, Occupational and Speech Therapy Information

Your doctor’s job is to call Molina Healthcare and get It is very important that Molina Healthcare be able services properly authorized. Your job is to remind to contact you. If you change your name, address or your doctor that prior authorization may be required telephone number, please call: for some services. If the prior authorization is not • Member Services at 1-888-483-0760 obtained you may be responsible for the bill. If you need to talk to someone regarding your prior AND authorization, please call Member Services at • The CHIP Administrative office at 1-888-483-0760. 1-866-772-1261

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

Well Child Other Medical Services

Molina Healthcare wants to help you keep your Children may need other types of care. Some of children healthy. Many health problems begin during this care may be for physical, occupational, speech Accessing Care childhood. The good news is that, most of these therapy, medical equipment, including wheelchairs or problems can be prevented through early exam and nurses in the home. Your doctor needs to call Molina treatment. Also, there is no co-pay for well child Healthcare for approval for these services before you check-ups. can get them.

Please call your Molina doctor or Member Services to Pre-Natal and get information about Well Child check-ups. Our goal is to make sure that your children stay healthy and Maternity Care grow to become healthy adults. The best way to have a happy, healthy child is to have regular checkups for Early medical care is very important to the health of them. If you are at your doctor’s office because your pregnant women and their baby’s. If you think you child is sick and a well-child exam is due, ask if the are pregnant, or when you know you are pregnant, Benefits check-up can be done at that time. The following please call your doctor. Call us and we will help you schedule is when your child should have a well-child choose a doctor who will be your Molina doctor exam. while you are pregnant.

2-3 days- usually at birth 24 months 13 years As soon as you are pregnant, it is very important to: By 1 month 3 years 14 years • Get an appointment with your doctor 2 months 4 years 15 years AND

4 months 5 years 16 years Other Services • Keep getting care the whole time you are 6 months 6 years 17 years pregnant. 9 months 8 years 18 years 12 months 10 years 19 years There are special classes that will teach you how to 15 months 11 years 20 years eat right, exercise, and give you help during your 18 months 12 years pregnancy. Call Molina Healthcare at 1-866-891-2320 for information on these classes. 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

Membership and Coverage of Prescription Drugs Newborn Babies The CHIP Program covers prescription drugs. Molina It is important that you notify your Eligibility Worker Healthcare uses a list of approved drugs. This list is about your new baby as soon as possible after he or called a “drug formulary.” Your provider should she is born so that coverage for your baby can be prescribe drugs for you from this list. Certain drugs discussed. on the list will need prior approval from Molina Healthcare. Your provider will need to send Molina Healthcare a request before these drugs can be prescribed for you. When you take your prescription to the pharmacy, remember to show your Molina Healthcare card. Call the Member Services line at 1-888-483-0760 with any questions about prescription medications.

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 Benefits

Experimental or Family Assistance Program Investigational Medical Practices Behavioral Health Strategies provides a Family Assistance Program to the children enrolled in CHIP. Accessing Care Some services are also available for family members Experimental or Investigational medical practices who live with CHIP members. The Family Assistance are NOT a covered benefit of the CHIP program. Program will provide the following services at no Therefore, Molina Healthcare does NOT cover those cost to the whole family (father, mother, brothers and services. sisters who live together in the home.) Review of New Technology • Individual problem counseling • Family problem counseling for Inclusion as • Marriage problem counseling a Covered Benefit • Support groups

New ways to treat illnesses are being developed every • Help with stress and anxiety Benefits day. Because of this, Molina Healthcare of Utah has • Help with self-esteem and self-confidence a process to review new treatments to better care • Parenting support for our members. The process starts when Molina becomes aware of, or there is a request for, the use • Assessment and referral for mental health of a new treatment. Our Medical Director or the services Molina New Technology Committee review the new • Assessment and referral for alcohol abuse treatments. services

• Assessment and referral for drug abuse services Other Services In order to make a good decision about the use of any new treatments; we look at a lot of information. For example, we look at medical studies, government documents (such as FDA bulletins) and the opinions of specialists. If we decide that new treatments will help our members, we ask the State for approval so that it can become a covered benefit. 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 Benefits

Mental Health Services How to Get Routine (Non-Emergency) Behavioral Health Strategies also provides mental health services to children enrolled in CHIP when Mental Health Services: they need more than the Family Assistance Program can offer. Those services include: • Call the Family Assistance Program telephone number 801-262-9619. If you are outside of • Mental health services Salt Lake County call toll free 1-800-926-9619. • Alcohol abuse services • During the call, make an appointment at the • Drug abuse services Family Assistance Office that works best for • Crisis intervention services you. • Outpatient therapy • If you cannot keep your appointment call and reschedule for another time. • Psychiatric medication management • If you feel better and do not need to keep your • Inpatient hospitalization appointment, call and cancel your appointment. This will allow someone else to be seen by the Please note that ALL of the covered services must be doctor during your appointment time. either • Provided directly by the Family Assistance Program, OR • Approved and coordinated by the Family Assistance Program prior to receiving them.

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

How to Get Emergency Mental Health Services

Emergency Mental Health Services are provided Accessing Care the same way emergency care services are provided. If you have an emergency mental health problem, IMMEDIATELY call 911 or go to the nearest emergency room.

If you have an urgent mental health need, but are unsure if it is an emergency, please call our 24-hour telephone number at 801-262-9619. If you are outside of Salt Lake County call toll free 1-800-926-9619 and a crisis counselor will be paged immediately. Benefits

You must notify the Family Assistance Program of emergency care within 24 hours. You may ask the emergency room staff to call the Family Assistance Program for you. 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.

17 05-102 DOH CHIP 7/11 CO-PAY SUMMARY Molina: 1-888-483-0760 • www.health.utah.gov/chip • SelectHealth: 1-800-515-2220 BENEFITS CO-PAY CO-PAY CO-PAY (per plan year) PLAN A* PLAN B* PLAN C* 5% of family’s annual gross 5% of family’s annual gross 5% of family’s annual gross OUT-OF-POCKET MAXIMUM income, including dental income, including dental income, including dental expenses** expenses** expenses** PREMIUM $0 $30/family/quarter $75/family/quarter PRE-EXISTING CONDITION No waiting period No waiting period No waiting period MEDICAL BENEFITS DEDUCTIBLE None $40/family $500/child; $1,500/family WELL-CHILD EXAMS $0 $0 $0 IMMUNIZATIONS $0 $0 $0 DOCTOR VISITS $3 $5 $20 SPECIALIST VISITS $3 $5 $40 EMERGENCY ROOM $3 $5; $10 non-emergency $250 AMBULANCE 5% of approved amount 5% of approved amount after 20% of approved amount after deductible deductible URGENT CARE CENTER $3 $5 $35 AMBULATORY SURGICAL & $3 5% of approved amount after 20% of approved amount after OUTPATIENT HOSPITAL deductible deductible INPATIENT HOSPITAL $50 $150 after deductible 20% of approved amount after SERVICES deductible LAB & X-RAY $0 for minor diagnostic tests $0 for minor diagnostic tests $0 for minor diagnostic tests and x-rays; $3 for major and x-rays; 5% of approved and x-rays; 20% of approved diagnostic tests and x-rays amount after deductible for amount after deductible for major diagnostic tests and major diagnostic tests and x-rays x-rays SURGEON $0 5% of approved amount 20% of approved amount ANESTHESIOLOGIST $0 5% of approved amount 20% of approved amount PRESCRIPTIONS - Preferred Generic Drugs - $1 - $5 - $15 - Preferred Brand Name Drugs - $1 - 5% of approved amount - 25% of approved amount - Non-Preferred Drugs - 5% of approved amount - 5% of approved amount - 50% of approved amount MENTAL HEALTH - Inpatient Hospital - $50 - $150 after deductible - 20% of approved amount after - Outpatient Visit - $3 - $5 deductible - $35 RESIDENTIAL TREATMENT 5% of approved amount 5% of approved amount after 50% of approved amount after (25 day limit per year) deductible (25 day limit per deductible (25 day limit per year) year) PHYSICAL THERAPY $3 (20 visit limit per year) $5 (20 visit limit per year) $35 after deductible (20 visit limit per year) CHIROPRACTIC VISITS Not a covered benefit Not a covered benefit Not a covered benefit HOME HEALTH & $3 5% of approved amount after 20% of approved amount after HOSPICE CARE deductible deductible MEDICAL EQUIPMENT & $3 5% of approved amount after 20% of approved amount after MEDICAL SUPPLIES deductible deductible DIABETES EDUCATION $0 $0 $0 VISION SCREENING $3 (1 visit limit per year) $5 (1 visit limit per year) $35 (1 visit limit per year) HEARING SCREENING $3 (1 visit limit per year) $5 (1 visit limit per year) $35 (1 visit limit per year) * Co-pay plans are based on your income. American Indian/Alaska Natives will not be charged co-pays, premiums, or a deductible. ** CHIP will send you an approval letter, telling you the approximate out-of-pocket maximum amount for your family. 18 CO-PAY SUMMARY

Premier Access: 1-877-854-4242 • www.health.utah.gov/chip • DentaQuest: 1-800-483-0031

BENEFITS CON’T CO-PAY CO-PAY CO-PAY (per plan year) PLAN A* PLAN B* PLAN C* DENTAL BENEFITS DEDUCTIBLE $0 $0 $50/child; $150/family MAXIMUM BENEFIT $1,000 per plan year $1,000 per plan year $1,000 per plan year - Preventive, Basic & Major services per child, per year PREVENTIVE SERVICES $0 $0 $0 - Routine exams - Cleanings (2 per year) - Topical fluoride - X-rays BASIC SERVICES $0 5% of approved amount 20% of approved amount after - Fillings deductible - Extractions - Oral surgery - Endodontics - Periodontics MAJOR SERVICES 5% of approved amount 5% of approved amount 50% of approved amount after - Crowns deductible - Bridges - Dentures ORTHODONTICS 5% of approved amount 5% of approved amount 50% of approved amount ($1,000 lifetime maximum**) ($1,000 lifetime maximum**) ($1,000 lifetime maximum**)

SPECIALISTS 5% of approved amount 5% of approved amount Talk to your dental plan for an - Endodontists estimate of additional charges. - Oral surgeons - Periodontists - Pediatric specialists - Prosthodontists * Co-pay plans are based on your income. American Indian/Alaska Natives will not be charged co-pays, premiums, or a deductible. ** Orthodontic services are not included in the annual maximum benefit.

19 Out-of-Pocket Maximum Claim Form

My out-of-pocket maximum is: $ ______Parent/Guardian Name: ______Health and Dental Plan: ______

We have provided this form to help you keep track of your children’s medical and dental services. After your out-of-pocket maximum is met, return this form to CHIP (see below). Complete one line for each co-payment or co-insurance you pay. You do not need to submit receipts, but keep them for your records.

You may submit claim forms up to one year after the end of the benefit year in which the expenses occur.

Child’s Name Date of visit Did you pay Health Care Provider’s Name Amount of or claim this bill? Y/N and Mailing Address co-pay or co-insurance

Subtotal on this page:

Grand Total (for all pages) $______Return form to: CHIP, PO Box 143107, SLC, UT 84114-3107 Fax: 801-538-6952 E-mail: [email protected] 20 Child’s Name Date of visit Did you pay Health Care Provider’s Name Amount of or claim this bill? Y/N and Mailing Address co-pay or co-insurance

Subtotal on this page:

Return form to: CHIP, PO Box 143107, SLC, UT 84114-3107 Fax: 801-538-6952 E-mail: [email protected] 21 Other Services

Grievance Process When does an appeal have to be filed by? Your Notice of Action letter will give you complete Actions information on the Appeal process, including how soon you must tell us you want to Appeal the action. In some cases, you must let us know within What are actions? An action is when Molina 10 calendar days and in other cases, within Healthcare: 30 calendar days of the date on the Notice of Action • Denies (turns down) or approves fewer services letter. We will let you know which time frame applies. than you wanted. • Decreases the number of services or ends a If you ask to keep getting medical care related to service we had previously approved (If you your Appeal or during a State Fair Hearing, you may agree with the change in your treatment, it is have to pay for this care. You would only have to pay not an action. This is only an action if you tell for the care if your Appeal or the State Fair Hearing us that you do not want the change). decision is NOT in your favor. • Denies payment for a service that you might have to pay for. 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 make You will know that the health plan is taking an action the decision. We will let you know in writing if this because we will send you a letter called a Notice of is the case. YOU may also want us to take more time Action. You may appeal the action. for some reason. If so, let us know. An extension of 14 calendar days is possible if you agree. Member Medical Appeals Expedited (Quick) Appeal What is an Appeal? An appeal is when you write us and ask us to look at A quick (expedited) appeal is available if your the action again to see if the right decision was made. healthcare provider (doctor) feels you need immediate attention. This kind of appeal will be Who may file an Appeal? completed quickly in no more than 72 hours (3 You, your authorized representative, or your doctor calendar days) after we get the request. may file an Appeal. If the doctor files for you, you must give your written permission. We will include an Appeal form with your Notice of Action letter. If you need help filing an Appeal, please call the appeals coordinator at (801) 858-0454 ext. 170454.

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

State Fair Hearing How do I file a grievance? You, your authorized representative, or your doctor What may I do if I am unhappy with the Appeal may file a grievance. You can file a grievance by decision? doing any one of the following: Accessing Care If you disagree with our decision, or we cannot make • You may call Member Services at a decision on your Appeal as soon as the State wants 1-888-483-0760 and tell us about your us to. You, your authorized representative, or your grievance, or doctor may ask for a State Fair Hearing. • Make an appointment with our Member Services so you can talk with us in person, or In this case, we will tell you in a letter that you may request a State Fair Hearing. The letter will tell you • File your grievance in writing at: how and when to request the State Fair Hearing. Molina Healthcare of Utah We will also give you the form to use if you want ATTN: Member Services to request a State Fair Hearing. You must mail this 7050 S. Union Park Center, Suite 200

request to the address on the form within 30 days of Midvale, UT 84047 Benefits the date on the letter. When will Molina Healthcare tell me the decision Complaints / Grievances about my grievance? We try to make a decision about your grievance right What if I have a complaint? away; sometimes we can often resolve the problem A grievance is a complaint about anything other than while you are on the phone. If not we will give you an action (see above).A few examples of grievances a decision within 45 calendar days after we get include: your grievance. We will either talk to you about our Other Services decision, or we will send you a letter. If you gave us • the quality of care of services given to you your grievance in writing, we will send you a letter • rudeness of a doctor back. • Molina staff person not respecting your rights. Sometimes we may not be able to let you know our • Your doctor does not give you an appointment decision within 45 calendar days and we will ask for within the required amount of time, or 14 more days to resolve your grievance. If this is the • Does not settle an appeal or grievance you filed case, we will let you know in writing why we need with us as soon as we are supposed to. more time. You may also want us to take more time Network Listings 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

Appealing a Complaint Expedited (Quick) or Grievance Grievance Appeal

If I do not agree with the decision, what are my When you, your doctor, or we think it is important to rights? make a decision on your Grievance appeal quickly, we You have the right to Appeal any decision that will usually make a decision within 72 hours. resulted in an adverse action (a decision that you disagree with). An example of this would be if you State Fair Hearing were told that you could not change doctors when you wanted to. In this case, you will get a Notice What may I do if I am unhappy with the Appeal of Action letter, about your complaint, which will decision? include an appeal form and tell you what to do. If you are unhappy with our decision on your Appeal, or we cannot make a decision on your Appeal as In some cases, you may not have the right to Appeal soon as the State wants us to. You, your authorized a grievance. For example, if your doctor was rude, representative, or your doctor may ask for a State Fair there is no adverse action (a decision that you Hearing. disagree with) to Appeal, even though we follow-up on the grievance. In this case, we will let you know In this case, we will tell you in a letter that you may that an Appeal is not necessary. request a State Fair Hearing. The letter will tell you how and when to request the State fair hearing. We When does a grievance appeal have to be filed by? will also give you the State Fair Hearing request form Your Notice of Action letter will give you all the to send to the State. You must ask for a State Fair information on the Appeal process, including how Hearing in writing. soon you must tell us that you want to Appeal the 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 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.

24 Introduction

Getting Information about Ending Your Membership Practitioners or Care / with Molina (Disenrollment) Grievances or Privacy If you want to change to another Health Plan, Accessing Care The following information is available if you ask: you must call the CHIP Administrative Office at 1-866-772-1261. • Information on how we choose primary and

specialty care doctors, what we require of them We want you to be happy with Molina as your Health and any board certifications they may have. Plan. If you are not happy with us we would like to • A copy of MHU clinical practice guidelines. know so that we can improve. Please call Member • Clarification of information about care that you Services at 1-888-483-0760 and tell us why you have want or may not have received. decided to end your membership with us. • More information about our complaint (grievance) system or our confidential policy. Non-Discrimination Benefits You may get any of the information listed above by Molina Healthcare does not discriminate in hiring calling us at 1-888-483-0760. staff or in providing medical care on the basis of pre- existing health condition, color, creed, age, national Involuntary Disenrollment origin, handicap, disability, sex or sexual preference.

Molina Healthcare may ask that you be disenrolled If you have questions or want to file a complaint or (removed) from its membership on the basis of the grievance regarding alleged discrimination, please following: call the Molina Civil Rights Coordinator at Other Services • If you are abusive, threatening or act violent. 801-858-0400, ext. 170436. • If you don’t follow medical advice or you don’t keep a good relationship with your doctor. • If you allow someone else to use your CHIP card. 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.

25 Other Services

Rights and Responsibilities 6. Get medical care according to Molina’s access and quality standards. As a member of Molina Healthcare, you have the 7. Be free from restraint or seclusion if it is used to right to: discipline, to retaliate or for convenience. 1. Get medical care regardless of your race, color, 8. Make a complaint or grievance about Molina or national origin, disability (mental or physical), the care you were given. sex, religion or age. If you feel you have been 9. Appeal a decision made by Molina. treated unfairly or discriminated against for 10. Use your rights without Molina treating you any reason, you may call Molina’s Civil Rights badly. Coordinator to report it. The phone number is 1-888-483-0760. 11. Get a copy of your medical record, and if appropriate, ask that it be amended or corrected. 2. Get information about Molina Healthcare, our services, our doctors or other healthcare 12. Receive a copy of the Member’s Rights and providers. Responsibilities at least yearly. 3. Have privacy and be treated with respect. 13. Suggest changes to this policy. 4. Discuss your treatment options with your doctor, no matter how much the service costs or if it is a covered service. 5. Help make decisions about your health care, including the right to refuse care.

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

As a member of Molina Healthcare you have the If you have questions, concerns or would like to responsibility to: give us input on your rights and responsibilities 1. Read this Membership and Service Guide. If please contact us at 1-888-483-0760. Any changes you have any questions, call Member Services at in the Members Right’s and Responsibilities are Accessing Care 1-888-483-0760. available as soon as they are made. You can see them by going to our web site 2. Use only Molina Healthcare contracted at www.molinahealthcare.com. providers, including hospitals and doctors. 3. Keep your appointment and be on time. If you are going to be late, call your doctor. Cancel appointments 24 hours in advance. 4. Tell Molina and your doctor everything they need to know to care for you. This includes information about all the medications you are

taking. Benefits 5. Follow the plan and instructions for care that you agree to with your doctor. 6. Know your health problems and help to set goals with your doctor about your treatment as much as possible. 7. Respect the property, comfort, and privacy of other members, Molina employees, your doctor Other Services and his or her staff. 8. Tell Molina Healthcare and your Eligibility Case Worker of any changes in your name, address, phone number, if you become pregnant, marital status (marriage, divorce) and insurance. 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.

27 Other Services

FRAUD, WASTE AND ABUSE Preventing Fraud, Waste and Abuse Below are a few helpful tips on how you can help Healthcare fraud is going up every year. Molina prevent healthcare fraud, waste, and abuse: Healthcare of Utah wants to have the highest ethical • Do not give your Molina ID card or number to standards and is working together with State and anyone except your doctor, clinic, hospital or Federal agencies to help prevent fraud, waste, and abuse. other healthcare provider. • Do not let anyone borrow your Molina ID card. Some examples of Fraud, Waste and Abuse are: • Never lend your social security card to anyone. By a Member • When you get a prescription make sure the • Lending an ID card to someone who is not number of the pills in the bottle matches the entitled to it. number on the label. • Changing the amount or number of refills on a • Never change or add information on a prescription. prescription. • Lying to receive medical or pharmacy services. • If your Molina ID card is lost or stolen, report it to Molina right away. By a Provider • Billing for services or supplies that have not Reporting Fraud and Abuse been provided. If you think someone may be abusing the system, • Balancing Billing a Medicaid or CHIP member you can call Molina’s Compliance Officer or one of for covered services. the State agencies. You do not have to give your name • Not reporting a patient’s misuse of a Molina ID when you call. Please remember to include as many card. details as possible. 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

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 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.

28 Introduction

We Protect Your Privacy When does Molina Healthcare need your written authorization (approval) to use or share your PHI? Molina Healthcare takes confidentiality very seriously. Molina Healthcare needs your written approval to use

Your privacy is important to us. We want to let you or share your PHI for purposes not listed above. Accessing Care know how your health information is shared or used. What are your privacy rights? Your Protected Health Information • To look at your PHI PHI stands for these words: protected health • To get a copy of your PHI information. PHI means health information that includes your name, member number, or other things • To amend your PHI that can be used to identify you, and that is used or • To ask us to not use or share your PHI in shared by Molina Healthcare. certain ways • To get a list of certain people or places we have Why does Molina Healthcare use or share our given your PHI

members’ PHI? Benefits • To provide for your treatment • To pay for your health care • To review the quality of the care you get • To tell you about your choices for care • To run our health plan • To use or share PHI for other purposes as Other Services required or permitted by law. 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.

29 Other Services

How does Molina Healthcare protect your PHI? NOTICE OF PRIVACY PRACTICES Molina Healthcare uses many ways to protect PHI MOLINA HEALTHCARE OF UTAH across our health plan. This includes PHI in written word, spoken word, or PHI in a computer. Below are THIS NOTICE DESCRIBES HOW MEDICAL some ways Molina Healthcare protects PHI: INFORMATION ABOUT YOU MAY BE USED AND • Molina Healthcare has policies and rules to DISCLOSED AND HOW YOU CAN GET ACCESS protect PHI. TO THIS INFORMATION. PLEASE REVIEW IT • Only Molina Healthcare staff with a need to CAREFULLY. know PHI may use PHI. Molina Healthcare of Utah (“Molina”) uses and • Molina Healthcare staff is trained on how to shares protected health information about you to protect and secure PHI. provide your health benefits. We use and share • Molina Healthcare staff must agree in writing your information to carry out treatment, payment to follow the rules and policies that protect and and health care operations. We also use and share secure PHI. your information for other reasons as allowed and • Molina Healthcare secures PHI in our required by law. We have the duty to keep your computers. PHI in our computers is kept health information private. We have policies in place private by using firewalls and passwords. to obey the law. What can you do if you feel your privacy rights have not been protected? The effective date of this notice is April 14, 2003.

• Call or write Molina Healthcare and file a PHI stands for these words, protected health complaint. information. PHI means health information that • File a complaint with the U.S. Department of includes your name, member number or other Health and Human Services. identifiers, and is used or shared by Molina.

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 Member treatment, payment, and health care operations. Service Guide and is on our website at www.molinahealthcare.com. You also may get a copy of our Notice of Privacy Practices by calling our Member Services Department 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.

30 Introduction

For Treatment. Health care operations involve many daily business Molina may use or share your PHI to give needs. It includes but is not limited to, the following: you, or arrange for, your medical care. This • Improving quality

treatment also includes referrals between your Accessing Care doctors or other health care providers. For • Actions in health programs to help members example, we may share information about your with certain conditions (such as asthma) health condition with a specialist. This helps • Conducting or arranging for medical review the specialist talk about your treatment with • Legal services , including fraud and abuse your doctor. programs • Actions to help us obey laws. For Payment. Molina may use or share PHI to make decisions • Address member needs, including solving on payment. This may include claims, complaints and grievances. approvals for treatment, and decisions about medical need. Your name, your condition, your

We may also use your PHI to give you reminders Benefits treatment, and supplies given may be written on about your appointments. We may use your PHI to the bill. For example, we may let a doctor know give you information about other treatment, or other that you have our benefits. We would also tell health-related benefits and services. the doctor the amount of the bill that we would pay.

For Health Care Operations Molina may use or share PHI about you to Other Services run our health plan. For example, we may use information from your claim to let you know about a health program that could help you. We may also use or share your PHI to solve member concerns. Your PHI may also be used, to see that claims are paid right. 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.

31 Other Services

When can Molina use or share your PHI without Health and Safety getting written authorization (approval) from you? PHI may be shared to prevent a serious threat The law allows Molina to use and share your PHI for to public health or safety. the following other purposes: Government Functions Required by law Your PHI may be shared with the government We will use or share information about you as for special functions. An example would be to required by law. We will share your PHI when protect the President. required by the Secretary of the Department of Health and Human Services (DHS). This may Victims of Abuse, Neglect or Domestic Violence be for a court case, other legal review, or when Your PHI may be shared with legal authorities if required for law enforcement purposes. we believe that a person is a victim of abuse or neglect. Public Health Your PHI may be used or shared for public Workers Compensation health activities. This may include helping Your PHI may be used or shared to obey public health agencies to prevent or control Workers Compensation laws. disease. Other Disclosures. Health Care Oversight PHI may be shared with funeral directors or Your PHI may be used or shared with coroners to help them to do their jobs. government agencies. They may need your PHI for audits.

Research Your PHI may be used or shared for research in certain cases.

Law Enforcement Your PHI may be used or shared with police to help find a suspect, witness or missing person.

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

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

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.

33 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 If you have any questions, please contact the following U.S. Department of Health & Human Services office: 1961 Stout Street - Room 1426 Manager of Member Services Denver, CO 80294 Molina Healthcare of Utah (303) 844-2024; 7050 So. Union Park Center #200 (303) 844-3439 (TDD); Midvale, Utah 84047 (303) 844-2025 FAX 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.

34 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.

35 36 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 D 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 Healthy Kids Plus Phone: (435) 207-4800 UT Healthy Kids Plus Phone: (435) 723-5248 Beaver Medical Languages Spoken: French 1059 N 100 W Box Elder County Merrell, Rodney W MD C UT Healthy Kids Plus Beaver, UT 84713 Intermountain Bear River Family Phone: (435) 438-7280 Medicine Markeson, John R MD D Languages Spoken: Spanish Advanced Practice 935 N 1000 W Brigham Medical Clinic UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 451 N Main St 300 W 1400 S Milford, UT 84751 Garland, UT 84312 Miller, Todd J MD C Wilding, David Gregg MD D Phone: (435) 387-2471 Phone: (435) 257-2469 Bear River Valley Hospital Brigham Medical Clinic Languages Spoken: Spanish UT Healthy Kids Plus 905 N 1000 W 600 W Hospital Rd UT Healthy Kids Plus 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 Healthy Kids Plus 1059 N 100 W Barker, Lance Fred MD C UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 723-5248 UT Healthy Kids Plus 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 D UT Healthy Kids Plus 980 S Medical Dr, #1 451 N Main St Medical Arts Center Clinic Shaw, Michael C MD D 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 Healthy Kids Plus UT Healthy Kids Plus Languages Spoken: Italian UT Healthy Kids Plus 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 D UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 734-2041 UT Healthy Kids Plus UT Healthy Kids Plus 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 D UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 723-5248 Brigham City, UT 84302 Phone: (435) 207-4800 Languages Spoken: German UT Healthy Kids Plus Smith, Roger Hal MD C UT Healthy Kids Plus Phone: (435) 734-2041 Beaver Medical UT Healthy Kids Plus 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 Healthy Kids Plus Tremonton, UT 84337 Phone: (435) 207-4575 Phone: (435) 257-3684 980 S Medical Dr, #2 Smith, Roger Hal MD C UT Healthy Kids Plus UT Healthy Kids Plus Brigham City, UT 84302 Beaver/Milford Medical Clinic Phone: (435) 734-2433 D Whittaker, Thomas Carlyle MD C UT Healthy Kids Plus 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 D Phone: (435) 387-2471 600 W Hospital Rd Brigham City, UT 84302 Brigham Pediatrics UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 734-2433 UT Healthy Kids Plus Languages Spoken: French Burrows, Brian Neal MD C Wilding, Gregg Harry MD D UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 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 Healthy Kids Plus Phone: (435) 716-2800 Languages Spoken: Danish UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 752-0330 Advanced Practice Languages Spoken: Languages Spoken: Spanish Midwife Portuguese, Spanish Harris, Gary Lee MD C UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 716-1000 UT Healthy Kids Plus Center Languages Spoken: Spanish Bergeson, Lars MD C 26 W Main St UT Healthy Kids Plus 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 Healthy Kids Plus Providence, UT 84332 Center Phone: (435) 752-0330 Hyldahl, Douglas R MD C 26 W Main St UT Healthy Kids Plus Phone: (435) 752-0330 Languages Spoken: Spanish Intermountain Logan Family Hyrum, UT 84319 Broadhurst, Jeremy DO C UT Healthy Kids Plus 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 Healthy Kids Plus 190 S Hwy 165 Intermountain South Cache Valley Phone: (435) 713-2800 Howard, Dnell B NP C Providence, UT 84332 Clinic UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 755-3300 UT Healthy Kids Plus Logan, UT 84341 UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus 1515 N 400 E, #104 Logan, UT 84341 Center UT Healthy Kids Plus Call, Nathan H MD C Phone: (435) 755-6061 1515 N 400 E, #104 Speth, Chad Brent NP C Intermountain South Cache Valley UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Hyrum, UT 84319 Phone: (435) 245-6988 Center Speth, Chad Brent NP C Carlson, Brian W MD C UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 245-6988 UT Healthy Kids Plus Logan, UT 84321 Phone: (435) 713-2800 UT Healthy Kids Plus UT Healthy Kids Plus

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 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 Healthy Kids Plus Languages Spoken: French, UT Healthy Kids Plus Logan, UT 84341 Norwegian Phone: (435) 716-1920 Pediatric Nurse UT Healthy Kids Plus Internal Medicine UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 750-5599 Logan, UT 84341 UT Healthy Kids Plus Huffman, Jeffrey Mark MD C Phone: (435) 753-7337 Intermountain Budge Clinic Obstetrics and UT Healthy Kids Plus 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 Healthy Kids Plus Intermountain Budge Clinic Care Phone: (435) 792-1940 1400 N 500 E 1325 N 600 E, #101 UT Healthy Kids Plus 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 Healthy Kids Plus Intermountain Budge Clinic Logan, UT 84341 UT Healthy Kids Plus 1350 N 500 E Phone: (435) 792-1980 Brown, Nordell T MD C Logan, UT 84341 UT Healthy Kids Plus Craig, Kristin F MD C Intermountain Budge Clinic Phone: (435) 792-1940 Intermountain Budge Clinic 1350 N 500 E UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 1350 N 500 E Phone: (435) 716-5366 Logan, UT 84341 UT Healthy Kids Plus Crane, F Michael MD C Clarke, Derrel W MD C Phone: (435) 792-1940 Cache Valley Community Health Intermountain Budge Clinic UT Healthy Kids Plus 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 Healthy Kids Plus Cache Valley Community Health UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Languages Spoken: Spanish Cache Valley Community Health Portuguese, Spanish UT Healthy Kids Plus Center Szpunar, Agnieszka M MD C UT Healthy Kids Plus 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 Healthy Kids Plus Languages Spoken: Polish Phone: (435) 792-1967 Phone: (435) 792-1940 UT Healthy Kids Plus Languages Spoken: UT Healthy Kids Plus Gracey, Nathan J PA C Portuguese, Spanish Huff, Glen Forrest MD C Cache Valley Community Health UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus

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 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 Healthy Kids Plus Page, AZ 86040 UT Healthy Kids Plus Phone: (435) 637-2092 Foley, Dennis J MD C Phone: (928) 645-8123 Pulley, Jeffrey PA C UT Healthy Kids Plus Lake Powell Medical Center Languages Spoken: Spanish Cache Valley Community Health 467 Vista Ave UT Healthy Kids Plus Center Pediatrics Page, AZ 86040 550 E 1400 N, #K Phone: (928) 645-8123 Physician Assistant Logan, UT 84341 Allen, Louis S MD D UT Healthy Kids Plus Phone: (435) 755-6061 Children with Special Healthcare Bernards, Steven Allen PA C UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (928) 645-8123 Phone: (928) 645-1700 UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Tonalea, AZ 86044 Page, AZ 86040 Phone: (435) 637-9545 Phone: (928) 672-2839 Phone: (928) 645-1700 UT Healthy Kids Plus Physician Assistant UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Helper, UT 84526 Tonalea, AZ 86044 Fredonia, AZ 86022 Phone: (435) 472-7000 Phone: (928) 672-2839 Phone: (928) 643-6215 Family Nurse UT Healthy Kids Plus Languages Spoken: Chinese UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 467 Vista Ave Page, AZ 86040 Internal Medicine Cococino County Phone: (928) 645-8123 Davis County UT Healthy Kids Plus 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 Healthy Kids Plus 2 Rainbow Rd Phone: (928) 672-2839 3110 W 300 N, #B Tonalea, AZ 86044 UT Healthy Kids Plus Clearfield, UT 84015 Rawling, David A MD C Phone: (928) 672-2839 Phone: (801) 614-5270 Peak Healthcare UT Healthy Kids Plus 894 E 100 N, #3 UT Healthy Kids Price, UT 84501 Bjork, Janeen MD C Faucett, Gretchen T CNM D Phone: (435) 637-2324 Lake Powell Medical Center Rocky Mountain OB/GYN UT Healthy Kids Plus 467 Vista Ave 1580 W Antelope Dr, #290 Page, AZ 86040 Layton, UT 84041 Phone: (928) 645-8123 Phone: (801) 776-0880 UT Healthy Kids Plus UT Healthy Kids 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 Mooy, Nancie J CNM C Baxter, Mark E MD D 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 Healthy Kids Languages Spoken: Languages Spoken: Afrikaans UT Healthy Kids Portuguese UT Healthy Kids Robbins, Karina M CNM C UT Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Berwald, Charles J MD C Dixon, Tyler Carnahan DO C Greger, Susan MD C Vance, Rebecca Michele CNM D 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 Healthy Kids Languages Spoken: Spanish Farmington, UT 84025 UT Healthy Kids UT Healthy Kids Phone: (801) 451-3711 Beus, Michael Lynn MD C UT Healthy Kids 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 Healthy Kids Clinic UT Healthy Kids Portuguese, Spanish 50 E State St UT Healthy Kids 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 Healthy Kids Tanner Memorial Clinic 2121 N 1700 W UT Healthy Kids Layton, UT 84041 Hemmersmeier, John Matthew 2121 N 1700 W Ericksen, Corey L DO C Layton, UT 84041 Phone: (801) 773-4840 MD C UT Healthy Kids Westside Medical Clinic East Layton Internal Medicine Phone: (801) 773-4840 1477 N 2000 W, #C UT Healthy Kids 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 Healthy Kids UT Healthy Kids 2121 N 1700 W Layton, UT 84041 Phone: (801) 773-4840 Erickson, Scott Austin MD C Hibbard, Julie Cleek MD C Layton, UT 84041 440 S Medical Dr, #4 Phone: (801) 773-4840 Languages Spoken: Japanese Farmington Family Medicine UT Healthy Kids Bountiful, UT 84010 1401 N 1075 W, #220 Languages Spoken: Spanish Phone: (801) 294-8288 UT Healthy Kids Farmington, Ut 84025 Butler, Warren LeRoy MD C UT Healthy Kids 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 Healthy Kids Layton, UT 84041 Tanner Memorial Clinic 1477 N 2000 W, #C 380 N 400 W Clinton, UT 84015 Phone: (801) 773-4840 Hobbs, Rachel B MD C Languages Spoken: French Kaysville, UT 84037 Tanner Memorial Clinic Phone: (801) 774-8888 Phone: (801) 773-4840 Languages Spoken: Spanish UT Healthy Kids 2121 N 1700 W UT Healthy Kids Layton, UT 84041 UT Healthy Kids Butters, David Eric DO C Foote, Stephen M DO C Phone: (801) 773-4840 Barker, Layne Thomas MD C Wasatch Peak Family Practice UT Healthy Kids 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 C 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 Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids 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 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 Healthy Kids UT Healthy Kids Phone: (801) 451-3711 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids 3225 W Gordon Ave, #1 Languages Spoken: German UT Healthy Kids Layton, UT 84041 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Family Physicians Associated Phone: (801) 773-4840 Languages Spoken: Spanish 415 S Medical Dr, #B200 Languages Spoken: French, UT Healthy Kids Lee, Gary David MD C Bountiful, UT 84010 Spanish Tanner Memorial Clinic Phone: (801) 292-7254 UT Healthy Kids White, Charles D MD C 2121 N 1700 W UT Healthy Kids 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 Healthy Kids Kaysville Family Medicine 2121 N 1700 W Phone: (801) 294-0191 307 N 300 W, #301 Layton, UT 84041 UT Healthy Kids Lenthe, Mark Robert DO D 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 Healthy Kids UT Healthy Kids Aesthetics Phone: (801) 773-4840 3263 S Hwy 89, #300 UT Healthy Kids 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 D 3225 W Gordon Ave, #1 380 N 400 W UT Healthy Kids 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 Healthy Kids Languages Spoken: French, 440 Medical Dr Phone: (801) 773-4840 Spanish Bountiful, UT 84010 UT Healthy Kids Rigby, Rohn Clark MD C UT Healthy Kids Phone: (801) 298-9100 Davis Family Physicians UT Healthy Kids Lenthe, Mark Robert DO D 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 Healthy Kids Farmington, UT 84025 2121 N 1700 W Phone: (801) 773-4840 Phone: (801) 451-4538 Layton, UT 84041 UT Healthy Kids Riggs, Brannick Barton MD C Languages Spoken: Cantonese Phone: (801) 773-4840 Rock Run Medical UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Bountiful, UT 84010 UT Healthy Kids Phone: (801) 296-5805 Practitioner Rodgers, Brian Joseph DO C UT Healthy Kids 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 Healthy Kids UT Healthy Kids Phone: (801) 773-7500 UT Healthy Kids Morris, Jared Abraham MD C Languages Spoken: Afrikaans Christensen, Don Carl NP C Schaelling, Michael P MD D UT Healthy Kids 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 Healthy Kids Bountiful, UT 84010 UT Healthy Kids Portuguese Phone: (801) 298-9155 UT Healthy Kids UT Healthy Kids

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 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 Healthy Kids Phone: (801) 294-9333 Phone: (801) 294-9333 UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 773-4840 Phone: (801) 773-4840 Phone: (801) 776-0880 Languages Spoken: Spanish UT Healthy Kids Languages Spoken: Spanish Green, Holly Jane NP C UT Healthy Kids UT Healthy Kids Mountain West Family Medicine Obstetrics and 440 E Medical Dr, #2 Christian, Grant Leroy MD D Hughes, William Gregory MD D 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 Healthy Kids Phone: (801) 292-1422 Binkley, Shelley Sue MD C Layton, UT 84041 UT Healthy Kids Rocky Mountain Womens Health Phone: (801) 776-0880 Green, Holly Jane NP C Center UT Healthy Kids 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 Healthy Kids Layton, UT 84041 Phone: (801) 296-0600 UT Healthy Kids Phone: (801) 774-8714 UT Healthy Kids Bitner, Mark R MD D UT Healthy Kids 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 Healthy Kids UT Healthy Kids Phone: (801) 773-4840 Phone: (801) 774-8888 UT Healthy Kids UT Healthy Kids Nelson, Chadd Dee DO C Boheen, Karen DO C Tanner Memorial Clinic 2132 N 1700 W, #300 Joseph IV, Charles W MD D 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 Healthy Kids Layton, UT 84041 Bountiful, UT 84010 UT Healthy Kids Phone: (801) 776-0880 Phone: (801) 298-4112 Durbin, Teresa Virginia MD C UT Healthy Kids UT Healthy Kids 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 Healthy Kids UT Healthy Kids Phone: (801) 773-4840 UT Healthy Kids Languages Spoken: Spanish Pham, Marian Hong MD C Farley, Duane E MD C UT Healthy Kids 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 Healthy Kids UT Healthy Kids Phone: (801) 299-2229 Bountiful, UT 84010 Languages Spoken: Spanish Salem, Allen MD C Fillerup, Sharon Lee MD D UT Healthy Kids Phone: (801) 294-9333 Davis Pulmonary and Sleep Tanner Memorial Clinic UT Healthy Kids 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 Healthy Kids 1580 W Antelope Dr, #290 Layton, UT 84041 UT Healthy Kids 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 Healthy Kids Languages Spoken: Spanish 425 Medical Dr, #108 2121 N 1700 W UT Healthy Kids 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 Healthy Kids UT Healthy Kids Rocky Mountain Womens Health Layton, UT 84041 Center Phone: (801) 773-4840 1580 W Antelope Dr, #290 UT Healthy Kids Layton, UT 84041 Phone: (801) 776-0880 UT Healthy Kids 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 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 Healthy Kids UT Healthy Kids Languages Spoken: French UT Healthy Kids UT Healthy Kids 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 Healthy Kids Layton, UT 84041 Phone: (801) 773-8644 Phone: (801) 295-2888 UT Healthy Kids UT Healthy Kids Spencer, Neil Orrin MD C Phone: (801) 773-8644 Shepard Creek OB/GYN UT Healthy Kids 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 Healthy Kids Layton, UT 84041 Phone: (801) 773-8644 Phone: (801) 773-8644 UT Healthy Kids UT Healthy Kids Sumsion, Kevin Spafford MD C Phone: (801) 773-8644 Tanner Memorial Clinic UT Healthy Kids 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 Healthy Kids Layton, UT 84041 Phone: (801) 773-4840 Phone: (801) 773-8644 Phone: (801) 773-4840 Languages Spoken: Spanish UT Healthy Kids Ward, Nathan Clark MD C UT Healthy Kids Lakeview OBGYN UT Healthy Kids 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 Healthy Kids Phone: (801) 774-8888 Phone: (801) 773-4840 UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish Zelenkov, Kristine Mary MD C UT Healthy Kids 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 Healthy Kids Phone: (801) 295-2888 Bountiful, UT 84010 Languages Spoken: Spanish UT Healthy Kids Phone: (801) 295-2888 UT Healthy Kids Pediatric Nurse UT Healthy Kids 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 Healthy Kids Phone: (801) 773-8644 UT Healthy Kids 2084 N 1700 W, #A UT Healthy Kids 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 Healthy Kids 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 APRN D Phone: (801) 773-8644 Phone: (801) 773-8644 UT Healthy Kids Phone: (801) 773-8644 UT Healthy Kids Wee Care Pediatrics UT Healthy Kids 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 Healthy Kids Phone: (801) 292-1464 Great Layton, UT 84041 UT Healthy Kids 620 E Medical Dr, #100 Phone: (801) 773-8644 Ellis-Benigni, Karen APRN D Bountiful, UT 84010 UT Healthy Kids Wee Care Pediatrics Eberhard, Brent K MD C Phone: (801) 295-2888 2084 N 1700 W, #A Tanner Memorial Clinic UT Healthy Kids 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 Healthy Kids Phone: (801) 773-4840 Wee Care Pediatrics 620 E Medical Dr, #100 UT Healthy Kids 2084 N 1700 W, #A Bountiful, UT 84010 Layton, UT 84041 Phone: (801) 295-2888 Phone: (801) 773-8644 Languages Spoken: UT Healthy Kids Portuguese, Spanish UT Healthy Kids 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 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 Healthy Kids Phone: (801) 451-3711 UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids UT Healthy Kids Languages Spoken: Spanish Phone: (801) 773-8644 UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 295-2888 Phone: (801) 773-8644 2084 N 1700 W, #A D UT Healthy Kids Languages Spoken: Chinese Layton, UT 84041 Hansen, Davin Boyd PA UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Phone: (801) 773-8644 Layton, UT 84041 934 S Main St, #8 D UT Healthy Kids 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 Healthy Kids 934 S Main St, #8 Wee Care Pediatrics UT Healthy Kids 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 Healthy Kids Phone: (801) 773-8644 575 Medical Dr Center Davis County Medical C UT Healthy Kids Bountiful, UT 84010 Clinic Heder, Lane Orr PA Phone: (801) 352-9500 50 E State St Davis Family Physicians MacGregor, Elenor DO C UT Healthy Kids 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 Healthy Kids Layton, UT 84041 UT Healthy Kids UT Healthy Kids Phone: (801) 773-8644 Bunnell, Robert Lee PA C MacGregor, Elenor DO C UT Healthy Kids 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 Healthy Kids Layton, UT 84041 UT Healthy Kids Farmington, UT 84025 Phone: (801) 773-8644 Phone: (801) 451-3711 C Carlson, Dennis Jason PA D MacGregor, Elenor DO UT Healthy Kids Wee Care Pediatrics Languages Spoken: Spanish Wee Care Pediatrics UT Healthy Kids 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 Healthy Kids Layton, UT 84041 UT Healthy Kids Center Davis County Medical Phone: (801) 773-8644 Clinic C Carlson, Dennis Jason PA D Nye, Noel Christian DO UT Healthy Kids 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 Healthy Kids UT Healthy Kids Layton, UT 84041 UT Healthy Kids Phone: (801) 773-8644 UT Healthy Kids 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 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 Healthy Kids UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids UT Healthy Kids Plus Roosevelt, UT 84066 Midwife Robins III, Mont Clinton PA C White, Gary B MD C Phone: (435) 725-2000 UT Healthy Kids Plus Brown, DeAnn R CNM D 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 Healthy Kids Languages Spoken: UT Healthy Kids Plus Portuguese, Spanish Family Medicine Sandberg, Emily PA C UT Healthy Kids Plus 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 Healthy Kids 210 W 300 N, #75-3 Phone: (775) 664-2220 Phone: (435) 676-8842 Smith, Traysa Suzzann PA C Roosevelt, UT 84066 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 725-2000 Layton Family Practice C 124 S Fairfield Rd Languages Spoken: Finnish Birch, Richard G DO UT Healthy Kids Plus 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 Healthy Kids Northeastern Utah Medical Group Family Medicine Phone: (435) 679-8545 Syddall, Tracy PA C 210 W 300 N, #75-3 C UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Languages Spoken: Greek Phone: (435) 676-8842 Gynecology UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 90 W Main St UT Healthy Kids Plus 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 Healthy Kids Plus 200 N 400 E Languages Spoken: German Roosevelt, UT 84066 Panguitch, UT 84759 UT Healthy Kids Plus Phone: (435) 725-2000 Internal Medicine Phone: (435) 676-8842 UT Healthy Kids Plus Morrill, Lawrence Lynn DO C Allen, Glori M MD C UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 725-2000 UT Healthy Kids Plus Phone: (435) 679-8545 Robertson, Glenn L MD C Languages Spoken: Korean UT Healthy Kids Plus Northeastern Utah Medical Group UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 676-8842 UT Healthy Kids Plus UT Healthy Kids Plus 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 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 Healthy Kids Plus Phone: (435) 868-5500 Phone: (435) 868-5500 UT Healthy Kids Plus UT Healthy Kids Plus Languages Spoken: Spanish Williams, Kenneth Lewis MD C UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 867-1520 Phone: (435) 477-3344 Phone: (435) 259-8755 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 D 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 1303 N Main St, #3C Practitioner UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Languages Spoken: Spanish Cedar City, UT 84720 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 867-1520 Munger, Jonas Seth MD C UT Healthy Kids Plus 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 Healthy Kids Plus Advanced Practice Cedar City, UT 84720 UT Healthy Kids Plus Midwife Phone: (435) 586-7676 Reay, Paul Robert MD C UT Healthy Kids Plus 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 Healthy Kids Plus Cedar City, UT 84721 UT Healthy Kids Plus Navajo, Spanish Phone: (435) 586-7676 UT Healthy Kids Plus Family Medicine UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Languages Spoken: Spanish UT Healthy Kids Plus Slavens, Gary D MD C UT Healthy Kids Plus 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 Healthy Kids Plus Cedar City, UT 84720 Languages Spoken: Spanish UT Healthy Kids Plus Phone: (435) 586-7676 UT Healthy Kids Plus Languages Spoken: Spanish UT Healthy Kids Plus

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 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 Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 1303 N Main St, #3C UT Healthy Kids Plus Cedar City, UT 84720 Taylor, Jerald Bruce DO C Phone: (435) 868-5500 Nielson, Craig Scott DO C Nephi Medical Clinic Millard County UT Healthy Kids Plus 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 Healthy Kids Plus 1303 N Main St, #3C UT Healthy Kids Plus Abbott, Justin D DO C Cedar City, UT 84720 Fillmore Community Medical Phone: (435) 868-5500 Family Nurse Center UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 157 N Paiute Dr UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Fillmore Community Medical UT Healthy Kids Plus Languages Spoken: Spanish Center UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 623-3200 Languages Spoken: Spanish Languages Spoken: Korean 700 S Hwy 99, #3 UT Healthy Kids Plus UT Healthy Kids Plus Fillmore, UT 84631 Juab County Phone: (435) 743-5555 Pediatrics Obstetrics and UT Healthy Kids Plus 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 Healthy Kids Plus Nephi, UT 84648 Nephi, UT 84648 Phone: (435) 743-5591 Phone: (435) 623-3200 Phone: (435) 623-3200 UT Healthy Kids Plus Dowse, Robert Kenneth MD C UT Healthy Kids Plus Languages Spoken: Dutch, Premier Pediatrics Turkish Evans, Matthew Craig MD C 1251 N Northfield Rd, #301 Jones, Marc Fredrick DO C UT Healthy Kids Plus Fillmore Community Medical Cedar City, UT 84720 Nephi Medical Clinic Center Phone: (435) 865-7227 48 W 1500 N 674 S Hwy 99 UT Healthy Kids Plus Nephi, UT 84648 Kane County Fillmore, UT 84631 Phone: (435) 623-3200 Phone: (435) 743-5591 Miller, Gia DeGiovanni MD C UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 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 Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Center Languages Spoken: German McClellan, Bruce Clark MD C UT Healthy Kids Plus 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 Healthy Kids Plus Morgan, UT 84050 Phone: (801) 829-3426 Roberts, Becky Sue APRN D 157 N Paiute Dr Circleville Clinic Kanosh, UT 84637 Peterson, Michael Cary MD C Languages Spoken: Spanish UT Healthy Kids Plus 145 W Main St Phone: (435) 759-2610 Fillmore Community Medical Circleville, UT 84723 UT Healthy Kids Plus Center 674 S Hwy 99 Internal Medicine Phone: (435) 577-2958 Polson, Drew E MD C Fillmore, UT 84631 UT Healthy Kids Plus Kanosh Medical Clinic Phone: (435) 743-5591 Sadiq, Smitha MD C 157 N Paiute Dr UT Healthy Kids Plus Morgan Health Center Rich County Kanosh, UT 84637 166 N State St Phone: (435) 759-2610 Physician Assistant Morgan, UT 84050 UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Garden City, UT 84028 UT Healthy Kids Plus Bybee, Alan N PA C Phone: (435) 946-3660 Wilcken, Julie A PA C Morgan Health Center UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 325 W Logan Hwy UT Healthy Kids Plus Garden City, UT 84028 Gertge, Robert Neil PA C Phone: (435) 946-3660 Wardle, Mark Lee DO C Mohave County Layton Family Practice UT Healthy Kids Plus 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 Healthy Kids Plus Center Phone: (435) 743-5591 Gynecology 325 W Logan Hwy UT Healthy Kids Plus 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 Healthy Kids Plus Littlefield,AZ 86432 Physician Assistant Cazier, Sonja APRN C Phone: (928) 347-5971 Hinde, Jacqueline J PA C Family Nurse Delta Family Medicine UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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,AZ 86432 Languages Spoken: Spanish Phone: (928) 347-5971 UT Healthy Kids Plus Languages Spoken: Spanish UT Healthy Kids Plus 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 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 Healthy Kids UT Healthy Kids Plus Portuguese, Spanish Flattes, Valerie Jean APRN C UT Healthy Kids 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 Healthy Kids Bear Lake Community Health UT Healthy Kids Languages Spoken: Center Portuguese, Spanish Summerhays, Haley M CNM C 325 W Logan Hwy Vlam, Sheri Lynn APRN C UT Healthy Kids 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 D Salt Lake City, UT 84102 Languages Spoken: Finnish Draper, UT 84020 OB/GYN Associates Phone: (801) 746-4440 UT Healthy Kids Plus Phone: (801) 553-8300 1151 E 3900 S, #B299 UT Healthy Kids UT Healthy Kids Holladay, UT 84124 Physician Assistant Phone: (801) 268-6811 Thacker, Paula G CNM C Advanced Practice UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Plus Holladay, UT 84124 UT Healthy Kids Phone: (801) 268-6811 Albano, Joseph MD C Ballingham, David Jay PA C UT Healthy Kids Montiel, Amanda Sue CNM C Salt Lake Regional Family Practice Bear Lake Community Health Centro De Salud Familiar & Sports Medicine Batson, Margaret K CNM D 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 Healthy Kids Languages Spoken: Spanish Phone: (801) 521-2640 UT Healthy Kids UT Healthy Kids Plus UT Healthy Kids 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 Healthy Kids Phone: (801) 424-5042 Garden City, UT 84028 UT Healthy Kids UT Healthy Kids Phone: (435) 946-3660 Breinholt, Lindsay P CNM C Sahuc, Martha Kay CNM C UT Healthy Kids Plus 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 Healthy Kids Phone: (801) 352-5900 325 W Logan Hwy UT Healthy Kids UT Healthy Kids 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 Medicine Granger Medical Clinic 3336 S Pioneer Pkwy, #301 3665 S 8400 W, #110 UT Healthy Kids Plus Salt Lake City, UT 84120 3725 W 4100 S Magna, UT 84044 West Valley City, UT 84120 Phone: (801) 964-3865 Phone: (801) 250-9638 Pulley, Jeffrey PA C UT Healthy Kids Phone: (801) 965-3600 Bear Lake Community Health UT Healthy Kids UT Healthy Kids Center Hake Brooks, Sara Jane CNM C Shifrar, Jacolin Anne CNM C 325 W Logan Hwy Salt Lake Regional Womens Clinic Allen, Richard Elliot MD C Garden City, UT 84028 Gynecology Affiliates St Marks Family Medicine Clinic 24 E 1100 S, #209 1140 E 3900 S, #300 Phone: (435) 946-3660 Salt Lake City, UT 84102 1250 E 3900 S, #260 UT Healthy Kids Plus Salt Lake City, UT 84124 Salt Lake City, UT 84124 Phone: (801) 214-7650 Phone: (801) 268-8222 UT Healthy Kids Phone: (801) 265-2000 UT Healthy Kids UT Healthy Kids Hake Brooks, Sara Jane CNM C Shifrar, Jacolin Anne CNM C Salt Lake Regional Womens Clinic Allred, Don Preston DO D South Valley Womens Health Care Riverton Family Health Center 7852 S Pioneer St 3570 W 9000 S, #210 Midvale, UT 84047 1756 W Park Ave West Jordan, UT 84088 Riverton, UT 84065 Phone: (801) 214-7650 Phone: (801) 569-2626 UT Healthy Kids Phone: (801) 254-0309 UT Healthy Kids UT Healthy Kids

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 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 Medicine CHC - Central City 74 Kimballs Ln, #300 3725 W 4100 S 3665 S 8400 W, #110 461 S 400 E Draper, UT 84020 West Valley City, UT 84120 Magna, UT 84044 Salt Lake City, UT 84111 Phone: (801) 572-0311 Phone: (801) 965-3600 Phone: (801) 250-9638 Phone: (801) 539-8617 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids Andersen, Dana A MD D Cochella, Susan Elizabeth MD C Granger Medical Clinic Bank, Stacey MD C UUHC Sugarhouse Clinic Daynes, Gregory Sharp MD C 2751 W 9000 S St Marks Millcreek Primary Care 1138 Wilmington Ave Herriman Family Medicine West Jordan, UT 84088 4465 S 900 E, #200 Salt Lake City, UT 84106 5746 W 13400 S Phone: (801) 352-5900 Salt Lake City, UT 84124 Phone: (801) 581-2000 Herriman, UT 84065 UT Healthy Kids Phone: (801) 266-2777 UT Healthy Kids Phone: (801) 253-4001 UT Healthy Kids Languages Spoken: Spanish Andersen, Dana A MD D Collett, Camille MD C UT Healthy Kids Granger Medical Clinic Banks, Amy Lorraine MD C CHC - Oquirrh View 3181 W 9000 S Olympus Clinic Group 4745 S 3200 W Daynes, Randall P MD D West Jordan, UT 84088 4624 S Holladay Blvd Salt Lake City, UT 84118 Holladay Family Practice Phone: (801) 352-5900 Holladay, UT 84117 Phone: (801) 964-6214 999 Murray Holladay Rd, #207 UT Healthy Kids Phone: (801) 277-2682 UT Healthy Kids Salt Lake City, UT 84117 UT Healthy Kids Phone: (801) 268-2584 Andersen, Dana A MD D Collett, Camille MD C UT Healthy Kids Granger Medical Clinic Berneike, John A MD C CHC - Salt Lake 3725 W 4100 S St Marks Family Medicine Clinic 1798 S West Temple, #A100 Delaplante, Nichole A DO C West Valley City, UT 84120 1250 E 3900 S, #260 Salt Lake City, UT 84115 Alta Internal Medicine Phone: (801) 965-3600 Salt Lake City, UT 84124 Phone: (801) 412-6920 74 Kimballs Ln, #300 UT Healthy Kids Phone: (801) 265-2000 UT Healthy Kids Draper, UT 84020 UT Healthy Kids Phone: (801) 572-0311 Andersen, Matthew Todd MD C Collett, Camille MD C UT Healthy Kids Lone Peak Family Medicine Bourne, Talmage Lee MD D St Marks Family Medicine Clinic 11760 S 700 E, #111 Granger Medical Clinic 1250 E 3900 S, #260 Delaplante, Nichole A DO C Draper, UT 84020 3725 W 4100 S Salt Lake City, UT 84124 Lone Peak Family Medicine Phone: (801) 576-8855 West Valley City, UT 84120 Phone: (801) 265-2000 11760 S 700 E, #111 UT Healthy Kids Phone: (801) 965-3600 UT Healthy Kids Draper, UT 84020 UT Healthy Kids Phone: (801) 576-8855 Andersen, Matthew Todd MD C Collett, Camille MD C UT Healthy Kids St Marks Millcreek Primary Care Christensen, Peter Lloyd MD D St Marks Millcreek Primary Care 4465 S 900 E, #200 Granger Medical Clinic 4465 S 900 E, #200 Delaplante, Nichole A DO C Salt Lake City, UT 84124 2751 W 9000 S Salt Lake City, UT 84124 Lone Peak Primary Care Phone: (801) 266-2777 West Jordan, UT 84088 Phone: (801) 266-2777 74 Kimballs Ln, #260 UT Healthy Kids Phone: (801) 352-5900 UT Healthy Kids Draper, UT 84020 UT Healthy Kids Phone: (801) 545-8480 Anderson, Russell Steven DO C Cooper, Leslie Werder MD C UT Healthy Kids Exodus Healthcare - West Valley Christensen, Peter Lloyd MD D UUHC Redwood Clinic 3336 S Pioneer Pkwy, #201 Granger Medical Clinic 1525 W 2100 S Delaplante, Nichole A DO C Salt Lake City, UT 84120 3181 W 9000 S West Valley City, UT 84119 South Jordan Family Medicine Phone: (801) 417-0060 West Jordan, UT 84088 Phone: (801) 213-9900 10623 S Redwood Rd, #101 Languages Spoken: Dutch, Phone: (801) 352-5900 UT Healthy Kids South Jordan, UT 84095 Spanish UT Healthy Kids Phone: (801) 302-0899 UT Healthy Kids Corson, Robert MD C UT Healthy Kids Civish III, Frederic MD C St Marks Millcreek Primary Care Anderson, Russell Steven DO C Hunter Medical Center 4465 S 900 E, #200 Delaplante, Nichole A DO C Magna Center for Family Medicine 3534 S 6000 W Salt Lake City, UT 84124 St Marks Millcreek Primary Care 3665 S 8400 W, #110 West Valley City, UT 84128 Phone: (801) 266-2777 4465 S 900 E, #200 Magna, UT 84044 Phone: (801) 969-6264 UT Healthy Kids Salt Lake City, UT 84124 Phone: (801) 250-9638 Languages Spoken: Spanish Phone: (801) 266-2777 Languages Spoken: Dutch, UT Healthy Kids Curran, Marilyn L MD C UT Healthy Kids Spanish CHC - Central City UT Healthy Kids Civish III, Frederic MD C 461 S 400 E Denbleyker, Jennifer Jane MD D Jordan Meadows Medical Center Salt Lake City, UT 84111 Granger Medical Clinic Armstrong, Crystal M MD C 3354 W 7800 S Phone: (801) 539-8617 3725 W 4100 S UUHC Westridge Clinic West Jordan, UT 84088 Languages Spoken: Spanish West Valley City, UT 84120 3730 W 4700 S Phone: (801) 282-2677 UT Healthy Kids Phone: (801) 965-3600 West Valley City, UT 84118 Languages Spoken: Spanish Languages Spoken: Spanish Phone: (801) 213-9200 UT Healthy Kids Cutlip, Cheryle Lynne MD D UT Healthy Kids UT Healthy Kids Granger Medical Clinic Clayton, Kimberly D MD C 3725 W 4100 S Devenport, Stephen Brent MD D Aune, David L MD C Exodus Healthcare - West Valley West Valley City, UT 84120 Granger Medical Clinic West Jordan Medical Center 3336 S Pioneer Pkwy, #201 Phone: (801) 965-3600 2751 W 9000 S 3570 W 9000 S, #200 West Valley City, UT 84120 UT Healthy Kids West Jordan, UT 84088 West Jordan, UT 84088 Phone: (801) 417-0060 Phone: (801) 352-5900 Phone: (801) 566-9211 UT Healthy Kids UT Healthy Kids UT Healthy Kids

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 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 Medicine 3725 W 4100 S 2751 W 9000 S Draper, UT 84020 3665 S 8400 W, #110 West Valley City, UT 84120 West Jordan, UT 84088 Phone: (801) 572-3750 Magna, UT 84044 Phone: (801) 965-3600 Phone: (801) 352-5900 UT Healthy Kids Phone: (801) 250-9638 UT Healthy Kids UT Healthy Kids Languages Spoken: Hindi Greenwood, Jessica L MD C UT Healthy Kids Devlin, Kwanza Nicole MD C Fillmore, Randall Reid MD D Madsen Health Center Family Exodus Healthcare - West Valley Granger Medical Clinic Practice Clinic Hooper, Rina Melanie MD C 3336 S Pioneer Pkwy, #201 3181 W 9000 S 555 Foothill Blvd UUHC Redwood Clinic West Valley City, UT 84120 West Jordan, UT 84088 Salt Lake City, UT 84112 1525 W 2100 S Phone: (801) 417-0060 Phone: (801) 352-5900 Phone: (801) 581-8000 West Valley City, UT 84119 UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish Phone: (801) 213-9900 UT Healthy Kids Languages Spoken: Finnish Devlin, Kwanza Nicole MD C Ford, Amy K MD C UT Healthy Kids Magna Center for Family Medicine CHC - 72nd Street Clinic Greenwood, Jessica L MD C 3665 S 8400 W, #110 220 W 7200 S, #A UUHC Redwood Clinic Horwood, Keith O MD C Magna, UT 84044 Midvale, UT 84047 1525 W 2100 S CHC - Oquirrh View Phone: (801) 250-9638 Phone: (801) 412-6920 West Valley City, UT 84119 4745 S 3200 W UT Healthy Kids Languages Spoken: Spanish Phone: (801) 213-9900 Salt Lake City, UT 84118 UT Healthy Kids UT Healthy Kids Phone: (801) 964-6214 Dinh, An Tuong MD C Languages Spoken: Spanish St Marks Millcreek Primary Care Fuller, Gene Raymond MD D Guerra, Carlos A MD C UT Healthy Kids 4465 S 900 E, #200 Holladay Family Practice CHC - Central City Salt Lake City, UT 84124 999 Murray Holladay Rd, #207 461 S 400 E Houchins, John C MD C Phone: (801) 266-2777 Salt Lake City, UT 84117 Salt Lake City, UT 84111 UUHC Sugarhouse Clinic UT Healthy Kids Phone: (801) 268-2584 Phone: (801) 539-8617 1138 Wilmington Ave Languages Spoken: French UT Healthy Kids Salt Lake City, UT 84106 Dubosky, Anne Marie DO C UT Healthy Kids Phone: (801) 581-2000 Alta Internal Medicine Guerra, Paula A MD C Languages Spoken: French, 74 Kimballs Ln, #300 Gamble, Christopher J MD D CHC - Oquirrh View Spanish Draper, UT 84020 Olympus Clinic Group 4745 S 3200 W UT Healthy Kids Phone: (801) 572-0311 4624 S Holladay Blvd Salt Lake City, UT 84118 UT Healthy Kids Holladay, UT 84117 Phone: (801) 964-6214 Hougaard, Joni W MD C Phone: (801) 277-2682 Languages Spoken: Spanish Jordan Valley Family Health Dubosky, Anne Marie DO C UT Healthy Kids UT Healthy Kids 3570 W 9000 S, #100 Lone Peak Family Medicine West Jordan, UT 84088 11760 S 700 E, #111 Garrison, Andrew W MD C Hamp, Dennis R DO C Phone: (801) 569-1999 Draper, UT 84020 CHC - Oquirrh View Jordan Landing Clinic UT Healthy Kids Phone: (801) 576-8855 4745 S 3200 W 7478 Campus View Dr, #100 UT Healthy Kids Salt Lake City, UT 84118 West Jordan, UT 84088 Hughes, Craig Dale MD D Phone: (801) 964-6214 Phone: (801) 280-7774 Wasatch Internal Medicine & Dubosky, Anne Marie DO C Languages Spoken: Spanish UT Healthy Kids Family Medicine Lone Peak Primary Care UT Healthy Kids 1160 E 3900 S, #1000 74 Kimballs Ln, #260 Heath, Steven Wright MD D Salt Lake City, UT 84124 Draper, UT 84020 Gibson, Kathryn Elizabeth MD C Olympus Clinic Group Phone: (801) 262-1771 Phone: (801) 545-8480 UUHC South Jordan Clinic 4624 S Holladay Blvd UT Healthy Kids UT Healthy Kids 1091 W South Jordan Pkwy, #500 Holladay, UT 84117 South Jordan, UT 84095 Phone: (801) 277-2682 Jaatoul, Raquel MD C Dubosky, Anne Marie DO C Phone: (801) 213-9800 UT Healthy Kids UUHC Redwood Clinic South Jordan Family Medicine Languages Spoken: Spanish 1525 W 2100 S 10623 S Redwood Rd, #101 UT Healthy Kids Henriksen III, Clarence Richard West Valley City, UT 84119 South Jordan, UT 84095 MD C Phone: (801) 213-9900 Phone: (801) 302-0899 Gohari, Mina MD C UUHC South Jordan Clinic UT Healthy Kids UT Healthy Kids House Call Doctors 1091 W South Jordan Pkwy, #500 1556 Emerson Ave South Jordan, UT 84095 Jack, David B MD C Dubosky, Anne Marie DO C Salt Lake City, UT 84105 Phone: (801) 213-9800 Lone Peak Family Medicine St Marks Millcreek Primary Care Phone: (801) 485-5055 UT Healthy Kids 11760 S 700 E, #111 4465 S 900 E, #200 UT Healthy Kids Draper, UT 84020 Salt Lake City, UT 84124 Henriksen III, Clarence Richard Phone: (801) 576-8855 Phone: (801) 266-2777 Gontrum, David Martin MD C MD C UT Healthy Kids UT Healthy Kids CHC - Oquirrh View UUHC South Jordan Expansion 4745 S 3200 W Clinic Jack, David B MD C Farrell, Timothy William MD C Salt Lake City, UT 84118 4696 Daybreak Rim Way St Marks Millcreek Primary Care UUHC Sugarhouse Clinic Phone: (801) 964-6214 South Jordan, UT 84095 4465 S 900 E, #200 1138 Wilmington Ave UT Healthy Kids Phone: (801) 213-9800 Salt Lake City, UT 84124 Salt Lake City, UT 84106 UT Healthy Kids Phone: (801) 266-2777 Phone: (801) 581-2000 Gooch, Harold N MD C UT Healthy Kids UT Healthy Kids Hidden Valley Family Medicine Hodo, Laura Nell MD C 12176 S 1000 E CHC - Stephen D Ratcliffe Jackson, Easton David MD D Draper, UT 84020 1365 W 1000 N Granger Medical Clinic Phone: (801) 572-3750 Salt Lake City, UT 84116 3725 W 4100 S UT Healthy Kids Phone: (801) 328-5750 West Valley City, UT 84120 Languages Spoken: Spanish Phone: (801) 965-3600 UT Healthy Kids UT Healthy Kids 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 Jenkins, Darren B DO C Kiraly, Bernadette O MD C Libre, Kenneth Paul MD C Matich, Andrea Jensen MD C Health First Family Medicine Madsen Health Center Family CHC - 72nd Street Clinic Center for Orthopedic & 1561 W 7000 S, #200 Practice Clinic 220 W 7200 S, #A Rehabilitation Excellence West Jordan, UT 84084 555 Foothill Blvd Midvale, UT 84047 3584 W 9000 S, #405 Phone: (801) 542-8080 Salt Lake City, UT 84112 Phone: (801) 412-6920 West Jordan, UT 84088 UT Healthy Kids Phone: (801) 581-8000 Languages Spoken: Spanish Phone: (801) 568-3480 UT Healthy Kids UT Healthy Kids UT Healthy Kids Jeppson, Taylor Alan MD D Holladay Family Practice Kiraly, Bernadette O MD C Lopez, Ronald F MD C McBride, Jill Diane MD C 999 Murray Holladay Rd, #207 Madsen Health Center Family Hidden Valley Family Medicine Exodus Healthcare - West Valley Salt Lake City, UT 84117 Practice Clinic 12176 S 1000 E 3336 S Pioneer Pkwy, #201 Phone: (801) 268-2584 555 Foothill Blvd Draper, UT 84020 West Valley City, UT 84120 Languages Spoken: German Salt Lake City, UT 84112 Phone: (801) 572-3750 Phone: (801) 417-0060 UT Healthy Kids Phone: (801) 581-8000 UT Healthy Kids UT Healthy Kids UT Healthy Kids Johnson, Laura Ann MD C Magill, Michael Kevin MD C McBride, Jill Diane MD C UUHC South Jordan Clinic Kiraly, Bernadette O MD D UUHC Redwood Clinic Magna Center for Family Medicine 1091 W South Jordan Pkwy, #500 Sugarhouse Family Health Center 1525 W 2100 S 3665 S 8400 W, #110 South Jordan, UT 84095 1138 Wilmington Ave West Valley City, UT 84119 Magna, UT 84044 Phone: (801) 213-9800 Salt Lake City, UT 84106 Phone: (801) 213-9900 Phone: (801) 250-9638 UT Healthy Kids Phone: (801) 581-2000 UT Healthy Kids UT Healthy Kids UT Healthy Kids Johnson, Mark Dale MD C Magill, Michael Kevin MD C Miles, Jeffrey Grady MD C Jordan Ridge Family Medicine Kiraly, Bernadette O MD C UUHC Sugarhouse Clinic 4052 W Pioneer Pkwy, #109 6321 S Redwood Rd, #100 UUHC Sugarhouse Clinic 1138 Wilmington Ave West Valley City, UT 84120 Taylorsville, UT 84123 1138 Wilmington Ave Salt Lake City, UT 84106 Phone: (801) 840-2200 Phone: (801) 265-2212 Salt Lake City, UT 84106 Phone: (801) 581-2000 Languages Spoken: Spanish UT Healthy Kids Phone: (801) 581-2000 UT Healthy Kids UT Healthy Kids UT Healthy Kids Johnson, Matthew Brent MD C Martinez-Ferrate, Rodolfo MD D Moreland, Jay Ceasar MD C Madsen Health Center Family Kirby, Karl A MD C Exodus Healthcare - West Valley CHC - Stephen D Ratcliffe Practice Clinic St Marks Family Medicine Clinic 3336 S Pioneer Pkwy, #201 1365 W 1000 N 555 Foothill Blvd 1250 E 3900 S, #260 West Valley City, UT 84120 Salt Lake City, UT 84116 Salt Lake City, UT 84112 Salt Lake City, UT 84124 Phone: (801) 417-0060 Phone: (801) 328-5750 Phone: (801) 581-8000 Phone: (801) 265-2000 Languages Spoken: Spanish Languages Spoken: Spanish Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Kirstein, Judith Lee MD C Martinez-Ferrate, Rodolfo MD D Morgan, Jessica Angela MD D Johnson, Matthew Brent MD C Jordan Family Health Granger Medical Clinic Wasatch Internal Medicine & UUHC Redwood Clinic 8846 S Redwood Rd, #E121 3181 W 9000 S Family Medicine 1525 W 2100 S West Jordan, UT 84088 West Jordan, UT 84088 1160 E 3900 S, #1000 West Valley City, UT 84119 Phone: (801) 569-1999 Phone: (801) 352-5900 Salt Lake City, UT 84124 Phone: (801) 213-9900 UT Healthy Kids Languages Spoken: Spanish Phone: (801) 262-1771 Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids Larsen, David Charles MD D Holladay Family Practice Martinez-Ferrate, Rodolfo MD D Morrill, Arnold B DO C Johnson, Matthew Brent MD C 999 Murray Holladay Rd, #207 Granger Medical Clinic UUHC Redwood Clinic UUHC Westridge Clinic Salt Lake City, UT 84117 3725 W 4100 S 1525 W 2100 S 3730 W 4700 S Phone: (801) 268-2584 West Valley City, UT 84120 West Valley City, UT 84119 West Valley City, UT 84118 Languages Spoken: Dutch Phone: (801) 965-3600 Phone: (801) 213-9900 Phone: (801) 213-9200 UT Healthy Kids Languages Spoken: Spanish Languages Spoken: Japanese Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids Leiser, Jennifer P MD C UUHC Redwood Clinic Martinez-Ferrate, Rodolfo MD D Morris, Maisa MD D Jones, Michael David MD C 1525 W 2100 S Jordan Medical Arts Olympus Clinic Group 1868 W 9800 S West Valley City, UT 84119 2751 W 9000 S 4624 S Holladay Blvd South Jordan, UT 84095 Phone: (801) 213-9900 West Jordan, UT 84088 Holladay, UT 84117 Phone: (801) 433-2873 UT Healthy Kids Phone: (801) 352-5900 Phone: (801) 277-2682 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Leiser, Jennifer Paul MD C UT Healthy Kids Julien, Katie Ann MD C UUHC Sugarhouse Clinic Morris III, Ray MD C Jordan River Family Medicine 1138 Wilmington Ave Martinez-Ferrate, Rodolfo MD D Benita Medical 1868 W 9800 S Salt Lake City, UT 84106 Magna Center for Family Medicine 3465 S 4155 W, #2 South Jordan, UT 84095 Phone: (801) 581-2000 3665 S 8400 W, #110 West Valley City, UT 84120 Phone: (801) 433-2873 UT Healthy Kids Magna, UT 84044 Phone: (801) 963-7636 UT Healthy Kids Phone: (801) 250-9638 UT Healthy Kids Lewis, Randal John MD C Languages Spoken: Spanish Kasper, Joseph Francis MD C Magna Center for Family Medicine UT Healthy Kids Nelson, David Christian DO D West Jordan Medical Center 3665 S 8400 W, #110 Granger Medical Clinic 3570 W 9000 S, #200 Magna, UT 84044 3725 W 4100 S West Jordan, UT 84088 Phone: (801) 250-9638 West Valley City, UT 84120 Phone: (801) 566-9211 Languages Spoken: Spanish Phone: (801) 965-3600 UT Healthy Kids UT Healthy Kids UT Healthy Kids

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

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 Powel, Robert S MD D Standteiner, Heidi Elizabeth MD Walsh lll, William Joseph MD C Lamalfa, Toni V NP D St Marks Senior Health Center D Silverton Group UUHC South Jordan Clinic 1160 E 3900 S, #G200 Alpine Internal Medicine Division 1050 E South Temple, 3rd FL 1091 W South Jordan Pkwy, #500 Holladay, UT 84124 1060 E 100 S, #L10 Salt Lake City, UT 84102 South Jordan, UT 84095 Phone: (801) 268-7766 Salt Lake City, UT 84102 Phone: (801) 350-4110 Phone: (801) 213-9800 UT Healthy Kids Phone: (801) 328-1260 UT Healthy Kids UT Healthy Kids UT Healthy Kids Rada, Mark Alan MD C Wilson, Kathleen Barrett MD D Lamalfa, Toni V NP D Utah Physicians Care Centers Stoneburner, Hugh M MD D Internal Medicine at St Marks UUHC South Jordan Expansion 10965 S State St, #100 UUHC Greenwood Clinic Hospital Clinic Sandy, UT 84070 7495 S State St 1160 E 3900 S, #1200 4696 Daybreak Rim Way Phone: (801) 572-0311 Midvale, UT 84047 Holladay, UT 84124 South Jordan, UT 84095 Languages Spoken: Spanish Phone: (801) 213-9400 Phone: (801) 261-9651 Phone: (801) 213-9800 UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Rahimi, Danesh MD D Stoneburner, Hugh M MD C Witter, lori MD C Muije, Elizabeth H APRN C St Marks Senior Health Center UUHC Redwood Clinic UUHC Westridge Clinic South Valley Womens Health Care 1160 E 3900 S, #G200 1525 W 2100 S 3730 W 4700 S 3570 W 9000 S, #210 Holladay, UT 84124 West Valley City, UT 84119 West Valley City, UT 84118 West Jordan, UT 84088 Phone: (801) 268-7766 Phone: (801) 213-9900 Phone: (801) 213-9200 Phone: (801) 569-2626 Languages Spoken: Farsi UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Terry, Susan A MD C Yarrish, Daniel Walter MD D Obstetrics and Roberts, Philip Leonard MD C UUHC Greenwood Clinic Wasatch Internal Medicine & Alta Internal Medicine 7495 S State St Family Medicine Gynecology 74 Kimballs Ln, #300 Midvale, UT 84047 1160 E 3900 S, #1000 Draper, UT 84020 Phone: (801) 213-9400 Salt Lake City, UT 84124 Barnes, Arthur David MD C Phone: (801) 572-0311 UT Healthy Kids Phone: (801) 262-1771 Exodus Healthcare - West Valley UT Healthy Kids UT Healthy Kids 3336 S Pioneer Pkwy, #201 Tipton, Mary Delila MD C West Valley City, UT 84120 Roberts, Philip Leonard MD C Copperview Medical Center Zackrison, David R MD C Phone: (801) 417-0060 Alta View Internal Medicine 3556 W 9800 S, #101 Jordan Valley Internal Medicine UT Healthy Kids 10965 S State St, #100 South Jordan, UT 84095 3570 W 9000 S, #100 Sandy, UT 84070 Phone: (801) 567-9780 West Jordan, UT 84088 Barnes, Arthur David MD C Phone: (801) 572-0311 UT Healthy Kids Phone: (801) 569-2384 Magna Center for Family Medicine UT Healthy Kids Languages Spoken: French 3665 S 8400 W, #110 Tschetter, Kevin William MD C UT Healthy Kids Magna, UT 84044 Roberts, Philip Leonard MD C Alta Internal Medicine Phone: (801) 250-9638 Lone Peak Family Medicine 74 Kimballs Ln, #300 UT Healthy Kids 11760 S 700 E, #111 Draper, UT 84020 Nurse Practitioner Draper, UT 84020 Phone: (801) 572-0311 Barney, Mitchell F MD D Calame, Rosemary APRN C South Valley Womens Health Care Phone: (801) 576-8855 UT Healthy Kids Alpine Internal Medicine Division UT Healthy Kids 3570 W 9000 S, #210 Tschetter, Kevin William MD C 1060 E 100 S, #L10 West Jordan, UT 84088 Roberts, Philip Leonard MD C Alta View Internal Medicine Salt Lake City, UT 84102 Phone: (801) 569-2626 St Marks Millcreek Primary Care 10965 S State St, #100 Phone: (801) 328-1260 Languages Spoken: Spanish 4465 S 900 E, #200 Sandy, UT 84070 UT Healthy Kids UT Healthy Kids Salt Lake City, UT 84124 Phone: (801) 572-0311 McElwain, Kristin Kaye APRN D Barney, Spencer P MD C Phone: (801) 266-2777 UT Healthy Kids Alpine Internal Medicine Division UT Healthy Kids Jordan Family Health Tschetter, Kevin William MD C 1060 E 100 S, #L10 8846 S Redwood Rd, #E121 Schaecher, Kenneth L MD D Lone Peak Family Medicine Salt Lake City, UT 84102 West Jordan, UT 84088 Granger Medical Clinic 11760 S 700 E, #111 Phone: (801) 328-1260 Phone: (801) 569-1999 3725 W 4100 S Draper, UT 84020 UT Healthy Kids Languages Spoken: Spanish West Valley City, UT 84120 Phone: (801) 576-8855 UT Healthy Kids Phone: (801) 965-3600 UT Healthy Kids OB/GYN Nurse UT Healthy Kids Barney, Spencer P MD C Tschetter, Kevin William MD C Practitioner Old Farm OB/GYN Shakeri, Mehrnoosh MD C St Marks Millcreek Primary Care Chandler, Carrie A APRN C 3970 S 700 E, #14 UUHC Greenwood Clinic 4465 S 900 E, #200 Alta View Women’s Center Murray, UT 84107 7495 S State St Salt Lake City, UT 84124 9600 S 1300 E, #305 Phone: (801) 261-3605 Midvale, UT 84047 Phone: (801) 266-2777 Sandy, UT 84094 Languages Spoken: Spanish Phone: (801) 213-9400 UT Healthy Kids Phone: (801) 572-5808 UT Healthy Kids Languages Spoken: Farsi UT Healthy Kids UT Healthy Kids Tschetter, Kevin William MD C Barton, Scott R MD C Utah Physicians Care Centers Lamalfa, Toni V NP D Old Farm OB/GYN Solomon, Margaret Hope MD C 10965 S State St, #100 Millcreek Women’s Center 3970 S 700 E, #14 UUHC Redwood Clinic Sandy, UT 84070 1140 E 3900 S, #410 Murray, UT 84107 1525 W 2100 S Phone: (801) 572-0311 Holladay, UT 84124 Phone: (801) 261-3605 West Valley City, UT 84119 UT Healthy Kids Phone: (801) 262-8666 Languages Spoken: Spanish Phone: (801) 213-9900 UT Healthy Kids UT Healthy Kids UT Healthy Kids

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 Bearnson, Patricia MD C Chambers, May MD C Epstein, Scott Fred DO C Hutchison, Christopher Va MD C 1434 E 4500 S, #102 Copper Canyon Womens Center Jordan River Womens Health Jordan Medical Arts Salt Lake City, UT 84117 3336 S Pioneer Pkwy, #301 3584 W 9000 S, #206 2751 W 9000 S Phone: (801) 272-6100 West Valley City, UT 84120 West Jordan, UT 84088 West Jordan, UT 84088 UT Healthy Kids Phone: (801) 964-3865 Phone: (801) 561-2227 Phone: (801) 352-5900 Languages Spoken: French, UT Healthy Kids UT Healthy Kids Bell Jr, Joseph W DO C Italian, Spanish Copper Canyon Womens Center UT Healthy Kids Faircloth, Erica A MD C Jarrett, Arlen K MD C 3336 S Pioneer Pkwy, #301 Jordan Family Health South Valley Womens Health Care West Valley City, UT 84120 Chen, Eric Hong-Wen MD C 8846 S Redwood Rd, #E121 3570 W 9000 S, #210 Phone: (801) 964-3865 CHC - Oquirrh View West Jordan, UT 84088 West Jordan, UT 84088 UT Healthy Kids 1798 S West Temple, #A100 Phone: (801) 569-1999 Phone: (801) 569-2626 Salt Lake City, UT 84115 UT Healthy Kids UT Healthy Kids Binkley, Shelley Sue MD C Phone: (801) 412-6920 Copper Canyon Womens Center Languages Spoken: Spanish Faircloth, Erica A MD C Johnson, Jason Lynn MD C 3336 S Pioneer Pkwy, #301 UT Healthy Kids 3970 S 700 E, #14 Obstetrics & Gynecology Clinic West Valley City, UT 84120 Murray, UT 84107 850 E 300 S, #1 Phone: (801) 964-3865 Colby, Spencer Neil MD C Phone: (801) 261-3605 Salt Lake City, UT 84102 UT Healthy Kids Jordan River Womens Health UT Healthy Kids Phone: (801) 322-1214 3584 W 9000 S, #206 UT Healthy Kids 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 Kinghorn, Jennifer Carter MD D Center UT Healthy Kids 1525 W 2100 S Millcreek Women’s Center 3110 W 300 N, #B West Valley City, UT 84119 1140 E 3900 S, #410 Salt Lake City, UT 84105 Daniels, Jonathan Pearson MD C Phone: (801) 213-9900 Holladay, UT 84124 Phone: (801) 776-0880 Obstetrics & Gynecology Clinic Languages Spoken: French Phone: (801) 262-8666 UT Healthy Kids 850 E 300 S, #1 UT Healthy Kids Languages Spoken: Polish Salt Lake City, UT 84102 UT Healthy Kids Boudreaux-Nippert, Denise J Phone: (801) 322-1214 Hansen, Scott Eugene MD C MD C UT Healthy Kids South Valley Womens Health Care Lamb, Stephen Earl MD C Jordan River Womens Health 3570 W 9000 S, #210 Millcreek Women’s Center 3584 W 9000 S, #206 Dinger, Steven C MD D West Jordan, UT 84088 1140 E 3900 S, #410 West Jordan, UT 84088 Granger Medical Clinic Phone: (801) 569-2626 Holladay, UT 84124 Phone: (801) 561-2227 12391 S 4000 W UT Healthy Kids Phone: (801) 262-8666 UT Healthy Kids Riverton, UT 84065 UT Healthy Kids Phone: (801) 302-1700 Hinson, Joanne Sumpio MD C Brown, Bryant J MD C UT Healthy Kids Obstetrics & Gynecology Clinic Langer, Kathleen M MD C 3970 S 700 E, #14 850 E 300 S, #1 South Valley Womens Health Care Murray, UT 84107 Dinger, Steven C MD D Salt Lake City, UT 84102 3570 W 9000 S, #210 Phone: (801) 261-3605 Granger Medical Clinic Phone: (801) 322-1214 West Jordan, UT 84088 UT Healthy Kids 3181 W 9000 S UT Healthy Kids Phone: (801) 569-2626 West Jordan, UT 84088 UT Healthy Kids Burgett, Alton Douglas MD C Phone: (801) 352-5900 Horvath, Susan Toung MD D Granger Medical Clinic UT Healthy Kids Millcreek Women’s Center Luikenaar, Rixt Anne MD C 12391 S 4000 W 1140 E 3900 S, #410 UUHC Greenwood Clinic Riverton, UT 84065 Dinger, Steven C MD D Holladay, UT 84124 7495 S State St Phone: (801) 302-1700 Granger Medical Clinic Phone: (801) 262-8666 Midvale, UT 84047 UT Healthy Kids 3725 W 4100 S UT Healthy Kids Phone: (801) 213-9400 West Valley City, UT 84120 Languages Spoken: French, Burgett, Alton Douglas MD D Phone: (801) 965-3600 Hughes, Dennis Clark MD D German Granger Medical Clinic UT Healthy Kids 3970 S 700 E, #14 UT Healthy Kids 3181 W 9000 S Murray, UT 84107 West Jordan, UT 84088 Dinger, Steven C MD D Phone: (801) 261-3605 Moreland, Kimberly Smith MD C Phone: (801) 352-5900 Jordan Medical Arts UT Healthy Kids South Valley Womens Health Care UT Healthy Kids 2751 W 9000 S 3570 W 9000 S, #210 West Jordan, UT 84088 Hutchison, Christopher Va MD C West Jordan, UT 84088 Burgett, Alton Douglas MD D Phone: (801) 352-5900 Granger Medical Clinic Phone: (801) 569-2626 Granger Medical Clinic UT Healthy Kids 12391 S 4000 W UT Healthy Kids 3725 W 4100 S Riverton, UT 84065 West Valley City, UT 84120 Draper, Michael L MD C Phone: (801) 302-1700 Nelson, James Robert MD C Phone: (801) 965-3600 South Valley Womens Health Care UT Healthy Kids Copper Canyon Womens Center UT Healthy Kids 3570 W 9000 S, #210 3336 S Pioneer Pkwy, #301 West Jordan, UT 84088 Hutchison, Christopher Va MD C West Valley City, UT 84120 Burgett, Alton Douglas MD D Phone: (801) 569-2626 Granger Medical Clinic Phone: (801) 964-3865 Jordan Medical Arts UT Healthy Kids 3181 W 9000 S UT Healthy Kids 2751 W 9000 S West Jordan, UT 84088 West Jordan, UT 84088 Ellis, Diane Elizabeth MD C Phone: (801) 352-5900 Nichols, John Milton DO C Phone: (801) 352-5900 CHC - Central City UT Healthy Kids South Valley Womens Health Care UT Healthy Kids 461 S 400 E 3570 W 9000 S, #210 Salt Lake City, UT 84111 Hutchison, Christopher Va MD C West Jordan, UT 84088 Phone: (801) 539-8617 Granger Medical Clinic Phone: (801) 569-2626 Languages Spoken: Spanish 3725 W 4100 S UT Healthy Kids UT Healthy Kids West Valley City, UT 84120 Phone: (801) 965-3600 UT Healthy Kids 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 Nielson, Eric Cline MD C Sloan, Carrie Leigh MD D Twede, Michael L MD C Joyce, Mary D APRN C Mt Olympus OB/GYN OB/GYN Associates Salt Lake Women Center UUHC Westridge Clinic 1220 E 3900 S, #3E 12176 S 1000 E, #B1 10011 S Centennial Pkwy, #350 3730 W 4700 S Holladay, UT 84124 Draper, UT 84020 Sandy, UT 84070 West Valley City, UT 84118 Phone: (801) 685-7188 Phone: (801) 523-3053 Phone: (801) 561-3922 Phone: (801) 213-9200 UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids Oglesby, John S MD C Sloan, Carrie Leigh MD C Morin, Sylvia S APRN C Alpine OB/GYN & Pediatrics 74 Kimballs Ln, #330 Twelves, Tricia Anne MD C Granger Medical Clinic 1060 E 100 S, #400 Draper, UT 84020 Granger Medical Clinic 3181 W 9000 S Salt Lake City, UT 84102 Phone: (801) 523-3053 12391 S 4000 W West Jordan, UT 84088 Phone: (801) 521-2640 UT Healthy Kids Riverton, UT 84065 Phone: (801) 352-5900 Languages Spoken: Phone: (801) 302-1700 UT Healthy Kids Portuguese Smith, Andrea Nicole MD C UT Healthy Kids UT Healthy Kids Millcreek Women’s Center Morin, Sylvia S APRN C 1140 E 3900 S, #410 Twelves, Tricia Anne MD C Granger Medical Clinic Oglesby, John S MD C Salt Lake City, UT 84124 Granger Medical Clinic 3725 W 4100 S Salt Lake Regional Womens Clinic Phone: (801) 262-8666 3725 W 4100 S West Valley City, UT 84120 24 E 1100 S, #209 Languages Spoken: Spanish West Valley City, UT 84120 Phone: (801) 965-3600 Salt Lake City, UT 84102 UT Healthy Kids Phone: (801) 965-3600 UT Healthy Kids Phone: (801) 214-7650 UT Healthy Kids Languages Spoken: Smith, Layne Alan MD C Nash, Karen A APRN C Portuguese 9600 S 1300 E, #305 Voss, Stephen C MD C Granger Medical Clinic UT Healthy Kids Sandy, UT 84094 Obstetrics & Gynecology Clinic 3181 W 9000 S Phone: (801) 572-5808 850 E 300 S, #1 West Jordan, UT 84088 Park, Gordon Sherman MD C Languages Spoken: Spanish Salt Lake City, UT 84102 Phone: (801) 352-5900 UUHC Greenwood Clinic UT Healthy Kids Phone: (801) 322-1214 UT Healthy Kids 7495 S State St UT Healthy Kids Midvale, UT 84047 Stevenson, Camille MD C Nash, Karen A APRN C Phone: (801) 213-9400 Millcreek Women’s Center Ward, Nathan Clark MD C Granger Medical Clinic Languages Spoken: Spanish 1140 E 3900 S, #410 Lakeview Medical Clinic 3725 W 4100 S UT Healthy Kids Holladay, UT 84124 1625 W 700 N, #F West Valley City, UT 84120 Phone: (801) 262-8666 Salt Lake City, UT 84116 Phone: (801) 965-3600 Park, Gordon Sherman MD C UT Healthy Kids Phone: (801) 299-2229 UT Healthy Kids UUHC Redwood Clinic Languages Spoken: Spanish 1525 W 2100 S Stewart, Gayle M MD D UT Healthy Kids Pediatrics West Valley City, UT 84119 Alpine OB/GYN & Pediatrics Phone: (801) 213-9900 1060 E 100 S, #400 Watts, Daren A MD C Adams, Linda Margrit MD D Languages Spoken: Spanish Salt Lake City, UT 84102 OB/GYN Associates Children with Special Healthcare UT Healthy Kids Phone: (801) 521-2640 1151 E 3900 S, #B299 Needs Languages Spoken: Spanish Holladay, UT 84124 44 Mario Capecchi Dr Park, Gordon Sherman MD C UT Healthy Kids Phone: (801) 268-6811 Salt Lake City, UT 84114 UUHC Westridge Clinic UT Healthy Kids Tanner, Gregory Charles MD D Phone: (801) 584-8284 3730 W 4700 S UT Healthy Kids West Valley City, UT 84118 9600 S 1300 E, #305 Yamashiro, Vernon Koyu MD D Phone: (801) 213-9200 Sandy, UT 84094 OB/GYN Associates Aizad, Tazeem MD C Languages Spoken: Spanish Phone: (801) 572-5808 1151 E 3900 S, #B299 Jordan Valley Pediatrics UT Healthy Kids UT Healthy Kids Holladay, UT 84124 1561 W 7000 S, #202 Phone: (801) 268-6811 Thackeray, Steven Milton MD C West Jordan, UT 84084 Rappleye, Alan Tunis MD C UT Healthy Kids Phone: (801) 569-8344 3970 S 700 E, #14 Jordan River Womens Health 3584 W 9000 S, #206 Languages Spoken: Urdu Murray, UT 84107 Pediatric Nurse UT Healthy Kids Phone: (801) 261-3605 West Jordan, UT 84088 Languages Spoken: Spanish Phone: (801) 561-2227 Practitioner Allen, Louis S MD D Languages Spoken: French, UT Healthy Kids Goff, Camille APRN C Children with Special Healthcare Spanish Needs Reynolds, Brandon Lee DO C UT Healthy Kids Families First Pediatrics 1268 W South Jordan Pkwy, #201 44 Mario Capecchi Dr UUHC Redwood Clinic Salt Lake City, UT 84114 1525 W 2100 S Townson, Walter Karl MD C South Jordan, UT 84095 UUHC Greenwood Clinic Phone: (801) 254-9700 Phone: (801) 584-8284 West Valley City, UT 84119 UT Healthy Kids Phone: (801) 213-9900 7495 S State St UT Healthy Kids Midvale, UT 84047 UT Healthy Kids Griffin, Katherine G APRN C Balog, Kimberly Ann MD C Phone: (801) 213-9400 Comfort Care Pediatrics Roth, James Thomas MD C UT Healthy Kids Granger Medical Clinic 3725 W 4100 S 4546 S 815 W, #204 Jordan Family Health Taylorsville, UT 84123 8846 S Redwood Rd, #E121 Turok, David Keith MD C West Valley City, UT 84120 CHC - Central City Phone: (801) 965-3600 Phone: (801) 595-8844 West Jordan, UT 84088 UT Healthy Kids Phone: (801) 569-1999 461 S 400 E UT Healthy Kids UT Healthy Kids Salt Lake City, UT 84111 Phone: (801) 539-8617 Hiatt, Virginia Lynn APRN C Roth, James Thomas MD C UT Healthy Kids Alpine OB/GYN & Pediatrics 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 Healthy Kids UT Healthy Kids 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 Barrett, Mark B MD C Brogli, Julia C MD C Cline, Jeffrey Wade MD C Gellner, Cynthia Lynn MD C Wasatch Pediatrics - Cottonwood Wasatch Pediatrics - Cottonwood UUHC Greenwood Clinic UUHC Westridge Clinic Pediatrics Pediatrics 7495 S State St 3730 W 4700 S 5770 S 250 E, #290 5770 S 250 E, #290 Midvale, UT 84047 West Valley City, UT 84118 Murray, UT 84107 Murray, UT 84107 Phone: (801) 213-9400 Phone: (801) 213-9200 Phone: (801) 747-8700 Phone: (801) 747-8700 UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Cosgrove, William E MD C Goodwin, Leslie Lash MD C Bean, Barbara E MD C Brownstein, Ellie S MD C Wasatch Pediatrics - Cottonwood Wasatch Pediatrics - Southpoint Wasatch Pediatrics - Cottonwood UUHC Greenwood Clinic Pediatrics Pediatrics Pediatrics 7495 S State St 5770 S 250 E, #290 9071 S 1300 W, #301 5770 S 250 E, #290 Midvale, UT 84047 Murray, UT 84107 West Jordan, UT 84088 Murray, UT 84107 Phone: (801) 213-9400 Phone: (801) 747-8700 Phone: (801) 565-1162 Phone: (801) 747-8700 UT Healthy Kids UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Brownstein, Ellie S MD C Cox, Jennifer Amy MD D Greenberg, Richard A MD C UUHC Westridge Clinic Alpine OB/GYN & Pediatrics South Summit Pediatrics Bodnar, Anna S MD D 3730 W 4700 S 1060 E 100 S, #400 267 E Traversepoint Dr Children with Special Healthcare West Valley City, UT 84047 Salt Lake City, UT 84102 Draper, UT 84020 Needs Phone: (801) 213-9200 Phone: (801) 521-2640 Phone: (801) 553-8300 44 Mario Capecchi Dr UT Healthy Kids UT Healthy Kids UT Healthy Kids Salt Lake City, UT 84114 Phone: (801) 584-8284 Buchanan, Brian J MD C Cox, Matthew Nelson MD C Hansen, Kimberly MD C UT Healthy Kids Wasatch Pediatrics - Southpoint Families First Pediatrics Wasatch Pediatrics - Draper Pediatrics 1268 W South Jordan Pkwy, #201 Willow Creek Borgenicht, Louis MD C 9071 S 1300 W, #301 South Jordan, UT 84095 114 E 12450 S, #100 850 E 300 S, #5 West Jordan, UT 84088 Phone: (801) 254-9700 Draper, UT 84020 Salt Lake City, UT 84102 Phone: (801) 565-1162 UT Healthy Kids Phone: (801) 523-3001 Phone: (801) 531-8689 UT Healthy Kids UT Healthy Kids Languages Spoken: French Cramer, Joseph G MD C UT Healthy Kids Carbone, Paul Sean MD D Wasatch Pediatrics - Cottonwood Harris, David A MD C Children with Special Healthcare Pediatrics Granger Medical Clinic Bosworth, Darin G MD C Needs 5770 S 250 E, #290 3181 W 9000 S Wasatch Pediatrics - Southpoint 44 Mario Capecchi Dr Murray, UT 84107 West Jordan, UT 84088 Pediatrics Salt Lake City, UT 84114 Phone: (801) 747-8700 Phone: (801) 352-5900 9071 S 1300 W, #301 Phone: (801) 584-8284 UT Healthy Kids UT Healthy Kids West Jordan, UT 84088 Languages Spoken: Spanish Phone: (801) 565-1162 UT Healthy Kids Eyre, Alyson MD D Harris, David A MD C Languages Spoken: Granger Medical Clinic Granger Medical Clinic Portuguese, Spanish Chapman, Dale L MD D 3181 W 9000 S 3725 W 4100 S UT Healthy Kids Granger Medical Clinic West Jordan, UT 84088 West Valley City, UT 84120 3181 W 9000 S Phone: (801) 352-5900 Phone: (801) 965-3600 Brasher, Craig Alan MD C West Jordan, UT 84088 UT Healthy Kids UT Healthy Kids Granger Medical Clinic Phone: (801) 352-5900 3181 W 9000 S UT Healthy Kids Eyre, Alyson MD D Hightower, R Ross MD C West Jordan, UT 84088 Granger Medical Clinic Murray Pediatrics Phone: (801) 352-5900 Chapman, Dale L MD D 3725 W 4100 S 164 E 5900 S, #112A UT Healthy Kids Granger Medical Clinic West Valley City, UT 84120 Murray, UT 84107 3725 W 4100 S Phone: (801) 965-3600 Phone: (801) 262-2673 Brasher, Craig Alan MD C West Valley City, UT 84120 UT Healthy Kids UT Healthy Kids Granger Medical Clinic Phone: (801) 965-3600 3725 W 4100 S UT Healthy Kids Feindt, Karla Ann MD C Holbrook, Suzanne Tiann MD D West Valley City, UT 84120 Wasatch Pediatrics - Draper Alpine OB/GYN & Pediatrics Phone: (801) 965-3600 Christiansen, Alicia MD C Willow Creek 1060 E 100 S, #400 UT Healthy Kids Families First Pediatrics 114 E 12450 S, #100 Salt Lake City, UT 84102 1268 W South Jordan Pkwy, #201 Draper, UT 84020 Phone: (801) 521-2640 Broadbent, Kenneth R MD C South Jordan, UT 84095 Phone: (801) 523-3001 UT Healthy Kids Wasatch Pediatrics - Willow Creek Phone: (801) 254-9700 UT Healthy Kids at St Mark’s Languages Spoken: Spanish Hollingsworth, Martin All MD C 1140 E 3900 S, #360 UT Healthy Kids Fox, Rita K MD C Copperview Medical Center Salt Lake City, UT 84124 Comfort Care Pediatrics 3556 W 9800 S, #101 Phone: (801) 264-8686 Clayton, Daniel Bennion MD C 4546 S 815 W, #204 South Jordan, UT 84095 UT Healthy Kids Wasatch Pediatrics - Draper Taylorsville, UT 84123 Phone: (801) 567-9780 Willow Creek Phone: (801) 595-8844 Languages Spoken: Spanish Brodie, Lesley Thompson MD C 114 E 12450 S, #100 UT Healthy Kids UT Healthy Kids Wasatch Homeless Healthcare Draper, UT 84020 404 S 400 W Phone: (801) 523-3001 Frasier, Lori Dawn MD C Hornyik, Galina Renata MD C Salt Lake City, UT 84101 Languages Spoken: Italian Primary Children Center for Wasatch Pediatrics - Draper Phone: (801) 364-0058 UT Healthy Kids Saving Healthy Families Willow Creek UT Healthy Kids 675 E 500 S, #300 114 E 12450 S, #100 Salt Lake City, UT 84102 Draper, UT 84020 Phone: (801) 662-3600 Phone: (801) 523-3001 UT Healthy Kids UT Healthy Kids

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 Hull, Maggie Salem MD C Jopling, Ronald J MD C Lei, Paul Shing-Jian MD C Molberg, Holly J MD C Comfort Care Pediatrics Wasatch Pediatrics - Willow Creek South Summit Pediatrics Southwest Childrens Clinic 4546 S 815 W, #204 Pediatrics 267 E Traversepoint Dr 8822 S Redwood Rd, #C-211 Taylorsville, UT 84123 7138 S 2000 E, #106 Draper, UT 84020 West Jordan, UT 84088 Phone: (801) 595-8844 Salt Lake City, UT 84121 Phone: (801) 553-8300 Phone: (801) 563-1975 UT Healthy Kids Phone: (801) 942-1800 Languages Spoken: Chinese UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Hurley, David C MD C UT Healthy Kids Montgomerie, Bruce Z MD C Wasatch Pediatrics - Cottonwood Lindsay, Alan Rob MD C Granger Medical Clinic Pediatrics Kelly, Colin K MD C Intermountain Pediatric Clinic 3181 W 9000 S 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) 352-5900 Phone: (801) 747-8700 Phone: (801) 268-6283 Phone: (801) 355-4316 UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Montgomerie, Bruce Z MD C Isenberg, Philip Nathanael MD C Khatua, Sutapa MD C Lloyd, Michael B MD D Granger Medical Clinic UUHC Redwood Clinic UUHC South Jordan Clinic Children with Special Healthcare 3725 W 4100 S 1525 W 2100 S 1091 W South Jordan Pkwy, #500 Needs West Valley City, UT 84120 West Valley City, UT 84119 South Jordan, UT 84095 48 Mario Capecchi Dr Phone: (801) 965-3600 Phone: (801) 213-9900 Phone: (801) 213-9800 Salt Lake City, UT 84114 UT Healthy Kids UT Healthy Kids UT Healthy Kids Phone: (801) 584-8284 UT Healthy Kids Nguyen, Viet Dung N MD C Jackson, Jeffrey Barrett MD D Lam, Toan H MD D UUHC Redwood Clinic 1995 W 9000 S Alpine OB/GYN & Pediatrics Lloyd, Michael B MD C 1525 W 2100 S West Jordan, UT 84088 1060 E 100 S, #400 Primary Childrens Medical Center West Valley City, UT 84119 Phone: (801) 566-9888 Salt Lake City, UT 84102 100 N Mario Capecchi Dr Phone: (801) 213-9900 UT Healthy Kids Phone: (801) 521-2640 Salt Lake City, UT 84113 Languages Spoken: Spanish, UT Healthy Kids Phone: (801) 662-1000 Vietnamese Jacobs, Francine Nadeen MD C UT Healthy Kids UT Healthy Kids Just Kids Pediatric & Adolescent Lamere, Richard G MD C Clinic UUHC Redwood Clinic Lynch, Steven Mark MD C O’Mara, Kathleen A MD C 4052 W Pioneer Pkwy, #205 1525 W 2100 S Wasatch Pediatrics - Willow Creek Wasatch Pediatrics - Willow Creek West Valley City, UT 84120 West Valley City, UT 84119 Pediatrics Pediatrics Phone: (801) 964-3492 Phone: (801) 213-9900 7138 S 2000 E, #106 7138 S 2000 E, #106 Languages Spoken: Spanish UT Healthy Kids Salt Lake City, UT 84121 Salt Lake City, UT 84121 UT Healthy Kids Phone: (801) 942-1800 Phone: (801) 942-1800 Lantz, Karen Elisabeth MD C UT Healthy Kids UT Healthy Kids Johnson, Catherine Bogan MD C Families First Pediatrics Copperview Medical Center 1268 W South Jordan Pkwy, #201 Mashkuri, Pari L MD C Okubo, David H MD C 3556 W 9800 S, #101 South Jordan, UT 84095 Southwest Childrens Clinic 1995 W 9000 S South Jordan, UT 84095 Phone: (801) 254-9700 8822 S Redwood Rd, #C-211 West Jordan, UT 84088 Phone: (801) 567-9780 Languages Spoken: German West Jordan, UT 84088 Phone: (801) 566-9888 UT Healthy Kids UT Healthy Kids Phone: (801) 563-1975 UT Healthy Kids UT Healthy Kids Johnson, Catherine Bogan MD C Lash, Kevin Brook MD C Olesen, Renee Elizabeth MD C South Summit Pediatrics Wasatch Pediatrics - Southpoint Matheny, Cali C MD C Southwest Childrens Clinic 267 E Traversepoint Dr Pediatrics 8925 S 2700 W 8822 S Redwood Rd, #C-211 Draper, UT 84020 9071 S 1300 W, #301 West Jordan, UT 84088 West Jordan, UT 84088 Phone: (801) 553-8300 West Jordan, UT 84088 Phone: (801) 566-6200 Phone: (801) 563-1975 UT Healthy Kids Phone: (801) 565-1162 UT Healthy Kids UT Healthy Kids Languages Spoken: Johnson, Michael Ray MD C Portuguese, Spanish Memmott, Jim Cleon MD C Omura, Terry H MD C Families First Pediatrics UT Healthy Kids Wasatch Pediatrics - Willow Creek Wasatch Pediatrics - Cottonwood 1268 W South Jordan Pkwy, #201 Pediatrics Pediatrics South Jordan, UT 84095 Le, Trung Minh MD C 7138 S 2000 E, #106 5770 S 250 E, #290 Phone: (801) 254-9700 Step By Step Pediatrics Salt Lake City, UT 84121 Murray, UT 84107 UT Healthy Kids 3570 W 9000 S, #140 Phone: (801) 942-1800 Phone: (801) 747-8700 West Jordan, UT 84088 Languages Spoken: Spanish UT Healthy Kids Johnson, Sara Emilie MD C Phone: (801) 676-5991 UT Healthy Kids 850 E 300 S, #5 Languages Spoken: Vietnamese Orchard, Anna Grace MD C Salt Lake City, UT 84102 UT Healthy Kids Metcalf, Thomas James MD C Murray Pediatrics Phone: (801) 531-8689 Wasatch Pediatrics - Willow Creek 164 E 5900 S, #112A Languages Spoken: Spanish Lei, Paul Shing-Jian MD C at St Mark’s Murray, UT 84107 UT Healthy Kids Copperview Medical Center 1140 E 3900 S, #360 Phone: (801) 262-2673 3556 W 9800 S, #101 Salt Lake City, UT 84124 Languages Spoken: Croatian, Jolma, Catherine MD D South Jordan, UT 84095 Phone: (801) 264-8686 Russian, Serbian, Spanish, Children with Special Healthcare Phone: (801) 567-9780 UT Healthy Kids Ukrainian Needs Languages Spoken: Chinese UT Healthy Kids 46 Mario Capecchi Dr UT Healthy Kids Miller, Christopher Wayne MD C Salt Lake City, UT 84114 UUHC Redwood Clinic Phone: (801) 584-8284 1525 W 2100 S UT Healthy Kids West Valley City, UT 84119 Phone: (801) 213-9900 UT Healthy Kids 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 Ormsby, Sarah Ann MD C Ring, Shellie Jean MD C Shapiro, Mary MD C Villalva, Venus Louise MD D Wasatch Pediatrics - Willow Creek Wasatch Pediatrics - Willow Creek UUHC Westridge Clinic CHC - Oquirrh View at St Mark’s Pediatrics 3730 W 4700 S 4745 S 3200 W 1140 E 3900 S, #360 7138 S 2000 E, #106 West Valley City, UT 84118 Salt Lake City, UT 84118 Salt Lake City, UT 84124 Salt Lake City, UT 84121 Phone: (801) 213-9200 Phone: (801) 964-6214 Phone: (801) 264-8686 Phone: (801) 942-1800 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids Stampfl, Daniel Ray MD C Owens, Cynthia Smart MD C Roberts, Joseph Allen MD C Wasatch Pediatrics - Draper Wall, John B MD C Wasatch Pediatrics - Willow Creek Murray Pediatrics Willow Creek Wasatch Pediatrics - Cottonwood at St Mark’s 164 E 5900 S, #112A 114 E 12450 S, #100 Pediatrics 1140 E 3900 S, #360 Murray, UT 84107 Draper, UT 84020 5770 S 250 E, #290 Salt Lake City, UT 84124 Phone: (801) 262-2673 Phone: (801) 523-3001 Murray, UT 84107 Phone: (801) 264-8686 UT Healthy Kids UT Healthy Kids Phone: (801) 747-8700 Languages Spoken: German Languages Spoken: German UT Healthy Kids Roberts, Joseph Allen MD C Stipelman, Carole H MD C UT Healthy Kids Nightime Urgent Care CHC - Oquirrh View Packer, Alissa A MD C 5911 S Fashion Blvd, #105 4745 S 3200 W Wilkerson II, Julie Sun MD C Wasatch Pediatrics - Southpoint Murray, UT 84107 Salt Lake City, UT 84118 Granger Medical Clinic Pediatrics Phone: (801) 266-6843 Phone: (801) 964-6214 3725 W 4100 S 9071 S 1300 W, #301 UT Healthy Kids Languages Spoken: Spanish West Valley City, UT 84120 West Jordan, UT 84088 UT Healthy Kids Phone: (801) 965-3600 Phone: (801) 565-1162 Ryan, Jimmy Lynn MD C Languages Spoken: Spanish UT Healthy Kids Parkway Pediatrics Swensen, Paul H MD C UT Healthy Kids 1288 W 12700 S Intermountain Pediatric Clinic Pennington, Mary Jane MD C Riverton, UT 84065 508 E South Temple, #310 Wirkus, Paul Egbert MD C Granger Medical Clinic Phone: (801) 253-3500 Salt Lake City, UT 84102 Wasatch Pediatrics - Cottonwood 3725 W 4100 S Languages Spoken: French Phone: (801) 355-4316 Pediatrics West Valley City, UT 84120 UT Healthy Kids UT Healthy Kids 5770 S 250 E, #290 Phone: (801) 965-3600 Murray, UT 84107 UT Healthy Kids Saidi, Merium K MD C Swensen, Paul H MD C Phone: (801) 747-8700 Just Kids Pediatric & Adolescent Primary Childrens Medical Center Languages Spoken: German Petersen, Sarah Connors MD C Clinic 100 N Mario Capecchi Dr UT Healthy Kids UUHC Redwood Clinic 4052 W Pioneer Pkwy, #205 Salt Lake City, UT 84113 1525 W 2100 S West Valley City, UT 84120 Phone: (801) 662-1700 Wonnacott, Monica C MD C West Valley City, UT 84119 Phone: (801) 964-3492 UT Healthy Kids Granger Medical Clinic Phone: (801) 213-9900 Languages Spoken: 3725 W 4100 S UT Healthy Kids Portuguese, Spanish, Urdu Templeman, Mark C MD C West Valley City, UT 84120 UT Healthy Kids Primary Childrens Medical Center Phone: (801) 965-3600 Petersen, Sarah Connors MD C 100 N Mario Capecchi Dr UT Healthy Kids UUHC South Jordan Clinic Salek, Allyson MD C Salt Lake City, UT 84113 1091 W South Jordan Pkwy, #500 UUHC South Jordan Clinic Phone: (801) 662-1000 Woods, Rachel J MD C South Jordan, UT 84095 1091 W South Jordan Pkwy, #500 UT Healthy Kids Wasatch Pediatrics - Draper Phone: (801) 213-9800 South Jordan, UT 84095 Willow Creek UT Healthy Kids Phone: (801) 213-9800 Terashima, Robert S MD D 114 E 12450 S, #100 UT Healthy Kids 8925 S 2700 W Draper, UT 84020 Phillips, Sandra Arico MD C West Jordan, UT 84088 Phone: (801) 523-3001 Intermountain Pediatric Clinic SamsonFang, Lisa J MD C Phone: (801) 566-6200 UT Healthy Kids 508 E South Temple, #310 PCMC Dept of Pediatrics UT Healthy Kids Salt Lake City, UT 84102 100 N Medical Dr Zarbock, Zachary Robert MD C Phone: (801) 355-4316 Salt Lake City, UT 84113 Tew, Jonathan M MD C Families First Pediatrics UT Healthy Kids Phone: (801) 588-3240 Parkway Pediatrics 1268 W South Jordan Pkwy, #201 UT Healthy Kids 1288 W 12700 S South Jordan, UT 84095 Rahaniotis, Valerie Louise MD C Riverton, UT 84065 Phone: (801) 254-9700 Southwest Childrens Clinic Sandvig, Jennifer Lynn MD D Phone: (801) 253-3500 UT Healthy Kids 8822 S Redwood Rd, #C-211 Wasatch Pediatrics - Willow Creek Languages Spoken: Russian West Jordan, UT 84088 at St Mark’s UT Healthy Kids Phone: (801) 563-1975 1140 E 3900 S, #360 Physician Assistant UT Healthy Kids Salt Lake City, UT 84124 Thomas, Tiffany A MD C Families First Pediatrics Adams, Nathan J PA C Phone: (801) 264-8686 Exodus Healthcare - West Valley Ralston, Charles W MD C UT Healthy Kids 1268 W South Jordan Pkwy, #201 Wasatch Pediatrics - Cottonwood South Jordan, UT 84095 3336 S Pioneer Pkwy, #201 Pediatrics Schlichter, Gary W MD C Phone: (801) 254-9700 West Valley City, UT 84120 5770 S 250 E, #290 Murray Pediatrics UT Healthy Kids Phone: (801) 417-0060 Murray, UT 84107 164 E 5900 S, #112A UT Healthy Kids Phone: (801) 747-8700 Murray, UT 84107 Valentine, Marilyn MD C UUHC Redwood Clinic Adams, Nathan J PA C UT Healthy Kids Phone: (801) 262-2673 Magna Center for Family Medicine UT Healthy Kids 1525 W 2100 S Ramsey, Keith P MD C West Valley City, UT 84119 3665 S 8400 W, #110 8822 S Redwood Rd, #S103 Schriewer, Sharon K MD C Phone: (801) 213-9900 Magna, UT 84044 West Jordan, UT 84088 Alpine OB/GYN & Pediatrics UT Healthy Kids Phone: (801) 250-9638 Phone: (801) 253-2273 1060 E 100 S, #400 UT Healthy Kids Languages Spoken: Italian Salt Lake City, UT 84102 UT Healthy Kids Phone: (801) 521-2640 UT Healthy Kids 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 Salt Lake Ahanonu, Cecilia PA C Christensen, Malinda Ruth PA C Crouse, Danny PA C Gee, Chuck H PA C Exodus Healthcare - West Valley Granger Medical Clinic UUHC Sugarhouse Clinic Southwest Family Medicine 3336 S Pioneer Pkwy, #201 3725 W 4100 S 1138 Wilmington Ave 1575 W 7000 S West Valley City, UT 84120 West Valley City, UT 84120 Salt Lake City, UT 84106 West Jordan, UT 84084 Phone: (801) 417-0060 Phone: (801) 965-3600 Phone: (801) 581-2000 Phone: (801) 569-9133 UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Ahanonu, Cecilia PA C Cobb, Matthew Steven PA C Dale, Robin J PA C Gillette, Janee PA C Magna Center for Family Medicine Alpine Internal Medicine Division The Solitude Clinic Exodus Healthcare - West Valley 3665 S 8400 W, #110 1060 E 100 S, #L10 12000 Big Cottonwood Canyon Rd 3336 S Pioneer Pkwy, #201 Magna, UT 84044 Salt Lake City, UT 84102 Salt Lake City, UT 84121 West Valley City, UT 84120 Phone: (801) 250-9638 Phone: (801) 328-1260 Phone: (801) 536-5712 Phone: (801) 417-0060 UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Anderson Dawson, Tracy PA C Cobb, Nadia Miniclier PA C Do, Phung Kim PA C Gillette, Janee PA C Exodus Healthcare - West Valley Madsen Health Center Family CHC - Central City Magna Center for Family Medicine 3336 S Pioneer Pkwy, #201 Practice Clinic 461 S 400 E 3665 S 8400 W, #110 West Valley City, UT 84120 555 Foothill Blvd Salt Lake City, UT 84111 Magna, UT 84044 Phone: (801) 417-0060 Salt Lake City, UT 84112 Phone: (801) 539-8617 Phone: (801) 250-9638 UT Healthy Kids Phone: (801) 581-8000 Languages Spoken: Chinese, UT Healthy Kids Languages Spoken: German Vietnamese Anderson Dawson, Tracy PA C UT Healthy Kids UT Healthy Kids Herzog, Hazen T PA C Magna Center for Family Medicine Hidden Valley Family Medicine 3665 S 8400 W, #110 Cobb, Nadia Miniclier PA C Do, Phung Kim PA C 12176 S 1000 E Magna, UT 84044 UUHC Redwood Clinic CHC - Oquirrh View Draper, UT 84020 Phone: (801) 250-9638 1525 W 2100 S 4745 S 3200 W Phone: (801) 572-3750 UT Healthy Kids West Valley City, UT 84119 Salt Lake City, UT 84118 UT Healthy Kids Phone: (801) 213-9900 Phone: (801) 964-6214 Ball, John Harold PA C Languages Spoken: German Languages Spoken: Chinese, Jensen, Tate Alan PA C Hunter Medical Center UT Healthy Kids Vietnamese Magna Center for Family Medicine 3534 S 6000 W UT Healthy Kids 3665 S 8400 W, #110 West Valley City, UT 84128 Coppin, Erin V PA C Magna, UT 84044 Phone: (801) 969-6264 Jordan Family Health Engelbert Fenton, Michael PA C Phone: (801) 250-9638 UT Healthy Kids 8846 S Redwood Rd, #E121 CHC - 72nd Street Clinic Languages Spoken: Spanish West Jordan, UT 84088 220 W 7200 S, #A UT Healthy Kids Ball, John Harold PA C Phone: (801) 569-1999 Midvale, UT 84047 Jordan Meadows Medical Center UT Healthy Kids Phone: (801) 412-6920 Jones, Thomas T PA C 3354 W 7800 S UT Healthy Kids UUHC Redwood Clinic West Jordan, UT 84088 Coppin, Erin V PA C 1525 W 2100 S Phone: (801) 282-2677 Lone Peak Primary Care Evans, Mark T PA C West Valley City, UT 84119 UT Healthy Kids 74 Kimballs Ln, #260 UUHC Redwood Clinic Phone: (801) 213-9900 Draper, UT 84020 1525 W 2100 S UT Healthy Kids Briley, Melissa S PA C Phone: (801) 545-8480 West Valley City, UT 84119 Madsen Health Center Family UT Healthy Kids Phone: (801) 213-9900 Jorgensen, Jesse A PA C Practice Clinic UT Healthy Kids Madsen Health Center Family 555 Foothill Blvd Coppin, Erin V PA C Practice Clinic Salt Lake City, UT 84112 South Jordan Family Medicine Fonua, Jackie Anne PA C 555 Foothill Blvd Phone: (801) 581-8000 10623 S Redwood Rd, #101 Hunter Medical Center Salt Lake City, UT 84112 Languages Spoken: Spanish South Jordan, UT 84095 3534 S 6000 W Phone: (801) 581-8000 UT Healthy Kids Phone: (801) 302-0899 West Valley City, UT 84128 UT Healthy Kids UT Healthy Kids Phone: (801) 969-6264 Burnham, Bruce M PA C UT Healthy Kids Jorgensen, Jesse A PA C Health Clinics of Utah Coursey, Jeffrey Michael PA C UUHC Redwood Clinic 3195 S Main St, #200 CHC - Central City Fonua, Jackie Anne PA C 1525 W 2100 S Salt Lake City, UT 84115 461 S 400 E Jordan Meadows Medical Center West Valley City, UT 84119 Phone: (801) 468-0354 Salt Lake City, UT 84111 3354 W 7800 S Phone: (801) 213-9900 UT Healthy Kids Phone: (801) 539-8617 West Jordan, UT 84088 UT Healthy Kids Languages Spoken: Spanish Phone: (801) 282-2677 Campbell, Debra PA C UT Healthy Kids UT Healthy Kids Jorgensen, Jesse A PA C UUHC Greenwood Clinic UUHC Sugarhouse Clinic 7495 S State St Crawford, Wayne PA C Food, Joseph M PA C 1138 Wilmington Ave Midvale, UT 84047 Health Clinics of Utah St Marks Millcreek Primary Care Salt Lake City, UT 84106 Phone: (801) 213-9400 3195 S Main St, #200 4465 S 900 E, #200 Phone: (801) 581-2000 UT Healthy Kids Salt Lake City, UT 84115 Salt Lake City, UT 84124 UT Healthy Kids Phone: (801) 468-0354 Phone: (801) 266-2777 Chase, Susana PA C Languages Spoken: Spanish UT Healthy Kids Keller, Jean Mary PA D UUHC Redwood Clinic UT Healthy Kids St Marks Senior Health Center 1525 W 2100 S Garcia, Kenneth Allen PA C 1160 E 3900 S, #G200 West Valley City, UT 84119 Crouse, Danny PA C UUHC Redwood Clinic Holladay, UT 84124 Phone: (801) 213-9900 Madsen Health Center Family 1525 W 2100 S Phone: (801) 268-7766 UT Healthy Kids Practice Clinic West Valley City, UT 84119 UT Healthy Kids 555 Foothill Blvd Phone: (801) 213-9900 Salt Lake City, UT 84112 UT Healthy Kids Phone: (801) 581-8000 UT Healthy Kids 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 Salt Lake Primary Care Providers Network Salt lake Konesavanh, Soutsada Nikki PA C Mandujano, Martha Patricia PA C Panisi, Uaisele PA C Syddall, Tracy PA C Magna Center for Family Medicine CHC - Central City UUHC Redwood Clinic UUHC Sugarhouse Clinic 3665 S 8400 W, #110 461 S 400 E 1525 W 2100 S 1138 Wilmington Ave Magna, UT 84044 Salt Lake City, UT 84111 West Valley City, UT 84119 Salt Lake City, UT 84106 Phone: (801) 250-9638 Phone: (801) 539-8617 Phone: (801) 213-9900 Phone: (801) 581-2000 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids Lang, Patrick B PA C Pedersen, Kathy Jane PA C Syddall, Tracy PA C UUHC Greenwood Clinic Mandujano, Martha Patricia PA C CHC - Oquirrh View UUHC Westridge Clinic 7495 S State St CHC - Oquirrh View 4745 S 3200 W 3730 W 4700 S Midvale, UT 84047 4745 S 3200 W Salt Lake City, UT 84118 West Valley City, UT 84118 Phone: (801) 213-9400 Salt Lake City, UT 84118 Phone: (801) 964-6214 Phone: (801) 213-9200 UT Healthy Kids Phone: (801) 964-6214 Languages Spoken: Spanish UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Latham, Jessica Milly PA C UT Healthy Kids Vis, Christopher Anthony PA C Magna Center for Family Medicine Schauers, Todd Neil PA C UUHC Redwood Clinic 3665 S 8400 W, #110 Matson, Summer Ann PA C Jordan Family Health 1525 W 2100 S Magna, UT 84044 Madsen Health Center Family 8846 S Redwood Rd, #E121 West Valley City, UT 84119 Phone: (801) 250-9638 Practice Clinic West Jordan, UT 84088 Phone: (801) 213-9900 UT Healthy Kids 555 Foothill Blvd Phone: (801) 569-1999 UT Healthy Kids Salt Lake City, UT 84112 Languages Spoken: Spanish Lloyd, Marliese Lorelei PA C Phone: (801) 581-8000 UT Healthy Kids Vroman, Stacy Theresa PA C Magna Center for Family Medicine Languages Spoken: Spanish Madsen Health Center Family 3665 S 8400 W, #110 UT Healthy Kids Spackman, Jared Paul PA C Practice Clinic Magna, UT 84044 1995 W 9000 S 555 Foothill Blvd Phone: (801) 250-9638 Matson, Summer PA C West Jordan, UT 84088 Salt Lake City, UT 84112 Languages Spoken: Spanish UUHC Redwood Clinic Phone: (801) 566-9888 Phone: (801) 581-8000 UT Healthy Kids 1525 W 2100 S UT Healthy Kids UT Healthy Kids West Valley City, UT 84119 Macey, Wendy Marie PA C Phone: (801) 213-9900 Stanger, Victoria PA C Vroman, Stacy PA C UUHC Greenwood Clinic UT Healthy Kids Seraphine Med Taylorsville UUHC Redwood Clinic 7495 S State St 6671 S Redwood Rd, #110 1525 W 2100 S Midvale, UT 84047 Matson, Summer Ann PA C West Jordan, UT 84084 West Valley City, UT 84119 Phone: (801) 213-9400 UUHC Sugarhouse Clinic Phone: (801) 966-9907 Phone: (801) 213-9900 UT Healthy Kids 1138 Wilmington Ave UT Healthy Kids UT Healthy Kids Salt Lake City, UT 84106 Macey, Wendy Marie PA C Phone: (801) 581-2000 Steele, Sabrina L PA C Vroman, Stacy Theresa PA C UUHC Redwood Clinic Languages Spoken: Spanish Jordan Ridge Family Medicine UUHC Sugarhouse Clinic 1525 W 2100 S UT Healthy Kids 6321 S Redwood Rd, #100 1138 Wilmington Ave West Valley City, UT 84119 Taylorsville, UT 84123 Salt Lake City, UT 84106 Phone: (801) 213-9900 McGovern, Cheryl Jean PA C Phone: (801) 265-2212 Phone: (801) 581-2000 UT Healthy Kids Magna Center for Family Medicine UT Healthy Kids UT Healthy Kids 3665 S 8400 W, #110 MacFarlane, Kevin Burnham PA Magna, UT 84044 Stockman, Paula Elizabeth PA C Weller, Dana PA C C Phone: (801) 250-9638 UUHC Redwood Clinic House Call Doctors Magna Center for Family Medicine UT Healthy Kids 1525 W 2100 S 1556 Emerson Ave 3665 S 8400 W, #110 West Valley City, UT 84119 Salt Lake City, UT 84105 Magna, UT 84044 Moloney, Amanda J PA C Phone: (801) 213-9900 Phone: (801) 485-5055 Phone: (801) 250-9638 The Solitude Clinic UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish 12000 Big Cottonwood Canyon Rd UT Healthy Kids Salt Lake City, UT 84121 Syddall, Tracy PA C Wight, Ryan Dennis PA C Phone: (801) 536-5712 UUHC Greenwood Clinic West Valley Family & Preventive Mair, Anna Isabella PA C UT Healthy Kids 7495 S State St Medicine South Valley Womens Health Care Midvale, UT 84047 3336 S Pioneer Pkwy, #302 3570 W 9000 S, #210 Myers, Bethany Ann PA C Phone: (801) 213-9400 West Valley City, UT 84120 West Jordan, UT 84088 Monarch Womens Cancer Center UT Healthy Kids Phone: (801) 964-8726 Phone: (801) 569-2626 1140 E 3900 S, #340 UT Healthy Kids UT Healthy Kids Salt Lake City, UT 84124 Syddall, Tracy PA C Phone: (801) 743-4730 UUHC Redwood Clinic Wilcox, Justin Carl PA C Malone, Jennifer Lynn PA C UT Healthy Kids 1525 W 2100 S South Jordan Family Medicine CHC - 72nd Street Clinic West Valley City, UT 84119 10623 S Redwood Rd, #101 220 W 7200 S, #A Nelson, Jeanette Claire PA C Phone: (801) 213-9900 South Jordan, UT 84095 Midvale, UT 84047 The Solitude Clinic UT Healthy Kids Phone: (801) 302-0899 Phone: (801) 412-6920 12000 Big Cottonwood Canyon Rd UT Healthy Kids Languages Spoken: Spanish Salt Lake City, UT 84121 Syddall, Tracy PA C UT Healthy Kids Phone: (801) 536-5712 UUHC South Jordan Clinic Williams, Anneli Sarah PA C UT Healthy Kids 1091 W South Jordan Pkwy, #500 Millcreek Women’s Center Malone, Jennifer Lynn PA C South Jordan, UT 84095 1140 E 3900 S, #410 CHC - Central City Pace, Bradley Rudolph PA C Phone: (801) 213-9800 Holladay, UT 84124 461 S 400 E CHC - Central City UT Healthy Kids Phone: (801) 262-8666 Salt Lake City, UT 84111 461 S 400 E UT Healthy Kids Phone: (801) 539-8617 Salt Lake City, UT 84111 Languages Spoken: Spanish Phone: (801) 539-8617 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids 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 Salt Lake Primary Care Providers Network San Juan Womens Health Jones, Lloyd Val MD C Reay, Paul Robert MD C Pediatrics Montezuma Creek Community Blanding Medical Clinic Nurse Practitioner Health Center 804 N 400 W Allen, Louis S MD D East Hwy 262 Blanding , UT 84511 Children with Special Healthcare Johnson, Mandy Jo APRN C Needs Riverton Healthcare for Women Montezuma Creek, UT 84534 Phone: (435) 678-2254 3409 W 12600 S, #110 Phone: (435) 651-3291 Languages Spoken: French, 117 S Main St Riverton, UT 84065 UT Healthy Kids Plus Navajo, Spanish Monticello, UT 84535 UT Healthy Kids Plus Phone: (435) 587-2021 Phone: (801) 265-1266 Nielson, Joshua Hinckley DO C UT Healthy Kids Plus UT Healthy Kids Blanding Family Practice Reay, Paul Robert MD C Community Health Center San Juan Clinic Delavan, George W MD D 799 S 200 W 380 W 100 N Children with Special Healthcare San Juan County Blanding, UT 84511 Monticello, UT 84535 Needs Phone: (435) 678-3601 Phone: (435) 587-5054 117 S Main St Family Medicine UT Healthy Kids Plus Languages Spoken: French, Monticello, UT 84535 Navajo, Spanish Phone: (435) 587-2021 Bloink, Steven William MD C Nielson, Joshua Hinckley DO C UT Healthy Kids Plus UT Healthy Kids Plus San Juan Clinic Montezuma Creek Community 380 W 100 N Health Center Thompson, Brooks David MD C Physician Assistant Monticello, UT 84535 East Hwy 262 Blanding Family Practice Phone: (435) 587-5054 Montezuma Creek, UT 84534 Community Health Center Lyman, Michele Smith PA C UT Healthy Kids Plus Phone: (435) 651-3291 799 S 200 W Blanding Family Practice UT Healthy Kids Plus Blanding, UT 84511 Community Health Center Fairley, Kimberly J MD C Phone: (435) 678-3601 799 S 200 W Montezuma Creek Community Nielson, Joshua Hinckley DO C UT Healthy Kids Plus Blanding, UT 84511 Health Center Monument Valley Community Phone: (435) 678-3601 East Hwy 262 Health Center Thompson, Brooks David MD C UT Healthy Kids Plus Montezuma Creek, UT 84534 30 W Medical Dr Montezuma Creek Community Phone: (435) 651-3291 Monument Valley, UT 84536 Health Center Lyman, Michele PA C UT Healthy Kids Plus Phone: (435) 727-3000 East Hwy 262 Blanding Family Practice UT Healthy Kids Plus Montezuma Creek, UT 84534 Community Health Center Fisher, Mahana S MD C Phone: (435) 651-3291 802 S 200 W Blanding Family Practice Nielson, Norman S MD C UT Healthy Kids Plus Blanding, UT 84511 Community Health Center Blanding Family Practice Phone: (435) 678-3601 799 S 200 W Community Health Center Family Nurse UT Healthy Kids Plus Blanding, UT 84511 799 S 200 W Phone: (435) 678-3601 Blanding, UT 84511 Practitioner Lyman, Michele Smith PA C UT Healthy Kids Plus Phone: (435) 678-3601 Montezuma Creek Community Languages Spoken: Chinese Burrell, Lance APRN C Health Center Fisher, Mahana S MD C UT Healthy Kids Plus Montezuma Creek Community East Hwy 262 Montezuma Creek Community Health Center Montezuma Creek, UT 84534 Health Center Nielson, Norman S MD C East Hwy 262 Phone: (435) 651-3291 East Hwy 262 Montezuma Creek Community Montezuma Creek, UT 84534 UT Healthy Kids Plus Montezuma Creek, UT 84534 Health Center Phone: (435) 651-3291 Phone: (435) 651-3291 East Hwy 262 UT Healthy Kids Plus Neubert, Martin G PA C UT Healthy Kids Plus Montezuma Creek, UT 84534 Blanding Family Practice Phone: (435) 651-3291 Singer, Christopher NP C Community Health Center Fisher, Mahana S MD C Languages Spoken: Chinese Blanding Family Practice 799 S 200 W Monument Valley Community UT Healthy Kids Plus Community Health Center Blanding, UT 84511 Health Center 799 S 200 W Phone: (435) 678-3601 30 W Medical Dr Nielson, Norman S MD C Blanding, UT 84511 UT Healthy Kids Plus Monument Valley, UT 84536 Monument Valley Community Phone: (435) 678-3601 Phone: (435) 727-3000 Health Center UT Healthy Kids Plus Neubert, Martin G PA C UT Healthy Kids Plus 30 W Medical Dr Montezuma Creek Community Monument Valley, UT 84536 Singer, Christopher NP C Health Center Fisher, Mahana S MD C Phone: (435) 727-3000 Montezuma Creek Community East Hwy 262 San Juan Clinic Languages Spoken: Chinese Health Center Montezuma Creek, UT 84534 380 W 100 N UT Healthy Kids Plus East Hwy 262 Phone: (435) 651-3291 Monticello, UT 84535 Montezuma Creek, UT 84534 UT Healthy Kids Plus Phone: (435) 587-5054 Plunkett, Earl K MD C Phone: (435) 651-3291 UT Healthy Kids Plus Montezuma Creek Community UT Healthy Kids Plus Riggs, Freddie PA C Health Center Blanding Family Practice Jones, Lloyd Val MD C East Hwy 262 Street, Nelladee APRN C Community Health Center Blanding Family Practice Montezuma Creek, UT 84534 Blanding Family Practice 799 S 200 W Community Health Center Phone: (435) 651-3291 Community Health Center Blanding, UT 84511 799 S 200 W UT Healthy Kids Plus 802 S 200 W Phone: (435) 678-3601 Blanding, UT 84511 Blanding, UT 84511 Languages Spoken: Navajo Phone: (435) 678-3601 Phone: (435) 678-3601 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus

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 San Juan Primary Care Providers Network Sanpete Riggs, Freddie PA C Embley, Steven Len DO C Nunn, Charles Edward MD C Internal Medicine Montezuma Creek Community Gunnison Family Medicine Intermountain Mt. Pleasant Clinic Health Center 65 E 100 N 1100 S Medical Dr Hansen, Marlan L MD C East Hwy 262 Gunnison, UT 84634 Mount Pleasant, UT 84647 Intermountain Mt. Pleasant Clinic Montezuma Creek, UT 84534 Phone: (435) 528-2130 Phone: (435) 462-3471 1100 S Medical Dr Phone: (435) 651-3291 UT Healthy Kids Plus UT Healthy Kids Plus Mount Pleasant, UT 84647 Languages Spoken: Navajo Phone: (435) 462-2441 UT Healthy Kids Plus Frischknecht, Michael S MD C Olsen, Darrel W MD C UT Healthy Kids Plus Intermountain Manti Clinic Intermountain Ephraim Clinic Riggs, Freddie PA C 159 N Main St 525 N Main St Mitchell, Charles R MD C Montezuma Creek Community Manti, UT 84642 Ephraim, UT 84627 Sanpete Valley Hospital Health Center Phone: (435) 835-3344 Phone: (435) 283-4076 1100 S Medical Dr East Hwy 262 Languages Spoken: Languages Spoken: Spanish Mount Pleasant, UT 84647 Montezuma Creek, UT 84534 Portuguese, Spanish UT Healthy Kids Plus Phone: (435) 462-2441 Phone: (435) 651-3291 UT Healthy Kids Plus UT Healthy Kids Plus Oveson, Mark C MD C Languages Spoken: Navajo C UT Healthy Kids Plus Frischknecht, Michael S MD C Fountain Green Medical Clinic Peterson, Michael Cary MD Intermountain Mt. Pleasant Clinic 275 W 300 S Sanpete Valley Hospital 1100 S Medical Dr Fountain Green, UT 84632 1100 S Medical Dr Sanpete County Mount Pleasant, UT 84647 Phone: (435) 445-3301 Mount Pleasant, UT 84647 Phone: (435) 462-3471 Languages Spoken: Spanish Phone: (435) 462-2441 Languages Spoken: UT Healthy Kids Plus UT Healthy Kids Plus Family Medicine Portuguese, Spanish UT Healthy Kids Plus Rasmussen, Grant J MD C Obstetrics and Barker, Lance MD C Fountain Green Medical Clinic Intermountain Mt. Pleasant Clinic Jackson, Christine MD C 275 W 300 S Gynecology 1100 S Medical Dr Jackson Family Medical Clinic Fountain Green, UT 84632 Bailey, Stanton A MD C Mount Pleasant, UT 84647 95 E Center St Phone: (435) 445-3301 Fountain Green Medical Clinic Phone: (435) 462-2441 Gunnison, UT 84634 UT Healthy Kids Plus 275 W 300 S UT Healthy Kids Plus Phone: (435) 528-7752 Fountain Green, UT 84632 UT Healthy Kids Plus Rosenbeck, James Franklin DO C Bateman, Kim A MD C Fountain Green Medical Clinic Phone: (435) 445-3301 Intermountain Manti Clinic Jackson, Eileen K MD C 275 W 300 S Languages Spoken: Dutch, 159 N Main St Intermountain Ephraim Clinic Fountain Green, UT 84632 Turkish Manti, UT 84642 525 N Main St Phone: (435) 445-3301 UT Healthy Kids Plus Phone: (435) 835-3344 Ephraim, UT 84627 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 283-4076 Physician Assistant UT Healthy Kids Plus Wardle, Mark Lee DO C Besendorfer, James M MD C Intermountain Moroni Clinic Hennagir, Barbara L PA C Fountain Green Medical Clinic Jackson, John W MD C 51 E Main St Intermountain Ephraim Clinic 275 W 300 S Jackson Family Medical Clinic Moroni, UT 84646 525 N Main St Fountain Green, UT 84632 95 E Center St Phone: (435) 436-5250 Ephraim, UT 84627 Phone: (435) 445-3301 Gunnison, UT 84634 UT Healthy Kids Plus Phone: (435) 283-4076 UT Healthy Kids Plus Phone: (435) 528-7752 UT Healthy Kids Plus Languages Spoken: Spanish Willden, Gerald J MD C Christensen, Jan F MD C UT Healthy Kids Plus Gunnison Family Medicine Hennagir, Barbara L PA C Gunnison Family Medicine 65 E 100 N Intermountain Manti Clinic 65 E 100 N Jensen, Adam M MD C Gunnison, UT 84634 159 N Main St Gunnison, UT 84634 Gunnison Family Practice Phone: (435) 528-2130 Manti, UT 84627 Phone: (435) 528-2130 95 E Center St UT Healthy Kids Plus Phone: (435) 835-3344 UT Healthy Kids Plus Gunnison, UT 84634 UT Healthy Kids Plus Phone: (435) 528-7752 Family Nurse Christensen, Tristy L MD C UT Healthy Kids Plus Hennagir, Barbara L PA C Intermountain Ephraim Clinic Practitioner Intermountain Moroni Clinic 525 N Main St Jones, Marc Fredrick DO C 51 E Main St Ephraim, UT 84627 Fountain Green Medical Clinic Gasser, Brian Dell NP C Moroni, UT 84646 Phone: (435) 283-4076 275 W 300 S Fountain Green Medical Clinic Phone: (435) 436-5250 UT Healthy Kids Plus Fountain Green, UT 84632 275 W 300 S UT Healthy Kids Plus Phone: (435) 445-3301 Fountain Green, UT 84632 Cole, Gary Monroe MD C UT Healthy Kids Plus Phone: (435) 445-3301 Hennagir, Barbara L PA C Intermountain Mt. Pleasant Clinic UT Healthy Kids Plus Intermountain Mt. Pleasant Clinic 1100 S Medical Dr Judy, Cary J DO C 1100 S Medical Dr Mount Pleasant, UT 84647 Gunnison Family Practice Mangelson, Christie L NP C Mount Pleasant, UT 84647 Phone: (435) 462-3471 95 E Center St Fountain Green Medical Clinic Phone: (435) 462-3471 UT Healthy Kids Plus Gunnison, UT 84634 275 W 300 S UT Healthy Kids Plus Phone: (435) 528-7227 Fountain Green, UT 84632 Day, Allen M MD C UT Healthy Kids Plus Phone: (435) 445-3301 Intermountain Mt. Pleasant Clinic UT Healthy Kids Plus 1100 S Medical Dr Nay, Richard Bill MD C Mount Pleasant, UT 84647 49 E Center St Phone: (435) 462-3471 Gunnison, UT 84634 UT Healthy Kids Plus Phone: (435) 528-7231 UT Healthy Kids Plus

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 Sevier SPrimary Care Providers Network ummit Greenwood, Mark Robert MD C Family Nurse Hilton, Bret D PA C Sevier County Intermountain Richfield Family IHC Health Center - Richfield Practice Practitioner 460 N Main St Advanced Practice 460 N Main St Patterson, Rebekah Amy APRN C Richfield, UT 84701 Richfield, UT 84701 Mountain Utah Family Medicine Phone: (435) 896-5496 Midwife Phone: (435) 896-5496 850 N Main St, #3 UT Healthy Kids Plus UT Healthy Kids Plus Rasmussen, Dixie S CNM C Richfield, UT 84701 Wilcken, Julie A PA C Mountain Utah Family Medicine Greenwood, Mark W MD C Phone: (435) 896-9561 Richfield Medical Clinic 850 N Main St, #3 Intermountain Richfield Family Languages Spoken: Spanish 826 N 100 E Richfield, UT 84701 Practice UT Healthy Kids Plus Richfield, UT 84701 Phone: (435) 896-9561 460 N Main St Phone: (435) 893-0977 UT Healthy Kids Plus Richfield, UT 84701 Internal Medicine UT Healthy Kids Plus Phone: (435) 896-5496 C Family Medicine Languages Spoken: German Hansen, Marlan L MD UT Healthy Kids Plus Sevier Valley Medical Center Summit County Abbott, Justin D DO C 1000 N Main St Intermountain North Sevier Newman, Steven Richard MD C Richfield, UT 84701 Medical Clinic Richfield Medical Clinic Phone: (435) 896-8271 Advanced Practice 530 N 250 W 826 N 100 E UT Healthy Kids Plus Midwife Salina, UT 84654 Richfield, UT 84701 Phone: (435) 893-0977 Mitchell, Charles R MD C Demeter, Danielle M CNM C Phone: (435) 529-7411 Sevier Valley Medical Center UT Healthy Kids Plus UT Healthy Kids Plus OB/GYN Associates 1000 N Main St 1441 W Ute Blvd, #160 Abbott, Justin D DO C Polson, Drew E MD C Richfield, UT 84701 Park City, UT 84060 Sevier Valley Medical Center Richfield Medical Clinic Phone: (435) 893-4100 Phone: (435) 214-5335 1000 N Main St 826 N 100 E UT Healthy Kids Plus UT Healthy Kids Plus Richfield, UT 84701 Richfield, UT 84701 Phone: (435) 893-4100 Phone: (435) 893-0977 Nurse Practitioner Family Medicine UT Healthy Kids Plus UT Healthy Kids Plus Okerlund, Jason APRN C Berman, Joseph Harold MD C Allen, Daniel Jude DO C Pope, David Michael MD C Gunnison Family Practice UUHC Redstone Clinic Richfield Medical Clinic Mountain Utah Family Medicine 260 E Center St 1743 W Redstone Ctr, #115 826 N 100 E 850 N Main St, #3 Monroe, UT 84754 Park City, UT 84098 Richfield, UT 84701 Richfield, UT 84701 Phone: (435) 527-8866 Phone: (435) 658-9200 Phone: (435) 893-0977 Phone: (435) 896-9561 UT Healthy Kids Plus UT Healthy Kids Plus Languages Spoken: Spanish UT Healthy Kids Plus UT Healthy Kids Plus Pediatrics Dolan, Julie Anne MD C Scoville, Spencer Lee DO C Mountain Family Health Barker, Lance MD C Intermountain Richfield Family Allen, Louis S MD D 1600 Snow Creek Dr, #B Sevier Valley Medical Center Practice Children with Special Healthcare Park City, UT 84060 1000 N Main St 460 N Main St Needs Phone: (435) 655-0055 Richfield, UT 84701 Richfield, UT 84701 70 Westview Dr UT Healthy Kids Plus Phone: (435) 896-8271 Phone: (435) 896-5496 Richfield, UT 84701 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 896-5451 Edwards, Heather D MD C UT Healthy Kids Plus Park City Medical Center Brown, Jeffrey James DO C Smith, Daniel Criag MD C 900 Round Valley Dr Intermountain Sevier Valley Clinic Intermountain Sevier Valley Clinic Carbone, Paul Sean MD D Park City, UT 84060 1000 N Main St 1000 N Main St Children with Special Healthcare Phone: (435) 658-7000 Richfield, UT 84701 Richfield, UT 84701 Needs UT Healthy Kids Plus Phone: (435) 896-8254 Phone: (435) 893-0580 70 Westview Dr UT Healthy Kids Plus UT Healthy Kids Plus Richfield, UT 84701 Ferriter, Joseph P MD C Phone: (435) 896-5451 Park City Medical Center Crimin, David R DO C Wardle, Mark Lee DO C 900 Round Valley Dr Sevier Valley Medical Center Languages Spoken: Spanish Intermountain Sevier Valley Clinic UT Healthy Kids Plus Park City, UT 84060 1000 N Main St 1000 N Main St Phone: (435) 658-7000 Richfield, UT 84701 Richfield, UT 84701 Lloyd, Michael B MD D UT Healthy Kids Plus Phone: (435) 896-8254 Phone: (435) 896-8271 Children with Special Healthcare Languages Spoken: Danish UT Healthy Kids Plus Needs Hays, Christopher L MD C Park City Medical Center UT Healthy Kids Plus Zimmerman, Patrick H MD C 70 Westview Dr Richfield, UT 84701 900 Round Valley Dr Davie, Daniel G MD C Intermountain Sevier Valley Clinic Park City, UT 84060 70 E 1100 N Phone: (435) 896-5451 Sevier Valley Medical Center UT Healthy Kids Plus Phone: (435) 658-7000 1000 N Main St Richfield, UT 84701 UT Healthy Kids Plus Richfield, UT 84701 Phone: (435) 896-8254 Phone: (435) 896-8271 UT Healthy Kids Plus Physician Assistant Lautenschlaeger, Natascha UT Healthy Kids Plus C Susanne MD C Heaton, Rex PA UUHC Redstone Clinic Gray, Jarid D MD C Richfield Medical Clinic 1743 W Redstone Ctr, #115 Richfield Medical Clinic 826 N 100 E Park City, UT 84098 826 N 100 E Richfield, UT 84701 Phone: (435) 658-9200 Richfield, UT 84701 Phone: (435) 893-0977 Languages Spoken: German Phone: (435) 893-0977 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Summit TPrimary Care Providers Network ooele Pidwell, William B MD C Odell, Timothy Wade DO C Nguyen, Viet Dung N MD C Park City Medical Center UUHC Redstone Clinic Park City Internal Medicine & Tooele County 900 Round Valley Dr 1743 W Redstone Ctr, #115 Pediatrics Park City, UT 84060 Park City, UT 84098 1612 W Ute Blvd, #205 Phone: (435) 658-7000 Phone: (435) 658-9200 Park City, UT 84098 Advanced Practice UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 655-3309 Midwife Languages Spoken: Spanish, Rush, Brian J MD C Parsons, Mary Helen MD C Vietnamese Dalton, Marlee Kestin CNM D Mountain Family Health UUHC Redstone Clinic UT Healthy Kids Plus Deseret Peak Women’s Center 1600 Snow Creek Dr, #B 1743 W Redstone Ctr, #115 1959 N Aaron Dr, #A Park City, UT 84060 Park City, UT 84098 Nguyen, Viet Dung N MD C Tooele, UT 84074 Phone: (435) 655-0055 Phone: (435) 658-9200 Park City Medical Center Phone: (435) 843-3642 UT Healthy Kids Plus UT Healthy Kids Plus 900 Round Valley Dr Languages Spoken: Spanish Park City, UT 84060 UT Healthy Kids Plus Saturnino, Lisa M MD C Obstetrics and Phone: (435) 658-6705 Park City Medical Center UT Healthy Kids Plus 900 Round Valley Dr Gynecology Family Medicine Park City, UT 84060 Ostler, Kathy M MD C Abarca, Sergio MD C Phone: (435) 658-7000 Falk, Jeanne M MD C Summit Pediatrics in Park City Intermountain Park City Specialty Mountain West Family Practice UT Healthy Kids Plus 1790 W Sun Peak Dr, #A101 2356 N 400 E, #201 Clinic Park City, UT 84098 Speakman, Robert L DO C 900 Round Valley Dr, #200 Tooele, UT 84074 Phone: (435) 655-0926 Phone: (435) 882-2350 UUHC Redstone Clinic Park City, UT 84060 UT Healthy Kids Plus 1743 W Redstone Ctr, #115 Phone: (435) 658-7400 Languages Spoken: Spanish Park City, UT 84098 UT Healthy Kids Plus Peacock, Penny J MD C UT Healthy Kids Plus Phone: (435) 658-9200 Park City Internal Medicine & Sabella, Lareine Stampfle MD C Beazer, Blake Richard MD C UT Healthy Kids Plus Pediatrics Mountain West Family Practice Intermountain Park City Specialty 1612 W Ute Blvd, #205 Clinic 2356 N 400 E, #202 Family Nurse Park City, UT 84098 Tooele, UT 84074 900 Round Valley Dr, #200 Phone: (435) 655-3309 Practitioner Park City, UT 84060 Phone: (435) 882-2350 Languages Spoken: Spanish UT Healthy Kids Plus Phone: (435) 658-7400 UT Healthy Kids Plus Neeley, June E APRN C UT Healthy Kids Plus Park City Clinic Dinh, An Tuong MD C Schaffer, Monica Maria MD C Tooele Clinic Corporation 4000 Canyons Resort Dr Singer, Stephanie Marie DO C Summit Pediatrics in Park City Park City, UT 84098 Park City Gynecology 1959 N Aaron Dr, #C 1790 W Sun Peak Dr, #A101 Tooele, UT 84074 Phone: (435) 649-7640 1441 W Ute Blvd, #160 Park City, UT 84098 Languages Spoken: Spanish Park City, UT 84060 Phone: (435) 882-1644 Phone: (435) 655-0926 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 214-5335 Languages Spoken: Spanish UT Healthy Kids Plus Neeley, June E APRN C UT Healthy Kids Plus Forbes, Carolyn MD C Valley Family Medicine Park City Healthcare Yamashiro, Vernon Koyu MD D Sjoquist-Terry, Lena Kris MD C 750 Round Valley Dr, #201 OB/GYN Associates 2376 N 400 E, #102 Summit Pediatrics in Park City Tooele, UT 84074 Park City, UT 84060 1441 W Ute Blvd, #160 1790 W Sun Peak Dr, #A101 Phone: (435) 649-7640 Park City, UT 84060 Phone: (435) 843-1225 Park City, UT 84098 UT Healthy Kids Plus Languages Spoken: Spanish Phone: (435) 214-5355 Phone: (435) 655-0926 UT Healthy Kids Plus UT Healthy Kids Plus Languages Spoken: Swedish Green, Patrick N MD C Thomas, Kathleen W APRN C UT Healthy Kids Plus 210 Millpond Rd Pediatrics Tooele, UT 84074 Park City Clinic Webster, Leslie Worthen MD C 4000 Canyons Resort Dr Phone: (801) 828-5857 Chamberlain, Michelle Ann MD Summit Pediatrics in Park City UT Healthy Kids Plus Park City, UT 84098 C 1790 W Sun Peak Dr, #A101 Phone: (435) 649-7640 Summit Pediatrics in Park City Park City, UT 84098 Holtey, Ana I DO C UT Healthy Kids Plus 1790 W Sun Peak Dr, #A101 Phone: (435) 655-0926 Tooele Clinic Corporation Thomas, Kathleen W APRN C Park City, UT 84098 UT Healthy Kids Plus 196 E 2000 N Park City Healthcare Phone: (435) 655-0926 Tooele, UT 84074 750 Round Valley Dr, #201 UT Healthy Kids Plus Physician Assistant Phone: (435) 228-0061 Park City, UT 84060 UT Healthy Kids Plus Lantz, Karen Elisabeth MD C Briley, Melissa S PA C Phone: (435) 649-7640 UUHC Redstone Clinic Krogh, Benjamin J DO C UT Healthy Kids Plus UUHC Redstone Clinic 1743 W Redstone Ctr, #115 1743 W Redstone Ctr, #115 Grantsville Medical Clinic Park City, UT 84098 Park City, UT 84098 822 E Main St, #7 Internal Medicine Phone: (435) 658-9200 Phone: (435) 658-9200 Grantsville, UT 84029 Languages Spoken: German UT Healthy Kids Plus Phone: (435) 884-3578 Hansen, Marlan L MD C UT Healthy Kids Plus Languages Spoken: Spanish Park City Medical Center Syddall, Tracy PA C UT Healthy Kids Plus 900 Round Valley Dr Larson, David Charles MD D UUHC Redstone Clinic Park City, UT 84060 Summit Pediatrics in Park City 1743 W Redstone Ctr, #115 Lee, Jeffrey D MD C Phone: (435) 658-7000 1790 W Sun Peak Dr, #A101 Park City, UT 84098 Grantsville Medical Clinic UT Healthy Kids Plus Park City, UT 84098 Phone: (435) 658-9200 822 E Main St, #7 Phone: (435) 655-0926 UT Healthy Kids Plus Grantsville, UT 84029 UT Healthy Kids Plus Phone: (435) 884-3578 UT Healthy Kids Plus

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 Tooele UPrimary Care Providers Network intah Lee, Jeffrey D MD C Internal Medicine Pediatric Nurse Elswood, Aaron Scott PA C Stansbury Family Medicine Grantsville Medical Clinic 210 Millpond Rd Gangotena, Fatima G MD C Practitioner 822 E Main St, #7 Stansbury Family Medicine Tooele, UT 84074 Colyar, Margaret R NP D Grantsville, UT 84029 Phone: (435) 843-3647 210 Millpond Rd Phone: (435) 884-3578 Tooele, UT 84074 UUHC Stansbury Clinic UT Healthy Kids Plus 220 Millpond Rd, #100 Languages Spoken: Spanish Phone: (435) 843-3647 UT Healthy Kids Plus Lee, Jeffrey D MD C UT Healthy Kids Plus Stansbury Park, UT 84074 Tooele Clinic Corporation Phone: (435) 843-3000 Falkner, Lynn Don PA C 196 E 2000 N, #104 Solomon, Margaret Hope MD C UT Healthy Kids Plus UUHC Stansbury Clinic Tooele, UT 84074 UUHC Stansbury Clinic 220 Millpond Rd, #100 Phone: (435) 228-0061 220 Millpond Rd, #100 Pediatrics Stansbury Park, UT 84074 UT Healthy Kids Plus Stansbury Park, UT 84074 Phone: (435) 843-3000 Phone: (435) 843-3000 Gould, Jim Julian MD C UT Healthy Kids Plus Nelson, Joseph W DO C UT Healthy Kids Plus 2356 N 400 E, #202 Oquirrh Family Practice Tooele, UT 84074 Greenberg, Johanna PA C 230 S Main St Trudel, Ronald Raymond MD C Phone: (435) 843-8380 UUHC Stansbury Clinic Tooele, UT 84074 Tooele Clinic Corporation UT Healthy Kids Plus 220 Millpond Rd, #100 Phone: (435) 882-2692 1959 N Aaron Dr, #C Stansbury Park, UT 84074 UT Healthy Kids Plus Tooele, UT 84074 Haroutunian, G Greg MD D Phone: (435) 843-3000 Phone: (435) 882-1644 196 E 2000 N, #110 UT Healthy Kids Plus Salari, Ali DO C Languages Spoken: French Tooele, UT 84074 UUHC Stansbury Clinic UT Healthy Kids Plus Phone: (435) 882-7644 Jarvis, Chad S PA C 220 Millpond Rd, #100 Languages Spoken: Armenian, Mountain West Family Practice Stansbury Park, UT 84074 Obstetrics and Russian, Spanish 2356 N 400 E, #201 Phone: (435) 843-3000 UT Healthy Kids Plus Tooele, UT 84074 UT Healthy Kids Plus Gynecology Phone: (435) 882-2350 McMillan, Heidi Susan MD C UT Healthy Kids Plus Seibert, Hilary Smith DO C Anders, Krista Jean MD C Stansbury Family Medicine UUHC Stansbury Clinic Mountain West OB/GYN 210 Millpond Rd Powell, Melinda PA C 220 Millpond Rd, #100 196 E 2000 N, #107 Tooele, UT 84074 Mountain West Family Practice Stansbury Park, UT 84074 Tooele, UT 84074 Phone: (435) 843-3647 2356 N 400 E, #202 Phone: (435) 843-3000 Phone: (435) 843-3678 Languages Spoken: Russian Tooele, UT 84074 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 882-2350 UT Healthy Kids Plus Spector, Jay M MD C Archer, Cullen J MD C McMillan, Heidi Susan MD C Oasis Family Medicine All Season Obstetrics and Stansbury Pediatrics Rowan, Ryan David PA C 1929 N Aaron Dr, #I Gynecology 210 Millpond Rd Mountain West Family Practice Tooele, UT 84074 196 E 2000 N, #104 Tooele, UT 84074 2356 N 400 E, #202 Phone: (435) 833-0229 Tooele, UT 84074 Phone: (435) 843-3647 Tooele, UT 84074 UT Healthy Kids Plus Phone: (435) 843-2576 Languages Spoken: Russian Phone: (435) 882-2350 UT Healthy Kids Plus UT Healthy Kids Plus Languages Spoken: Spanish UT Healthy Kids Plus Family Nurse Archer, Sandra V MD C Smith, Elizabeth Rowe MD C Practitioner All Season Obstetrics and UUHC Stansbury Clinic Syddall, Tracy PA C Gynecology 220 Millpond Rd, #100 UUHC Stansbury Clinic Dustin, Curtis Rydell NP C 196 E 2000 N, #104 Stansbury Park, UT 84074 220 Millpond Rd, #100 Tooele Clinic Corporation Tooele, UT 84074 Phone: (435) 843-3000 Stansbury Park, UT 84074 1959 N Aaron Dr, #C Phone: (435) 843-2576 Languages Spoken: French, Phone: (435) 843-3000 Tooele, UT 84074 UT Healthy Kids Plus Spanish UT Healthy Kids Plus Phone: (435) 882-1644 UT Healthy Kids Plus UT Healthy Kids Plus Robinson, Dawn O MD C Mountain West OB/GYN Jacobs-Peterson, Lu Ann NP C 196 E 2000 N, #107 Physician Assistant Uintah County Cedar Creek Family Health Care Tooele, UT 84074 Aldridge, Rebekah Ruth PA C 453 N Main St, #A Phone: (435) 843-3678 Family Medicine Tooele, UT 84074 UT Healthy Kids Plus Grantsville Medical Clinic Phone: (435) 843-5700 822 E Main St, #7 Anderson, Rodney S MD C UT Healthy Kids Plus Vered, Eldad MD C Grantsville, UT 84029 Basin Medical Clinic Deseret Peak Women’s Center Phone: (435) 884-3578 379 N 500 W, #1A Reynolds, Brand Paxton NP C 1959 N Aaron Dr, #A UT Healthy Kids Plus Vernal, UT 84078 Advanced Practice Medical Clinic Tooele, UT 84074 Atkin, Jonathan David PA C Phone: (435) 789-1165 491 N Main St Phone: (435) 843-3642 UT Healthy Kids Plus Tooele, UT 84074 UT Healthy Kids Plus Mountain West Family Practice Phone: (435) 843-8881 2356 N 400 E, #201 Arnold, Laura B MD C Languages Spoken: Spanish Vered, Eldad MD D Tooele, UT 84074 Basin Medical Clinic UT Healthy Kids Plus Healthcare for Women Phone: (435) 882-2350 379 N 500 W, #1A 2376 N 400 E, #201 UT Healthy Kids Plus Vernal, UT 84078 Tooele, UT 84074 Bonjour, Lauren PA C Phone: (435) 789-1165 Phone: (435) 882-1433 Grantsville Medical Clinic UT Healthy Kids Plus UT Healthy Kids Plus 822 E Main St, #7 Grantsville, UT 84029 Phone: (435) 884-3578 UT Healthy Kids Plus 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 Uintah UPrimary Care Providers Network tah Breitenbach, Karl L MD C Lewis, Henry MD C Krebs, Jennifer J CNM C Basin Medical Clinic Tarheel OBGYN Utah County CUC - Pleasant Grove - Womens 379 N 500 W, #1A 150 W 100 N, #S103 Health Vernal, UT 84078 Vernal, UT 84078 1866 W 800 N Phone: (435) 789-1165 Phone: (435) 781-1011 Advanced Practice Pleasant Grove, UT 84062 Languages Spoken: Spanish UT Healthy Kids Plus Midwife Phone: (801) 756-5288 UT Healthy Kids Plus UT Healthy Kids Gould, Melinda CNM D Olsen, Michael MD C Pediatrics CUC - Pleasant Grove - Womens Nelson, Erica C CNM C Basin Medical Clinic Allen, Louis S MD D Health CUC - Pleasant Grove - Womens 379 N 500 W, #1A Children with Special Healthcare 1886 W 800 N Health Vernal, UT 84078 Needs Pleasant Grove, UT 84062 1886 W 800 N Phone: (435) 789-1165 147 E Main St Phone: (801) 756-5288 Pleasant Grove, UT 84062 Languages Spoken: Spanish Vernal, UT 84078 UT Healthy Kids Phone: (801) 756-5288 UT Healthy Kids Plus UT Healthy Kids Phone: (435) 781-5475 Haddy, Jessica Lynn CNM C Parker II, Alma L MD C UT Healthy Kids Plus CUC - Pleasant Grove - Womens Nelson, Erica C CNM C 175 N 100 W, #105 Delavan, George W MD D Health CUC - Saratoga Springs Vernal, UT 84078 Children with Special Healthcare 1886 W 800 N 1305 N Commerce Dr Phone: (435) 781-6300 Needs Pleasant Grove, UT 84062 Saratoga Springs, UT 84045 UT Healthy Kids Plus 147 E Main St Phone: (801) 756-5288 Phone: (801) 753-7424 Vernal, UT 84078 Languages Spoken: Spanish UT Healthy Kids Shurtliff, Shaun C DO C UT Healthy Kids Ashley Valley Family Practice Phone: (435) 781-5475 Rizk, Abigail Hattie CNM D 175 N 100 W, #104 UT Healthy Kids Plus Haddy, Jessica Lynn CNM C CUC - Pleasant Grove - Womens Vernal, UT 84078 Gelske, Tracy Brooke MD C CUC - Saratoga Springs Health Phone: (435) 781-8899 Dinosaurland Pediatrics 1305 N Commerce Dr 1886 W 800 N UT Healthy Kids Plus 175 N 100 W, #106 Saratoga Springs, UT 84045 Pleasant Grove, UT 84062 Vernal, UT 84078 Phone: (801) 753-7424 Phone: (801) 756-5288 Family Medicine Phone: (435) 789-9060 Languages Spoken: Spanish Languages Spoken: Spanish UT Healthy Kids Plus UT Healthy Kids UT Healthy Kids Woodward, Kirk J MD C Basin Medical Clinic Gooch III, Willis Manford MD C Hardy, Kathryn CNM C Rizk, Abigail Hattie CNM D 379 N 500 W, #1A Dinosaurland Pediatrics Canyonview Family Practice CUC - Saratoga Springs Vernal, UT 84078 175 N 100 W, #106 3200 N Canyon Rd, #C 1305 N Commerce Dr Phone: (435) 789-1165 Vernal, UT 84078 Provo, UT 84604 Saratoga Springs, UT 84045 UT Healthy Kids Plus Phone: (435) 789-9060 Phone: (801) 373-7373 Phone: (801) 753-7424 UT Healthy Kids Plus UT Healthy Kids Languages Spoken: Spanish Family Nurse UT Healthy Kids Kwak, Daniel J MD C Hardy, Kathryn CNM C Practitioner Dinosaurland Pediatrics CUC - Pleasant Grove - Womens Walker, Jennifer Page CNM C 175 N 100 W, #106 Health CUC - Pleasant Grove - Womens Olsen, Amy APRN C Vernal, UT 84078 1866 W 800 N Health Basin Medical Clinic Phone: (435) 789-9060 Pleasant Grove, UT 84062 1886 W 800 N 379 N 500 W, #1A UT Healthy Kids Plus Phone: (801) 756-5288 Pleasant Grove, UT 84062 Vernal, UT 84078 UT Healthy Kids Phone: (801) 756-5288 Phone: (435) 789-1165 Laquinte, Vanessa MD C UT Healthy Kids UT Healthy Kids Plus Dinosaurland Pediatrics Hardy, Kathryn CNM C 175 N 100 W, #106 CUC - Saratoga Springs Walker, Jennifer Page CNM C Price, Torilynn APRN C Vernal, UT 84078 1305 N Commerce Dr CUC - Saratoga Springs Basin Medical Clinic Phone: (435) 789-9060 Saratoga Springs, UT 84045 1305 N Commerce Dr, #120 379 N 500 W, #1A UT Healthy Kids Plus Phone: (801) 753-7424 Saratoga Springs, UT 84045 Vernal, UT 84078 UT Healthy Kids Phone: (801) 753-7424 Phone: (435) 789-1165 Lloyd, Michael B MD D UT Healthy Kids UT Healthy Kids Plus Children with Special Healthcare Johnson, Heather A CNM C Needs Aspen OB/GYN Ward, Roberta Lynn CNM C Internal Medicine 147 E Main St 1355 N University Ave, #110 CUC - Pleasant Grove - Womens Vernal, UT 84078 Provo, UT 84604 Health Hughes, Jon W MD C Phone: (435) 781-5475 Phone: (801) 374-5000 1886 W 800 N Ashley Regional Internal Medicine UT Healthy Kids Plus UT Healthy Kids Pleasant Grove, UT 84062 175 N 100 W, #205-A Phone: (801) 756-5288 Vernal, UT 84078 Pollary, Rodney Anthony MD C Killebrew, Claudia CNM D UT Healthy Kids Phone: (435) 789-9272 Dinosaurland Pediatrics CUC - Pleasant Grove - Womens UT Healthy Kids Plus 175 N 100 W, #106 Health Ward, Roberta Lynn CNM C Vernal, UT 84078 1886 W 800 N CUC - Saratoga Springs Obstetrics and Phone: (435) 789-9060 Pleasant Grove, UT 84062 1305 N Commerce Dr UT Healthy Kids Plus Phone: (801) 756-5288 Saratoga Springs, UT 84045 Gynecology UT Healthy Kids Phone: (801) 753-7424 UT Healthy Kids Griffith, John MD C Killebrew, Claudia CNM D 150 W 100 N, #S104 CUC - Saratoga Springs Vernal, UT 84078 1305 N Commerce Dr Phone: (435) 781-1099 Saratoga Springs, UT 84045 UT Healthy Kids Plus Phone: (801) 753-7424 UT Healthy Kids 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 Wright-Bennion, Jennifer CNM C Carn, Thomas R MD D Curtis, Michael Steven MD D Frampton, Robert A MD C CUC - Pleasant Grove - Womens Wasatch Medical Center Tri City Medical Clinic 24 N 100 E Health 575 S State St 275 W 200 N Spanish Fork, UT 84660 1886 W 800 N Orem, UT 84058 Lindon, UT 84042 Phone: (801) 798-5359 Pleasant Grove, UT 84062 Phone: (801) 225-2926 Phone: (801) 796-1333 UT Healthy Kids Phone: (801) 756-5288 UT Healthy Kids UT Healthy Kids UT Healthy Kids Frandsen, Tracy M MD D Cherrington, Steven Brent DO D Curtis, Michael Steven MD D Spanish Fork Clinic Wright-Bennion, Jennifer CNM C Tri City Medical Clinic Tri City Medical Clinic 325 W Center St CUC - Saratoga Springs 275 W 200 N 830 N 2000 W Spanish Fork, UT 84460 1305 N Commerce Dr Lindon, UT 84042 Pleasant Grove, UT 84062 Phone: (801) 798-7301 Saratoga Springs, UT 84045 Phone: (801) 796-1333 Phone: (801) 756-3511 UT Healthy Kids Phone: (801) 753-7424 UT Healthy Kids UT Healthy Kids UT Healthy Kids Fuller, Glen R MD D Chipman, Stephen Bret MD C Curtis, Michael Steven MD C Tri City Medical Clinic Stone Creek Family Practice Tri City Medical Physical Therapy 830 N 2000 W Family Medicine 910 E 100 N, #105 447 E 1000 S Pleasant Grove, UT 84062 Archer, Frank Jay MD D Payson, UT 84651 Pleasant Grove, UT 84062 Phone: (801) 756-3511 Utah County Medical Associates Phone: (801) 465-1555 Phone: (801) 756-3511 UT Healthy Kids UT Healthy Kids UT Healthy Kids 97 S Professional Way, #2 Grover, Bruce B MD C Payson, UT 84651 Clark, Robert B MD C Dayton, Elizabeth Anne MD D MountainLands Community Phone: (801) 465-4896 Mountain View Family Medicine Utah County Medical Associates Health Center Languages Spoken: Spanish 97 S Professional Way, #2 15 S 1000 E, #300 589 S State St UT Healthy Kids Payson, UT 84651 Payson, UT 84651 Provo, UT 84606 Bench, Pahl G MD C Phone: (801) 465-4896 Phone: (801) 465-4896 Phone: (801) 429-2000 MountainLands Community UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Health Center Clark, Robert B MD C Dayton, Elizabeth Anne MD D 589 S State St Utah County Medical Associates Utah County Medical Associates Hafen, David Kartchner MD C Provo, UT 84606 15 S 1000 E , #300 97 S Professional Way, #2 American Fork Clinic Phone: (801) 429-2000 Payson, UT 84651 Payson, UT 84651 226 N 1100 E, #A UT Healthy Kids Phone: (801) 465-4896 Phone: (801) 465-4896 American Fork, UT 84003 Berry, Steven L MD C UT Healthy Kids UT Healthy Kids Phone: (801) 855-3850 UT Healthy Kids Cascade Family Medicine Concoby, Dennis Michael DO C Delaney, George R MD C 173 N 400 W, #C11 Elk Ridge Family Practice MountainLands Community Hafen, Mark Kartchner MD C Orem, UT 84057 1172 E 100 N, #11 Health Center American Fork Clinic Phone: (801) 802-7373 Payson, UT 84651 589 S State St 226 N 1100 E, #A UT Healthy Kids Phone: (801) 465-6100 Provo, UT 84606 American Fork, UT 84003 Bingham, Jared Lee MD C UT Healthy Kids Phone: (801) 429-2000 Phone: (801) 855-3848 Santaquin Medical Clinic Languages Spoken: Spanish Languages Spoken: German Corry Jr, Elwood Jones MD D UT Healthy Kids UT Healthy Kids 94 W Main St Tri City Medical Clinic Santaquin, UT 84655 830 N 2000 W Doyle, Sean Cameron DO D Harrison, Heather R DO C Phone: (801) 754-3122 Pleasant Grove, UT 84062 Tri City Medical Clinic CUC - Provo - Family Medicine UT Healthy Kids Phone: (801) 756-3511 275 W 200 N 1055 N 500 W, #212 Bott, Wesley S DO C UT Healthy Kids Lindon, UT 84042 Provo, UT 84604 Santaquin Medical Clinic Phone: (801) 796-1333 Phone: (801) 812-5033 Cosgrave, Michael L MD C UT Healthy Kids UT Healthy Kids 94 W Main St American Fork Clinic Santaquin, UT 84655 226 N 1100 E, #A Doyle, Sean Cameron DO D Harrison, Heather R DO D Phone: (801) 754-3122 American Fork, UT 84003 Tri City Medical Clinic Grandview Family Medicine UT Healthy Kids Phone: (801) 855-3840 830 N 2000 W 1959 N State St Bott, Wesley S DO C UT Healthy Kids Pleasant Grove, UT 84062 Provo, UT 84604 Spanish Fork Clinic Phone: (801) 756-3511 Phone: (801) 373-2001 Crump, Kenneth Lyle MD C UT Healthy Kids UT Healthy Kids 325 W Center St Crossroads Family Medicine Spanish Fork, UT 84660 1305 N Commerce Dr, #120 Fernandez, Salvador MD C Hillam, David R MD C Phone: (801) 798-7301 Saratoga Springs, UT 84045 MountainLands Community UUHC Parkway Clinic UT Healthy Kids Phone: (801) 766-2121 Health Center 145 W University Pkwy Brockbank, Roger D MD C UT Healthy Kids 589 S State St Orem, UT 84058 Tri City Medical Clinic Provo, UT 84606 Phone: (801) 234-8600 Crump, Kenneth Lyle MD C Phone: (801) 429-2000 UT Healthy Kids 275 W 200 N Lakeview Family Medicine Lindon, UT 84042 Languages Spoken: Spanish 811 N 900 W UT Healthy Kids Hogenson, Eric M MD D Phone: (801) 796-1333 Orem, UT 84057 Spanish Fork Clinic UT Healthy Kids Phone: (801) 434-7600 Fernandez, Salvador MD C 325 W Center St Brockbank, Roger D MD C UT Healthy Kids MountainLands Community Spanish Fork, UT 84660 Tri City Medical Clinic Health Center Phone: (801) 798-7301 830 N 2000 W 910 E 100 N, #155 UT Healthy Kids Pleasant Grove, UT 84062 Payson, UT 84651 Phone: (801) 756-3511 Phone: (801) 465-1890 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids 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 Hoggard, Timo J MD C Lundell, Randy R DO C Money, Nolan B MD C Penrod, Marc Allan MD C American Fork Clinic Mountain Springs Family Utah County Medical Associates Art City Family Medical Center 226 N 1100 E, #A Medicine 97 S Professional Way, #2 5 E 400 N American Fork, UT 84003 468 S Main St Payson, UT 84651 Springville, UT 84663 Phone: (801) 855-3850 Spanish Fork, UT 84660 Phone: (801) 465-4896 Phone: (801) 489-8464 UT Healthy Kids Phone: (801) 504-6117 UT Healthy Kids UT Healthy Kids UT Healthy Kids Holmes, Richard J MD C Mower, Douglas R MD C Peterson, David Noel MD D Cottontree Family Practice Lytle, Carter Sanders MD D American Fork Clinic Wasatch Medical Center 2230 N University Pkwy, #1A Spanish Fork Clinic 226 N 1100 E, #A 575 S State St Provo, UT 84604 325 W Center St American Fork, UT 84003 Orem, UT 84058 Phone: (801) 377-3413 Spanish Fork, UT 84660 Phone: (801) 855-3841 Phone: (801) 225-2926 Languages Spoken: Spanish Phone: (801) 798-7301 Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Peterson, Scott David MD D Johnson, Cheryl Anne MD C MacArthur, Toran James MD C Murdock, Kenneth Joe MD C Wasatch Medical Center American Fork Clinic American Fork Clinic American Fork Clinic 575 S State St 226 N 1100 E, #A 226 N 1100 E, #A 226 N 1100 E, #A Orem, UT 84058 American Fork, UT 84003 American Fork, UT 84003 American Fork, UT 84003 Phone: (801) 225-2926 Phone: (801) 768-1699 Phone: (801) 768-1699 Phone: (801) 855-3841 UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Porter, Stuart Brent DO D Johnson, Cheryl Anne MD C MacArthur, Toran James MD C Ngatuvai, Tauaina James MD C Integrative Medical Associates American Fork Clinic Lehi Medical Clinic American Fork Clinic 3650 N University Ave, #200 680 E Main St 680 E Main St 226 N 1100 E, #A Provo, UT 84604 Lehi, UT 84043 Lehi, UT 84043 American Fork, UT 84003 Phone: (801) 375-7100 Phone: (801) 768-1699 Phone: (801) 768-1699 Phone: (801) 768-1699 UT Healthy Kids UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Robinson, Aaron M MD C Johnson, George Brent MD C McBride, Brayden MD C 1959 N State St American Fork Clinic Art City Family Medical Center Ngatuvai, Tauaina James MD C Provo, UT 84604 226 N 1100 E, #A 5 E 400 N Lehi Medical Clinic Phone: (801) 373-2001 American Fork, UT 84003 Springville, UT 84663 680 E Main St Languages Spoken: Spanish Phone: (801) 855-3843 Phone: (801) 489-8464 Lehi, UT 84043 UT Healthy Kids UT Healthy Kids UT Healthy Kids Phone: (801) 768-1699 Languages Spoken: Spanish Rose Jr, James J MD D Jones, Justin Earl MD C McLay, Michael S MD C UT Healthy Kids Spanish Fork Clinic CUC - Provo - Family Medicine Art City Family Medical Center 325 W Center St 1055 N 500 W, #212 5 E 400 N Noonan, Erika M MD C Spanish Fork, UT 84660 Provo, UT 84604 Springville, UT 84663 American Fork Clinic Phone: (801) 798-7301 Phone: (801) 812-5033 Phone: (801) 486-8464 226 N 1100 E, #A UT Healthy Kids UT Healthy Kids Languages Spoken: French American Fork, UT 84003 UT Healthy Kids Phone: (801) 855-3843 Savage, Shelly Lynne MD C Juchau, Jeffrey Jay MD C UT Healthy Kids Grandview Family Medicine Spanish Fork Clinic Mcmanus, Shawn Patrick DO C 1959 N State St 325 W Center St Lehi Medical Clinic Ogden, Lida Jimena MD C Provo, UT 84604 Spanish Fork, UT 84660 680 E Main St UUHC Parkway Clinic Phone: (801) 373-2001 Phone: (801) 798-7301 Lehi, UT 84043 145 W University Pkwy UT Healthy Kids UT Healthy Kids Phone: (801) 768-1699 Orem, UT 84058 UT Healthy Kids Phone: (801) 234-8600 Skousen, Gale J MD C Kennedy, Michael S MD C Languages Spoken: Spanish Utah County Medical Associates UUHC Parkway Clinic McMaster, Ian Bruce MD C UT Healthy Kids 97 S Professional Way, #2 145 W University Pkwy Hobble Creek Medical Clinic Payson, UT 84651 Orem, UT 84058 269 E 400 S, #2 Olsen, Maynard MD C Phone: (801) 465-4896 Phone: (801) 234-8600 Springville, UT 84663 Wasatch Medical Center Languages Spoken: Spanish UT Healthy Kids Phone: (801) 491-9883 575 S State St UT Healthy Kids Languages Spoken: Spanish Orem, UT 84058 LeSueur, Bret Nielsen DO C UT Healthy Kids Phone: (801) 225-2926 Smith, Garrett Bona DO D Art City Family Medical Center Languages Spoken: Spanish Tri City Medical Clinic 5 E 400 N Midgley, Melinda M MD D UT Healthy Kids 275 W 200 N Springville, UT 84663 Tri City Medical Clinic Lindon, UT 84042 Phone: (801) 489-8464 830 N 2000 W Payne, Wendy Jade MD C Phone: (801) 796-1333 UT Healthy Kids Pleasant Grove, UT 84062 Crossroads Family Medicine Languages Spoken: Spanish Phone: (801) 756-3511 1305 Commerce Dr, #120 UT Healthy Kids Liddle, Joseph Brent MD D UT Healthy Kids Saratoga Springs, UT 84045 Tri City Medical Clinic Phone: (801) 766-2121 Smith, Garrett Bona DO D 830 N 2000 W Miner, Joseph Kay MD C UT Healthy Kids Tri City Medical Clinic Pleasant Grove, UT 84062 Health Clinics of Utah 830 N 2000 W Phone: (801) 756-3511 150 E Center St, #1100 Payne, Wendy Jade MD C Pleasant Grove, UT 84062 UT Healthy Kids Provo, UT 84606 Lakeview Family Medicine Phone: (801) 756-3511 Phone: (801) 374-7011 811 N 900 W Languages Spoken: Spanish Languages Spoken: Spanish Orem, UT 84057 UT Healthy Kids UT Healthy Kids Phone: (801) 434-7600 UT Healthy Kids 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 Smith, Scott Leroy MD D White, Vernon F MD C Mohlman, Susan E NP C Greenwood, Ryan Fox MD D Tri City Medical Clinic MountainLands Community Spanish Fork Clinic CUC - Payson - Internal Medicine 830 N 2000 W Health Center 325 W Center St & Pulmonary Pleasant Grove, UT 84062 589 S State St Spanish Fork, UT 84460 1120 E 100 N, #1 Phone: (801) 756-3511 Provo, UT 84606 Phone: (801) 798-7301 Payson, UT 84651 Languages Spoken: Spanish Phone: (801) 429-2000 UT Healthy Kids Phone: (801) 465-1813 UT Healthy Kids UT Healthy Kids UT Healthy Kids Robinson, Janice H APRN C Takasaki, Roman Yasuo MD C Willis Jr, Marshall F MD D Lakeview Family Medicine Hathaway, Bruce N MD C Spanish Fork Clinic Tri City Medical Clinic 811 N 900 W 777 N 500 W, #104 325 W Center St 830 N 2000 W Orem, UT 84057 Provo, UT 84601 Spanish Fork, UT 84660 Pleasant Grove, UT 84062 Phone: (801) 434-7600 Phone: (801) 374-9299 Phone: (801) 798-7301 Phone: (801) 756-3511 UT Healthy Kids Languages Spoken: German UT Healthy Kids UT Healthy Kids UT Healthy Kids Whittaker, Kay C NP C Taylor, John Stewart MD C Woodmansee, James A MD C Spanish Fork Clinic Huddleston, Jason Mark MD C Art City Family Medical Center Cottontree Family Practice 325 W Center St CUC - AF - Internal Medicine 5 E 400 N 2230 N University Pkwy, #1A Spanish Fork, UT 84660 1175 E 50 S, #241 Springville, UT 84663 Provo, UT 84604 Phone: (801) 798-7301 American Fork, UT 84003 Phone: (801) 489-8464 Phone: (801) 377-3413 UT Healthy Kids Phone: (801) 492-5999 UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish Internal Medicine UT Healthy Kids Tipton, David J MD D Family Nurse Utah County Medical Associates Anderson, Kirk R MD C Johnson, Jeffrey W MD C 15 S 1000 E , #300 Practitioner CUC - Provo - Internal Medicine CUC - Provo - Internal Medicine Payson, UT 84651 1055 N 500 W, #212 1055 N 500 W, #212 Phone: (801) 465-4896 Berry, Judith A NP C Provo, UT 84604 Health Clinics of Utah Provo, UT 84604 UT Healthy Kids Phone: (801) 374-2362 Phone: (801) 374-2362 150 E Center St, #1100 UT Healthy Kids Tipton, David J MD D Provo, UT 84606 Languages Spoken: Spanish Utah County Medical Associates Phone: (801) 374-7011 UT Healthy Kids Kielar, Mariusz Lewlaw MD C 39 Professional Way, #3 UT Healthy Kids Bennion, David F MD D CUC - Provo - Nephrology Payson, UT 84651 1055 N 500 W, #222 Cate, Rebecca Sue NP C CUC - Payson - Internal Medicine Phone: (801) 465-9263 & Pulmonary Provo, UT 84604 UT Healthy Kids Health Clinics of Utah Phone: (801) 377-4623 150 E Center St, #1100 1120 E 100 N, #1 Payson, UT 84651 Languages Spoken: Polish Tipton, David J MD D Provo, UT 84606 UT Healthy Kids Utah County Medical Associates Phone: (801) 374-7011 Phone: (801) 465-4813 97 S Professional Way, #2 UT Healthy Kids UT Healthy Kids Kimball, Chad Brigham MD C Payson, UT 84651 Corbett, Edward Reed MD C CUC - Provo - Internal Medicine Phone: (801) 465-4896 Gasser, Brian Dell NP C 1055 N 500 W, #212 Aspen Dermatology CUC - Orem - Internal Medicine UT Healthy Kids 700 W 800 N, #400 Provo, UT 84604 114 E 800 N Phone: (801) 374-2362 Tomco, Abraham Robert MD C Spanish Fork, UT 84660 Orem, UT 84057 Phone: (801) 221-8811 Languages Spoken: Italian CUC - Provo - Family Medicine Phone: (801) 794-1490 UT Healthy Kids 1055 N 500 W, #212 UT Healthy Kids UT Healthy Kids Provo, UT 84604 Leroy, Ellis W MD D Gasser, Brian Dell NP C Corniea, Robert E MD C Phone: (801) 812-5033 CUC - Provo - Internal Medicine CUC - Payson - Internal Medicine UT Healthy Kids Aspen Dermatology & Pulmonary 123 N 500 E 1055 N 500 W, #212 Provo, UT 84604 1120 E 100 N, #1 Voss, William David DO C Payson, UT 84651 Payson, UT 84651 Utah County Medical Associates Phone: (801) 465-8001 Phone: (801) 374-2362 UT Healthy Kids Phone: (801) 465-4813 376 E 400 S UT Healthy Kids Languages Spoken: Spanish Springville, UT 84663 Gasser, Brian Dell NP C Curzon, Sean Robert DO C UT Healthy Kids Phone: (801) 465-4896 CUC - Orem - Internal Medicine UT Healthy Kids 772 E 100 N, #6 Ling, Yun MD C Payson, UT 84651 700 W 800 N, #400 Orem, UT 84057 CUC - AF - Internal Medicine Voss, William David DO C Phone: (801) 376-2052 1175 E 50 S, #241 Utah County Medical Associates UT Healthy Kids Phone: (801) 221-8811 UT Healthy Kids American Fork, UT 84003 97 S Professional Way, #2 Phone: (801) 492-5999 Payson, UT 84651 Hartle, Aaron Christian APRN C 405 S Main St Duros, Peter MD C Languages Spoken: Chinese Phone: (801) 465-4896 CUC - Orem - Internal Medicine UT Healthy Kids UT Healthy Kids Springville, UT 84663 Phone: (801) 491-2238 700 W 800 N, #400 Orem, UT 84057 Lunceford, Troy Adam MD C Walton, Matthew S DO C Languages Spoken: CUC - Payson - Internal Medicine Spanish Fork Clinic Portuguese, Spanish Phone: (801) 221-8811 UT Healthy Kids & Pulmonary 325 W Center St UT Healthy Kids 1120 E 100 N, #1 Spanish Fork, UT 84660 Mickelson, Steven A NP C Fonseca, Walstir H MD C Payson, UT 84651 Phone: (801) 798-7301 CUC - Orem - Internal Medicine Phone: (801) 465-4813 UT Healthy Kids Health Clinics of Utah 150 E Center St, #1100 700 W 800 N, #400 Languages Spoken: Cantonese Provo, UT 84606 Orem, UT 84057 UT Healthy Kids Phone: (801) 374-7011 Phone: (801) 221-8811 Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids 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 Marshall, Kent Grover MD C Staheli, John K MD D Bean, Gregory H MD D Dewey, Steven John MD D CUC - Orem - Internal Medicine Sleep Disorders Center Valley Obstetrics and Gynecology Southwestern OB/GYN 700 W 800 N, #400 3650 N University Ave, #125 750 W 800 N, #200 39 Professional Way, #4 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) 465-9263 UT Healthy Kids Languages Spoken: Languages Spoken: UT Healthy Kids Portuguese Norwegian, Spanish, Merrill, Steven L MD D UT Healthy Kids Swedish Dewey, Steven John MD D 421 N Orem Blvd UT Healthy Kids Southwestern OB/GYN Orem, UT 84057 Obstetrics and 777 N 500 W, #203 Phone: (801) 764-0200 Bean, Gregory H MD D Provo, UT 84651 UT Healthy Kids Gynecology Valley Obstetrics and Gynecology Phone: (801) 375-8889 77 Commerce Dr UT Healthy Kids 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 Drewes, Peter Gilson MD C Internal Medicine 120 N 1220 E, #7 Languages Spoken: Valley Obstetrics and Gynecology 1120 E 100 N, #1 American Fork, UT 84003 Norwegian, Spanish, 585 N 500 W Payson, UT 84651 Phone: (801) 756-9635 Swedish Provo, UT 84601 Phone: (801) 465-4813 Languages Spoken: Japanese, UT Healthy Kids Phone: (801) 374-1801 UT Healthy Kids Spanish Languages Spoken: Spanish UT Healthy Kids Broadbent, David Harrison MD UT Healthy Kids Mitchell, Charles R MD C D Utah Valley Regional Medical Aagard, Robert l MD D 1355 N University Ave, #130 Gamette, Kent R MD C Center Valley Obstetrics and Gynecology Provo, UT 84604 Valley Obstetrics and Gynecology 1034 N 500 W 750 W 800 N, #200 Phone: (801) 373-4649 585 N 500 W Provo, UT 84604 Orem, UT 84058 Languages Spoken: Spanish Provo, UT 84604 Phone: (801) 357-7231 Phone: (801) 374-1801 UT Healthy Kids Phone: (801) 374-1801 UT Healthy Kids Languages Spoken: Japanese, UT Healthy Kids Spanish Broberg, Jeffrey Charles MD D Nobuhara, Lawrence Ken MD C UT Healthy Kids Valley Obstetrics and Gynecology Gamette, Kent R MD C CUC - Provo - Internal Medicine 585 N 500 W Valley Obstetrics and Gynecology 1055 N 500 W, #212 Aagard, Robert l MD D Provo, UT 84604 750 W 800 N, #200 Provo, UT 84604 Valley Obstetrics and Gynecology Phone: (801) 374-1801 Orem, UT 84058 Phone: (801) 374-2362 77 Commerce Dr UT Healthy Kids Phone: (801) 374-1801 UT Healthy Kids Saratoga Springs, UT 84045 UT Healthy Kids Phone: (801) 434-7312 Broberg, Jeffrey Charles MD D Ogden, Jeffrey Gale MD D Languages Spoken: Japanese, Valley Obstetrics and Gynecology Glenn, C Joseph MD D 421 N Orem Blvd Spanish 750 W 800 N, #200 Utah Valley OB/GYN Orem, UT 84057 UT Healthy Kids Orem, UT 84058 1055 N 300 W, #303 Phone: (801) 764-0200 Phone: (801) 374-1801 Provo, UT 84604 Languages Spoken: Spanish Allen, Douglas A MD D UT Healthy Kids Phone: (801) 357-7377 UT Healthy Kids CUC - Pleasant Grove - Womens UT Healthy Kids Health Burnett, Virginia D DO C Olsen, Richard Kent MD D 1886 W 800 N Utah County Medical Associates Gourley, George C DO D CUC - Provo - Internal Medicine Pleasant Grove, UT 84062 15 S 1000 E, #300 1055 N 300 W, #305 1055 N 500 W, #212 Phone: (801) 756-5288 Payson, UT 84651 Provo, UT 84604 Provo, UT 84604 Languages Spoken: Japanese Phone: (801) 465-4893 Phone: (801) 357-7190 Phone: (801) 374-2362 UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Anderson, Cameron D MD C Crouch, Max J MD C Grover, Julie S MD D Ripplinger, Rex F MD C South Valley Obstetrics & Utah County Medical Associates Utah Valley OB/GYN CUC - Provo - Internal Medicine Gynecology 15 S 1000 E, #300 1055 N 300 W, #303 1055 N 500 W, #212 39 Professional Way, #4 Payson, UT 84651 Provo, UT 84604 Provo, UT 84604 Payson, UT 84651 Phone: (801) 465-4896 Phone: (801) 357-7377 Phone: (801) 374-2362 Phone: (801) 465-3201 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids Crouch, Max J MD C Staheli, John K MD D Bean, Gregory H MD D Utah County Medical Associates Jacob, Scott MD C CUC - Provo - Internal Medicine Valley Obstetrics and Gynecology 269 E 400 S Valley Obstetrics and Gynecology 1055 N 500 W, #212 120 N 1220 E, #7 Springville, UT 84663 585 N 500 W Provo, UT 84604 American Fork, UT 84003 Phone: (801) 491-9883 Provo, UT 84604 Phone: (801) 374-2362 Phone: (801) 756-9635 UT Healthy Kids Phone: (801) 374-1801 Languages Spoken: Languages Spoken: UT Healthy Kids Portuguese Norwegian, Spanish, Crouch, Max J MD C UT Healthy Kids Utah County Medical Associates Jacob, Scott MD C Swedish Valley Obstetrics and Gynecology UT Healthy Kids 97 S Professional Way, #2 Staheli, John K MD D Payson, UT 84651 750 W 800 N, #200 Sleep Disorders Center Phone: (801) 465-4896 Orem, UT 84058 3300 N Running Creek Way, UT Healthy Kids Phone: (801) 374-1801 BldgH #200 UT Healthy Kids Lehi, UT 84043 Phone: (801) 753-7400 Languages Spoken: Portuguese UT Healthy Kids 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 Judd, Thomas Elwyn MD C Nance, Steven G MD D Skinner, Reed J MD C Chidester, Todd L NP C University Obstetrics and 285 E 400 S Payson Womens Care Pediatric Care Gynecology Springville, UT 84663 15 S 1000 E, #125 1675 N Freedom Blvd, #3 1355 N University Ave, #110 Phone: (801) 489-0111 Payson, UT 84651 Provo, UT 84604 Provo, UT 84604 UT Healthy Kids Phone: (801) 465-2559 Phone: (801) 377-8000 Phone: (801) 374-5000 Languages Spoken: Spanish UT Healthy Kids Languages Spoken: Spanish Ollerton, Ryan C DO D UT Healthy Kids UT Healthy Kids Valley Obstetrics and Gynecology Cox, Amy Harmer NP C 120 N 1220 E, #7 Thorpe, Jefforey Ruel MD C Pediatric Care Lamoreaux, James Patrick MD D American Fork, UT 84003 Valley Obstetrics and Gynecology 1675 N Freedom Blvd, #3 Valley Obstetrics and Gynecology Phone: (801) 756-9635 585 N 500 W Provo, UT 84604 120 N 1220 E, #7 Languages Spoken: Provo, UT 84604 Phone: (801) 377-8000 American Fork, UT 84003 Portuguese, Spanish, Phone: (801) 374-1801 UT Healthy Kids Phone: (801) 756-9635 Tagalog UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Scott, Elizabeth APRN C UT Healthy Kids Thorpe, Jefforey Ruel MD C Alpine Pediatrics Ollerton, Ryan C DO D Valley Obstetrics and Gynecology 1912 W 930 N Lamoreaux, James Patrick MD D Valley Obstetrics and Gynecology 750 W 800 N, #200 Pleasant Grove, UT 84062 Valley Obstetrics and Gynecology 750 W 800 N, #200 Orem, UT 84058 Phone: (801) 492-1999 750 W 800 N, #200 Orem, UT 84058 Phone: (801) 374-1801 UT Healthy Kids Orem, UT 84058 Phone: (801) 374-1801 UT Healthy Kids Phone: (801) 374-1801 Languages Spoken: Scott, Elizabeth APRN C Languages Spoken: Spanish Portuguese, Spanish, Warner, William Lawrence MD D Alpine Pediatrics UT Healthy Kids Tagalog Payson Womens Care 3231 N 1120 E UT Healthy Kids 15 S 1000 E, #125 Lehi, UT 84043 Lamoreaux, James Patrick MD D Payson, UT 84651 Phone: (801) 768-2800 Valley Obstetrics and Gynecology Ollerton, Ryan C DO D Phone: (801) 465-2559 UT Healthy Kids 77 Commerce Dr Valley Obstetrics and Gynecology UT Healthy Kids Saratoga Springs, UT 84045 77 Commerce Dr Scott, Elizabeth APRN C Phone: (801) 434-7312 Saratoga Springs, UT 84045 Warner, William Lawrence MD C Alpine Pediatrics Languages Spoken: Spanish Phone: (801) 434-7312 Spanish Fork Clinic 77 E Commerce Dr UT Healthy Kids Languages Spoken: 352 W Center St Saratoga Springs, UT 84045 Portuguese, Spanish, Spanish Fork, UT 84660 Phone: (801) 922-9222 Ludlow, David Emil MD C Tagalog Phone: (801) 798-7301 UT Healthy Kids Payson Womens Care UT Healthy Kids UT Healthy Kids 15 S 1000 E, #125 Smith, Michelle D APRN C Payson, UT 84651 Parker, Edward W MD D Weibell, Nicholai J MD C Pediatric Care Phone: (801) 465-2559 CUC - Pleasant Grove - Womens University Obstetrics and 1675 N Freedom Blvd, #3 UT Healthy Kids Health Gynecology Provo, UT 84604 1886 W 800 N 1355 N University Ave, #110 Phone: (801) 377-8000 Ludlow, David Emil MD C Pleasant Grove, UT 84062 Provo, UT 84604 Languages Spoken: Spanish Spanish Fork Clinic Phone: (801) 756-5288 Phone: (801) 374-5000 UT Healthy Kids 325 W Center St UT Healthy Kids Languages Spoken: Spanish Spanish Fork, UT 84460 UT Healthy Kids Pediatrics Phone: (801) 798-7301 Rees, Scott Stephen DO C UT Healthy Kids Valley Obstetrics and Gynecology Wolsey, Brian L MD D Adams, Linda Margrit MD D 585 N 500 W 890 N 500 W Children with Special Healthcare Melendez, Terry D MD D Provo, UT 84604 Provo, UT 84604 Needs Valley Obstetrics and Gynecology Phone: (801) 374-1801 Phone: (801) 357-7090 1034 N 500 W 120 N 1220 E, #7 Languages Spoken: Spanish Languages Spoken: Japanese Provo, UT 84604 American Fork, UT 84003 UT Healthy Kids UT Healthy Kids Phone: (801) 357-7627 Phone: (801) 756-9635 UT Healthy Kids Languages Spoken: Spanish Rees, Scott Stephen DO C Young, David Barton DO C UT Healthy Kids Valley Obstetrics and Gynecology CUC - Pleasant Grove - Womens Adams, Linda Margrit MD D 750 W 800 N, #200 Health Children with Special Healthcare Melendez, Terry D MD D Orem, UT 84058 1886 W 800 N Needs Valley Obstetrics and Gynecology Phone: (801) 374-1801 Pleasant Grove, UT 84062 151 S University Ave 750 W 800 N, #200 Languages Spoken: Spanish Phone: (801) 756-5288 Provo, UT 84601 Orem, UT 84058 UT Healthy Kids UT Healthy Kids Phone: (801) 370-8764 Phone: (801) 374-1801 UT Healthy Kids Languages Spoken: Spanish Skinner, Reed J MD C Pediatric Nurse UT Healthy Kids Art City Family Medical Center Adams, Ross Mitchell DO C 5 E 400 N Practitioner Utah Valley Pediatrics Melendez, Terry D MD D Springville, UT 84663 1355 N University Ave, #210 Valley Obstetrics and Gynecology Blad, Kent D NP C Phone: (801) 489-8464 Pediatric Care Provo, UT 84604 77 Commerce Dr Languages Spoken: Spanish Phone: (801) 373-8930 Saratoga Springs, UT 84045 1675 N Freedom Blvd, #3 UT Healthy Kids Provo, UT 84604 Languages Spoken: Thai Phone: (801) 434-7312 UT Healthy Kids Languages Spoken: Spanish Phone: (801) 377-8000 UT Healthy Kids Languages Spoken: Korean UT Healthy Kids

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 UPrimary Care Providers Network tah Alba, Jesse Aaron MD C Behrmann, Gary L MD C Edwards, William Foster MD D Gunther, Julia Kelsey MD C Alpine Pediatrics 1172 E 100 N, #2 Alpine Pediatrics Alpine Pediatrics 1912 W 930 N Payson, UT 84651 1912 W 930 N 77 E Commerce Dr Pleasant Grove, UT 84062 Phone: (801) 465-4877 Pleasant Grove, UT 84062 Saratoga Springs, UT 84045 Phone: (801) 492-1999 UT Healthy Kids Phone: (801) 492-1999 Phone: (801) 922-9222 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Bennett, DJohn Noran MD D UT Healthy Kids Allen, Louis S MD D Spanish Fork Clinic Hacking, Douglas Wayne MD C Children with Special Healthcare 325 W Center St Edwards, William Foster MD D Utah Valley Pediatrics Needs Spanish Fork, UT 84660 Alpine Pediatrics 171 N 400 W, #C12 1034 N 500 W Phone: (801) 798-7301 77 E Commerce Dr Orem, UT 84057 Provo, UT 84604 UT Healthy Kids Saratoga Springs, UT 84045 Phone: (801) 224-4550 Phone: (801) 357-7627 Phone: (801) 922-9222 Languages Spoken: Spanish UT Healthy Kids Bodnar, Anna S MD D Languages Spoken: Spanish UT Healthy Kids Children with Special Healthcare UT Healthy Kids Allen, Louis S MD D Needs Jensen, Jeffrey Louis MD D Children with Special Healthcare 1034 N 500 W Edwards, William Foster MD D Utah Valley Pediatrics Needs Provo, UT 84604 Alpine Pediatrics 1355 N University Ave, #210 151 S University Ave Phone: (801) 357-7627 3231 N 1120 E Provo, UT 84604 Provo, UT 84601 UT Healthy Kids Lehi, UT 84043 Phone: (801) 373-8930 Phone: (801) 370-8764 Phone: (801) 768-2800 Languages Spoken: Spanish UT Healthy Kids Bodnar, Anna S MD D Languages Spoken: Spanish UT Healthy Kids Children with Special Healthcare UT Healthy Kids Anderson, Bradley Wayne MD C Needs Johnson, David Sterling MD D Utah Valley Pediatrics 151 S University Ave Farnsworth, Richard Y MD C Alpine Pediatrics 1355 N University Ave, #210 Provo, UT 84601 Utah Valley Pediatrics 1912 W 930 N Provo, UT 84604 Phone: (801) 370-8764 1355 N University Ave, #210 Pleasant Grove, UT 84062 Phone: (801) 373-8930 UT Healthy Kids Provo, UT 84604 Phone: (801) 492-1999 Languages Spoken: German Phone: (801) 373-8930 Languages Spoken: Spanish UT Healthy Kids Clayton, Keith Joseph MD C Languages Spoken: Korean UT Healthy Kids 1675 N 200 W, #9C UT Healthy Kids Arnold, Bradley Clark MD C Provo, UT 84604 Johnson, David Sterling MD D Alpine Pediatrics Phone: (801) 377-4800 Foster, Christopher C MD C Alpine Pediatrics 1307 N Commerce Dr, #120 UT Healthy Kids Alpine Pediatrics 3231 N 1120 E Saratoga Springs, UT 84045 1912 W 930 N Lehi, UT 84043 Phone: (801) 922-9222 Clayton, Matthew Joseph MD C Pleasant Grove, UT 84062 Phone: (801) 768-2800 UT Healthy Kids Village Green Pediatrics Phone: (801) 492-1999 Languages Spoken: Spanish 1675 N 200 W, #9C UT Healthy Kids UT Healthy Kids Arnold, Bradley Clark MD C Provo, UT 84604 Alpine Pediatrics Phone: (801) 377-4800 Freestone, James Phillip MD C Johnson, David Sterling MD D 1912 W 930 N Languages Spoken: Russian, Utah Valley Pediatrics Alpine Pediatrics Pleasant Grove, UT 84062 Spanish 171 N 400 W, #C12 77 E Commerce Dr Phone: (801) 492-1999 UT Healthy Kids Orem, UT 84057 Saratoga Springs, UT 84045 UT Healthy Kids Phone: (801) 224-4550 Phone: (801) 922-9222 Conner, Marsena Elaine MD C UT Healthy Kids Languages Spoken: Spanish Arnold, Bradley Clark MD C Utah Valley Pediatrics UT Healthy Kids Alpine Pediatrics 1159 E 200 N, #200 Fullmer, Michael P MD C 3231 N 1120 E American Fork, UT 84003 Utah Valley Pediatrics Johnson, Joseph Michael MD C Lehi, UT 84043 Phone: (801) 756-5209 15 S 1000 E, #200 1675 N 200 W, #9C Phone: (801) 768-2800 UT Healthy Kids Payson, UT 84651 Provo, UT 84604 UT Healthy Kids Phone: (801) 465-2800 Phone: (801) 377-4800 Cornish, Matthew Jared MD C UT Healthy Kids UT Healthy Kids Ashby, Sarah Lyn MD C Utah Valley Pediatrics Utah Valley Pediatrics 716 W 800 N, #300 Glade, Gordon B MD C Jolma, Catherine MD D 1355 N University Ave Orem, UT 84057 Utah Valley Pediatrics Children with Special Healthcare Provo, UT 84604 Phone: (801) 224-0421 1159 E 200 N, #200 Needs Phone: (801) 373-8930 Languages Spoken: Spanish American Fork, UT 84003 151 S University Ave UT Healthy Kids UT Healthy Kids Phone: (801) 756-5209 Provo, UT 84601 Languages Spoken: French Phone: (801) 370-8764 Bailey, Ernest Andrew MD C Devenport, David Scott MD C UT Healthy Kids UT Healthy Kids Utah Valley Pediatrics Hobble Creek Medical Clinic 1355 N University Ave, #210 269 E 400 S, #2 Gunther, Julia Kelsey MD C Jones, Ronald C MD C Provo, UT 84604 Springville, UT 84663 Alpine Pediatrics 3325 N University Ave, #100 Phone: (801) 373-8930 Phone: (801) 491-9883 1912 W 930 N Provo, UT 84604 Languages Spoken: French UT Healthy Kids Pleasant Grove, UT 84062 Phone: (801) 373-1275 UT Healthy Kids Phone: (801) 492-1999 UT Healthy Kids Devenport, Mark Johnathan MD UT Healthy Kids Bartholomew, Jonathen DO C C Keller, Merle L MD C Pediatric Care Hobble Creek Medical Clinic Gunther, Julia Kelsey MD C Santaquin Medical Clinic 1675 N Freedom Blvd, #3 269 E 400 S, #2 Alpine Pediatrics 94 W Main St Provo, UT 84604 Springville, UT 84663 3231 N 1120 E Santaquin, UT 86455 Phone: (801) 377-8000 Phone: (801) 491-9883 Lehi, UT 84043 Phone: (801) 754-3122 Languages Spoken: Czech UT Healthy Kids Phone: (801) 768-2800 Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Utah UPrimary Care Providers Network tah Kendall, Melissa Ann MD C Michalek, George Horacio MD C Peterson, Jonathan Paul MD C Whiting, David Todd MD C Utah Valley Pediatrics Hobble Creek Medical Clinic Utah Valley Pediatrics Alpine Pediatrics 716 W 800 N, #300 269 E 400 S, #2 15 S 1000 E, #200 1912 W 930 N Orem, UT 84057 Springville, UT 84663 Payson, UT 84651 Pleasant Grove, UT 84062 Phone: (801) 224-0421 Phone: (801) 491-9883 Phone: (801) 465-2800 Phone: (801) 492-1999 Languages Spoken: Thai Languages Spoken: Italian, UT Healthy Kids UT Healthy Kids UT Healthy Kids Spanish UT Healthy Kids Simmons, Daniel Glen MD C Whiting, David Todd MD C Knochel, Miguel Luis MD C Utah Valley Pediatrics Alpine Pediatrics Payson Pediatrics Miller, Garron Eugene MD C 171 N 400 W, #C12 3231 N 1120 E 15 S 1000 E, #100 Utah Valley Pediatrics Orem, UT 84057 Lehi, UT 84043 Payson, UT 84651 1355 N University Ave, #210 Phone: (801) 224-4550 Phone: (801) 768-2800 Phone: (801) 465-9480 Provo, UT 84604 Languages Spoken: Spanish UT Healthy Kids Languages Spoken: Spanish Phone: (801) 373-8930 UT Healthy Kids UT Healthy Kids UT Healthy Kids Whiting, David Todd MD C Spencer, Weston Eugene MD C Alpine Pediatrics Knochel, Miguel Luis MD C Miller, Garron Eugene MD C Alpine Pediatrics 77 E Commerce Dr Spanish Fork Clinic Utah Valley Pediatrics 1912 W 930 N Saratoga Springs, UT 84045 325 W Center St 15 S 1000 E, #200 Pleasant Grove, UT 84062 Phone: (801) 922-9222 Spanish Fork, UT 84660 Payson, UT 84651 Phone: (801) 492-1999 UT Healthy Kids Phone: (801) 798-7301 Phone: (801) 465-2800 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Whiting, Michael Don MD C UT Healthy Kids Spencer, Weston Eugene MD C American Fork Pediatrics Mumford, Scott Harris MD C Alpine Pediatrics 48 N 1100 E, #C Knorr, Brett Kelsey MD D Utah Valley Pediatrics 3231 N 1120 E American Fork, UT 84003 Alpine Pediatrics 1159 E 200 N, #200 Lehi, UT 84043 Phone: (801) 492-4333 1912 W 930 N American Fork, UT 84003 Phone: (801) 768-2800 Languages Spoken: Spanish Pleasant Grove, UT 84062 Phone: (801) 756-5209 UT Healthy Kids UT Healthy Kids Phone: (801) 492-1999 UT Healthy Kids UT Healthy Kids Spencer, Weston Eugene MD C Wilcox, Ryan Brent MD C Nielsen, Gregory William MD C Alpine Pediatrics Utah Valley Pediatrics Knorr, Brett Kelsey MD D Utah Valley Pediatrics 77 E Commerce Dr 1159 E 200 N, #200 Alpine Pediatrics 1355 N University Ave, #210 Saratoga Springs, UT 84045 American Fork, UT 84003 3231 N 1120 E Provo, UT 84604 Phone: (801) 922-9222 Phone: (801) 756-5209 Lehi, UT 84043 Phone: (801) 373-8930 UT Healthy Kids Languages Spoken: Phone: (801) 768-2800 UT Healthy Kids Portuguese, Spanish UT Healthy Kids Valdez, Orlando Raymond MD C UT Healthy Kids Nuttall, David C MD C Spanish Fork Clinic Knorr, Brett Kelsey MD D 120 N 1220 E, #1 325 W Center St Wise, Dustin MD C Alpine Pediatrics American Fork, UT 84003 Spanish Fork, UT 84660 Lone Peak Pediatrics 77 E Commerce Dr Phone: (801) 756-6092 Phone: (801) 798-7301 1888 W 800 N Saratoga Springs, UT 84045 UT Healthy Kids UT Healthy Kids Pleasant Grove, UT 84062 Phone: (801) 922-9222 Phone: (801) 492-7851 UT Healthy Kids Pavich, Greg Matthew MD C Vargo, Beverly Luann MD D UT Healthy Kids Alpine Pediatrics Alpine Pediatrics Later, Richard W MD C 1912 W 930 N 1912 W 930 N Wynn, Gregory Scott MD C Utah Valley Pediatrics Pleasant Grove, UT 84062 Pleasant Grove, UT 84062 Utah Valley Pediatrics 1055 N 300 W, #311 Phone: (801) 492-1999 Phone: (801) 492-1999 716 W 800 N, #300 Provo, UT 84604 Languages Spoken: Spanish UT Healthy Kids Orem, UT 84057 Phone: (801) 357-7883 UT Healthy Kids Phone: (801) 224-0421 UT Healthy Kids Vargo, Beverly Luann MD D Languages Spoken: Spanish Pavich, Greg Matthew MD C Alpine Pediatrics UT Healthy Kids Lauret, Michael Henry MD C Alpine Pediatrics 3231 N 1120 E Utah Valley Pediatrics 3231 N 1120 E Lehi, UT 84043 Wynn, John Richard MD C 1355 N University Ave, #210 Lehi, UT 84043 Phone: (801) 768-2800 Utah Valley Pediatrics Provo, UT 84604 Phone: (801) 768-2800 UT Healthy Kids 171 N 400 W, #C12 Phone: (801) 373-8930 Languages Spoken: Spanish Orem, UT 84057 UT Healthy Kids UT Healthy Kids Vargo, Beverly Luann MD D Phone: (801) 224-4550 Alpine Pediatrics Languages Spoken: Spanish LeBras, Michael DO C Pavich, Greg Matthew MD C 77 E Commerce Dr UT Healthy Kids North Valley Pediatrics Alpine Pediatrics Saratoga Springs, UT 84045 212 S 1100 E 77 E Commerce Dr Phone: (801) 922-9222 Zollo, Kenneth Allen MD C American Fork, UT 84003 Saratoga Springs, UT 84045 UT Healthy Kids Pediatric Care Phone: (801) 756-8788 Phone: (801) 922-9222 1675 N Freedom Blvd, #3 Languages Spoken: French Languages Spoken: Spanish Weipert, John D MD C Provo, UT 84604 UT Healthy Kids UT Healthy Kids North Valley Pediatrics Phone: (801) 377-8000 212 S 1100 E UT Healthy Kids McCune, Brian Clark MD C Paxton, Richard Devon MD C American Fork, UT 84003 Utah Valley Pediatrics Spanish Fork Clinic Phone: (801) 756-8788 1305 N Commerce Dr, #230 325 W Center St UT Healthy Kids Saratoga Springs, UT 84043 Spanish Fork, UT 84660 Phone: (801) 407-6500 Phone: (801) 798-7301 UT Healthy Kids Languages Spoken: Portuguese, Spanish UT Healthy Kids 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 Utah WPrimary Care Providers Network asatch Physician Assistant Caldwell, Catherine G PA D Sabey, Aaron Jay PA C Tayler, Gregory P MD C Alpine Pediatrics Alpine Pediatrics 1469 S Hwy 40, #C Abram, Jeffery H PA C 3231 N 1120 E 3231 N 1120 E Heber City , UT 84032 Alpine Pediatrics Lehi, UT 84043 Lehi, UT 84043 Phone: (435) 654-3535 1307 N Commerce Dr, #120 Phone: (801) 768-2800 Phone: (801) 768-2800 Languages Spoken: German Saratoga Springs, UT 84045 UT Healthy Kids UT Healthy Kids UT Healthy Kids Plus Phone: (801) 922-9222 Languages Spoken: Spanish Caldwell, Catherine G PA D Sabey, Aaron Jay PA C Tullis, David T MD C UT Healthy Kids Alpine Pediatrics Alpine Pediatrics Heber Valley Clinic 77 E Commerce Dr 77 E Commerce Dr 1473 S Hwy 40, #E Abram, Jeffery H PA D Saratoga Springs, UT 84045 Saratoga Springs, UT 84045 Heber City, UT 84032 Alpine Pediatrics Phone: (801) 922-9222 Phone: (801) 922-9222 Phone: (435) 654-2500 1912 W 930 N UT Healthy Kids UT Healthy Kids Languages Spoken: Pleasant Grove, UT 84062 Portuguese, Spanish Phone: (801) 492-1999 Clayson, Brett L PA D Syddall, Tracy PA C UT Healthy Kids Plus Languages Spoken: Spanish UUHC Parkway Clinic UUHC Parkway Clinic UT Healthy Kids 145 W University Pkwy 145 W University Pkwy Wilde, Jeffrey Virgil MD C Orem, UT 84058 Orem, UT 84058 Heber Valley Medical Center Abram, Jeffery H PA D Phone: (801) 234-8600 Phone: (801) 234-8600 1485 S Hwy 40 Alpine Pediatrics UT Healthy Kids UT Healthy Kids Heber City, UT 84032 3231 N 1120 E Phone: (435) 654-2500 Lehi, UT 84043 Cox, Kristi Lyn PA C UT Healthy Kids Plus Phone: (801) 768-2800 Alpine Pediatrics Wasatch County Languages Spoken: Spanish 77 E Commerce Dr Family Nurse UT Healthy Kids Saratoga Springs, UT 84045 Phone: (801) 922-9222 Family Medicine Practitioner Bean, Karin Holmes PA D UT Healthy Kids Alpine Pediatrics Berg, Tod L MD C Campbell, Cynthia Lynn NP C 1912 W 930 N Dalling, Ana Melinda PA D 1467 S Hwy 40 Spring Creek Family Medicine Pleasant Grove, UT 84062 Alpine Pediatrics Heber City, UT 84032 728 W 100 S, #1 Phone: (801) 492-1999 1912 W 930 N Phone: (435) 654-6321 Heber City, UT 84032 UT Healthy Kids Pleasant Grove, UT 84062 Languages Spoken: Spanish Phone: (435) 654-4192 Phone: (801) 492-1999 UT Healthy Kids Plus Languages Spoken: Spanish Bean, Karin Holmes PA D Languages Spoken: Spanish UT Healthy Kids Plus Alpine Pediatrics UT Healthy Kids Graham, Wayne R DO C 3231 N 1120 E Heber Valley Clinic Internal Medicine Lehi, UT 84043 Dalling, Ana Melinda PA D 1473 S Hwy 40, #E Phone: (801) 768-2800 Alpine Pediatrics Heber City, UT 84032 Hansen, Marlan L MD C UT Healthy Kids 3231 N 1120 E Phone: (435) 654-2500 Heber Valley Medical Center Lehi, UT 84043 UT Healthy Kids Plus 1485 S Hwy 40 Bean, Karin Holmes PA D Phone: (801) 768-2800 Heber City, UT 84032 Alpine Pediatrics Haderlie, Todd M MD C Languages Spoken: Spanish 1465 S Hwy 40, #A Phone: (435) 654-2500 77 E Commerce Dr UT Healthy Kids UT Healthy Kids Plus Saratoga Springs, UT 84045 Heber City, UT 84032 Phone: (801) 922-9222 Dalling, Ana Melinda PA D Phone: (435) 654-1234 Mitchell, Charles R MD C UT Healthy Kids Alpine Pediatrics Languages Spoken: Spanish, Heber Valley Medical Center 77 E Commerce Dr Swedish 1485 S Hwy 40 Benally, Heather PA D Saratoga Springs, UT 84045 UT Healthy Kids Plus Heber City, UT 84032 Alpine Pediatrics Phone: (801) 922-9222 Lofgran, Brian C MD C Phone: (435) 654-2500 1912 W 930 N Languages Spoken: Spanish UT Healthy Kids Plus Pleasant Grove, UT 84062 UT Healthy Kids Heber Valley Clinic Phone: (801) 492-1999 1473 S Hwy 40, #E UT Healthy Kids Murphy, Melanie Norene PA C Heber City, UT 84032 Pediatrics Lone Peak Pediatrics Phone: (435) 654-2500 D Chamberlain, Michelle Ann MD Benally, Heather PA 1888 W 800 N UT Healthy Kids Plus C Alpine Pediatrics Pleasant Grove, UT 84062 3231 N 1120 E McDonald, Stanton B MD C Wasatch Pediatrics in Heber Valley Phone: (801) 492-7851 35 S 500 E 380 E 1500 S, #201 Lehi, UT 84043 Languages Spoken: Spanish Heber City, UT 84032 Phone: (801) 768-2800 UT Healthy Kids Heber City, UT 84032 UT Healthy Kids Phone: (435) 654-1501 Phone: (435) 657-0101 Petersen, Winston N PA C UT Healthy Kids Plus UT Healthy Kids Plus D Benally, Heather PA Eagle Mountain Family Medicine Larson, David Charles MD C Alpine Pediatrics 1305 N Commerce Dr, #120 Pitts, George D MD C 77 E Commerce Dr Wasatch Medical Clinic Heber Valley Pediatrics Saratoga Springs, UT 84045 35 S 500 E 380 E 1500 S, #201 Saratoga Springs, UT 84045 Phone: (801) 766-2121 Heber City, UT 84032 Phone: (801) 922-9222 Languages Spoken: German, Heber City, UT 84032 UT Healthy Kids Phone: (435) 654-1501 Phone: (435) 657-0101 Spanish UT Healthy Kids Plus UT Healthy Kids Plus Caldwell, Catherine G PA D UT Healthy Kids 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 Healthy Kids Phone: (801) 492-1999 Phone: (435) 654-2500 UT Healthy Kids UT Healthy Kids Plus 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 Wasatch WPrimary Care Providers Network ashington Schaffer, Monica Maria MD C Booth, Craig L MD D Chamberlain, Howard Lee MD C Hardin, Dana Browning MD C Wasatch Pediatrics in Heber Valley IHC Health Center - St George St George Clinic Snow Canyon Clinic 380 E 1500 S, #201 577 S River Rd 736 S 900 E, #203 272 E Center St, #201 Heber City, UT 84032 St George, UT 84790 St George, UT 84790 Ivins, UT 84738 Phone: (435) 657-0101 Phone: (435) 688-6100 Phone: (435) 674-6068 Phone: (435) 986-2300 Languages Spoken: Spanish UT Healthy Kids Plus Languages Spoken: Spanish Languages Spoken: Thai UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Busk, Neal Christian MD C St George Clinic Christian, Mckay Douglas MD C Hinkle, Jack Terrell DO C Physician Assistant 736 S 900 E, #203 St George Clinic 595 S Bluff St, #6 Christensen, Heather H PA C St George, UT 84770 736 S 900 E, #203 St George, UT 84770 Heber Valley Pediatrics Phone: (435) 674-6068 St George, UT 84790 Phone: (435) 628-5851 380 E 1500 S, #201 UT Healthy Kids Plus Phone: (435) 674-6068 UT Healthy Kids Plus UT Healthy Kids Plus Heber City, UT 84032 Cain, Lawrence A MD C Hubbard, Jonathan Pharis DO C Phone: (435) 657-0101 Intermountain River Road Clinic Clark, Stephen E DO C Intermountain River Road Family Languages Spoken: Spanish 577 S River Rd Intermountain River Road Clinic Medicine UT Healthy Kids Plus St George, UT 84790 577 S River Rd 577 S River Rd Phone: (435) 688-6000 St George, UT 84790 St George, UT 84790 Washington County Languages Spoken: Spanish Phone: (435) 688-6000 Phone: (435) 688-6000 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Advanced Practice Callahan, Thomas D MD C Gardner, Jed R MD C Hubbard, Jonathan Pharis DO C Callahan Clinic Intermountain Hurricane Valley St George Clinic Midwife 1240 E 100 S, #15A Clinic 736 S 900 E, #203 C St George, UT 84790 75 N 2260 W St George, UT 84790 Barlow, Martha CNM Phone: (435) 656-5323 Hurricane, UT 84737 Phone: (435) 674-6068 Hildale Health Center UT Healthy Kids Plus Phone: (435) 635-6500 UT Healthy Kids Plus 1065 N Hildale St Languages Spoken: Spanish Hildale, UT 84784 Callahan, Thomas D MD C UT Healthy Kids Plus Last, George Gregory MD C Phone: (435) 874-2217 Dixie Regional Medical Center - Intermountain Hurricane Valley UT Healthy Kids Plus 400 East Goodger, William P MD C Clinic D 544 S 400 E Intermountain Sunset Family 75 N 2260 W Barlow, Shirley J CNM St George, UT 84770 Medicine Hurricane, UT 84737 Hildale Health Center Phone: (435) 688-4343 1739 W Sunset Blvd Phone: (435) 635-6500 1065 N Hildale St UT Healthy Kids Plus St George, UT 84770 Languages Spoken: Italian Hildale, UT 84784 Phone: (435) 634-6000 UT Healthy Kids Plus Phone: (435) 874-2217 Carter, Boyd Allen MD C UT Healthy Kids Plus UT Healthy Kids Plus Intermountain River Road Clinic Middleton, Raymond Jack MD C 577 S River Rd Graff, William Tolley MD C Snow Canyon Clinic Family Medicine St George, UT 84790 630 S 400 E, #101 272 E Center St, #201 Phone: (435) 688-6000 St George, UT 84770 Ivins, UT 84738 Allen, Daniel Jude DO C UT Healthy Kids Plus Phone: (435) 673-9653 Phone: (435) 986-2300 Shivwits Medical Clinic UT Healthy Kids Plus UT Healthy Kids Plus 6109 W 3700 N Carter, Curtis A MD C Ivins, UT 84738 Dixie Regional Medical Center - Graff, William Tolley MD C Moore, Dennis J MD C Phone: (435) 688-8198 400 East Enterprise Valley Medical Clinic Intermountain Sunset Family Languages Spoken: Spanish 544 S 400 E 223 S 200 E Medicine UT Healthy Kids Plus St George, UT 84770 Enterprise, UT 84725 1739 W Sunset Blvd Phone: (435) 688-4343 Phone: (435) 878-2281 St George, UT 84770 Barlow, Lehi S DO C Languages Spoken: Spanish UT Healthy Kids Plus Phone: (435) 634-6000 Hildale Health Center UT Healthy Kids Plus UT Healthy Kids Plus 1065 N Hildale St Gray, Jarid D MD C Hildale, UT 84784 Carter, Curtis MD C Shivwits Medical Clinic Newman, Steven Richard MD C Phone: (801) 572-3750 St George Clinic 6109 W 3700 N Shivwits Medical Clinic Languages Spoken: Spanish 736 S 900 E, #203 Ivins, UT 84738 6109 W 3700 N UT Healthy Kids Plus St George, UT 84790 Phone: (435) 688-8198 Ivins, UT 84738 Phone: (435) 674-6068 UT Healthy Kids Plus Phone: (435) 688-8198 Barton, Scott David MD C Languages Spoken: Spanish UT Healthy Kids Plus St George Clinic UT Healthy Kids Plus Grygla, David Glen DO C 736 S 900 E, #203 Family Healthcare Parson, Broc B DO C St George, UT 84790 Carter, Melvin R MD C 25 N 100 E, #102 Intermountain Hurricane Valley Phone: (435) 674-6068 Hurricane Family Practice St George, UT 84770 Clinic Languages Spoken: Swedish 11 S Main St Phone: (435) 986-2565 75 N 2260 W UT Healthy Kids Plus Hurricane, UT 84737 Languages Spoken: Danish, Hurricane, UT 84737 Phone: (435) 635-9444 Norwegian, Spanish, Phone: (435) 635-6500 Bigham, Thomas Holland DO C Languages Spoken: Spanish Swedish Languages Spoken: Spanish Family Healthcare UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 25 N 100 E, #102 St George, UT 84770 Pendleton, Gus Curtis MD C Phone: (435) 986-2565 St George Clinic Languages Spoken: Spanish 736 S 900 E, #203 UT Healthy Kids Plus St George, UT 84790 Phone: (435) 674-6068 UT Healthy Kids Plus 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 ashington Polson, Drew E MD C Worwood, Danny K MD C Frame, Joshua DO D Patilano Jr, Richard Romero MD Shivwits Medical Clinic Intermountain Hurricane Valley Southwest Internal Medicine C 6109 W 3700 N Clinic 1404 W Sun River Pkwy, #100 Intermountain River Road Clinic Ivins, UT 84738 75 N 2260 W St George, UT 84790 577 S River Rd Phone: (435) 688-8198 Hurricane, UT 84737 Phone: (435) 628-9200 St George, UT 84790 UT Healthy Kids Plus Phone: (435) 635-6500 Languages Spoken: Spanish Phone: (435) 688-6200 Languages Spoken: UT Healthy Kids Plus UT Healthy Kids Plus Schlotterback, Matthew MD C Portuguese IHC Health Center - St George UT Healthy Kids Plus Frame, Joshua DO D Rignell, Robert Paul MD C 577 S River Rd Southwest Internal Medicine 515 S 300 E, #105 St George, UT 84790 Family Nurse 1490 E Foremaster Dr, #210 St George, UT 84770 Phone: (435) 688-6100 St George, UT 84790 Phone: (435) 628-3651 UT Healthy Kids Plus Practitioner Phone: (435) 628-9200 UT Healthy Kids Plus Languages Spoken: Spanish Spanos, Seth Anthony MD C Burnett, Bonnie A APRN C UT Healthy Kids Plus Sabol, Dusan MD C Intermountain River Road Clinic DRMC - Diabetes Clinic Intermountain River Road Clinic 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) 688-6200 UT Healthy Kids Plus UT Healthy Kids Plus St George, UT 84790 UT Healthy Kids Plus Phone: (435) 688-6000 Spanos, Seth Anthony MD C Carter, Kristine Rowe APRN C Languages Spoken: German Sabol, Dusan MD C Intermountain Sunset Family Intermountain Sunset Family UT Healthy Kids Plus Intermountain River Road Internal Medicine Medicine Medicine 1739 W Sunset Blvd 1739 W Sunset Blvd Jones, Thomas Kelly MD C 577 S River Rd St George, UT 84770 St George, UT 84770 Intermountain River Road Clinic St George, UT 84790 Phone: (435) 634-6000 Phone: (435) 634-6000 577 S River Rd Phone: (435) 688-6200 UT Healthy Kids Plus UT Healthy Kids Plus St George, UT 84790 UT Healthy Kids Plus Phone: (435) 688-6000 Staheli, Clark John MD C Davis, Nancy R NP C UT Healthy Kids Plus Smallwood, Julie L MD C St George Clinic St George Clinic Intermountain Sunset Family 736 S 900 E, #203 736 S 900 E, #203 Madsen, Daniel B MD D Medicine St George, UT 84790 St George, UT 84790 Southwest Internal Medicine 1739 W Sunset Blvd Phone: (435) 674-6068 Phone: (435) 674-6068 1404 W Sun River Pkwy, #100 St George, UT 84770 UT Healthy Kids Plus UT Healthy Kids Plus St George, UT 84790 Phone: (435) 868-5500 Phone: (435) 628-9200 UT Healthy Kids Plus Stratford, C Kerry MD C Emett, Penny Ann NP C UT Healthy Kids Plus St George Clinic Intermountain Hurricane Valley Smith, Gordon L MD C 736 S 900 E, #203 Clinic Madsen, Daniel B MD D Intermountain River Road Clinic St George, UT 84790 75 N 2260 W Southwest Internal Medicine 577 S River Rd Phone: (435) 674-6068 Hurricane, UT 84737 1490 E Foremaster Dr, #210 St George, UT 84790 Languages Spoken: German Phone: (435) 635-6500 St George, UT 84790 Phone: (435) 688-6000 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 628-9200 UT Healthy Kids Plus UT Healthy Kids Plus Thompson, Bradley S DO C Holm, Miryam F NP C Warner, Claude A MD C Intermountain River Road Clinic Hildale Health Center Mahajan, Renu Sharma MD C Intermountain River Road Clinic 577 S River Rd 1065 N Hildale St Intermountain River Road Clinic 577 S River Rd St George, UT 84790 Hildale, UT 84784 577 S River Rd St George, UT 84790 Phone: (435) 688-6000 Phone: (435) 874-2217 St George, UT 84790 Phone: (435) 688-6000 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 688-6000 UT Healthy Kids Plus Languages Spoken: Hindi, Welker, Robert W MD C Mcmahon, Kristina Tiffany NP C Punjabi Woolley, Joseph H MD D Advanced Family Medicine Southern Utah Womens Health UT Healthy Kids Plus Southwest Internal Medicine 195 W Telegraph St Center 1404 W Sun River Pkwy, #100 Washington, UT 84780 515 S 300 E, #206 McDonald, Kent B MD C St George, UT 84790 Phone: (435) 628-4444 St George, UT 84770 515 S 300 E, #105 Phone: (435) 628-9200 Languages Spoken: Spanish Phone: (435) 628-1662 St George, UT 84770 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 628-2814 UT Healthy Kids Plus Woolley, Joseph H MD D Welker, Robert W MD C Whittemore, Karen W NP C Southwest Internal Medicine Dixie Regional Medical Center - Hurricane Family Practice Obray, Cathleen M MD C 1490 E Foremaster Dr, #210 400 East 11 S Main St Intermountain River Road Clinic St George, UT 84790 544 S 400 E Hurricane, UT 84737 577 S River Rd Phone: (435) 628-9200 St George, UT 84770 Phone: (435) 635-9444 St George, UT 84790 UT Healthy Kids Plus Phone: (435) 688-4343 UT Healthy Kids Plus Phone: (435) 688-6000 UT Healthy Kids Plus UT Healthy Kids Plus Internal Medicine Parkinson, J Scott DO C Barney, William Wesley MD D Intermountain River Road Clinic Heart of Dixie 577 S River Rd 1380 E Medical Center Dr, #4100 St George, UT 84790 St George, UT 84790 Phone: (435) 688-6000 Phone: (435) 251-2900 Languages Spoken: Swedish Languages Spoken: Spanish UT Healthy Kids Plus UT Healthy Kids Plus 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 Washington WPrimary Care Providers Network ashington Obstetrics and Lunt, Chad Curtis MD C Kaddu, Rajiv Jayakumar MD C Twiggs, Jerry Douglas MD C Lunt & Kvarfordt Intermountain Redrock Pediatrics Night Light Pediatrics Gynecology 515 S 300 E, #205 1380 E Medical Center Dr, #3100 1240 E 100 S, #14 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) 628-8034 Center UT Healthy Kids Plus Languages Spoken: Hindi Languages Spoken: Spanish UT Healthy Kids Plus UT Healthy Kids Plus 515 S 300 E, #206 Rogers, Jeffrey G MD C St George, UT 84770 Southern Utah Womens Health Marsden, Michael Clark DO C Walker, Adrianne R MD C Phone: (435) 628-1662 Center Intermountain Redrock Pediatrics Intermountain Redrock Pediatrics UT Healthy Kids Plus 515 S 300 E, #206 1380 E Medical Center Dr, #3100 1380 E Medical Center Dr, #3100 Benham, Brady Nolan MD C St George, UT 84770 St George, UT 84790 St George, UT 84790 Southern Utah Womens Health Phone: (435) 628-1662 Phone: (435) 251-2740 Phone: (435) 251-2740 Center Languages Spoken: German UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 515 S 300 E, #206 Newbold, Scott Gilbert DO C St George, UT 84770 Winward, Tracy Willow MD C Intermountain Sunset Family Physician Assistant Phone: (435) 628-1662 Southern Utah Womens Health Medicine Bean, Thomas Scott PA C Languages Spoken: Spanish Center 1739 W Sunset Blvd Hurricane Family Practice UT Healthy Kids Plus 515 S 300 E, #206 St George, UT 84770 11 S Main St ChalmersIV, Robert Wallace MD St George, UT 84770 Phone: (435) 634-6000 Hurricane, UT 84737 C Phone: (435) 628-1662 Languages Spoken: Spanish Phone: (435) 635-9444 Intermountain Womens Health UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Specialists Pediatric Nurse Nilson, Wendell T MD C Beaumont, Kelly Dean PA C 346 E 600 S Cache Pediatrics Clinic Night Light Pediatrics St George, UT 84770 Practitioner 1490 E Foremaster Dr, #130 1240 E 100 S, #14 Phone: (435) 688-4600 St George, UT 84790 Johnson, Charlotte B APRN C St George, UT 84790 UT Healthy Kids Plus Phone: (435) 634-0055 Phone: (435) 628-8034 Hildale Health Center Languages Spoken: French, Eggert, Joan Vann MD C 1065 N Hildale St UT Healthy Kids Plus Southern Utah Womens Health Spanish Hildale, UT 84784 UT Healthy Kids Plus Heaton, Rex PA C Center Phone: (435) 874-2217 Shivwits Medical Clinic 515 S 300 E, #206 UT Healthy Kids Plus Nygaard, Martin J MD C 6109 W 3700 N St George, UT 84770 Intermountain Redrock Pediatrics Ivins, UT 84738 Phone: (435) 628-1662 McMullin, Karl T APRN C 1380 E Medical Center Dr, #3100 Dixie Pediatrics Phone: (435) 688-8198 UT Healthy Kids Plus St George, UT 84790 UT Healthy Kids Plus 1240 E 100 S, #14 Phone: (435) 251-2740 Fagnant, Robert John MD C St George, UT 84790 Dixie Regional Medical Center - Languages Spoken: Indonesian Hofheins, Bryan Bernell PA C Phone: (435) 628-8232 UT Healthy Kids Plus Dixie Pediatrics MFM Dept Languages Spoken: Spanish 1240 E 100 S, #14 544 S 400 E UT Healthy Kids Plus Nygaard, Martin J MD C St George, UT 84790 St George, UT 84770 Intermountain Sunset Family McMullin, Karl T APRN C Phone: (435) 628-8232 Phone: (435) 688-4000 Medicine UT Healthy Kids Plus Languages Spoken: French Night Light Pediatrics 1739 W Sunset Blvd UT Healthy Kids Plus 1240 E 100 S, #14 St George, UT 84770 MacFarlene, Michelle PA C St George, UT 84790 Phone: (435) 634-6000 Southern Utah Womens Health Fagnant, Robert John MD C Phone: (435) 628-8034 Intermountain Womens Health Languages Spoken: Indonesian Center Languages Spoken: Spanish UT Healthy Kids Plus 515 S 300 E, #206 Specialists UT Healthy Kids Plus St George, UT 84770 346 E 600 S Smith, Kerri N DO C Phone: (435) 628-1662 St George, UT 84770 Pediatrics Dixie Regional Medical Center UT Healthy Kids Plus Phone: (435) 688-4439 544 S 400 E Languages Spoken: French Allen, Louis S MD D St George, UT 84770 McBride, Shauna Lynn PA C UT Healthy Kids Plus Children with Special Healthcare Phone: (435) 688-4770 Family Healthcare C Needs UT Healthy Kids Plus 25 N 100 E, #102 Kvarfordt, Tracy D MD 620 S 400 E, #400 St George, UT 84770 Lunt & Kvarfordt St George, UT 84770 Smith, Kerri N DO C Phone: (435) 986-2565 515 S 300 E, #205 Phone: (435) 986-2559 Intermountain Redrock Pediatrics Languages Spoken: Spanish St George, UT 84770 UT Healthy Kids Plus 1380 E Medical Center Dr, #3100 UT Healthy Kids Plus Phone: (435) 674-0999 St George, UT 84790 UT Healthy Kids Plus Carbone, Paul Sean MD D Phone: (435) 251-2740 Pearson, Adon L PA C C Children with Special Healthcare UT Healthy Kids Plus Family Healthcare Lash, Stephen David MD Needs 25 N 100 E, #102 IHC Health Center - Hurricane 620 S 400 E, #400 Twiggs, Jerry Douglas MD C St George, UT 84770 90 S 700 W St George, UT 84770 Dixie Pediatrics Phone: (435) 986-2565 Hurricane, UT 84737 Phone: (435) 986-2559 1240 E 100 S, #14 Languages Spoken: Spanish Phone: (435) 635-7227 Languages Spoken: Spanish St George, UT 84790 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 628-8232 Languages Spoken: Spanish UT Healthy Kids Plus

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 Washington WPrimary Care Providers Network eber Powell, John Jacob PA D Physician Assistant Robbins, Karina M CNM C Bruce, Stephen J MD C Southwest Internal Medicine Midtown Community Health South Ogden Center for Family 1490 E Foremaster Dr, #210 Millward, Anthony Frederick Center Medicine St George, UT 84790 PA C 2240 Adams Ave 5740 Crestwood Dr Phone: (435) 628-9200 Wayne Community Health Ogden, UT 84401 Ogden, UT 84405 UT Healthy Kids Plus Centers Phone: (801) 393-5355 Phone: (801) 479-7771 128 S 300 W UT Healthy Kids UT Healthy Kids Rossi, Louis PA C Bicknell, UT 84715 Hurricane Family Practice Phone: (435) 425-3744 Campbell, Bryan Joe MD D 11 S Main St UT Healthy Kids Plus Family Medicine IHC McKay Dee Porter Family Hurricane, UT 84737 Amann, Kelly Richard DO D Practice Phone: (435) 635-9444 Ogden Clinic - Roy 4403 Harrison Blvd, #A700 UT Healthy Kids Plus Weber County 3485 W 5200 S Ogden, UT 84403 Roy, UT 84067 Phone: (801) 387-5300 Sorensen, Pamela J PA C UT Healthy Kids Southern Utah Womens Health Adult Health Nurse Phone: (801) 475-3000 UT Healthy Kids Center Practitioner Christiansen, Van G MD D 515 S 300 E, #206 Arbogast, Richard C MD C Ogden Clinic - Canyon View St George, UT 84770 Cox, Marilyn Udy NP C IHC McKay Dee Porter Family 1159 E 12th St Phone: (435) 628-1662 Health Clinics of Utah Practice Ogden, UT 84404 UT Healthy Kids Plus 2540 Washington Blvd, #122 4403 Harrison Blvd, #A700 Phone: (801) 334-3000 Ogden, UT 84401 UT Healthy Kids Wilcken, Julie A PA C Ogden, UT 84403 Phone: (801) 626-3670 Phone: (801) 387-5300 Shivwits Medical Clinic UT Healthy Kids Christiansen, Van G MD D 6109 W 3700 N UT Healthy Kids Ogden Clinic - Harrison Blvd Ivins, UT 84738 Advanced Practice Baires, Enrique P MD D 4650 Harrison Blvd Phone: (435) 688-8198 Ogden Clinic - Canyon View Ogden, UT 84403 UT Healthy Kids Plus Midwife 1159 E 12th St Phone: (801) 479-4621 Ogden, UT 84404 UT Healthy Kids Cox, Guy Taylor CNM C Wayne County 5495 S 500 E, #320 Phone: (801) 334-3000 Christiansen, Van G MD D Ogden, UT 84405 Languages Spoken: Spanish Ogden Clinic - Mountain View Phone: (801) 476-7300 UT Healthy Kids 1100 W 2700 N Family Medicine UT Healthy Kids Baires, Enrique P MD D Pleasant View, UT 84414 Ogden Clinic - Harrison Blvd Phone: (801) 786-4000 Brown, Jeffrey James DO C Francis, Christina Marie CNM C UT Healthy Kids IHC Health Center - Bicknell 5495 S 500 E, #320 4650 Harrison Blvd 128 S 300 W Ogden, UT 84405 Ogden, UT 84403 Christiansen, Van G MD D Bicknell, UT 84715 Phone: (801) 476-7300 Phone: (801) 479-4621 Ogden Clinic - Roy Phone: (435) 425-3744 UT Healthy Kids Languages Spoken: Spanish 3485 W 5200 S UT Healthy Kids Plus UT Healthy Kids Roy, UT 84067 Jones, Catherine Mary CNM C Belfry, Carolyn Chalmers MD D Phone: (801) 475-3000 Brown, Jeffrey James DO C 5495 S 500 E, #310 UT Healthy Kids Wayne Community Health Ogden, UT 84405 Ogden Clinic - Harrison Blvd Centers - Hanksville Phone: (801) 479-0361 4650 Harrison Blvd Clemens, Peter Conver DO D 160 S Highway 95 UT Healthy Kids Ogden, UT 84403 Paramount Medical Care Hanksville, UT 84715 Phone: (801) 475-3000 434 E 5350 S, #B Phone: (435) 425-3744 Knowles, Machel Morris CNM D UT Healthy Kids Ogden, UT 84405 UT Healthy Kids Plus Circle of Life Womens Center Phone: (801) 475-7100 1525 E 6000 S Belfry, Carolyn Chalmers MD D Ogden Clinic - Mountain View Languages Spoken: German Chappell, Leland Jeffery MD C Ogden, UT 84405 UT Healthy Kids Wayne Community Health Phone: (801) 337-5800 1100 W 2700 N Centers UT Healthy Kids Ogden, UT 84414 Gochnour, Gregory L MD D 128 S 300 W Phone: (801) 475-3000 IHC McKay Dee Porter Family Bicknell, UT 84715 Mark, Kathleen C CNM D UT Healthy Kids Practice Circle of Life Womens Center Phone: (435) 425-3744 Belfry, Carolyn Chalmers MD D 4403 Harrison Blvd, #A700 UT Healthy Kids Plus 1525 E 6000 S Ogden, UT 84403 Ogden, UT 84405 Ogden Clinic - Roy 3485 W 5200 S Phone: (801) 387-5300 Chappell, Leland Jeffery MD C Phone: (801) 337-5800 UT Healthy Kids Wayne Community Health UT Healthy Kids Roy, UT 84067 Centers - Hanksville Phone: (801) 475-3000 Gregoire, Richard J MD C 160 S Highway 95 McBride, Karen E CNM D UT Healthy Kids Health Clinics of Utah Circle of Life Womens Center Hanksville, UT 84715 Bledsoe, James Aaron MD C 2540 Washington Blvd, #122 Phone: (435) 425-3744 1525 E 6000 S Ogden, UT 84401 Ogden, UT 84405 South Ogden Center for Family UT Healthy Kids Plus Medicine Phone: (801) 626-3670 Phone: (801) 337-5800 Languages Spoken: Spanish UT Healthy Kids 5740 Crestwood Dr Ogden, UT 84405 UT Healthy Kids Robbins, Karina M CNM C Phone: (801) 479-7771 James Madison Elementary Health Languages Spoken: Spanish Center UT Healthy Kids 781 25th St Ogden, UT 84401 Phone: (801) 393-5355 UT Healthy Kids 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 Gregoire, Richard J MD C Nebeker, Adam Rich MD C Riggs, Brannick Barton MD C Zavala, Jeffrey S MD D James Madison Elementary Health James Madison Elementary Health Rock Run Medical Ogden Clinic - Harrison Blvd Center Center 5991 S 3500 W, #400 4650 Harrison Blvd 781 25th St 781 25th St Roy, UT 84067 Ogden, UT 84403 Ogden, UT 84401 Ogden, UT 84401 Phone: (801) 773-2838 Phone: (801) 479-4621 Phone: (801) 393-5355 Phone: (801) 393-5355 Languages Spoken: German UT Healthy Kids Languages Spoken: Spanish Languages Spoken: UT Healthy Kids UT Healthy Kids Portuguese, Spanish Zavala, Jeffrey S MD D UT Healthy Kids Scharmann, Stephen Daryl MD C Ogden Clinic - Roy Gregoire, Richard J MD C IHC McKay Dee Porter Family 3485 W 5200 S Midtown Community Health Nebeker, Adam Rich MD C Practice Roy, UT 84067 Center Midtown Community Health 4403 Harrison Blvd, #A700 Phone: (801) 475-3000 2240 Adams Ave Center Ogden, UT 84403 UT Healthy Kids Ogden, UT 84403 2240 Adams Ave Phone: (801) 387-5300 Phone: (801) 393-5355 Ogden, UT 84401 UT Healthy Kids Zega, Nancy Jo MD C Languages Spoken: Spanish Phone: (801) 393-5355 Odgen Adult and Senior Medicine UT Healthy Kids Languages Spoken: Schmitz, J David MD D 5405 S 500 E, #100A Portuguese, Spanish Ogden Clinic - Canyon View Ogden, UT 84405 Hassrick, Philip Heyl MD D UT Healthy Kids 1159 E 12th St Phone: (801) 479-2911 Ogden Clinic - Harrison Blvd Ogden, UT 84404 UT Healthy Kids 4650 Harrison Blvd Nemetz, David W MD D Phone: (801) 334-3000 Ogden, UT 84403 Ogden Clinic - Canyon View UT Healthy Kids Family Nurse Phone: (801) 479-4621 1159 E 12th St UT Healthy Kids Ogden, UT 84404 Smith, Rhonda E MD C Practitioner James Madison Elementary Health Phone: (801) 334-3000 Arbon, Brett J NP D Hemmersmeier, John Matthew UT Healthy Kids Center MD C 781 25th St Ogden Clinic - Canyon View Farr West Family Medicine O’Brien, Grace Maria DO D Ogden, UT 84401 1159 E 12th St 2850 N 2000 W, #101 Ogden Clinic - Harrison Blvd Phone: (801) 393-5355 Ogden, UT 84404 Farr West, UT 84404 4650 Harrison Blvd UT Healthy Kids Phone: (801) 334-3000 Phone: (801) 731-1222 Ogden, UT 84403 Languages Spoken: Danish UT Healthy Kids Phone: (801) 479-4621 Stelter, Casey Lawrence MD C UT Healthy Kids UT Healthy Kids Farr West Family Medicine Hemmersmeier, John Matthew 2850 N 2000 W, #101 Arbon, Brett J NP D MD C O’Brien, Grace Maria DO D Ogden, UT 84404 Ogden Clinic - Harrison Blvd South Ogden Center for Family Ogden Clinic - Skyline Phone: (801) 731-1222 4650 Harrison Blvd Medicine 6112 S 1550 E, #101 Languages Spoken: German Ogden, UT 84403 5740 Crestwood Dr Ogden, UT 84405 UT Healthy Kids Phone: (801) 479-4621 Ogden, UT 84405 Phone: (801) 476-8688 Languages Spoken: Danish Phone: (801) 479-7771 UT Healthy Kids Wayment, Nadya P MD C UT Healthy Kids UT Healthy Kids Mountainstar Primary Care Petersen, Darlene L MD D 5405 S 500 E, #100 Arbon, Brett J NP D Housley, Mark Delmon MD C Rock Run Medical Ogden, UT 84405 Ogden Clinic - Mountain View James Madison Elementary Health 5991 S 3500 W, #400 Phone: (801) 568-5999 1100 W 2700 N Center Roy, UT 84067 UT Healthy Kids Pleasant View, UT 84414 781 25th St Phone: (801) 773-2838 Phone: (801) 786-4000 Ogden, UT 84401 UT Healthy Kids West, Renee Rochelle MD D Languages Spoken: Danish Phone: (801) 393-5355 Ogden Clinic - Harrison Blvd UT Healthy Kids UT Healthy Kids Qader, Nameer Tarik MD C 4650 Harrison Blvd 5275 Adams Ave, #A Ogden, UT 84403 Atwood, Lynne G NP C Housley, Mark Delmon MD C Ogden, UT 84405 Phone: (801) 479-4621 Midtown Community Health Midtown Community Health Phone: (801) 475-5335 UT Healthy Kids Center Center UT Healthy Kids 2240 Adams Ave 2240 Adams Ave White, Justin Shane DO C Ogden, UT 84401 Ogden, UT 84401 Rifleman, Kurt Edward MD C Midtown Community Health Phone: (801) 393-5355 Phone: (801) 393-5355 Health Clinics of Utah Center UT Healthy Kids UT Healthy Kids 2540 Washington Blvd, #122 2240 Adams Ave Ogden, UT 84401 Ogden, UT 84401 Cate, Rebecca Sue NP C Hutchinson, Anne M MD C Phone: (801) 626-3670 Phone: (801) 393-5355 Health Clinics of Utah IHC McKay Dee Porter Family UT Healthy Kids Languages Spoken: Spanish 2540 Washington Blvd, #122 Practice UT Healthy Kids Ogden, UT 84401 4403 Harrison Blvd, #A700 Rifleman, Kurt Edward MD D Phone: (801) 626-3670 Ogden, UT 84403 Midtown Community Health Woolman, Michael D MD C UT Healthy Kids Center Phone: (801) 387-5300 South Ogden Center for Family Craner, Adam Craig APRN C UT Healthy Kids 2240 Adams Ave Medicine Ogden, UT 84403 5740 Crestwood Dr Mountainstar Primary Care McClellan, Bruce Clark MD C Phone: (801) 393-5355 Ogden, UT 84405 5405 S 500 E, #100 South Ogden Center for Family UT Healthy Kids Phone: (801) 479-7771 Ogden, UT 84405 Medicine UT Healthy Kids Phone: (801) 475-7966 5740 Crestwood Dr UT Healthy Kids Ogden, UT 84405 Phone: (801) 479-7771 Languages Spoken: Spanish UT Healthy Kids 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 Dodenbier, Cindie G NP D Whipple, Debra M APRN D Reis, John Kleber MD C Kammeyer, Steven E MD C Ogden Clinic - Harrison Blvd Ogden Clinic - Roy Ogden Internal Medicine & Ogden Womens Clinic 4650 Harrison Blvd 3485 W 5200 S Urology 4403 Harrison Blvd, #4650 Ogden, UT 84403 Roy, UT 84067 5405 S 500 E, #203 Ogden, UT 84403 Phone: (801) 479-4621 Phone: (801) 475-3000 Ogden, UT 84405 Phone: (801) 387-4400 Languages Spoken: Spanish UT Healthy Kids Phone: (801) 475-8600 UT Healthy Kids UT Healthy Kids UT Healthy Kids Wise, Marilyn APRN D Lesser, Rosemary T MD D Dodenbier, Cindie G NP D Ogden Clinic - Harrison Blvd Tilaro, Frank E MD C Ogden Womens Clinic Ogden Clinic - Skyline 4650 Harrison Blvd 425 E 5350 S, #335 4403 Harrison Blvd, #4650 6112 S 1550 E, #101 Ogden, UT 84403 Ogden, UT 84405 Ogden, UT 84403 Ogden, UT 84405 Phone: (801) 479-4621 Phone: (801) 475-8600 Phone: (801) 387-4400 Phone: (801) 476-8688 UT Healthy Kids UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Obstetrics and Lesser II, John David MD C Internal Medicine Ogden Womens Clinic Fischer, Roxina NP D DeRemer, Kathleen Rose MD C Gynecology 4403 Harrison Blvd, #4650 Ogden Clinic - Skyline Ogden, UT 84403 5405 S 500 E, #101 Ahlstrom, Jon W MD D 6112 S 1550 E, #101 Ogden, UT 84405 Phone: (801) 387-4400 Ogden, UT 84405 Ogden Clinic - Harrison Blvd UT Healthy Kids Phone: (801) 475-5100 4650 Harrison Blvd Phone: (801) 476-8688 UT Healthy Kids UT Healthy Kids Ogden, UT 84403 Marriott, Rodney G MD C DeRemer, Kathleen Rose MD C Phone: (801) 479-4621 5495 S 500 E, #310 Fowers, Jody Lynn NP C Ogden Internal Medicine & UT Healthy Kids Ogden, UT 84405 Farr West Family Medicine Phone: (801) 479-0361 Urology Alejo, Randy Simpliciano MD C 2850 N 2000 W, #101 5405 S 500 E, #203 UT Healthy Kids Farr West, UT 84404 Circle of Life Womens Center Ogden, UT 84405 1525 E 6000 S Merrill, Rodney Stephen DO D Phone: (801) 731-1222 Phone: (801) 475-8600 UT Healthy Kids Ogden, UT 84405 425 E 5350 S, #125 UT Healthy Kids Phone: (801) 337-5800 Ogden, UT 84405 Haun, Tiffanie Ann APRN C Goncharova, Elena L MD C Languages Spoken: Spanish Phone: (801) 479-1641 Midtown Community Health 5405 S 500 E, #101 UT Healthy Kids UT Healthy Kids Center Ogden, UT 84405 Arrington, Jeffrey Todd MD C Naisbitt, Byron Hunter MD D 2240 Adams Ave Phone: (801) 475-5100 Ogden, UT 84401 Ogden Womens Clinic Circle of Life Womens Center Languages Spoken: Russian 4403 Harrison Blvd, #4650 1525 E 6000 S Phone: (801) 393-5355 UT Healthy Kids UT Healthy Kids Ogden, UT 84403 Ogden, UT 84405 Herold, Richard J MD D Phone: (801) 387-4400 Phone: (801) 337-5800 Hogan, Kathleen NP C Ogden Adult and Senior Medicine UT Healthy Kids Languages Spoken: Spanish Health Clinics of Utah UT Healthy Kids 5405 S 500 E, #100A Bierer, David Roy MD D 2540 Washington Blvd, #122 Ogden, UT 84405 Ogden, UT 84401 Circle of Life Womens Center Naisbitt, Jed P MD D Phone: (801) 479-2911 1525 E 6000 S Circle of Life Womens Center Phone: (801) 626-3670 UT Healthy Kids UT Healthy Kids Ogden, UT 84405 1525 E 6000 S Herold, Richard J MD D Phone: (801) 337-5800 Ogden, UT 84405 Judd, Deborah Marie NP C Ogden Internal Medicine & Languages Spoken: Spanish Phone: (801) 337-5800 Health Clinics of Utah Urology UT Healthy Kids UT Healthy Kids 2540 Washington Blvd, #122 5405 S 500 E, #203 Davis, Wesley Boyd MD C Seale IV, Fred George MD C Ogden, UT 84401 Ogden, UT 84405 Phone: (801) 626-3670 Circle of Life Womens Center Ogden Womens Clinic Phone: (801) 475-8600 1525 E 6000 S 4403 Harrison Blvd, #4650 Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids Ogden, UT 84405 Ogden, UT 84403 Lewis, Seth Rich MD C Phone: (801) 337-5800 Phone: (801) 387-4400 Vastardis, Karen Sue APRN D 5405 S 500 E, #101 UT Healthy Kids UT Healthy Kids Ogden Clinic - Canyon View Ogden, UT 84405 1159 E 12th St Hartman, Albert R MD C Smithing, Larry Orme MD D Phone: (801) 475-5100 4403 Harrison Blvd, #4625 Ogden Clinic - Harrison Blvd Ogden, UT 84404 UT Healthy Kids Phone: (801) 334-3000 Ogden, UT 84403 4650 Harrison Blvd UT Healthy Kids Mohr, Robert Russell MD C Phone: (801) 387-4800 Ogden, UT 84403 Mountainstar Primary Care UT Healthy Kids Phone: (801) 479-4621 Whipple, Debra M APRN D UT Healthy Kids 5405 S 500 E, #100 Housel, Darren Wayne MD D Ogden Clinic - Canyon View Ogden, UT 84405 1159 E 12th St Circle of Life Womens Center Swift, Scott Dee MD C Phone: (801) 475-7966 1525 E 6000 S Ogden Womens Clinic Ogden, UT 84404 UT Healthy Kids Phone: (801) 476-2200 Ogden, UT 84405 4403 Harrison Blvd, #4650 UT Healthy Kids Reis, John Kleber MD C Phone: (801) 337-5800 Ogden, UT 84403 Ogden Adult and Senior Medicine UT Healthy Kids Phone: (801) 387-4400 Whipple, Debra M APRN D UT Healthy Kids 5405 S 500 E, #100A Johansson, Julia W MD D Ogden Clinic - Harrison Blvd Ogden, UT 84405 4650 Harrison Blvd Circle of Life Womens Center Woods, Hyrum D MD C Phone: (801) 479-2911 1525 E 6000 S 4403 Harrison Blvd, #4440 Ogden, UT 84403 UT Healthy Kids Phone: (801) 479-4621 Ogden, UT 84405 Ogden, UT 84403 UT Healthy Kids Phone: (801) 337-5800 Phone: (801) 387-4490 UT Healthy Kids UT Healthy Kids

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 Pediatric Nurse Boehm, Mindy M MD D Owan, Patience E MD C Bowden, Craig S PA C Ogden Clinic - Mountain View Midtown Community Health James Madison Elementary Health Practitioner 1100 W 2700 N Center Center Bond-Jorgensen, Stacey Ann Pleasant View, UT 84414 5285 S 400 E, #A 781 25th St APRN D Phone: (801) 786-4000 Ogden, UT 84405 Ogden, UT 84401 Wee Care Pediatrics UT Healthy Kids Phone: (801) 475-7707 Phone: (801) 393-5355 Languages Spoken: Spanish Languages Spoken: German, 5991 S 3500 W, #100 Brown, Edward D MD D Roy, UT 84067 UT Healthy Kids Spanish Ogden Clinic - Harrison Blvd UT Healthy Kids Phone: (801) 773-8644 4650 Harrison Blvd Rose, Allyn Patrick MD D UT Healthy Kids Ogden, UT 84403 5495 S 500 E, #330 Bowden, Craig S PA C Ellis-Benigni, Karen APRN D Phone: (801) 479-4621 Ogden, UT 84405 Midtown Community Health Wee Care Pediatrics UT Healthy Kids Phone: (801) 476-2717 Center UT Healthy Kids 2240 Adams Ave 5991 S 3500 W, #100 Church, Jason MD D Roy, UT 84067 Ogden, UT 84401 Ogden Clinic - Mountain View Stevenson, Kenneth Edward MD Phone: (801) 393-5355 Phone: (801) 773-8644 1100 W 2700 N C UT Healthy Kids Languages Spoken: German, Pleasant View, UT 84414 Mountainstar Ogden Pediatrics Spanish Phone: (801) 786-4000 5495 S 500 E, #120 UT Healthy Kids Pediatrics Languages Spoken: Spanish Ogden, UT 84405 UT Healthy Kids Phone: (801) 479-0174 Bybee, Alan N PA C Allen, Louis S MD D UT Healthy Kids South Ogden Center for Family Children with Special Healthcare Hawkes, Cody J DO C Medicine Needs Wee Care Pediatrics Taveras-Espinal, Carmen Marila 5740 Crestwood Dr 2540 Washington Blvd 5991 S 3500 W, #100 MD C Ogden, UT 84405 Ogden, UT 84401 Roy, UT 84067 Wee Care Pediatrics Phone: (801) 479-7771 Phone: (801) 626-3645 Phone: (801) 773-8644 5991 S 3500 W, #100 Languages Spoken: French UT Healthy Kids UT Healthy Kids Roy, UT 84067 UT Healthy Kids Phone: (801) 773-8644 Allen, Louis S MD D Kluthe, Margaret A MD C UT Healthy Kids Carlson, Dennis Jason PA D Children with Special Healthcare James Madison Elementary Health Wee Care Pediatrics Needs Center Physician Assistant 5991 S 3500 W, #100 5475 S 500 E 781 25th St Roy, UT 84067 Ogden, UT 84405 Ogden, UT 84401 Anderson, Elisabeth Gay PA D Phone: (801) 773-8644 Phone: (801) 479-2541 Phone: (801) 393-5355 Ogden Clinic - Harrison Blvd UT Healthy Kids UT Healthy Kids UT Healthy Kids 4650 Harrison Blvd Ogden, UT 84403 Castro, David F PA C Allred, John Gordon DO D Kluthe, Margaret A MD C Mountainstar Ogden Pediatrics Ogden Clinic - Roy Phone: (801) 479-4621 Midtown Community Health UT Healthy Kids 5495 S 500 E, #120 3485 W 5200 S Center Ogden, UT 84405 Roy, UT 84067 425 E 5350 S, #355 Anderson, Jeffrey W PA C Phone: (801) 479-0174 Phone: (801) 475-3000 Ogden, UT 84405 Rock Run Medical UT Healthy Kids UT Healthy Kids Phone: (801) 475-7007 5991 S 3500 W, #400 UT Healthy Kids Roy, UT 84067 Castro, Jan M PA C Alvey, Justin C MD C Mountainstar Ogden Pediatrics Wee Care Pediatrics C Phone: (801) 773-2838 Lau, Isabel C MD UT Healthy Kids 5495 S 500 E, #120 5991 S 3500 W, #100 Mountainstar Ogden Pediatrics Ogden, UT 84405 Roy, UT 84067 5495 S 500 E, #120 Baker, Thomas J PA C Phone: (801) 479-0174 Phone: (801) 773-8644 Ogden, UT 84405 Mountainstar Farr West Family UT Healthy Kids UT Healthy Kids Phone: (801) 479-0174 Medicine Languages Spoken: Spanish Chesley, Tanya Jean PA D Blanca, Haydee Larralde MD C 2850 N 2000 W UT Healthy Kids Farr West, UT 84404 Ogden Clinic - Harrison Blvd Midtown Community Health 4650 Harrison Blvd Center D Phone: (801) 731-1222 Lloyd, Michael B MD UT Healthy Kids Ogden, UT 84403 5285 S 400 E, #A Children with Special Healthcare Phone: (801) 479-4621 Ogden, UT 84405 Needs Barber, Kara PA C UT Healthy Kids Phone: (801) 475-7007 2540 Washington Blvd Rock Run Medical Languages Spoken: Spanish Ogden, UT 84401 5991 S 3500 W, #400 Colvin, Laura PA D UT Healthy Kids Phone: (801) 626-3645 Roy, UT 84067 Ogden Clinic - Canyon View UT Healthy Kids 1159 E 12th St Bodnar, Anna S MD D Phone: (801) 773-2838 UT Healthy Kids Ogden, UT 84404 Children with Special Healthcare MacGregor, Elenor DO C Phone: (801) 334-3000 Needs Wee Care Pediatrics Berger, Vicki Linn PA D UT Healthy Kids 5475 S 500 E 5991 S 3500 W, #100 Wee Care Pediatrics Ogden, UT 84405 Roy, UT 84067 5991 S 3500 W, #100 Colvin, Laura PA D Phone: (801) 479-2541 Phone: (801) 773-8644 Roy, UT 84067 Ogden Clinic - Harrison Blvd UT Healthy Kids UT Healthy Kids Phone: (801) 773-8644 4650 Harrison Blvd UT Healthy Kids Ogden, UT 84403 Boehm, Mindy M MD D Phone: (801) 479-4621 Ogden Clinic - Canyon View UT Healthy Kids 1159 E 12th St Ogden, UT 84404 Phone: (801) 334-3000 UT Healthy Kids

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 Weber WPrimary Care Providers Network eber Colvin, Laura PA D Hastings, Susan B PA D Larson, Dallen J PA D Owens, Joshua Morgan PA C Ogden Clinic - Mountain View Ogden Clinic - Roy Ogden Clinic - Canyon View Health Clinics of Utah 1100 W 2700 N 3485 W 5200 S 1159 E 12th St 2540 Washington Blvd, #122 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) 626-3670 UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Dawson, Micheal Shawn PA C Havey, Dustin A PA D Larson, Dallen J PA D Pace, Bradley Rudolph PA C Rock Run Medical Ogden Clinic - Harrison Blvd Ogden Clinic - Harrison Blvd Midtown Community Health 5991 S 3500 W, #400 4650 Harrison Blvd 4650 Harrison Blvd Center Roy, UT 84067 Ogden, ut 84403 Ogden, UT 84403 2240 Adams Ave Phone: (801) 773-2838 Phone: (801) 479-4621 Phone: (801) 479-4621 Ogden, UT 84401 UT Healthy Kids UT Healthy Kids UT Healthy Kids Phone: (801) 393-5355 Languages Spoken: Spanish Earl, Brett Somasundrum PA D Henry, Kevin L PA D Lee, Rhonda L PA C UT Healthy Kids Circle of Life Womens Center Ogden Clinic - Skyline Health Clinics of Utah 1525 E 6000 S 6112 S 1550 E, #101 2540 Washington Blvd, #122 Parker, James Edward PA D Ogden, UT 84405 Ogden, UT 84405 Ogden, UT 84401 Ogden Clinic - Canyon View Phone: (801) 337-5800 Phone: (801) 476-8688 Phone: (801) 626-3670 1159 E 12th St UT Healthy Kids UT Healthy Kids UT Healthy Kids Ogden, UT 84404 Phone: (801) 334-3000 Epstein, Angela A PA C Horning, Ryan R PA C Marchand, Kolleen PA D UT Healthy Kids Midtown Community Health James Madison Elementary Health Ogden Clinic - Canyon View Center Center 1159 E 12th St Parker, James Edward PA D 2240 Adams Ave 781 25th St Ogden, UT 84404 Ogden Clinic - Harrison Blvd Ogden, UT 84403 Ogden, UT 84401 Phone: (801) 334-3000 4650 Harrison Blvd Phone: (801) 393-5355 Phone: (801) 393-5355 UT Healthy Kids Ogden, UT 84403 UT Healthy Kids Languages Spoken: Spanish Phone: (801) 479-4621 UT Healthy Kids Marchand, Kolleen PA D UT Healthy Kids Epstein, Angela A PA C Ogden Clinic - Harrison Blvd Rock Run Medical Horning, Ryan R PA C 4650 Harrison Blvd Parker, James Edward PA D 5991 S 3500 W, #400 Midtown Community Health Ogden, UT 84403 Ogden Clinic - Roy Roy, UT 84067 Center Phone: (801) 479-4621 3485 W 5200 S Phone: (801) 773-2838 2240 Adams Ave UT Healthy Kids Roy, UT 84067 UT Healthy Kids Ogden, UT 84403 Phone: (801) 475-3481 Phone: (801) 393-5355 Marsh, Damon B PA D UT Healthy Kids Grogan, Rodney Keith PA D Languages Spoken: Spanish Ogden Clinic - Canyon View Ogden Clinic - Canyon View UT Healthy Kids 1159 E 12th St Ryan, Jeffrey L PA D 1159 E 12th St Ogden, UT 84404 Ogden Clinic - Harrison Blvd Ogden, UT 84404 Jackson, Sheldon Leo PA C Phone: (801) 334-3000 4650 Harrison Blvd Phone: (801) 334-3000 Rock Run Medical Languages Spoken: Spanish Ogden, UT 84403 UT Healthy Kids 5991 S 3500 W, #400 UT Healthy Kids Phone: (801) 479-4621 Roy, UT 84067 Languages Spoken: Spanish Grogan, Rodney Keith PA D Phone: (801) 773-2838 Maxwell, Roderick D PA D UT Healthy Kids Ogden Clinic - Harrison Blvd UT Healthy Kids Wee Care Pediatrics 4650 Harrison Blvd 5991 S 3500 W, #100 Ryan, Jeffrey L PA D Ogden, UT 84403 Johnson, Eric Benjamin PA D Roy, UT 84067 Ogden Clinic - Roy Phone: (801) 479-4621 Ogden Clinic - Canyon View Phone: (801) 773-8644 3485 W 5200 S UT Healthy Kids 1159 E 12th St UT Healthy Kids Roy, UT 84067 Ogden, UT 84404 Phone: (801) 475-3481 Hansen, Davin Boyd PA D Phone: (801) 334-3000 Ortega, Catherine L PA D Languages Spoken: Spanish Wee Care Pediatrics UT Healthy Kids Ogden Clinic - Canyon View UT Healthy Kids 5991 S 3500 W, #100 1159 E 12th St Roy, UT 84067 Larsen, Brad R PA C Ogden, UT 84404 Schelling, Travis Kay PA D Phone: (801) 773-8644 James Madison Elementary Health Phone: (801) 334-3000 Ogden Clinic - Harrison Blvd UT Healthy Kids Center UT Healthy Kids 4650 Harrison Blvd 781 25th St Ogden, UT 84403 Hastings, Susan B PA D Ogden, UT 84401 Ortega, Catherine L PA D Phone: (801) 479-4621 Ogden Clinic - Canyon View Phone: (801) 393-5355 Ogden Clinic - Harrison Blvd UT Healthy Kids 1159 E 12th St Languages Spoken: Spanish 4650 Harrison Blvd Ogden, UT 84404 UT Healthy Kids Ogden, UT 84403 Severance, Michael E PA C Phone: (801) 334-3000 Phone: (801) 479-4621 South Ogden Center for Family UT Healthy Kids Larsen, Brad R PA C UT Healthy Kids Medicine Midtown Community Health 5740 Crestwood Dr Hastings, Susan B PA D Center Ortega, Catherine L PA D Ogden, UT 84405 Ogden Clinic - Harrison Blvd 2240 Adams Ave Ogden Clinic - Roy Phone: (801) 479-7771 4650 Harrison Blvd Ogden, UT 84401 3485 W 5200 S UT Healthy Kids Ogden, UT 84403 Phone: (801) 393-5355 Roy, UT 84067 Phone: (801) 479-4621 Languages Spoken: Spanish Phone: (801) 475-3481 UT Healthy Kids UT Healthy Kids UT Healthy Kids

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 Weber WPrimary Care Providers Network eber Snethen-Boyer, Kimberly Ann Ward, Parker James PA C Wasden, Michelle PA D Williams, Zane H PA D PA D South Ogden Center for Family Ogden Clinic - Mountain View Ogden Clinic - Mountain View Ogden Clinic - Harrison Blvd Medicine 1100 W 2700 N 1100 W 2700 N 1159 E 12th St 5740 Crestwood Dr Pleasant View, UT 84414 Pleasant View, UT 84414 Ogden, UT 84404 Ogden, UT 84405 Phone: (801) 786-4000 Phone: (801) 786-4000 Phone: (801) 334-3000 Phone: (801) 479-7771 UT Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Snethen-Boyer, Kimberly Ann Wasden, Michelle PA D PA D Ogden Clinic - Canyon View Ogden Clinic - Harrison Blvd 1159 E 12th St 4650 Harrison Blvd Ogden, UT 84403 Ogden, UT 84403 Phone: (801) 334-3000 Phone: (801) 479-4621 UT Healthy Kids UT Healthy Kids

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 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 Healthy Kids Plus Phone: (801) 507-3513 UT Healthy Kids Plus Languages Spoken: Spanish Crandall, Brian Gregory MD C UT Healthy Kids Plus Intermountain Heart Rhythm Mackay III, Dewey Calder MD C Rheumatology Specialists Brigham City Orthopedic Clinic Vonk, Harold MD D Otrusinik, Rudolf MD D 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 Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 723-5500 Phone: (435) 755-8200 Languages Spoken: Czech, Sumko, Michael Henry DO C Languages Spoken: Dutch UT Healthy Kids Plus Slovak Box Elder County Sumko-Bitner Orthopaedic and UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (801) 914-9259 Sumko-Bitner Orthopaedic and Phone: (435) 723-1114 UT Healthy Kids Plus Sports Medicine Clinic Languages Spoken: Japanese Saul, William L MD C 990 Medical Dr, #G4 UT Healthy Kids Plus 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 Healthy Kids Plus Mountainstar Canyon Surgical Phone: (435) 755-8200 Brigham Eye Specialists Clinic UT Healthy Kids Plus 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 Healthy Kids Plus Pugsley, Jacob B DO C Hanson, Nathan William MD C UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 734-2097 Languages Spoken: Spanish 935 N 1000 W UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 752-5741 Bitner, Matthew F MD C Hunsaker, Teryl R PA C UT Healthy Kids Plus 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 Healthy Kids Plus Logan, UT 84341 UT Healthy Kids Plus Immunology Phone: (435) 787-0560 Podiatrist UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 D Tremonton, UT 84337 Phone: (435) 787-2000 Intermountain Heart Rhythm Northern Utah Gastroenterology Phone: (801) 732-1175 UT Healthy Kids Plus Specialists & Endoscopy Specialists UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 787-2000 UT Healthy Kids Plus UT Healthy Kids Plus 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 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 Healthy Kids Plus Logan, UT 84341 UT Healthy Kids Plus Spanish UT Healthy Kids Plus Larsen, Bryan R MD C Phone: (435) 716-5502 Jaussi, Walter Reed MD C Northern Utah Gastroenterology UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (801) 408-2020 UT Healthy Kids Plus Cache Valley Specialty Hospital Languages Spoken: Spanish 2380 N 400 E Nilson, Christian David MD C UT Healthy Kids Plus 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 Healthy Kids Plus Logan, UT 84341 Alpine Orthopaedic Specialists Phone: (435) 752-2020 Felix, Brent A MD D Williams, Michael Henry MD C UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 753-4541 UT Healthy Kids Plus Maternal & Fetal Languages Spoken: Spanish Finlayson, Terry Inkley MD C Obstetrics and UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Intermountain Canyon View Phone: (435) 716-1958 Phone: (435) 716-1000 Waterman, David Glenn MD C Orthopedics & Associates UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 387-4342 of Utah UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 755-3300 Languages Spoken: French 1400 N 500 E Languages Spoken: Spanish UT Healthy Kids Plus Logan, UT 84341 Ophthalmology / UT Healthy Kids Plus Varner, Michael W MD C Phone: (435) 387-4342 UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Ben-Jacob, Ali MD C Phone: (435) 713-2222 Languages Spoken: Japanese, UT Healthy Kids Plus Russian King, Bryan C MD C Cache Valley Cancer Treatment & UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 787-7200 Logan, UT 84321 UT Healthy Kids Plus Languages Spoken: French Phone: (801) 408-2020 UT Healthy Kids Plus Languages Spoken: Korean, Larson, Brad J MD C Spanish Alpine Orthopaedic Specialists UT Healthy Kids Plus 2310 N 400 E, #A Logan, UT 84341 Phone: (435) 787-2000 UT Healthy Kids Plus

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 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 Healthy Kids Plus Phone: (435) 787-1108 UT Healthy Kids Plus Languages Spoken: Spanish Languages Spoken: Cantonese UT Healthy Kids Plus Pediatric Genetics UT Healthy Kids Plus 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 Healthy Kids Plus Logan, UT 84341 Phone: (435) 716-1000 UT Healthy Kids Plus Phone: (435) 753-7000 UT Healthy Kids Plus Physical Medicine UT Healthy Kids Plus Otolaryngology and Rehabilitation Cook, Gregory Bryce DPM C Rheumatology (ENT) Foot Clinic of Logan Clegg, Michael Luke MD D 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 Healthy Kids Plus Logan, UT 84341 Phone: (435) 787-2000 Phone: (435) 792-1980 Phone: (435) 753-7880 UT Healthy Kids Plus Cook, William Bryce DPM C Languages Spoken: Korean UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Anderson, Allan D MD Logan, UT 84341 Phone: (435) 716-2800 Canyon View Orthopedics Phone: (435) 753-7880 UT Healthy Kids Plus Edwards, David G DPM C 1300 N 500 E, #130 Languages Spoken: Spanish Alpine Orthopaedic Specialists Logan, UT 84341 UT Healthy Kids Plus Pugsley, Jacob B DO C 2310 N 400 E, #A Phone: (435) 716-2800 Physical Medicine & Rehabilitation Logan, UT 84341 UT Healthy Kids Plus Keyser, Jeffrey S MD C 2310 N 400 E, #A Intermountain Budge Clinic Phone: (435) 787-2000 C Logan, UT 84341 UT Healthy Kids Plus 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 Healthy Kids Plus Alpine Orthopaedic Specialists Logan, UT 84341 Languages Spoken: Spanish 2310 N 400 E, #A Phone: (435) 792-1950 UT Healthy Kids Plus Physician Assistant Logan, UT 84341 UT Healthy Kids Plus Wood Jr, Gordon Stacey MD C Phone: (435) 787-2000 Broadbent, Lee Stokes MD C Cache Valley ENT Hunsaker, Teryl R PA C UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 792-1950 Specialists UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 752-7644 Phone: (435) 716-2800 Orthopedics & Associates Hansen, Mark Traveller MD C UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Logan Regional EKG Phone: (435) 792-1950 Intermountain South Cache Valley Harker, David L MD C 500 E 1400 N UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 755-3300 Phone: (435) 792-1950 Andersen, Blaine Perkes MD C UT Healthy Kids Plus C Languages Spoken: German McCandless, Rachel MD 1300 N 500 E, #260 UT Healthy Kids Plus 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 Healthy Kids Plus Logan, UT 84321 Phone: (435) 716-2050 Phone: (435) 752-1038 UT Healthy Kids Plus UT Healthy Kids Plus 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 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 Healthy Kids Plus Phone: (435) 637-8689 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Aspacio, Reuel Martin-Abaya UT Healthy Kids Plus MD D 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 Healthy Kids Plus UT Healthy Kids Plus Languages Spoken: Phone: (435) 613-6600 UT Healthy Kids Plus Bettencourt, Miriam S MD C Seiff, Michael Eric MD C Portuguese Bettencourt Skin Center Western Regional Center for Brain UT Healthy Kids Plus 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 Healthy Kids Plus Peak Ent Associates UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Phone: (702) 737-1948 D UT Healthy Kids Plus 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 Healthy Kids Plus Clinical Genetics Price, UT 84501 Las Vegas, NV 89109 (M.D.) Phone: (435) 637-6797 Phone: (702) 737-1948 Ophthalmology UT Healthy Kids Plus UT Healthy Kids Plus Lewin, Susan O MD D 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 Healthy Kids Plus UT Healthy Kids Plus Price, UT 84501 Phone: (702) 737-1948 UT Healthy Kids Plus Loo, Roy H MD C Phone: (435) 637-1776 Retina Consultants of Nevada Nephrology UT Healthy Kids Plus Forage, James Steven MD C 653 N Town Center Dr, #518 Smith, John Taylor MD D Western Regional Center for Brain Las Vegas, NV 89144 Filloux, Francis M MD D & Spine Surgery Phone: (702) 369-0200 Children with Special Healthcare Children with Special Healthcare Needs 3061 S Maryland Pkwy, #200 UT Healthy Kids Plus 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 Healthy Kids Plus Retina Consultants of Nevada Phone: (435) 637-3671 Phone: (435) 637-3671 2845 Siena Heights Dr, #300 UT Healthy Kids Plus UT Healthy Kids Plus Henderson , NV 89052 Phone: (702) 369-0200 UT Healthy Kids Plus

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 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 Healthy Kids Plus UT Healthy Kids Plus Immunology UT Healthy Kids 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 Healthy Kids Plus UT Healthy Kids Plus Phone: (801) 775-9800 UT Healthy Kids Languages Spoken: Korean Parker, Robert Jeffrey MD C UT Healthy Kids 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 Healthy Kids Plus 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 Healthy Kids UT Healthy Kids Plus Languages Spoken: Korean 2845 Siena Heights Dr, #300 UT Healthy Kids 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 Healthy Kids Plus Foot & Ankle Institute Disease UT Healthy Kids 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 Healthy Kids Plus 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 Healthy Kids UT Healthy Kids UT Healthy Kids Plus Foot & Ankle Institute 340 Falcon Ridge Pkwy, #300 Anding, Eric S MD C Martineau, Michael Reed MD C 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 Healthy Kids Plus 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 Healthy Kids Languages Spoken: Languages Spoken: Spanish Portuguese UT Healthy Kids Plus 340 Falcon Ridge Pkwy, #300 Cody, Michael C MD C Mesquite, NV 89027 Utah Cardiology UT Healthy Kids Wickens, Jason Craig MD C Phone: (800) 768-2671 2132 N 1700 W, #200 Neuenschwander, Bradley George Retina Consultants of Nevada UT Healthy Kids Plus Layton, UT 84041 DO C 653 N Town Center Dr, #518 Phone: (801) 776-0174 Tanner Memorial Clinic Las Vegas, NV 89144 UT Healthy Kids 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 Healthy Kids Plus Utah Cardiology Podiatrist 2132 N 1700 W, #200 Languages Spoken: German, Layton, UT 84041 Polish Ophthalmology / Cook, Terry R DPM C UT Healthy Kids Navajo Mountain Community Phone: (801) 776-0174 Retina Specialist Health Center UT Healthy Kids 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 Healthy Kids Plus Layton, UT 84041 Layton, UT 84041 Phone: (702) 369-0200 Phone: (801) 776-0174 Phone: (801) 773-4840 UT Healthy Kids Plus UT Healthy Kids Languages Spoken: German, Polish Thach, Allen Bradford MD C Kim, Christopher Y MD C UT Healthy Kids 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 Healthy Kids Plus UT Healthy Kids 380 N 400 W Kaysville, UT 84037 Phone: (801) 773-4840 Languages Spoken: German, Polish UT Healthy Kids 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 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 Healthy Kids Layton, UT 84041 Layton, UT 84041 UT Healthy Kids Phone: (801) 525-3022 Phone: (801) 779-3500 Hilbig, Clarke Andrew MD C Languages Spoken: Spanish UT Healthy Kids Thomson, Stephen Talmage MD Mountain West Gastroenterology UT Healthy Kids 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 Healthy Kids Bountiful, UT 84010 Phone: (801) 779-3500 UT Healthy Kids Phone: (801) 296-6665 UT Healthy Kids Moore, David R MD C Languages Spoken: Spanish Thomson, Stephen Talmage MD Mountain West Gastroenterology UT Healthy Kids 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 Healthy Kids 1492 W Antelope Dr, #125 1660 W Antelope Dr, #320 Phone: (801) 773-4840 Layton, UT 84041 Layton, UT 84041 UT Healthy Kids Thomason, Isaac R MD C Phone: (801) 525-3022 Phone: (801) 825-8900 Mountain West Gastroenterology UT Healthy Kids UT Healthy Kids Endocrinology, 620 E Medical Dr, #205 Bountiful, UT 84010 Hansen, Vincent Lee MD D Harker, Dustin Brook MD C Diabetes & Phone: (801) 298-0057 Tanner Memorial Clinic Tanner Memorial Clinic Metabolism UT Healthy Kids 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 Healthy Kids Intermountain Multispecialty Oncology Portuguese, Spanish D Clinic Gray, Carl Roger MD C UT Healthy Kids Imani, Jahangir N MD 2102 N 1700 W Intermountain Neurology Clinic Utah Hematology Oncology Klein, Regina C MD D 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 Healthy Kids Layton, UT 84041 UT Healthy Kids UT Healthy Kids 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 Healthy Kids 2121 N 1700 W 1492 W Antelope Dr, #125 Layton, UT 84041 Meidinger, Gladys Kaye APRN C Layton, UT 84041 Klein, Regina C MD D Phone: (801) 773-4840 Mountain West Gastroenterology Phone: (801) 525-3022 Utah Cancer Specialists UT Healthy Kids 620 E Medical Dr, #205 UT Healthy Kids 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 Healthy Kids 520 E Medical Dr, #340 Languages Spoken: 1492 W Antelope Dr, #203 Bountiful, UT 84010 Portuguese Layton, UT 84041 Gastroenterology UT Healthy Kids Phone: (801) 364-1117 Phone: (801) 296-6665 UT Healthy Kids Batista, Oscar A MD C UT Healthy Kids 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 Healthy Kids Silver, Robert Mitchell MD C UT Healthy Kids UT Healthy Kids 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 Healthy Kids Bountiful, UT 84010 Bountiful Hills Eye Center Phone: (801) 298-0057 Phone: (801) 296-6665 1551 S Renaissance Towne Dr, UT Healthy Kids Varner, Michael W MD C UT Healthy Kids #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 Healthy Kids 620 E Medical Dr, #205 Phone: (801) 807-1000 Medicine Bountiful, UT 84010 UT Healthy Kids Berger, James Irwin MD C Phone: (801) 298-0057 1600 W Antelope Dr Languages Spoken: French Layton, UT 84041 UT Healthy Kids Phone: (801) 476-4280 UT Healthy Kids 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 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 Healthy Kids Phone: (801) 773-0690 Bountiful, UT 84010 UT Healthy Kids UT Healthy Kids Phone: (801) 299-8531 Daynes, Todd Ellsworth MD C UT Healthy Kids 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 Healthy Kids Layton, UT 84041 2297 N Hillfield Rd, #A105 Languages Spoken: French Phone: (801) 773-0690 Layton, UT 84041 UT Healthy Kids Faber, David Wayne MD C UT Healthy Kids Phone: (801) 779-0506 Rocky Mountain Retina Languages Spoken: Spanish Lyman, Matthew H MD C Consultants Ophthalmology / UT Healthy Kids 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 Healthy Kids Retina Associates of Utah 469 E Medical Dr, #202 UT Healthy Kids 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 Healthy Kids 2121 N 1700 W 1660 W Antelope Dr, #105 Russian Layton, UT 84041 Layton, UT 84041 UT Healthy Kids Liston, Todd C DDS C Phone: (801) 773-4840 Phone: (801) 773-0690 Oral & Maxillofacial Surgeons of Languages Spoken: Spanish UT Healthy Kids Kwun, Robert C MD C Utah UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Oral & Maxillofacial Surgeons of Languages Spoken: Czech, UT Healthy Kids Utah German, Russian, Spanish Swartz, Mano MD C 469 E Medical Dr, #202 UT Healthy Kids 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 Healthy Kids Davis Orthopedic & Sports Layton, UT 84041 Phone: (801) 775-8222 Medicine Phone: (801) 773-4840 Languages Spoken: German, 2132 N 1700 W, #230 UT Healthy Kids Spanish Orthopaedic Surgery Layton, UT 84041 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids (ENT) Languages Spoken: French, Languages Spoken: Spanish BosII, Norman Calvin MD C Bitner, John B MD C Gujarati, Hindi, Swahili UT Healthy Kids Tanner Memorial Clinic Tanner Memorial Clinic UT Healthy Kids 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 Healthy Kids Portuguese, Spanish Bountiful, UT 84010 Broadbent, Michael William DDS C UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Languages Spoken: 1580 W Antelope Dr, #175 UT Healthy Kids Portuguese, Spanish Layton, UT 84041 UT Healthy Kids Phone: (801) 773-2233 Languages Spoken: German, Spanish UT Healthy Kids 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 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 Healthy Kids Bountiful, UT 84010 UT Healthy Kids Portuguese, Spanish Phone: (801) 479-0312 UT Healthy Kids VanLeeuwan, Richard Neil MD C Languages Spoken: Spanish Weber, Nancy A PA C Tanner Memorial Clinic UT Healthy Kids 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 Healthy Kids Rehabilitation UT Healthy Kids Phone: (801) 295-5581 1660 W Antelope Dr, #225 Languages Spoken: Spanish Pain Medicine Layton, UT 84041 Plastic Surgery UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Rocky Mountain Allergy Asthma UT Healthy Kids UT Healthy Kids & 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 Healthy Kids Phone: (801) 298-9774 Layton, UT 84041 Brandt, William F MD D UT Healthy Kids Phone: (801) 773-4840 Alpine Spine Sports & Dawson, Micheal Shawn PA C UT Healthy Kids 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 Healthy Kids #360 1551 S Main St, #310 Phone: (801) 775-9800 UT Healthy Kids Bountiful, UT 84010 Bountiful, UT 84010 Humpherys, Benjamin Rich DO Phone: (801) 295-9105 Phone: (801) 295-5581 C Janssen, Kristy Lynn PA D UT Healthy Kids UT Healthy Kids 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 Healthy Kids Bountiful, UT 84010 2255 N 1700 W, #205 Phone: (801) 479-0312 UT Healthy Kids Phone: (801) 295-5581 Layton, UT 84041 Humpherys, Benjamin Rich DO UT Healthy Kids Phone: (801) 776-2180 C Odonnell, Colleen PA C UT Healthy Kids 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 Healthy Kids Phone: (801) 773-3900 Phone: (801) 773-4840 Bountiful, UT 84010 UT Healthy Kids Phone: (801) 295-5581 Humpherys, Benjamin Rich DO UT Healthy Kids C Languages Spoken: Italian Van Wormer, Terry PA D Podiatrist UT Healthy Kids 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 Healthy Kids UT Healthy Kids #370 Bountiful, UT 84010 Bountiful, UT 84010 Phone: (801) 295-5581 Morgan, Brian H MD C Van Wormer, Terry PA D Alpine Spine Sports & Phone: (801) 292-4425 Languages Spoken: Spanish Tanner Memorial Clinic UT Healthy Kids UT Healthy Kids 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 Healthy Kids 1660 W Antelope Dr, #110 2038 W 1900 S UT Healthy Kids Layton, UT 84041 Syracuse, UT 84075 Van Wormer, Terry PA D Phone: (801) 825-4709 Phone: (801) 773-4840 Tanner Memorial Clinic UT Healthy Kids UT Healthy Kids 380 N 400 W Kaysville, UT 84037 Phone: (801) 773-4840 UT Healthy Kids

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 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 Healthy Kids UT Healthy Kids Phone: (801) 294-9333 UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 292-4425 UT Healthy Kids UT Healthy Kids Languages Spoken: French Gaertner-Crison, Gretel K DPM UT Healthy Kids 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 Healthy Kids Phone: (801) 825-4709 UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Syracuse, UT 84075 UT Healthy Kids UT Healthy Kids Phone: (801) 773-4840 Freeman, Jan S MD C UT Healthy Kids 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 Healthy Kids Layton, UT 84041 UT Healthy Kids UT Healthy Kids Phone: (801) 773-4840 Jensen, Joseph Weldon DO D UT Healthy Kids 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 Healthy Kids Kaysville, UT 84037 UT Healthy Kids UT Healthy Kids Phone: (801) 773-4840 Larsen, Wade Bryant MD C UT Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids Bountiful, UT 84010 Jex, Rodney Michael DPM C Phone: (801) 298-3247 Pulmonary Disease Morrell, David Glen MD D UT Healthy Kids 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 Healthy Kids Layton, UT 84041 UT Healthy Kids Phone: (801) 773-4840 Phone: (801) 773-4840 Oberg, Jon C MD C Potter, Brooks Hawks DPM C Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids 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 Healthy Kids 620 E Medical Dr, #300 Languages Spoken: Spanish Bountiful, UT 84010 Bountiful, UT 84010 UT Healthy Kids Phone: (801) 295-2361 Oberg, Jon C MD C Phone: (801) 298-3247 UT Healthy Kids Lakeview Urology & General UT Healthy Kids 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 Healthy Kids UT Healthy Kids

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 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 Healthy Kids Plus 11850 Hwy 191, #B10 UT Healthy Kids Phone: (435) 725-2000 Languages Spoken: Spanish Osborn, Jeffrey Scott MD C Moab, UT 84532 Walters, Perry T MD C UT Healthy Kids Plus Intermountain Heart Rhythm Phone: (435) 259-7606 425 Medical Dr, #112 Specialists UT Healthy Kids Plus Bountiful, UT 84010 Surgery 200 N 400 E Phone: (801) 292-7249 Panguitch, UT 84759 Medical Genetics - UT Healthy Kids Krzymowski, David K MD C Phone: (801) 507-3513 Clinical Genetics Northeastern Utah Medical Group UT Healthy Kids Plus 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 D Phone: (435) 725-2000 Children with Special Healthcare UT Healthy Kids Plus 200 N 400 E Dermatology Panguitch, UT 84759 Needs 471 S Main St, #4 Phone: (801) 507-3500 Blake, John S MD C UT Healthy Kids Plus 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 Healthy Kids Plus Roosevelt, UT 84066 Urology Intermountain Heart Rhythm Phone: (435) 725-2000 Specialists Lewin, Susan O MD D UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus 210 W 300 N, #75-3 Languages Spoken: Roosevelt, UT 84066 Portuguese Adams, Benjamin Edward DO C Orthopaedic Surgery Phone: (435) 725-2000 UT Healthy Kids Plus Cedar Dermatology UT Healthy Kids Plus 200 N 400 E Smith, John Taylor MD D Panguitch, UT 84759 Children with Special Healthcare Orthopaedic Surgery Garfield County Phone: (435) 586-6440 Needs UT Healthy Kids Plus 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 Healthy Kids Plus Roosevelt, UT 84066 200 N 400 E D Phone: (435) 725-2000 Bunch, Thomas Jared MD C Panguitch, UT 84759 Stevens, Peter M MD UT Healthy Kids Plus Intermountain Heart Rhythm Phone: (435) 586-6440 Children with Special Healthcare Specialists Languages Spoken: Russian Needs Otolaryngology 200 N 400 E UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 462-2441 Utah Heart Clinic Moab, UT 84532 UT Healthy Kids Plus 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 Healthy Kids Plus Intermountain Heart Rhythm UT Healthy Kids Plus 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 Healthy Kids Plus Spanish Valley Clinic Phone: (435) 259-7606 UT Healthy Kids Plus 11850 Hwy 191, #B10 Languages Spoken: Spanish Day, John David MD C UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 259-7425 UT Healthy Kids Plus UT Healthy Kids Plus

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 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 Healthy Kids Plus Phone: (435) 586-6440 Phone: (435) 586-1131 Cedar City, UT 84720 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 868-5055 UT Healthy Kids Plus 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 Healthy Kids Plus Languages Spoken: Spanish 1303 N Main St Southwest Allergy & Asthma UT Healthy Kids Plus Cedar City, UT 84720 Clinic Family Medicine Goff, Mitchell J MD C Phone: (435) 868-5055 1303 N Main St, #B UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Cedar City, UT 84720 Disease Hurlbut-Miller, Peter Richard Phone: (435) 868-5500 Brizolara, Alberto A MD C Hematology & MD C UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Portuguese, Spanish Phone: (435) 986-2300 UT Healthy Kids Plus UT Healthy Kids Plus 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 D 1303 N Main St Phone: (435) 865-3460 1303 N Main St, #B Snow Canyon Clinic Cedar City, UT 84720 UT Healthy Kids Plus Cedar City, UT 84720 110 W 1325 N, #200 Phone: (435) 868-5055 Phone: (435) 868-5500 Cedar City, UT 84721 UT Healthy Kids Plus Johnson, Dayne PA C UT Healthy Kids Plus Phone: (435) 986-2300 Intermountain Southwest Spine & UT Healthy Kids Plus 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 Healthy Kids Plus Cedar City, UT 84721 Cedar City, UT 84721 Phone: (435) 868-5055 Phone: (435) 251-2500 Phone: (435) 986-2300 UT Healthy Kids Plus Newman, Steve C PA C UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 868-5500 UT Healthy Kids Plus Klomp, Steven Aaron MD C UT Healthy Kids Plus 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 Healthy Kids Plus Cedar City, UT 84720 UT Healthy Kids Plus Phone: (435) 251-2500 Phone: (435) 867-8719 UT Healthy Kids Plus UT Healthy Kids Plus Podiatrist Clark, Gary W DPM C 166 W 1325 N, #300 Cedar City, UT 84720 Phone: (435) 867-8521 UT Healthy Kids Plus

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 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 Healthy Kids Plus Phone: (435) 586-8192 48 W 1500 N Languages Spoken: French UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 623-3200 Mesa County Phone: (435) 586-2225 Languages Spoken: Swedish UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 623-2023 UT Healthy Kids Plus Languages Spoken: Spanish UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Disease UT Healthy Kids Plus Saifee, Mustufa T MD D 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 Healthy Kids Plus 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 Healthy Kids Plus Nephi, UT 84648 Intermountain Southwest 674 S Hwy 99 Phone: (801) 465-2511 Cardiology Fillmore, UT 84631 UT Healthy Kids Plus 355 N Main St Phone: (435) 743-5591 Radiation Oncology Kanab, UT 84741 UT Healthy Kids Plus Donaldson, Craig W MD C Ophthalmology Phone: (435) 251-2500 UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 688-4175 Holman, Joel E MD C UT Healthy Kids Plus 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 Healthy Kids Plus 180 W 300 N UT Healthy Kids Plus 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 Healthy Kids Plus 674 S Hwy 99 UT Healthy Kids Plus Fillmore, UT 84631 Phone: (435) 743-5591 UT Healthy Kids Plus

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 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 Healthy Kids Plus Phone: (435) 864-5591 Murray, UT 84107 Phone: (801) 266-3418 UT Healthy Kids Plus Phone: (801) 266-4115 UT Healthy Kids Dermatology Languages Spoken: Spanish Stults, Michael G MD C UT Healthy Kids 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 Healthy Kids Plus Adjei-Poku, Michael MD C UT Healthy Kids UT Healthy Kids Plus 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 Healthy Kids Salt Lake City, UT 84102 Phone: (435) 743-5555 126 S White Sage Ave Phone: (801) 746-4440 Adjei-Poku, Michael MD D UT Healthy Kids UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Holladay, UT 84124 Phone: (435) 864-5591 126 S White Sage Ave Phone: (801) 266-3418 Adjei-Poku, Michael MD C UT Healthy Kids Languages Spoken: Russian Delta, UT 84624 Heart Center UT Healthy Kids Plus Phone: (801) 465-2511 3725 W 4100 S, 1st Fl Ganellen, Edward MD C UT Healthy Kids Plus 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 Healthy Kids Holladay, UT 84124 Fillmore, UT 84631 Phone: (801) 266-3418 Brann, William Marcus MD C UT Healthy Kids Phone: (435) 743-5555 Cardiovascular Consultants of Languages Spoken: Russian Surgery Utah Ganellen, Edward MD C UT Healthy Kids Plus 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 Healthy Kids Fillmore Community Medical Phone: (970) 565-6670 UT Healthy Kids Center UT Healthy Kids Plus Brann, William Marcus MD C Gilmore, Paul Stephen MD D 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 Healthy Kids Plus Salt Lake City, UT 84120 Phone: (801) 266-3418 Adult Health Nurse Phone: (801) 263-2370 UT Healthy Kids Ophthalmology Languages Spoken: French Practitioner UT Healthy Kids Gilmore, Paul Stephen MD D 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 Healthy Kids UT Healthy Kids Plus Murray, UT 84107 UT Healthy Kids Phone: (801) 263-2370 Gilmore, Paul Stephen MD D Lohner, William Scott MD C Languages Spoken: French Heart Center Fillmore Family Medical Center Allergy & UT Healthy Kids 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 Healthy Kids UT Healthy Kids Plus 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 Healthy Kids Phone: (801) 266-3418 126 White Sage Ave UT Healthy Kids UT Healthy Kids Delta, UT 84624 Phone: (435) 864-5591 UT Healthy Kids Plus

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 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 Healthy Kids UT Healthy Kids Phone: (801) 263-2370 Languages Spoken: Hindi UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 263-2370 West Jordan, UT 84088 Phone: (801) 284-4515 UT Healthy Kids Phone: (801) 263-2370 UT Healthy Kids Haws, Charles W MD C UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Phone: (801) 263-2370 UT Healthy Kids Heart Center UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Phone: (801) 263-2370 UT Healthy Kids 11762 S State St, #360 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids 3336 S 4155 W, #203 Salt Lake City, UT 84120 Massinople, David Samuel MD D 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 Healthy Kids 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 Healthy Kids Phone: (801) 263-2370 Utah UT Healthy Kids UT Healthy Kids 3570 W 9000 S, #110 Polukoff, Gerald Ira MD C West Jordan, UT 84108 Massinople, David Samuel MD D 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 Healthy Kids 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 Healthy Kids Phone: (801) 284-4515 The Heart and Lung Institute of Phone: (801) 233-0140 UT Healthy Kids Utah UT Healthy Kids Rawling, David A MD D 5979 S Fashion Blvd Wasatch Cardiology Consultants Zebrack, James Scott MD C Murray, UT 84107 Massinople, David Samuel MD D 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 Healthy Kids Utah Phone: (801) 293-7001 Murray, UT 84107 5979 S Fashion Blvd UT Healthy Kids Phone: (801) 507-8600 Kenwood, Bruce Richard DO C Murray, UT 84107 UT Healthy Kids The Heart and Lung Institute of Phone: (801) 263-2370 Rokeach, Steven Alan MD D Utah UT Healthy Kids Heart Center Colon & Rectal 82 S 1100 E, #103 1160 E 3900 S, #2000 Salt Lake City, UT 84102 Massinople, David Samuel MD D Holladay, UT 84124 Surgery Phone: (801) 263-2370 The Heart and Lung Institute of Phone: (801) 266-3418 UT Healthy Kids Utah UT Healthy Kids 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 D 324 E 10th Ave, #280 Heart Center Phone: (801) 263-2370 Heart Center Salt Lake City, UT 84103 1160 E 3900 S, #2000 UT Healthy Kids 5169 S Cottonwood St, #B620 Phone: (801) 408-5930 Holladay, UT 84124 Murray, UT 84107 UT Healthy Kids Phone: (801) 266-3418 Phone: (801) 507-8600 UT Healthy Kids UT Healthy Kids

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 Eyring, Edward Joseph MD D Johnson, Joyce Dunn MD D Goodman, Gordon Timothy MD Barnett, Robert Kyle MD D 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 Healthy Kids Phone: (801) 715-3500 Salt Lake City, UT 84102 Phone: (801) 619-1115 UT Healthy Kids Phone: (801) 350-4602 UT Healthy Kids Griffin, John Anthony MD C UT Healthy Kids CUC - SL - Colon & Rectal Southwick, Edward G MD D Barnett, Robert Kyle MD D Surgery 3465 S 4155 W, #1 Grua, James R MD C Granite Peaks Gastroenterology 1250 E 3900 S, # 220 West Valley City, UT 84120 Utah Endocrinology Associates 9829 S 1300 E, #200 Salt Lake City, UT 84124 Phone: (801) 966-1403 470 E 3900 S, #200 Sandy, UT 84094 Phone: (801) 265-9139 UT Healthy Kids Murray, UT 84107 Phone: (801) 619-9000 UT Healthy Kids Phone: (801) 747-2800 UT Healthy Kids Topham, E Barry MD C UT Healthy Kids Hughes, Joseph P MD C 1775 E 4500 S Boschert, Mark E MD C 1250 E 3900 S, #320 Salt Lake City, UT 84117 Raman, Vandana S MD C Mountain West Gastroenterology Salt Lake City, UT 84124 Phone: (801) 272-4408 Utah Diabetes Center 6360 S 3000 E, #320 Phone: (801) 266-1409 UT Healthy Kids 615 Arapeen Dr, #100 Salt Lake City, UT 84121 UT Healthy Kids Salt Lake City, UT 84108 Phone: (801) 944-3166 Williams, Brian J MD C Phone: (801) 588-2000 UT Healthy Kids Murday, Michelle Elise MD C 602 E Fort Union Blvd, 2nd FL UT Healthy Kids 1250 E 3900 S, #330 Midvale, UT 84047 Bowers, John H MD C Holladay, UT 84124 Phone: (801) 313-1010 Family Nurse Mountain West Gastroenterology Phone: (801) 263-1621 UT Healthy Kids 6360 S 3000 E, #320 UT Healthy Kids Practitioner Salt Lake City, UT 84121 Endocrinology, Phone: (801) 944-3166 Waldron, Jill Elisabeth MD C Atwood, Lynne G NP C UT Healthy Kids 1220 E 3900 S, #4I Diabetes & Copper Canyon Womens Center Salt Lake City, UT 84124 Metabolism 3336 S Pioneer Pkwy, #301 Box, Terry D MD C Phone: (801) 263-1621 West Valley City, UT 84120 Mountain West Gastroenterology UT Healthy Kids Abu-Khalaf, Susan M MD C Phone: (801) 964-3865 6360 S 3000 E, #320 Utah Endocrinology Associates UT Healthy Kids Salt Lake City, UT 84121 Dermatology 470 E 3900 S, #200 Phone: (801) 944-3166 Murray, UT 84107 Bleak, Shirley NP C UT Healthy Kids Bradley, R Ralph MD C Phone: (801) 747-2800 Utah Cancer Specialists 166 E 5900 S, #B111 UT Healthy Kids 5121 S Cottonwood St, BldgA-2 Buchi, Kenneth N MD D Murray, UT 84107 Murray, UT 84107 3584 W 9000 S, #300 Phone: (801) 268-9672 Brady, Bruce Ryan MD C Phone: (801) 263-3416 West Jordan, UT 84084 UT Healthy Kids Utah Endocrinology Associates UT Healthy Kids Phone: (801) 254-8620 470 E 3900 S, #200 UT Healthy Kids Flint, Ivan Dean MD C Murray, UT 84107 Cox, Linda S APRN C 1250 E 3900 S, #450 Phone: (801) 747-2800 Advanced Wound Care of America Canale, Christopher Copp MD C Holladay, UT 84124 UT Healthy Kids 2520 W 4700 S, #2A Mountain West Gastroenterology Phone: (801) 262-3600 Taylorsville, UT 84118 6360 S 3000 E, #320 Languages Spoken: Spanish Burr, Robert Eaton MD C Phone: (801) 964-2008 Salt Lake City, UT 84121 UT Healthy Kids Granger Medical Clinic UT Healthy Kids Phone: (801) 944-3166 3725 W 4100 S Languages Spoken: French Hinckley, Michael R MD C West Valley City, UT 84120 Litchman, Michelle Leann APRN UT Healthy Kids Granger Medical Clinic Phone: (801) 965-3600 C 12391 S 4000 W Languages Spoken: Spanish Wasatch Endocrinology Clark, Holly B MD C Riverton, UT 84065 UT Healthy Kids 807 E South Temple, #101 Gastroenterology Associates Phone: (801) 302-1700 Salt Lake City, UT 84102 1250 E 3900 S, #360 Languages Spoken: Czech, Burr, Robert Eaton MD D Phone: (801) 746-0776 Holladay, UT 84124 Spanish Wasatch Endocrinology UT Healthy Kids Phone: (801) 263-3041 UT Healthy Kids 807 E South Temple, #101 UT Healthy Kids Salt Lake City, UT 84102 Meidinger, Gladys Kaye APRN C Hinckley, Michael R MD C Phone: (801) 746-0776 Mountain West Gastroenterology Craig, Richard MD C Granger Medical Clinic Languages Spoken: Spanish 6360 S 3000 E, #320 UUHC Redwood Clinic 3725 W 4100 S UT Healthy Kids Salt Lake City, UT 84121 1525 W 2100 S West Valley City, UT 84120 Phone: (801) 944-3166 West Valley City, UT 84119 Phone: (801) 965-3600 Falahati-nini, Alireza MD C UT Healthy Kids Phone: (801) 213-9900 Languages Spoken: Czech, Utah Endocrinology Associates UT Healthy Kids 470 E 3900 S, #200 Spanish Gastroenterology Cutler, Christopher S MD C UT Healthy Kids Murray, UT 84107 Phone: (801) 747-2800 Adler, Douglas Graham MD C Granite Peaks Gastroenterology Johnson, Joyce Dunn MD D UT Healthy Kids UUHC Redwood Clinic 9829 S 1300 E, #200 Alpine Internal Medicine Division 1525 W 2100 S Sandy, UT 84094 1060 E 100 S, #L10 Goodman, Gordon Timothy MD West Valley City, UT 84119 Phone: (801) 619-9000 Salt Lake City, UT 84102 C Phone: (801) 213-9900 UT Healthy Kids Phone: (801) 328-1260 Lakeside Comprehensive Health UT Healthy Kids UT Healthy Kids 3336 S Pioneer Pkwy, #203 West Valley City, UT 84121 Phone: (801) 964-3697 UT Healthy Kids 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 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 Healthy Kids UT Healthy Kids Languages Spoken: German UT Healthy Kids UT Healthy Kids 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 Healthy Kids UT Healthy Kids Phone: (801) 944-3166 West Valley City, UT 84120 Languages Spoken: German Phone: (801) 964-3925 Ellington, Stewart Lane MD D Karnam, Umaprasanna S MD C UT Healthy Kids Salt Lake Endoscopy Center Gut Whisperer UT Healthy Kids 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 Healthy Kids Holladay, UT 84124 Magna, UT 84044 UT Healthy Kids Phone: (801) 263-3041 Phone: (801) 964-3925 Karnam, Umaprasanna S MD C UT Healthy Kids Fenton, Peter C MD C Gut Whisperer UT Healthy Kids Mountain West Gastroenterology 3584 W 9000 S, #300 Wills, Jason C MD D 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 Healthy Kids Holladay, UT 84124 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Chichester, Danny L MD D UT Healthy Kids UT Healthy Kids 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 Healthy Kids Sandy, UT 84094 Phone: (801) 944-3166 UT Healthy Kids Graul, Elizabeth Ann MD D Phone: (801) 262-5679 UT Healthy Kids Moore, David R MD C Phase II Womens Center UT Healthy Kids 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 Healthy Kids Salt Lake City, UT 84106 Phone: (801) 944-3166 UT Healthy Kids Hurst, Barbara MD D Phone: (801) 269-0231 UT Healthy Kids Oelsner, David Howard MD C Phase II Womens Center UT Healthy Kids 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 Healthy Kids Sandy, UT 84094 Phone: (801) 619-9000 UT Healthy Kids Mainwaring, Robin Gay MD C Phone: (801) 262-5679 Languages Spoken: French Gynecology Affiliates UT Healthy Kids UT Healthy Kids 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 Healthy Kids Salt Lake City, UT 84102 Murray, UT 84107 UT Healthy Kids Morgan, Lisa Ann MD C Phone: (801) 535-8166 Phone: (801) 314-4222 Gynecology Affiliates UT Healthy Kids UT Healthy Kids 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 Healthy Kids Salt Lake City, UT 84106 Salt Lake City, UT 84121 UT Healthy Kids Rhode, Jennifer M MD C Phone: (801) 269-0231 Phone: (801) 944-3166 Monarch Womens Cancer Center UT Healthy Kids UT Healthy Kids 1140 E 3900 S, #340 Holladay, UT 84124 Phone: (801) 743-4730 UT Healthy Kids 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 Prystas, Elizabeth M MD D 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 Healthy Kids Phone: (801) 964-3855 UT Healthy Kids Phone: (801) 269-0231 UT Healthy Kids Languages Spoken: Spanish Samuelson, Scott James MD C Maternal & Fetal UT Healthy Kids 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 Healthy Kids Phone: (801) 213-9900 St Marks Maternal Fetal Associates West Valley City, UT 84120 UT Healthy Kids 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 Healthy Kids 3838 S 700 E, #100 The Sleep Institute of Utah UT Healthy Kids 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 Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Phone: (801) 662-1000 Sandy, UT 84094 Utah Cancer Specialists UT Healthy Kids Phone: (801) 262-5679 82 S 1100 E, #403 Vacharothone, Rachot K MD C Dildy III, Gary Andrew MD D Languages Spoken: Spanish Salt Lake City, UT 84102 Utah Pain Relief Institute South UT Healthy Kids Phone: (801) 364-1006 32 W 6400 S, #201 Maternal Fetal Services of Utah UT Healthy Kids 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 Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 268-6830 Salt Lake City, UT 84124 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Phone: (801) 261-9651 Languages Spoken: Arabic UT Healthy Kids Phone: (801) 408-3446 Corcoran, Melissa Charlene MD UT Healthy Kids UT Healthy Kids 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 Healthy Kids Holladay, UT 84124 Phone: (801) 263-2370 Phone: (801) 261-9651 Rope, Alan F MD C UT Healthy Kids Languages Spoken: Arabic Frame, Richard N MD C UT Healthy Kids PCMC - Pediatric Genetics Utah Cancer Specialists 100 N Medical Dr Updike, Wanda S MD D 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 Healthy Kids UT Healthy Kids Salt Lake City, UT 84102 82 S 1100 E, #103 Phone: (801) 328-1260 Viskochil, David H MD D UT Healthy Kids 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 Healthy Kids 55 Mario Capecchi Dr Salt Lake City, UT 84106 Salt Lake City, UT 84114 Phone: (801) 269-0231 Phone: (801) 584-8284 UT Healthy Kids UT Healthy Kids

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 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 Healthy Kids Phone: (801) 408-5757 Languages Spoken: Spanish Languages Spoken: Arabic, UT Healthy Kids UT Healthy Kids German, Hindi, Persian, Frame, Richard N MD C Sindhi, Urdu Utah Cancer Specialists Nibley, William Eliott MD C Liu, Ellen Anita MD C UT Healthy Kids 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 D Phone: (801) 262-5679 Salt Lake City, UT 84102 Holladay, UT 84124 Granger Medical Clinic UT Healthy Kids Phone: (801) 535-8166 Phone: (801) 743-6520 3725 W 4100 S UT Healthy Kids UT Healthy Kids 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 Healthy Kids UT Healthy Kids Phone: (801) 263-3416 Phone: (801) 743-6520 UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 262-5679 Phone: (801) 743-6520 German, Hindi, Persian, UT Healthy Kids UT Healthy Kids Harker, William Graydon MD C Sindhi, Urdu Utah Cancer Specialists Rich, Nathan Terry MD C Smith, Robin S MD C UT Healthy Kids 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 Healthy Kids Phone: (801) 269-0231 Phone: (801) 743-6520 Murray, UT 84107 Languages Spoken: Japanese UT Healthy Kids Klein, Regina C MD D Phone: (801) 288-2634 UT Healthy Kids UT Healthy Kids 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 Healthy Kids UT Healthy Kids Phone: (801) 288-2634 UT Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Murray, UT 84157 Murray, UT 84107 Phone: (801) 288-2634 Phone: (801) 263-3416 Litton, Gregory James MD C Phone: (801) 288-2634 UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids 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 Healthy Kids 650 E 4500 S, #210 Murray, UT 84107 UT Healthy Kids Murray, UT 84107 Phone: (801) 288-2634 Phone: (801) 288-2634 Languages Spoken: Hindi UT Healthy Kids UT Healthy Kids

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 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 Healthy Kids Languages Spoken: French Murray, UT 84107 Salt Lake City, UT 84102 UT Healthy Kids Phone: (801) 288-2634 Phone: (801) 322-5571 Tien, Dave MD C UT Healthy Kids UT Healthy Kids 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 Healthy Kids Neurological Associates Brown, Terry A MD C 3590 W 9000 S Phone: (801) 944-3166 UT Healthy Kids 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 Healthy Kids Surgery UT Healthy Kids 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 Healthy Kids 4000 S 700 E, #10 UT Healthy Kids 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 Healthy Kids 100 N Mario Capecchi Dr UT Healthy Kids 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 Healthy Kids UT Healthy Kids 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 Healthy Kids Utah Cancer Specialists UT Healthy Kids 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 Healthy Kids 1525 W 2100 S UT Healthy Kids 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 Healthy Kids Mountain Medical Vein Center UT Healthy Kids 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 Healthy Kids 1525 W 2100 S UT Healthy Kids 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 Healthy Kids 1250 E 3900 S, #200 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids 24 S 1100 E, #302 Phone: (801) 584-8284 UT Healthy Kids Salt Lake City, UT 84102 UT Healthy Kids Moser Jr, Royce MD C Phone: (801) 531-7806 Trauscht-VanHorn, Jennifer MD UUHC Redwood Clinic UT Healthy Kids 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 Healthy Kids 82 S 1100 E, #103 UT Healthy Kids 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 Healthy Kids UUHC Redwood Clinic UT Healthy Kids 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 Healthy Kids 5171 S Cottonwood St, #950 Phone: (801) 965-3600 of Utah Murray, UT 84107 UT Healthy Kids 1906 W 3600 S Phone: (801) 507-9555 West Valley City, UT 84119 UT Healthy Kids Phone: (801) 973-9675 UT Healthy Kids

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 Ophthalmology Faber, David Wayne MD C Johnsen, Justin Rodney MD C Poll, Jed T MD C Rocky Mountain Retina Advanced Eye Care Eye Foundation of Utah Alldredge, Claron D MD C Consultants 1250 E 3900 S, #310 201 E 5900 S, #201 Retinapro 4400 S 700 E, #200 Salt Lake City, UT 84124 Salt Lake City, UT 84107 440 D St, #210 Murray, UT 84107 Phone: (801) 263-2020 Phone: (801) 268-6408 Salt Lake City, UT 84103 Phone: (801) 264-4444 Languages Spoken: Spanish UT Healthy Kids Phone: (801) 408-3705 Languages Spoken: Spanish UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Ramsey, John F MD C UT Healthy Kids Johnsen, Justin Rodney MD C Alta View Eye Care Center Fassio, John B MD C Utah Eye and Facial Plastic Surgery 9720 S 1300 E, #E210 Brockbank, David Thomas MD C Mountain Valley Eye Institute 5296 S Commerce Dr, #206 Sandy, UT 84094 Olympus Eye Associates 4568 S Highland Dr, #160 Murray, UT 84107 Phone: (801) 572-0631 6065 S Fashion Blvd, #125 Holladay, UT 84117 Phone: (801) 281-3223 UT Healthy Kids Salt Lake City, UT 84107 Phone: (801) 424-3090 Languages Spoken: Spanish Phone: (801) 261-0726 UT Healthy Kids UT Healthy Kids Smith, Robert E MD C UT Healthy Kids Granger Medical Clinic Goff, Mitchell J MD C Kottler, Michael Stephen MD C 3725 W 4100 S Call, Newel Branson MD C Rocky Mountain Retina Mountain Valley Eye Institute West Valley City, UT 84120 4400 S 700 E, #130 Consultants 4568 S Highland Dr, #160 Phone: (801) 965-3600 Murray, UT 84107 4400 S 700 E, #200 Holladay, UT 84117 Languages Spoken: French Phone: (801) 264-4420 Murray, UT 84107 Phone: (801) 424-3090 UT Healthy Kids UT Healthy Kids Phone: (801) 264-4444 UT Healthy Kids UT Healthy Kids Smith, Stacy Ruth MD D Charlton, Kevin H MD C McCann, John David MD C Mountain Valley Eye Institute Rocky Mountain Eye Care Hoffman, Robert O MD D Center for Facial Appearances 4568 S Highland Dr, #160 Associates Children with Special Healthcare 1002 E South Temple, #308 Holladay, UT 84117 4400 S 700 E, #100 Needs Salt Lake City, UT 84102 Phone: (801) 424-3090 Murray, UT 84107 44 Mario Capecchi Dr Phone: (801) 363-3355 UT Healthy Kids Phone: (801) 264-4450 Salt Lake City, UT 84114 UT Healthy Kids UT Healthy Kids Phone: (801) 584-8284 Spencer, David Arthur MD C UT Healthy Kids McCann, John David MD D 6412 S 900 E, #101 Chou, Stella Y MD C Eye Foundation of Utah Salt Lake City, UT 84121 Avec Eye Center Howard, James G MD C 201 E 5900 S, #201 Phone: (801) 262-3344 8789 S Highland Dr, #100 Retina Associates of Utah Murray, UT 84107 UT Healthy Kids Sandy, UT 84093 5169 S Cottonwood St, BldgB #630 Phone: (801) 268-6408 Phone: (801) 943-4999 Murray, UT 84107 UT Healthy Kids Stanford, Gary B MD C Languages Spoken: Chinese Phone: (801) 312-2020 Advanced Eye Care UT Healthy Kids Languages Spoken: Spanish Merkley, Kevin H MD C 1250 E 3900 S, #310 UT Healthy Kids Avec Eye Center Salt Lake City, UT 84124 Cionni, Robert J MD C 8789 S Highland Dr, #100 Phone: (801) 263-2020 The Eye Institute of Utah Hurlbut-Miller, Peter Richard Sandy, UT 84093 UT Healthy Kids 755 E 3900 S MD C Phone: (801) 943-4999 Murray, UT 84107 Rocky Mountain Retina UT Healthy Kids Sykes, Scott Owen MD D Phone: (801) 266-2283 Consultants Eye Foundation of Utah UT Healthy Kids 4400 S 700 E, #200 Parker, Jared Wayne MD C 201 E 5900 S, #201 Ungricht Eye Associates Murray, UT 84107 C Murray, UT 84107 Crandall, Alan S MD Phone: (801) 264-4444 5770 S 250 E, #410 Phone: (801) 268-6408 University of Utah Rocky UT Healthy Kids Murray, UT 84107 Languages Spoken: Mountain Ophthalmology Phone: (801) 314-4420 Portuguese 4400 S 700 E, #240 Jackson, Alan E MD C UT Healthy Kids UT Healthy Kids Murray, UT 84107 Cottonwood Eye & Laser Center Phone: (801) 264-4464 201 E 5900 S, #101 Patel, Bhupendra C MD C Tempest, Mathew Richard MD C UT Healthy Kids Murray, UT 84107 Salt Lake Eye Associates Alta View Eye Care Center 1025 E 3300 S 9720 S 1300 E, #E210 C Phone: (801) 261-0726 Davis, Brian R MD UT Healthy Kids Salt Lake City, UT 84106 Sandy, UT 84094 Davis Vision Center Phone: (801) 281-2020 Phone: (801) 572-0631 1325 W South Jordan Pkwy, #103 Jackson, Steven T MD C Languages Spoken: French, Languages Spoken: Spanish South Jordan, UT 84095 Cottonwood Eye & Laser Center Gujarati, Hindi, Swahili UT Healthy Kids Phone: (801) 253-3080 201 E 5900 S, #101 UT Healthy Kids UT Healthy Kids Murray, UT 84107 Teske, Michael P MD D Petersen, David Byrum MD C Eye Foundation of Utah C Phone: (801) 261-0726 Davis, Brian R MD UT Healthy Kids Rocky Mountain Eye Care 201 E 5900 S, #201 Davis Vision Center Associates Murray, UT 84107 3741 W 12600 S, #480 Jeppsen, Paul S MD C 4400 S 700 E, #100 Phone: (801) 268-6408 Riverton, UT 84065 Rocky Mountain Eye Care Murray, UT 84107 UT Healthy Kids Phone: (801) 285-4000 Associates Phone: (801) 264-4450 UT Healthy Kids 4400 S 700 E, #100 Languages Spoken: Spanish Ungricht, Albert Lon MD C Ungricht Eye Associates C Murray, UT 84107 UT Healthy Kids Daynes, Todd Ellsworth MD Phone: (801) 264-4450 5770 S 250 E, #410 324 E 10th Ave, #260 Languages Spoken: Spanish Pingree, Michael Frederick MD C Murray, UT 84107 Salt Lake City, UT 84103 UT Healthy Kids 3465 S 4155 W, #5 Phone: (801) 314-4420 Phone: (801) 408-2020 West Valley City, UT 84120 Languages Spoken: German Languages Spoken: Spanish Phone: (801) 966-0081 UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids 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 Wapner, Francis J MD C Mehr, Douglas Stewart MD C Cooper, Andrew D MD C Howe, David James MD C Advanced Eye Care Advanced Eye Care Salt Lake Regional Family Practice SLR Comprehensive Orthopedics 1250 E 3900 S, #310 1250 E 3900 S, #310 & Sports Medicine & Sports Medicine Salt Lake City, UT 84124 Salt Lake City, UT 84124 82 S 1100 E, #303 9350 S 150 E, #460 Phone: (801) 263-2020 Phone: (801) 263-2020 Salt Lake City, UT 84102 Sandy, UT 84070 UT Healthy Kids Languages Spoken: Phone: (801) 533-2002 Phone: (801) 533-2002 Portuguese, Spanish UT Healthy Kids UT Healthy Kids Wapner, Francis J MD C UT Healthy Kids Advanced Eye Care Cooper, Andrew D MD C Khachatryan, Armen MD C 3584 W 9000 S, #301 Mehr, Douglas Stewart MD C Salt Lake Regional Family Practice Center for Orthopedic & West Jordan, UT 84088 Granger Medical Clinic & Sports Medicine Rehabilitation Excellence Phone: (801) 255-8633 3725 W 4100 S 9350 S 150 E, #460 3584 W 9000 S, #405 UT Healthy Kids West Valley City, UT 84120 Sandy, UT 84070 West Jordan, UT 84088 Phone: (801) 965-3600 Phone: (801) 533-2002 Phone: (801) 568-3480 Wilcox, Michael Blair MD D Languages Spoken: UT Healthy Kids UT Healthy Kids Eye Foundation of Utah Portuguese, Spanish 201 E 5900 S, #201 UT Healthy Kids Gordon, Anthony Scott MD D Kimball, Gordon R MD C Murray, UT 84107 9844 S 1300 E, #100 Lone Peak Orthopedics Phone: (801) 268-6408 Mehr, Douglas Stewart MD C Sandy, UT 84094 9844 S 1300 E, #275 UT Healthy Kids 3855 W 7800 S, #210 Phone: (801) 571-9433 Sandy, UT 84094 West Jordan, UT 84088 UT Healthy Kids Phone: (801) 571-7061 Wilkinson, E Leigh MD C Phone: (801) 260-0034 UT Healthy Kids Rocky Mountain Eye Care Languages Spoken: Gordon, Dennis H MD C Associates Portuguese, Spanish Associates in Orthopaedic Surgery Klatt, Joshua William MD D 4400 S 700 E, #100 UT Healthy Kids 3336 S Pioneer Pkwy, #102 Children with Special Healthcare Murray, UT 84107 West Valley City, UT 84120 Needs Phone: (801) 264-4450 Swartz, Mano MD C Phone: (801) 964-3925 47 Mario Capecchi Dr UT Healthy Kids Retina Associates of Utah UT Healthy Kids Salt Lake City, UT 84114 5169 S Cottonwood St, BldgB #630 Phone: (801) 584-8284 Wirostko, Barbara M MD C Murray, UT 84107 Harris, Leslie J MD C UT Healthy Kids Avec Eye Center Phone: (801) 312-2020 Center for Orthopedic & 8789 S Highland Dr, #100 Languages Spoken: German, Rehabilitation Excellence Lauritzen, Renee S MD C Sandy, UT 84093 Spanish 3584 W 9000 S, #405 Lone Peak Orthopedics Phone: (801) 349-4999 UT Healthy Kids West Jordan, UT 84088 9844 S 1300 E, #275 Languages Spoken: Spanish Phone: (801) 568-3480 Sandy, UT 84094 UT Healthy Kids Winward, Kirk Edward MD C UT Healthy Kids Phone: (801) 571-7061 Retina Associates of Utah UT Healthy Kids Zabriskie, Norman A MD C 5169 S Cottonwood St, BldgB #630 Harris, Leslie J MD C University of Utah Rocky Murray, UT 84107 Institute for Specialty Surgery Mackey, Richard Brian MD C Mountain Ophthalmology Phone: (801) 312-2020 3336 S Pioneer Pkwy, #306 Center for Orthopedic & 4400 S 700 E, #240 Languages Spoken: Spanish West Valley City, UT 84120 Rehabilitation Excellence Murray, UT 84107 UT Healthy Kids Phone: (801) 964-3855 3584 W 9000 S, #405 Phone: (801) 264-4464 UT Healthy Kids West Jordan, UT 84088 Languages Spoken: Spanish Oral and Phone: (801) 568-3480 UT Healthy Kids Heiden, Eric A MD C UT Healthy Kids Maxillofacial Heiden Orthopedics Ophthalmology / 4888 S Highland Dr Marshall Jr, Stuart Charles MD C Surgery - Dentist Salt Lake City, UT 84117 Center for Orthopedic & Retina Specialist Austin, Blaine D DDS C Phone: (801) 615-8822 Rehabilitation Excellence 2180 E 4500 S, #285 UT Healthy Kids 3584 W 9000 S, #405 Brinton, Gregory S MD C West Jordan, UT 84088 Retina Associates of Utah Salt Lake City, UT 84117 Hofmann, Aaron A MD C Phone: (801) 277-3942 Phone: (801) 568-3480 5169 S Cottonwood St, BldgB #630 Hofmann Arthritis Institute UT Healthy Kids Murray, UT 84107 Languages Spoken: Spanish 24 S 1100 E, #101 Phone: (801) 312-2020 UT Healthy Kids Salt Lake City, UT 84102 McCandless, Jeremy Bell MD C Languages Spoken: Japanese, Haymond, Creed S DDS C Phone: (801) 355-6468 Hofmann Arthritis Institute Russian 1434 E 9400 S, #102 UT Healthy Kids 24 S 1100 E, #101 UT Healthy Kids Sandy, UT 84093 Salt Lake City, UT 84102 Holmes, Stephanie M MD D Phone: (801) 355-6468 Kwun, Robert C MD C Phone: (801) 576-0077 Children with Special Healthcare Languages Spoken: Italian, Languages Spoken: Spanish Retina Associates of Utah Needs UT Healthy Kids 5169 S Cottonwood St, BldgB #630 Spanish 44 Mario Capecchi Dr Murray, UT 84107 UT Healthy Kids Salt Lake City, UT 84114 Momberger, Nathan G MD C Phone: (801) 312-2020 Phone: (801) 584-8284 5848 S Fashion Blvd, #110 Languages Spoken: Korean, Orthopaedic Surgery UT Healthy Kids Murray, UT 84107 Spanish C Phone: (801) 314-4013 UT Healthy Kids Beck Jr, Charles L MD Howe, David James MD C UT Healthy Kids Center for Orthopedic & SLR Comprehensive Orthopedics Rehabilitation Excellence & Sports Medicine Nelson, Russell Lee MD D 3584 W 9000 S, #405 82 S 1100 E, #303 Utah Bone & Joint Center West Jordan, UT 84088 Salt Lake City, UT 84102 5323 S Woodrow St, #202 Phone: (801) 568-3480 Phone: (801) 533-2002 Murray, UT 84107 UT Healthy Kids UT Healthy Kids Phone: (801) 713-0606 UT Healthy Kids 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 Rasmussen, Gary Lynn MD D 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 Healthy Kids Phone: (801) 964-3925 Salt Lake City, UT 84102 Phone: (801) 268-4141 UT Healthy Kids Phone: (801) 363-3125 UT Healthy Kids Richards, Daniel Todd DO C UT Healthy Kids 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 Healthy Kids Phone: (801) 584-8284 Draper, UT 84020 UT Healthy Kids UT Healthy Kids Phone: (801) 328-2522 Schmidt, Donald A MD C UT Healthy Kids 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 Healthy Kids UT Healthy Kids West Valley City, UT 84120 UT Healthy Kids Phone: (801) 965-3600 Scholl, Mark David MD C Trawick, Roy H MD C UT Healthy Kids 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 Healthy Kids Salt Lake City, UT 84102 UT Healthy Kids Phone: (801) 424-5042 Phone: (801) 355-3404 UT Healthy Kids Walker, Dean Nichols MD D UT Healthy Kids 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 Healthy Kids 22 S 900 E Languages Spoken: Spanish Salt Lake City, UT 84102 Salt Lake City, UT 84102 UT Healthy Kids Phone: (801) 533-2002 Winter, Bret Ryan MD C Phone: (801) 363-3125 UT Healthy Kids Associates in Orthopaedic Surgery Languages Spoken: Spanish Kelly, Steven Michael MD C 3336 S Pioneer Pkwy, #102 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Phone: (801) 533-2002 Associates in Orthopaedic Surgery Draper, UT 84020 UT Healthy Kids 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 Healthy Kids 3584 W 9000 S, #311 Center for Orthopedic & UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Phone: (801) 561-3101 Phone: (801) 268-4141 Intermountain Ear Nose and UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 964-3925 Phone: (801) 662-5600 22 S 900 E UT Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids 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 D Phone: (801) 965-3600 Phone: (801) 328-2522 PCMC Pediatric Ent Utah Bone & Joint Center UT Healthy Kids UT Healthy Kids 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 Healthy Kids UT Healthy Kids West Jordan, UT 84088 Phone: (801) 566-8304 UT Healthy Kids 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 Nelson, Jeffrey J MD C Sonkens, Jerry Wayne MD C Lewis, Katrina MD C 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 Healthy Kids Languages Spoken: French UT Healthy Kids UT Healthy Kids UT Healthy Kids Swenson, Randal W MD C Molina, Kimberly MD C Nielsen, Richard Wendell MD C ENT Specialists Lordon, Stephen P MD C 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 Healthy Kids Phone: (801) 262-7246 UT Healthy Kids Phone: (801) 363-3125 Languages Spoken: Spanish UT Healthy Kids Tagge, Bryan Curtis MD C UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 581-7761 Languages Spoken: Spanish Languages Spoken: Spanish Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids Webster, Lynn R MD D UT Healthy Kids 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 Healthy Kids Phone: (801) 355-4316 Phone: (801) 569-1999 Phone: (801) 268-4141 UT Healthy Kids Webster, Lynn R MD D Languages Spoken: Spanish UT Healthy Kids Murray, Mary A MD C UT Healthy Kids 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 Healthy Kids Phone: (801) 581-7761 St Marks Pain Center UT Healthy Kids Phone: (801) 566-8304 1250 E 3900 S, #30 Languages Spoken: French Holladay, UT 84124 Pediatric Simard, Marie F MD C UT Healthy Kids Phone: (801) 268-7729 Cardiology Utah Diabetes Center Shah, Saurabh B MD C UT Healthy Kids 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 Healthy Kids West Jordan, UT 84088 UT Healthy Kids UT Healthy Kids Phone: (801) 352-5900 Pediatric Sharma, Pramod Kumar MD C UT Healthy Kids 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 Healthy Kids Nutrition Phone: (801) 363-3125 Phone: (801) 965-3600 250 E 5770 S, #330 Languages Spoken: Hindi UT Healthy Kids Jou, Chuanchau Jerry DO C Murray, UT 84107 UT Healthy Kids Primary Childrens EKG Phone: (801) 314-4444 Finnegan, Robert F MD C Sharma, Pramod Kumar MD C 100 N Mario Capecchi Dr UT Healthy Kids 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 Healthy Kids Pediatric Gastroenterology & 756 E 12200 S Phone: (801) 715-3500 Nutrition Draper, UT 84020 UT Healthy Kids 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 Healthy Kids Salt Lake City, UT 84113 UT Healthy Kids Phone: (801) 662-5400 UT Healthy Kids

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 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 Healthy Kids UT Healthy Kids Phone: (801) 568-3480 UT Healthy Kids 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 D UT Healthy Kids 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 Healthy Kids Phone: (801) 531-7806 Winter, Sarah L MD D UT Healthy Kids UT Healthy Kids Children with Special Healthcare Witter, David Michael MD C Needs Grange, Timothy S MD D Associates in Orthopaedic Surgery Desonia, Sally Joye PA D 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 Healthy Kids West Valley City, UT 84120 UT Healthy Kids Phone: (801) 262-3441 Phone: (801) 955-1232 UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 263-2370 UT Healthy Kids UT Healthy Kids Khan, Qamar R MD C UT Healthy Kids Fagan, McCall PA D 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 Healthy Kids West Jordan, UT 84088 UT Healthy Kids Phone: (801) 662-3600 Khan, Qamar R MD C Phone: (801) 568-3480 Frischknecht, Scott C PA C UT Healthy Kids Granger Medical Clinic UT Healthy Kids 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 Healthy Kids UT Healthy Kids Cunniff, Joseph G MD D 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 Healthy Kids 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 Healthy Kids Phone: (801) 676-7627 3725 W 4100 S Phone: (801) 263-3416 UT Healthy Kids West Valley City, UT 84120 Languages Spoken: Spanish Djurich, Milan DO C UT Healthy Kids Healthsouth Rehabilitation Lewelt, Aga Julia MD C Phone: (801) 965-3600 8074 S 1300 E 100 N Mario Capecchi Dr UT Healthy Kids 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 Healthy Kids 3584 W 9000 S, #405 Sandy, UT 84094 Croatian, Serbian Phone: (801) 262-5679 C West Jordan, UT 84088 UT Healthy Kids Oki, Allison MD Phone: (801) 566-0204 Languages Spoken: Spanish 100 N Mario Capecchi Dr UT Healthy Kids Djurich, Milan DO C Salt Lake City, UT 84113 UT Healthy Kids Jordan Valley Internal Medicine Phone: (801) 662-4949 Carpenter, Scott PA C Hanson, Richard Edward PA C 3570 W 9000 S, #100 UT Healthy Kids 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 Healthy Kids Languages Spoken: German UT Healthy Kids Midvale, UT 84047 UT Healthy Kids Phone: (801) 213-9400 Creer, Analee S PA C Duerksen, Ronald Gary MD C UT Healthy Kids 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 Healthy Kids UT Healthy Kids Languages Spoken: German UT Healthy Kids 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 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 Healthy Kids UT Healthy Kids UT Healthy Kids Phone: (801) 266-4212 UT Healthy Kids 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 Healthy Kids Phone: (801) 662-1700 UT Healthy Kids Phone: (801) 568-3480 UT Healthy Kids UT Healthy Kids 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 Healthy Kids Languages Spoken: Fante UT Healthy Kids Phone: (801) 964-3925 UT Healthy Kids UT Healthy Kids 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 D 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 Healthy Kids Phone: (801) 299-7625 UT Healthy Kids Holladay, UT 84124 UT Healthy Kids Satterwhite, Malea G PA C Warnock, Steven H MD C Phone: (801) 266-3418 D UT Healthy Kids 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 Healthy Kids 1160 E 3900 S, #2000 UT Healthy Kids Salt Lake City, UT 84102 Holladay, UT 84124 Phone: (801) 322-1188 Podiatrist Phone: (801) 266-3418 Simpson, Jared Maurice PA C UT Healthy Kids UT Healthy Kids 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 Healthy Kids West Jordan, UT 84088 Languages Spoken: Spanish Languages Spoken: Italian Phone: (801) 676-3776 UT Healthy Kids UT Healthy Kids Anderson, Ryan K DPM C UT Healthy Kids Advanced Foot & Ankle Sorensen, Jennifer Anne PA C Fryer, Richard H MD C 3590 W 9000 S, #215 Johnson, Kira Dove PA D 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 Healthy Kids West Valley City, UT 84120 Phone: (801) 944-3144 Phone: (801) 571-2020 Phone: (801) 968-1818 UT Healthy Kids UT Healthy Kids Blackburn, Dennis A DPM C UT Healthy Kids 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 Healthy Kids West Valley City, UT 84120 Phone: (801) 601-4423 Phone: (801) 293-8100 Phone: (801) 968-1818 UT Healthy Kids UT Healthy Kids Brown, H Ronald DPM C UT Healthy Kids 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 Healthy Kids 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 Healthy Kids 1325 W South Jordan Pkwy, #105 Phone: (801) 547-1155 UT Healthy Kids C South Jordan, UT 84095 UT Healthy Kids 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 Healthy Kids Center for Orthopedic & Rehabilitation Excellence Phone: (801) 743-0770 Rehabilitation Excellence 3584 W 9000 S, #405 UT Healthy Kids 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 Healthy Kids Primary Childrens Medical Center Draper, UT 84020 UT Healthy Kids 100 N Mario Capecchi Dr Phone: (801) 523-3053 Salt Lake City, UT 84113 Languages Spoken: Spanish Phone: (801) 743-0770 UT Healthy Kids UT Healthy Kids 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 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 Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids Clark, Francis J DPM C 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 Healthy Kids Phone: (801) 274-9062 UT Healthy Kids Phone: (801) 505-5277 UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 505-5277 Languages Spoken: French Phone: (801) 505-5277 UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 505-5277 Phone: (801) 685-7129 UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids Phone: (801) 505-5277 UT Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids Phone: (801) 505-5277 UT Healthy Kids 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 Healthy Kids Salt Lake City, UT 84102 UT Healthy Kids Languages Spoken: Spanish Phone: (801) 505-5277 UT Healthy Kids Larsen, Louis Craig DPM C UT Healthy Kids 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 Healthy Kids 8822 S Redwood Rd, #E121 Languages Spoken: Spanish Phone: (801) 483-1015 West Jordan, UT 84088 UT Healthy Kids Languages Spoken: Russian Lowe, Michael K DPM C Phone: (801) 505-5277 UT Healthy Kids Podiatry Center UT Healthy Kids 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 Healthy Kids Sandy, UT 84094 Phone: (801) 743-2909 Phone: (801) 571-7911 Dario Sr, Joel Salindong APRN C UT Healthy Kids Phillips, Stanley J DPM C UT Healthy Kids 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 Healthy Kids Salt Lake City, UT 84102 UT Healthy Kids West Jordan, UT 84088 Phone: (801) 355-6175 Phone: (801) 352-5900 Rushton, Ryan Taylor DPM C UT Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Phone: (801) 260-5864 UT Healthy Kids UT Healthy Kids 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 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 Healthy Kids UT Healthy Kids Languages Spoken: Chinese Mandarin UT Healthy Kids UT Healthy Kids 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 Healthy Kids UT Healthy Kids Phone: (801) 432-8690 Phone: (801) 269-0231 UT Healthy Kids UT Healthy Kids Cavin, Ian Richard DO C Dupont, Gregory Patrick MD D 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 Healthy Kids UT Healthy Kids Phone: (801) 746-4440 Phone: (801) 350-8400 UT Healthy Kids UT Healthy Kids 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 Healthy Kids Languages Spoken: Arabic Phone: (866) 227-5337 Phone: (801) 350-8400 UT Healthy Kids UT Healthy Kids Languages Spoken: German Cavin, Ian Richard DO C UT Healthy Kids 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 Healthy Kids Phone: (801) 263-2482 Phone: (801) 263-2482 Wasatch Internal Medicine & UT Healthy Kids UT Healthy Kids 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 Healthy Kids Salt Lake City, UT 84102 Utah Cancer Specialists UT Healthy Kids Phone: (801) 350-4110 3838 S 700 E, #100 UT Healthy Kids 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 Healthy Kids 9103 S 1300 W, #103 Phone: (801) 746-2885 Holladay, UT 84124 Fischbach, Ada J MD C West Jordan, UT 84088 UT Healthy Kids Phone: (801) 263-2482 Phone: (801) 432-8690 Utah Cancer Specialists Cottam, Daniel Rhead MD C UT Healthy Kids 3838 S 700 E, #100 Languages Spoken: Urdu UT Healthy Kids Surgical Weight Loss Center Kurrus, Jeffery Anton MD D 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 Healthy Kids Phone: (801) 746-2885 Holladay, UT 84124 Hansen, Roger S MD C Testa, Massimo Max MD C UT Healthy Kids Phone: (801) 263-2482 LDSH Health & Fitness Institute GammaWest Brachytherapy Davis, Charles Reese MD C UT Healthy Kids 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 Healthy Kids West Jordan, UT 84088 5801 Fashion Blvd, #280 UT Healthy Kids Phone: (801) 569-1999 Murray, UT 84107 Harris, Robert Alan MD C Surgery Languages Spoken: Japanese, Phone: (801) 260-5864 GammaWest Brachytherapy Spanish UT Healthy Kids 1050 E South Temple Alonso, Diane MD C UT Healthy Kids 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 Healthy Kids Murray, UT 84107 4000 S 700 E, #9 Murray, UT 84107 Phone: (801) 507-9600 Murray, UT 84107 Phone: (801) 260-5864 UT Healthy Kids Phone: (801) 262-3564 Languages Spoken: Hindi, Urdu Languages Spoken: Japanese, UT Healthy Kids Spanish UT Healthy Kids

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 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 Healthy Kids Languages Spoken: French UT Healthy Kids Spanish UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 601-4423 Languages Spoken: Spanish Languages Spoken: French UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 408-3555 UT Healthy Kids Mountainstar Cardiovascular Languages Spoken: Spanish Surgery Hollingsed, Timothy C MD C UT Healthy Kids 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 Healthy Kids UT Healthy Kids West Jordan, UT 84088 UT Healthy Kids Phone: (801) 601-4423 Graham, Joseph Eugene MD C Irvine, Bruce Chamberlin MD C UT Healthy Kids 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 Healthy Kids West Jordan, UT 84088 Phone: (801) 584-8284 UT Healthy Kids Phone: (801) 601-4423 UT Healthy Kids Kim, Benjamin MD C UT Healthy Kids 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 Healthy Kids Magna, UT 84044 Salt Lake City, UT 84124 Phone: (801) 743-4750 Phone: (801) 964-3855 Phone: (801) 313-4101 UT Healthy Kids Le, Dinhkim MD C Languages Spoken: Russian UT Healthy Kids Jordan Valley Surgical Specialists UT Healthy Kids 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 Healthy Kids 3336 S Pioneer Pkwy, #306 Murray, UT 84107 Holladay, UT 84124 West Valley City, UT 84120 Phone: (801) 713-1010 Leckman, Scott A MD D Phone: (801) 743-4750 Phone: (801) 964-3855 UT Healthy Kids UT Healthy Kids 1220 E 3900 S, #3G Languages Spoken: Russian Salt Lake City, UT 84124 UT Healthy Kids Swenson, Lori Raelynn MD C Stringham, James Cannon MD C Phone: (801) 266-4924 Associates in Orthopaedic Surgery Cardiovascular Consultants of UT Healthy Kids 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 Healthy Kids Salt Lake City, UT 84102 Phone: (801) 746-4440 Phone: (801) 262-9782 UT Healthy Kids Phone: (801) 478-0010 UT Healthy Kids Swenson, Lori Raelynn MD C Languages Spoken: Spanish Institute for Specialty Surgery Thorne, J Kent MD D UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Salt Lake City, UT 84124 UT Healthy Kids Canyon Surgical Associates Phone: (801) 268-3800 5171 S Cottonwood St, #650 Languages Spoken: Spanish Murray, UT 84107 UT Healthy Kids Phone: (801) 507-9600 Languages Spoken: Dutch UT Healthy Kids

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 Salt Lake Specialty Care Network San Juan Undersea and McFadden, Michael R MD D Goodman, Greg R MD D 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 Healthy Kids UT Healthy Kids Black, Curtis L MD C 6508 Canyon Cove Dr Oottamasathien, Siam MD C Merrell, Steven W MD D 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 Healthy Kids Phone: (801) 662-1700 1160 E 3900 S, #G300 Phone: (435) 678-2254 UT Healthy Kids Salt Lake City, UT 84124 Languages Spoken: Urology Phone: (801) 313-4101 Portuguese, Spanish Parkinson, Justin Paul MD C UT Healthy Kids UT Healthy Kids Plus Cartwright, Patrick C MD C Associates in Orthopaedic Surgery 100 N Mario Capecchi Dr 3665 S 8400 W, #200 Merrell, Steven W MD D 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 Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Plus 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 Healthy Kids 1160 E 3900 S, #G300 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Mountain Medical Vein Center Blanding, UT 84511 Phone: (801) 662-1700 5323 S Woodrow St, #102 Phone: (435) 678-2254 UT Healthy Kids Snyder, Orrenzo Benally MD C Murray, UT 84107 UT Healthy Kids Plus Granger Medical Clinic Phone: (801) 713-1010 Richey, Tanya Darlene NP C Fisher, Peter C MD C 12391 S 4000 W UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Plus UT Healthy Kids 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 Healthy Kids 4252 S Highland Dr, #200 UT Healthy Kids (M.D.) Salt Lake City, UT 84124 Wirthlin, Douglas James MD C Botto, Lorenzo Davide MD D Phone: (801) 993-1800 Vascular Surgery Mountain Medical Vein Center UT Healthy Kids 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 Healthy Kids Phone: (435) 587-2021 West Jordan, UT 84088 Salt Lake City, UT 84124 UT Healthy Kids Plus Phone: (801) 566-0204 Phone: (801) 313-4101 UT Healthy Kids Womens Health Lewin, Susan O MD D UT Healthy Kids 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 Healthy Kids Plus UT Healthy Kids UT Healthy Kids Phone: (801) 743-4730 UT Healthy Kids Neurology Hopkin, Scott A MD C Goodman, Greg R MD D Western Urological Clinic Mountain Medical Physicians Nielson, Denise M MD D 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 Healthy Kids Phone: (801) 313-4101 Monticello, UT 84535 UT Healthy Kids Phone: (435) 587-2021 UT Healthy Kids Plus

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 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 Healthy Kids Plus Phone: (801) 374-2367 Montezuma Creek, UT 84534 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 651-3291 Walsh, Kevin J MD C UT Healthy Kids Plus Utah Heart Clinic Wallentine, Steven Lee MD D Sanpete County 1100 S Medical Dr CUC - Gunnison - Medical Stevens, Peter M MD D Mount Pleasant, UT 84647 Oncology Children with Special Healthcare Phone: (801) 507-3500 65 E 100 N Needs Cardiovascular UT Healthy Kids Plus Gunnison, UT 84634 117 S Main St Disease Phone: (801) 374-2367 Monticello, UT 84535 Dermatology UT Healthy Kids Plus Phone: (435) 587-2021 Allen, Marvin R MD C UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (801) 794-1490 1100 S Medical Dr Blanding Medical Clinic UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (801) 794-1490 Excel Eye Center San Juan Clinic UT Healthy Kids Plus 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 Healthy Kids Plus Mount Pleasant, UT 84647 49 E Center St UT Healthy Kids Plus Phone: (435) 462-2441 Gunnison, UT 84634 Podiatrist UT Healthy Kids Plus Phone: (801) 794-1490 UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (801) 794-1490 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (801) 357-7327 Montezuma Creek, UT 84534 1100 S Medical Dr UT Healthy Kids Plus Phone: (435) 651-3291 Hwang, Chun MD C Mount Pleasant, UT 84647 UT Healthy Kids Plus Intermountain Mt. Pleasant Clinic Phone: (435) 462-2441 Otolaryngology UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (801) 357-7499 UT Healthy Kids Plus 1100 S Medical Dr UT Healthy Kids Plus Mount Pleasant, UT 84647 Hematology & Surgery Phone: (801) 507-3500 Surgery C UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (801) 507-3500 Gunnison, UT 84634 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (801) 374-2367 UT Healthy Kids Plus

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 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 D 900 Round Valley Dr Ephraim, UT 84627 Phone: (435) 896-8271 Children with Special Healthcare Park City, UT 84060 Phone: (435) 283-4076 UT Healthy Kids Plus Needs Phone: (435) 658-7000 UT Healthy Kids Plus 70 Westview Dr UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 658-7000 Gunnison, UT 84634 Zobell, Blake O DPM C UT Healthy Kids Plus Osborn, Jeffrey Scott MD C 1000 N Main St Phone: (801) 465-2511 Intermountain Heart Rhythm Frischknecht, John Kay MD C UT Healthy Kids Plus Richfield, UT 84701 Specialists Phone: (435) 896-8271 Park City Medical Center Kronmiller, Patrick W MD C 1100 N Main St UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus Phone: (801) 465-2511 Walsh, Kevin J MD C Allen, Brent J MD C Orford, James L MD C UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Cardiovascular Smith, John Taylor MD D 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Richfield, UT 84701 Kern, Steven Mark MD C Richfield, UT 84701 The Center for Cosmetic & Phone: (435) 896-8271 Phone: (435) 896-8254 UT Healthy Kids Plus Dermatology UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 896-8271 Richfield, UT 84701 UT Healthy Kids Plus Phone: (435) 896-8254 Bingham, Scott Eugene MD C Gastroenterology Languages Spoken: Russian Park City Medical Center Crandall, Brian Gregory MD C UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Medicine Dept UT Healthy Kids Plus 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 Healthy Kids Plus Specialists Lewin, Susan O MD D Park City, UT 84060 1100 N Main St Children with Special Healthcare Phone: (801) 507-3500 Richfield, UT 84701 Needs UT Healthy Kids Plus Phone: (801) 507-3513 70 Westview Dr UT Healthy Kids Plus Richfield, UT 84701 Phone: (435) 896-5451 UT Healthy Kids Plus 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 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 Healthy Kids Plus Park City, UT 84060 Phone: (435) 658-7400 UT Healthy Kids Plus Phone: (435) 658-7000 UT Healthy Kids Plus Tagge, Bryan Curtis MD C UT Healthy Kids Plus Obstetrics and Intermountain Ear Nose and Throat Specialists Farney, Robert J MD C Vascular Surgery Gynecology 1777 W Sun Peak Dr, #150 Park City Medical Center Galt, Spencer W MD C Park City, UT 84098 900 Round Valley Dr Mountain Medical Vein Center Trauscht-VanHorn, Jennifer MD Phone: (435) 645-0800 Park City, UT 84060 C 1526 Ute Blvd, #104 Languages Spoken: Spanish Phone: (435) 658-7000 Park City, UT 84098 Planned Parenthood Associtation UT Healthy Kids Plus UT Healthy Kids Plus of Utah Phone: (435) 649-8346 Shilling, Kevin C MD C UT Healthy Kids Plus 1670 Bonanza Dr Pain Medicine Park City, UT 84068 Park City Medical Center Goodman, Greg R MD C Phone: (435) 649-5989 Talbott, Andrew P MD C 900 Round Valley Dr Mountain Medical Vein Center UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 649-8346 Park City, UT 84060 UT Healthy Kids Plus Fassio, John B MD C Phone: (435) 658-7400 Sleep Medicine Mountain Valley Eye Institute UT Healthy Kids Plus Merrell, Steven W 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 Healthy Kids Plus Cardiology 900 Round Valley Dr Phone: (435) 649-8346 Park City, UT 84060 UT Healthy Kids Plus Smith, Stacy Ruth MD D Jou, Chuanchau Jerry DO C Phone: (435) 658-7000 Mountain Valley Eye Institute Park City EKG UT Healthy Kids Plus Whitten, Matthew Guyon 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 Healthy Kids Plus UT Healthy Kids Plus Adams, Danielle M MD C Phone: (435) 649-8346 Intermountain Park City Specialty UT Healthy Kids Plus Orthopaedic Surgery McCandless, Rachel MD C Clinic Park City EKG 900 Round Valley Dr, #200 Wirthlin, Douglas James 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 Healthy Kids Plus Park City, UT 84098 Park City, UT 84060 UT Healthy Kids Plus Phone: (435) 649-8346 C Languages Spoken: Spanish Phone: (435) 615-8822 Molina, Kimberly MD C Hart, Vanessa Marie MD UT Healthy Kids Plus Intermountain Park City Specialty UT Healthy Kids Plus Park City EKG Clinic 900 Round Valley Dr 900 Round Valley Dr, #200 Otolaryngology Park City, UT 84060 Tooele County (ENT) Phone: (435) 658-7000 Park City, UT 84060 UT Healthy Kids Plus Phone: (435) 658-7400 Beus, Kirt Scott MD C UT Healthy Kids Plus Cardiovascular Peak Ent Associates 900 Round Valley Dr, #200 Physical Medicine Steppacher Jr, Robert Clark MD C Disease Mountain Medical Vein Center Park City, UT 84060 and Rehabilitation C Phone: (435) 615-7500 1526 Ute Blvd, #104 Bunch, Thomas Jared MD UT Healthy Kids Plus Stokes, Wayne Laurence MD C Park City, UT 84098 Intermountain Heart Rhythm UUHC Redstone Clinic Phone: (435) 649-8346 Specialists Miller, Steven K MD C 1743 W Redstone Ctr, #115 UT Healthy Kids Plus 196 E 2000 N Intermountain Ear Nose and Park City, UT 84098 Tooele, UT 84074 Throat Specialists Phone: (435) 658-9200 Urology Phone: (801) 507-3513 1777 W Sun Peak Dr, #150 UT Healthy Kids Plus Languages Spoken: Spanish Park City, UT 84098 Lynch, Steven C MD C UT Healthy Kids Plus Intermountain Park City Specialty Phone: (435) 645-0800 Podiatrist C UT Healthy Kids Plus Clinic Garr, Robert Jackson DO Rushton, Ryan Taylor DPM C 900 Round Valley Dr, #200 Oquirrh Cardiology Nielsen, Richard Wendell MD C UUHC Redstone Clinic Park City, UT 84060 196 E 2000 N, #106 Intermountain Ear Nose and 1743 W Redstone Ctr, #115 Phone: (435) 658-7400 Tooele, UT 84074 Throat Specialists Park City, UT 84098 UT Healthy Kids Plus Phone: (435) 843-3643 1777 W Sun Peak Dr, #150 Phone: (435) 658-9200 Languages Spoken: Spanish Park City, UT 84098 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 645-0800 UT Healthy Kids Plus

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 Tooele USpecialty Care Network intah Colon & Rectal Pain Medicine Sports Medicine Lewin, Susan O MD D Children with Special Healthcare Surgery Davis, Craig William MD D Haggart, Marie South MD C Needs Granger Medical Clinic UUHC Stansbury Clinic Griffin, John Anthony MD C 147 E Main St 2376 N 400 E, #203 220 Millpond Rd, #100 Vernal, UT 84078 Gateway Professional Center Tooele, UT 84074 Stansbury Park, UT 84074 1244 N Main St, #101 Phone: (435) 781-5475 Phone: (801) 965-3634 Phone: (435) 843-3000 UT Healthy Kids Plus Tooele, UT 84074 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (801) 265-9139 Rope, Alan F MD D UT Healthy Kids Plus Physical Medicine Surgery Children with Special Healthcare Needs Family Nurse and Rehabilitation Cashmore, Blaine Johnson MD C 147 E Main St Practitioner Khan, Qamar R MD C Oquirrh Surgical Services Vernal, UT 84078 Granger Medical Clinic 196 E 2000 N, #106 Phone: (435) 781-5475 Litchman, Michelle Leann APRN 2376 N 400 E, #203 Tooele, UT 84074 UT Healthy Kids Plus C Tooele, UT 84074 Phone: (435) 228-0061 Wasatch Endocrinology Phone: (801) 965-3634 UT Healthy Kids Plus Orthopaedic Surgery 210 Millpond Rd UT Healthy Kids Plus Tooele, UT 84074 Hansen, Thomas Randy MD C Massand, Ghanshyam Pribdhas Phone: (435) 882-3782 Oquirrh Surgical Services MD C UT Healthy Kids Plus Physician Assistant 196 E 2000 N, #106 Ashley Valley Physician Practice Tooele, UT 84074 175 N 100 W, #204 Berrett, Gerald PA C Phone: (435) 228-0061 Nephrology Granger Medical Clinic Vernal, UT 84078 UT Healthy Kids Plus Phone: (435) 789-1522 C 2376 N 400 E, #203 Junejo, Nazia MD Tooele, UT 84074 Strindberg, Gail MD C Languages Spoken: Hindi Tooele Clinic Corporation Phone: (801) 965-3634 UT Healthy Kids Plus 1959 N Aaron Dr, #C Oquirrh Surgical Services UT Healthy Kids Plus 196 E 2000 N, #106 Stotts, Alan Kendrick MD D Tooele, UT 84074 Tooele, UT 84074 Phone: (435) 882-1644 Packham, Craig A PA C Children with Special Healthcare Phone: (435) 228-0061 Needs Languages Spoken: Arabic, Tooele Orthopedics & Sports UT Healthy Kids Plus German, Hindi, Persian, Medicine Specialists 147 E Main St Sindhi, Urdu 2356 N 400 E, BldgB,#102 Vernal, UT 84078 UT Healthy Kids Plus Tooele, UT 84074 Urology Phone: (435) 781-5475 UT Healthy Kids Plus Phone: (435) 833-9180 Hibbert, Daniel L MD C Ophthalmology UT Healthy Kids Plus Tooele Urology Young, Burk Teal MD C Griffeth, Michael T MD C Yerke, Craig Howard PA C 2376 N 400 E, #A203 175 N 100 W, #201 Griffeth Vision Group Mountain West Orthopedics & Tooele, UT 84074 Vernal, UT 84078 2376 N 400 E, BldgA #101 Sports Medicine Phone: (435) 882-0071 Phone: (435) 789-7845 Tooele, UT 84074 1929 N Aaron Dr, #L UT Healthy Kids Plus Languages Spoken: Korean Phone: (435) 843-8333 Tooele, UT 84074 UT Healthy Kids Plus Languages Spoken: Spanish Phone: (435) 843-3859 Uintah County UT Healthy Kids Plus UT Healthy Kids Plus Podiatrist Jones, Harold Kim DPM C Orthopaedic Surgery Podiatrist Interventional 75 N 200 W, #1 Belton, Christopher Garry DO C Halladay, Kim A DPM C Cardiology Vernal, UT 84078 Tooele Foot & Ankle Clinic Phone: (435) 789-2062 Mountain West Orthopedics & Zubair, Imran MD C UT Healthy Kids Plus Sports Medicine 2356 N 400 E, #104 Cardiovascular Consultants of 1929 N Aaron Dr, #L Tooele, UT 84074 Utah Tooele, UT 84074 Phone: (435) 882-0711 175 N 100 W, #205A Surgery Phone: (435) 843-3859 UT Healthy Kids Plus Vernal, UT 84078 Richards, David T MD C UT Healthy Kids Plus Rogers, Scott F DPM C Phone: (801) 746-0430 175 N 100 W, #202 Douglas, John Antoni DO D Tooele Foot & Ankle Clinic UT Healthy Kids Plus Vernal, UT 84078 Tooele Orthopedics & Sports 2356 N 400 E, #104 Phone: (435) 789-4180 Medicine Specialists Tooele, UT 84074 Medical Genetics - UT Healthy Kids Plus 2356 N 400 E, BldgB #102 Phone: (438) 882-0711 Clinical Genetics Tooele, UT 84074 Languages Spoken: German Urology Phone: (435) 833-9180 UT Healthy Kids Plus (M.D.) UT Healthy Kids Plus Ilievski, Peter Mihajlo MD D Rushton, Ryan Taylor DPM C Botto, Lorenzo Davide MD D Children with Special Healthcare Ashley Valley Physician Practice Otolaryngology UUHC Stansbury Clinic 150 W 100 N, #102 220 Millpond Rd, #100 Needs Vernal, UT 84078 (ENT) Stansbury Park, UT 84074 147 E Main St Vernal, UT 84078 Phone: (435) 789-5533 C Phone: (435) 843-3000 UT Healthy Kids Plus Ventura, Peter G MD UT Healthy Kids Plus Phone: (435) 781-5475 ENT Surgical Associates UT Healthy Kids Plus 2376 N 400 E, #202 Tooele, UT 84074 Phone: (435) 833-9600 UT Healthy Kids Plus

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 Hwang, Chun MD C Eyre, Michael P DO C Endocrinology, Utah County CUC - Provo - Cardiology Aspen Dermatology 1055 N 500 W, #101 114 E 800 N Diabetes & Provo, UT 84604 Spanish Fork, UT 84660 Metabolism Cardiovascular Phone: (801) 373-4366 Phone: (801) 794-1490 Disease Languages Spoken: Korean, UT Healthy Kids Maturlo, Susan Joy MD C Portuguese, Spanish CUC - Provo - Endocrinology Allen, Marvin R MD C UT Healthy Kids Eyre, Michael P DO C 1055 N 500 W, #212 CUC - Provo - Cardiology Aspen Dermatology Provo, UT 84604 1055 N 500 W, #101 Smith, Douglas R MD C 123 N 500 E Phone: (801) 429-8095 Provo, UT 84604 CUC - Provo - Cardiology Payson, UT 84651 UT Healthy Kids Phone: (801) 373-4366 1055 N 500 W, #101 Phone: (801) 465-8001 UT Healthy Kids Provo, UT 84604 UT Healthy Kids Family Medicine Phone: (801) 373-4366 Asay, Ronald W MD C UT Healthy Kids Huber, Brad Settle MD C Garner, Gary M MD D CUC - Provo CUC - Lehi - Dermatology CUC - Provo - Radiation 1055 N 500 W, #101 Walker Jr, Jerry Dale MD C 220 N 1200 E, #203 Oncology Provo, UT 84604 CUC - AF - Cardiology Lehi, UT 84043 1055 N 500 W, #102 Phone: (801) 373-4366 1175 E 50 S, #251 Phone: (801) 418-0920 Provo, UT 84604 UT Healthy Kids American Fork, UT 84003 UT Healthy Kids Phone: (801) 374-2367 Phone: (801) 492-2815 UT Healthy Kids Bingham, Scott Eugene MD C Languages Spoken: Spanish Peterson, Chad R MD C CUC - Provo - Cardiology UT Healthy Kids Aspen Dermatology Walton, Matthew S DO C 1055 N 500 W, #101 114 E 800 N Santaquin Medical Clinic Provo, UT 84604 Wang, David Chih MD C Spanish Fork, UT 84660 94 W Main St Phone: (801) 373-4366 CUC - Provo - Cardiology Phone: (801) 794-1490 Santaquin, UT 84655 UT Healthy Kids 1055 N 500 W, #101 UT Healthy Kids Phone: (801) 754-3122 Provo, UT 84604 UT Healthy Kids Carter, Melvin Eric MD C Phone: (801) 373-4366 Peterson, Chad R MD C CUC - AF - Cardiology UT Healthy Kids Aspen Dermatology 1175 E 50 S, #251 123 N 500 E Family Nurse American Fork, UT 84003 Weaver, Aaron N MD C Payson, UT 84651 Practitioner Phone: (801) 492-2815 CUC - Provo - Cardiology Phone: (801) 465-8001 UT Healthy Kids 1055 N 500 W, #101 UT Healthy Kids Anderson, Christy B APRN C Provo, UT 84604 Utah County Surgical Associates Carter, Melvin Eric MD C Phone: (801) 373-4366 Peterson, Michael Warren DO C 3550 N University Ave, #250 CUC - Provo - Cardiology Languages Spoken: Russian Aspen Dermatology Provo, UT 84604 1055 N 500 W, #101 UT Healthy Kids 114 E 800 N Phone: (801) 374-9625 Provo, UT 84604 Spanish Fork, UT 84660 UT Healthy Kids Phone: (801) 373-4366 Weaver, Aaron N MD C Phone: (801) 794-1490 UT Healthy Kids CUC - Saratoga Springs UT Healthy Kids Harvey, Jinil K NP C 1305 N Commerce Dr Peak Ent Associates Carter, Melvin Eric MD C Saratoga Springs, UT 84045 Peterson, Samuel Ray MD C 1055 N 300 W, #401 CUC - Saratoga Springs Phone: (801) 753-7424 CUC - Provo - Dermatology & Provo, UT 84604 1305 N Commerce Dr Languages Spoken: Russian Skin Cancer Phone: (801) 357-7499 Saratoga Springs, UT 84045 UT Healthy Kids 1055 N 500 W, #111 UT Healthy Kids Phone: (801) 753-7424 Provo, UT 84604 UT Healthy Kids Phone: (801) 374-8999 Larsen, Wesley Reed APRN C Dermatology Languages Spoken: Spanish Utah County Surgical Associates Cragun, David Turley MD D Bezzant, John L MD C UT Healthy Kids 3550 N University Ave, #250 CUC - Provo - Cardiology Provo, UT 84604 84 S Main St Peterson, Warren Albert DO C 1055 N 500 W, #101 Pleasant Grove, UT 84062 Phone: (801) 374-9625 Provo, UT 84604 Aspen Dermatology UT Healthy Kids Phone: (801) 373-4366 Phone: (801) 785-7414 114 E 800 N Languages Spoken: Italian UT Healthy Kids Spanish Fork, UT 84660 Lewis, Amanda Gloria NP C UT Healthy Kids Bradshaw, Brian Richard MD D Phone: (801) 794-1490 Peak Otolaryngology CUC - Provo - Dermatology & UT Healthy Kids 1055 N 300 W, #401 Dahl, Charles Frelen MD C Provo, UT 84604 Skin Cancer Peterson, Warren Albert DO C CUC - Provo - Cardiology 1055 N 500 W, #111 Phone: (801) 357-7499 1055 N 500 W, #101 Aspen Dermatology UT Healthy Kids Provo, UT 84604 Provo, UT 84604 123 N 500 E Phone: (801) 373-4366 Phone: (801) 374-8999 Payson, UT 84651 Mathers, Tavia APRN C UT Healthy Kids UT Healthy Kids Phone: (801) 465-8001 Utah County Surgical Associates Donaldson, Mark L MD C UT Healthy Kids 3550 N University Ave, #250 Frischknecht, John Kay MD C CUC - Provo - Dermatology & Provo, UT 84604 CUC - Provo - Cardiology Skin Cancer Phone: (801) 374-9625 1055 N 500 W, #101 1055 N 500 W, #111 Languages Spoken: Spanish Provo, UT 84604 UT Healthy Kids Phone: (801) 373-4633 Provo, UT 84604 UT Healthy Kids Phone: (801) 374-8999 Nyman, Lindsey Ann NP C UT Healthy Kids Utah County Surgical Associates 3550 N University Ave, #250 Provo, UT 84604 Phone: (801) 374-9625 UT Healthy Kids 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 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 Healthy Kids 1055 N 500 W, BldgB #100 UT Healthy Kids Phone: (801) 374-2367 Provo, UT 84604 Languages Spoken: Russian Minton, Stephen MD C Phone: (801) 374-1268 Richards, Ryan A MD C UT Healthy Kids UVRMC Neonatology Languages Spoken: Arabic CUC - Orem - Orthopedic 1034 N 500 W UT Healthy Kids 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 Healthy Kids CUC - Provo - Digestive Diseases Phone: (801) 224-5373 Provo, UT 84604 Ctr UT Healthy Kids Phone: (801) 374-2367 Ogden, Bruce E MD C 1055 N 500 W, BldgB #100 UT Healthy Kids 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 Healthy Kids Specialty Ctr Phone: (801) 357-7707 15 S 1000 E, #150 Beck, Anna C MD C UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Provo, UT 84604 UT Healthy Kids Specialty Ctr Phone: (801) 357-7565 1055 N 500 W, #121 Breyer, Wendy Anne MD C UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Provo, UT 84604 UT Healthy Kids CUC - Saratoga Springs Phone: (801) 357-7707 1305 N Commerce Dr Corcoran, Melissa Charlene MD UT Healthy Kids Hemmert, Wynn H MD C Saratoga Springs, UT 84045 C CUC - Provo - Digestive Diseases Phone: (801) 753-7424 Utah Cancer Specialists Nephrology Ctr UT Healthy Kids 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 Healthy Kids 1055 N 500 W, #222 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids Provo, UT 84604 Languages Spoken: Italian Bott, Jay Cordell MD C Phone: (801) 377-4623 UT Healthy Kids CUC - Provo - Medical Oncology Neonatal - Perinatal UT Healthy Kids 1055 N 500 W, #202 Medicine Stephanz Jr, Gerald B MD D 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 Healthy Kids 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 Healthy Kids Orem, UT 84057 Phone: (801) 357-7707 1055 N 500 W, #202 UT Healthy Kids Phone: (801) 224-5373 Provo, UT 84604 Neurological UT Healthy Kids Phone: (801) 374-2367 Gerstmann, Dale Richard MD C Surgery UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids UVRMC Neonatology 1034 N 500 W Provo, UT 84604 Phone: (801) 357-7707 UT Healthy Kids 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 tah0 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 Healthy Kids Planned Parenthood Associtation Phone: (801) 370-8764 Phone: (801) 357-7404 UT Healthy Kids Reichman, Howard Reed MD D UT Healthy Kids 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 Healthy Kids Provo, UT 84604 UT Healthy Kids Phone: (801) 785-7237 Phone: (801) 379-2900 Languages Spoken: Spanish Ophthalmology UT Healthy Kids UT Healthy Kids Neurology Abrams, Michael S MD C Gunther, Jonathan B MD C Altamirano, Lucía G MD D 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 Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 374-9625 Languages Spoken: Mandarin UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 374-9625 UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 374-9625 UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Phone: (801) 357-7627 UT Healthy Kids UT Healthy Kids

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 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 Healthy Kids Languages Spoken: Korean, Phone: (801) 224-5373 Phone: (801) 373-7350 Spanish UT Healthy Kids UT Healthy Kids Parsons, Matthew Reed MD C UT Healthy Kids 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 Healthy Kids Phone: (801) 357-7999 Phone: (801) 465-2527 Phone: (801) 224-5373 Languages Spoken: German, UT Healthy Kids UT Healthy Kids Patel, Bhupendra C MD C Spanish Cataract & Lasik Center of Utah UT Healthy Kids 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 Healthy Kids Phone: (801) 357-7999 UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish Smalley, Aaron David MD C UT Healthy Kids 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 Healthy Kids CUC - Orem - Orthopedic UT Healthy Kids Phone: (801) 373-7350 UT Healthy Kids 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 Healthy Kids Provo, UT 84604 700 W 800 N, #100 UT Healthy Kids Bacon, Carl William MD C Phone: (801) 373-7350 Orem, UT 84057 CUC - Payson - Orthopedic UT Healthy Kids Phone: (801) 224-5373 Theurer, James G MD C UT Healthy Kids 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 Healthy Kids Phone: (801) 753-7424 15 S 1000 E, #150 UT Healthy Kids Bacon, Carl William MD C UT Healthy Kids Payson, UT 84651 CUC - Provo - Orthopedic Phone: (801) 465-2527 Theurer, James G MD C Holmes, Stephanie M MD D UT Healthy Kids 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 Healthy Kids Phone: (801) 370-8764 1055 N 500 W, #121 UT Healthy Kids Barker, Brady P MD C UT Healthy Kids Provo, UT 84604 CUC - Provo - Orthopedic Phone: (801) 373-7350 Valentine, Jeremy Reid MD C Jackson, Richard Taylor MD C UT Healthy Kids 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 Healthy Kids Phone: (801) 224-5373 700 W 800 N, #100 UT Healthy Kids Callahan, Michael E MD C UT Healthy Kids Orem, UT 84057 CUC - North Valley Orthopedics Phone: (801) 224-5373 Ophthalmology / Jackson, Richard Taylor MD C UT Healthy Kids & 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 Healthy Kids Phone: (801) 465-2527 15 S 1000 E, #150 1055 N 300 W, #420 UT Healthy Kids Provo, UT 84604 Callahan, Michael E MD C Payson, UT 84651 Phone: (801) 375-7999 CUC - Saratoga Springs Phone: (801) 465-2527 Languages Spoken: Japanese, 1305 N Commerce Dr UT Healthy Kids Russian Saratoga Springs, UT 84045 UT Healthy Kids Phone: (801) 753-7424 UT Healthy Kids 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 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 Healthy Kids UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Languages Spoken: Spanish Peak Ent Associates Portuguese, Spanish UT Healthy Kids 1055 N 300 W, #401 UT Healthy Kids 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 Healthy Kids 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 Healthy Kids 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 Healthy Kids Phone: (801) 768-3500 Portuguese, Spanish CUC - Lehi - North Valley UT Healthy Kids UT Healthy Kids 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 Healthy Kids 1055 N 500 W, #121 UT Healthy Kids 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 Healthy Kids Saratoga Springs, UT 84045 Portuguese, Spanish & Plastic Surgery 1184 E 80 N Phone: (801) 855-2930 UT Healthy Kids Beus, Kirt Scott MD C UT Healthy Kids 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 Healthy Kids Phone: (801) 768-3500 1055 N 300 W, #401 700 W 800 N, #100 UT Healthy Kids 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 Healthy Kids UT Healthy Kids 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 Healthy Kids Provo, UT 84604 Specialty Ctr UT Healthy Kids 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 Healthy Kids Phone: (801) 465-2527 1055 N 300 W, #203 39 Professional Way, #1 UT Healthy Kids 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 Healthy Kids UT Healthy Kids American Fork, UT 84003 CUC - Provo - Orthopedic Wallentine, Jeffrey Max MD C Phone: (801) 373-5211 Specialty Ctr Gibb, Randal B MD C UT Healthy Kids 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 Healthy Kids Orem, UT 84057 Phone: (801) 465-4805 1055 N 300 W, #401 Phone: (801) 224-5373 UT Healthy Kids Provo, UT 84604 Poulsen, Matthew R MD C UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Payson, UT 84651 UT Healthy Kids Peak Ent Associates Phone: (801) 465-2527 1055 N 300 W, #401 UT Healthy Kids Provo, UT 84604 Phone: (801) 357-7499 UT Healthy Kids

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 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 Healthy Kids Phone: (801) 763-3885 Phone: (801) 356-6100 UT Healthy Kids Languages Spoken: Korean UT Healthy Kids Pierson, Jeffery D PA C UT Healthy Kids 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 Healthy Kids 1184 E 80 N Needs UT Healthy Kids 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 Healthy Kids UT Healthy Kids 412 W 800 N Orem, UT 84057 Orem, UT 84057 Phone: (801) 235-7246 Bybee, Blair L MD D Phone: (801) 235-7243 UT Healthy Kids Podiatrist Children with Special Healthcare Languages Spoken: Spanish Black, John Laning DPM C Needs UT Healthy Kids 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 Healthy Kids 145 W University Pkwy Phone: (801) 235-7246 Orem, UT 84058 UT Healthy Kids Languages Spoken: Czech, Slovak Physical Medicine Phone: (801) 234-8600 UT Healthy Kids Plastic Surgery UT Healthy Kids 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 Healthy Kids Phone: (801) 356-6100 Languages Spoken: Swedish Provo, UT 84604 UT Healthy Kids UT Healthy Kids Phone: (801) 374-9625 Jensen, Mark H MD C CUC - AF - Otolaryngology Colledge, Alan Lawrence MD C UT Healthy Kids 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 Healthy Kids 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 Healthy Kids CUC - Payson - Orthopedic Languages Spoken: Languages Spoken: Portuguese Portuguese Specialty Ctr Colledge, Alan Lawrence MD C 15 S 1000 E, #150 UT Healthy Kids CUC - Payson - Orthopedic UT Healthy Kids 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 Healthy Kids 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 Healthy Kids Orem, UT 84057 CUC - Provo - Orthopedic Specialty Ctr UT Healthy Kids Colledge, Alan Lawrence MD C Phone: (801) 714-6412 UT Healthy Kids 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 Healthy Kids Provo, UT 84604 Phone: (801) 224-6464 412 W 800 N UT Healthy Kids Phone: (801) 373-7350 Orem, UT 84057 Rose, Kevin Gordon MD C UT Healthy Kids Phone: (801) 235-7246 The Rose Clinic for Plastic & Humpherys, Scott Brett DPM C Migraine Surgery Dana, John A MD C UT Healthy Kids 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 Healthy Kids Orem, UT 84057 412 W 800 N Languages Spoken: Spanish Phone: (801) 235-7246 Orem, UT 84057 UT Healthy Kids McKell, Scott R DPM C UT Healthy Kids Phone: (801) 235-7246 Foot & Ankle Clinics of Utah Duerksen, Ronald Gary MD C UT Healthy Kids 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 Healthy Kids UT Healthy Kids 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 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 Provo, UT 84604 150 W 800 N Pulmonary Clinic Oncology Phone: (801) 374-6900 Provo, UT 84601 1055 N 300 W, #500 1055 N 500 W, #102 UT Healthy Kids Phone: (801) 375-5353 Provo, UT 84604 Provo, UT 84604 Languages Spoken: German Phone: (801) 357-7291 Phone: (801) 374-2367 Nelson, Michael Lee DPM C UT Healthy Kids UT Healthy Kids UT Healthy Kids Nebo Foot & Ankle 800 N 100 E Rogers, Thomas Glen DPM C Pearce, Michael J MD C Reilly, Mark William MD C Spanish Fork, UT 84660 Central Utah Foot Clinic Intermountain Utah Valley GammaWest Brachytherapy Phone: (801) 794-3856 120 N 1220 E, #12 Pulmonary Clinic 674 W 800 N, #B10 UT Healthy Kids American Fork, UT 84003 1055 N 300 W, #500 Orem, UT 84057 Phone: (801) 756-4200 Provo, UT 84604 Phone: (801) 852-0210 Ollerton, Matthew Gerald DPM C Languages Spoken: Spanish Phone: (801) 357-7291 UT Healthy Kids Foot & Ankle Clinics of Utah UT Healthy Kids UT Healthy Kids 5 E 400 N Rogers, Charles Leland MD C Springville, UT 84663 Rogers, Thomas Glen DPM C Ross, Douglas S MD C GammaWest Brachytherapy Phone: (801) 491-3668 Central Utah Foot Clinic Intermountain Utah Valley 674 W 800 N, #B10 Languages Spoken: German 150 W 800 N Pulmonary Clinic Orem, UT 84057 UT Healthy Kids Provo, UT 84601 1055 N 300 W, #500 Phone: (801) 852-0210 Phone: (801) 375-5353 Provo, UT 84604 Languages Spoken: German Ollerton, Matthew Gerald DPM C Languages Spoken: Spanish Phone: (801) 357-7291 UT Healthy Kids Foot & Ankle Clinics of Utah UT Healthy Kids UT Healthy Kids 57 W Main St Santaquin, UT 84655 Rushton, Ryan Taylor DPM C Sperry, Matthew B MD C Rheumatology Phone: (801) 754-3122 UUHC Parkway Clinic Intermountain Utah Valley Hanczyc, Malgorzata MD C Languages Spoken: German 145 W University Pkwy Pulmonary Clinic Central Utah Clinic UT Healthy Kids Orem, UT 84058 1055 N 300 W, #500 1055 N 500 W, #205 Phone: (801) 234-8600 Provo, UT 84604 Phillips, Stanley J DPM C Provo, UT 84604 UT Healthy Kids Phone: (801) 357-7291 Phone: (801) 375-8858 CUC - North Valley Orthopedics UT Healthy Kids & Plastic Surgery Savage, David T DPM C UT Healthy Kids 1184 E 80 N Aspen Foot and Ankle Sundar, Krishna Murthy MD C American Fork, UT 84003 875 E 100 N, #7 Intermountain Utah Valley Sports Medicine Phone: (801) 763-3885 Payson, UT 84651 Pulmonary Clinic C UT Healthy Kids Phone: (801) 465-1345 1055 N 300 W, #500 Weenig, Karl N MD UT Healthy Kids Provo, UT 84604 CUC - Lehi - North Valley Phillips, Stanley J DPM C Orthopedic & Plastic Surgery Phone: (801) 357-7291 680 E Main St Foot & Ankle Clinics of Utah Pulmonary Disease Languages Spoken: Hindi 680 E Main St UT Healthy Kids Lehi, UT 84043 Lehi, UT 84043 C Phone: (801) 763-3885 AlShuqairat, Tala’at A MD Languages Spoken: Finnish Phone: (801) 763-3885 CUC - Payson - Internal Medicine Radiation Oncology UT Healthy Kids & Pulmonary UT Healthy Kids Ridge, Gary Royce DPM C 1120 E 100 N, #1 Blair, Tarlton J MD C Weenig, Karl N MD C Foot & Ankle Clinics of Utah Payson, UT 84651 CUC - Provo - Radiation CUC - North Valley Orthopedics 157 N 400 W, #B7 Phone: (801) 465-4813 Oncology & Plastic Surgery Orem, UT 84057 Languages Spoken: Arabic 1055 N 500 W, #102 1184 E 80 N Phone: (801) 226-2421 UT Healthy Kids Provo, UT 84604 American Fork, UT 84003 Phone: (801) 374-2367 UT Healthy Kids C Phone: (801) 763-3885 Alward, William T MD UT Healthy Kids Languages Spoken: Finnish Rogers, Mark Flake DPM C Intermountain Utah Valley UT Healthy Kids Central Utah Foot Clinic Pulmonary Clinic Hansen, Roger S MD C 120 N 1220 E, #12 1055 N 300 W, #500 GammaWest Brachytherapy Weenig, Karl N MD C American Fork, UT 84003 Provo, UT 84604 674 W 800 N, #B10 CUC - Orem - Orthopedic Phone: (801) 756-4200 Phone: (801) 357-7291 Orem, UT 84057 Specialty Ctr Languages Spoken: Spanish UT Healthy Kids Phone: (801) 852-0210 700 W 800 N, #100 UT Healthy Kids UT Healthy Kids Campbell, Edward Joseph MD C Orem, UT 84057 C Phone: (801) 224-5373 Rogers, Mark Flake DPM C Intermountain Utah Valley Harris, Robert Alan MD Languages Spoken: Finnish Central Utah Foot Clinic Pulmonary Clinic GammaWest Brachytherapy UT Healthy Kids 150 W 800 N 1055 N 300 W, #500 674 W 800 N, #B10 Provo, UT 84601 Provo, UT 84604 Orem, UT 84057 Weenig, Karl N MD C Phone: (801) 375-5353 Phone: (801) 357-7291 Phone: (801) 852-0210 CUC - Payson - Orthopedic Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids Specialty Ctr UT Healthy Kids C C 15 S 1000 E, #150 Harris, Dixie Lee MD Hayes, John K MD Payson, UT 84651 Rogers, Scott F DPM C Intermountain Utah Valley GammaWest Brachytherapy Phone: (801) 465-2527 Central Utah Foot Clinic Pulmonary Clinic 674 W 800 N, #B10 Languages Spoken: Finnish 120 N 1220 E, #12 1055 N 300 W, #500 Orem, UT 84057 UT Healthy Kids American Fork, UT 84003 Provo, UT 84604 Phone: (801) 852-0210 Phone: (801) 756-4200 Phone: (801) 357-7291 Languages Spoken: Chinese, Languages Spoken: German UT Healthy Kids Mandarin UT Healthy Kids UT Healthy Kids 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 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 Healthy Kids Heber City, UT 84032 UT Healthy Kids UT Healthy Kids Peterson, Lee M MD C Phone: (435) 654-2500 Weenig, Karl N MD C Utah County Surgical Associates Crowley, Jim D MD C UT Healthy Kids Plus 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 Healthy Kids Heber City, UT 84032 Languages Spoken: Finnish UT Healthy Kids Phone: (435) 654-2500 UT Healthy Kids Rasmussen, Ralph Richard MD C Kronmiller, Patrick W MD C UT Healthy Kids Plus CUC - Payson - Urology Utah County Surgical Associates Carter, Melvin Eric MD C Surgery 3550 N University Ave, #250 15 S 1000 E, #225 Payson, UT 84651 Heber Valley Medical Center Cook, Craig Sheldon MD C Provo, UT 84604 1485 S Hwy 40 Utah County Surgical Associates Phone: (801) 374-9625 Phone: (801) 465-2511 UT Healthy Kids Heber City, UT 84032 3550 N University Ave, #250 Languages Spoken: Spanish Phone: (435) 654-2500 Provo, UT 84604 UT Healthy Kids Matern, Richard V MD C UT Healthy Kids Plus Phone: (801) 374-9625 Sheffield, Clark W MD C Intermountain Urological Institute UT Healthy Kids 5169 Cottonwood St, #420 Cragun, David Turley MD C American Fork General Surgeons Heber Valley Medical Center Garry, David Patrick John MD C 1159 E 200 N, #350 Murray, UT 84107 Phone: (801) 507-3400 1485 S Hwy 40 Utah County Surgical Associates American Fork, UT 84003 Heber City, UT 84032 3550 N University Ave, #250 Phone: (801) 756-4781 Languages Spoken: Portuguese Phone: (435) 654-2500 Provo, UT 84604 Languages Spoken: Japanese UT Healthy Kids Plus Phone: (801) 374-9625 UT Healthy Kids UT Healthy Kids UT Healthy Kids Platt, Mckay Lyman MD C Dahl, Charles F MD C Thomas, Richard Milton MD C Heber Valley Medical Center Gill, Brian M MD C Utah County Surgical Associates CUC - Provo - Urology 1055 N 500 W, #211 1485 S Hwy 40 Utah County Surgical Associates 3550 N University Ave, #250 Heber City, UT 84032 3550 N University Ave, #250 Provo, UT 84604 Provo, UT 84604 Phone: (801) 357-7327 Phone: (435) 654-2500 Provo, UT 84604 Phone: (801) 374-9625 UT Healthy Kids Plus Phone: (801) 374-9625 Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids 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 Healthy Kids Plus 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 Healthy Kids UT Healthy Kids Languages Spoken: French Heber Valley Medical Center UT Healthy Kids 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 Healthy Kids Plus 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 Healthy Kids Phone: (801) 374-9100 UT Healthy Kids Languages Spoken: Spanish Kern, Steven Mark MD C Thoracic Surgery UT Healthy Kids 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 Healthy Kids Plus UT Healthy Kids 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 Healthy Kids & Immunology Phone: (801) 794-1490 Phone: (801) 855-2944 380 E 1500 S, #201 UT Healthy Kids Plus UT Healthy Kids Heber City, UT 84032 Phone: (801) 775-9800 Languages Spoken: Korean UT Healthy Kids Plus

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 Wasatch WSpecialty Care Network ashington Ophthalmology Taylor, Ryan D DPM C Chander, Keshav MD C Duke, Dean W MD C 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 Healthy Kids Plus Phone: (435) 654-3090 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Larson, April A MD C Jentzer, John H MD C Intermountain Dixie Plastic & Smith, Stacy Ruth MD D 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 Healthy Kids Plus Phone: (435) 654-2500 UT Healthy Kids Plus UT Healthy Kids Plus Oral and UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 160 S 100 W Phone: (435) 654-2500 Heber City, UT 84032 UT Healthy Kids Plus Jones, Jamison Cullimore MD C Smith, Wallace Bret MD C 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 Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 628-2826 Adult Health Nurse UT Healthy Kids Plus McDonnell, Mary Ann MD D 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 Healthy Kids Plus Phone: (435) 674-3552 352 E Riverside Dr, #A9 UT Healthy Kids Plus Languages Spoken: French St George, UT 84790 Nautiyal, Ashoka MD C UT Healthy Kids Plus Phone: (435) 251-2888 IHC Health Center - SW Endocrinology, UT Healthy Kids Plus Cardiology Physician Assistant 1380 E Medical Center Dr, #1500 Diabetes & Allergy & Dawson, Micheal Shawn PA C St George, UT 84790 Metabolism Immunology Phone: (435) 251-2500 Rocky Mountain Allergy Asthma UT Healthy Kids Plus Grua, James R MD C & Immunology Pinna, Kenneth Ralph MD C IHC Health Center - St George 380 E 1500 S, #201 Southwest Allergy & Asthma Nimer, Lynn Roy MD C 577 S River Rd Heber City, UT 84032 Clinic 1380 E Medical Center Dr, #3500 St George, UT 84790 Phone: (801) 775-9800 515 S 300 E, #101 St George, UT 84790 Phone: (435) 688-6100 UT Healthy Kids Plus St George, UT 84770 Phone: (435) 251-2150 UT Healthy Kids Plus Phone: (435) 688-1128 UT Healthy Kids Plus Podiatrist UT Healthy Kids Plus Snyder, James W MD C PriceSr, Gregory MD D DRMC Diabetes Clinic Clark, Scott A DPM C Heart of Dixie 736 S 900 E, #107 Utah Podiatry Group Cardiovascular 1380 E Medical Center Dr, #4100 St George, UT 84790 1471 S Hwy 40, #E Disease St George, UT 84790 Phone: (435) 251-2888 Heber City, UT 84032 Phone: (435) 251-2900 UT Healthy Kids Plus Phone: (435) 657-0329 Boorman, David C MD D UT Healthy Kids Plus UT Healthy Kids Plus Heart of Dixie 1380 E Medical Center Dr, #4100 Pulsipher, Mark William MD C Family Medicine Harper, Spence D DPM C St George, UT 84790 Intermountain Southwest Millward, Christian Scott MD C Utah Podiatry Group Phone: (435) 251-2900 Cardiology Intermountain Sports Medicine 1471 S Hwy 50, #C UT Healthy Kids Plus 1380 E Medical Center Dr, #1500 Specialists - St George Heber City, UT 84032 St George, UT 84790 Brizolara, Alberto A MD C 652 S Medical Center Dr, #LL20 Phone: (435) 657-0329 Phone: (435) 251-2500 St George, UT 84790 UT Healthy Kids Plus Intermountain Southwest UT Healthy Kids Plus Phone: (435) 634-6000 Cardiology Languages Spoken: Spanish Smith, Terry Paul DPM C 1380 E Medical Center Dr, #1500 Dermatology Utah Podiatry Group St George, UT 84790 UT Healthy Kids Plus 1471 S Hwy 40, #E Phone: (435) 251-2500 Carter, Benjamin Gill MD C Millward, Christian Scott MD C Heber City, UT 84032 Languages Spoken: Southern Utah Dermatology and Rim Rock Orthopaedics Phone: (435) 657-0329 Portuguese, Spanish Surgical Arts 652 S Medical Center Dr, #120 UT Healthy Kids Plus UT Healthy Kids Plus 1068 E Riverside Dr St George, UT 84790 St George, UT 84790 Phone: (435) 628-4460 Phone: (435) 628-6466 Languages Spoken: Spanish UT Healthy Kids Plus UT Healthy Kids Plus 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 Family Nurse Perino, Lloyd E MD C Interventional Holmgren, Calla M MD C Intermountain Redrock Digestive Intermountain Dixie Maternal Practitioner Health Cardiology Fetal Medicine Bacon, Deidra Dawn NP C 652 S Medical Center Dr, #330 Owan, Theophilus E MD C 544 S 400 E Diabetic Clinic St George, UT 84790 Heart of Dixie St George, UT 84770 736 S 900 E Phone: (435) 251-3800 1380 E Medical Center Dr, #4100 Phone: (435) 688-4770 St George, UT 84790 UT Healthy Kids Plus St George, UT 84790 UT Healthy Kids Plus Phone: (435) 688-4293 Siddoway, Roger L MD C Phone: (435) 251-2900 Jackson, G Marc MD C UT Healthy Kids Plus Mountain West Gastroenterology UT Healthy Kids Plus 544 S 400 E Bacon, Deidra Dawn NP C 368 E Riverside Dr, #A Maternal & Fetal St George, UT 84770 Dixie Regional Medical Center - St George, UT 84790 Phone: (435) 688-4770 400 East Phone: (435) 673-1149 Medicine UT Healthy Kids Plus Languages Spoken: Italian 544 S 400 E Porter, Troy Flint MD C St George, UT 84770 UT Healthy Kids Plus Branch, D Ware MD C 1380 E Medical Center Dr 544 S 400 E Phone: (435) 688-4343 St George, UT 84770 UT Healthy Kids Plus Hematology & St George, UT 84790 Phone: (435) 251-1000 Phone: (435) 688-4770 Barlow, Rebecca Stohel APRN C Oncology UT Healthy Kids Plus UT Healthy Kids Plus Radiation Exposure and Screening Anwar, Karim MD C Branch, D Ware MD C Richards, Douglas S MD C Clinic Southwest Regional Cancer Clinic Intermountain Dixie Maternal 736 S 900 E, #107 544 S 400 E 544 S 400 E St George, UT 84770 Fetal Medicine St George, UT 84790 St George, UT 84770 544 S 400 E Phone: (435) 251-2875 Phone: (435) 251-1000 Phone: (435) 688-4900 UT Healthy Kids Plus St George, UT 84770 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 688-4770 Byrne, Janice L MD C UT Healthy Kids Plus Benedict, Amy APRN C Haslem, Derrick S MD C Southwest Surgical Associates Intermountain Dixie Maternal Intermountain Southwest Regional Fetal Medicine 1490 E Foremaster Dr, #200 Cancer Clinic Medical Genetics - St George, UT 84790 544 S 400 E 544 S 400 E St George, UT 84770 Clinical Genetics Phone: (435) 628-1641 St George, UT 84770 UT Healthy Kids Plus Phone: (435) 688-4770 (M.D.) Phone: (435) 688-4900 UT Healthy Kids Plus Brown, Kristy L APRN C UT Healthy Kids Plus Carey, John C MD D Draper, Michael L MD C Children with Special Healthcare Dixie Regional Critical Care Lemon, Robert H MD C Pulmonary Dixie Regional Medical Center - Needs Snow Canyon Clinic MFM Dept 620 S 400 E, #400 1380 E Medical Center Dr 272 E Center St, #201 St George, UT 84790 544 S 400 E St George, UT 84770 Ivins, UT 84738 St George, UT 84770 Phone: (435) 986-2559 Phone: (435) 251-2474 Phone: (435) 986-2300 UT Healthy Kids Plus Phone: (435) 688-4000 UT Healthy Kids Plus UT Healthy Kids Plus Languages Spoken: French Christensen, Autum APRN C UT Healthy Kids Plus Longo, Nicola MD D Southwest Surgical Associates Infectious Disease Children with Special Healthcare Draper, Michael L MD C Needs 1490 E Foremaster Dr, #200 Cobb, William B MD C St George, UT 84790 Intermountain Dixie Maternal 620 S 400 E, #400 1380 E Medical Center Dr Fetal Medicine St George, UT 84770 Phone: (435) 628-1641 St George, UT 84790 UT Healthy Kids Plus 544 S 400 E Phone: (435) 986-2559 Phone: (435) 251-1000 St George, UT 84770 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 688-4770 Gastroenterology UT Healthy Kids Plus Rope, Alan F MD D Children with Special Healthcare Bown, James W MD C Internal Medicine Eller, Alexandra G MD C Needs Mountain West Gastroenterology Bentley, Kenneth MD C DRMC - Maternal Fetal Medicine 620 S 400 E, #400 368 E Riverside Dr, #A Dixie Regional Critical Care 544 S 400 E St George, UT 84770 St George, UT 84790 Pulmonary St George, UT 84770 Phone: (435) 986-2559 Phone: (435) 673-1149 1380 E Medical Center Dr Phone: (435) 688-4000 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus St George, UT 84790 Viskochil, David H MD D Hixson, Lee J MD C Phone: (435) 251-2474 UT Healthy Kids Plus Esplin, M Sean MD C Children with Special Healthcare Mountain West Gastroenterology Intermountain Dixie Maternal Needs 368 E Riverside Dr, #A Molden, Jaime MD C Fetal Medicine 620 S 400 E, #400 St George, UT 84790 Intermountain Southwest 544 S 400 E St George, UT 84770 Phone: (435) 673-1149 Cardiology St George, UT 84770 Phone: (435) 986-2559 UT Healthy Kids Plus 1380 E Medical Center Dr, #4100 Phone: (435) 688-4770 UT Healthy Kids Plus Moore, David R MD C St George, UT 84790 Languages Spoken: Spanish Mountain West Gastroenterology Phone: (435) 654-2500 UT Healthy Kids Plus Medical Oncology UT Healthy Kids Plus 368 E Riverside Dr, #A Heuser, Cara C MD C Amer, Magid H MD C St George, UT 84790 Intermountain Dixie Maternal Southwest Regional Cancer Clinic Phone: (435) 673-1149 Fetal Medicine 544 S 400 E UT Healthy Kids Plus 544 S 400 E St George, UT 84770 St George, UT 84770 Phone: (435) 688-4900 Phone: (435) 688-4770 Languages Spoken: Arabic UT Healthy Kids Plus UT Healthy Kids Plus 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 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 Healthy Kids Plus 544 S 400 E UT Healthy Kids Plus Phone: (435) 251-2900 St George, UT 84770 UT Healthy Kids Plus Neonatal - Perinatal Phone: (435) 688-4080 Schlagel, Laura J MD C Languages Spoken: German Snow Canyon Clinic Jacques, Charlie R APRN C Medicine UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 688-4640 Languages Spoken: Arabic, Snow Canyon Clinic UT Healthy Kids Plus German 272 E Center St, #201 Jacques, Charlie R APRN C UT Healthy Kids Plus Ivins, UT 84738 Intermountain St George Gerday, Erick B MD C Phone: (435) 986-2300 Pulmonary Dixie Neonatology De Saibro, Luciana MD D UT Healthy Kids Plus 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 Healthy Kids Plus Languages Spoken: French Phone: (435) 986-2300 St George, UT 84790 UT Healthy Kids Plus Languages Spoken: Phone: (435) 251-1000 Marchant, David R NP C UT Healthy Kids Plus Intermountain Southern Utah Miner, Lonnie J MD C Portuguese, Spanish UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 301 N 200 E, #2A Filloux, Francis M MD D UT Healthy Kids Plus St George, UT 84770 Children with Special Healthcare Barton, Deborah David NP D Phone: (435) 688-7246 Needs De Saibro, Luciana MD C Heart of Dixie UT Healthy Kids Plus 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 Healthy Kids Plus Languages Spoken: UT Healthy Kids Plus 1380 E Medical Center Dr, #4100 Portuguese, Spanish St George, UT 84790 Leon Forero, Carlos A MD C UT Healthy Kids Plus Bedingfield, Heide S APRN C Phone: (435) 251-2900 KHIU Heart of Dixie UT Healthy Kids Plus 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 Healthy Kids Plus Gynecology UT Healthy Kids Plus Languages Spoken: Boyer, Mark C NP C Manuck, Tracy A MD C Portuguese, Spanish Dixie Regional Medical Center Mercado, Carlos MD C UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 688-4600 Phone: (435) 251-1000 UT Healthy Kids Plus Klara, Peter M MD C UT Healthy Kids Plus Clark, Bonnie B APRN C Intermountain Southwest Intermountain Southwest Silver, Robert M MD C Neurology Associates Jones, Gary Lee MD D 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 Healthy Kids Plus Phone: (435) 986-2300 UT Healthy Kids Plus Phone: (435) 688-4770 UT Healthy Kids Plus UT Healthy Kids Plus

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 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 Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus St George, UT 84770 St George, UT 84790 Phone: (435) 652-4040 Phone: (435) 688-4770 Phone: (702) 369-0200 UT Healthy Kids Plus Klatt, Joshua William MD D UT Healthy Kids Plus Languages Spoken: German Children with Special Healthcare UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Intermountain Dixie Orthopaedics Phone: (435) 688-2020 Portuguese, Spanish 652 S Medical Center Dr, #120 UT Healthy Kids Plus Ophthalmology / St George, UT 84790 UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus St George, UT 84790 Hurricane, UT 84737 UT Healthy Kids Plus Phone: (702) 369-0200 Phone: (435) 628-4460 Cohen, David Bennett MD C Parker, Robert Jeffrey MD C UT Healthy Kids Plus Languages Spoken: Chinese Southern Utah Eye Physicians Retina Consultants of Southern UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (800) 239-9393 Phone: (800) 239-9393 1791 E 280 N UT Healthy Kids Plus Languages Spoken: French Goff, Mitchell J MD C St George, UT 84790 UT Healthy Kids Plus 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 Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 628-9393 UT Healthy Kids Plus Surgical Care Associates of St Languages Spoken: French Hendrix, Jason Wayne MD C George Andruss, Robert J MD C UT Healthy Kids Plus 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 Healthy Kids Plus Gujarati, Hindi, Swahili Phone: (435) 251-2650 St George, UT 84790 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (800) 239-9393 Hollifield, Rodney Deleon MD C UT Healthy Kids Plus Retina Consultants of Southern Cain, James E MD C Utah Southwest Spine & Pain Center 1791 E 280 N 652 S Medical Center Dr, #110 St George, UT 84790 St George, UT 84790 Phone: (702) 369-0200 Phone: (435) 251-3700 UT Healthy Kids Plus UT Healthy Kids Plus 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 ashington Parry, Todd Richard MD D Stevens, Michael H MD D Molina, Kimberly MD C Gerber, Trevor Michael PA C CUC - Coral Desert Orthopedics Southern Utah Ear Nose & Throat Dixie Regional EKG Intermountain Cardiovascular & 1490 E Foremaster Dr, #150 1490 E Foremaster Dr, #350 1380 E Medical Center Dr Thoracic Surgery St George, UT 84790 St George, UT 84790 St George, UT 84790 1380 E Medical Center Dr, #2600 Phone: (435) 628-9393 Phone: (435) 628-3334 Phone: (435) 251-1000 St George, UT 84790 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 251-2500 UT Healthy Kids Plus Prince, Edward J MD C Vaughan, Andrew H MD C CUC - Coral Desert Orthopedics Southern Utah Ear Nose & Throat Pediatrics Goodrich, Paul Wallace PA C 1404 Sun River Pkwy, #101 1490 E Foremaster Dr, #350 Norlin, E (Chuck) Charles MD D Intermountain Cardiovascular & St George, UT 84790 St George, UT 84790 Children with Special Healthcare Thoracic Surgery Phone: (800) 239-9393 Phone: (435) 628-3334 Needs 1380 E Medical Center Dr, #2600 Languages Spoken: Japanese UT Healthy Kids Plus 620 S 400 E, #400 St George, UT 84790 UT Healthy Kids Plus St George, UT 84770 Phone: (435) 251-2500 UT Healthy Kids Plus Prince, Edward J MD C Pain Medicine Phone: (435) 986-2559 UT Healthy Kids Plus CUC - Coral Desert Orthopedics Empey, Joseph Courtney MD C Hafen, K C PA C 1490 E Foremaster Dr, #150 Desert Pain Specialists Physical Medicine Intermountain Zion Orthopaedics St George, UT 84790 368 E Riverside Dr, #3B & Sports Medicine Phone: (435) 628-9393 St George, UT 84790 and Rehabilitation 1380 E Medical Center Dr, #2100 Languages Spoken: Japanese Phone: (435) 216-7000 St George, UT 84790 UT Healthy Kids Plus Languages Spoken: German Hansen, Mette Ulrich MD C Phone: (435) 251-2650 UT Healthy Kids Plus Zion Orthopedics UT Healthy Kids Plus Smith, Scott M MD C 1380 E Medical Center Dr, #2100 Intermountain Dixie Orthopaedics Frieden, Derek MD C St George, UT 84790 Hafen , K C PA C 652 S Medical Center Dr, #120 Intermountain Southwest Spine & Phone: (435) 251-2650 Zion Orthopaedics & Sports St George, UT 84790 Pain Center UT Healthy Kids Plus Medicine Phone: (435) 628-4460 652 S Medical Center Dr, #110 1380 E Medical Center Dr, #2100 Languages Spoken: Spanish St George, UT 84790 Root, Bradley D DO C St George, UT 84790 UT Healthy Kids Plus Phone: (435) 251-3700 Southern Utah Spine and Phone: (435) 251-2650 UT Healthy Kids Plus Rehabilitation UT Healthy Kids Plus Stotts, Alan Kendrick MD D 1424 E Foremaster Dr, #120 Children with Special Healthcare Obray, Jon B MD C St George, UT 84790 Johnson, Dayne PA C Needs Intermountain Southwest Spine & Phone: (435) 656-8800 Intermountain Southwest Spine & 620 S 400 E, #400 Pain Center Languages Spoken: Dutch Pain Center St George, UT 84770 652 S Medical Center Dr, #110 UT Healthy Kids Plus 652 S Medical Center Dr, #110 Phone: (435) 986-2559 St George, UT 84790 St George, UT 84790 UT Healthy Kids Plus Phone: (435) 251-3700 Root, Max Robert MD C Phone: (435) 251-3700 UT Healthy Kids Plus Southern Utah Spine and UT Healthy Kids Plus Otolaryngology Rehabilitation Ryskin, Alexey A MD C 1424 E Foremaster Dr, #120 McPherson, Bruce A PA C (ENT) Advanced Pain Management St George, UT 84790 Coral Desert Orthopedics Chase, Steven Paul MD C 620 E 400 S, #201 Phone: (435) 656-8800 1490 E Foremaster Dr, #150 Southern Utah Ear Nose & Throat St George, UT 84770 UT Healthy Kids Plus St George, UT 84790 1490 E Foremaster Dr, #350 Phone: (435) 656-0029 Phone: (435) 628-9393 St George, UT 84790 Languages Spoken: Russian Physician Assistant UT Healthy Kids Plus Phone: (435) 628-3334 UT Healthy Kids Plus Bernardo, Cortney A PA C Mendenhall, Jeromy Ron PA C Languages Spoken: French Coral Desert Orthopedics UT Healthy Kids Plus Stott, Dale G MD D Desert Pain Specialists Zion Pain Management Center 368 E Riverside Dr, #3B 1490 E Foremaster Dr, #150 Doxey, G Paul MD C 301 N 200 E, #2A St George, UT 84790 St George, UT 84790 736 S 900 E, #201 St George, UT 84770 Phone: (435) 216-7000 Phone: (435) 628-9393 St George, UT 84790 Phone: (435) 688-7246 UT Healthy Kids Plus Languages Spoken: Phone: (435) 628-3342 Languages Spoken: Spanish Portuguese UT Healthy Kids Plus UT Healthy Kids Plus Ferguson, Joseph D PA C UT Healthy Kids Plus Intermountain Southwest Spine & Gardner, Kent Eric MD C Pediatric Pain Center Needham, Grant Alma Jason PA C Southern Utah Ear Nose & Throat 652 S Medical Center Dr, #110 Southern Utah Ear Nose & Throat 1490 E Foremaster Dr, #350 Cardiology St George, UT 84790 1490 E Foremaster Dr, #350 St George, UT 84790 St George, UT 84790 C Phone: (435) 251-3700 Phone: (435) 628-3334 Jou, Chuanchau Jerry DO UT Healthy Kids Plus Phone: (435) 628-3334 Languages Spoken: Japanese Dixie Regional EKG UT Healthy Kids Plus UT Healthy Kids Plus 1380 E Medical Center Dr Fowler, Steven R PA C St George, UT 84790 Intermountain Southwest Penman, Stephen L PA C Marsden, Jerry MD C Phone: (435) 251-1000 Cardiology Intermountain Dixie Orthopaedics 1490 E Foremaster Dr, #350 UT Healthy Kids Plus 1380 E Medical Center Dr, #1500 652 S Medical Center Dr, #120 St George, UT 84790 St George, UT 84790 C St George, UT 84790 Phone: (435) 628-2891 McCandless, Rachel MD Phone: (435) 251-2500 Phone: (435) 628-4460 Dixie Regional EKG UT Healthy Kids Plus UT Healthy Kids Plus 1380 E Medical Center Dr UT Healthy Kids Plus St George, UT 84790 Phone: (435) 251-1000 UT Healthy Kids Plus

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 Washington WSpecialty Care Network ashington Schmidt, Trevor Andreas PA C Reber, Keith R DPM C VanGils, Carl Christian DPM C Reilly, Mark William MD C Coral Desert Orthopedics Foot & Ankle Institute Foot & Ankle Institute GammaWest Brachytherapy 1490 E Foremaster Dr, #150 52 S 850 W, #101 754 S Main St, #3 1490 E Foremaster Dr, BldgC St George, UT 84790 Hurricane, UT 84737 St George, UT 84770 St George, UT 84790 Phone: (435) 628-9393 Phone: (435) 635-4609 Phone: (435) 628-2671 Phone: (435) 627-5327 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Stirling, Todd Alan PA C Reber, Keith R DPM C Richards, Ray S MD C Advanced Pain Management Foot & Ankle Institute Pulmonary Disease GammaWest Brachytherapy 620 E 400 S, #201 754 S Main St, #3 Hallenborg, Carl P MD C 1490 E Foremaster Dr, BldgC St George, UT 84770 St George, UT 84770 Snow Canyon Clinic St George, UT 84790 Phone: (435) 656-0029 Phone: (435) 628-2671 272 E Center St, #201 Phone: (435) 627-5327 UT Healthy Kids Plus UT Healthy Kids Plus Ivins, UT 84738 UT Healthy Kids Plus Reber, Leon Keith DPM C Phone: (435) 986-2300 Plastic Surgery Foot & Ankle Institute UT Healthy Kids Plus Rheumatology Klomp, Steven Aaron MD C 52 S 850 W, #101 Kline, Michael R MD C Andersen, Sara Jane MD C Intermountain Dixie Plastic & Hurricane, UT 84737 Intermountain St George Intermountain Southwest Reconstructive Surgery Phone: (435) 635-4609 Pulmonary Rheumatology Associates 652 S Medical Center Dr, #300 UT Healthy Kids Plus 1380 E Medical Center Dr, #1400 577 S River Rd St George, UT 84790 Reber, Leon Keith DPM C St George, UT 84790 St George, UT 84790 Phone: (435) 688-4650 Foot & Ankle Institute Phone: (435) 251-2600 Phone: (435) 688-6262 UT Healthy Kids Plus 754 S Main St, #3 UT Healthy Kids Plus UT Healthy Kids Plus St George, UT 84770 Saifee, Mustufa T MD D Podiatrist Phone: (435) 628-2671 Advanced Pulmonary Sleep Surgery Burton, Stephen K DPM C UT Healthy Kids Plus Disorders & Internal Medicine Lewis, Ryan L DO C Foot & Ankle Institute Smith, Lary J DPM C 640 E 700 S, #105 Southwest Surgical Associates 272 E Center St, #101 Foot & Ankle Institute St George, UT 84770 1490 E Foremaster Dr, #200 Ivins, UT 84738 272 E Center St, #101 Phone: (435) 688-7770 St George, UT 84790 Phone: (435) 628-2671 Ivins, UT 84738 Languages Spoken: Hindi Phone: (435) 628-1641 UT Healthy Kids Plus Phone: (435) 628-2671 UT Healthy Kids Plus Languages Spoken: Spanish UT Healthy Kids Plus Burton, Stephen K DPM C UT Healthy Kids Plus Taub, Lewis D MD C Foot & Ankle Institute Smith, Lary J DPM C 1380 E Medical Center Dr Miller, John Tuggey MD C 52 S 850 W, #101 Foot & Ankle Institute St George, UT 84770 Southwest Surgical Associates Hurricane, UT 84737 52 S 850 W, #101 Phone: (435) 251-2600 1490 E Foremaster Dr, #200 Phone: (435) 635-4609 Hurricane, UT 84737 UT Healthy Kids Plus St George, UT 84790 UT Healthy Kids Plus Phone: (435) 635-4609 Phone: (435) 628-1641 Radiation Oncology UT Healthy Kids Plus Magnesen, David T DPM C UT Healthy Kids Plus 676 S Bluff St, #205 Smith, Lary J DPM C Clarke, James W MD C Myers, Brad A MD D St George, UT 84770 Foot & Ankle Institute GammaWest Brachytherapy Southwest Surgical Associates Phone: (435) 628-5690 754 S Main St, #3 1490 E Foremaster Dr, BldgC 1490 E Foremaster Dr, #200 Languages Spoken: Spanish St George, UT 84770 St George, UT 84790 St George, UT 84790 UT Healthy Kids Plus Phone: (435) 628-2671 Phone: (435) 627-5327 Phone: (801) 628-1641 UT Healthy Kids Plus UT Healthy Kids Plus Powell, Andrew Bert DPM C UT Healthy Kids Plus Foot & Ankle Institute Stewart, Jeffery Lee DPM C Donaldson, Craig W MD C Myers, Brad A MD C 272 E Center St, #101 Coral Desert Foot and Ankle Radiation Oncology Group Southwest Surgical Associates Ivins, UT 84738 1490 E Foremaster Dr, #250 544 S 400 E 1490 E Foremaster Dr, #200 Phone: (435) 628-2671 St George, UT 84790 St George, UT 84770 St George, UT 84770 UT Healthy Kids Plus Phone: (435) 634-9225 Phone: (435) 688-4175 Phone: (435) 628-1641 UT Healthy Kids Plus UT Healthy Kids Plus Powell, Andrew Bert DPM C Languages Spoken: Italian, Foot & Ankle Institute Spanish Harris, Robert Alan MD C Smith, John Taylor MD D 52 S 850 W, #101 UT Healthy Kids Plus GammaWest Brachytherapy Children with Special Healthcare Hurricane, UT 84737 VanGils, Carl Christian DPM C 1490 E Foremaster Dr, BldgC Needs Phone: (435) 635-4609 Foot & Ankle Institute St George, UT 84790 620 S 400 E, #400 UT Healthy Kids Plus 272 E Center St, #101 Phone: (435) 627-5327 St George, UT 84770 Ivins, UT 84738 UT Healthy Kids Plus Phone: (435) 986-2559 Powell, Andrew Bert DPM C UT Healthy Kids Plus Foot & Ankle Institute Phone: (435) 628-2671 Hyde, Christian Cooper MD C 754 S Main St, #3 UT Healthy Kids Plus Radiation Oncology Group Speakman, J Jared MD C St George, UT 84770 VanGils, Carl Christian DPM C 544 S 400 E Southwest Surgical Associates Phone: (435) 628-2671 Foot & Ankle Institute St George, UT 84770 1490 E Foremaster Dr, #200 UT Healthy Kids Plus 52 S 850 W, #101 Phone: (435) 688-4175 St George, UT 84790 UT Healthy Kids Plus Phone: (435) 628-1641 C Hurricane, UT 84737 Reber, Keith R DPM Phone: (435) 635-4609 Languages Spoken: Spanish Foot & Ankle Institute UT Healthy Kids Plus 272 E Center St, #101 UT Healthy Kids Plus Ivins, UT 84738 Phone: (435) 628-2671 UT Healthy Kids Plus 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 Washington WSpecialty Care Network eber Watson, Gregory Lynn DO D Vascular Surgery Holland, Grant K MD C Tingey, Chad Wesley MD D Southwest Surgical Associates Heart of Utah Ogden Clinic - Harrison Blvd 1490 E Foremaster Dr, #200 Khoury, Michael David MD C 4403 Harrison Blvd, #3400 4650 Harrison Blvd St George, UT 84790 Intermountain Cardiovascular & Ogden, UT 84403 Ogden, UT 84403 Phone: (435) 628-1641 Thoracic Surgery Phone: (801) 387-3400 Phone: (801) 475-3000 UT Healthy Kids Plus 1380 E Medical Center Dr, #2600 UT Healthy Kids Languages Spoken: Spanish St George, UT 84790 UT Healthy Kids Williams, Bruce C MD C Phone: (435) 251-2500 Milavetz, James J MD C Southwest Surgical Associates UT Healthy Kids Plus Heart of Utah Urry, Larry E MD C 1490 E Foremaster Dr, #200 4403 Harrison Blvd, #3400 4403 Harrison Blvd, #2635 St George, UT 84790 Ogden, UT 84403 Ogden, UT 84403 Phone: (801) 628-1641 Weber County Phone: (801) 387-3400 Phone: (801) 387-3515 UT Healthy Kids Plus UT Healthy Kids UT Healthy Kids Advanced Practice Wintch, Richard W MD C Rigby, Dwight A MD C Gastroenterology 515 S 300 E, #102 Midwife Heart of Utah St George, UT 84770 4403 Harrison Blvd, #3400 Gonzales, Chad Michael MD C Phone: (435) 628-4489 Stuart, Mari CNM D Ogden, UT 84403 4403 Harrison Blvd, #2855 Languages Spoken: German Ogden Clinic - Roy Phone: (801) 387-3400 Ogden, UT 84403 UT Healthy Kids Plus 3485 W 5200 S UT Healthy Kids Phone: (801) 387-2560 Roy, UT 84067 Languages Spoken: Spanish Thoracic Surgery Phone: (801) 475-3000 Dermatology UT Healthy Kids (Cardiothoracic Languages Spoken: Japanese UT Healthy Kids Allen, David Edgar MD C Lowe, John Earl MD C Vascular Surgery) Intermountain Skin, Cancer & Utah Digestive Health Institute Allergy & Esthetics Center 6028 S Ridgeline Dr, #201 Bowles, Brent Jason MD C 3860 Jackson Ave, #2 Ogden, UT 84405 Intermountain Cardiovascular & Immunology Ogden, UT 84403 Phone: (801) 475-5400 Thoracic Surgery Lyons, Vicki Jennifer MD C Phone: (801) 627-0515 UT Healthy Kids 1380 E Medical Center Dr, #2600 UT Healthy Kids St George, UT 84790 4403 Harrison Blvd, #4640 Poole, Jeffrey S MD C Phone: (435) 251-2500 Ogden, UT 84403 Allen, David More MD C Utah Digestive Health Institute UT Healthy Kids Plus Phone: (801) 387-4850 Intermountain Skin, Cancer & 6028 S Ridgeline Dr, #201 UT Healthy Kids Esthetics Center Ogden, UT 84405 Millar, Roger C MD C 3860 Jackson Ave, #2 Phone: (801) 475-5400 Intermountain Cardiovascular & Cardiovascular Ogden, UT 84403 Languages Spoken: Spanish Thoracic Surgery Disease Phone: (801) 627-0515 UT Healthy Kids 1380 E Medical Center Dr, #2600 Languages Spoken: Spanish St George, UT 84790 Almony, Gregory T MD C UT Healthy Kids Porter, Steven Alexander MD C Phone: (435) 251-2500 Utah Cardiology 4403 Harrison Blvd, #2855 UT Healthy Kids Plus 5405 S 500 E, #204 Hansen, Daniel Joseph DO C Ogden, UT 84403 Ogden, UT 84405 6028 S Ridgeline Dr, #102 Phone: (801) 387-2550 Woodbury, Kory U MD C Ogden, UT 84405 Languages Spoken: Spanish Intermountain Cardiovascular & Phone: (801) 479-0184 UT Healthy Kids Phone: (801) 399-3324 UT Healthy Kids Thoracic Surgery Languages Spoken: Spanish 1380 E Medical Center Dr, #2600 Crawford, Michael E MD C UT Healthy Kids Pugh, Brian W DO C St George, UT 84790 Utah Cardiology Utah Digestive Health Institute Phone: (435) 251-2500 5405 S 500 E, #204 Lyons, John Hugh MD D 6028 S Ridgeline Dr, #201 Languages Spoken: Spanish Ogden, UT 84405 Ogden Clinic - Harrison Blvd Ogden, UT 84405 UT Healthy Kids Plus Phone: (801) 479-0184 4650 Harrison Blvd Phone: (801) 475-5400 UT Healthy Kids Ogden, UT 84403 UT Healthy Kids Urology Phone: (801) 479-4621 Diehl, Michael J MD C UT Healthy Kids Sobotka, Dennis W MD C Adams Jr, David Michael MD C Utah Cardiology Utah Digestive Health Institute Intermountain Southwest Urology 5405 S 500 E, #204 Maughan, Julie Anne MD C 6028 S Ridgeline Dr, #201 1380 E Medical Center Dr, #2100 Ogden, UT 84405 6028 S Ridgeline Dr, #200 Ogden, UT 84405 St George, UT 84790 Phone: (801) 479-0184 Ogden, UT 84405 Phone: (801) 475-5400 Phone: (435) 251-3250 UT Healthy Kids Phone: (801) 475-5210 UT Healthy Kids UT Healthy Kids Plus UT Healthy Kids Forstall, Peter George MD C Tadros, Caroline R MD C Ellsworth, John Bryan MD D Utah Cardiology Maughan, Willard Z MD C 4403 Harrison Blvd, #2855 Urology Associates 5405 S 500 E, #204 6028 S Ridgeline Dr, #200 Ogden, UT 84403 391 E 500 S Ogden, UT 84405 Ogden, UT 84405 Phone: (801) 387-2550 St George, UT 84770 Phone: (801) 479-0184 Phone: (801) 475-5210 UT Healthy Kids UT Healthy Kids Phone: (435) 688-2104 UT Healthy Kids Ziegler, Robert Henry MD D Languages Spoken: Spanish Thomson, Stephen Talmage MD Ogden Clinic - Harrison Blvd UT Healthy Kids Plus Gallant, Ellen M MD C Heart of Utah C 4650 Harrison Blvd 4403 Harrison Blvd, #3400 6028 S Ridgeline Dr, #102 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84405 Phone: (801) 479-4621 Phone: (801) 387-3400 Phone: (801) 399-3324 UT Healthy Kids UT Healthy Kids UT Healthy Kids

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 Gynecology Mian, Hamid MD C Obstetrics and Poll, Jed T MD C KHIU Mount Ogden Eye Center Stevenson, Leo Monte MD C 4780 Old Post Rd Gynecology 4360 Washington Blvd, #A 555 E 5300 S, #7 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84405 Trauscht-VanHorn, Jennifer MD Phone: (801) 476-3400 C Phone: (801) 476-0494 Phone: (801) 621-1781 Languages Spoken: Hindi, UT Healthy Kids UT Healthy Kids Planned Parenthood Associtation Punjabi, Spanish, Urdu of Utah UT Healthy Kids Richards, Bradley Wayne MD C Hematology & 4387 Harrison Blvd, #D8 Country Hills Eye Center Senekjian, Harry O MD C Ogden, UT 84403 875 E Country Hills Dr Oncology Nephrology of Northern Utah Phone: (801) 479-7721 Ogden, UT 84403 UT Healthy Kids Gray, Carl Roger MD C 425 E 5350 S, #320 Phone: (801) 399-1149 Utah Hematology Oncology Ogden, UT 84405 UT Healthy Kids 5290 S 400 E Phone: (801) 479-1117 Ophthalmology UT Healthy Kids Richards, Scott C MD C Ogden, UT 84405 Armstrong, John D MD C Country Hills Eye Center Phone: (801) 476-1777 Mount Ogden Eye Center 875 E Country Hills Dr UT Healthy Kids Neurology 4360 Washington Blvd, #A Ogden, UT 84403 Johnson, Harold Mark MD C AlSadat, Ahmad Nadim MD D Ogden, UT 84403 Phone: (801) 399-1149 Utah Hematology Oncology Ogden Clinic - Harrison Blvd Phone: (801) 476-0494 UT Healthy Kids UT Healthy Kids 5290 S 400 E 4650 Harrison Blvd Sykes, Scott Owen MD C Ogden, UT 84405 Ogden, UT 84403 Ballif, Mark Gordon MD C Mount Ogden Eye Center Phone: (801) 476-1777 Phone: (801) 479-4621 Mount Ogden Eye Center 4360 Washington Blvd, #A UT Healthy Kids Languages Spoken: Arabic, 4360 Washington Blvd, #A Ogden, UT 84403 Spanish Ogden, UT 84403 Phone: (801) 476-0494 Internal Medicine UT Healthy Kids Phone: (801) 476-0494 Languages Spoken: Hammond, Richard Chris DO D Languages Spoken: German Portuguese Whitaker, Julia F MD C UT Healthy Kids UT Healthy Kids Ogden Pulmonary Associates Ogden Clinic - Harrison Blvd 4403 Harrison Blvd, #3815 4650 Harrison Blvd Brodstein, David Edwin MD C Turner, Scott Darren MD C Ogden, UT 84403 Ogden, UT 84403 Country Hills Eye Center 3615 N 2000 W Phone: (801) 387-2575 Phone: (801) 479-4621 875 E Country Hills Dr Ogden, UT 84404 UT Healthy Kids UT Healthy Kids Ogden, UT 84403 Phone: (801) 731-6426 Hammond, Richard Chris DO D Phone: (801) 399-1149 UT Healthy Kids UT Healthy Kids Medical Oncology Ogden Clinic - Skyline Wilcox, Michael Blair MD C 6112 S 1550 E, #101 Clayson, Fred Eli MD C Mount Ogden Eye Center Hansen, Vincent Lee MD C Ogden, UT 84405 Utah Hematology Oncology 4403 Harrison Blvd, #3600 4360 Washington Blvd, #A Phone: (801) 476-8688 Ogden, UT 84403 Ogden, UT 84403 4403 Harrison Blvd, #1685 UT Healthy Kids Ogden, UT 84403 Phone: (801) 387-3550 Phone: (801) 476-0494 Phone: (801) 387-7150 Imani, Jahangir N MD D Languages Spoken: German UT Healthy Kids Languages Spoken: Intermountain Neurology Clinic UT Healthy Kids Portuguese, Spanish 6112 S 1550 E, #100 Dastrup, Benjamin T MD C Oral and UT Healthy Kids Ogden, UT 84405 Country Hills Eye Center Maxillofacial Phone: (801) 475-7707 875 E Country Hills Dr Surgery - Dentist Neonatal - Perinatal UT Healthy Kids Ogden, UT 84403 Medicine Thompson, Joel A MD D Phone: (801) 399-1149 Austin, Blaine D DDS C UT Healthy Kids 5742 S 1475 E, #100 C Children with Special Healthcare Berger, James Irwin MD Needs Ogden, UT 84403 Pediatrix Medical Felt, Douglas P MD C Phone: (801) 399-3701 2540 Washington Blvd Country Hills Eye Center 5475 S 500 E Ogden, UT 84401 Languages Spoken: Spanish Ogden, UT 84405 875 E Country Hills Dr UT Healthy Kids Phone: (801) 476-4280 Phone: (801) 626-3645 Ogden, UT 84403 UT Healthy Kids UT Healthy Kids Phone: (801) 399-1149 Broadbent, Michael William DDS Thompson, Joel A MD D UT Healthy Kids C Oral & Maxillofacial Surgeons of Nephrology Children with Special Healthcare Hoffman, Robert O MD D Needs Utah Agarwal, Adhish Kumar MD C Children with Special Healthcare 2711 N Hwy 89, #200 5475 S 500 E Needs Nephrology of Northern Utah Ogden, UT 84405 Ogden, UT 84414 425 E 5350 S, #320 5475 S 500 E Phone: (801) 782-7175 Phone: (801) 479-2541 Ogden, UT 84405 Ogden, UT 84405 UT Healthy Kids UT Healthy Kids Phone: (801) 479-1117 Phone: (801) 479-2541 Languages Spoken: Hindi UT Healthy Kids Broadbent, Michael William DDS UT Healthy Kids C Patel, Bhupendra C MD C Oral & Maxillofacial Surgeons of Indahyung, Ruth Merry MD C Mount Ogden Eye Center Utah Nephrology of Northern Utah 4360 Washington Blvd, #A 3590 Harrison Blvd, #2 425 E 5350 S, #320 Ogden, UT 84403 Ogden, UT 84403 Ogden, UT 84405 Phone: (801) 476-0494 Phone: (801) 392-7176 Phone: (801) 479-1117 Languages Spoken: French, UT Healthy Kids UT Healthy Kids Gujarati, Hindi, Swahili UT Healthy Kids 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 Weber WSpecialty Care Network eber Chandler, Jason G DDS C Hall, Michael Joel MD D Bikhazi, Nadim B MD D Physical Medicine Oral & Maxillofacial Surgeons of Ogden Clinic - Washington Blvd Ogden Clinic - Harrison Blvd Utah 4350 Washington Blvd 4650 Harrison Blvd and Rehabilitation 2711 N Hwy 89, #200 Ogden, UT 84403 Ogden, UT 84403 Anden, Corey D MD C Ogden, UT 84414 Phone: (801) 476-5100 Phone: (801) 479-4621 4403 S Harrison Blvd, #D Phone: (801) 782-7175 UT Healthy Kids UT Healthy Kids Ogden, UT 84403 Languages Spoken: Spanish Phone: (801) 387-2090 UT Healthy Kids Higbee, Daniel Dale MD C Gordon, Ronald F MD C Sumko-Bitner Orthopaedic and 3955 Harrison Blvd, #U5 UT Healthy Kids Chandler, Jason G DDS C Sports Medicine Clinic Ogden, UT 84403 Oral & Maxillofacial Surgeons of 2850 N 2000 W Phone: (801) 627-1363 Physician Assistant Utah Ogden, UT 84404 UT Healthy Kids 3590 Harrison Blvd, #2 Phone: (801) 732-1175 Hawkins, Michael C PA D Ogden, UT 84403 UT Healthy Kids Major, Michael Scott MD C Ogden Clinic - Harrison Blvd Phone: (801) 392-7176 Wasatch Ear Nose Throat & 4650 Harrison Blvd Languages Spoken: Spanish Sorensen, Jeffery Todd MD D Allergy Ogden, UT 84403 UT Healthy Kids Ogden Clinic - Washington Blvd 5896 S Ridgeline Dr, #B Phone: (801) 479-4621 4350 Washington Blvd Ogden, UT 84405 UT Healthy Kids Jessen, Gregory Shane DDS C Ogden, UT 84403 Phone: (801) 866-0170 1508 E Skyline Dr, #800 Phone: (801) 476-5100 Languages Spoken: German Hawkins, Michael C PA D Ogden, UT 84405 UT Healthy Kids UT Healthy Kids Ogden Clinic - Skyline Phone: (801) 479-8200 6112 S 1550 E, #101 Languages Spoken: Spanish Stotts, Alan Kendrick MD D Moesinger, Robert Lionel MD C Ogden, UT 84405 UT Healthy Kids Children with Special Healthcare Medicine Shop Phone: (801) 476-8688 Needs 3955 Harrison Blvd, #U6 UT Healthy Kids Liston, Todd C DDS C 2540 Washington Blvd Ogden, UT 84403 Oral & Maxillofacial Surgeons of Ogden, UT 84401 Phone: (801) 393-5324 Jelaco, Robert A PA D Utah Phone: (801) 626-3645 UT Healthy Kids Ogden Clinic - Canyon View 2711 N Hwy 89, #200 UT Healthy Kids 1159 E 12th St Ogden, UT 84414 Siddoway, John R MD D Ogden, UT 84404 Phone: (801) 782-7175 Stucki, Kevin Lamarr DO D Ogden Clinic - Harrison Blvd Phone: (801) 334-3000 UT Healthy Kids Ogden Clinic - Harrison Blvd 4650 Harrison Blvd UT Healthy Kids 4650 Harrison Blvd Ogden, UT 84403 Liston, Todd C DDS C Ogden, UT 84403 Phone: (801) 479-4621 Jelaco, Robert A PA D Oral & Maxillofacial Surgeons of Phone: (801) 479-4621 UT Healthy Kids Ogden Clinic - Harrison Blvd Utah UT Healthy Kids 4650 Harrison Blvd 3590 Harrison Blvd, #2 Pediatric Ogden, UT 84403 Ogden, UT 84403 Stucki, Kevin Lamarr DO D Phone: (801) 479-4621 Phone: (801) 392-7176 Ogden Clinic - Skyline Endocrinology UT Healthy Kids UT Healthy Kids 6112 S 1550 E, #101 Ogden, UT 84405 Swinyard, Michael T MD C Jones, Galen Ray PA C Roberts, Greg A DDS C Phone: (801) 476-8688 5495 S 500 E, #120 Intermountain Skin, Cancer & 5742 S 1475 E, #100 UT Healthy Kids Ogden, UT 84405 Esthetics Center Ogden, UT 84403 Phone: (801) 479-0174 3860 Jackson Ave, #2 Phone: (801) 479-8200 Sumko, Michael Henry DO C UT Healthy Kids Ogden, UT 84403 UT Healthy Kids Sumko-Bitner Orthopaedic and Phone: (801) 627-0515 Sports Medicine Clinic Pediatric Neurology Languages Spoken: Spanish 2850 N 2000 W UT Healthy Kids Orthopaedic Surgery Ogden, UT 84404 Winter, Sarah L MD D McMillan, Blake Allen PA D Baranko, Brent Michael MD D Phone: (801) 732-1175 Children with Special Healthcare UT Healthy Kids Needs Ogden Clinic - Washington Blvd Ogden Clinic - Harrison Blvd 4350 Washington Blvd 4650 Harrison Blvd 2540 Washington Blvd Otolaryngology Ogden, UT 84401 Ogden, UT 84403 Ogden, UT 84403 Phone: (801) 626-3645 Phone: (801) 476-5100 Phone: (801) 479-4621 (ENT) UT Healthy Kids UT Healthy Kids UT Healthy Kids Anderson, Douglas Kent MD C Merrill Jr, Philemon Ray PA C Bitner, Matthew F MD C Ogden Ear Nose & Throat Pediatrics 4403 Harrison Blvd, #2855 Sumko-Bitner Orthopaedic and 425 E 5350 S, #130 Ogden, UT 84403 Sports Medicine Clinic Ogden, UT 84405 Bybee, Blair L MD D Children with Special Healthcare Phone: (801) 387-2550 2850 N 2000 W Phone: (801) 476-0342 UT Healthy Kids Ogden, UT 84404 Languages Spoken: Spanish Needs Phone: (801) 732-1175 UT Healthy Kids 5475 S 500 E Mitchell, Colby John PA C UT Healthy Kids Ogden, UT 84405 Ogden Ear Nose & Throat Barlow, Stewart E MD C Phone: (801) 479-2541 425 E 5350 S, #130 Crosland, Jack Weatherly MD C 3955 Harrison Blvd, #U6 UT Healthy Kids Ogden, UT 84405 Midtown Community Health Ogden, UT 84403 Phone: (801) 476-0342 Center Phone: (801) 621-0350 UT Healthy Kids 2240 Adams Ave UT Healthy Kids Ogden, UT 84401 Vincent, Brian Scott PA D Phone: (801) 393-5355 Ogden Clinic - Harrison Blvd UT Healthy Kids 4650 Harrison Blvd Ogden, UT 84403 Phone: (801) 479-4621 UT Healthy Kids 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 Weber WSpecialty Care Network eber Vincent, Brian Scott PA D Goucher, Gary K MD C Surgery Urology Ogden Clinic - Washington Blvd Ogden Pulmonary Associates 4350 Washington Blvd 4403 Harrison Blvd, #3815 Bryce, Lance Richard MD C Christensen, Tyler L MD D Ogden, UT 84403 Ogden, UT 84403 Farr West Family Medicine Ogden Clinic - Harrison Blvd Phone: (801) 476-5100 Phone: (801) 387-2575 2850 N 2000 W, #101 4650 Harrison Blvd UT Healthy Kids UT Healthy Kids Farr West, UT 84404 Ogden, UT 84403 Phone: (801) 731-1222 Phone: (801) 479-4621 Ivester, Charles MD C Languages Spoken: Spanish Languages Spoken: Afar Plastic Surgery Ogden Pulmonary Associates UT Healthy Kids UT Healthy Kids Malan, Lee J MD C 4403 Harrison Blvd, #3815 3955 Harrison Blvd, #U1 Ogden, UT 84403 Garvey, Sheila Gay MD D Otto, Samuel James MD C Ogden, UT 84403 Phone: (801) 387-2575 Ogden Clinic - Harrison Blvd Ogden Internal Medicine & Phone: (801) 621-3591 UT Healthy Kids 4650 Harrison Blvd Urology UT Healthy Kids Ogden, UT 84403 5405 S 500 E, #203 Pittman, Joel E MD C Phone: (801) 479-4621 Ogden, UT 84405 Ogden Pulmonary Associates UT Healthy Kids Phone: (801) 475-8600 Podiatrist 4403 Harrison Blvd, #3815 UT Healthy Kids Grunander, Megan Wolthuis MD C Ogden, UT 84403 Agres, Susan Jespersen DPM Phone: (801) 387-2575 C Vanbibber, Michael Ernest MD D Wasatch Podiatry UT Healthy Kids Ogden Clinic - Harrison Blvd Ogden Clinic - Harrison Blvd 5275 Adams Ave, #A 4650 Harrison Blvd 4650 Harrison Blvd Ogden, UT 84405 Ogden, UT 84403 Ogden, UT 84403 Phone: (801) 645-5255 Radiation Oncology Phone: (801) 475-3000 Phone: (801) 475-3000 UT Healthy Kids Hansen, Roger S MD C UT Healthy Kids Languages Spoken: French GammaWest Brachytherapy UT Healthy Kids Fawson, Lorell B DPM C Jordan, Edward MD D 3590 Harrison Blvd, #GL1 425 E 5350 S, #180 Ogden, UT 84405 Ogden Clinic - Skyline Wayment, Robert O MD D Ogden, UT 84403 6112 S 1550 E, #101 Ogden Clinic - Harrison Blvd Phone: (801) 627-2122 Phone: (801) 475-4571 UT Healthy Kids Ogden, UT 84405 4650 Harrison Blvd UT Healthy Kids Phone: (801) 476-8688 Ogden, UT 84403 Glover, David Blaine DPM C Harris, Robert Alan MD C UT Healthy Kids Phone: (801) 479-4621 GammaWest Brachytherapy UT Healthy Kids Mountain View Orthopedics & Steppacher Jr, Robert Clark MD C Sports Medicine 425 E 5350 S, #180 Ogden, UT 84405 Mountain Medical Vein Center Wolthuis, John S MD D 1486 E Skyline Dr, #202 1486 E Skyline Dr, #201 Ogden Clinic - Harrison Blvd Ogden, UT 84405 Phone: (801) 475-4571 UT Healthy Kids Ogden, UT 84405 4650 Harrison Blvd Phone: (801) 475-5683 Phone: (801) 476-8346 Ogden, UT 84403 UT Healthy Kids Hayes, John K MD C UT Healthy Kids Phone: (801) 479-4621 Glover, David Blaine DPM C GammaWest Brachytherapy UT Healthy Kids 425 E 5350 S, #180 Whipple, Robert Douglas MD D Mountain View Orthopedics & Ogden Clinic - Harrison Blvd Sports Medicine Ogden, UT 84405 Vascular Surgery Phone: (801) 475-4571 4650 Harrison Blvd 5957 S Fashion Point Dr, #101 Ogden, UT 84403 Ogden, UT 84403 Languages Spoken: Chinese, Whitten, Matthew Guyon MD C Mandarin Phone: (801) 479-4621 Mountain Medical Vein Center Phone: (801) 475-5683 UT Healthy Kids UT Healthy Kids UT Healthy Kids 1486 E Skyline Dr, #201 Ogden, UT 84405 Murrah, Chantel B DPM C Reilly, Mark William MD C Thoracic Surgery Phone: (801) 476-8346 3590 Harrison Blvd, #G1 GammaWest Brachytherapy (Cardiothoracic UT Healthy Kids Ogden, UT 84403 425 E 5350 S, #180 Phone: (801) 627-2122 Ogden, UT 84405 Vascular Surgery) Womens Health Languages Spoken: Spanish Phone: (801) 475-4571 Graham, Joseph Eugene MD C Nurse Practitioner UT Healthy Kids UT Healthy Kids Mountainstar Cardiovascular C Stagg, Kelly S DPM D Rogers, Charles Leland MD C Surgery Gundy, LeAnne P NP Ogden Clinic - Washington Blvd GammaWest Brachytherapy 5405 S 500 E, #110 Ogden Womens Clinic 4350 Washington Blvd 425 E 5350 S, #180 Ogden, UT 84405 4403 Harrison Blvd, #4650 Ogden, UT 84403 Ogden, UT 84405 Phone: (801) 476-6900 Ogden, UT 84403 Phone: (801) 475-4571 UT Healthy Kids Phone: (801) 387-4400 Phone: (801) 476-5100 UT Healthy Kids UT Healthy Kids Languages Spoken: German Graham, Joseph Eugene MD C UT Healthy Kids Mountainstar Cardiovascular Pulmonary Disease Surgery 5405 S 500 E, #200 Abel, Jeffrey A MD C Ogden, UT 84405 Ogden Pulmonary Associates Phone: (801) 476-6900 4403 Harrison Blvd, #3815 UT Healthy Kids Ogden, UT 84403 Phone: (801) 387-2575 UT Healthy Kids

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 Box Elder Ancillary Providers Carbon Dietitian Physical Therapy Walker, Tracy L PT C Box Elder County 1400 N 500 E Anderson, Alyssa Kay RD C Allred, Breeann V PT C Logan, UT 84341 Cache Valley Community Health 1400 N 500 E Phone: (435) 716-1000 Physical Therapy Center Logan, UT 84321 UT Healthy Kids Plus 1515 N 400 E, #104 Phone: (435) 716-5010 Cottle, Jay E PT C Logan, UT 84341 UT Healthy Kids Plus Young, Nathan A PT C Bear River Valley Hospital Phone: (435) 755-6061 1400 N 500 E 905 N 1000 W Languages Spoken: Berryhill, John Hillary PT C Logan, UT 84341 Tremonton, UT 84337 Portuguese Complete Fitness Innovations Phone: (435) 716-1000 Phone: (435) 207-4515 UT Healthy Kids Plus 1177 S Main St UT Healthy Kids Plus UT Healthy Kids Plus Smithfield, UT 84335 Anderson, Alyssa Kay RD C Phone: (435) 563-0750 Speech-Language Cottle, Jay E PT C Cache Valley Community Health Languages Spoken: Spanish Bear River Valley Hospital Center UT Healthy Kids Plus Pathology 905 N 1000 W 26 W Main St Tremonton, UT 84337 Boyce, Neal Shane PT C Corbin-Lewis, Kim SLP C Hyrum, UT 84319 1400 N 500 E Phone: (435) 257-7441 Phone: (435) 245-6988 1400 N 500 E UT Healthy Kids Plus Logan, UT 84341 Logan, UT 84341 Languages Spoken: Phone: (435) 716-1000 Portuguese Phone: (435) 716-1000 Herzog, Carol PT C UT Healthy Kids Plus UT Healthy Kids Plus 905 N 1000 W UT Healthy Kids Plus Tremonton, UT 84337 Cole, John D PT C Gantz, Kathryn S SLP C Phone: (435) 207-4774 Genetic Counselor 1400 N 500 E 1400 N 500 E UT Healthy Kids Plus Logan, UT 84341 Logan, UT 84341 Dunn, Katherine R LGC C Phone: (435) 716-1000 Phone: (435) 716-1000 500 E 1400 N UT Healthy Kids Plus UT Healthy Kids Plus Cache County Logan, UT 84341 Phone: (435) 716-2050 Dahle, Shaun P PT C Thornley, Shellie D SLP C UT Healthy Kids Plus 1400 N 500 E 1400 N 500 E Audiology Logan, UT 84341 Logan, UT 84341 Hafen, L Brent LGC C Phone: (435) 716-5010 C Phone: (435) 716-1000 Jensen, Steven R AUD 500 E 1400 N UT Healthy Kids Plus UT Healthy Kids Plus 1400 N 500 E Logan, UT 84341 Logan, UT 84341 Phone: (435) 716-2050 Doucette, Susan A PT C Phone: (435) 716-1000 UT Healthy Kids Plus Logan Physical Therapy Carbon County UT Healthy Kids Plus 2310 N 400 E, #C Hulinsky, Rebecca Becky S LGC C C Logan, UT 84341 Lindquist, Carla S CCC-A Intermountain Logan Maternal Phone: (435) 752-5200 Audiology Cache Valley ENT Fetal Medicine UT Healthy Kids Plus 2380 N 400 E, #D 1400 N 500 E Hanson, Ryan Mark AUD C Logan, UT 84341 Logan, UT 84341 Greenwood, Brandon D PT C 945 W Hospital Dr, #1 Phone: (435) 753-7880 Phone: (435) 716-1958 1400 N 500 E Price, UT 84501 UT Healthy Kids Plus UT Healthy Kids Plus Logan, UT 84341 Phone: (435) 637-4327 UT Healthy Kids Plus Stevenson, Robert L CCC-A C Phone: (435) 716-1000 Bridgerland Audiology & Hearing Occupational UT Healthy Kids Plus Harward, Richard S CCC-A D Aids Therapy Larsen, Brian T PT C Children with Special Healthcare 293 S Main St Needs C 1300 N 500 E, #130 Logan, UT 84321 Blotter, J Greg OT Logan, UT 84341 25 S 100 E Phone: (435) 753-4133 1400 N 500 E Phone: (435) 716-2880 Price, UT 84501 Languages Spoken: French Logan, UT 84341 UT Healthy Kids Plus Phone: (435) 637-3671 UT Healthy Kids Plus Phone: (435) 716-1000 UT Healthy Kids Plus UT Healthy Kids Plus Malan, Vernon R PT C Uyematsu, Jennifer A AUD C C Gateway Medical Occupational 1400 N 500 E Carling, Diane OT 2380 N 400 E Logan, UT 84341 1400 N 500 E Therapy Logan, UT 84341 Logan, UT 84341 Phone: (435) 716-1000 Phone: (435) 713-9700 Boomer, Lois OT D UT Healthy Kids Plus Phone: (435) 716-1000 UT Healthy Kids Plus Languages Spoken: Spanish Children with Special Healthcare UT Healthy Kids Plus Needs Chiropractor Holt, Debbie L OT C C 25 S 100 E 1400 N 500 E Ross, George L PT Price, UT 84501 Crawford, Ira J DC C Logan, UT 84341 1400 N 500 E Phone: (435) 637-3671 892 S Main St Phone: (435) 716-1000 Logan, UT 84341 UT Healthy Kids Plus Smithfield, UT 84335 UT Healthy Kids Plus Phone: (435) 716-1000 Phone: (435) 563-6887 UT Healthy Kids Plus UT Healthy Kids Plus Thompson, Darin L OT C 1400 N 500 E Stromberg, Douglas W PT C Gibbons, Jeremy David DC C Logan, UT 84341 1400 N 500 E Gibbons Chiropractic Phone: (435) 716-1000 Logan, UT 84341 1177 S Main St UT Healthy Kids Plus Phone: (435) 716-1000 Smithfield, UT 84335 UT Healthy Kids Plus Phone: (435) 563-2514 UT Healthy Kids Plus

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 Carbon DAncillary Providers avis Speech-Language Cagle, Anna Siciliano CCC-A D Burgess, James Lynn DC C Robb, Brandon D DC C Tanner Memorial Clinic 525 S State St, #12 Bowden Chiropractic Clinic Pathology 2121 N 1700 W Clearfield, UT 84015 116 N Adamswood Rd, #1 Hunt, Roxanne B SLP D Layton, UT 84041 Phone: (801) 825-0134 Layton, UT 84040 Children with Special Healthcare Phone: (801) 773-4840 UT Healthy Kids Phone: (801) 547-9974 UT Healthy Kids UT Healthy Kids Needs Ford, Richard L DC C 25 S 100 E Hogge, Jennifer A CCC-A C Ford Family Chiro & Rejuvenation Scott, Theodore J DC C Price, UT 84501 Tanner Memorial Clinic Center Scott Chiropractic & Wellness Phone: (435) 637-3671 2121 N 1700 W 1014 W Gentile St, #D 180 W 1000 N UT Healthy Kids Plus Layton, UT 84041 Layton, UT 84041 Layton, UT 84041 Phone: (801) 773-4840 Phone: (801) 546-0114 Phone: (801) 544-4213 Clark County UT Healthy Kids UT Healthy Kids UT Healthy Kids Mollerup, Jennie Lynn CCC-A C Frogley, Cory M DC C Occupational Hearing Zone Integrated Wellness Group Audiology 70 S Fairfield Rd, #10 135 S 500 W Therapy Layton, UT 84041 Bountiful, UT 84010 Luekenga Jr, Richard Layne Beauregard, Roxann OT C CCC-A C Phone: (801) 444-0300 Phone: (801) 294-6200 UT Healthy Kids UT Healthy Kids PCMC Rehab Bountiful Dixie Hearing & Balance Ctr 280 N Main St 1301 Bertha Howe Ave, #6 Mollerup, Jennie Lynn CCC-A C George, Dallas S DC C Bountiful, UT 84010 Mesquite, NV 89027 Hearing Zone Community Chiropractic Phone: (801) 292-8665 Phone: (435) 688-8991 74 E 500 S, #112 395 N 200 W UT Healthy Kids Languages Spoken: Spanish Bountiful, UT 84010 Bountiful, UT 84010 UT Healthy Kids Plus Phone: (801) 294-6200 Phone: (801) 295-6667 Delong, Samuel J OT C UT Healthy Kids UT Healthy Kids Summit Hand Therapy 2179 N 1700 W, #5 Davis County Norby, Jason R AUD C George, Dan G DC C Layton, UT 84041 PCMC Audiology Community Chiropractic Phone: (801) 773-2633 280 N Main St 395 N 200 W Languages Spoken: Chinese, Audiology Bountiful, UT 84010 Bountiful, UT 84010 Mandarin Bennett, Carolyn Sydnee CCC-A Phone: (801) 292-8665 Phone: (801) 295-6667 UT Healthy Kids UT Healthy Kids UT Healthy Kids C Haywood-Breault, Julia L OT C Hearing Zone Pergler, Harold R CCC-A C Jeffery, Nancy O DC C PCMC Rehab Bountiful 70 S Fairfield Rd, #10 Bountiful Hearing Center In House Chiropractic 280 N Main St Layton, UT 84041 425 Medical Dr, #200 1037 Kimberley Dr Bountiful, UT 84010 Phone: (801) 444-0300 Bountiful, UT 84010 Layton, UT 84040 Phone: (801) 292-8665 UT Healthy Kids Phone: (801) 295-9644 Phone: (801) 593-0999 UT Healthy Kids Bennett, Carolyn Sydnee CCC-A Languages Spoken: German UT Healthy Kids C UT Healthy Kids Physical Therapy Hearing Zone Jeffery, Ryan C DC C 74 E 500 S, #112 Sacco, Robert C CCC-A C In House Chiropractic Arrington, Brandon Irby PT C Bountiful, UT 84010 Tanner Memorial Clinic 1037 Kimberley Dr Farmington Physical Therapy Phone: (801) 294-6200 2121 N 1700 W Layton, UT 84040 47 S 100 E UT Healthy Kids Layton, UT 84041 Phone: (801) 593-0999 Farmington, UT 84025 Phone: (801) 773-4840 UT Healthy Kids Phone: (801) 451-5985 Boman, Tel S CCC-A C Languages Spoken: Spanish Languages Spoken: Russian Mountain West ENT UT Healthy Kids Johnson, Wayne T DC C UT Healthy Kids 2255 N 1700 W, #205 Johnson Chiropractic Layton, UT 84041 Turgoose, Aaron Craig CCC-A C 70 S Fairfield Rd, #7 Bowser, Rick A PT C Phone: (801) 776-2180 Hearing Zone Layton, UT 84041 Aspen Ridge Physical Therapy UT Healthy Kids 70 S Fairfield Rd, #10 Phone: (801) 444-1002 2121 N 1700 W, #A Layton, UT 84041 UT Healthy Kids Layton, UT 84041 Boman, Tel S CCC-A C Phone: (801) 444-0300 Phone: (801) 773-1350 Mountain West ENT UT Healthy Kids Neumann, Roger M DC C UT Healthy Kids 425 Medical Dr, #205 1480 Orchard Dr Bountiful, UT 84010 Turgoose, Aaron Craig CCC-A C Bountiful, UT 84010 Brady, Margo Jones PT C Phone: (801) 295-5581 Hearing Zone Phone: (801) 292-5611 Hand & Orthopedic Rehabilitation UT Healthy Kids 74 E 500 S, #112 UT Healthy Kids Specialists Bountiful, UT 84010 535 E 500 S, #8 Bunker, Michelle AUD C Phone: (801) 294-6200 Park, Robert Eugene DC C Bountiful, UT 84010 280 N Main St UT Healthy Kids Advanced Technology Spinal Phone: (801) 298-2533 Bountiful, UT 84010 Center UT Healthy Kids Phone: (801) 292-8665 Chiropractor 174 W Parrish Ln UT Healthy Kids Centerville, UT 84014 Bravo, Alexander James PT C Bowden, Joseph V DC C Phone: (801) 298-7330 Performance West Physical Butler, Stacey Rebecca AUD C Bowden Chiropractic Clinic UT Healthy Kids Therapy 280 N Main St 116 N Adamswood Rd 1551 S Renaissance Towne Dr, Bountiful, UT 84010 Layton, UT 84040 #350 Phone: (801) 292-8665 Phone: (801) 547-9974 Bountiful, UT 84010 UT Healthy Kids UT Healthy Kids Phone: (801) 295-3553 UT Healthy Kids 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 Davis Ancillary Providers Grand Buchheister, Klementina T PT C Henderson, Trent C PT C Lloyd, Robert Craig PT C Silva, Ashley Anne PT C Performance West Physical Performance West Physical Mountain Land Rehabilitation Bountiful Physical Therapy Sports Therapy Therapy 401 S 400 E Medicine 1551 S Renaissance Towne Dr, 1266 S Legend Hills Dr, #B2 Bountiful, UT 84010 425 Medical Dr, #104 #350 Clearfield, UT 84015 Phone: (801) 397-8151 Bountiful, UT 84010 Bountiful, UT 84010 Phone: (801) 776-6000 UT Healthy Kids Phone: (801) 292-5011 Phone: (801) 295-3553 UT Healthy Kids UT Healthy Kids UT Healthy Kids Lund, Rebekah Elise PT C Itaaehau, Melissa A PT C Mountain Land Rehabilitation Smith, Michael C PT C Chavez, Ernest Casias PT C Wasatch Therapy & Fitness 1188 Sportsplex Dr, #101 Fit Quest Therapy Wasatch Therapy & Fitness 360 S State St Kaysville, UT 84037 335 N 300 W, #103 360 S State St Clearfield, UT 84015 Phone: (801) 547-1155 Kaysville, UT 84037 Clearfield, UT 84015 Phone: (801) 479-9865 UT Healthy Kids Phone: (801) 546-6868 Phone: (801) 479-9865 UT Healthy Kids Languages Spoken: Spanish Languages Spoken: Spanish McArthur, Trisha PT C UT Healthy Kids UT Healthy Kids Johnson, Nylin J PT C Mountain Land Rehabilitation Mountain Land Rehabilitation 1188 Sportsplex Dr, #101 Tenney, Chad J PT C Colledge, Kenneth Paul PT C 1188 Sportsplex Dr, #101 Kaysville, UT 84037 Mountain Land Rehabilitation Fit Quest Therapy Kaysville, UT 84037 Phone: (801) 547-1155 3072 W 300 N, #A 335 N 300 W, #103 Phone: (801) 547-1155 UT Healthy Kids West Point, UT 84015 Kaysville, UT 84037 UT Healthy Kids Phone: (801) 825-7500 Phone: (801) 546-6868 Meads, David T PT C Languages Spoken: Spanish UT Healthy Kids Johnson, Nylin J PT C Aspen Ridge Physical Therapy UT Healthy Kids Mountain Land Rehabilitation 2121 N 1700 W, #A Deagostine, Keith M PT C 3072 W 300 N, #A Layton, UT 84041 Tenney, Chad J PT C Mountain Land Rehabilitation West Point, UT 84015 Phone: (801) 773-1350 Mountain Land Rehabilitation 3072 W 300 N, #A Phone: (801) 825-7500 UT Healthy Kids 3225 W Gordon Ave, #3 Clearfield, UT 84015 UT Healthy Kids Layton, UT 84041 Phone: (801) 825-7500 Miller, Susan PT C Phone: (801) 497-0800 Languages Spoken: Spanish Johnson, Nylin J PT C Mountain Land Rehabilitation Languages Spoken: Spanish UT Healthy Kids Mountain Land Rehabilitation 124 S Fairfield Rd, #A UT Healthy Kids 3225 W Gordon Ave, #3 Layton, UT 84041 Flinders, Mark Alan PT C Layton, UT 84041 Phone: (801) 547-9462 Thompson, Amanda PT D Mountain Land Rehabilitation Phone: (801) 497-0800 UT Healthy Kids Performance West Physical 1477 N 2000 W, #A UT Healthy Kids Therapy Clinton, UT 84015 Miller, Susan PT C 1266 S Legend Hills Dr, #B2 Phone: (801) 773-4191 Jolley, Curtis Brian PT C Mountain Land Rehabilitation Clearfield, UT 84015 UT Healthy Kids Performance West Physical 3225 W Gordon Ave, #3 Phone: (801) 776-6000 Therapy Layton, UT 84041 UT Healthy Kids Flinders, Mark Alan PT C 1266 S Legend Hills Dr, #B2 Phone: (801) 497-0800 Mountain Land Rehabilitation Clearfield, UT 84015 UT Healthy Kids Thompson, Amanda PT D 3072 W 300 N, #A Phone: (801) 776-6000 Performance West Physical West Point, UT 84015 UT Healthy Kids Osteyee, David Boles PT C Therapy Phone: (801) 825-7500 Fit Quest Therapy 1551 S Renaissance Towne Dr, UT Healthy Kids Jolley, Curtis Brian PT C 335 N 300 W, #103 #350 Performance West Physical Kaysville, UT 84037 Bountiful, UT 84010 Forsyth, Marlin M PT C Therapy Phone: (801) 546-6868 Phone: (801) 295-3553 Bountiful Physical Therapy Sports 1551 S Renaissance Towne Dr, UT Healthy Kids UT Healthy Kids Medicine #350 425 Medical Dr, #104 Bountiful, UT 84010 Reid, Kim Wayne PT C Vendela, Tiffany Rochelle PT C Bountiful, UT 84010 Phone: (801) 295-3553 Performance West Physical Mountain Land Rehabilitation Phone: (801) 292-5011 UT Healthy Kids Therapy 124 S Fairfield Rd, #A UT Healthy Kids 1266 S Legend Hills Dr, #B2 Layton, UT 84041 Judd, Robyn Marie PT C Clearfield, UT 84015 Phone: (801) 547-9462 Frinkman, Pamela L PT C Wasatch Therapy & Fitness Phone: (801) 776-6000 UT Healthy Kids Wasatch Therapy & Fitness 360 S State St UT Healthy Kids 1795 Chelemes Way Clearfield, UT 84015 Webb, Ryan Scott PT C Clearfield, UT 84015 Phone: (801) 479-9865 Reid, Kim Wayne PT C Wasatch Therapy Phone: (801) 479-9865 UT Healthy Kids Performance West Physical 505 E Gentile UT Healthy Kids Therapy Layton, UT 84041 Kerbs, Alan J PT C 1551 S Renaissance Towne Dr, Phone: (801) 593-8300 Goff, Megan Elizabeth PT C Layton Physical Therapy #350 UT Healthy Kids Mountain Land Rehabilitation 2179 N 1700 W, #4 Bountiful, UT 84010 3225 W Gordon Ave, #3 Layton, UT 84041 Phone: (801) 295-3553 Webb, Ryan Scott PT C Layton, UT 84041 Phone: (801) 728-4624 UT Healthy Kids Wasatch Therapy & Fitness Phone: (801) 497-0800 UT Healthy Kids 360 S State St UT Healthy Kids Scott, Loni Spencer PT C Clearfield, UT 84015 Leschke, Kurt A PT C Bountiful Physical Therapy Sports Phone: (801) 479-9865 Hawkes, Robert A PT C Mountain Land Rehabilitation Medicine UT Healthy Kids Sports Med Physical Therapy 124 S Fairfield Rd, #A 425 Medical Dr, #104 1551 S Renaissance Towne Dr, Layton, UT 84041 Bountiful, UT 84010 #420 Phone: (801) 547-9462 Phone: (801) 292-5011 Bountiful, UT 84010 UT Healthy Kids UT Healthy Kids Phone: (801) 295-8999 UT Healthy Kids 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 Davis MAncillary Providers illard Zundel, Monte R PT C Physical Therapy Audiology Forsyth, Randy J PT C Fit Quest Therapy Southern Utah Physical Therapy & 335 N 300 W, #103 Kulland, Jerry D PT C Maxwell, Eric Leon CCC-A D Rehabilitation Kaysville, UT 84037 Ashley Creek Physical Therapy Intermountain Hearing Clinics 166 W 1325 N, #100 Phone: (801) 546-6868 175 W 200 N 1870 N Main St, #202 Cedar City, UT 84721 UT Healthy Kids Roosevelt, UT 84066 Cedar City, UT 84720 Phone: (435) 586-0064 Phone: (435) 722-3177 Phone: (435) 867-0714 UT Healthy Kids Plus Speech-Language UT Healthy Kids Plus Languages Spoken: Portuguese Forsyth, Tori B PT C Pathology UT Healthy Kids Plus Southern Utah Physical Therapy & Garfield County Rehabilitation Anderson, Carey M SLP C Chiropractor 1335 N Northfield Rd, #300 PCMC Rehab Bountiful Cedar City, UT 84721 280 N Main St Physical Therapy C Phone: (435) 865-1902 Bountiful, UT 84010 Romney, J Christopher DC Frandsen, David B PT C 965 S Main St, #A UT Healthy Kids Plus Phone: (801) 292-8665 Cedar City, UT 84720 UT Healthy Kids Frandsen Physical Therapy and Lunt, Kregg Tyler PT C Sports Medicine Phone: (435) 586-9004 UT Healthy Kids Plus Southern Utah Physical Therapy & Howe, Marilyn K SLP C 115 N Main St, #B Rehabilitation Hearing Zone Panguitch, UT 84759 1335 N Northfield Rd, #300 70 S Fairfield Rd, #10 Phone: (435) 646-8840 Physical Therapy Cedar City, UT 84721 Layton, UT 84041 UT Healthy Kids Plus Brinkerhoff, Gail Tyler PT C Phone: (435) 865-1902 Phone: (801) 444-0300 UT Healthy Kids Plus UT Healthy Kids Southern Utah Physical Therapy & Grand County Rehabilitation Lunt, Kregg Tyler PT C Howe, Marilyn K SLP C 1335 N Northfield Rd, #300 Southern Utah Physical Therapy & Hearing Zone Cedar City, UT 84721 Rehabilitation 74 E 500 S, #112 Audiology Phone: (435) 865-1902 166 W 1325 N, #100 Bountiful, UT 84010 UT Healthy Kids Plus Harward, Richard S CCC-A D Cedar City, UT 84721 Phone: (801) 294-6200 Phone: (435) 586-0064 UT Healthy Kids Children with Special Healthcare Brinkerhoff, Gail Tyler PT C Needs Southern Utah Physical Therapy & UT Healthy Kids Plus Plumley, Mark Raymond SLP C 471 S Main St, #4 Rehabilitation Mendenhall, Adam L PT C Hearing Zone Moab, UT 84532 166 W 1325 N, #100 Southern Utah Physical Therapy & 70 S Fairfield Rd, #10 Phone: (435) 259-5602 Cedar City, UT 84721 Rehabilitation Layton, UT 84041 UT Healthy Kids Plus Phone: (435) 586-0064 166 W 1325 N, #100 Phone: (801) 444-0300 UT Healthy Kids Plus Cedar City, UT 84721 UT Healthy Kids Occupational Brinkerhoff, Gail Tyler PT C Phone: (435) 586-0064 Plumley, Mark Raymond SLP C Therapy Southern Utah Physical Therapy & UT Healthy Kids Plus Hearing Zone Rehabilitation 74 E 500 S, #112 Boomer, Lois OT D 990 S Bentley Blvd Bountiful, UT 84010 Children with Special Healthcare Cedar City, UT 84720 Kane County Phone: (801) 294-6200 Needs Phone: (435) 867-8024 UT Healthy Kids 471 S Main St, #4 UT Healthy Kids Plus Moab, UT 84532 Physical Therapy Tibbitts, Susan J B SLP C Phone: (435) 259-5602 Englestead, Brady Karl PT C Adams, Shaun B PT C PCMC Rehab Bountiful UT Healthy Kids Plus Southern Utah Physical Therapy & Mountain Land Rehabilitation 280 N Main St Rehabilitation 355 N Main St Bountiful, UT 84010 Physical Therapy 1335 N Northfield Rd, #300 Kanab, UT 84741 Phone: (801) 292-8665 Cedar City, UT 84721 C Phone: (435) 644-4199 UT Healthy Kids Lewis, James Anderson PT Phone: (435) 865-1902 UT Healthy Kids Plus Mountain Land Rehabilitation Languages Spoken: Japanese 450 W Williams Way UT Healthy Kids Plus Stubbs, Brandon PT C Duchesne County Moab, UT 84532 Mountain Land Rehabilitation Phone: (435) 259-3600 Englestead, Brady Karl PT C 355 N Main St Languages Spoken: Dutch Southern Utah Physical Therapy & Kanab, UT 84741 Audiology UT Healthy Kids Plus Rehabilitation Phone: (435) 644-4199 Fox, Calvin Brent CCC-A C 166 W 1325 N, #100 UT Healthy Kids Plus Audiology Associates of SLC Iron County Cedar City, UT 84721 57 N 100 E, #3 Phone: (435) 586-0064 Roosevelt, UT 84066 Languages Spoken: Japanese Millard County Phone: (800) 244-9001 Audiology UT Healthy Kids Plus UT Healthy Kids Plus Forsyth, Randy J PT C Physical Therapy Luekenga Jr, Richard Layne Southern Utah Physical Therapy & Chiropractor CCC-A C Rehabilitation Quackenbush II, Howard L PT C Dixie Hearing & Balance Ctr 1335 N Northfield Rd, #300 Delta Physical Therapy & Sports Hartle, George Alfred DC C 166 W 1325 N, #350 Cedar City, UT 84721 Medicine Hartle Chiropractic Clinic Cedar City, UT 84720 Phone: (435) 865-1902 130 S White Sage Ave, #C 383 E Lagoon St Phone: (435) 867-1736 UT Healthy Kids Plus Delta, UT 84624 Roosevelt, UT 84066 Languages Spoken: Spanish Phone: (435) 864-2551 Phone: (435) 722-3370 UT Healthy Kids Plus Languages Spoken: Spanish UT Healthy Kids Plus UT Healthy Kids Plus

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 Millard Ancillary Providers Salt Lake Stinson, Randy Dale PT C Clark, Caroline N CCC-A C Jensen, Heather Jo CCC-A D Murray, Nancy A AUD C Delta Physical Therapy & Sports Rocky Mountain Hearing and House of Hearing PCMC Rehab Salt Lake Medicine Balance 1588 E 3300 S 100 N Mario Capecchi Dr 130 White Sage Ave, #C 1255 E 3900 S, #106C Salt Lake City, UT 84106 Salt Lake City, UT 84113 Delta, UT 84624 Salt Lake City, UT 84124 Phone: (801) 485-5534 Phone: (801) 662-4949 Phone: (435) 864-2551 Phone: (801) 268-3277 UT Healthy Kids UT Healthy Kids Languages Spoken: Dutch UT Healthy Kids UT Healthy Kids Plus Jensen, Heather Jo CCC-A D Norby, Jason R AUD C Cox, Walter Keith CCC-A C House of Hearing PCMC Audiology Advanced Hearing Center 8806 S Redwood Rd, #103 100 N Mario Capecchi Dr Morgan County 1137 E 2100 S West Jordan, UT 84088 Salt Lake City, UT 84113 Salt Lake City, UT 84106 Phone: (801) 495-4800 Phone: (801) 662-4949 Phone: (801) 486-9309 UT Healthy Kids UT Healthy Kids Physical Therapy UT Healthy Kids Layton, Ranae L AUD C Osborne, Christine S CCC-A C Kerbs, Alan J PT C Cronin, Pamela J CCC-A C PCMC Audiology Rocky Mountain Hearing and Physical Therapy & Sports South Valley ENT Associates 100 N Mario Capecchi Dr Balance Medicine 3584 W 9000 S, #311 Salt Lake City, UT 84113 1255 E 3900 S, #106C 143 N State St West Jordan, UT 84088 Phone: (801) 662-4949 Salt Lake City, UT 84124 Morgan, UT 84050 Phone: (801) 566-8304 UT Healthy Kids Phone: (801) 268-3277 Phone: (801) 876-2413 UT Healthy Kids UT Healthy Kids UT Healthy Kids Plus Layton, Ranae L AUD C Fox, Calvin Brent CCC-A C PCMC Audiology Pater, John Ralph CCC-A C Kerbs, Alan J PT C Audiology Associates of SLC 3845 W 4700 S Granger Medical Clinic Physical Therapy & Sports 1377 E 3900 S, #201 Taylorsville, UT 84118 3725 W 4100 S Medicine Holladay, UT 84124 Phone: (801) 840-4360 West Valley City, UT 84120 4883 Old Highway Rd, Bldg C Phone: (801) 272-1232 UT Healthy Kids Phone: (801) 965-3600 Morgan, UT 84050 UT Healthy Kids UT Healthy Kids Phone: (801) 876-2413 Leroy, Molly Malissa AUD C UT Healthy Kids Plus Fox, Damon Brent CCC-A C Utah Hearing and Balance Center Randall, Kurt Dale CCC-A D Audiology Associates of SLC 8806 S Redwood Rd, #103 Children with Special Healthcare 1377 E 3900 S, #201 West Jordan, UT 84088 Needs Rich County Holladay, UT 84124 Phone: (801) 205-6207 51 Mario Capecchi Dr Phone: (801) 272-1232 Languages Spoken: Spanish Salt Lake City, UT 84114 UT Healthy Kids UT Healthy Kids Phone: (801) 584-8284 Dietitian UT Healthy Kids Harward, Richard S CCC-A D McVicar, Stephanie CCC-A D Anderson, Alyssa Kay RD C Children with Special Healthcare Children with Special Healthcare Scott, Charles Rex CCC-A C Bear Lake Community Health Needs Needs Audiology Associates of SLC Center 44 Mario Capecchi Dr 49 Mario Capecchi Dr 10441 S Redwood Rd 325 W Logan Hwy Salt Lake City, UT 84113 Salt Lake City, UT 84114 South Jordan, UT 84095 Garden City, UT 84028 Phone: (801) 584-8284 Phone: (801) 584-8284 Phone: (801) 302-8022 Phone: (435) 946-3660 UT Healthy Kids UT Healthy Kids UT Healthy Kids Languages Spoken: Portuguese Hohler, Nancy Kayleen AUD C Moncrief, Laura R AUD C Scott, Charles Rex CCC-A C UT Healthy Kids Plus 100 N Mario Capecchi Dr PCMC Audiology Audiology Associates of SLC Salt Lake City, UT 84113 3845 W 4700 S 1377 E 3900 S, #201 Phone: (801) 662-4919 Taylorsville, UT 84118 Holladay, UT 84124 Salt Lake County UT Healthy Kids Phone: (801) 840-4360 Phone: (801) 272-1232 UT Healthy Kids UT Healthy Kids Iwamoto, Patti Kiyomi CCC-A C Audiology Audiology Associates of SLC Murray, Nancy A AUD C Scott, Charles Rex CCC-A C 10441 S Redwood Rd PCMC Audiology Audiology Associates of SLC Anthony, Meghan AUD C South Jordan, UT 84095 3845 W 4700 S 370 E South Temple, #150 PCMC - Audiology Phone: (801) 302-8022 Taylorsville, UT 84118 Salt Lake City, UT 84111 100 N Medical Dr UT Healthy Kids Phone: (801) 840-4360 Phone: (801) 364-8692 Salt Lake City, UT 84113 UT Healthy Kids UT Healthy Kids Phone: (801) 662-4949 Iwamoto, Patti Kiyomi CCC-A C UT Healthy Kids Audiology Associates of SLC Murray, Nancy A AUD C Scott, Charles Rex CCC-A C 370 E South Temple, #150 PCMC Audiology 3387 Los Altos St Bunker, Michelle AUD C Salt Lake City, UT 84111 3845 W 4700 S Salt Lake City, UT 84109 100 N Mario Capecchi Dr Phone: (801) 364-8692 Taylorsville, UT 84118 Phone: (801) 364-8692 Salt Lake City, UT 84113 UT Healthy Kids Phone: (801) 840-4360 UT Healthy Kids Phone: (801) 662-4949 UT Healthy Kids UT Healthy Kids Jackson, Adrienne B AUD C Sturgill, Nanette L AUD C PCMC Audiology Murray, Nancy A AUD C PCMC Audiology Butler, Stacey Rebecca AUD C 100 N Mario Capecchi Dr PCMC Rehab Salt Lake 100 N Mario Capecchi Dr 100 N Mario Capecchi Dr Salt Lake City, UT 84113 100 N Mario Capecchi Dr Salt Lake City, UT 84113 Salt Lake City, UT 84113 Phone: (801) 662-4947 Salt Lake City, UT 84113 Phone: (801) 662-4949 Phone: (801) 662-4942 UT Healthy Kids Phone: (801) 662-4949 UT Healthy Kids UT Healthy Kids UT Healthy Kids

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 VanWagoner, Richard S CCC-A C Molis, Gregory C DC D Dietitian Lalor, Catalina OT C Mountain West Hearing Center Able Chiropractic Clinic Primary Childrens Medical Center 777 E 4500 S, #110 3378 W 3500 S Saffel-Shrier, Susan RD C 100 N Mario Capecchi Dr Murray, UT 84107 West Valley City, UT 84119 UUHC Sugarhouse Clinic Salt Lake City, UT 84113 Phone: (801) 268-6497 Phone: (801) 966-0342 1138 Wilmington Ave Phone: (801) 662-4940 UT Healthy Kids UT Healthy Kids Salt Lake City, UT 84106 UT Healthy Kids Phone: (801) 581-2000 Young, Alan CCC-A C Monson, Dan Scott DC C UT Healthy Kids MacKay-Clark, Deanna OT C Hearing Zone Monson Chiropractic Mountain Land Rehabilitation 5642 S 900 E, #1 3378 W 3500 S Neuropsychology 9301 S Wights Fort Rd, #215 Salt Lake City, UT 84121 West Valley City, UT 84119 West Jordan, UT 84088 Phone: (801) 713-0101 Phone: (801) 966-5200 Burr, Robert B PHD C Phone: (801) 282-2200 UT Healthy Kids UT Healthy Kids 675 E 500 S, #300 UT Healthy Kids Salt Lake City, UT 84102 Chiropractor Preston, Jared M DC C Phone: (801) 662-5592 Minnis, Andrea Jean OT C Gonstead Chiropractic Health UT Healthy Kids PCMC Rehab Taylorsville Beck-Schmidt, Jennifer Lee DC C 1121 E 3900 S, #C-222 3845 W 4700 S Valley View Chiropractic Center Salt Lake City, UT 84124 Occupational Taylorsville, UT 84118 9035 S 1300 E, #1 Phone: (801) 747-0770 Phone: (801) 840-4360 Sandy, UT 84094 UT Healthy Kids Therapy UT Healthy Kids Phone: (801) 569-8787 Roller, Matthew Ray DC C Andersen, Adrianne OT C Niedzwecki, Christian M OT C UT Healthy Kids Roller Chiropractic PCMC Rehab Sandy PCMC - Physical Therapy Draney, Elizabeth DC C 9351 S 1300 E 870 E 9400 S, #112 100 N Mario Capecchi Dr Draney Chiropractic Sandy, UT 84094 Sandy, UT 84094 Salt Lake City, UT 84113 7211 S Plaza Center Dr, #120 Phone: (801) 255-3925 Phone: (801) 571-3081 Phone: (801) 662-1000 West Jordan, UT 84084 Languages Spoken: Sign UT Healthy Kids UT Healthy Kids Phone: (801) 280-2548 Language UT Healthy Kids Barnhart, Jill McKay OT C Nielson-Jones, Kristen V OT C UT Healthy Kids 100 N Mario Capecchi Dr First Med East Physical Therapy Egbert, Michael Ruben DC C Rosquist, Gary J DC C Salt Lake City, UT 84113 1950 E 7000 S Egbert Chiropractic The Rosquist Group Phone: (801) 662-4949 Salt Lake City, UT 84121 7669 S 1700 W 3409 W 12600 S, #200 UT Healthy Kids Phone: (801) 943-1041 Riverton, UT 84065 UT Healthy Kids West Jordan, UT 84084 Boomer, Lois OT D Phone: (801) 566-2449 Phone: (801) 676-8770 UT Healthy Kids Children with Special Healthcare Nielson-Jones, Kristen V OT C UT Healthy Kids Needs RMTS at Firstmed Industrial Egbert, Patrick B DC C Scuderi, Rodney R DC C 44 Mario Capecchi Dr 441 S Redwood Rd Physical Medicine Clinic South Towne Chiropractic Salt Lake City, UT 84114 Salt Lake City, UT 84104 7669 S 1700 W 8915 S 700 E, #201 Phone: (801) 584-8284 Phone: (801) 973-2580 West Jordan, UT 84084 Sandy, UT 84070 UT Healthy Kids UT Healthy Kids Phone: (801) 566-2449 Phone: (801) 523-6327 UT Healthy Kids Comer, Teresa Renee OT C Nielson-Jones, Kristen V OT C Languages Spoken: Spanish 100 N Mario Capecchi Dr Rocky Mountain Therapy UT Healthy Kids Stokes, Harold Q DC C Salt Lake City, UT 84113 3725 W 4100 S Gunn, Harold W DC C Stokes Chiropractic Phone: (801) 662-4980 West Valley City, UT 84120 Chiropractic Associates 2332 W 12600 S, #2A UT Healthy Kids Phone: (801) 679-0123 Riverton, UT 84065 UT Healthy Kids 7669 S Redwood Rd Dower, Kimber Lee OT C West Jordan, UT 84084 Phone: (801) 254-5808 UT Healthy Kids Mountain Land Rehabilitation Nielson-Jones, Kristen V OT C Phone: (801) 566-2465 1952 E 7000 S, #100 Rocky Mountain Therapy Services UT Healthy Kids Thompson, Wade Charles DC C Salt Lake City, UT 84121 - Firstmed Kesler, Christopher S DC C Thompson Family Chiropractic Phone: (801) 942-3311 8822 S Redwood Rd, #E122 1760 Fort Union Blvd 5734 W 13400 S, #200 UT Healthy Kids West Jordan, UT 84088 Salt Lake City, UT 84121 Herriman, UT 84065 Phone: (801) 566-7080 Phone: (801) 446-6220 Golley, Theresa A OT C UT Healthy Kids Phone: (801) 942-7272 3845 W 4700 S Languages Spoken: Spanish Languages Spoken: Korean UT Healthy Kids Taylorsville, UT 84118 Nielson-Jones, Kristen V OT C UT Healthy Kids Phone: (801) 840-4360 Rocky Mountain Therapy Services Layton, Monte Jay DC C Wood, Kenneth Alan DC C UT Healthy Kids - West Valley Elite Chiropractic & Performance 3497 W 3500 S Elite Chiropractic & Performance Huff, Karen Ann OT C Center Center West Valley City, UT 84120 6717 S 900 E, #101 Mountain Land Rehabilitation Phone: (801) 964-5565 6717 S 900 E, #101 1952 E 7000 S, #100 Midvale, UT 84047 Midvale, UT 84047 UT Healthy Kids Phone: (801) 432-7511 Salt Lake City, UT 84121 Phone: (801) 432-7511 Phone: (801) 942-3311 C UT Healthy Kids Languages Spoken: Spanish Noren, Eve OT UT Healthy Kids UT Healthy Kids PCMC Rehab Taylorsville Martin, Terry H DC C 3845 W 4700 S Jones, Lisa M OT C Taylorsville, UT 84118 1951 W 4700 S, #1 PCMC Rehab Sandy Taylorsville, UT 84118 Phone: (801) 840-4360 870 E 9400 S, #112 UT Healthy Kids Phone: (801) 969-8197 Sandy, UT 84094 UT Healthy Kids Phone: (801) 571-3081 UT Healthy Kids

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 OBerg, Wende A OT C Physical Therapy Baer, Lawrence Logan PT C Benson, Scott C PT C PCMC Rehab Sandy Wasatch Physical Therapy Registered Physical Therapists 870 E 9400 S, #112 Allen, Travis N PT C 5323 S Woodrow St, #202 1577 W 7000 S, #100 Sandy, UT 84094 Meier & Marsh Professional Murray, UT 84107 West Jordan, UT 84088 Phone: (801) 571-3081 Therapies Phone: (801) 713-0606 Phone: (801) 566-6301 UT Healthy Kids 4785 W 4100 S Languages Spoken: Samoan UT Healthy Kids Salt Lake City, UT 84114 UT Healthy Kids Ozaki, Susan S OT C Phone: (801) 955-0500 Benson, Scott C PT C Hand & Orthopedic Rehabilitation UT Healthy Kids Baer, Lawrence Logan PT C Registered Physical Therapists Specialists Wasatch Physical Therapy & 1868 W 9800 S, #200 5151 S 900 E, #100 Anderson, Mark David PT C Rehabilitation South Jordan, UT 84095 Salt Lake City, UT 84117 Mountain Land Rehabilitation 5323 S Woodrow St, #204 Phone: (801) 676-2210 Phone: (801) 261-3321 508 E South Temple, #100 Murray, UT 84107 UT Healthy Kids UT Healthy Kids Salt Lake City, UT 84102 Phone: (801) 713-0606 Phone: (801) 521-9222 Languages Spoken: Samoan Benson, Scott C PT C Peterson, Emily R OT C Languages Spoken: Spanish UT Healthy Kids Registered Physical Therapists 3845 W 4700 S UT Healthy Kids 74 E 11800 S, #200 Taylorsville, UT 84118 Baker, Greg J PT C Draper, UT 84020 Phone: (801) 840-4360 Arnold, Shannon L PT C Registered Physical Therapists Phone: (801) 432-2070 UT Healthy Kids PCMC Rehab Taylorsville 12391 S 4000 W, #210 UT Healthy Kids 3845 W 4700 S Riverton, UT 84065 Rosello, Amy Jo OT C Taylorsville, UT 84118 Phone: (801) 466-0990 Benson, Scott C PT C PCMC Rehab Taylorsville Phone: (801) 840-4360 UT Healthy Kids Registered Physical Therapists 3845 W 4700 S UT Healthy Kids 9720 S 1300 E, #W200 Taylorsville, UT 84118 Baker, Greg J PT C Sandy, UT 84094 Phone: (801) 840-4360 Astle, David John PT C Registered Physical Therapists Phone: (801) 572-0690 UT Healthy Kids First Med East Physical Therapy 1577 W 7000 S, #100 UT Healthy Kids 1950 E 7000 S West Jordan, UT 84088 Ross, Kimberly M OT C Salt Lake City, UT 84121 Phone: (801) 566-6301 Biddle, Lyle N PT C Hand & Orthopedic Rehabilitation Phone: (801) 943-1041 UT Healthy Kids UUHC Redwood Clinic Specialists UT Healthy Kids 1525 W 2100 S 5151 S 900 E, #100 Baker, Greg J PT C West Valley City, UT 84119 Salt Lake City, UT 84117 Astle, David John PT C Registered Physical Therapists Phone: (801) 213-9900 Phone: (801) 261-3321 RMTS at Firstmed Industrial 1868 W 9800 S, #200 UT Healthy Kids UT Healthy Kids 441 S Redwood Rd South Jordan, UT 84095 Salt Lake City, UT 84104 Phone: (801) 676-2210 Black, Jan R PT C Stotts, Paige OT C Phone: (801) 973-2580 UT Healthy Kids Neuroworks Hand & Orthopedic Rehabilitation UT Healthy Kids 10382 South Jordan Gateway Specialists Baker, Greg J PT C South Jordan, UT 84095 5151 S 900 E, #100 Astle, David John PT C Registered Physical Therapists Phone: (801) 719-3670 Salt Lake City, UT 84117 Rocky Mountain Therapy 74 E 11800 S, #200 UT Healthy Kids Phone: (801) 261-3321 3725 W 4100 S Draper, UT 84020 UT Healthy Kids West Valley City, UT 84120 Phone: (801) 432-2070 Blake, Bevan D PT C Phone: (801) 679-0123 UT Healthy Kids Hand & Orthopedic Rehabilitation Stotts, Paige OT C UT Healthy Kids Specialists Hand & Orthopedic Rehabilitation Baker, Greg J PT C 11762 S State St Specialists Astle, David John PT C Registered Physical Therapists Draper, UT 84020 702 E South Temple, #102 Rocky Mountain Therapy Services 9720 S 1300 E, #W200 Phone: (801) 501-8359 Salt Lake City, UT 84102 - Firstmed Sandy, UT 84094 UT Healthy Kids Phone: (801) 328-8535 8822 S Redwood Rd, #E122 Phone: (801) 572-0690 UT Healthy Kids West Jordan, UT 84088 UT Healthy Kids Blake, Bevan D PT C Phone: (801) 566-7080 Hand & Orthopedic Rehabilitation Teitt, Amy OT C UT Healthy Kids Beckstrand, Jared M PT C Specialists PCMC Rehab Taylorsville Mountain Land Rehabilitation 5151 S 900 E, #100 3845 W 4700 S Astle, David John PT C 1952 E 7000 S, #100 Salt Lake City, UT 84117 Salt Lake City, UT 84118 Rocky Mountain Therapy Services Salt Lake City, UT 84121 Phone: (801) 261-3321 Phone: (801) 840-4362 - West Valley Phone: (801) 942-3311 UT Healthy Kids UT Healthy Kids 3497 W 3500 S Languages Spoken: Croatian West Valley City, UT 84119 UT Healthy Kids Boden, Erinlee PT C Tiley, Donna Marie OT C Phone: (801) 964-5565 Utah Physical Therapy Specialists Hand & Orthopedic Rehabilitation UT Healthy Kids Bennett, Laurel Kaye PT C 3181 W 9000 S, #103 Specialists Utah Physical Therapy Specialists West Jordan, UT 84088 5151 S 900 E, #100 Baer, Lawrence Logan PT C 3181 W 9000 S, #103 Phone: (801) 561-1061 Salt Lake City, UT 84117 Hofmann Arthritis Institute West Jordan, UT 84088 Languages Spoken: Spanish Phone: (801) 261-3321 24 S 1100 E, #101&105 Phone: (801) 561-1061 UT Healthy Kids UT Healthy Kids Salt Lake City, UT 84102 UT Healthy Kids Phone: (801) 355-6468 Booth, Travis S PT C Languages Spoken: Samoan Benson, Scott C PT C Rocky Mountain Therapy Services UT Healthy Kids Registered Physical Therapists - Firstmed 12391 S 4000 W, #210 8822 S Redwood Rd, #E122 Riverton, UT 84065 West Jordan, UT 84088 Phone: (801) 446-0990 Phone: (801) 566-7080 UT Healthy Kids UT Healthy Kids

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 Booth, Travis S PT C Budge, Edward H PT C Dougher, Robert Lance PT C Farnsworth, Cheryl Ann PT C Rocky Mountain Therapy Services Peak Physical Therapy & Sports Advanced Motion Physical 1151 E 3900 S, #B199 West Jordan Medicine Therapy Salt Lake City, UT 84121 8822 S Redwood Rd, #E122 12198 S Factory Outlet Dr, #3 3665 S 8400 W, #210 Phone: (801) 685-9212 West Jordan, UT 84088 Draper, UT 84020 Magna, UT 84044 UT Healthy Kids Phone: (801) 566-7080 Phone: (801) 571-6600 Phone: (801) 250-6733 UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish Felix, Mitchell PT C UT Healthy Kids First Med East Physical Therapy Brady, Margo Jones PT C Butler, David Darrell PT C 1950 E 7000 S Hand & Orthopedic Rehabilitation Mountain Land Rehabilitation Eckert, Jeffery PT C Salt Lake City, UT 84121 Specialists 885 E 9400 S Registered Physical Therapists Phone: (801) 943-1041 11762 S State St Sandy, UT 84171 12391 S 4000 W, #210 UT Healthy Kids Draper, UT 84020 Phone: (801) 562-0066 Riverton, UT 84065 Phone: (801) 501-8359 UT Healthy Kids Phone: (801) 446-0990 Felix, Mitchell PT C UT Healthy Kids UT Healthy Kids RMTS at Firstmed Industrial Child, Bryan Francis PT C 441 S Redwood Rd Brady, Margo Jones PT C Heiden Orthopedics Eckert, Jeffery PT C Salt Lake City, UT 84104 Hand & Orthopedic Rehabilitation 4888 S Highland Dr Registered Physical Therapists Phone: (801) 973-2580 Specialists Salt Lake City, UT 84117 1577 W 7000 S, #100 UT Healthy Kids 5151 S 900 E, #100 Phone: (801) 615-8822 West Jordan, UT 84088 Salt Lake City, UT 84117 UT Healthy Kids Phone: (801) 566-6301 Felix, Mitchell PT C Phone: (801) 261-3321 UT Healthy Kids Rocky Mountain Therapy UT Healthy Kids Clark, Holly M PT C 3725 W 4100 S 3845 W 4700 S Eckert, Jeffery PT C West Valley City, UT 84120 Brady, Margo Jones PT C Taylorsville, UT 84118 Registered Physical Therapists Phone: (801) 679-0123 Hand & Orthopedic Rehabilitation Phone: (801) 840-4360 1868 W 9800 S, #200 UT Healthy Kids Specialists UT Healthy Kids South Jordan, UT 84095 702 E South Temple, #102 Phone: (801) 676-2210 Felix, Mitchell PT C Salt Lake City, UT 84102 Colosimo, Lauri B PT C UT Healthy Kids Rocky Mountain Therapy Services Phone: (801) 328-8535 Gardner Kelly Rehabilitation - Firstmed UT Healthy Kids Services Eckert, Jeffery PT C 8822 S Redwood Rd, #E122 9350 S 150 E, #460 Registered Physical Therapists West Jordan, UT 84088 Brown, Todd Elliot PT C Sandy, UT 84070 74 E 11800 S, #200 Phone: (801) 566-7080 First Med East Physical Therapy Phone: (801) 255-4999 Draper, UT 84020 UT Healthy Kids 1950 E 7000 S UT Healthy Kids Phone: (801) 432-2070 Salt Lake City, UT 84121 UT Healthy Kids Felix, Mitchell PT C Phone: (801) 943-1041 Crandall, Steven G PT C Rocky Mountain Therapy Services UT Healthy Kids Hand & Orthopedic Rehabilitation Eckert, Jeffery PT C - West Valley Specialists Registered Physical Therapists 3497 W 3500 S Brown, Todd Elliot PT C 11762 S State St 9720 S 1300 E, #W200 West Valley City, UT 84119 RMTS at Firstmed Industrial Draper, UT 84020 Sandy, UT 84094 Phone: (801) 964-5565 441 S Redwood Rd Phone: (801) 501-8359 Phone: (801) 572-0690 UT Healthy Kids Salt Lake City, UT 84104 UT Healthy Kids UT Healthy Kids Phone: (801) 973-2580 Fontenot, Marty William PT C UT Healthy Kids Crandall, Steven G PT C Emerson, Mary L PT C Mountain Land Rehabilitation Hand & Orthopedic Rehabilitation PCMC Rehab Taylorsville 1153 E 3900 S Brown, Todd Elliot PT C Specialists 3845 W 4700 S Salt Lake City, UT 84124 Rocky Mountain Therapy 5151 S 900 E, #100 Taylorsville, UT 84118 Phone: (801) 262-6331 3725 W 4100 S Salt Lake City, UT 84117 Phone: (801) 840-4360 UT Healthy Kids West Valley City, UT 84120 Phone: (801) 261-3321 UT Healthy Kids Phone: (801) 679-0123 UT Healthy Kids Fontenot, Marty William PT C UT Healthy Kids Esplin, Jared F PT C Mountain Land Rehabilitation Crookston, Craig M PT C UUHC Redwood Clinic 4624 S Holladay Blvd Brown, Todd Elliot PT C 100 N Mario Capecchi Dr 1525 W 2100 S Salt Lake City, UT 84117 Rocky Mountain Therapy Services Salt Lake City, UT 84113 West Valley City, UT 84119 Phone: (801) 277-1028 - Firstmed Phone: (801) 662-4949 Phone: (801) 213-9900 UT Healthy Kids 8822 S Redwood Rd, #E122 UT Healthy Kids UT Healthy Kids West Jordan, UT 84088 Fuhriman, Joshua David PT C Phone: (801) 566-7080 Crosby, Darlene J PT C Fails, Kirsten L PT C Mountain Land Rehabilitation UT Healthy Kids Mountain Land Rehabilitation UUHC Redwood Clinic 4624 S Holladay Blvd 1952 E 7000 S, #100 1525 W 2100 S Holladay, UT 84117 Brown, Todd Elliot PT C Salt Lake City, UT 84121 West Valley City, UT 84119 Phone: (801) 277-1028 Rocky Mountain Therapy Services Phone: (801) 942-3311 Phone: (801) 213-9900 UT Healthy Kids - West Valley UT Healthy Kids UT Healthy Kids 3497 W 3500 S Fuhriman, Ryan Russell PT C West Valley City, UT 84119 Dahlgren, Kristina A PT C Farnsworth, Cheryl Ann PT C Hand & Orthopedic Rehabilitation Phone: (801) 964-5565 UUHC Redwood Clinic Hand & Orthopedic Rehabilitation Specialists UT Healthy Kids 1525 W 2100 S Specialists 11762 S State St West Valley City, UT 84119 11762 S State St Draper, UT 84020 Phone: (801) 213-9900 Draper, UT 84020 Phone: (801) 501-8359 Languages Spoken: Spanish Phone: (801) 501-8359 Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids

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 Fuhriman, Ryan Russell PT C Geurts, Gerald H PT C Hall, Aaron C PT D Harward, Joshua A PT C Hand & Orthopedic Rehabilitation RMTS at Firstmed Industrial Hofmann Arthritis Institute Registered Physical Therapists Specialists 441 S Redwood Rd 24 S 1100 E, #101&105 1577 W 7000 S, #100 5151 S 900 E, #100 Salt Lake City, UT 84104 Salt Lake City, UT 84102 West Jordan, UT 84088 Salt Lake City, UT 84117 Phone: (801) 973-2580 Phone: (801) 355-6468 Phone: (801) 566-6301 Phone: (801) 261-3321 UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids Geurts, Gerald H PT C Hall, Aaron C PT D Rocky Mountain Therapy Wasatch Physical Therapy Harward, Joshua A PT C Fullmer, Larry Don PT C 3725 W 4100 S 5323 S Woodrow St, #202 Registered Physical Therapists Registered Physical Therapists West Valley City, UT 84120 Murray, UT 84107 1868 W 9800 S, #200 12391 S 4000 W, #210 Phone: (801) 679-0123 Phone: (801) 713-0606 South Jordan, UT 84095 Riverton, UT 84065 UT Healthy Kids UT Healthy Kids Phone: (801) 676-2210 Phone: (801) 446-0990 Languages Spoken: Spanish UT Healthy Kids Geurts, Gerald H PT C Hall, Aaron C PT D UT Healthy Kids Rocky Mountain Therapy Services Wasatch Physical Therapy & Fullmer, Larry Don PT C - Firstmed Rehabilitation Harward, Joshua A PT C Registered Physical Therapists 8822 S Redwood Rd, #E122 5323 S Woodrow St, #204 Registered Physical Therapists 1577 W 7000 S, #100 West Jordan, UT 84088 Murray, UT 84107 74 E 11800 S, #200 West Jordan, UT 84088 Phone: (801) 566-7080 Phone: (801) 713-0606 Draper, UT 84020 Phone: (801) 566-6301 UT Healthy Kids UT Healthy Kids Phone: (801) 432-2070 UT Healthy Kids Languages Spoken: Spanish Geurts, Gerald H PT C Hanson, Tyler Marvin PT C UT Healthy Kids Fullmer, Larry Don PT C Rocky Mountain Therapy Services Hand & Orthopedic Rehabilitation Registered Physical Therapists - West Valley Specialists Harward, Joshua A PT C 1868 W 9800 S, #200 3497 W 3500 S 11762 S State St Registered Physical Therapists South Jordan, UT 84095 West Valley City, UT 84119 Draper, UT 84020 9720 S 1300 E, #W200 Phone: (801) 676-2210 Phone: (801) 964-5565 Phone: (801) 501-8359 Sandy, UT 84094 UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish Phone: (801) 572-0690 UT Healthy Kids Languages Spoken: Spanish Fullmer, Larry Don PT C Gibson, Sean David PT C UT Healthy Kids Registered Physical Therapists Utah Physical Therapy Specialists Hanson, Tyler Marvin PT C 74 E 11800 S, #200 3181 W 9000 S, #103 Hand & Orthopedic Rehabilitation Hatfield, Gregory Keith PT C Draper, UT 84020 West Jordan, UT 84088 Specialists Mountain Land Rehabilitation Phone: (801) 432-2070 Phone: (801) 561-1061 702 E South Temple, #102 451 Bishop Federal Ln UT Healthy Kids Languages Spoken: Spanish Salt Lake City, UT 84102 Salt Lake City, UT 84115 UT Healthy Kids Phone: (801) 328-8535 Phone: (801) 487-7557 Fullmer, Larry Don PT C Languages Spoken: Spanish UT Healthy Kids Registered Physical Therapists Hackett, Aaron M PT C UT Healthy Kids 9720 S 1300 E, #W200 Registered Physical Therapists Heinhold, Stephanie PT C Sandy, UT 84094 12391 S 4000 W, #210 Harkness, Steve H PT C 3845 W 4700 S Phone: (801) 572-0690 Riverton, UT 84065 Mountain Land Rehabilitation Taylorsville, UT 84118 UT Healthy Kids Phone: (801) 446-0990 5250 S Commerce Dr, #320 Phone: (801) 840-4360 Languages Spoken: Murray, UT 84107 UT Healthy Kids Gardner, Gregory James PT C Portuguese Phone: (801) 747-3889 Gardner Kelly Rehabilitation UT Healthy Kids Languages Spoken: Tagalog Hensley, Bonnie Ross PT C Services UT Healthy Kids Hand & Orthopedic Rehabilitation 9350 S 150 E, #460 Hackett, Aaron M PT C Specialists Sandy, UT 84070 Registered Physical Therapists Harper, Christopher W PT C 11762 S State St Phone: (801) 255-4999 1577 W 7000 S, #100 Mountain Land Rehabilitation Draper, UT 84020 UT Healthy Kids West Jordan, UT 84088 9301 S Wights Fort Rd, #215 Phone: (801) 501-8359 Phone: (801) 566-6301 West Jordan, UT 84088 UT Healthy Kids Gardner, Gregory James PT C Languages Spoken: Phone: (801) 282-2200 Registered Physical Therapists Portuguese UT Healthy Kids Hensley, Bonnie Ross PT C 9720 S 1300 E, #W200 UT Healthy Kids Hand & Orthopedic Rehabilitation Sandy, UT 84094 Harrison, James D PT C Specialists Phone: (801) 572-0690 Hackett, Aaron M PT C South Mountain Physical & Rehab 5151 S 900 E, #100 UT Healthy Kids Registered Physical Therapists 11223 S Sandy Dunes Dr Salt Lake City, UT 84117 1868 W 9800 S, #200 Sandy, UT 84094 Phone: (801) 261-3321 Gerpheide, Karen C PT C South Jordan, UT 84095 Phone: (801) 897-0934 UT Healthy Kids UUHC Greenwood Clinic Phone: (801) 676-2210 UT Healthy Kids 7495 S State St Languages Spoken: Hill, Von Oberhansley PT C Midvale, UT 84047 Portuguese Harward, Joshua A PT C Peak Physical Therapy & Sports Phone: (801) 213-9400 UT Healthy Kids Registered Physical Therapists Medicine UT Healthy Kids 12391 S 4000 W, #210 12198 S Factory Outlet Dr, #3 Hackett, Aaron M PT C Riverton, UT 84065 Draper, UT 84020 Geurts, Gerald H PT C Registered Physical Therapists Phone: (801) 446-0990 Phone: (801) 571-6600 First Med East Physical Therapy 9720 S 1300 E, #W200 Languages Spoken: Spanish UT Healthy Kids 1950 E 7000 S Sandy, UT 84094 UT Healthy Kids Salt Lake City, UT 84121 Phone: (801) 572-0690 Hirai, Stanford K PT C Phone: (801) 943-1041 Languages Spoken: Registered Physical Therapists UT Healthy Kids Portuguese 12391 S 4000 W, #210 UT Healthy Kids Riverton, UT 84065 Phone: (801) 446-0990 UT Healthy Kids 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 Hirai, Stanford K PT C Kelly, Patrick Mark PT C Lee, Leslie Shisler PT C Ludwig, Keith Jay PT C Registered Physical Therapists Gardner Kelly Rehabilitation Utah Physical Therapy Specialists First Med East Physical Therapy 1577 W 7000 S, #100 Services 3181 W 9000 S, #103 1950 E 7000 S West Jordan, UT 84088 9350 S 150 E, #460 West Jordan, UT 84088 Salt Lake City, UT 84121 Phone: (801) 566-6301 Sandy, UT 84070 Phone: (801) 561-1061 Phone: (801) 943-1041 UT Healthy Kids Phone: (801) 255-4999 UT Healthy Kids UT Healthy Kids UT Healthy Kids Hirai, Stanford K PT C Leiseth, Amy Lynne PT C Ludwig, Keith Jay PT C Registered Physical Therapists Kelly, Patrick Mark PT C Utah Physical Therapy Specialists RMTS at Firstmed Industrial 1868 W 9800 S, #200 UUHC Greenwood Clinic 3181 W 9000 S, #103 441 S Redwood Rd South Jordan, UT 84095 7495 S State St West Jordan, UT 84088 Salt Lake City, UT 84104 Phone: (801) 676-2210 Midvale, UT 84047 Phone: (801) 561-1061 Phone: (801) 973-2580 UT Healthy Kids Phone: (801) 213-9400 UT Healthy Kids UT Healthy Kids UT Healthy Kids Hirai, Stanford K PT C Linford, Jill Williams PT C Ludwig, Keith Jay PT C Registered Physical Therapists Lajom, Jeanne J PT C Mountain Land Rehabilitation Rocky Mountain Therapy 74 E 11800 S, #200 Registered Physical Therapists 1952 E 7000 S, #100 3725 W 4100 S Draper, UT 84020 12391 S 4000 W, #210 Salt Lake City, UT 84121 West Valley City, UT 84120 Phone: (801) 432-2070 Riverton, UT 84065 Phone: (801) 942-3311 Phone: (801) 679-0123 UT Healthy Kids Phone: (801) 446-0990 UT Healthy Kids UT Healthy Kids UT Healthy Kids Hirai, Stanford K PT C Littledike, Jason Stanley PT C Ludwig, Keith Jay PT C Registered Physical Therapists Lajom, Jeanne J PT C Peak Physical Therapy & Sports Rocky Mountain Therapy Services 9720 S 1300 E, #W200 Registered Physical Therapists Medicine - Firstmed Sandy, UT 84094 1577 W 7000 S, #100 12198 S Factory Outlet Dr, #3 8822 S Redwood Rd, #E122 Phone: (801) 572-0690 West Jordan, UT 84088 Draper, UT 84020 West Jordan, UT 84088 UT Healthy Kids Phone: (801) 566-6301 Phone: (801) 571-6600 Phone: (801) 566-7080 UT Healthy Kids UT Healthy Kids UT Healthy Kids Hobusch, Frederick L PT C Westwood Physical Therapy Clinic Lajom, Jeanne J PT C Lobb, Jason David PT C Ludwig, Keith Jay PT C 5547 S 4015 W, #7 Registered Physical Therapists Mountain Land Rehabilitation Rocky Mountain Therapy Services Salt Lake City, UT 84129 1868 W 9800 S, #200 1153 E 3900 S - West Valley Phone: (801) 967-6055 South Jordan, UT 84095 Salt Lake City, UT 84124 3497 W 3500 S UT Healthy Kids Phone: (801) 676-2210 Phone: (801) 262-6331 West Valley City, UT 84119 UT Healthy Kids UT Healthy Kids Phone: (801) 964-5565 Hodlmair, Camie Platt PT C UT Healthy Kids Utah Physical Therapy Specialists Lajom, Jeanne J PT C Lovell, Dallen B PT C 3181 W 9000 S, #103 Registered Physical Therapists Balanced Body Physical Therapy Marietta, Gail L PT C West Jordan, UT 84088 74 E 11800 S, #200 4465 S 900 E, #250 Hand & Orthopedic Rehabilitation Phone: (801) 561-1061 Draper, UT 84020 Salt Lake City, UT 84124 Specialists UT Healthy Kids Phone: (801) 432-2070 Phone: (801) 293-8888 11762 S State St UT Healthy Kids UT Healthy Kids Draper, UT 84020 Jabez, Melody Antora PT C Phone: (801) 501-8359 Westwood Physical Therapy Clinic Lajom, Jeanne J PT C Lowry, Aaron J PT C UT Healthy Kids 5547 S 4015 W, #7 Registered Physical Therapists Hand & Orthopedic Rehabilitation Salt Lake City, UT 84129 9720 S 1300 E, #W200 Specialists Marietta, Gail L PT C Phone: (801) 967-6055 Sandy, UT 84094 11762 S State St Hand & Orthopedic Rehabilitation Languages Spoken: Bengali Phone: (801) 572-0690 Draper, UT 84020 Specialists UT Healthy Kids UT Healthy Kids Phone: (801) 501-8359 5151 S 900 E, #100 UT Healthy Kids Salt Lake City, UT 84117 Jackson, Robert L PT C Lane, Heidi L PT C Phone: (801) 261-3321 Mountain Land Rehabilitation 100 N Mario Capecchi Dr Lowry, Aaron J PT C UT Healthy Kids 1952 E 7000 S, #100 Salt Lake City, UT 84113 Hand & Orthopedic Rehabilitation Salt Lake City, UT 84121 Phone: (801) 662-1000 Specialists Mazzella, Kimberly Schonrock Phone: (801) 942-3311 UT Healthy Kids 5151 S 900 E, #100 PT C UT Healthy Kids Salt Lake City, UT 84117 First Med East Physical Therapy Larson, Roger Lee PT C Phone: (801) 261-3321 1950 E 7000 S Jarvis, Louise Lokey PT C Cottonwood Medical Plaza UT Healthy Kids Salt Lake City, UT 84121 6146 New Haven Dr Physical Therapy Phone: (801) 943-1041 Salt Lake City, UT 84121 6040 S Fashion Blvd, #200 Lu, Elaine T PT D UT Healthy Kids Phone: (801) 979-5825 Murray, UT 84107 3220 S State St UT Healthy Kids Phone: (801) 266-7534 Salt Lake City, UT 84115 McAtee, Daniel J PT C UT Healthy Kids Phone: (801) 463-1101 Advanced Motion Physical Jespersen, Megan Kay PT C Languages Spoken: Spanish Therapy PCMC Physical Therapy Latimer, Noall H PT C UT Healthy Kids 3665 S 8400 W, #210 3845 W 4700 S 3441 S 8400 W, #F Magna, UT 84044 Taylorsville, UT 84118 Magna, UT 84044 Ludwig, B Jay PT C Phone: (801) 250-6733 Phone: (801) 840-4360 Phone: (801) 250-9107 Rocky Mountain Therapy Services Languages Spoken: Spanish UT Healthy Kids Languages Spoken: Spanish - West Valley UT Healthy Kids UT Healthy Kids 3497 W 3500 S West Valley City, UT 84119 Phone: (801) 964-5565 UT Healthy Kids

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 Salt Lake McNulty, Dawn Ann PT C Miller, Brent Lee PT C Myers, Annette G PT C Numbers, Charles Brent PT C PCMC - Physical Therapy Registered Physical Therapists PCMC Rehab Sandy South Mountain Sports Medicine 100 N Mario Capecchi Dr 9720 S 1300 E, #W210 870 E 9400 S, #112 & Rehabilitation Salt Lake City, UT 84113 Sandy, UT 84094 Sandy, UT 84094 12226 S 1000 E, #1 Phone: (801) 662-1000 Phone: (801) 262-5679 Phone: (801) 571-3081 Draper, UT 84020 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids Phone: (801) 523-3415 UT Healthy Kids UT Healthy Kids McNulty, Dawn Ann PT C Myrick, Curt D PT C Primary Children’s Rehab - Sandy Miyasaki, Rodney Alan PT C Mountain Land Rehabilitation Orr, John Michael PT C 840 E 9400 S, #112 Westwood Physical Therapy Clinic 1952 E 7000 S, #100 Hand & Orthopedic Rehabilitation Sandy, UT 84070 5547 S 4015 W, #7 Salt Lake City, UT 84121 Specialists Phone: (801) 571-3081 Salt Lake City, UT 84129 Phone: (801) 942-3311 11762 S State St UT Healthy Kids Phone: (801) 967-6055 UT Healthy Kids Draper, UT 84020 UT Healthy Kids Phone: (801) 501-8359 Mehler, Mandy C PT C Nelson, Ashley PT C UT Healthy Kids Mountain Land Rehabilitation Monger, Brock Philip PT C Hand & Orthopedic Rehabilitation 1153 E 3900 S First Med East Physical Therapy Specialists Orr, John Michael PT C Salt Lake City, UT 84124 1950 E 7000 S 11762 S State St Hand & Orthopedic Rehabilitation Phone: (801) 262-6331 Salt Lake City, UT 84121 Draper, UT 84020 Specialists UT Healthy Kids Phone: (801) 943-1041 Phone: (801) 501-8359 5151 S 900 E, #100 UT Healthy Kids UT Healthy Kids Salt Lake City, UT 84117 Meier, Charles Wade PT C Phone: (801) 261-3321 Meier & Marsh Professional Monger, Brock Philip PT C Nelson, Ashley PT C UT Healthy Kids Therapies RMTS at Firstmed Industrial Hand & Orthopedic Rehabilitation 4785 W 4100 S 441 S Redwood Rd Specialists Perron, Ryan Michael PT C Salt Lake City, UT 84114 Salt Lake City, UT 84104 5151 S 900 E, #100 Rocky Mountain Therapy Services Phone: (801) 955-0500 Phone: (801) 973-2580 Salt Lake City, UT 84117 - Firstmed Languages Spoken: Spanish UT Healthy Kids Phone: (801) 261-3321 8822 S Redwood Rd, #E122 UT Healthy Kids UT Healthy Kids West Jordan, UT 84088 Monger, Brock Philip PT C Phone: (801) 566-7080 Metzger, Suzanne E PT C Rocky Mountain Therapy Services Norwood, Drew Richard PT C UT Healthy Kids Mountain Land Rehabilitation - Firstmed Registered Physical Therapists 1952 E 7000 S, #100 8822 S Redwood Rd, #E122 12391 S 4000 W, #210 Quintana, Lisa PT C Salt Lake City, UT 84121 West Jordan, UT 84088 Riverton, UT 84065 PCMC Rehab Bountiful Phone: (801) 942-3311 Phone: (801) 566-7080 Phone: (801) 446-0990 100 N Mario Capecchi Dr UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish Salt Lake City, UT 84113 UT Healthy Kids Phone: (801) 662-4949 Miller, Brent Lee PT C Monger, Brock Philip PT C UT Healthy Kids Registered Physical Therapists Rocky Mountain Therapy Services Norwood, Drew Richard PT C 12391 S 4000 W, #210 - West Valley Registered Physical Therapists Riley, Seth M PT C Riverton, UT 84065 3497 W 3500 S 1577 W 7000 S, #100 Hand & Orthopedic Rehabilitation Phone: (801) 466-0990 West Valley City, UT 84119 West Jordan, UT 84088 Specialists Languages Spoken: Spanish Phone: (801) 964-5565 Phone: (801) 566-6301 11762 S State St UT Healthy Kids UT Healthy Kids Languages Spoken: Spanish Draper, UT 84020 UT Healthy Kids Phone: (801) 501-8359 Miller, Brent Lee PT C Monger, Karin Elizabeth PT C UT Healthy Kids Registered Physical Therapists First Med East Physical Therapy Norwood, Drew Richard PT C 1577 W 7000 S, #100 1950 E 7000 S Registered Physical Therapists Riley, Seth M PT C West Jordan, UT 84088 Salt Lake City, UT 84121 1868 W 9800 S, #200 Hand & Orthopedic Rehabilitation Phone: (801) 566-6301 Phone: (801) 943-1041 South Jordan, UT 84095 Specialists Languages Spoken: Spanish UT Healthy Kids Phone: (801) 676-2210 5151 S 900 E, #100 UT Healthy Kids Languages Spoken: Spanish Salt Lake City, UT 84117 Monger, Karin Elizabeth PT C UT Healthy Kids Phone: (801) 261-3321 Miller, Brent Lee PT C RMTS at Firstmed Industrial UT Healthy Kids Registered Physical Therapists 441 S Redwood Rd Norwood, Drew Richard PT C 1868 W 9800 S, #200 Salt Lake City, UT 84104 Registered Physical Therapists Riley, Seth M PT C South Jordan, UT 84095 Phone: (801) 973-2580 74 E 11800 S, #200 Hand & Orthopedic Rehabilitation Phone: (801) 676-2210 UT Healthy Kids Draper, UT 84020 Specialists Languages Spoken: Spanish Phone: (801) 432-2070 702 E South Temple, #102 UT Healthy Kids Monger, Karin Elizabeth PT C Languages Spoken: Spanish Salt Lake City, UT 84102 Rocky Mountain Therapy Services UT Healthy Kids Phone: (801) 328-8535 Miller, Brent Lee PT C - Firstmed UT Healthy Kids Registered Physical Therapists 8822 S Redwood Rd, #E122 Norwood, Drew Richard PT C 74 E 11800 S, #200 West Jordan, UT 84088 Registered Physical Therapists Robbins, Steven Edward PT C Draper, UT 84020 Phone: (801) 566-7080 9720 S 1300 E, #W200 Peak Physical Therapy & Sports Phone: (801) 432-2070 UT Healthy Kids Sandy, UT 84094 Medicine Languages Spoken: Spanish Phone: (801) 572-0690 12198 S Factory Outlet Dr, #3 UT Healthy Kids Monger, Karin Elizabeth PT C Languages Spoken: Spanish Draper, UT 84020 Rocky Mountain Therapy Services UT Healthy Kids Phone: (801) 571-6600 - West Valley UT Healthy Kids 3497 W 3500 S West Valley City, UT 84119 Phone: (801) 964-5565 UT Healthy Kids 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 Salt Lake Ancillary Providers Salt Lake Rodriguez, Brian J PT C Smith, Andrea Jill PT C Suker, Jared M PT C Verhaaren, Steven Robert PT C Utah Physical Therapy Specialists UUHC Redwood Clinic Registered Physical Therapists Registered Physical Therapists 3181 W 9000 S, #103 1525 W 2100 S 1577 W 7000 S, #100 1868 W 9800 S, #200 West Jordan, UT 84088 West Valley City, UT 84119 West Jordan, UT 84088 South Jordan, UT 84095 Phone: (801) 561-1061 Phone: (801) 213-9900 Phone: (801) 566-6301 Phone: (801) 676-2210 Languages Spoken: Spanish UT Healthy Kids Languages Spoken: Italian Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids UT Healthy Kids Sorensen, Oryslava C PT C Rossow, Beth Marie PT C Mountain Land Rehabilitation Suker, Jared M PT C Verhaaren, Steven Robert PT C Mountain Land Rehabilitation 4624 S Holladay Blvd Registered Physical Therapists Registered Physical Therapists 1153 E 3900 S Salt Lake City, UT 84117 1868 W 9800 S, #200 74 E 11800 S, #200 Salt Lake City, UT 84124 Phone: (801) 277-1028 South Jordan, UT 84095 Draper, UT 84020 Phone: (801) 262-6331 UT Healthy Kids Phone: (801) 676-2210 Phone: (801) 432-2070 UT Healthy Kids Languages Spoken: Italian Languages Spoken: Spanish Sorensen, Oryslava C PT C UT Healthy Kids UT Healthy Kids Schonrock-Mazzella, Kimberly Mountain Land Rehabilitation J PT C 508 E South Temple, #100 Suker, Jared M PT C Verhaaren, Steven Robert PT C First Med East Physical Therapy Salt Lake City, UT 84102 Registered Physical Therapists Registered Physical Therapists 1950 E 7000 S Phone: (801) 521-9222 74 E 11800 S, #200 9720 S 1300 E, #W200 Salt Lake City, UT 84121 UT Healthy Kids Draper, UT 84020 Sandy, UT 84094 Phone: (801) 943-3300 Phone: (801) 432-2070 Phone: (801) 572-0690 UT Healthy Kids Stevenson, Trevor Jack PT C Languages Spoken: Italian Languages Spoken: Spanish Registered Physical Therapists UT Healthy Kids UT Healthy Kids Schulz, Shaun S PT C 12391 S 4000 W, #210 Beyond Limits Physical Therapy Riverton, UT 84065 Suker, Jared M PT C Wehrli, Jared PT C 5734 W 13400 S, #300 Phone: (801) 446-0990 Registered Physical Therapists UUHC Greenwood Clinic Herriman, UT 84096 UT Healthy Kids 9720 S 1300 E, #W200 7495 S State St Phone: (801) 302-7232 Sandy, UT 84094 Midvale, UT 84047 Languages Spoken: German Stevenson, Trevor Jack PT C Phone: (801) 572-0690 Phone: (801) 213-9400 UT Healthy Kids Registered Physical Therapists Languages Spoken: Italian UT Healthy Kids 1577 W 7000 S, #100 UT Healthy Kids Schwalbe, Valerie A PT C West Jordan, UT 84088 West, Jason C PT C Mountain Land Rehabilitation Phone: (801) 566-6301 Taylor, Braden Justin PT C Registered Physical Therapists 5250 S Commerce Dr, #320 UT Healthy Kids First Med East Physical Therapy 12391 S 4000 W, #210 Murray, UT 84107 1950 E 7000 S Riverton, UT 84065 Phone: (801) 747-3889 Stevenson, Trevor Jack PT C Salt Lake City, UT 84121 Phone: (801) 446-0990 UT Healthy Kids Registered Physical Therapists Phone: (801) 943-1041 UT Healthy Kids 1868 W 9800 S, #200 UT Healthy Kids Schwartz, Todd Daniel PT C South Jordan, UT 84095 West, Jason C PT C Hand & Orthopedic Rehabilitation Phone: (801) 676-2210 Taylor, Braden Justin PT C Registered Physical Therapists Specialists UT Healthy Kids Rocky Mountain Therapy 1577 W 7000 S, #100 11762 S State St 3725 W 4100 S West Jordan, UT 84088 Draper, UT 84020 Stevenson, Trevor Jack PT C West Valley City, UT 84120 Phone: (801) 566-6301 Phone: (801) 501-8359 Registered Physical Therapists Phone: (801) 679-0123 UT Healthy Kids UT Healthy Kids 74 E 11800 S, #200 UT Healthy Kids Draper, UT 84020 West, Jason C PT C Schwartz, Todd Daniel PT C Phone: (801) 432-2070 Taylor, Braden Justin PT C Registered Physical Therapists Hand & Orthopedic Rehabilitation UT Healthy Kids Rocky Mountain Therapy Services 1868 W 9800 S, #200 Specialists - West Valley South Jordan, UT 84095 5151 S 900 E, #100 Stevenson, Trevor Jack PT C 3497 W 3500 S Phone: (801) 676-2210 Salt Lake City, UT 84117 Registered Physical Therapists West Valley City, UT 84119 UT Healthy Kids Phone: (801) 261-3321 9720 S 1300 E, #W200 Phone: (801) 964-5565 UT Healthy Kids Sandy, UT 84094 UT Healthy Kids West, Jason C PT C Phone: (801) 572-0690 Registered Physical Therapists Shepherd, Kevin L PT C UT Healthy Kids Verhaaren, Steven Robert PT C 74 E 11800 S, #200 South Mountain Sports Medicine Registered Physical Therapists Draper, UT 84020 & Rehabilitation Sudweeks, Matthew Philip PT C 12391 S 4000 W, #210 Phone: (801) 432-2070 12226 S 1000 E, #1 Herriman Physical Therapy Riverton, UT 84065 UT Healthy Kids Draper, UT 84020 5734 W 13400 S, #300 Phone: (801) 446-0990 Phone: (801) 523-3415 Herriman, UT 84096 Languages Spoken: Spanish West, Jason C PT C UT Healthy Kids Phone: (801) 302-7232 UT Healthy Kids Registered Physical Therapists Languages Spoken: Korean 9720 S 1300 E, #W200 Siebert, Elizabeth Beth Anne PT UT Healthy Kids Verhaaren, Steven Robert PT C Sandy, UT 84094 C Registered Physical Therapists Phone: (801) 572-0690 PCMC Rehab Sandy Suker, Jared M PT C 1577 W 7000 S, #100 UT Healthy Kids 870 E 9400 S, #112 Registered Physical Therapists West Jordan, UT 84088 Sandy, UT 84094 12391 S 4000 W, #210 Phone: (801) 566-6301 West, Jason C PT C Phone: (801) 571-3081 Riverton, UT 84065 Languages Spoken: Spanish Salt Lake Physical Therapy UT Healthy Kids Phone: (801) 446-0990 UT Healthy Kids Associates Languages Spoken: Italian 4888 S Highland Dr UT Healthy Kids Holladay, UT 84117 Phone: (801) 264-9855 UT Healthy Kids

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 Salt Lake Ancillary Providers Salt Lake Wetzel, Dave L PT C Wortley, Paul G PT C Speech-Language Krantz, Amy C SLP C Balance For Life Center First Med East Physical Therapy PCMC - Occupational Therapy 291 E 4500 S, #B2 1950 E 7000 S Pathology 100 N Mario Capecchi Dr Murray, UT 84107 Salt Lake City, UT 84121 Clerico, Gina Marie SLP C Salt Lake City, UT 84113 Phone: (801) 264-1010 Phone: (801) 943-1041 1805 Lone Oak Dr Phone: (801) 715-1498 Languages Spoken: German UT Healthy Kids Draper, UT 84020 UT Healthy Kids UT Healthy Kids Wortley, Paul G PT C Phone: (801) 495-1245 Landro, Diana Lucile SLP C Wixom, Steven Michael PT C RMTS at Firstmed Industrial UT Healthy Kids Taylorsville Audiology Hand & Orthopedic Rehabilitation 441 S Redwood Rd Condra, Jonel M SLP C 3845 W 4700 S Specialists Salt Lake City, UT 84104 PCMC Rehab Sandy Taylorsville, UT 84118 11762 S State St Phone: (801) 973-2580 870 E 9400 S, #112 Phone: (801) 840-4360 Draper, UT 84020 UT Healthy Kids Sandy, UT 84094 UT Healthy Kids Phone: (801) 501-8359 Wortley, Paul G PT C Phone: (801) 571-3081 Lobb, Andrea R SLP C Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids Rocky Mountain Therapy PCMC Rehab Sandy 3725 W 4100 S Costello, Martina H SLP C 870 E 9400 S, #112 Wixom, Steven Michael PT C West Valley City, UT 84120 PCMC Rehab Sandy Sandy, UT 84094 Hand & Orthopedic Rehabilitation Phone: (801) 679-0123 870 E 9400 S, #112 Phone: (801) 571-3081 Specialists UT Healthy Kids Sandy, UT 84094 UT Healthy Kids 5151 S 900 E, #100 Wortley, Paul G PT C Phone: (801) 571-3081 Lobb, Andrea R SLP C Salt Lake City, UT 84117 UT Healthy Kids Phone: (801) 261-3321 Rocky Mountain Therapy Services PCMC Rehab Taylorsville Languages Spoken: Spanish - Firstmed Edwards, Natalie Brooke SLP C 3845 W 4700 S UT Healthy Kids 8822 S Redwood Rd, #E122 PCMC Rehab Taylorsville Taylorsville, UT 84118 West Jordan, UT 84088 3845 W 4700 S Phone: (801) 840-4360 Wixom, Steven Michael PT C Phone: (801) 566-7080 Taylorsville, UT 84118 UT Healthy Kids Hand & Orthopedic Rehabilitation UT Healthy Kids Phone: (801) 840-4360 Murray, Nancy A SLP C Specialists UT Healthy Kids 702 E South Temple, #102 Wortley, Paul G PT C PCMC Audiology Salt Lake City, UT 84102 Rocky Mountain Therapy Services Fox, Lori McClure SLP C 3845 W 4700 S Phone: (801) 328-8535 - West Valley PCMC Rehab Sandy Taylorsville, UT 84118 Languages Spoken: Spanish 3497 W 3500 S 870 E 9400 S, #112 Phone: (801) 840-4360 UT Healthy Kids West Valley City, UT 84119 Sandy, UT 84094 UT Healthy Kids Phone: (801) 964-5565 Phone: (801) 571-3081 Murray, Nancy A AUD C Wortley, James M PT C UT Healthy Kids UT Healthy Kids First Med East Physical Therapy PCMC Audiology 1950 E 7000 S Wortley, Richard D PT C Gurrister, Maria G Hildalg SLP C 3845 W 4700 S Salt Lake City, UT 84121 First Med East Physical Therapy Wasatch Speech & Language Taylorsville, UT 84118 Phone: (801) 943-1041 1950 E 7000 S Center Phone: (801) 840-4360 UT Healthy Kids Salt Lake City, UT 84121 2120 E 3900 S, #100 UT Healthy Kids Phone: (801) 943-1041 Salt Lake City, UT 84124 Wortley, James M PT C UT Healthy Kids Murray, Nancy A SLP C Phone: (801) 308-0400 PCMC Rehab Salt Lake RMTS at Firstmed Industrial UT Healthy Kids 441 S Redwood Rd Wortley, Richard D PT C 100 N Mario Capecchi Dr Salt Lake City, UT 84104 RMTS at Firstmed Industrial Gurrister, Thomas W SLP C Salt Lake City, UT 84113 Phone: (801) 973-2580 441 S Redwood Rd Wasatch Speech & Language Phone: (801) 662-4949 UT Healthy Kids Salt Lake City, UT 84104 Center UT Healthy Kids Phone: (801) 973-2580 2120 E 3900 S, #100 Murray, Nancy A AUD C Wortley, James M PT C UT Healthy Kids Salt Lake City, UT 84124 Rocky Mountain Therapy PCMC Rehab Salt Lake Wortley, Richard D PT C Phone: (801) 308-0400 100 N Mario Capecchi Dr 3725 W 4100 S UT Healthy Kids West Valley City, UT 84120 Rocky Mountain Therapy Salt Lake City, UT 84113 Phone: (801) 679-0123 3725 W 4100 S Howe, Marilyn K SLP D Phone: (801) 662-4949 UT Healthy Kids West Valley City, UT 84120 Children with Special Healthcare UT Healthy Kids Phone: (801) 679-0123 Needs Wortley, James M PT C UT Healthy Kids Nations, Patricia Klotz SLP C 45 Mario Capecchi Dr 100 N Mario Capecchi Dr Rocky Mountain Therapy Services Salt Lake City, UT 84114 - Firstmed Wortley, Richard D PT C Salt Lake City, UT 84113 Rocky Mountain Therapy Services Phone: (801) 584-8284 Phone: (801) 662-4980 8822 S Redwood Rd, #E122 UT Healthy Kids West Jordan, UT 84088 - Firstmed UT Healthy Kids 8822 S Redwood Rd, #E122 Phone: (801) 566-7080 Johnson, Lori Ann SLP C Rasmussen, Paula J SLP C UT Healthy Kids West Jordan, UT 84088 Mountain Land Rehabilitation Phone: (801) 566-7080 PCMC Audiology 1952 E 7000 S, #100 100 N Mario Capecchi Dr Wortley, James M PT C UT Healthy Kids Salt Lake City, UT 84121 Rocky Mountain Therapy Services Salt Lake City, UT 84113 Wortley, Richard D PT C Phone: (801) 942-3311 Phone: (801) 662-4949 - West Valley UT Healthy Kids 3497 W 3500 S Rocky Mountain Therapy Services UT Healthy Kids - West Valley West Valley City, UT 84119 Jones, Courtney E SLP C Rasmussen, Paula J SLP C Phone: (801) 964-5565 3497 W 3500 S PCMC Rehab Sandy West Valley City, UT 84119 PCMC Audiology UT Healthy Kids 870 E 9400 S, #112 3845 W 4700 S Phone: (801) 964-5565 Sandy, UT 84094 UT Healthy Kids Taylorsville, UT 84118 Phone: (801) 571-3081 Phone: (801) 840-4360 UT Healthy Kids UT Healthy Kids 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 Salt Lake Ancillary Providers Summit Shenk, Kalomyra Myra C SLP C Physical Therapy Robinson, Benjamin Ray PT C Miles-Wehrli, Teri Ann PT C PCMC Rehab Taylorsville Therapy West Therapeutic Milestones 3845 W 4700 S Ward, Richard T PT C 1050 S Medical Dr 26 E 1000 N, #B Taylorsville, UT 84118 Montezuma Creek Community Mount Pleasant, UT 84647 Richfield, UT 84701 Phone: (801) 840-4360 Health Center Phone: (435) 462-0178 Phone: (435) 896-5090 UT Healthy Kids East Hwy 262 UT Healthy Kids Plus UT Healthy Kids Plus Montezuma Creek, UT 84534 Stapley, Marcia E SLP C Phone: (435) 651-3291 Speech-Language Hand & Orthopedic Rehabilitation Languages Spoken: Spanish Sevier County Specialists UT Healthy Kids Plus Pathology 5151 S 900 E, #100 Salt Lake City, UT 84117 Ward, Richard T PT C Audiology Hunt, Roxanne B SLP D Phone: (801) 261-3321 Mountain Land Rehabilitation Children with Special Healthcare UT Healthy Kids 818 N 400 W Fox, C Brent AUD C Needs Blanding, UT 84511 1000 N Main St 70 Westview Dr Tanner, Allison Rae SLP C Phone: (435) 678-3869 Richfield, UT 84701 Richfield, UT 84701 PCMC Rehab Sandy Languages Spoken: Spanish Phone: (435) 893-0332 Phone: (435) 896-5451 870 E 9400 S, #112 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Sandy, UT 84094 Phone: (801) 571-3081 Speech-Language Fox, Calvin Brent CCC-A C UT Healthy Kids Audiology Associates of SLC Summit County Pathology 1100 N Main St Taylor, Helene Mary SLP C Richfield, UT 84701 PCMC Rehab Taylorsville Hunt, Roxanne B SLP D Phone: (800) 244-9001 Occupational 3845 W 4700 S Children with Special Healthcare UT Healthy Kids Plus Therapy Taylorsville, UT 84118 Needs Phone: (801) 840-4360 117 S Main St Harward, Richard S CCC-A D Elliott, Rhonda OT C UT Healthy Kids Monticello, UT 84535 Children with Special Healthcare Park City Medical Center - Phone: (435) 587-2021 Needs Occupational Therapy White, Linda Rae SLP C UT Healthy Kids Plus 70 Westview Dr 900 Round Valley Dr 11934 S Cedar Ridge Rd Richfield, UT 84701 Park City, UT 84060 Sandy, UT 84094 Phone: (435) 896-5451 Phone: (435) 658-7000 Phone: (801) 576-9606 Sanpete County UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Luekenga Jr, Richard Layne Labree-Berg, Michele OT C Williams, Margaret SLP C Audiology CCC-A C Park City Medical Center Dixie Hearing & Balance Ctr Mountain Land Rehabilitation C 900 Round Valley Dr 50 E 9000 S Fox, Calvin Brent CCC-A 145 N 100 E Park City, UT 84060 Sandy, UT 84070 Audiology Associates of SLC Richfield, UT 84701 Phone: (435) 658-7000 Phone: (801) 562-0066 1100 S Medical Dr Phone: (435) 688-8991 UT Healthy Kids Plus UT Healthy Kids Mount Pleasant, UT 84647 Languages Spoken: Spanish Phone: (800) 244-9001 UT Healthy Kids Plus Papi-Baker, Kathleen M OT C Worwood, Kevin B SLP C UT Healthy Kids Plus Park City Medical Center PCMC Rehab Taylorsville Randall, Kurt Dale CCC-A C 900 Round Valley Dr 3845 W 4700 S Physical Therapy Child and Family Eye Care Center Park City, UT 84060 Taylorsville, UT 84118 70 Westview Dr Phone: (435) 658-7000 Phone: (801) 840-4360 Howe, Joseph E PT C Richfield, UT 84701 UT Healthy Kids Plus UT Healthy Kids Therapy West Phone: (435) 896-5451 13 E Center St UT Healthy Kids Plus Williams, Megan B OT C Gunnison, UT 84634 Park City Medical Center San Juan County Phone: (435) 528-7575 Occupational 900 Round Valley Dr UT Healthy Kids Plus Park City, UT 84060 Therapy Phone: (435) 658-7000 Audiology Howe, Joseph E PT C UT Healthy Kids Plus Therapy West Boomer, Lois OT D Harward, Richard S CCC-A D 59 W 700 S Children with Special Healthcare Williams, Megan B OT C Children with Special Healthcare Ephraim, UT 84627 Needs 1850 Sidewinder Dr, #310 Needs Phone: (435) 283-6334 70 Westview Dr Park City, UT 84060 117 S Main St UT Healthy Kids Plus Richfield, UT 84701 Phone: (435) 647-5955 Monticello, UT 84535 Phone: (435) 896-5451 UT Healthy Kids Plus Phone: (435) 587-2021 Overly, Dallas Clayton PT C UT Healthy Kids Plus UT Healthy Kids Plus Therapy West 13 E Center St Physical Therapy Physical Therapy Occupational Gunnison, UT 84634 Child, Bryan Francis PT C Phone: (435) 528-7575 Langford, Jay McRae PT C Heiden Orthopedics Therapy UT Healthy Kids Plus Therapeutic Milestones 2200 Park Ave, Bldg D #100 26 E 1000 N, #B Boomer, Lois OT D Overly, Dallas Clayton PT C Park City, UT 84060 Children with Special Healthcare Richfield, UT 84701 Phone: (435) 615-8822 Therapy West Phone: (801) 896-5090 UT Healthy Kids Plus Needs 59 W 700 S UT Healthy Kids Plus 117 S Main St Ephraim, UT 84627 Monticello, UT 84535 Phone: (435) 283-6334 Phone: (435) 587-2021 UT Healthy Kids Plus UT Healthy Kids Plus

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 Summit UAncillary Providers tah Hatch, S Marlene PT C Marsh, Troy B PT C Harward, Richard S CCC-A D Park City Medical Center Tooele County Meier & Marsh Professional Children with Special Healthcare 900 Round Valley Dr Therapies Needs Park City, UT 84060 1226 N Main St 147 E Main St Phone: (435) 658-7000 Audiology Tooele, UT 84074 Vernal, UT 84078 UT Healthy Kids Plus Jensen, Heather Jo CCC-A D Phone: (435) 843-1311 Phone: (435) 781-5475 UT Healthy Kids Plus UT Healthy Kids Plus Horner, Byron Harvey PT C House of Hearing Summit Physical Therapy & Sports 23 E Vine St Marsh, Troy B PT C Occupational Medicine Tooele, UT 84074 Meier & Marsh Professional 228 W State Rd, #248 Phone: (435) 882-8383 Therapies Therapy Kamas, UT 84036 UT Healthy Kids Plus 1929 N Aaron Dr, #K Phone: (435) 783-2659 Tooele, UT 84074 Boomer, Lois OT D UT Healthy Kids Plus Chiropractor Phone: (435) 843-1311 Children with Special Healthcare UT Healthy Kids Plus Needs Hughes, Enid PT C Thompson, Glenn H DC C 147 E Main St Park City Medical Center Tooele Valley Spine Center Marton, Debra PT C Vernal, UT 84078 900 Round Valley Dr 1244 N Main St, #100 Mountain Land Rehabilitation Phone: (435) 781-5475 Park City, UT 84060 Tooele, UT 84074 220 Millpond Rd, #109 UT Healthy Kids Plus Phone: (435) 658-7000 Phone: (435) 833-9200 Tooele, UT 84074 UT Healthy Kids Plus Languages Spoken: Spanish Phone: (435) 882-4144 Physical Therapy UT Healthy Kids Plus UT Healthy Kids Plus Johnson, Beau Q PT C Kulland, Jerry D PT C Park City Medical Center Marton, Debra PT C Ashley Creek Physical Therapy 900 Round Valley Dr Physical Therapy Mountain Land Rehabilitation 595 N Vernal Ave Park City, UT 84060 Allen, Travis N PT C 29 S Main St Vernal, UT 84078 Phone: (435) 658-7000 Meier & Marsh Professional Tooele, UT 84074 Phone: (435) 789-0022 UT Healthy Kids Plus Therapies Phone: (435) 843-7466 UT Healthy Kids Plus UT Healthy Kids Plus Smith, Blair A PT C 1226 N Main St Park City Medical Center Tooele, UT 84074 Meier, Charles Wade PT C Speech-Language 900 Round Valley Dr Phone: (435) 843-1311 Meier & Marsh Professional Pathology Park City, UT 84060 UT Healthy Kids Plus Therapies Phone: (435) 658-7000 Allen, Travis N PT C 1226 N Main St Hunt, Roxanne B SLP D UT Healthy Kids Plus Meier & Marsh Professional Tooele, UT 84074 Children with Special Healthcare Therapies Phone: (435) 843-1311 Needs Toole, Douglas Boyd PT C 1929 N Aaron Dr, #K Languages Spoken: Spanish 147 E Main St Toole & Associates UT Healthy Kids Plus Vernal, UT 84078 142 S 50 E Tooele, UT 84074 Phone: (435) 781-5475 Coalville, UT 84017 Phone: (435) 843-1311 Meier, Charles Wade PT C UT Healthy Kids Plus Phone: (435) 336-9355 UT Healthy Kids Plus Meier & Marsh Professional UT Healthy Kids Plus Barlett, Steven Brett PT C Therapies Grantsville Physical Therapy 1929 N Aaron Dr, #K Utah County Wade, Rodney Edward PT C 822 E Main St Tooele, UT 84074 Peak Performance PT Grantsville, UT 84029 Phone: (435) 843-1311 23 S Main St Phone: (435) 882-1263 Languages Spoken: Spanish Audiology Coalville, UT 84017 UT Healthy Kids Plus Phone: (435) 336-5440 Languages Spoken: Spanish Daniels, Gary Chad CCC-A C UT Healthy Kids Plus UT Healthy Kids Plus Pagnani, Robert Oliver PT C Wasatch Audiology 2545 N Canyon Rd, #100 Cracroft, Kimberly Ann PT C Mountain Land Rehabilitation Wade, Rodney Edward PT C 29 S Main St Provo, UT 84604 Mountain Land Rehabilitation Phone: (801) 373-1108 Peak Performance PT 220 Millpond Rd, #109 Tooele, UT 84074 6531 N Landmark Dr, #E Phone: (435) 843-7466 UT Healthy Kids Kimball Junction, UT 84098 Tooele, UT 84074 Phone: (435) 882-4144 Languages Spoken: Spanish Dansie, Joseph Evans CCC-A C Phone: (435) 649-7335 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Peak Ent Associates 1055 N 300 W, #401 Hardman, Paisley Alene PT C Ploehn, Nathan PT C Wade, Rodney Edward PT C Mountain Land Rehabilitation Provo, UT 84604 Mountain Land Rehabilitation Phone: (801) 357-7499 Toole & Associates 220 Millpond Rd, #109 29 S Main St 142 S 50 E Tooele, UT 84074 Languages Spoken: Spanish Tooele, UT 84074 UT Healthy Kids Coalville, UT 84017 Phone: (435) 882-4144 Phone: (435) 843-7466 Phone: (435) 336-9355 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Fox, Calvin Brent CCC-A C Audiology Associates of SLC Watts, Jan PT C Hardman, Paisley Alene PT C 130 W Main St, #E Park City Medical Center Mountain Land Rehabilitation Uintah County Lehi, UT 84043 29 S Main St Phone: (800) 244-9001 900 Round Valley Dr Tooele, UT 84074 Park City, UT 84060 Audiology UT Healthy Kids Phone: (435) 658-7000 Phone: (435) 843-7466 UT Healthy Kids Plus UT Healthy Kids Plus Fox, Calvin Brent CCC-A C Audiology Associates of SLC 38 E 100 N Vernal, UT 84078 Phone: (800) 244-9001 UT Healthy Kids Plus 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 Utah UAncillary Providers tah Harward, Richard S CCC-A D Cook, Veloy K DC C Dietitian Bagley, Douglas K PT C Children with Special Healthcare Cook Chiropractic CUC - Provo - Orthopedic Needs 642 E Kirby Ln Cushing, Rebecca E RD C Specialty Ctr 1034 N 500 W Spanish Fork, UT 84660 CUC - Provo - Wellness Institute 1055 N 500 W, #121 Provo, UT 84604 Phone: (801) 798-6558 1055 N 500 W, #122 Provo, UT 84604 Phone: (801) 357-7627 UT Healthy Kids Provo, UT 84604 Phone: (801) 373-7350 UT Healthy Kids Phone: (801) 812-5400 UT Healthy Kids Courtney, David J DC C UT Healthy Kids Harward, Richard S CCC-A D Business Management Services Beagley, Alysa C PT C Children with Special Healthcare 800 N 100 E Occupational Lehi Physical Therapy Needs Spanish Fork, UT 84660 123 N Center St 151 S University Ave Phone: (801) 798-2482 Therapy Lehi, UT 84043 Provo, UT 84601 UT Healthy Kids Boomer, Lois OT D Phone: (801) 766-8460 Phone: (801) 370-8764 Children with Special Healthcare UT Healthy Kids UT Healthy Kids Goodman, Kenneth Michael DC C Needs Bliss, Brandon Kenneth PT C Sacco, Robert C CCC-A C Goodman Chiropractic 1034 N 500 W Orem Sports Medicine Center Family Audiology & Hearing 85 E State Rd, #75 Provo, UT 84604 252 N State St Services Saratoga Springs, UT 84045 Phone: (801) 357-7627 Orem, UT 84057 2230 N University Pkwy Phone: (801) 766-0507 UT Healthy Kids Phone: (801) 226-0599 Provo, UT 84604 Languages Spoken: Italian, Boomer, Lois OT D Languages Spoken: Phone: (801) 375-3175 Spanish Children with Special Healthcare Portuguese, Spanish Languages Spoken: Spanish UT Healthy Kids Needs UT Healthy Kids UT Healthy Kids Heath, Dale H DC C 151 S University Ave Bliss, Brandon Kenneth PT C Sacco, Robert C CCC-A C 792 S 400 E Provo, UT 84601 Spine Orthopedic & Sports Family Audiology & Hearing Orem, UT 84097 Phone: (801) 370-8764 Physical Therapy Services Phone: (801) 226-3383 UT Healthy Kids 1067 N 500 W, #B 39 Professional Way, #1 UT Healthy Kids Provo, UT 84604 Payson, UT 84651 Physical Therapy Phone: (801) 370-9981 Phone: (801) 465-4805 Kercher, Kimberly Jean DC C Languages Spoken: Languages Spoken: Spanish Align Rehab & Wellness Center Adams, Lynn George PT C Portuguese, Spanish UT Healthy Kids 2230 N University Pkwy, #6B South Valley Physical Therapy UT Healthy Kids Provo, UT 84604 867 S 500 W Sacco, Robert C CCC-A C Phone: (801) 235-9944 Payson, UT 84651 Bliss, Brandon Kenneth PT C 700 W 800 N, #340 UT Healthy Kids Phone: (801) 465-7979 Spine Orthopedic & Sports Orem, UT 84057 UT Healthy Kids Physical Therapy Phone: (801) 714-6401 McClean, Devin D DC C 3303 N University Ave Languages Spoken: Spanish McClean Chiropractic Allen, Dennis R PT C Provo, UT 84604 UT Healthy Kids 385 N 500 W CUC - Provo - Sports Fitness/ Phone: (801) 373-7438 Provo, UT 84601 Physical Therapy Languages Spoken: Chiropractor Phone: (801) 373-1035 1055 N 500 W, #122 Portuguese, Spanish Languages Spoken: French Provo, UT 84604 UT Healthy Kids Anderson, Jay D DC C UT Healthy Kids Phone: (801) 429-0610 UT Healthy Kids Branch, Jeremy PT C 642 E Kirby Ln, #103 McClean, Gordon M DC C Spanish Fork, UT 84660 Orem Sports Medicine Center McClean Chiropractic Anderson, James N PT C 252 N State St Phone: (801) 798-6558 385 N 500 W CUC - Provo - Sports Fitness/ UT Healthy Kids Orem, UT 84057 Provo, UT 84601 Physical Therapy Phone: (801) 226-0599 Bowers, Marc V DC C Phone: (801) 373-1035 1055 N 500 W, #122 Languages Spoken: Dutch Chiropractic Care & Massage UT Healthy Kids Provo, UT 84604 UT Healthy Kids Phone: (801) 429-0610 777 N 500 W, #205 McClean, Matthew R DC C Provo, UT 84601 UT Healthy Kids Branch, Jeremy PT C McClean Chiropractic Spine Orthopedic & Sports Phone: (801) 377-0898 385 N 500 W Austin, Todd W PT C UT Healthy Kids Physical Therapy Provo, UT 84601 Saratoga Physical Therapy & 1067 N 500 W, #B Carroll, Milton Lemmon DC C Phone: (801) 373-1035 Sports Medicine Provo, UT 84604 Basic Chiropractic Languages Spoken: Finnish 24 W Sergent Court Dr, #204 Phone: (801) 370-9981 675 S 100 W, #4 UT Healthy Kids Saratoga Springs, UT 84045 Languages Spoken: Dutch Payson, UT 84651 Phone: (801) 766-0103 UT Healthy Kids Olson, Richard Paul DC C UT Healthy Kids Phone: (801) 465-8177 Springville Chiropractic UT Healthy Kids Branch, Jeremy PT C 485 S Main St, #101 Averett, Darren H PT C Spine Orthopedic & Sports Clifford, Lincoln O DC C Springville, UT 84663 Physical & Sports Therapy Services Physical Therapy Align Rehab & Wellness Center Phone: (801) 489-4990 15 S 1000 E, #25 3303 N University Ave 2230 N University Pkwy, #6B Languages Spoken: Spanish Payson, UT 84651 Provo, UT 84604 Provo, UT 84604 UT Healthy Kids Phone: (801) 465-5610 Phone: (801) 373-7438 UT Healthy Kids Phone: (801) 235-9944 Templeton, Joel David DC C Languages Spoken: Dutch Languages Spoken: Spanish Elite Performance Health Center Bagley, Dougals K PT C UT Healthy Kids UT Healthy Kids 1988 W 930 N Physical & Sports Therapy Services Pleasant Grove, UT 84062 684 W 800 N, #110 Phone: (801) 367-8927 Orem, UT 84057 UT Healthy Kids Phone: (801) 224-2250 UT Healthy Kids 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 Utah UAncillary Providers tah Buchanan, Stephen J PT C Horrocks, Bradley D PT C Mangum, Brad A PT C Orrock, Steven J PT C Dry Creek Physical Therapy & Mountain Land Rehabilitation Physical & Sports Therapy Services Professional Physical Therapy & Wellness 94 W Main St, #1 15 S 1000 E, #25 Sports Medicine 3300 N Running Creek Way, BldgB Santaquin, UT 84655 Payson, UT 84651 1325 S 800 E, #215 #150 Phone: (801) 754-5700 Phone: (801) 465-5610 Orem, UT 84097 Lehi, UT 84043 Languages Spoken: Spanish UT Healthy Kids Phone: (801) 373-1053 Phone: (801) 766-4244 UT Healthy Kids Languages Spoken: Chinese, Languages Spoken: Russian McEwan, Joseph K PT C Mandarin UT Healthy Kids Lambert, Brian Ballif PT C CUC - Provo - Sports Fitness/ UT Healthy Kids Physical & Sports Therapy Services Physical Therapy Budge, Edward H PT C 380 E 400 S 1055 N 500 W, #122 Orrock, Steven J PT C Peak Physical Therapy & Sports Springville, UT 84663 Provo, UT 84604 Professional Physical Therapy & Medicine Phone: (801) 489-5669 Phone: (801) 429-0610 Sports Medicine 77 S 400 W UT Healthy Kids UT Healthy Kids 155 W Canyon Crest Rd, #100 Spanish Fork, UT 84660 Alpine, UT 84004 Phone: (801) 798-1626 Lambert, Brian Ballif PT C McKell, John S PT C Phone: (801) 756-7061 UT Healthy Kids Physical & Sports Therapy Services Mckell Therapy Group Languages Spoken: Chinese, 684 W 800 N, #110 504 E 770 N Mandarin Bushnell, Matthew Frampton Orem, UT 84057 Orem, UT 84097 UT Healthy Kids PT C Phone: (801) 224-2250 Phone: (801) 224-2177 Orem Sports Medicine Center UT Healthy Kids Languages Spoken: Spanish Orrock, Steven J PT C 252 N State St UT Healthy Kids Professional Physical Therapy & Orem, UT 84057 Lillywhite, Daniel Ross PT C Sports Medicine Phone: (801) 226-0599 Orem Sports Medicine Center Mendenhall, Wendell B PT C 680 E Main St, #101 UT Healthy Kids 252 N State St Professional Physical Therapy & Lehi, UT 84043 Orem, UT 84057 Sports Medicine Phone: (801) 768-2723 Bushnell, Matthew Frampton Phone: (801) 226-0599 1325 S 800 E, #215 Languages Spoken: Chinese, PT C UT Healthy Kids Orem, UT 84097 Mandarin Spine Orthopedic & Sports Phone: (801) 373-1053 UT Healthy Kids Physical Therapy Lillywhite, Daniel Ross PT C Languages Spoken: Spanish 1067 N 500 W, #B Spine Orthopedic & Sports UT Healthy Kids Pack, Roger E PT C Provo, UT 84604 Physical Therapy Utah Valley Pain Management Phone: (801) 370-9981 1067 N 500 W, #B Mendenhall, Wendell B PT C 412 W 800 N UT Healthy Kids Provo, UT 84604 Professional Physical Therapy & Orem, UT 84057 Phone: (801) 370-9981 Sports Medicine Phone: (801) 235-7246 Bushnell, Ned B PT C UT Healthy Kids 155 W Canyon Crest Rd, #100 UT Healthy Kids Orem Sports Medicine Center Alpine, UT 84004 252 N State St Lillywhite, Daniel Ross PT C Phone: (801) 756-7061 Peterson, Brian K PT C Orem, UT 84097 Spine Orthopedic & Sports Languages Spoken: Spanish Lehi Physical Therapy Phone: (801) 226-0599 Physical Therapy UT Healthy Kids 123 N Center St UT Healthy Kids 3303 N University Ave Lehi, UT 84043 Provo, UT 84604 Mendenhall, Wendell B PT C Phone: (801) 766-8460 Bushnell, Ned B PT C Phone: (801) 373-7438 Professional Physical Therapy & UT Healthy Kids Spine Orthopedic & Sports UT Healthy Kids Sports Medicine Physical Therapy 680 E Main St, #101 Peterson, Brian K PT C 1067 N 500 W, #B Littledike, Jason Stanley PT C Lehi, UT 84043 Westlake Physical Therapy Provo, UT 84604 Peak Physical Therapy & Sports Phone: (801) 768-2723 1305 N Commerce Dr, #100 Phone: (801) 370-9981 Medicine Languages Spoken: Spanish Saratoga Springs, UT 84045 UT Healthy Kids 77 S 400 W UT Healthy Kids Phone: (801) 768-3105 Spanish Fork, UT 84660 UT Healthy Kids Bushnell, Ned B PT C Phone: (801) 798-1626 Mortensen, Bartley Brett PT C Spine Orthopedic & Sports UT Healthy Kids CUC - Provo - Sports Fitness/ Peterson, Mark H PT C Physical Therapy Physical Therapy Orem Sports Medicine Center 3303 N University Ave Lybbert, Eric D PT C 1055 N 500 W, #122 252 N State St Provo, UT 84604 Lehi Physical Therapy Provo, UT 84604 Orem, UT 84057 Phone: (801) 373-7438 123 N Center St Phone: (801) 429-0610 Phone: (801) 226-0599 UT Healthy Kids Lehi, UT 84043 Languages Spoken: Danish UT Healthy Kids Phone: (801) 766-8460 UT Healthy Kids Butler, Brent R PT C UT Healthy Kids Peterson, Mark H PT C CUC - Provo - Sports Fitness/ Newbold, Kirk Wallace PT C Spine Orthopedic & Sports Physical Therapy Lybbert, Eric D PT C Physical & Sports Therapy Services Physical Therapy 1055 N 500 W, #122 Westlake Physical Therapy 380 E 400 S 1067 N 500 W, #B Provo, UT 84604 1305 N Commerce Dr, #100 Springville, UT 84663 Provo, UT 84604 Phone: (801) 429-0610 Saratoga Springs, UT 84045 Phone: (801) 489-5669 Phone: (801) 370-9981 UT Healthy Kids Phone: (801) 768-3105 Languages Spoken: UT Healthy Kids UT Healthy Kids Portuguese, Spanish Hill, Von Oberhansley PT C UT Healthy Kids Peterson, Mark H PT C Professional Therapy & Mangum, Brad A PT C Spine Orthopedic & Sports Rehabilitation Physical & Sports Therapy Services Physical Therapy 77 S 400 W 1000 E US HWY 6 3303 N University Ave Spanish Fork, UT 84660 Payson, UT 84651 Provo, UT 84604 Phone: (801) 798-1626 Phone: (801) 465-7070 Phone: (801) 373-7438 UT Healthy Kids UT Healthy Kids UT Healthy Kids

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 Utah WAncillary Providers ashington Robbins, Steven Edward PT C Taylor, Kimball Rogan PT C Thomas, Curtis G AUD C Boyer, Ronald Dell DC C Peak Physical Therapy & Sports Orem Sports Medicine Center Peak Otolaryngology Zion Chiropractic Neurology Medicine 252 N State St 1055 N 300 W, #401 Associates 77 S 400 W Provo, UT 84057 Provo, UT 84604 301 N 200 E, #1B Spanish Fork, UT 84660 Phone: (801) 226-0599 Phone: (801) 357-7499 St George, UT 84770 Phone: (801) 798-1626 Languages Spoken: UT Healthy Kids Phone: (435) 674-2626 UT Healthy Kids Portuguese Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids Plus Roberson, Marvin Roland PT C Wasatch County Professional Physical Therapy & Taylor, Kimball Rogan PT C Carr, Joshua Alan DC C Sports Medicine Spine Orthopedic & Sports Coral Canyon Chiropractic 1325 S 800 E, #215 Physical Therapy Physical Therapy 83 S 2600 W, #102 Orem, UT 84097 1067 N 500 W, #B Hurricane, UT 84737 Phone: (801) 373-1053 Provo, UT 84604 Clyde, Willis K PT C Phone: (435) 635-7771 UT Healthy Kids Phone: (801) 370-9981 Heber Valley Physical Therapy Languages Spoken: Languages Spoken: 19 N Main St Portuguese Roberson, Marvin Roland PT C Portuguese Heber City, UT 84032 UT Healthy Kids Plus Professional Physical Therapy & UT Healthy Kids Phone: (435) 654-0804 Sports Medicine UT Healthy Kids Plus Hobson, Michael K DC C 155 W Canyon Crest Rd, #100 Taylor, Kimball Rogan PT C Spinal Institute of Southern Utah Alpine, UT 84004 Spine Orthopedic & Sports 415 W Tabernacle St Phone: (801) 756-7061 Physical Therapy Washington County St George, UT 84770 UT Healthy Kids 3303 N University Ave Phone: (435) 656-1777 Provo, UT 84604 Languages Spoken: Spanish Roberson, Marvin Roland PT C Phone: (801) 373-7438 Audiology UT Healthy Kids Plus Professional Physical Therapy & Languages Spoken: Forbes, Kimball B CCC-A C Sports Medicine Portuguese Deseret Audiology & Hearing Labrum, I Clark DC C 680 E Main St, #101 UT Healthy Kids 415 W Tabernacle St Lehi, UT 84043 1490 E Foremaster Dr, #360 St George, UT 84770 Phone: (801) 768-2723 Taylor, Rogan L PT C St George, UT 84790 Phone: (435) 673-2700 UT Healthy Kids Orem Sports Medicine Center Phone: (435) 688-8866 Languages Spoken: German 252 N State St Languages Spoken: Spanish UT Healthy Kids Plus Schultz, Craig Alan PT C Orem, UT 84057 UT Healthy Kids Plus Physical & Sports Therapy Services Phone: (801) 226-0599 Greer, Lance F CCC-A C Murie, Kelly Earl DC C 380 E 400 S Languages Spoken: Korean L & S Hearing Healthcare Corp Coral Canyon Chiropractic Springville, UT 84663 UT Healthy Kids 83 S 2600 W, #102 Phone: (801) 489-5669 1490 E Foremaster Dr, #360 Hurricane, UT 84737 UT Healthy Kids Taylor, Rogan L PT C St George, UT 84790 Phone: (435) 635-7771 Spine Orthopedic & Sports Phone: (435) 688-8866 UT Healthy Kids Plus Schultz, Craig Alan PT C Physical Therapy Languages Spoken: Italian Physical & Sports Therapy Services 1067 N 500 W, #B UT Healthy Kids Plus Richey, Brian T DC C 684 W 800 N, #110 Provo, UT 84604 Harward, Richard S CCC-A D Zion Chiropractic Neurology Orem, UT 84057 Phone: (801) 370-9981 Children with Special Healthcare Associates Phone: (801) 224-2250 Languages Spoken: Korean Needs 301 N 200 E, #1B UT Healthy Kids UT Healthy Kids St George, UT 84770 620 S 400 E Phone: (435) 674-2626 Schulz, Shaun S PT C Taylor, Rogan L PT C St George, UT 84770 UT Healthy Kids Plus Beyond Limits Physical Therapy Spine Orthopedic & Sports Phone: (435) 986-2559 3726 E Campus Dr, #H Physical Therapy UT Healthy Kids Plus Sorenson, John Robert DC C Eagle Mountain, UT 84005 3303 N University Ave Luekenga Jr, Richard Layne Zion Chiropractic Neurology Phone: (801) 789-7333 Provo, UT 84604 CCC-A C Associates Languages Spoken: German Phone: (801) 373-7438 Dixie Hearing & Balance Ctr 301 N 200 E, #1B UT Healthy Kids Languages Spoken: Korean 630 S 400 E, #103 St George, UT 84770 UT Healthy Kids Phone: (435) 674-2626 Shelton, Wayne Lewis PT C St George, UT 84770 Languages Spoken: Japanese 317 W Center St, #203 Thorpe, Greg R PT C Phone: (435) 688-8991 UT Healthy Kids Plus Spanish Fork, UT 84660 Physical & Sports Therapy Services Languages Spoken: Spanish Phone: (801) 798-9100 380 E 400 S UT Healthy Kids Plus Tebbs, Victor Louis DC C UT Healthy Kids Springville, UT 84663 D Tebbs Chiropractic Manwaring, Jeffrey A CCC-A 15 N 200 W Sumsion, William G PT C Phone: (801) 489-5669 Intermountain Audiology UT Healthy Kids Hurricane, UT 84737 Physical & Sports Therapy Services 515 S 300 E, #109 Phone: (435) 638-4688 380 E 400 S St George, UT 84770 UT Healthy Kids Plus Springville, UT 84663 Speech-Language Phone: (435) 688-2456 Phone: (801) 489-5669 Pathology UT Healthy Kids Plus Wagner, Ward Wallace DC C UT Healthy Kids Wagner Chiropractic & Rehab Boucher, Kurtt Russell SLP C Chiropractor 10 N 400 E Sumsion, William G PT C Physical & Sports Therapy Services St George, UT 84770 Physical & Sports Therapy Services 15 S 1000 E, #25 Andersen, J Spencer DC C Phone: (435) 673-1443 684 W 800 N, #110 Payson, UT 84651 Family Health and Rehab UT Healthy Kids Plus Orem, UT 84057 Phone: (801) 465-5610 676 S Bluff St, #200 Phone: (801) 224-2250 UT Healthy Kids St George, UT 84770 UT Healthy Kids Phone: (435) 674-7515 UT Healthy Kids Plus 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 Washington WAncillary Providers ashington Genetic Counselor Edwards, Matthew G OT C Carey, Sean W PT C Harward, Roger J PT C DRMC Rehab Services DRMC Rehab Services Advanced Physical Therapy Dunn, Katherine R LGC C 652 S Medical Center Dr, #LL10 652 S Medical Center Dr, #LL10 1490 E Foremaster Dr, #110 1380 E Medical Center Dr St George, UT 84790 St George, UT 84790 St George, UT 84790 St George, UT 84790 Phone: (435) 251-2250 Phone: (435) 251-2250 Phone: (435) 652-4455 Phone: (435) 251-1000 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Gottfredson, Gary L OT C Carey, Sean W PT C Hugunin, Jane A PT C Dunn, Katherine R LGC C DRMC Rehab Services Intermountain Hurricane Valley DRMC Rehab Services 544 S 400 E 652 S Medical Center Dr, #LL10 Clinic 652 S Medical Center Dr, #LL10 St George, UT 84770 St George, UT 84790 75 N 2260 W St George, UT 84790 Phone: (435) 688-4000 Phone: (435) 251-2250 Hurricane, UT 84737 Phone: (435) 251-2250 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 635-6480 UT Healthy Kids Plus UT Healthy Kids Plus Hafen, L Brent LGC C Hugunin, Ted A OT C Jackson, Kelly James PT C DRMC Maternal Fetal Medicine DRMC Rehab Services Daniels, Ronald Kolby PT C DRMC Rehab Services Dept 652 S Medical Center Dr, #LL10 DRMC - Physical Therapy 652 S Medical Center Dr, #LL10 1380 E Medical Center Dr St George, UT 84790 1380 E Medical Center Dr St George, UT 84790 St George, UT 84790 Phone: (435) 251-2250 St George, UT 84790 Phone: (435) 251-2250 Phone: (435) 251-1000 UT Healthy Kids Plus Phone: (435) 251-2250 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Humphrey, Kerryann OT C Johnson, Benjamin John PT C Hafen, L Brent LGC C DRMC Rehab Services Dumitru, Samantha PT C Advanced Physical Therapy Intermountain Dixie Maternal 652 S Medical Center Dr, #LL10 DRMC Rehab Services 1490 E Foremaster Dr, #110 Fetal Medicine St George, UT 84790 652 S Medical Center Dr, #LL10 St George, UT 84790 544 S 400 E Phone: (435) 251-2250 St George, UT 84790 Phone: (435) 652-4455 St George, UT 84770 UT Healthy Kids Plus Phone: (435) 251-2250 Languages Spoken: Spanish Phone: (435) 688-4770 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Moe, Lorraine G OT C DRMC Rehab Services Esplin, Dave C PT C Johnson, Benjamin John PT C Hulinsky, Rebecca Becky S LGC C 652 S Medical Center Dr, #LL10 DRMC Rehab Services Advanced Physical Therapy Intermountain Dixie Maternal St George, UT 84790 652 S Medical Center Dr, #LL10 484 N Mall Dr Fetal Medicine Phone: (435) 251-2250 St George, UT 84790 St George, UT 84790 544 S 400 E UT Healthy Kids Plus Phone: (435) 251-2250 Phone: (435) 652-6657 St George, UT 84770 UT Healthy Kids Plus Languages Spoken: Spanish Phone: (435) 688-4770 Munson, Scott S OT C UT Healthy Kids Plus UT Healthy Kids Plus DRMC Rehab Services Ettinger, Michael Locke PT C 652 S Medical Center Dr, #LL10 DRMC Rehab Services Johnson, Richard J PT C Occupational St George, UT 84790 652 S Medical Center Dr, #LL10 Advanced Physical Therapy Phone: (435) 251-2250 St George, UT 84790 1490 E Foremaster Dr, #110 Therapy UT Healthy Kids Plus Phone: (435) 251-2250 St George, UT 84790 Boomer, Lois OT D UT Healthy Kids Plus Phone: (435) 652-4455 Munson, Scott S OT C UT Healthy Kids Plus Children with Special Healthcare Intermountain Hurricane Valley Farrer, Rhett Paul PT C Needs Clinic DRMC Rehab Services Johnson, Richard J PT C 620 S 400 E, #400 75 N 2260 W 652 S Medical Center Dr, #LL10 Advanced Physical Therapy St George, UT 84770 Hurricane, UT 84737 St George, UT 84790 484 N Mall Dr Phone: (435) 986-2559 Phone: (435) 635-6480 Phone: (435) 251-2250 St George, UT 84790 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 652-6657 UT Healthy Kids Plus Christensen, Quinn H OT C Farrer, Rhett Paul PT C Mountain Land Outpatient Physical Therapy Summit Physical Therapy Johnson, Richard J PT C Services Beck, Virgil C PT C 1532 E 1450 S Advanced Physical Therapy 754 S Main St, #4 DRMC Rehab Services St George, UT 84790 545 W State St, #3 St George, UT 84770 652 S Medical Center Dr, #LL10 Phone: (435) 251-4545 Hurricane, UT 84737 Phone: (435) 673-0191 St George, UT 84790 UT Healthy Kids Plus Phone: (435) 635-7994 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 251-2250 Gillespie, Daniel Scott PT C Christensen, Quinn H OT C UT Healthy Kids Plus DRMC Rehab Services Jorgensen, Colbie J PT C Mountain Land Rehabilitation Bennett, Steven Clark PT C 652 S Medical Center Dr, #LL10 Advanced Physical Therapy 324 N 1680 E Mountain Land Outpatient St George, UT 84790 1490 E Foremaster Dr, #110 St George, UT 84790 Services Phone: (435) 251-2250 St George, UT 84790 Phone: (435) 674-1269 754 S Main St, #4 UT Healthy Kids Plus Phone: (435) 652-4455 UT Healthy Kids Plus UT Healthy Kids Plus St George, UT 84770 Gubler, Troy Cal PT C Dower, Kimber Lee OT C Phone: (435) 673-0191 Gubler’s Physical Therapy Jorgensen, Colbie J PT C Riverside Rehab UT Healthy Kids Plus 68 S 700 W Advanced Physical Therapy 1449 N 1400 W, #21 Bennett, Steven Clark PT C Hurricane, UT 84737 484 N Mall Dr St George, UT 84770 Mountain Land Rehabilitation Phone: (435) 635-9333 St George, UT 84790 Phone: (435) 632-3423 324 N 1680 E UT Healthy Kids Plus Phone: (435) 652-6657 UT Healthy Kids Plus St George, UT 84790 UT Healthy Kids Plus Phone: (435) 674-1269 UT Healthy Kids Plus

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 Washington WAncillary Providers eber Jorgensen, Colbie J PT C Sparks, Jonathan L PT C Hunt, Roxanne B SLP D Advanced Physical Therapy DRMC Rehab Services Children with Special Healthcare Weber County 545 W State St, #3 652 S Medical Center Dr, #LL10 Needs Hurricane, UT 84737 St George, UT 84790 620 S 400 E, #400 Phone: (435) 635-7994 Phone: (435) 251-2250 St George, UT 84770 Audiology UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 986-2559 Bennett, Carolyn Sydnee CCC-A UT Healthy Kids Plus McCausland, William Luke PT C Terry, Kirk L PT C C Dixie Regional Medical Center Mountain Land Rehabilitation Jones, Jessica Laura SLP C Hearing Zone 652 S Medical Center Dr 1404 W Sun River Pkwy, #100 Riverside Rehab 3651 Wall Ave, #1127 St George, UT 84130 St George, UT 84790 1449 N 1400 W, #21 Ogden, UT 84405 Phone: (435) 251-2250 Phone: (435) 767-9094 St George, UT 84770 Phone: (801) 612-0202 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 632-3423 UT Healthy Kids UT Healthy Kids Plus Meek, Michael B PT C Terry, Kirk L PT C Boman, Tel S CCC-A C DRMC Rehab Services Mountain Land Rehabilitation Nelson, Breanna R SLP C Ogden Speech & Hearing Center 652 S Medical Center Dr, #LL10 736 S 900 E, #B101 DRMC Rehab Services 978 E Chambers St, #1 St George, UT 84790 St George, UT 84790 652 S Medical Center Dr, #LL10 Ogden, UT 84403 Phone: (435) 251-2250 Phone: (435) 673-2781 St George, UT 84790 Phone: (801) 399-5601 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 251-2250 UT Healthy Kids UT Healthy Kids Plus Mendenhall, Ronnie L PT C Tomlinson, Stephan Jason PT C Braunberger, Kerry CCC-A C Mountain Land Rehabilitation Sunset Physical Therapy Peters, Jane M SLP C Ear Technology 754 S Main St, #4 1812 W Sunset Blvd, #17 DRMC Rehab Services 3955 Harrison Blvd, #U7 St George, UT 84770 St George, UT 84770 652 S Medical Center Dr, #LL10 Ogden, UT 84403 Phone: (435) 673-0191 Phone: (435) 652-9188 St George, UT 84790 Phone: (801) 339-9955 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 251-2250 UT Healthy Kids UT Healthy Kids Plus Mendenhall, Troy Lynn PT C Tomlinson, Stephen Jason PT C Brewer, Laurel CCC-A D DRMC Rehab Services Southern Utah Physical Therapy Werrett, Amy C SLP C Ogden Clinic - Harrison Blvd 652 S Medical Center Dr, #LL10 1490 E Foremaster Dr, #260 DRMC Rehab Services 4650 Harrison Blvd St George, UT 84790 St George, UT 84790 652 S Medical Center Dr, #LL10 Ogden, UT 84403 Phone: (435) 251-2250 Phone: (435) 652-9188 St George, UT 84790 Phone: (801) 479-4621 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (435) 251-2250 UT Healthy Kids UT Healthy Kids Plus Mills, Mark A PT C Webb, Adam Boyd PT C Christensen, Lisa K CCC-A C DRMC Rehab Services Mountain Land Outpatient Woodside, Melissa J SLP C Audiology Professionals 652 S Medical Center Dr, #LL10 Services DRMC Rehab Services 3955 Harrison Blvd, #U7 St George, UT 84790 575 S 200 E, #2 652 S Medical Center Dr, #LL10 Ogden, UT 84403 Phone: (435) 251-2250 Ivins, UT 84738 St George, UT 84790 Phone: (801) 394-4399 UT Healthy Kids Plus Phone: (435) 673-0191 Phone: (435) 251-2250 Languages Spoken: Spanish UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Ogilvie, Paul Mark PT C DRMC Rehab Services Webb, Adam Boyd PT C Harward, Richard S CCC-A D 652 S Medical Center Dr, #LL10 Mountain Land Rehabilitation Wayne County Children with Special Healthcare St George, UT 84790 324 N 1680 E Needs Phone: (435) 251-2250 St George, UT 84790 2540 Washington Blvd UT Healthy Kids Plus Phone: (435) 674-1269 Physical Therapy Ogden, UT 84401 UT Healthy Kids Plus Phone: (801) 626-3645 Reynolds, Joshua L PT C Howe, Joseph E PT C UT Healthy Kids DRMC Rehab Services Webb, Adam Boyd PT C Therapy West 652 S Medical Center Dr, #LL10 Mountain Land Rehabilitation 128 S 300 W Harward, Richard S CCC-A D St George, UT 84790 575 S 200 E, #2 Bicknell, UT 84715 Children with Special Healthcare Phone: (435) 251-2250 Ivins, UT 84738 Phone: (435) 425-3744 Needs UT Healthy Kids Plus Phone: (435) 674-1269 UT Healthy Kids Plus 5475 S 500 E UT Healthy Kids Plus Ogden, UT 84405 Rolfe, Jack Wynn PT C Overly, Dallas Clayton PT C Phone: (801) 479-2541 Mountain Land Rehabilitation Speech-Language Therapy West UT Healthy Kids 324 N 1680 E 128 S 300 W St George, UT 84790 Pathology Bicknell, UT 84715 Harward, Stephen B CCC-A C Phone: (435) 674-1269 Phone: (435) 425-3744 Ogden Audiology Services UT Healthy Kids Plus Boggs, Elizabeth A SLP C UT Healthy Kids Plus 425 E 5350 S, #120 DRMC Rehab Services Ogden, UT 84405 Schiwal, Lacy J PT C 652 S Medical Center Dr, #LL10 Phone: (801) 479-3346 DRMC Rehab Services St George, UT 84790 UT Healthy Kids 652 S Medical Center Dr, #LL10 Phone: (435) 251-2250 St George, UT 84790 UT Healthy Kids Plus Mollerup, Jennie Lynn CCC-A C Phone: (435) 251-2250 Hearing Zone UT Healthy Kids Plus Downs, Lindsay SLP C 3651 Wall Ave, #1127 652 S Medical Center Dr, #LL Ogden, UT 84405 St George, UT 84790 Phone: (801) 612-0202 Phone: (435) 251-2250 UT Healthy Kids UT Healthy Kids Plus

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. 160 Weber WAncillary Providers eber Randall, Kurt Dale CCC-A C Occupational Gold, Nephi A OT D Bouck, Julie A PT C Child and Family Eye Care Center Ogden Clinic - Washington Blvd PCMC Rehab Ogden 2540 Washington Blvd Therapy 4350 Washington Blvd 2955 Harrison Blvd, #101 Ogden, UT 84401 Boomer, Lois OT D Ogden, UT 84403 Ogden, UT 84403 Phone: (801) 626-3645 Children with Special Healthcare Phone: (801) 475-3300 Phone: (801) 395-2634 UT Healthy Kids Needs UT Healthy Kids UT Healthy Kids Turgoose, Aaron Craig CCC-A C 2540 Washington Blvd Lister, Camille Hulet OT C Colledge, Kenneth Paul PT C Hearing Zone Ogden, UT 84401 Wasatch Therapy Fit Quest Therapy 3651 Wall Ave, #1127 Phone: (801) 626-3645 5349 S Adams Ave, #A 1885 E Skyline Dr Ogden, UT 84405 UT Healthy Kids Ogden, UT 84405 Ogden, UT 84403 Phone: (801) 612-0202 Boomer, Lois OT D Phone: (801) 479-9865 Phone: (801) 476-4141 UT Healthy Kids Children with Special Healthcare UT Healthy Kids UT Healthy Kids Weber, Larry Dwayne CCC-A C Needs Lyman, Marilyn Kay OT C Colledge, Kenneth Paul PT C Weber Audiology & Hearing Aids 5475 S 500 E Wasatch Therapy Fit Quest Therapy 2510 Washington Blvd, #100 Ogden, UT 84405 5349 S Adams Ave, #A 2120 N 400 E Ogden, UT 84401 Phone: (801) 479-2541 Ogden, UT 84405 North Ogden, UT 84414 Phone: (801) 627-3001 UT Healthy Kids Phone: (801) 479-9865 Phone: (801) 782-3500 UT Healthy Kids Gold, Nephi A OT D UT Healthy Kids UT Healthy Kids Ogden Clinic - Canyon View Maughan, Lori A OT C Colledge, Kenneth Paul PT C Chiropractor 1159 E 12th St PCMC Rehab Ogden Fit Quest Therapy Casey, Alan C DC D Ogden, UT 84404 2955 Harrison Blvd, #101 4607 S 3500 W Casey Family Chiropractic Phone: (801) 475-3700 Ogden, UT 84403 Roy, UT 84401 903 Washington Blvd UT Healthy Kids Phone: (801) 395-2634 Phone: (801) 732-8700 Ogden, UT 84404 Gold, Nephi A OT D UT Healthy Kids UT Healthy Kids Phone: (801) 782-1430 Ogden Clinic - Harrison Blvd Oversteg, Mona D OT C Cresswell, Ashlee Dawn PT C UT Healthy Kids 4650 Harrison Blvd 1771 Doxey St Wasatch Therapy Doxey, Gregory D DC C Ogden, UT 84403 Ogden, UT 84403 5349 S Adams Ave, #A Doxey Chiropractic Phone: (801) 475-3000 Phone: (801) 564-8330 Ogden, UT 84405 690 12th St UT Healthy Kids UT Healthy Kids Phone: (801) 479-9865 UT Healthy Kids Ogden, UT 84404 Gold, Nephi A OT D Robinson, Tera C OT C Phone: (801) 399-9805 Ogden Clinic - Mountain View PCMC Rehab Ogden Duft, Sherri PT C UT Healthy Kids 1100 W 2700 N 2955 Harrison Blvd, #101 Sundance Physical Therapy Doxey, Thomas T DC C Ogden, UT 84414 Ogden, UT 84403 2701 University Cir Doxey Family Chiropractic Phone: (801) 475-3600 Phone: (801) 395-2634 Ogden, UT 84408 876 E 12th St UT Healthy Kids UT Healthy Kids Phone: (801) 626-7712 UT Healthy Kids Ogden, UT 84404 Gold, Nephi A OT D Stanley, Sherman D OT D Phone: (801) 399-9802 Ogden Clinic - Physical Therapy Wasatch Therapy Duft, Sherri PT C UT Healthy Kids 4700 Harrison Blvd 5349 S Adams Ave, #A Sundance Physical Therapy Farr Roberts, Kevin DC C Ogden, UT 84403 Ogden, UT 84405 West Roberts Chiropractic Center Phone: (801) 475-3000 Phone: (801) 479-9865 2850 N 2000 W, #204 924 24th St, #2 UT Healthy Kids UT Healthy Kids Ogden, UT 84404 Ogden, UT 84401 Gold, Nephi A OT D Phone: (801) 731-5421 Phone: (801) 621-1740 Ogden Clinic - Physical Therapy 2 Physical Therapy UT Healthy Kids UT Healthy Kids 1186 E 4600 S, #320 Anderson, Mary Ann O PT C Felt, James G PT C Skaggs, Daniel Scott DC C Ogden, UT 84403 PCMC Rehab Ogden Felt Mountain Land Skaggs Chiropractice Phone: (801) 475-3870 2955 Harrison Blvd, #101 5734 S 1475 E 2721 N Hwy 89, #100 UT Healthy Kids Ogden, UT 84403 Ogden, UT 84403 Pleasant View, UT 84404 Gold, Nephi A OT D Phone: (801) 395-2634 Phone: (801) 475-7628 Phone: (801) 782-4454 Ogden Clinic - Roy UT Healthy Kids UT Healthy Kids UT Healthy Kids 3485 W 5200 S Askins, Sally M PT C Frinkman, Pamela L PT C Wheeler, Jeffrey Paul DC C Roy, UT 84067 Wasatch Therapy Sundance Physical Therapy 2483 Harrison Blvd Phone: (801) 475-3000 5349 S Adams Ave, #A 2701 University Cir Ogden, UT 84401 UT Healthy Kids Ogden, UT 84405 Ogden, UT 84408 Phone: (801) 392-2612 Gold, Nephi A OT D Phone: (801) 479-9865 Phone: (801) 626-7712 UT Healthy Kids Ogden Clinic - Skyline UT Healthy Kids UT Healthy Kids Wooden, Wesley DC C 6112 S 1550 E Black, Robert Grant PT C Frinkman, Pamela L PT C Healthsource Chiropractic of Ogden, UT 84405 Wasatch Therapy Sundance Physical Therapy Farr South Ogden Phone: (801) 475-3800 5349 S Adams Ave, #A West 5974 S Fashion Point Dr, #110 UT Healthy Kids Ogden, UT 84405 2850 N 2000 W, #204 Ogden, UT 84403 Phone: (801) 479-9865 Ogden, UT 84404 Phone: (801) 621-1667 Languages Spoken: Danish Phone: (801) 731-5421 UT Healthy Kids UT Healthy Kids UT Healthy Kids

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. 161 Weber WAncillary Providers eber Gilbert, Dennis Tracy PT C Henderson, Trent C PT C Lane, Steve Patrick PT D Rhodes, Jonathan P PT D Fit Quest Therapy Performance West Physical Ogden Clinic - Washington Blvd Ogden Clinic - Washington Blvd 4607 S 3500 W Therapy 4350 Washington Blvd 4350 Washington Blvd Roy, UT 84067 4920 E 2550 N, #C Ogden, UT 84403 Ogden, UT 84403 Phone: (801) 732-8700 Eden, UT 84310 Phone: (801) 475-3300 Phone: (801) 475-3300 UT Healthy Kids Phone: (801) 745-3200 UT Healthy Kids UT Healthy Kids UT Healthy Kids Goff, Nathan Smith PT D McGeorge, Gillian Margeau PT C Smith, Michael C PT C Ogden Clinic - Canyon View Johnson, Nylin J PT C Mountain Land Rehabilitation Fit Quest Therapy 1159 E 12th St Mountain Land Rehabilitation 698 E 12th St, #300 1885 E Skyline Dr Ogden, UT 84404 698 E 12th St Ogden, UT 84404 Ogden, UT 84403 Phone: (801) 475-3700 Ogden, UT 84404 Phone: (801) 782-0300 Phone: (801) 476-4141 UT Healthy Kids Phone: (801) 782-0300 UT Healthy Kids Languages Spoken: Spanish UT Healthy Kids UT Healthy Kids Goff, Nathan Smith PT D Reid, Kim Wayne PT C Ogden Clinic - Harrison Blvd Jolley, Curtis Brian PT C Performance West Physical Smith, Michael C PT C 4650 Harrison Blvd Performance West Physical Therapy Fit Quest Therapy Ogden, UT 84403 Therapy 4920 E 2550 N, #C 2120 N 400 E Phone: (801) 475-3000 4920 E 2550 N, #C Eden, UT 84310 North Ogden, UT 84414 UT Healthy Kids Eden, UT 84310 Phone: (801) 745-3200 Phone: (801) 782-3500 Phone: (801) 745-3200 UT Healthy Kids Languages Spoken: Spanish Goff, Nathan Smith PT D UT Healthy Kids UT Healthy Kids Ogden Clinic - Mountain View Rhodes, Jonathan P PT D 1100 W 2700 N Lane, Steve Patrick PT D Ogden Clinic - Canyon View Smith, Michael C PT C Ogden, UT 84414 Ogden Clinic - Canyon View 1159 E 12th St Fit Quest Therapy Phone: (801) 475-3600 1159 E 12th St Ogden, UT 84404 4607 S 3500 W UT Healthy Kids Ogden, UT 84404 Phone: (801) 475-3700 Roy, UT 84401 Phone: (801) 475-3700 UT Healthy Kids Phone: (801) 732-8700 Goff, Nathan Smith PT D UT Healthy Kids Languages Spoken: Spanish Ogden Clinic - Physical Therapy Rhodes, Jonathan P PT D UT Healthy Kids 4700 Harrison Blvd Lane, Steve Patrick PT D Ogden Clinic - Harrison Blvd Ogden, UT 84403 Ogden Clinic - Harrison Blvd 4650 Harrison Blvd Sniteman, Clay Stephen PT C Phone: (801) 475-3000 4650 Harrison Blvd Ogden, UT 84403 Sundance Physical Therapy UT Healthy Kids Ogden, UT 84403 Phone: (801) 479-4621 2701 University Cir Phone: (801) 475-3000 UT Healthy Kids Ogden, UT 84408 Goff, Nathan Smith PT D UT Healthy Kids Phone: (801) 626-7712 Ogden Clinic - Physical Therapy 2 Rhodes, Jonathan P PT D UT Healthy Kids 1186 E 4600 S, #320 Lane, Steve Patrick PT D Ogden Clinic - Mountain View Ogden, UT 84403 Ogden Clinic - Mountain View 1100 W 2700 N Sniteman, Clay Stephen PT C Phone: (801) 475-3870 1100 W 2700 N Ogden, UT 84414 Sundance Physical Therapy Farr UT Healthy Kids Ogden, UT 84414 Phone: (801) 475-3600 West Phone: (801) 475-3600 UT Healthy Kids 2850 N 2000 W, #204 Goff, Nathan Smith PT D UT Healthy Kids Ogden, UT 84404 Ogden Clinic - Roy Rhodes, Jonathan P PT D Phone: (801) 731-5421 3485 W 5200 S Lane, Steve Patrick PT D Ogden Clinic - Physical Therapy UT Healthy Kids Roy, UT 84067 Ogden Clinic - Physical Therapy 4700 Harrison Blvd Phone: (801) 475-3000 4700 Harrison Blvd Ogden, UT 84403 Spencer, Stephen R PT C UT Healthy Kids Ogden, UT 84403 Phone: (801) 475-3000 Felt Mountain Land Phone: (801) 475-7010 UT Healthy Kids 5734 S 1475 E Goff, Nathan Smith PT D UT Healthy Kids Ogden, UT 84403 Ogden Clinic - Skyline Rhodes, Jonathan P PT D Phone: (801) 475-7628 6112 S 1550 E Lane, Steve Patrick PT D Ogden Clinic - Physical Therapy 2 Languages Spoken: Korean Ogden, UT 84405 Ogden Clinic - Physical Therapy 2 1186 E 4600 S, #320 UT Healthy Kids Phone: (801) 475-3800 1186 E 4600 S, #320 Ogden, UT 84403 UT Healthy Kids Ogden, UT 84403 Phone: (801) 475-3870 Stokes, Corbin J PT C Phone: (801) 475-3870 UT Healthy Kids North View Physical Therapy and Goff, Nathan Smith PT D UT Healthy Kids Industrial Care Ogden Clinic - Washington Blvd Rhodes, Jonathan P PT D 349 12th St 4350 Washington Blvd Lane, Steve Patrick PT D Ogden Clinic - Roy Ogden, UT 84404 Ogden, UT 84403 Ogden Clinic - Roy 3485 W 5200 S Phone: (801) 393-0900 Phone: (801) 475-3300 3485 W 5200 S Roy, UT 84067 Languages Spoken: Spanish UT Healthy Kids Roy, UT 84067 Phone: (801) 475-3000 UT Healthy Kids Phone: (801) 475-3000 UT Healthy Kids Hall, John PT C UT Healthy Kids Webb, Brent A PT C North View Physical Therapy and Rhodes, Jonathan P PT D Horizon Balance & Dizzines Industrial Care Lane, Steve Patrick PT D Ogden Clinic - Skyline Center 349 12th St Ogden Clinic - Skyline 6112 S 1550 E 1452 E Ridgeline Dr, #51 Ogden, UT 84404 6112 S 1550 E Ogden, UT 84405 Ogden, UT 84405 Phone: (801) 393-0900 Ogden, UT 84405 Phone: (801) 475-3800 Phone: (801) 479-5777 UT Healthy Kids Phone: (801) 475-3800 UT Healthy Kids UT Healthy Kids UT Healthy Kids

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. 162 Weber WAncillary Providers eber Webb, Ryan Scott PT C Wood, Dorian M PT D Speech-Language Hunt, Roxanne B SLP D Wasatch Therapy Ogden Clinic - Roy Children with Special Healthcare 1957 W 5700 S 3485 W 5200 S Pathology Needs Roy, UT 84067 Roy, UT 84067 Gunnell, Trent K SLP C 2540 Washington Blvd Phone: (801) 774-8600 Phone: (801) 475-3000 PCMC Rehab Ogden Ogden, UT 84401 UT Healthy Kids UT Healthy Kids 2955 Harrison Blvd, #101 Phone: (801) 626-3645 UT Healthy Kids Wood, Dorian M PT D Wood, Dorian M PT D Ogden, UT 84403 Ogden Clinic - Canyon View Ogden Clinic - Skyline Phone: (801) 395-2634 Nakasone, Shelley SLP C 1159 E 12th St 6112 S 1550 E UT Healthy Kids PCMC Rehab Ogden Ogden, UT 84404 Ogden, UT 84405 Gunnell, Trent K SLP C 2955 Harrison Blvd, #101 Phone: (801) 475-3700 Phone: (801) 475-3800 PCMC Rehab Ogden Ogden, UT 84403 UT Healthy Kids UT Healthy Kids 3903 Harrison Blvd, #400 Phone: (801) 395-2634 UT Healthy Kids Wood, Dorian M PT D Wood, Dorian M PT D Ogden, UT 84403 Ogden Clinic - Harrison Blvd Ogden Clinic - Washington Blvd Phone: (801) 387-2080 Nakasone, Shelley SLP C 4650 Harrison Blvd 4350 Washington Blvd UT Healthy Kids PCMC Rehab Ogden Ogden, UT 84403 Ogden, UT 84403 Hanson, Hugh Jalmer SLP C 3903 Harrison Blvd, #400 Phone: (801) 475-3000 Phone: (801) 475-3300 Ogden Speech & Hearing Center Ogden, UT 84403 UT Healthy Kids UT Healthy Kids 978 E Chambers St, #1 Phone: (801) 387-2080 UT Healthy Kids Wood, Dorian M PT D Zundel, Monte R PT C Ogden, UT 84403 Ogden Clinic - Mountain View Fit Quest Therapy Phone: (801) 399-5601 Neider, Tristan SLP C 1100 W 2700 N 2120 N 400 E Languages Spoken: Spanish Ogden Speech & Hearing Center Ogden, UT 84414 North Ogden, UT 84414 UT Healthy Kids 978 E Chambers St, #1 Phone: (801) 475-3600 Phone: (801) 782-3500 Howe, Marilyn K SLP D Ogden, UT 84403 UT Healthy Kids UT Healthy Kids Children with Special Healthcare Phone: (801) 399-5601 UT Healthy Kids Wood, Dorian M PT D Zundel, Monte R PT C Needs Ogden Clinic - Physical Therapy Fit Quest Therapy 2540 Washington Blvd Plumley, Mark Raymond SLP C 4700 Harrison Blvd 4607 S 3500 W Ogden, UT 84401 Hearing Zone Ogden, UT 84403 Roy, UT 84401 Phone: (801) 626-3645 3651 Wall Ave, #1127 Phone: (801) 475-7010 Phone: (801) 732-8700 UT Healthy Kids Ogden, UT 84405 UT Healthy Kids UT Healthy Kids Howe, Marilyn K SLP C Phone: (801) 612-0202 UT Healthy Kids Wood, Dorian M PT D Hearing Zone Ogden Clinic - Physical Therapy 2 3651 Wall Ave, #1127 1186 E 4600 S, #320 Ogden, UT 84405 Ogden, UT 84403 Phone: (801) 612-0202 Phone: (801) 475-3870 UT Healthy Kids UT Healthy Kids

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. 163 Beaver Hospitals Salt Lake Beaver County Carbon County Duchesne County Kane County General Acute Care General Acute Care General Acute Care General Acute Care Hospital Hospital Hospital Hospital Beaver Valley Hospital Castleview Hospital Uintah Basin Medical Center Kane County Hospital 1109 N 100 W 300 Hospital Dr 250 W 300 N 75-2 355 N Main St Beaver, UT 84713 Price, UT 84501 Roosevelt, UT 84066 Kanab, UT 84741 Phone: (435) 438-7100 Phone: (435) 637-4800 Phone: (435) 722-4691 Phone: (435) 644-4100 UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Milford Valley Memorial Hospital 451 N Main St Cassia County Garfield County Millard County Milford, UT 84751 Phone: (435) 387-2411 UT Healthy Kids and General Acute Care General Acute Care General Acute Care UT Healthy Kids Plus Hospital Hospital Hospital Cassia Regional Medical Center Garfield Memorial Hospital & Delta Community Medical Center Box Elder County 1501 Hiland Ave Clinic 126 White Sage Ave Burley, ID 83318 200 N 400 E Delta, UT 84624 Phone: (208) 677-6060 Panguitch, UT 84759 Phone: (435) 864-5591 General Acute Care UT Healthy Kids and Phone: (435) 676-8811 UT Healthy Kids and Hospital UT Healthy Kids Plus UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus Bear River Hospital Fillmore Community Medical 905 N 1000 W Davis County Center Tremonton, UT 84337 Grand County 674 S Highway 99 Phone: (435) 207-4500 Fillmore, UT 84631 UT Healthy Kids and Chronic Disease Phone: (435) 743-5591 UT Healthy Kids Plus Hospital General Acute Care UT Healthy Kids and Hospital UT Healthy Kids Plus Brigham City Community South Davis Community Hospital Hospital Moab Regional Hospital 950 S Medical Dr 401 S 400 E 450 W Williams Way Salt Lake County Brigham City, UT 84302 Bountiful, UT 84010 Moab, UT 84532 Phone: (435) 734-9471 Phone: (801) 295-2361 Phone: 4357193500 UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and General Acute Care UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Hospital General Acute Care Jordan Valley Medical Center Cache County Iron County 3580 W 9000 S Hospital West Jordan , UT 84088 Phone: (801) 561-8888 General Acute Care Davis Hospital & Medical Center General Acute Care UT Healthy Kids and 1600 W Antelope Dr UT Healthy Kids Plus Hospital Layton, UT 84041 Hospital Cache Valley Specialty Hospital Phone: (801) 807-1000 Valley View Medical Center LDS Hospital 2380 N 400 E UT Healthy Kids and 1303 N Main St 8th Ave & C St Logan, UT 84341 UT Healthy Kids Plus Cedar City, UT 84720 Salt Lake City , UT 84143 Phone: (801) 408-1100 Phone: (435) 713-9700 Lakeview Hospital Phone: (435) 868-5000 UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and 630 E Medical Dr UT Healthy Kids Plus UT Healthy Kids Plus Bountiful, UT 84010 UT Healthy Kids Plus Logan Regional Hospital Phone: (801) 292-6231 Pioneer Valley Hospital Campus 1400 N 500 E UT Healthy Kids and Juab County JVMC Logan, UT 84341 UT Healthy Kids Plus 3460 S Pioneer Pkwy Phone: (435) 716-1000 West Valley City, UT 84120 UT Healthy Kids and Rehabilitation Unit General Acute Care Phone: (801) 964-3100 UT Healthy Kids Plus UT Healthy Kids and Davis Hospital & Medical Center Hospital UT Healthy Kids Plus 1600 W Antelope Dr Central Valley Medical Center Layton, UT 84041 48 W 1500 N Primary Children’s Medical Phone: (801) 807-1000 Nephi, UT 84648 Center UT Healthy Kids and Phone: (435) 623-3000 100 N Mario Capecchi Dr UT Healthy Kids Plus Salt Lake City , UT 84132 UT Healthy Kids and Phone: (801) 588-2000 UT Healthy Kids Plus UT Healthy Kids and UT Healthy Kids Plus

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 Salt Lake Hospitals Weber Salt Lake Regional Medical Center San Juan County Tooele County Wasatch County 1050 E South Temple Salt Lake City , UT 84102 Phone: (801) 350-4111 General Acute Care General Acute Care General Acute Care UT Healthy Kids and Hospital Hospital Hospital UT Healthy Kids Plus Blue Mountain Hospital Mountain West Medical Center Heber Valley Medical Center St Mark’s Hospital 802 S 200 W 2055 N Main St 1485 S Highway 40 1200 E 3900 S Blanding, UT 84511 Tooele, UT 84074 Heber City, UT 84032 Salt Lake City , UT 84124 Phone: (435) 678-3993 Phone: (435) 843-3600 Phone: (435) 654-2500 Phone: (801) 268-7111 UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus San Juan Hospital University of Utah Hospital 380 W 100 N Uintah County Washington County 50 N Medical Dr Monticello, UT 84535 Salt Lake City , UT 84132 Phone: (435) 587-2116 Phone: (801) 581-2121 UT Healthy Kids and General Acute Care General Acute Care UT Healthy Kids and UT Healthy Kids Plus Hospital Hospital UT Healthy Kids Plus Ashley Valley Medical Center Dixie Regional Medical Center Psychiatric Unit Sanpete County 151 W 200 N 1380 E Medical Center Dr Vernal, UT 84078 St George, UT 84790 LDS Hospital Phone: (435) 789-3342 Phone: (435) 251-1000 8th Ave & C St General Acute Care UT Healthy Kids Plus UT Healthy Kids and Salt Lake City, UT 84143 Hospital UT Healthy Kids Plus Phone: (801) 408-1100 UT Healthy Kids Gunnison Valley Hospital Utah County Dixie Regional Medical Center 64 E 100 N 544 S 400 E Rehabilitation Gunnison, UT 84634 St George, UT 84770 Phone: (435) 528-7752 General Acute Care Phone: (435) 251-1000 Hospital UT Healthy Kids and Hospital UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus Healthsouth Rehab Hospital of Mountain View Hospital Utah Sanpete Valley Hospital 1000 E 100 N Psychiatric Unit 8074 S 1300 E 1100 S Medical Dr Payson, UT 84651 Sandy, UT 84093 Mount Pleasant, UT 84647 Phone: (801) 465-7000 Dixie Regional Medical Center Phone: (801) 561-3400 Phone: (435) 462-2441 UT Healthy Kids and 1380 E Medical Center Dr UT Healthy Kids UT Healthy Kids and UT Healthy Kids Plus St George, UT 84790 UT Healthy Kids Plus Phone: (435) 251-1000 Rehabilitation Unit Timpanogos Regional Hospital UT Healthy Kids Plus 750 W 800 N Pioneer Valley Hospital Campus Sevier County Orem, UT 84057 JVMC Phone: (801) 714-6000 Rehabilitation Unit 3460 S Pioneer Pkwy General Acute Care UT Healthy Kids and Dixie Regional Medical Center West Valley City, UT 84120 UT Healthy Kids Plus 1380 E Medical Center Dr Phone: (801) 964-3100 Hospital Utah Valley Regional Medical St George, UT 84790 UT Healthy Kids and Phone: (435) 251-1000 UT Healthy Kids Plus Sevier Valley Medical Center Center 1000 N Main St 1034 N 500 W UT Healthy Kids Plus SLRMC - Quinney Rehabilitation Richfield, UT 84701 Provo, UT 84604 1050 E South Temple Phone: (435) 896-8271 Phone: (801) 357-7850 Weber County Salt Lake City , UT 84102 UT Healthy Kids and UT Healthy Kids and Phone: (801) 350-4111 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids General Acute Care University of Utah Hospital Summit County Psychiatric Unit Hospital 50 N Medical Dr Utah Valley Regional Medical Salt Lake City , UT 84132 Ogden Regional Medical Center Center 5475 S 500 E Phone: (801) 581-2121 General Acute Care 1034 N 500 W UT Healthy Kids Ogden, UT 84405 Hospital Provo, UT 84604 Phone: (801) 479-2111 Phone: (801) 357-7850 UT Healthy Kids and Park City Medical Center UT Healthy Kids 900 Round Valley Dr UT Healthy Kids Plus Park City, UT 84060 Phone: (435) 638-7000 Rehabilitation Unit UT Healthy Kids and Utah Valley Regional Medical UT Healthy Kids Plus Center 1034 N 500 W Provo, UT 84604 Phone: (801) 357-7850 UT Healthy Kids

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 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 Healthy Kids Plus UT Healthy Kids 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 Healthy Kids Plus Phone: (801) 677-1122 Alpharetta, GA 30005 UT Healthy Kids Phone: (208) 232-6611 Prosthetic/Orthotic Phone: (800) 841-1233 UT Healthy Kids Plus Mountain View Eye Center UT Healthy Kids and Supplier 1580 W Antelope Dr, #175 UT Healthy Kids Plus Layton, UT 84041 Box Elder County Utah Prosthetics & Orthotics Phone: (801) 773-2233 1153 N Main St, #B130 UT Healthy Kids Gwinnett County Logan, UT 84341 Eyewear Supplier Phone: (435) 750-6579 Shopko Optical 4088 (Equipment, not the UT Healthy Kids Plus 1150 N Main St Durable Medical service) Layton, UT 84041 Equipment & Medical Phone: (801) 547-9100 Supplies Shopko Optical 4104 Carbon County UT Healthy Kids 747 S Main St Advanced Diabetic Solutions Brigham City, UT 84302 Durable Medical Shopko Optical 4107 1576 Atkinson Rd Phone: (435) 723-1800 190 S 500 W Lawrenceville, GA 30043 UT Healthy Kids Plus Equipment & Medical West Bountiful, UT 84010 Phone: (770) 339-1190 Supplies Phone: (801) 295-9200 UT Healthy Kids and UT Healthy Kids UT Healthy Kids Plus Cache County Apria Healthcare - Price 60 S 700 E, #1 Standard Optical Price, UT 84501 1076 Layton Hills Mall Hamilton County Durable Medical Phone: (435) 637-9500 Layton, UT 84041 Equipment & Medical Phone: (801) 546-0255 UT Healthy Kids Plus UT Healthy Kids Durable Medical Supplies Standard Optical Equipment & Medical Alpine Home Medical Equipment Davis County 140 W 500 S Supplies 60 W 1725 N Bountiful, UT 84010 Logan, UT 84341 Durable Medical Phone: (801) 292-0479 National Seating & Mobility Phone: (435) 774-4500 UT Healthy Kids 5959 Shallowford Rd, #443 UT Healthy Kids Plus Equipment & Medical Chattanooga, TN 37421 Supplies Wasatch Eye & Optical Phone: (615) 595-1115 Apria Healthcare - Logan 1747 S Heritage ln, #A2 UT Healthy Kids and 165 E 1400 N, #D Amara Home Medical Syracuse, UT 84075 UT Healthy Kids Plus Logan, UT 84341 1367 Fairway Cir Phone: (801) 774-8707 Phone: (435) 752-2100 Farmington, UT 84025 UT Healthy Kids UT Healthy Kids Plus Phone: (801) 447-9059 Iron County Rocky Mountain Artificial Limb UT Healthy Kids Prosthetic/Orthotic 1515 N 400 E Apria Healthcare - Layton Supplier Durable Medical Logan, UT 84341 2864 N Fairfield Rd, #130-140 Equipment & Medical Phone: (435) 753-5100 Layton, UT 84041 Priority Footwear & Pedorthic UT Healthy Kids Plus Phone: (801) 771-1102 Svcs Supplies UT Healthy Kids 45 N Main St Eyewear Supplier Bountiful, UT 84010 Apria Healthcare - Cedar City Medsource Phone: (801) 688-5787 987 N Main St, #5 (Equipment, not the 3075 N Fairfield Rd, #A UT Healthy Kids Cedar City, UT 84721 service) Layton, UT 84041 Phone: (435) 586-0379 Phone: (801) 771-3939 UT Healthy Kids Plus Baldwin Optical UT Healthy Kids Duchesne County 1097 N Main St Parowan Drug & Gift Logan, UT 84341 Eyewear Supplier 20 N Main St Phone: (435) 752-6110 Durable Medical Parowan, UT 84761 UT Healthy Kids Plus (Equipment, not the Equipment & Medical Phone: (435) 477-3000 UT Healthy Kids Plus Krystal Vision & Sunwear service) Supplies 550 E 1400 N, #P Bountiful Hearing Center Home Health Equipment & Logan, UT 84341 425 Medical Dr, #200 Supplies Phone: (435) 787-2593 Bountiful, UT 84010 26 W 200 N 78-15 UT Healthy Kids Plus Phone: (801) 295-9644 Roosevelt, UT 84066 UT Healthy Kids Phone: (435) 722-2418 UT Healthy Kids Plus

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 Iron Suppliers Salt Lake Eyewear Supplier Medicor Granger Optical Salt Lake County 2469 E Fort Union Blvd 3725 W 4100 S (Equipment, not the Salt Lake City , UT 84121 West Valley City, UT 84120 service) Phone: (801) 942-5543 Phone: (801) 965-3636 Durable Medical UT Healthy Kids and UT Healthy Kids David R Albrecht Equipment & Medical UT Healthy Kids Plus 70 E 200 N, #2 Jordan Vision Clinic Cedar City, UT 84720 Supplies Medicor 9237 S Redwood Rd, #5A Phone: (435) 586-0316 Advanced Care Home Medical & 3652 E Brighton Point Dr West Jordan , UT 84088 UT Healthy Kids Plus Oxygen Salt Lake City , UT 84121 Phone: (801) 561-2020 6182 S Stratler St Phone: (801) 942-5543 UT Healthy Kids Murray, UT 84107 UT Healthy Kids and Kane County UT Healthy Kids Plus Modern Optical Company Phone: (801) 262-2210 4568 S Highland Dr, #160 UT Healthy Kids Praxair - Rehab Service Center Salt Lake City, UT 84117 Durable Medical Alpine Home Medical Equipment 5924 S 350 W Phone: (801) 277-4690 Equipment & Medical 4030 S State St Murray, UT 84107 UT Healthy Kids Murray, UT 84107 Phone: (801) 281-6601 Supplies UT Healthy Kids Mountain Valley Eye Institute Phone: (801) 463-0044 4568 S Highland Dr, #160 Zion Pharmacy UT Healthy Kids Specialized Prosthetic & Orthotic Salt Lake City , UT 84032 14 E Center St Tech Phone: (801) 424-3090 Kanab, UT 84741 Apria Healthcare - Salt Lake City 1555 W 2200 S 5292 S College Dr, #103 UT Healthy Kids Phone: (435) 644-2693 Salt Lake City, UT 84123 UT Healthy Kids Plus West Valley City, UT 84119 Mountain West Eyecare Phone: (801) 972-5353 Phone: (801) 266-7768 UT Healthy Kids 2727 W 3500 S Eyewear Supplier UT Healthy Kids West Valley City, UT 84119 (Equipment, not the Carols Personal Mastectomy Eyewear Supplier Phone: (801) 968-6772 UT Healthy Kids service) Boutique (Equipment, not the 3165 S Main St Progressive Eye Care Kane County Eye Care South Salt Lake, UT 84115 service) 3556 W 9800 S, #104 75 E 100 S, #1 Phone: (801) 483-1262 Abundo Eye Care South Jordan, UT 84095 Kanab, UT 84741 UT Healthy Kids 589 E Ft union Blvd Phone: (801) 676-2020 Phone: (435) 644-5717 Midvale, UT 84047 UT Healthy Kids UT Healthy Kids Plus Center for Prosthetics 148 S 500 E Phone: (801) 255-8500 Redwood Vision Center Salt Lake City , UT 84102 UT Healthy Kids 6705 S Redwood Rd Morris County Phone: (801) 364-0083 Apple Contact Lens Center West Jordan , UT 84084 UT Healthy Kids 10498 S Redwood Rd Phone: (801) 268-0866 Durable Medical Deseret Medical South Jordan, UT 84095 UT Healthy Kids Equipment & Medical 560 W Fine Dr Phone: (801) 302-0800 Regis Optical Salt Lake City, UT 84115 UT Healthy Kids 5770 S 250 E, #410 Supplies Phone: (801) 270-8440 Murray, UT 84107 UT Healthy Kids Apple Contact Lens Center EBI 2282 W 5400 S Phone: (801) 314-4410 100 Interpace Pkwy Diabetes Specialty Center Taylorsville, UT 84118 UT Healthy Kids Parsippany, NJ 7054 3793 S State St Phone: (801) 963-2773 Shopko Optical 4082 Phone: (800) 526-2579 Salt Lake City , UT 84115 UT Healthy Kids 5959 S State St UT Healthy Kids and Phone: (801) 268-9699 Apple Contact Lens Center Murray, UT 84107 UT Healthy Kids Plus UT Healthy Kids 897 E 9400 S Phone: (801) 261-1113 Eye Prosthetics of Utah Sandy, UT 84094 UT Healthy Kids Ramsey County 7400 Union Park Ave, #102 Phone: (801) 561-5124 Shopko Optical 4083 Midvale, UT 84047 UT Healthy Kids 2165 E 9400 S Durable Medical Phone: (801) 942-1600 Audiology Associates of Utah Sandy, UT 84093 UT Healthy Kids and 1377 E 3900 S, #201 Phone: (801) 942-7171 Equipment & Medical UT Healthy Kids Plus Salt Lake City, UT 84124 UT Healthy Kids Supplies Hanger Prosthetics & Orthotics Phone: (801) 272-1232 Shopko Optical 4084 UT Healthy Kids Respiratory Technologies 5292 S College Dr, #103 1553 W 9000 S 2896 Centre Pointe Dr Salt Lake City , UT 84123 Berner Eye Clinic West Jordan, UT 84088 St Paul, MN 55113 Phone: (801) 266-7768 250 E 300 S Phone: (801) 561-7300 UT Healthy Kids and UT Healthy Kids Phone: (651) 379-8999 UT Healthy Kids Plus Salt Lake City , UT 84111 UT Healthy Kids and Phone: (801) 322-0467 Shopko Optical 4085 UT Healthy Kids Plus Kal Medical Supplies UT Healthy Kids 5800 S Redwood Rd 220 E 3900 S, #4 Eye Foundation of Utah Salt Lake city, UT 84123 Murray, UT 84107 201 E 5900 S, #201 Phone: (801) 964-1300 Phone: (801) 266-2795 Murray, UT 84107 UT Healthy Kids UT Healthy Kids Phone: (801) 268-6408 UT Healthy Kids

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 Salt Lake Suppliers Whatcom Shopko Optical 4097 Wasatch Vision Clinic 4850 W 3500 S 849 E 400 S Summit County Uintah County West Valley City, UT 84120 Salt Lake City , UT 84102 Phone: (801) 967-6300 Phone: (801) 328-2020 UT Healthy Kids UT Healthy Kids Durable Medical Durable Medical Equipment & Medical Equipment & Medical Shopko Optical 4110 West Valley Optical 2290 S 1300 E 3485 S 4155 W, #3 Supplies Supplies Salt Lake City, UT 84106 West Valley City, UT 84120 Edgepark Medical Supplies Apria Healthcare - Vernal Phone: (801) 467-8989 Phone: (801) 963-9335 1810 Summit Commerce Park 1218 W Hwy 40 UT Healthy Kids UT Healthy Kids Twinsburg, OH 44087 Vernal, UT 84078 Standard Optical Hearing Aid Phone: (800) 321-0591 Phone: (435) 789-9500 1656 W 9000 S UT Healthy Kids and UT Healthy Kids Plus West Jordan , UT 84088 Equipment UT Healthy Kids Plus

Phone: (801) 255-5454 Galaxy Medical Products UT Healthy Kids House of HearingD Utah County 1588 E 3300 S 1245 S Cleveland Massillon Rd, Standard Optical Salt Lake City, UT 84106 #205 1901 W Parkway Blvd Phone: (801) 485-5534 Akron, OH 44321 Durable Medical West Valley City, UT 84119 UT Healthy Kids Phone: (888) 573-1400 Equipment & Medical Phone: (801) 972-0203 UT Healthy Kids Supplies UT Healthy Kids House of HearingD 8806 S Redwood Rd, #103 Eyewear Supplier Alpine Home Medical Equipment Standard Optical West Jordan, UT 84088 (Equipment, not the 1481 N State St 2190 Highland Dr Phone: (801) 495-4800 Provo, UT 84604 Salt Lake City , UT 84106 UT Healthy Kids service) Phone: (801) 852-0077 Phone: (801) 487-4138 UT Healthy Kids UT Healthy Kids Mountain West Hearing Center Mountain Valley Eye Institute 777 E 4500 S, #110 2700 W Homestad Rd, #30 Apria Healthcare - Lindon Standard Optical Murray, UT 84107 Park City, UT 84098 400 N Geneva Rd, #F 3754 W 5400 S Phone: (801) 268-6497 Phone: (435) 654-3093 Lindon, UT 84042 Kearns, UT 84118 UT Healthy Kids UT Healthy Kids Plus Phone: (801) 785-1000 Phone: (801) 964-9911 UT Healthy Kids UT Healthy Kids Prosthetic/Orthotic Tooele County Hanger Prosthetics & Orthotics Standard Optical Supplier 1355 N University Ave, #160 4835 S Highland Dr Fit Well Prosthetic & Orthotic Ctr Durable Medical Provo, UT 84604 Holladay, UT 84117 50 S 900 E, #1 Phone: (801) 356-1830 Phone: (801) 272-8861 Salt Lake City , UT 84102 Equipment & Medical UT Healthy Kids and UT Healthy Kids Phone: (801) 364-3100 Supplies UT Healthy Kids Plus Standard Optical UT Healthy Kids Petersen Medical 5289 S State St Apria Healthcare - Tooele 36 N Main St, #4 325 E University Pkwy Murray, UT 84107 San Diego County Tooele, UT 84074 Orem, UT 84058 Phone: (801) 506-1111 Phone: (435) 882-4334 Phone: (801) 374-8101 UT Healthy Kids UT Healthy Kids Plus UT Healthy Kids Standard Optical Durable Medical Equipment & Medical Oxygen For You Valley Home Medical Pharmacy 834 E 9400 S 1214 N Main St 538 S Commerce Dr Sandy, UT 84094 Supplies Tooele, UT 84074 Orem, UT 84058 Phone: (801) 572-9280 Phone: (435) 882-7306 Phone: (801) 544-8866 UT Healthy Kids DJO LLC UT Healthy Kids 1430 Decision St UT Healthy Kids Plus Sugar House Vision Clinic Vista, CA 92081 Eyewear Supplier 2178 S 900 E, #4 Phone: (800) 321-9549 Eyewear Supplier Salt Lake City , UT 84106 UT Healthy Kids (Equipment, not the (Equipment, not the Phone: (801) 484-8759 service) UT Healthy Kids service) Utah Eye Associates San Juan County Standard Optical American Fork Vision Center 160 S 1000 E, #220 196 E 2000 N, #101 24 W Main St Tooele, UT 84074 American Fork, UT 84003 Salt Lake City , UT 84102 Durable Medical Phone: (801) 756-7996 Phone: (801) 363-2851 Equipment & Medical Phone: (435) 882-4815 UT Healthy Kids UT Healthy Kids Plus UT Healthy Kids Supplies Vision Care Center Hearing Aid Excel Optical 8522 S 1300 E Petersen Medical 1735 N State St Sandy, UT 84094 154 S Main St Equipment Provo, UT 84604 Blanding, UT 84511 Phone: (801) 374-1818 Phone: (801) 566-4119 House of HearingD UT Healthy Kids UT Healthy Kids Phone: (435) 678-2250 23 E Vine St UT Healthy Kids Plus Tooele, UT 84074 Phone: (435) 882-8383 UT Healthy Kids Plus

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 Salt Lake Suppliers Whatcom Eye Clinic at Village Green Southwest Vision Shopko Optical 4087 1675 N 200 W, #11A Wasatch County 720 S River Rd, #C130 1018 Washington Blvd Provo, UT 84604 St George, UT 84790 Ogden, UT 84404 Phone: (801) 374-2227 Phone: (435) 673-5577 Phone: (801) 392-5100 UT Healthy Kids Eyewear Supplier UT Healthy Kids Plus UT Healthy Kids (Equipment, not the Shopko Optical 4086 Standard Optical Shopko Optical 4109 2266 N University Pkwy service) 250 Red Cliffs Dr 4060 Riverdale Rd Provo, UT 84604 Mountain Valley Eye Institute St George, UT 84790 Riverdale, UT 84405 Phone: (801) 373-1300 1471 S Highway 40 Phone: (435) 674-2020 Phone: (801) 392-4300 UT Healthy Kids Heber City, UT 84032 UT Healthy Kids Plus UT Healthy Kids Shopko Optical 4105 Phone: (435) 654-3090 Prosthetic/Orthotic Standard Optical 125 S State St UT Healthy Kids Plus 4305 S Harrison Blvd, #9B Orem, UT 84058 Supplier Ogden, UT 84403 Phone: (801) 225-4700 Phone: (801) 479-5060 UT Healthy Kids Washington County Hanger Prosthetics & Orthotics UT Healthy Kids 630 S 400 E, #102 Shopko Optical 4108 St George, UT 84770 Standard Optical 955 N Main St Durable Medical Phone: (435) 673-6449 5421 S 1900 W Spanish Fork, UT 84660 Equipment & Medical UT Healthy Kids and Roy, UT 84067 Phone: (801) 798-3557 Supplies UT Healthy Kids Plus Phone: (801) 825-9703 UT Healthy Kids UT Healthy Kids Alpine Home Medical Equipment Sixty Minute Eyewear 42 S River Rd, #10 Weber County Hearing Aid 2255 N University Pkwy St George, UT 84790 Provo, UT 84604 Phone: (435) 674-0080 Durable Medical Equipment Phone: (801) 374-2220 UT Healthy Kids Plus UT Healthy Kids Equipment & Medical Ogden Speech & Hearing Center Apria Healthcare - St George 978 E Chambers st, #1 Springville Eye Clinic 1509 S 270 E, #9 Supplies Ogden, UT 84403 374 E 400 S St George, UT 84790 Phone: (801) 399-5601 Alpine Home Medical Equipment UT Healthy Kids Springville, UT 84663 Phone: (435) 628-5222 4669 S Harrison Blvd Phone: (801) 489-5111 UT Healthy Kids Plus UT Healthy Kids Ogden, UT 84403 Prosthetic/Orthotic Carols Post Masectomy Specialist Phone: (801) 393-0015 Standard Optical 330 E 600 S UT Healthy Kids Supplier 1200 Provo Towne Ctr Blvd, #1060 St George, UT 84790 Apria Healthcare - Ogden Fit Well Prosthetic & Orthotic Ctr Provo, UT 84601 Phone: (435) 688-0452 206 W 36th St 4699 Harrison Blvd, #302 Phone: (801) 373-2254 UT Healthy Kids and Ogden, UT 84405 Ogden, UT 84403 UT Healthy Kids UT Healthy Kids Plus Phone: (801) 394-4000 Phone: (801) 364-3100 Standard Optical Petersen Medical UT Healthy Kids UT Healthy Kids 1455 S State St 1490 E Foremaster Dr, #100 Petersen Medical Ogden Orthotics & Prosthetics Orem, UT 84057 St George, UT 84790 5434 S 1900 W, #3 3585 Harrison Blvd, #100 Phone: (801) 226-3044 Phone: (435) 628-4949 Roy, UT 84067 Ogden, UT 84403 UT Healthy Kids UT Healthy Kids Plus Phone: (801) 728-3333 Phone: (801) 392-5999 UT Healthy Kids UT Healthy Kids Hearing Aid Eyewear Supplier Equipment (Equipment, not the Eyewear Supplier Whatcom County Wasatch Audiology service) (Equipment, not the 2545 N Canyon Road, #100 service) Provo, UT 84604 Dixie Ophthalmic Specialists Durable Medical Phone: (801) 373-1108 1791 E 280 N Knighton Vision Equipment & Medical UT Healthy Kids St George, UT 84790 404 Washignton Blvd Phone: (435) 688-2020 Ogden, UT 84404 Supplies Prosthetic/Orthotic UT Healthy Kids Plus Phone: (801) 627-1054 Cascade Prosthetics & Orthotics UT Healthy Kids Supplier Excellens Optical 1360 Sunset Ave 1085 S Bluff St Mount Ogden Eye Center Ferndale, WA 98248 Northwest Orthotics & St George, UT 84770 4360 Washington Blvd Phone: (800) 848-7332 Prosthetics Phone: (435) 628-3600 Ogden, UT 84403 UT Healthy Kids and 1675 N 200 W, Bldg 12C UT Healthy Kids Plus Phone: (801) 476-0494 UT Healthy Kids Plus Provo, UT 84604 UT Healthy Kids Phone: (801) 377-3433 UT Healthy Kids

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 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 Healthy Kids Welfare Phone: (435) 752-3355 Southwest Utah Public Health UT Healthy Kids Plus 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 Healthy Kids Plus Community Based 2102 N Robbins, #102 UT Healthy Kids Plus Access Hospice Care Layton, UT 84041 74 W 100 N Phone: (801) 776-4445 Box Elder County Logan, UT 84321 UT Healthy Kids Iron County Phone: (435) 755-6599 Home Health UT Healthy Kids Plus 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 Healthy Kids Plus Phone: (435) 752-3355 Phone: (801) 447-3379 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids 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 Healthy Kids Cedar City, UT 84720 Phone: (435) 723-7883 Logan, UT 84341 Community Nursing Services - Phone: (435) 586-2437 UT Healthy Kids Plus Phone: (435) 792-6500 CNS UT Healthy Kids Plus UT Healthy Kids Plus 2102 N Robbins, #102 Public Health or Layton, UT 84041 Juab County Welfare Carbon County Phone: (801) 776-4445 UT Healthy Kids 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 Healthy Kids Plus 60 E 100 S Phone: (801) 295-2361 Nephi, UT 84648 Price, UT 84501 UT Healthy Kids Phone: (435) 623-3050 Phone: (435) 637-0665 UT Healthy Kids Plus Cache County UT Healthy Kids Plus 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 Healthy Kids Plus 445 S 100 W Phone: (435) 722-2418 UT Healthy Kids Plus Bountiful, UT 84010 UT Healthy Kids Plus CNS - Home Health Plus Phone: (801) 447-3379 Public Health or 221 Spring Creek Pkwy, #G UT Healthy Kids Hospice Care, Providence, UT 84332 Welfare Phone: (435) 752-3355 CNS - Home Health Plus Community Based UT Healthy Kids Plus 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 Healthy Kids Roosevelt, UT 84066 Phone: (435) 623-0696 Logan, UT 84321 Phone: (435) 722-2418 UT Healthy Kids Plus Phone: (435) 753-8220 Rocky Mountain Home Care UT Healthy Kids Plus UT Healthy Kids Plus 523 W Heritage Park Blvd Bountiful, UT 84010 Phone: (801) 397-4800 UT Healthy Kids

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 Millard SAgencies anpete Applegate Homecare & Hospice Applegate Homecare & Hospice Hospice Care, Millard County 5330 S 900 E, #250 5330 S 900 E, #250 Salt Lake City, UT 84117 Salt Lake City, UT 84117 Community Based Public Health or Phone: (801) 763-0101 Phone: (801) 763-0101 Lifepath Hospice & Family Care UT Healthy Kids UT Healthy Kids 5801 S Fashion Blvd, #200 Welfare At Home Personal Care Community Nursing Services - Murray, UT 84107 Central Utah Public Health Dept 230 W 200 S, #2114 CNS Phone: (801) 293-0444 428 E Topaz Blvd, #D Salt Lake City, UT 84101 383 W Vine St, #300 UT Healthy Kids Delta, UT 84624 Phone: (801) 746-5558 Murray, UT 84123 Phone: (435) 864-3612 UT Healthy Kids Phone: (801) 233-6100 Public Health or UT Healthy Kids Plus UT Healthy Kids CNS - Home Health Plus Welfare Central Utah Public Health Dept 383 W Vine St, #300 Good Shepherd Hospice Ellis R Shipp Center 55 S 400 W Murray, UT 84123 5383 S 900 E, #102 4535 S 5600 W Fillmore, UT 84631 Phone: (801) 233-6100 Salt Lake City, UT 84117 West Valley City, UT 84120 Phone: (435) 743-5723 UT Healthy Kids Phone: (801) 277-6474 Phone: (801) 963-7335 UT Healthy Kids Plus UT Healthy Kids Good Shepherd Home Health UT Healthy Kids and UT Healthy Kids Plus 5383 S 900 E, #102 Haven Hospice Piute County Salt Lake City, UT 84117 5292 S College Dr, #304 Phone: (801) 277-6474 Murray, UT 84123 San Juan County UT Healthy Kids Phone: (801) 676-6000 Public Health or UT Healthy Kids Haven Home Health Welfare 5292 S College Dr, #304 Rocky Mountain Hospice Home Health Central Utah Public Health Dept Murray, UT 84123 5250 S Commerce Dr, #310 Rocky Mountain Home Care 550 N Main St Phone: (801) 676-6000 Murray, UT 84107 92 E 100 S Junction, UT 84740 UT Healthy Kids Phone: (801) 397-4083 Blanding , UT 84511 UT Healthy Kids Phone: (435) 577-2521 Home Caregivers Home Health Phone: (435) 678-3266 UT Healthy Kids Plus UT Healthy Kids Plus 455 E 400 S, #410 Public Health or Salt Lake City, UT 84111 Phone: (801) 485-6166 Welfare Sanpete County Rich County UT Healthy Kids Rose Park Center Lifepath Home Health Care 1625 W 700 N, #H Home Health 5801 S Fashion Blvd, #200 Salt Lake City, UT 84116 Home Health Access Home Care Murray, UT 84107 Phone: (801) 521-0778 Gunnison Valley Home Health 96 W Logan Rd, #2 Phone: (801) 293-0444 UT Healthy Kids and Agency Garden City, UT 84028 UT Healthy Kids UT Healthy Kids Plus 45 E 100 N Phone: (435) 946-2620 Salt Lake City Center Gunnison, UT 84634 UT Healthy Kids Plus Rocky Mountain Home Care Phone: (435) 528-3955 5242 S College Dr, #150 610 S 200 E UT Healthy Kids Plus Hospice Care, Salt Lake City , UT 84117 Salt Lake City, UT 84111 Phone: (801) 397-4950 Phone: (801) 534-4568 Hospice Care, Community Based UT Healthy Kids and UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus Community Based Access Hospice Care 96 W Logan Rd, #2 Wasatch Home Health Care Salt Lake Valley Health Gunnison Valley Hospital Garden City, UT 84028 1750 W Research Way, #103 Department Hospice Phone: (435) 946-2620 Salt Lake City, UT 84119 2001 S State St, #S2500 45 E 100 N UT Healthy Kids Plus Phone: (801) 953-1713 Salt Lake City, UT 84190 Gunnison, UT 84634 UT Healthy Kids Phone: (801) 468-2704 Phone: (435) 528-3955 Public Health or UT Healthy Kids and UT Healthy Kids Plus Home Infusion UT Healthy Kids Plus Welfare Public Health or Community Nursing Services - South East Center Bear River Health Department 9340 S 700 E Welfare 275 N Main St CNS 383 W Vine St, #300 Sandy, UT 84070 Randolph, UT 84064 Phone: (801) 255-7114 Central Utah Public Health Dept Phone: (435) 793-2445 Murray, UT 84123 20 S 100 W, #30 Phone: (801) 233-6100 UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus Mt Pleasant, UT 84642 UT Healthy Kids Phone: (435) 462-2449 South Main Center UT Healthy Kids Plus Salt Lake County Hospice Care, 3690 S Main St Community Based Salt Lake City, UT 84115 Central Utah Public Health Dept Phone: (801) 468-3690 40 W 200 N Home Health Access Hospice Care UT Healthy Kids and Manti, UT 84642 12272 S 800 E, #B UT Healthy Kids Plus Phone: (435) 835-2231 Access Home Care UT Healthy Kids Plus 12272 S 800 E, #B Draper, UT 84020 Draper, UT 84020 Phone: (801) 495-3090 Phone: (801) 495-3090 UT Healthy Kids UT Healthy Kids

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 Sevier WAgencies eber Home Health Specialists Southwest Utah Public Health Sevier County 495 S Orem Blvd Washington County 708 N 195 W Orem, UT 84058 La Verkin, UT 84745 Phone: (801) 359-5437 Phone: (435) 635-4458 Public Health or UT Healthy Kids Home Health UT Healthy Kids Plus Welfare Rocky Mountain Home Care Applegate Homecare & Hospice Central Utah Public Health Dept 473 W 1400 N 1490 E Foremaster Dr, #340 Wayne 70 Westview Dr Orem, UT 84057 St George, UT 84790 Richfield, UT 84701 Phone: (801) 765-4907 Phone: (435) 628-1569 Phone: (435) 896-5451 UT Healthy Kids UT Healthy Kids Plus Public Health or UT Healthy Kids Plus CNS - Home Health Plus Welfare Hospice Care, 321 N Mall Dr Community Based St George, UT 84790 Central Utah Public Health Dept Tooele County Phone: (435) 652-9027 18 S Main St Applegate Homecare & Hospice UT Healthy Kids Plus Loa, UT 84747 Public Health or 28 S 1100 E, #C Phone: (435) 836-1317 American Fork, UT 84003 Rocky Mountain Home Care UT Healthy Kids Plus Welfare Phone: (801) 763-0101 230 N 1680 E, #V-1 UT Healthy Kids St George, UT 84770 Tooele County Health Phone: (435) 673-6699 Weber County Department Community Nursing Services - UT Healthy Kids Plus 151 N Main St CNS Tooele, UT 84074 667 N 1890 W Southern Utah Home Care Home Health Phone: (435) 843-2310 Provo, UT 84604 640 E 700 S, #101 Access Home Care UT Healthy Kids Plus Phone: (801) 224-8138 St George, UT 84770 4300 S Harrison Blvd, #12 UT Healthy Kids Phone: (435) 673-8666 Ogden, UT 84403 Uintah County UT Healthy Kids Plus Phone: (801) 475-7500 Public Health or UT Healthy Kids Welfare Home Infusion Home Health Applegate Homecare & Hospice Utah County BYB Community Nursing Services - 1492 E Ridgeline Dr, #1 Applegate Homecare & Hospice 151 S University Ave, #1900 CNS Ogden, UT 84405 266 W 100 N, #2 Provo, UT 84601 321 N Mall Dr Phone: (801) 621-4027 Vernal, UT 84078 Phone: (801) 370-8700 St George, UT 84790 UT Healthy Kids and Phone: (435) 789-3981 UT Healthy Kids Phone: (435) 652-9077 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Utah County Health Department Hospice Care, Hospice Care, Hospice Care, 151 S University Ave, #1900 Community Based Provo, UT 84601 Community Based Community Based Phone: (801) 370-8700 Access Hospice Care Applegate Homecare & Hospice UT Healthy Kids Applegate Homecare & Hospice 4300 S Harrison Blvd, #12 266 W 100 N, #2 1490 E Foremaster Dr, #340 Ogden, UT 84403 Vernal, UT 84078 St George, UT 84790 Phone: (801) 475-7500 Phone: (435) 789-3981 Wasatch County Phone: (435) 628-1569 UT Healthy Kids UT Healthy Kids Plus UT Healthy Kids Plus Home Health Applegate Homecare & Hospice Public Health or Community Nursing Services - 1492 E Ridgeline Dr, #1 Applegate Homecare & Hospice CNS Ogden, UT 84405 Welfare 123 S Main St 321 N Mall Dr Phone: (801) 621-4027 Heber City, UT 84032 St George, UT 84790 UT Healthy Kids and TriCounty Health Department Phone: (435) 652-9077 UT Healthy Kids Plus 133 S 500 E Phone: (435) 654-5983 UT Healthy Kids Plus Vernal, UT 84078 UT Healthy Kids Plus Phone: (435) 247-1177 Southern Utah Hospice In Home Supportive UT Healthy Kids Plus Hospice Care, 640 E 700 S, #101 Care Community Based St George, UT 84770 Phone: (435) 673-8666 Be at Home Utah County Applegate Homecare & Hospice UT Healthy Kids Plus 5256 S 2300 W 123 S Main St Roy, UT 84067 Heber City, UT 84032 Public Health or Phone: (801) 628-1963 Home Health UT Healthy Kids Phone: (435) 654-5983 Welfare Applegate Homecare & Hospice UT Healthy Kids Plus 28 S 1100 E, #C Southwest Utah Public Health American Fork, UT 84003 620 S 400 E, #400 Phone: (801) 763-0101 St George, UT 84770 UT Healthy Kids Phone: (435) 673-3528 UT Healthy Kids Plus

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 Ambulatory Health Care Facilities Kane Lakeview Endoscopy Center Hand & Orthopedic Rehab Cache County 620 E Medical Dr, #200 Specialists Grand County Bountiful, UT 84010 535 E 500 S, #7 Phone: (801) 299-6760 Bountiful, UT 84010 Ambulatory Surgical UT Healthy Kids Phone: (801) 295-3599 Physical Therapy UT Healthy Kids Northern Utah Endoscopy Center End-Stage Renal Mountain Land Rehabilitation 630 E 1400 N Life Care Center of Bountiful 450 W Williams Way Logan, UT 84341 Disease (ESRD) 460 W 2600 S Moab, UT 84532 Phone: (435) 787-0270 Treatment Bountiful, UT 84010 Phone: (435) 259-3600 UT Healthy Kids Plus Phone: (801) 295-3135 UT Healthy Kids Plus Liberty Dialysis - Layton UT Healthy Kids End-Stage Renal 2132 N 1700 W, #120 Disease (ESRD) Layton, UT 84041 Mountain Land Rehabilitation Iron County Phone: (801) 779-6100 124 S Fairfield Rd, #A Treatment UT Healthy Kids Layton, UT 84041 Phone: (801) 547-9462 Ambulatory Surgical Bridgerland Dialysis Liberty Dialysis - Woods Cross UT Healthy Kids 1400 N 500 E Cedar Surgical Associates 572 W 750 S 1811 W Royal Hunte Dr, #3 Logan, UT 84341 Bountiful, UT 84010 Mountain Land Rehabilitation Phone: (801) 442-1506 2275 N Main St Cedar City, UT 84720 Phone: (801) 292-2658 Phone: (435) 586-3402 UT Healthy Kids Plus UT Healthy Kids Sunset, UT 84015 Phone: (801) 773-4191 UT Healthy Kids Plus Physical Therapy Ophthalmologic UT Healthy Kids Magnetic Resonance Complete Fitness Innovations Surgery Mountain Land Rehabilitation Imaging (MRI) 3935 N 75 W 69 E 200 N Hyde Park, UT 84318 Retina Associates of Utah Kaysville, UT 84037 Southern Utah MRI Phone: (435) 563-4141 1492 W Antelope, #208 Phone: (801) 547-1155 1335 N Northfield Rd, #100 UT Healthy Kids Plus Layton, UT 84041 UT Healthy Kids Cedar City, UT 84720 Phone: (801) 408-2020 Phone: (435) 865-9293 Mountain West Physical Therapy UT Healthy Kids Performance West Physical UT Healthy Kids Plus 1655 N 200 E, #2 Therapy Logan, UT 84341 Physical Therapy 1551 S Renaissance Towne Dr, Ophthalmologic Phone: (435) 753-1844 #350 UT Healthy Kids Plus Aspen Ridge Physical Therapy Bountiful, UT 84010 Surgery 2121 N 1700 W, #A Phone: (801) 295-3553 Mountain West Physical Therapy Layton, UT 84041 UT Healthy Kids Mountain Eye Institute 2380 N 400 E Phone: (801) 773-1350 1811 W Royal Hunte Dr, #1 Logan, UT 84341 UT Healthy Kids Sports Med PT of Bountiful Cedar City, UT 84720 Phone: (435) 713-9680 1551 S Renaissance Towne Dr, Phone: (435) 586-1131 UT Healthy Kids Plus Bountiful PT Sports Medicine #420 UT Healthy Kids Plus 425 Medical Dr, #104 Bountiful, UT 84010 Bountiful, UT 84010 Phone: (801) 295-8999 Physical Therapy Radiology Phone: (801) 292-5011 UT Healthy Kids Budge Clinic Radiology UT Healthy Kids San Juan Health Service District 1350 N 500 E Public Health, State 166 W 1325 N, #100 Logan, UT 84341 Davis Hospital & Medical Center Cedar City, UT 84720 Phone: (435) 752-0422 1600 W Antelope Dr or Local Phone: (435) 587-2116 UT Healthy Kids Plus Layton, UT 84041 UT Healthy Kids Plus Phone: (801) 825-9561 Davis County Health Department 50 E State St UT Healthy Kids Southern Utah PT & Rehab Carbon County Farmington, UT 84025 1335 N Northfield Rd, #300 Farmington Physical Therapy Phone: (801) 451-3340 Cedar City, UT 84720 47 S 100 E UT Healthy Kids Phone: (435) 865-1902 Ambulatory Surgical Farmington, UT 84025 UT Healthy Kids Plus Phone: (801) 451-5985 Radiology Eastern Utah Surgical Center UT Healthy Kids Southern Utah PT & Rehab 200 N Fairgrounds Rd, #1 Kings Medical Imaging at Layton 166 W 1325 N, #100 Price, UT 84501 Fit Quest Therapy 2071 N Main St, #100 Cedar City, UT 84720 Phone: (435) 637-1744 275 N 300 W, #403 Layton, UT 84041 Phone: (435) 586-0064 UT Healthy Kids Plus Kaysville, UT 84037 Phone: (801) 825-4040 UT Healthy Kids Plus Phone: (801) 546-6868 UT Healthy Kids UT Healthy Kids Davis County Utah Imaging Associates (Admin) Kane County Fit Quest Therapy 380 N 200 W, #209 790 E 700 S Bountiful, UT 84010 Ambulatory Surgical Clearfield, UT 84015 Phone: (801) 298-1300 Ophthalmologic Phone: (801) 779-3231 UT Healthy Kids and Davis Surgical Center UT Healthy Kids UT Healthy Kids Plus Surgery 1544 W Antelope Dr Mountain Eye Institute Layton, UT 84041 76 E 100 S Phone: (801) 773-3339 Kanab, UT 84741 UT Healthy Kids Phone: (435) 586-1131 UT Healthy Kids Plus

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 Kane Ambulatory Health Care Facilities Salt Lake Physical Therapy Liberty Dialysis - West Jordan Physical Therapy Peak Physical Therapy & Sports 3823 W 9000 S, #D Med Mountain Land Rehabilitation West Jordan, UT 84088 Advanced Motion Physical 12198 S Factory Outlet Dr, #3 355 N Main St Phone: (801) 280-4600 Therapy Draper, UT 84020 Kanab, UT 84741 UT Healthy Kids 8089 W 3500 S Phone: (801) 571-6600 Phone: (435) 644-4199 Magna, UT 84044 UT Healthy Kids UT Healthy Kids Plus South Mountain Dialysis Phone: (801) 250-6733 10969 Riverfront Pkwy, #100 UT Healthy Kids Pioneer Valley Hospital Campus South Jordan, UT 84095 JVMC Salt Lake County Phone: (801) 747-0880 First Med East Physical Therapy 3460 S Pioneer Pkwy UT Healthy Kids 1950 E 7000 S West Valley City, UT 84120 Salt Lake City , UT 84121 Phone: (801) 964-3100 Ambulatory Surgical Oquirrh Artificial Kidney Center Phone: (801) 943-3300 UT Healthy Kids 2496 W 4700 S UT Healthy Kids Family Surgical Suite Taylorsville, UT 84118 Registered Physical Therapists 151 E 5600 S, #104 Phone: (801) 417-9900 Hand & Orthopedic Rehab 1577 W 7000 S, #100 Murray, UT 84107 UT Healthy Kids Specialists West Jordan, UT 84088 Phone: (801) 495-1064 5151 S 900 E, #100 Phone: (801) 566-6301 UT Healthy Kids Wasatch Artificial Kidney Center Holladay, UT 84117 UT Healthy Kids 650 E 4500 S, #200 Phone: (801) 261-3321 Mountain West Endoscopy Murray, UT 84107 UT Healthy Kids Registered Physical Therapists Center Phone: (801) 747-0880 1738 W 12600 S 6360 S 3000 E, #320 UT Healthy Kids Hand & Orthopedic Rehab Riverton, UT 84065 Salt Lake City , UT 84121 Specialists Phone: (801) 466-0990 Phone: (801) 944-3166 702 E South Temple, #102 UT Healthy Kids UT Healthy Kids Hearing and Speech Salt Lake City , UT 84102 Audiology Associates of Utah Phone: (801) 328-8535 Registered Physical Therapists Salt Lake Endoscopy Center 10441 S Redwood Rd UT Healthy Kids 389 W 10000 S 24 S 1100 E, #103 South Jordan, UT 84095 South Jordan, UT 84095 Salt Lake City , UT 84102 Phone: (801) 302-8022 Herriman Physical Therapy Phone: (801) 676-2210 Phone: (801) 233-0707 UT Healthy Kids 5734 W 13400 S UT Healthy Kids UT Healthy Kids Riverton, UT 84065 Audiology Associates of Utah Phone: (801) 302-7232 Registered Physical Therapists Salt Lake Surgical Center 1377 E 3900 S, #201 UT Healthy Kids 9720 S 1300 E, #W200 617 E 3900 S Salt Lake City , UT 84124 Sandy, UT 84094 Murray, UT 84107 Phone: (801) 272-1232 Jordan Valley Medical Center Phone: (801) 572-0690 Phone: (801) 261-3145 UT Healthy Kids 3580 W 9000 S UT Healthy Kids UT Healthy Kids West Jordan , UT 84088 Audiology Associates of Utah Phone: (801) 561-8888 RMTS - Firstmed South Towne Surgery Center 508 E South Temple, #203 UT Healthy Kids 8822 S Redwood Rd, #E122 10011 S Centennial Pkwy, #100 Salt Lake City , UT 84102 West Jordan, UT 84088 Sandy, UT 84070 Phone: (801) 364-8692 Mountain Land Rehabilitation Phone: (801) 566-7080 Phone: (801) 233-9300 UT Healthy Kids 1153 E 3900 S UT Healthy Kids UT Healthy Kids Salt Lake City , UT 84124 Mountain West Hearing Center Phone: (801) 262-6331 RMTS - West Valley Utah Surgery Center 4000 S 700 E, #10 UT Healthy Kids 3497 W 3500 S 3715 W 4100 S Murray, UT 84107 West Valley City, UT 84119 West Valley City, UT 84120 Phone: (801) 268-6497 Mountain Land Rehabilitation Phone: (801) 964-5565 Phone: (801) 957-0200 UT Healthy Kids 1952 E 7000 S, #100 UT Healthy Kids UT Healthy Kids Salt Lake City , UT 84121 Phone: (801) 942-3311 RMTS at Firstmed Industrial Wasatch Endoscopy Center Ophthalmologic UT Healthy Kids 441 S Redwood Rd 1220 W 3900 S, #1B Surgery Salt Lake City , UT 84104 Salt Lake City , UT 84124 Mountain Land Rehabilitation Phone: (801) 975-1403 Phone: (801) 281-3657 Retina Associates of Utah 451 Bishop Federal Ln UT Healthy Kids UT Healthy Kids 359 8th Ave, #210 Salt Lake City , UT 84115 Salt Lake City , UT 84103 Phone: (801) 493-8814 Rocky Mountain Therapy End-Stage Renal Phone: (801) 408-2020 UT Healthy Kids 3725 W 4100 S Disease (ESRD) UT Healthy Kids West Valley City, UT 84120 Mountain Land Rehabilitation Phone: (801) 965-3545 Treatment 4624 S Holladay Blvd UT Healthy Kids Pain Salt Lake City , UT 84117 Central Valley Dialysis Center Lifetree Medical Phone: (801) 277-1028 Salt Lake Regional Medical 880 E 3900 S 3838 S 700 E UT Healthy Kids Center Murray, UT 84107 Murray, UT 84107 1050 E South Temple Phone: (801) 408-2950 Phone: (801) 261-4988 Mountain Land Rehabilitation Salt Lake City , UT 84102 UT Healthy Kids UT Healthy Kids 50 E 9000 S Phone: (801) 350-4111 Sandy, UT 84070 UT Healthy Kids Intermountain Utah Dialysis Lifetree Medical Phone: (801) 562-0066 633 E South Temple 617 E 3900 S UT Healthy Kids South Mountain Sports Med & Salt Lake City, UT 84102 Murray, UT 84107 Rehab Phone: (801) 408-1400 Phone: (801) 261-8272 Mountain Land Rehabilitation 12226 S 1000 E, #1 UT Healthy Kids UT Healthy Kids 9301 S Wights Ford Rd, #215 Draper, UT 84020 West Jordan, UT 84088 Phone: (810) 523-3415 Phone: (801) 282-2200 UT Healthy Kids UT Healthy Kids

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 Salt Lake Ambulatory Health Care Facilities Utah Utah Bone & Joint Center Ambulatory Surgical Physical Therapy 5323 S Woodrow St, #202 Tooele County Murray, UT 84107 St Marks Outpatient Surgery Central Utah Clinic Phone: (801) 713-0606 Center 1055 N 500 W UT Healthy Kids 1250 E 3900 S, #100 Physical Therapy Provo, UT 84604 Salt Lake City, UT 84124 Phone: (801) 375-8858 Wasatch Physical Therapy Phone: (801) 262-0358 Mountain Land Rehabilitation UT Healthy Kids 5323 S Woodrow St, #204 UT Healthy Kids 17 S Main St Murray, UT 84107 Tooele, UT 84074 Lehi Physical Therapy Phone: (801) 713-0610 Phone: (435) 843-7466 123 N Center St UT Healthy Kids San Juan County UT Healthy Kids Plus Lehi, UT 84043 Phone: (801) 766-8460 Westwood Physical Therapy Mountain Land Rehabilitation UT Healthy Kids Clinic Physical Therapy 220 Millpond, #109 5547 S 4015 W, #7 Stansbury, UT 84074 Mt Timpanogos Therapy Services Kearns, UT 84118 Mountain Land Rehabilitation Phone: (435) 882-4144 147 W 400 N Phone: (801) 967-6055 364 W 100 N UT Healthy Kids Plus Orem, UT 84057 UT Healthy Kids Monticello, UT 84535 Phone: (801) 224-2177 Phone: (435) 587-2116 UT Healthy Kids UT Healthy Kids Plus Utah County Radiology Physical & Sports Therapy Kings Medical Imaging at Mountain Land Rehabilitation Services Redwood 818 N 400 W Ambulatory Surgical 380 E 400 S 6243 S Redwood Rd, #130 Blanding, UT 84511 Springville, UT 84663 Phone: (801) 277-1028 American Fork Surgical Center Phone: (801) 489-5669 Taylorsville, UT 84123 UT Healthy Kids Plus 1175 E 50 S, #101 Phone: (801) 288-9671 American Fork, UT 84003 UT Healthy Kids UT Healthy Kids Phone: (801) 492-5994 Physical & Sports Therapy UT Healthy Kids Millcreek Imaging Center Sanpete County Services 3738 S 900 E 684 W 800 N, #110 Central Utah Surgical Center Orem, UT 84057 Salt Lake City, UT 84124 Physical Therapy 1067 N 500 W Phone: (801) 313-1955 Provo, UT 84604 Phone: (801) 224-2250 UT Healthy Kids Therapy West Phone: (801) 374-0354 UT Healthy Kids 13 E Center St UT Healthy Kids Professional Therapy & Rehab RGL Medical Services Gunnison, UT 84634 1561 W 7800 S 77 S 400 W Phone: (435) 528-7575 End-Stage Renal Spanish Fork, UT 84660 West Jordan, UT 84088 UT Healthy Kids Plus Phone: (801) 352-9500 Disease (ESRD) Phone: (801) 798-1626 UT Healthy Kids Therapy West Treatment UT Healthy Kids 59 W 700 S Spine Orthopedic & Sports PT Utah Imaging Associates Ephraim, UT 84627 Lone Peak Dialysis 3970 S 700 E, #14 1067 N 500 W, #B Phone: (435) 283-6334 1175 E 50 S, #11 Provo, UT 84604 Murray, UT 84107 UT Healthy Kids Plus American Fork, UT 84003 Phone: (801) 226-3820 Phone: (801) 370-9981 Phone: (801) 763-1304 UT Healthy Kids UT Healthy Kids UT Healthy Kids Sevier County Spine Orthopedic & Sports PT Utah Imaging West Valley Timpanogos Dialysis 3715 W 4100 S, #150 3303 N University Ave 1055 N 300 W, #222 Provo, UT 84604 West Valley City, UT 84120 End-Stage Renal Provo, UT 84604 Phone: (801) 951-2323 Phone: (801) 373-7438 Disease (ESRD) Phone: (801) 356-8907 UT Healthy Kids UT Healthy Kids UT Healthy Kids Treatment Timpanogos Regional Hospital Utah Valley Dialysis - Davita Sleep Disorder Sevier Valley Dialysis 750 W 800 N 1055 N 500 W, #221 Orem, UT 84057 Diagnostic 1100 N Main St Provo, UT 84604 Richfield, UT 84701 Phone: (801) 714-6000 Precision Diagnostic Services Phone: (801) 373-5400 UT Healthy Kids Phone: (801) 442-1506 UT Healthy Kids 4885 S 900 E, #107 UT Healthy Kids Plus Salt Lake City, UT 84117 Radiology Phone: (801) 266-0399 Hearing and Speech UT Healthy Kids Summit County Utah Valley OB Ultrasound Audiology Associates of Utah 1055 N 300 W, #303 Utah Sleep Center 130 W Main St, #C Provo, UT 84604 515 E 4500 S, #G220 Radiology Lehi, UT 84043 Phone: (801) 357-7377 Murray, UT 84107 Phone: (801) 272-1232 UT Healthy Kids Phone: (801) 746-0292 Park City Imaging UT Healthy Kids UT Healthy Kids 1850 Sidewinder Dr, #410 Park City, UT 84060 Ophthalmologic Phone: (435) 615-0251 UT Healthy Kids Plus Surgery Retina Associates of Utah 1055 N 300 W, #420 Provo, UT 84132 Phone: (801) 357-7999 UT Healthy Kids

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 Washington WAmbulatory Health Care Facilities eber Zion Eye Institute Physical Therapy Washington County 1791 E 280 N Wayne County St George, UT 84790 Fit Quest Therapy Phone: (435) 628-4429 1885 E Skyline Dr Ambulatory Surgical UT Healthy Kids Plus Physical Therapy Ogden, UT 84403 Phone: (801) 476-4141 Coral Desert Surgery Center Therapy West UT Healthy Kids 1490 E Foremaster Dr, #C Physical Therapy 128 S 300 W St George, UT 84790 Advanced Physical Therapy Bicknell, UT 84715 Fit Quest Therapy Phone: (435) 674-5230 Services Phone: (435) 425-3744 2120 N 400 E UT Healthy Kids Plus 1490 E Foremaster Dr, #110 UT Healthy Kids Plus Ogden, UT 84414 St George, UT 84790 Phone: (801) 782-3500 Dixie Surgery Center UT Healthy Kids 1085 S Bluff St Phone: (435) 652-4455 Weber County St George, UT 84770 UT Healthy Kids Plus Fit Quest Therapy Phone: (435) 688-2020 Advanced Physical Therapy 4607 S 3500 W UT Healthy Kids Plus Services Ambulatory Surgical Ogden, UT 84401 225 S 700 E Phone: (801) 732-8700 South Main Surgery Center Mt Ogden Surgical Center UT Healthy Kids 754 S Main St, #3 St George, UT 84770 4364 Washington Blvd St George, UT 84770 Phone: (435) 652-4455 Ogden, UT 84403 Mountain Land Rehabilitation Phone: (435) 628-2671 UT Healthy Kids Plus Phone: (801) 479-4470 2731 N 1600 W UT Healthy Kids UT Healthy Kids Plus Mountain Land Rehabilitation Pleasant View, UT 84404 324 N 1680 E Phone: (801) 782-0300 St George Endoscopy Center End-Stage Renal UT Healthy Kids 368 E Riverside Dr, #B St George, UT 84790 St George, UT 84790 Phone: (435) 674-1269 Disease (ESRD) Ogden Regional Medical Center Phone: (435) 674-3109 UT Healthy Kids Plus Treatment 5475 S 500 E UT Healthy Kids Plus Ogden, UT 84405 Mountain Land Rehabilitation Liberty Dialysis - Ogden 42 S 850 W Phone: (801) 479-2111 St George Surgical Center 4780 Old Post Rd UT Healthy Kids 676 S Bluff St Hurricane, UT 84737 Ogden, UT 84403 St George, UT 84770 Phone: (435) 635-4609 Phone: (801) 394-1230 Wasatch Therapy Phone: (435) 673-8080 UT Healthy Kids Plus UT Healthy Kids 5405 S 500 E, #100 UT Healthy Kids Plus Ogden, UT 84405 Mountain Land Rehabilitation Weber Valley Dialysis 736 S 900 E, #B101 Phone: (801) 479-9865 End-Stage Renal 1920 W 250 N UT Healthy Kids St George, UT 84790 Ogden, UT 84404 Disease (ESRD) Phone: (435) 673-2781 Phone: (801) 731-4178 Treatment UT Healthy Kids Plus UT Healthy Kids Radiology Utah Imaging Ogden Liberty Dialysis - St George Mountain Land Rehabilitation 754 S Main St, #4 Hearing and Speech 5322 S 400 E 1173 S 250 W, #2 Ogden, UT 84405 St George, UT 84770 St George, UT 84790 Phone: (435) 673-0191 Weber Audiology & Hearing Aids Phone: (801) 475-0800 Phone: (435) 652-7154 2510 Washington Blvd, #100 UT Healthy Kids UT Healthy Kids Plus UT Healthy Kids Plus Ogden, UT 84401 Phone: (801) 627-3001 Ophthalmologic Radiology UT Healthy Kids Surgery Coral Desert Imaging Center 1490 E Foremaster Dr, #C Pain Southern Utah Eye Physicians St George, UT 84790 1791 E 280 N Phone: (435) 986-2238 Lifetree Medical St George, UT 84790 UT Healthy Kids Plus 1740 E Combe Rd, #4 Phone: (435) 628-4429 Ogden, UT 84403 UT Healthy Kids Plus Phone: (801) 475-6566 UT Healthy Kids

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 Cache UUrgent Care Facilities tah Westside Medical After Hours Medical Company Cache County 1477 N 2000 W 7998 S 1300 E Tooele County Clinton, UT 84015 Sandy, UT 84094 Phone: (801) 774-8888 Phone: (801) 255-2000 Urgent Care UT Healthy Kids and UT Healthy Kids and Urgent Care Logan InstaCare UT Healthy Kids Plus UT Healthy Kids Plus Tooele InstaCare 777 N Main St 412 N 200 E First Med East Logan, UT 84321 Iron County 1950 E 7000 S Tooele, UT 84074 Phone: (435) 713-2710 Salt Lake City , UT 84121 Phone: (435) 228-1200 UT Healthy Kids and Phone: (801) 943-3300 UT Healthy Kids and UT Healthy Kids Plus Urgent Care UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus Cedar City InstaCare Davis County 962 S Sage Dr First Med Murray Uintah County Cedar City, UT 84720 5911 S Fashion Blvd Phone: (435) 865-3440 Murray, UT 84107 Urgent Care UT Healthy Kids and Phone: (801) 266-6483 Urgent Care After Hours Medical Company UT Healthy Kids Plus UT Healthy Kids and Basin Clinic Urgent Care 1550 N Main St, #E UT Healthy Kids Plus 475 N 500 W Layton, UT 84041 Vernal, UT 84078 Kane County First Med West Phone: (435) 781-6634 Phone: (801) 614-9030 8822 S Redwood Rd, #E122 UT Healthy Kids and UT Healthy Kids and West Jordan , UT 84088 UT Healthy Kids Plus UT Healthy Kids Plus Urgent Care Phone: (801) 256-0009 First Med North Kane County Medical Clinic UT Healthy Kids and 214 W 1500 S 355 N Main St UT Healthy Kids Plus Utah County Bountiful, UT 84010 Kanab, UT 84741 Firstmed Industrial Clinic Phone: (801) 295-6483 Phone: (435) 644-4100 441 S Redwood Rd Urgent Care UT Healthy Kids and UT Healthy Kids and Salt Lake City, UT 84104 UT Healthy Kids Plus UT Healthy Kids Plus Phone: (801) 973-2588 After Hours Medical Company Layton Family Practice UT Healthy Kids and 476 N 900 W, #C 124 S Fairfield Rd UT Healthy Kids Plus American Fork, UT 84003 Mohave County Phone: (801) 492-1611 Layton, UT 84041 Granger Medical Clinic Phone: (801) 546-9441 UT Healthy Kids and 3725 W 4100 S UT Healthy Kids Plus UT Healthy Kids and Urgent Care West Valley City, UT 84120 UT Healthy Kids Plus Hildale Health Center Phone: (801) 965-3600 American Fork Clinic Tanner Memorial Clinic 20 S Colvin St UT Healthy Kids and 226 N 1100 E, #A 2038 W 1900 S Colorado City, UT 86021 UT Healthy Kids Plus American Fork, UT 84003 Phone: (801) 855-3843 Syracuse, UT 84075 Phone: (928) 875-2217 Magna Center for Family Phone: (801) 773-4840 UT Healthy Kids and UT Healthy Kids and Medicine UT Healthy Kids Plus UT Healthy Kids and UT Healthy Kids Plus 8211 W 3500 S UT Healthy Kids Plus Magna, UT 84044 Art City Family Medical Center Tanner Memorial Clinic Salt Lake County Phone: (801) 250-9638 5 E 400 N 2121 N 1700 W UT Healthy Kids and Springville, UT 84663 Layton, UT 84041 UT Healthy Kids Plus Phone: (801) 489-8464 Phone: (801) 773-4840 Urgent Care UT Healthy Kids and Nurse Practitioner Healthcare UT Healthy Kids Plus UT Healthy Kids and Assoc UT Healthy Kids Plus After Hours Medical Company 10433 S Redwood Rd 4568 S Highland Dr, #290 Expressmed Tanner Memorial Clinic South Jordan, UT 84095 Salt Lake City , UT 84117 415 N Main St 380 N 400 W Phone: (801) 501-0500 Phone: (801) 274-6127 Spanish Fork, UT 84660 Kaysville, UT 84037 UT Healthy Kids and UT Healthy Kids and Phone: (801) 798-9700 Phone: (801) 773-4840 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids UT Healthy Kids and UUHC Redwood Center Mountain Medical Urgent Care UT Healthy Kids Plus After Hours Medical Company 1126 E 12300 S 1525 W 2100 S 127 E Main St, #E Wee Care Pediatrics Draper, UT 84020 West Valley City, UT 84119 Lehi, UT 84043 1580 W Antelope Dr, #100 Phone: (801) 545-0600 Phone: (801) 213-9700 Phone: (801) 768-1515 Layton, UT 84041 UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and Phone: (801) 773-8644 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids and Valued Medical Care Mountain View Family Medicine UT Healthy Kids Plus After Hours Medical Company 3451 S 5600 W, #F 9103 S 1300 W, #103 97 S Professional Way, #2 Wee Care Pediatrics West Valley City, UT 84120 West Jordan, UT 84088 Payson, UT 84651 934 S Main St, #8 Phone: (801) 957-0900 Phone: (801) 208-2070 Phone: (801) 465-4896 Layton, UT 84041 UT Healthy Kids and UT Healthy Kids UT Healthy Kids and Phone: (801) 773-8644 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids and UT Healthy Kids Plus

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 Utah WUrgent Care Facilities eber Riverwoods Urgent Care Utah Valley Pediatrics River Road InstaCare Ogden Clinic 280 W Riverpark Dr, #120 1355 N University Ave, #210 577 S River Rd 1159 E 12th St Provo, UT 84604 Provo, UT 84604 St George, UT 84790 Ogden, UT 84404 Phone: (801) 229-2011 Phone: (801) 373-8930 Phone: (435) 688-6300 Phone: (801) 475-3000 UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Spanish Fork Clinic UUHC Parkway Health Center St George Clinic Ogden Clinic 325 W Center St 145 W University Pkwy 736 S 900 E, #203 4650 Harrison Blvd Spanish Fork, UT 84660 Orem, UT 84058 St George, UT 84790 Ogden, UT 84403 Phone: (801) 798-7301 Phone: (801) 234-8600 Phone: (435) 673-6131 Phone: (801) 475-3000 UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Tri City Medical Clinic Sunset InstaCare South Ogden Center for Family 275 W 200 N Washington County 1739 W Sunset Blvd Med Lindon, UT 84042 St George, UT 84770 5740 Crestwood Dr Phone: (801) 796-1333 Phone: (435) 634-6050 Ogden, UT 84405 UT Healthy Kids and Urgent Care UT Healthy Kids and Phone: (801) 479-7771 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids and Hurricane Valley InstaCare UT Healthy Kids Plus Tri City Medical Clinic 75 N 2260 W 830 N 2000 W Hurricane , UT 84737 Weber County Pleasant Grove, UT 84062 Phone: (435) 635-6550 Phone: (801) 756-3511 UT Healthy Kids and UT Healthy Kids and UT Healthy Kids Plus Urgent Care UT Healthy Kids Plus Nightlight Pediatrics Health Clinics of Utah 1240 E 100 S, #14 2540 Washington Blvd, #122 St George, UT 84790 Ogden, UT 84401 Phone: (435) 628-8034 Phone: (801) 626-3670 UT Healthy Kids and UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus

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. 178 Box Elder Nursing & Custodial Care Facilities Weber North Canyon Care Center Federal Heights Rehab & Nursing Utah State Veterans Nursing Box Elder County 350 S 400 E Ctr Home Bountiful, UT 84010 41 S 900 E 700 Foothill Blvd Phone: (801) 397-4713 Salt Lake City , UT 84124 Salt Lake City, UT 84113 Skilled Nursing UT Healthy Kids Phone: (801) 532-3539 Phone: (801) 584-1900 UT Healthy Kids UT Healthy Kids Facility South Davis Community Care Pioneer Care Center Center Heritage – Willow Wood Care 815 S 200 W 401 S 400 E Center Washington County Brigham City, UT 84302 Bountiful, UT 84010 1205 E 4725 S Phone: (435) 723-5289 Phone: (801) 295-2361 Salt Lake City , UT 84117 UT Healthy Kids and UT Healthy Kids Phone: (801) 262-2908 Skilled Nursing UT Healthy Kids Plus UT Healthy Kids Facility

Willow Glen Health and Rehab Juab County Willow Wood Care Center Community Nursing Services - 775 N 200 E 1205 E 4725 S CNS Brigham City, UT 84302 Salt Lake City, UT 84117 321 N Mall Dr Phone: (435) 723-7777 Skilled Nursing Phone: (801) 262-2908 St George, UT 84790 UT Healthy Kids Plus Facility UT Healthy Kids Phone: (866) 652-9097 UT Healthy Kids Plus Heritage Hills Rehab & Care Cache County Center Sevier County St George Care & Rehabilitation 1100 N 400 E Ctr Nephi, UT 84648 1032 E 100 S Skilled Nursing Phone: (435) 623-1721 Skilled Nursing St George, UT 84770 Facility UT Healthy Kids Plus Facility Phone: (435) 628-0488 UT Healthy Kids Plus Community Nursing Services - Richfield Care Center CNS Salt Lake County 83 E 1100 N 1155 N Main Richfield, UT 84701 Weber County Logan, UT 84341 Phone: (435) 896-8211 Phone: (800) 501-0014 Skilled Nursing UT Healthy Kids Plus UT Healthy Kids Plus Facility Skilled Nursing Facility Avalon Valley Rehabilitation Utah County Carbon County Center Heritage Park Care Center 2472 S 300 E 2700 W 5600 S Salt Lake City , UT 84115 Skilled Nursing Roy, UT 84067 Skilled Nursing Phone: (801) 466-2211 Facility Phone: (801) 824-9731 UT Healthy Kids UT Healthy Kids Facility Heritage Care Center Pinnacle Nursing & Rehab Center Bennion Care Center 350 E 300 N Wasatch Care Center 1340 E 300 N 6246 S Redwood Rd American Fork, UT 84003 3430 Harrison Blvd Price, UT 84501 Salt Lake City , UT 84123 Phone: (801) 756-5293 Ogden, UT 84403 Phone: (435) 637-9213 Phone: (801) 969-1420 UT Healthy Kids Phone: (801) 359-2123 UT Healthy Kids Plus UT Healthy Kids UT Healthy Kids Orem Nursing & Rehab Center Canyon Rim Care Center 575 E 1400 S Davis County 2370 E 3300 S Orem, UT 84097 Salt Lake City, UT 84109 Phone: (801) 225-4741 Phone: (801) 487-0896 UT Healthy Kids Skilled Nursing UT Healthy Kids Provo Rehabilitation & Nursing Facility Community Nursing Services - 1001 N 500 W Avalon Care Center Bountiful CNS Provo, UT 84604 523 N Main St 383 W Vine St, #300 Phone: (801) 377-9661 Bountiful, UT 84010 Murray, UT 84123 UT Healthy Kids Phone: (801) 951-2273 Phone: (801) 233-6100 UT Healthy Kids Trinity Mission Health & Rehab UT Healthy Kids 1053 W 1020 S Community Nursing Services - Crosslands Rehab & Healthcare Provo, UT 84601 CNS Ctr Phone: (801) 373-2630 2102 N Robbins, #102 575 E 11000 S UT Healthy Kids Layton, UT 84041 Sandy, UT 84070 Phone: (888) 882-4678 Phone: (801) 571-7600 UT Healthy Kids UT Healthy Kids

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. 179 Arapahoe ULaboratories tah Quest Diagnostics LabCorp St Mark’s Hospital Arapahoe County 1660 W Antelope Dr, #230 1060 E 100 S, #L7 1200 E 3900 S Layton, UT 84041 Salt Lake City , UT 84102 Salt Lake City , UT 84124 Phone: (888) 277-8772 Phone: (801) 355-8559 Phone: (801) 268-7111 Clinical Medical UT Healthy Kids and UT Healthy Kids and UT Healthy Kids and Laboratory UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Tamarac Medical LabCorp UUHC Central Lab 7000 S Broadway, #1A Denver County 12176 S 1000 E 1050 E South Temple Centennial, CO 80122 Draper, UT 84020 Salt Lake City , UT 84102 Phone: (303) 794-1083 Phone: (801) 523-3013 Phone: (801) 464-1825 UT Healthy Kids and Clinical Medical UT Healthy Kids and UT Healthy Kids and UT Healthy Kids Plus Laboratory UT Healthy Kids Plus UT Healthy Kids Plus Schryver Medical Sales & LabCorp Richards Laboratories of Utah Cache County Marketing 1250 E 3900 S, #302 3489 W 2100 S 6840 Broadway, #A-I Salt Lake City , UT 84124 West Valley City, UT 84119 Denver, CO 80221 Phone: (801) 264-9675 Phone: (801) 355-5579 Clinical Medical Phone: (303) 650-5400 UT Healthy Kids and UT Healthy Kids and Laboratory UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Quest Diagnostics LabCorp 1515 N 400 E, #104 3920 S 1100 E, #175 Tooele County Logan, UT 84341 Iron County Salt Lake City , UT 84124 Phone: (435) 755-6061 Phone: (801) 264-8351 UT Healthy Kids and UT Healthy Kids and Clinical Medical UT Healthy Kids Plus Clinical Medical UT Healthy Kids Plus Laboratory Laboratory LabCorp LabCorp Carbon County Valley View Medical Center 5199 S Green St 2356 N 400 E, #204 1303 N Main St Murray, UT 84124 Tooele, UT 84074 Cedar City, UT 84720 Phone: (801) 288-9000 Phone: (435) 882-7106 Clinical Medical Phone: (435) 868-5000 UT Healthy Kids and UT Healthy Kids and Laboratory UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids Plus Microculture Quest Diagnostics 1847 W 9000 S, #102 377 N Fairgrounds Rd Utah County Price, UT 84501 Mercer County West Jordan , UT 84088 Phone: (888) 277-8772 Phone: (801) 352-0995 UT Healthy Kids and UT Healthy Kids and Clinical Medical UT Healthy Kids Plus Clinical Medical UT Healthy Kids Plus Laboratory Laboratory Quest Diagnostics 3489 W 2100 S, #200 LabCorp Davis County Medical Diagnostic Laboratories West Valley City, UT 84119 1890 W 800 N 2439 Kuser Rd Pleasant Grove, UT 84062 Phone: (888) 277-8772 Phone: (801) 492-0507 Clinical Medical Hamilton, NJ 8690 UT Healthy Kids and Phone: (877) 269-0090 UT Healthy Kids Plus UT Healthy Kids and Laboratory UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids Plus Quest Diagnostics Davis Hospital & Medical Center 11760 S 700 E LabCorp 1600 W Antelope Dr Draper, UT 84020 3650 N University Ave, #175 Layton, UT 84041 Salt Lake County Phone: (888) 277-8772 Provo, UT 84604 Phone: (801) 825-9561 UT Healthy Kids and Phone: (801) 356-2590 UT Healthy Kids and UT Healthy Kids Plus UT Healthy Kids and UT Healthy Kids Plus Clinical Medical UT Healthy Kids Plus Laboratory Quest Diagnostics LabCorp 470 E 3900 S, #100 Mountain View Hospital 1580 Antelope Dr, #270 Core Salt Lake City, UT 84107 1000 E Hwy 6 Layton, UT 84041 Lab Phone: (888) 277-8772 Payson, UT 84651 Phone: (801) 525-1903 5252 S Intermountain Dr UT Healthy Kids and Phone: (801) 465-7090 UT Healthy Kids and Murray, UT 84107 UT Healthy Kids Plus UT Healthy Kids and UT Healthy Kids Plus Phone: (801) 589-0228 UT Healthy Kids Plus UT Healthy Kids and Salt Lake Regional Medical Quest Diagnostics LabCorp UT Healthy Kids Plus Center 425 Medical Dr, #200 1050 E South Temple 127 E Main St, #E Bountiful, UT 84010 Central Utah Pathology Salt Lake City , UT 84102 Lehi, UT 84043 Phone: (801) 294-4302 750 W 800 N Phone: (801) 350-4111 Phone: (801) 766-9822 UT Healthy Kids and Midvale , UT 84047 UT Healthy Kids and UT Healthy Kids and UT Healthy Kids Plus Phone: (801) 714-6061 UT Healthy Kids Plus UT Healthy Kids Plus UT Healthy Kids

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. 180 Utah WLaboratories eber Richards Laboratories of Utah Quest Diagnostics Ogden Regional Medical Center 55 E Center St Washington County 736 S 900 E 5475 S 500 E Pleasant Grove, UT 84062 St George, UT 84790 Ogden, UT 84405 Phone: (801) 785-2500 Phone: (435) 628-3419 Phone: (801) 479-2111 UT Healthy Kids and Clinical Medical UT Healthy Kids and UT Healthy Kids and UT Healthy Kids Plus Laboratory UT Healthy Kids Plus UT Healthy Kids Plus Timpanogos Regional Hospital Dixie Regional Medical Center 750 W 800 N 1380 E Medical Center Dr Weber County Orem, UT 84057 St George, UT 84790 Phone: (801) 714-6000 Phone: (435) 251-1000 UT Healthy Kids and UT Healthy Kids Plus Clinical Medical UT Healthy Kids Plus LabCorp Laboratory 1490 E Foremaster Dr, #230 LabCorp St George, UT 84797 6028 S Ridgeline Dr, #203 Phone: (435) 673-8266 Ogden, UT 84405 UT Healthy Kids and Phone: (801) 475-7195 UT Healthy Kids Plus UT Healthy Kids and UT Healthy Kids Plus

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. 181 Primary Care Index of Providers Aagard, Robert l MD...... 76 Baires, Enrique P MD...... 84 Bigham, Thomas Holland DO.. 81 Busk, Neal Christian MD...... 81 Abarca, Sergio MD...... 70 Baker, Thomas J PA...... 87 Bilanzich, Travis John MD...... 48 Butler, Warren LeRoy MD...... 41 Abbott, Justin D DO...... 48, 69 Ball, John Harold PA...... 65 Bingham, Jared Lee MD...... 73 Butters, David Eric DO...... 41 Abram, Jeffery H PA...... 80 Ballingham, David Jay PA.....39, 50 Binkley, Shelley Sue MD...... 43, 60 Bybee, Alan N PA...... 49, 87 Adams, Linda Margrit MD...61, 77 Balog, Kimberly Ann MD...... 61 Birch, Richard G DO...... 46 Cain, Lawrence A MD...... 81 Adams, Nathan J PA...... 64 Bane, Jesse David MD...... 57 Bishop, Scott R MD...... 41 Calame, Rosemary APRN...... 59 Adams, Ross Mitchell DO...... 77 Bank, Stacey MD...... 51 Bitner, Mark R MD...... 43 Caldwell, Catherine G PA...... 80 Aggarwal, Nupur MD...... 47 Banks, Amy Lorraine MD...... 51 Bjork, Janeen MD...... 40 Call, Nathan H MD...... 38 Ahanonu, Cecilia PA...... 65 Barber, Kara PA...... 87 Blad, Kent D NP...... 77 Callahan, Thomas D MD...... 81 Ahlstrom, Jon W MD...... 86 Bardsley, Christine R APRN...... 46 Blair, Veronica Carol CNM...... 50 Callis Jr, James Alton PA...... 40 Ahn, Yong Hui MD...... 57 Barker, Lance MD...... 48, 68, 69 Blanca, Haydee Larralde MD..... 87 Campbell, Bryan Joe MD...... 84 Aizad, Tazeem MD...... 61 Barker, Lance Fred MD...... 37 Bledsoe, James Aaron MD...... 84 Campbell, Cynthia Lynn NP..... 80 Alba, Jesse Aaron MD...... 78 Barker, Layne Thomas MD...... 41 Bloink, Steven William MD...... 67 Campbell, Debra PA...... 65 Albano, Joseph MD...... 50 Barlow, Lehi S DO...... 81 Bockoven, Kurt M NP...... 56 Canga-Siao, Cynthia Rose MD.. 43 Aldridge, Rebekah Ruth PA...... 71 Barlow, Martha CNM...... 81 Bodnar, Anna S MD...... 62, 78, 87 Carbone, Paul Sean MD Alejo, Randy Simpliciano MD... 86 Barlow, Shirley J CNM...... 81 Boehm, Mindy M MD...... 87 ...... 40, 47, 62, 69, 83 Allen, Brandon R MD...... 50 Barman, Thomas F MD...... 57 Boheen, Karen DO...... 43 Carlson, Brian W MD...... 38 Allen, Daniel Jude DO Barnard, Peter Scott CNM...... 50 Bond-Jorgensen, Carlson, Dennis Jason PA.....45, 87 ...... 47, 48, 69, 81 Barnes, Arthur David MD...... 59 Stacey Ann APRN...... 44, 87 Carlson, Vera B MD...... 38 Allen, Douglas A MD...... 76 Barney, Douglas Paul MD...... 41 Bonjour, Lauren PA...... 71 Carn, Thomas R MD...... 73 Allen, Glori M MD...... 40, 46 Barney, Mitchell F MD...... 59 Booth, Craig L MD...... 81 Carter, Boyd Allen MD...... 81 Allen, Juanita NP...... 56 Barney, Spencer P MD...... 59 Borgenicht, Louis MD...... 62 Carter, Curtis MD...... 81 Allen, Louis S MD Barney, William Wesley MD...... 82 Bostrom, Samantha P MD...... 44 Carter, Curtis A MD...... 81 ....40, 47, 61, 67, 69, 72, 78, 83, 87 Barrett, Mark B MD...... 62 Bosworth, Darin G MD...... 62 Carter, Kristine Rowe APRN..... 82 Allen, Richard Elliot MD...... 50 Bartholomew, Bryan R MD...... 43 Bott, Wesley S DO...... 73 Carter, Melvin R MD...... 81 Allred, Don Preston DO...... 50 Bartholomew, Jonathen DO...... 78 Boudreaux-Nippert, Carter, Stacie B CNM...... 40 Allred, Heather B PA...... 39, 50 Barton, Scott David MD...... 81 Denise J MD...... 60 Castro, David F PA...... 87 Allred, John Gordon DO...... 87 Barton, Scott R MD...... 59 Bourne, Talmage Lee MD...... 51 Castro, Jan M PA...... 87 Allred, Michael G MD...... 41 Bateman, Kim A MD...... 68 Bovos, Mike E MD...... 46 Cate, Rebecca Sue NP...... 75, 85 Alvey, Justin C MD...... 44, 87 Batson, Margaret K CNM...... 50 Bowden, Craig S PA...... 45, 87 Cate Jr, Thomas Randolph MD.57 Amann, Kelly Richard DO...... 84 Baur, Nisha Ray DO...... 44 Bowman, Jonathan Craig MD... 48 Cazier, Sonja APRN...... 49 Anders, Krista Jean MD...... 71 Baxter, Catherine LaVerne NP... 56 Boyer, Ben P NP...... 38, 49 Chalmers IV, Anders, Scott Gerald MD...... 51 Baxter, Mark E MD...... 41 Brady, Matthew Frank MD...... 40 Robert Wallace MD...... 83 Andersen, Dana A MD...... 51 Beales, Jason S MD...... 46 Brasher, Craig Alan MD...... 62 Chamberlain, Howard Lee MD.81 Andersen, Matthew Todd MD... 51 Bean, Barbara E MD...... 62 Breinholt, Lindsay P CNM...... 50 Chamberlain, Anderson, Bradley Wayne MD.. 78 Bean, Gregory H MD...... 76 Breitenbach, Karl L MD...... 72 Michelle Ann MD...... 70, 80 Anderson, Cameron D MD...... 76 Bean, Karin Holmes PA...... 80 Briley, Melissa S PA...... 65, 70 Chambers, May MD...... 60 Anderson, Elisabeth Gay PA...... 87 Bean, Thomas Scott PA...... 83 Broadbent, David Harrison MD Chandler, Carrie A APRN...... 59 Anderson, Jeffrey W PA...... 87 Beard, Lynn Q MD...... 37 ...... 76 Chapman, Dale L MD...... 62 Anderson, Jennifer H NP...... 39 Bearnson, Patricia MD...... 60 Broadbent, Kenneth R MD...... 62 Chappell, Leland Jeffery MD..... 84 Anderson, Kirk R MD...... 75 Beaumont, Kelly Dean PA...... 83 Broadhurst, Jeremy DO...... 38 Chase, Susana PA...... 65 Anderson, Marc Olsen MD...... 41 Beazer, Blake Richard MD...... 70 Broberg, Jeffrey Charles MD..... 76 Checketts, Darin David DO...... 43 Anderson, Rodney S MD...... 71 Beck, Stephen A MD...... 41 Brockbank, Roger D MD...... 73 Chen, Eric Hong-Wen MD...... 60 Anderson, Russell Steven DO.... 51 Beckstead, David Bradley MD... 46 Brodie, Lesley Thompson MD.. 62 Chen, Priscilla Aye MD...... 44 Anderson Dawson, Tracy PA..... 65 Behrmann, Gary L MD...... 78 Brogli, Julia C MD...... 62 Cheney, Carol A NP...... 56 Andrew, Ray Allen MD...... 47 Belfry, Carolyn Chalmers MD... 84 Brown, Bryant J MD...... 60 Cherrington, Steven Brent DO.. 73 Arbogast, Richard C MD...... 84 Bell, Ryan MD...... 39 Brown, DeAnn R CNM...... 46 Chesley, Tanya Jean PA...... 87 Arbon, Brett J NP...... 85 Bell Jr, Joseph W DO...... 60 Brown, Edward D MD...... 87 Chidester, Todd L NP...... 77 Archer, Cullen J MD...... 71 Benally, Heather PA...... 80 Brown, Jeffrey James DO...... 69, 84 Chipman, Stephen Bret MD...... 73 Archer, Frank Jay MD...... 73 Bench, Pahl G MD...... 73 Brown, Nordell T MD...... 39 Christensen, Don Carl NP...... 42 Archer, Sandra V MD...... 71 Benedict, James Patton MD...... 39 Brown, Todd Alma MD...... 38 Christensen, Heather H PA...... 81 Armstrong, Craig W MD...... 39 Benham, Brady Nolan MD...... 83 Brown, Wayne O MD...... 48 Christensen, Jan F MD...... 68 Armstrong, Crystal M MD...... 51 Bennett, DJohn Noran MD...... 78 Brownstein, Ellie S MD...... 62 Christensen, Malinda Ruth PA.. 65 Arnold, Bradley Clark MD...... 78 Bennett, Richard W MD...... 57 Bruce, Stephen J MD...... 49, 84 Christensen, Mandi J PA...... 45 Arnold, Laura B MD...... 71 Bennion, David F MD...... 75 Buchanan, Brian J MD...... 62 Christensen, Pamela Carol NP.. 56 Arrington, Jeffrey Todd MD...... 86 Berg, Tod L MD...... 80 Buchanan, Marcus P MD...... 37 Christensen, Peter Lloyd MD.... 51 Arrington, Sara Jean NP...... 42 Berger, Vicki Linn PA...... 45, 87 Bulaj, Zaneta Jadwiga MD...... 57 Christensen, Tristy L MD...... 68 Ashby, Sarah Lyn MD...... 78 Bergeson, Lars MD...... 38 Bunker, Clint O DO...... 47 Christian, Grant Leroy MD...... 43 Aslami, Stephen Shane MD...... 57 Berman, Joseph Harold MD...... 69 Bunnell, Robert Lee PA...... 45 Christian, Mark E MD...... 41 Astle, Craig Dee MD...... 83 Bernards, Steven Allen PA...... 40 Burgett, Alton Douglas MD...... 60 Christian, Mckay Douglas MD. 81 Astle, Nelson L MD...... 41 Berneike, John A MD...... 51 Burnett, Bonnie A APRN...... 82 Christiansen, Alicia MD...... 62 Atkin, Jonathan David PA...... 71 Berry, Judith A NP...... 75 Burnett, Kara Elizabeth MD...... 44 Christiansen, Van G MD...... 84 Atwood, Lynne G NP...... 85 Berry, Steven L MD...... 73 Burnett, Virginia D DO...... 76 Church, Jason MD...... 87 Aune, David L MD...... 51 Berwald, Charles J MD...... 41 Burnham, Bruce M PA...... 65 Civish III, Frederic MD...... 51 Avery, Delwin Barton MD...... 38 Besendorfer, James M MD....48, 68 Burningham, Ted Howard MD. 41 Clark, Robert B MD...... 73 Baiden, Erica Nancy MD...... 51 Beus, Michael Lynn MD...... 41 Burrell, Lance APRN...... 67 Clark, Stephen E DO...... 81 Bailey, Ernest Andrew MD...... 78 Biddulph, Glen F MD...... 43 Burrows, Brian Neal MD...... 37, 48 Clark, Thomas H MD...... 38 Bailey, Stanton A MD...... 48, 68 Bierer, David Roy MD...... 86 Burtenshaw, Bruce Francis MD.43 Clarke, Derrel W MD...... 39

182 Primary Care Index of Providers Clayson, Brett L PA...... 80 Degrauw, Jeffrey L MD...... 41 Fernandez, Salvador MD...... 73 Gneiting, Clayton, Daniel Bennion MD.... 62 Del Castillo, Alexander N MD... 57 Ferriter, Joseph P MD...... 69 Robert Wendell APRN...... 56 Clayton, Keith Joseph MD...... 78 Delaney, George R MD...... 73 Fife, Jason Roy DO...... 41 Goates, Brad M MD...... 38 Clayton, Kimberly D MD...... 51 Delaplante, Nichole A DO...... 51 Fillerup, Sharon Lee MD...... 43 Goble, Deserae Jeannette MD... 38 Clayton, Matthew Joseph MD... 78 Delavan, George W MD...... 67, 72 Fillmore, Randall Reid MD...... 52 Gochnour, Gregory L MD...... 84 Clemens, Peter Conver DO...... 84 Demeter, Danielle M CNM...... 69 Finlinson, Brandon K PA...... 49 Goff, Camille APRN...... 61 Cline, Jeffrey Wade MD...... 62 Denbleyker, Jennifer Jane MD... 51 Firth, Ronald Mark MD...... 38 Gohari, Mina MD...... 52 Cobb, Matthew Steven PA...... 65 DeRemer, Kathleen Rose MD.... 86 Fischer, Roxina NP...... 86 Goldberg, Cobb, Nadia Miniclier PA...... 65 Devenport, David Scott MD...... 78 Fisher, Mahana S MD.....40, 47, 67 Kenneth William MD...... 58 Cochella, Susan Elizabeth MD.. 51 Devenport, Flansburg, Goncharova, Elena L MD...... 86 Colby, Spencer Neil MD...... 60 Mark Johnathan MD...... 78 Deborah Ruth CNM...... 38 Gontrum, David Martin MD.... 52 Cole, Gary Monroe MD...... 68 Devenport, Flattes, Valerie Jean APRN...... 50 Gonzales, Gloria Raychel MD... 58 Coleby, Craig Alan MD...... 57 Stephen Brent MD...... 51, 52 Flynn, Michael Clinton MD.57, 58 Gooch, Harold N MD...... 52 Collett, Camille MD...... 51 Devlin, Kwanza Nicole MD...... 52 Foley, Dennis J MD...... 40 Gooch III, Willis Manford MD. 72 Colvin, Laura PA...... 87, 88 Dewey, Steven John MD...... 76 Fonnesbeck, Brant W DO.....38, 49 Goodger, William P MD...... 81 Colyar, Margaret R NP...... 71 Dibble, Carlos M MD...... 37 Fonseca, Walstir H MD...... 75 Goodwin, Leslie Lash MD...... 62 Concoby, Dennis Michael DO... 73 Dinger, Steven C MD...... 60 Fonua, Jackie Anne PA...... 65 Goss, Jeffrey A NP...... 43 Conner, Marsena Elaine MD..... 78 Dinh, An Tuong MD...... 52, 70 Food, Joseph M PA...... 65 Gottlieb, Frederick Lewis MD... 58 Coombs, Douglas Ray MD...... 44 Dixon, Tyler Carnahan DO...... 41 Foote, Stephen M DO...... 41 Gould, Jim Julian MD...... 71 Cooper, Leslie Werder MD...... 51 Do, Phung Kim PA...... 65 Forbes, Carolyn MD...... 70 Gould, Melinda CNM...... 72 Cope, David G MD...... 41 Doane, John A MD...... 57 Forbush, Nathan G MD...... 44 Gourde, Theresa D MD...... 58 Coppin, Erin V PA...... 65 Dodenbier, Cindie G NP...... 86 Ford, Amy K MD...... 52 Gourley, George C DO...... 76 Corbett, Edward Reed MD...... 75 Dodge, Mary Delle NP...... 56 Foster, Carla Charbonneau MD.41 Gracey, Nathan J PA...... 39, 50 Corniea, Robert E MD...... 75 Dolan, Julie Anne MD...... 69 Foster, Christopher C MD...... 78 Graff, William Tolley MD...... 81 Cornish, Matthew Jared MD..... 78 Dowse, Robert Kenneth MD..... 48 Fought, Theresa Marie CNM.... 50 Graham, Gary F MD...... 46 Corry Jr, Elwood Jones MD...... 73 Doyle, Sean Cameron DO...... 73 Fowers, Jody Lynn NP...... 43, 86 Graham, Wayne R DO...... 80 Corson, Robert MD...... 51 Draper, Michael L MD...... 60 Fox, Rita K MD...... 62 Gray, Jarid D MD Cosgrave, Michael L MD...... 73 Drewes, Peter Gilson MD...... 76 Frame, Joshua DO...... 82 ...... 47, 48, 49, 69, 81 Cosgrove, William E MD...... 62 Dubosky, Anne Marie DO...... 52 Frampton, Robert A MD...... 73 Green, Holly Jane NP...... 43 Coursey, Jeffrey Michael PA...... 65 Duke, Kevin R DO...... 38 Francis, Christina Marie CNM. 84 Green, Patrick N MD...... 70 Cox, Amy Harmer NP...... 77 Durbin, Teresa Virginia MD...... 43 Francis, Michael Reed DO...... 39 Greenberg, Johanna PA...... 71 Cox, Guy Taylor CNM...... 84 Duros, Peter MD...... 75 Francis Jr, Joseph Allen MD...... 41 Greenberg, Richard A MD...... 62 Cox, Jennifer Amy MD...... 62 Dustin, Curtis Rydell NP...... 71 Frandsen, Tracy M MD...... 73 Greene, Douglas A PA...... 45 Cox, Kristi Lyn PA...... 80 Earl, Brett Somasundrum PA.... 88 Frasier, Lori Dawn MD...... 62 Greenwood, Jessica L MD...... 52 Cox, Marilyn Udy NP...... 84 Eberhard, Brent K MD...... 44 Freestone, Allen Arthur MD...... 41 Greenwood, Mark Robert MD.. 69 Cox, Matthew Nelson MD...... 62 Edson, Allan C DO...... 41 Freestone, James Phillip MD..... 78 Greenwood, Mark W MD...... 69 Craig, Kristin F MD...... 39 Edwards, Heather D MD...... 69 Frischknecht, Michael S MD..... 68 Greenwood, Ryan Fox MD...... 75 Cramer, Joseph G MD...... 62 Edwards, William Foster MD.... 78 Fruin, Claudia J MD...... 44 Greger, Susan MD...... 41 Crane, F Michael MD...... 39, 50 Eggert, Joan Vann MD...... 83 Fuller, Gene Raymond MD...... 52 Gregoire, Richard J MD..41, 84, 85 Crane, Gail A PA...... 40 Ellis, Diane Elizabeth MD...... 60 Fuller, Glen R MD...... 73 Griffin, Gary S MD...... 58 Craner, Adam Craig APRN...... 85 Ellis-Benigni, Karen APRN...44, 87 Fullmer, Michael P MD...... 78 Griffin, Katherine G APRN...... 61 Crawford, Wayne PA...... 65 Elswood, Aaron Scott PA...... 71 Gabrielsen, Alvin A MD...... 44 Griffith, John MD...... 72 Crimin, David R DO...... 69 Embley, Steven Len DO...... 68 Gamble, Christopher J MD...... 52 Groebs, Allison Mary MD...... 44 Crouch, Max J MD...... 76 Emett, Penny Ann NP...... 82 Gamette, Kent R MD...... 76 Grogan, Rodney Keith PA...... 88 Crouse, Danny PA...... 65 Engelbert Fenton, Michael PA... 65 Gandolfi, Roy J MD...... 58 Grose, Craig M MD...... 49 Crump, Kenneth Lyle MD...... 73 Epstein, Angela A PA...... 88 Gangotena, Fatima G MD...... 71 Grover, Bruce B MD...... 73 Curran, Marilyn L MD...... 51 Epstein, Scott Fred DO...... 60 Garcia, Kenneth Allen PA...... 65 Grover, Julie S MD...... 76 Curtis, Michael Steven MD...... 73 Ericksen, Corey L DO...... 41 Gardner, Ellen F MD...... 47 Grygla, David Glen DO...... 81 Curzon, Sean Robert DO...... 75 Erickson, Scott Austin MD...... 41 Gardner, Jed R MD...... 81 Gubler, David Brent MD...... 58 Cutlip, Cheryle Lynne MD...... 51 Etzel, Glenn T MD...... 40 Gardner, Kevin Lee MD...... 41 Guerra, Carlos A MD...... 52 Dahle, Michelle M NP...... 56 Evans, Mark T PA...... 65 Garfield, Ryan J PA...... 38 Guerra, Paula A MD...... 52 Dale, Robin J PA...... 65 Evans, Matthew Craig MD...... 48 Garg, Prafulla M MD...... 39 Gunther, Julia Kelsey MD...... 78 Dalling, Ana Melinda PA...... 80 Evans, Ryan Newell MD...... 44 Garrison, Andrew W MD...... 52 Gupta, Sumati V MD...... 58 Dalton, Marlee Kestin CNM...... 70 Eyre, Alyson MD...... 62 Gasser, Brian Dell NP.....48, 68, 75 Gupta, Sumati Virendra MD..... 58 Daly, Anne M NP...... 56 Fagnant, Robert John MD...... 83 Gatherum, Daren Owen MD..... 48 Hacking, Douglas Wayne MD... 78 Daniels, Jonathan Pearson MD. 60 Faircloth, Erica A MD...... 60 Gee, Chuck H PA...... 65 Haddy, Jessica Lynn CNM...... 72 Davie, Daniel G MD...... 48, 69 Fairley, Kimberly J MD...... 67 Gellner, Cynthia Lynn MD...... 62 Haderlie, Todd M MD...... 80 Davis, James W MD...... 38 Falk, Jeanne M MD...... 70 Gelske, Tracy Brooke MD...... 72 Hafen, David Kartchner MD..... 73 Davis, Nancy R NP...... 82 Falkner, Lynn Don PA...... 71 Gertge, Robert Neil PA...... 45, 49 Hafen, Mark Kartchner MD...... 73 Davis, Wesley Boyd MD...... 86 Farley, Duane E MD...... 43 Giannini, Jacqueline K MD...... 44 Hagen, Jerold L MD...... 82 Dawson, Brian MD...... 37 Farnsworth, Richard Y MD...... 78 Gibby, Mark Hyrum MD...... 46 Hake Brooks, Dawson, Micheal Shawn PA...... 88 Farrell, Timothy William MD... 52 Gibson, Sara Jane CNM...... 50 Day, Allen M MD...... 68 Faucett, Gretchen T CNM...... 40 Kathryn Elizabeth MD...... 52 Hall, Craig Robert MD...... 43 Day, Julie L MD...... 57 Faux, David S MD...... 39 Gibson, Keri L MD...... 60 Hamilton, Carlie Jo NP...... 56 Day, Stefani J MD...... 51 Feindt, Karla Ann MD...... 62 Gillette, Janee PA...... 65 Hamp, Dennis R DO...... 52 Daynes, Gregory Sharp MD...... 51 Felshaw, Allison Savanna PA...... 45 Gilsoul, Jennifer Marion MD.... 44 Hanlon, Beth Chapman MD..... 58 Daynes, Randall P MD...... 51 Fennell II, James Ashley MD..... 44 Glade, Gordon B MD...... 78 Hansen, Davin Boyd PA...... 45, 88 Dayton, Elizabeth Anne MD..... 73 Ferguson, Daniel Richard MD.. 37 Glenn, C Joseph MD...... 76 Hansen, Kimberly MD...... 62

183 Primary Care Index of Providers Hansen, Marlan L MD Hougaard, Joni W MD...... 52 Jolma, Catherine MD...... 63, 78 Lang, Patrick B PA...... 66 ...... 49, 68, 69, 70, 80 Housel, Darren Wayne MD...... 86 Jones, Aaron W MD...... 38, 49 Langer, Kathleen M MD...... 60 Hansen, Matthew C MD...... 58 Housley, Mark Delmon MD Jones, Catherine Mary CNM..... 84 Lantz, Karen Elisabeth MD...63, 70 Hansen, Scott Eugene MD...... 60 ...... 41, 85 Jones, Julie M CNM...... 50 Laquinte, Vanessa MD...... 72 Hansen, Susan Laurie CNM...... 47 Howard, Dnell B NP...... 38 Jones, Justin Earl MD...... 74 Larsen, Brad R PA...... 45, 88 Hardin, Dana Browning MD..... 81 Hsing, Grant MD...... 46 Jones, Lloyd Val MD...... 40, 67 Larsen, Brett C PA...... 46 Hardy, Kathryn CNM...... 72 Hubbard, Jonathan Pharis DO.. 81 Jones, Marc Fredrick DO...... 48, 68 Larsen, David Charles MD...... 53 Haroutunian, G Greg MD...... 71 Huddleston, Jason Mark MD.... 75 Jones, Michael David MD...... 53 Larson, Dallen J PA...... 88 Harris, David A MD...... 62 Huff, Glen Forrest MD...... 39 Jones, Ronald C MD...... 78 Larson, David Charles MD...70, 80 Harris, Gary Lee MD...... 38 Huffman, Jeffrey Mark MD...... 39 Jones, Thomas Kelly MD...... 82 Larson, Kirt W APRN...... 57 Harrison, Heather R DO...... 73 Hughes, Craig Dale MD...... 52 Jones, Thomas T PA...... 65 Lash, Kevin Brook MD...... 63 Harrison, Reid Chambers MD.. 58 Hughes, Dennis Clark MD...... 60 Jopling, Ronald J MD...... 63 Lash, Stephen David MD...... 83 Hartle, Aaron Christian APRN. 75 Hughes, Jon W MD...... 72 Jorgensen, Jesse A PA...... 65 Last, George Gregory MD...... 81 Hartman, Albert R MD...... 86 Hughes, William Gregory MD.. 43 Jorgensen, Nina Gay MD...... 39 Later, Richard W MD...... 79 Hassrick, Philip Heyl MD...... 85 Hull, Maggie Salem MD...... 63 Joseph, Laurene Gay MD...... 58 Latham, Elizabeth G FNP...... 40 Hastings, Susan B PA...... 88 Hunt, Russell Lee PA...... 40 Joseph IV, Charles W MD...... 43 Latham, Jessica Milly PA...... 66 Hathaway, Bruce N MD...... 75 Hurley, David C MD...... 63 Joyce, Mary D APRN...... 61 Lau, Isabel C MD...... 87 Haun, Tiffanie Ann APRN...... 86 Hurst, Craig Leroy MD...... 43 Juchau, Jeffrey Jay MD...... 74 Lauret, Michael Henry MD...... 79 Havey, Dustin A PA...... 88 Husseman, Michael Patrick MD Judd, Deborah Marie NP...... 57, 86 Lautenschlaeger, Hawkes, Cody J DO...... 44, 87 ...... 44 Judd, Earl Robert MD...... 44 Natascha Susanne MD...... 69 Hays, Christopher L MD...... 69 Hutchinson, Anne M MD...... 85 Judd, Thomas Elwyn MD...... 77 Le, Trung Minh MD...... 63 Healy, Michael John MD...... 43 Hutchison, Christopher Va MD Judy, Cary J DO...... 68 LeBras, Michael DO...... 79 Heath, Steven Wright MD...... 52 ...... 60 Julien, Craig K MD...... 41 Lee, Gary David MD...... 42 Heath, Terence Alon MD...... 48 Hyldahl, Douglas R MD...... 38, 49 Julien, Katie Ann MD...... 53 Lee, Jeffrey D MD...... 70, 71 Heaton, Rex PA...... 48, 49, 69, 83 Isaacson, Bruce Arnold MD...... 38 Kaddu, Rajiv Jayakumar MD..... 83 Lee, Rhonda L PA...... 88 Heder, Lane Orr PA...... 45 Isenberg, Philip Nathanael MD.63 Kamalu, Layne Lei, Paul Shing-Jian MD...... 63 Hemmersmeier, Jaatoul, Raquel MD...... 52 Keliiokalam MD...... 42 Leiser, Jennifer P MD...... 53 John Matthew MD...... 41, 85 Jack, David B MD...... 52 Kammeyer, Steven E MD...... 86 Leiser, Jennifer Paul MD...... 53 Hendrix, Bruce Allen MD...... 47 Jackson, Brent D MD...... 49 Kasper, Joseph Francis MD...... 53 Lenthe, Mark Robert DO...... 42 Hennagir, Barbara L PA...... 68 Jackson, Christine MD...... 68 Keller, Bruce W MD...... 37 Leroy, Ellis W MD...... 75 Henriksen III, Jackson, Easton David MD...... 52 Keller, Jean Mary PA...... 65 Lesser, Rosemary T MD...... 86 Clarence Richard MD...... 52 Jackson, Eileen K MD...... 68 Keller, Merle L MD...... 78 Lesser II, John David MD...... 86 Henry, Kevin L PA...... 88 Jackson, Jeffrey Barrett MD...... 63 Kelly, Colin K MD...... 63 LeSueur, Bret Nielsen DO...... 74 Hernandez, Maria Dolores MD.43 Jackson, John W MD...... 68 Kendall, Melissa Ann MD...... 79 Lewis, Henry MD...... 72 Herold, Richard J MD...... 86 Jackson, Sheldon Leo PA...... 88 Kennedy, Michael S MD...... 74 Lewis, Linda Young APRN...... 57 Herzog, Hazen T PA...... 65 Jacob, Scott MD...... 76 Khatua, Sutapa MD...... 63 Lewis, Randal John MD...... 53 Hiatt, Virginia Lynn APRN...... 61 Jacobs, Francine Nadeen MD.... 63 Kielar, Mariusz Lewlaw MD...... 75 Lewis, Seth Rich MD...... 86 Hibbard, Julie Cleek MD...... 41 Jacobs-Peterson, Lu Ann NP..... 71 Kierstead, Allison MD...... 58 Libre, Kenneth Paul MD...... 53 Hightower, R Ross MD...... 62 Jarrett, Arlen K MD...... 60 Killebrew, Claudia CNM...... 72 Liddle, Joseph Brent MD...... 74 Hildebrand, Pamela Japlit MD.. 44 Jarvis, Chad S PA...... 71 Killpack, Michael MD...... 58 Lindsay, Alan Rob MD...... 63 Hillam, David R MD...... 73 Jenkins, Darren B DO...... 53 Kimball, Chad Brigham MD..... 75 Ling, Yun MD...... 75 Hilton, Bret D PA...... 69 Jensen, Adam M MD...... 68 King, Bari Michelle NP...... 57 Liou, Kathleen M MD...... 45 Hinde, Jacqueline J PA...... 49 Jensen, Jeffrey Louis MD...... 78 Kinghorn, Jennifer Carter MD.. 60 Lish, Jeffrey R MD...... 37 Hinkle, Jack Terrell DO...... 81 Jensen, Joseph Davis MD...... 43 Kiraly, Bernadette O MD...... 53 Lister, Donna J APRN...... 47 Hinson, Joanne Sumpio MD..... 60 Jensen, Tate Alan PA...... 65 Kirby, Karl A MD...... 53 Liu, Vernon K MD...... 58 Hoagland, Jason Ray MD...... 44 Jeppson, Taylor Alan MD...... 53 Kirkham, Mark D MD...... 42 Lloyd, Carey D MD...... 37 Hobbs, Rachel B MD...... 41 Jesri, Ammar MD...... 58 Kirkham, Michael D MD...... 42 Lloyd, Marliese Lorelei PA...... 66 Hodo, Laura Nell MD...... 52 Johansson, Julia W MD...... 86 Kirstein, Judith Lee MD...... 53 Lloyd, Michael B MD Hofheins, Bryan Bernell PA...... 83 Johnson, Catherine Bogan MD.63 Kluthe, Margaret A MD...... 45, 87 ...... 45, 63, 69, 72, 87 Hogan, Kathleen NP...... 57, 86 Johnson, Charlotte B APRN...... 83 Knochel, Miguel Luis MD...... 79 Loeb, Lola J MD...... 49 Hogenson, Eric M MD...... 73 Johnson, Cheryl Anne MD...... 74 Knorr, Brett Kelsey MD...... 79 Lofgran, Brian C MD...... 37, 80 Hoggard, Timo J MD...... 74 Johnson, David Sterling MD..... 78 Knowles, Machel Morris CNM. 84 Lopez, Ronald F MD...... 53 Holbrook, Suzanne Tiann MD.. 62 Johnson, Eric Benjamin PA...... 88 Konesavanh, Ludlow, David Emil MD...... 77 Holland, Gary F MD...... 49 Johnson, George Brent MD...... 74 Soutsada Nikki PA...... 66 Luikenaar, Rixt Anne MD...... 60 Hollingsworth, Martin All MD. 62 Johnson, Heather A CNM...... 72 Kottarathil, Thomas J MD...... 58 Lunceford, Troy Adam MD...... 75 Holm, Miryam F NP...... 82 Johnson, Jason Lynn MD...... 60 Kramer, Frank Dieter MD...... 45 Lundell, Randy R DO...... 74 Holmes, Richard J MD...... 74 Johnson, Jeffrey W MD...... 75 Krebs, Jennifer J CNM...... 72 Lunt, Chad Curtis MD...... 83 Holsten ll, Raymond L MD...... 40 Johnson, Joseph Michael MD.... 78 Krogh, Benjamin J DO...... 70 Lunt, Margaret Sydnie MD...... 58 Holtey, Ana I DO...... 70 Johnson, Kevin Barrus MD...... 58 Kundra, Hena MD...... 58 Luras, John Chris MD...... 58 Hooda, Pragati MD...... 52 Johnson, Laura Ann MD...... 53 Kuo, David MD...... 58 Lusty, Kaydon B CNM...... 50 Hooper, Rina Melanie MD...... 52 Johnson, LeeAnn NP...... 57 Kvarfordt, Tracy D MD...... 83 Lyman, Michele PA...... 67 Horkley, Tyson Stuart MD...... 39 Johnson, Mandy Jo APRN...... 67 Kwak, Daniel J MD...... 72 Lyman, Michele Smith PA...... 67 Horning, Ryan R PA...... 45, 88 Johnson, Mark Dale MD...... 53 Lam, Toan H MD...... 45, 63 Lynch, Steven Mark MD...... 63 Hornyik, Galina Renata MD...... 62 Johnson, Mark Rolfe MD...... 58 Lamalfa, Toni V NP...... 59 Lyons, Trek Daniel MD...... 38 Horsley, Ernest Brett DO...... 39 Johnson, Matthew Brent MD.... 53 Lamb, Stephen Earl MD...... 60 Lytle, Carter Sanders MD...... 74 Horvath, Susan Toung MD...... 60 Johnson, Michael Ray MD...... 63 Lamere, Richard G MD...... 63 Maass, Amelia S NP...... 57 Horwood, Keith O MD...... 52 Johnson, Sara Emilie MD...... 63 Lamoreaux, James Patrick MD. 77 MacArthur, Toran James MD.... 74 Houchins, John C MD...... 52 Johnson, Steven L MD...... 43 Lane, Keith Joseph MD...... 58 Macey, Wendy Marie PA...... 66

184 Primary Care Index of Providers MacFarlane, Kevin Burnham PA.66 Miller, Kathleen G CNM...... 50 Nielsen, Gregory William MD... 79 Parson, Broc B DO...... 47, 81 MacFarlene, Michelle PA...... 83 Miller, Mitchell R DO...... 46, 49 Nielsen, Terrance Paul MD...... 40 Parsons, Mary Helen MD...... 70 MacGregor, Elenor DO...... 45, 87 Miller, Todd J MD...... 37 Nielson, Craig Scott DO...... 37, 48 Parzych, Kevin K MD...... 54 Madsen, Daniel B MD...... 82 Miller II, Garry Tim DO...... 76 Nielson, Eric Cline MD...... 61 Patilano Jr, Madsen, Edward Keith MD...... 40 Mills, Lisa Ann MD...... 48 Nielson, Joshua Hinckley DO Richard Romero MD...... 82 Magill, Michael Kevin MD...... 53 Millward, ...... 40, 67 Patterson, Julie Ann PA...... 40, 50 Mahajan, Renu Sharma MD...... 82 Anthony Frederick PA...... 84 Nielson, Norman S MD...... 40, 67 Patterson, Rebekah Amy APRN.69 Mair, Anna Isabella PA...... 66 Miner, Joseph Kay MD...... 74 Nilson, Wendell T MD...... 83 Paulson, Jennifer Sue NP...... 47 Mallender, Charles D MD...... 58 Mitchell, Charles R MD Nobuhara, Lawrence Ken MD... 76 Pavich, Greg Matthew MD...... 79 Malone, Jennifer Lynn PA...... 66 ...... 49, 68, 69, 76, 80 Nolte, John D MD...... 46 Paxton, Richard Devon MD...... 79 Mandujano, Mohlman, Susan E NP...... 75 Noonan, Erika M MD...... 74 Payne, Wendy Jade MD...... 74 Martha Patricia PA...... 66 Mohr, Robert Russell MD...... 86 Norman, Mary Jane MD...... 54 Peacock, Penny J MD...... 70 Mangelson, Christie L NP.....48, 68 Molberg, Holly J MD...... 63 Norris, Jennifer Lyn MD...... 58 Pead, William Gene MD...... 44 Marchand, Kolleen PA...... 88 Moloney, Amanda J PA...... 66 North, Jason Karl DO...... 47 Pearson, Adon L PA...... 83 Maready, Douglas Milan MD.... 46 Money, Nolan B MD...... 74 Nunn, Charles Edward MD...... 68 Pedersen, Kathy Jane PA...... 66 Mark, Kathleen C CNM...... 84 Montgomerie, Bruce Z MD...... 63 Nuttall, David C MD...... 79 Pendleton, Gus Curtis MD...... 81 Markeson, John R MD...... 37 Montiel, Amanda Sue CNM...... 50 Nye, Noel Christian DO...... 45 Pennington, Mary Jane MD...... 64 Marriott, Rodney G MD...... 86 Mooney, Todd Stanley MD...... 46 Nygaard, Martin J MD...... 83 Penrod, Marc Allan MD...... 74 Marsden, Michael Clark DO..... 83 Moore, Dennis J MD...... 81 O’Brien, Grace Maria DO...... 85 Petersen, Darlene L MD...... 85 Marsh, Damon B PA...... 88 Mooy, Nancie J CNM...... 41 O’Mara, Kathleen A MD...... 63 Petersen, Sarah Connors MD.... 64 Marshall, Kent Grover MD...... 76 Moreland, Jay Ceasar MD...... 53 O’Very, Bruce Alan MD...... 39 Petersen, Winston N PA...... 80 Marshall, Thomas Tebbs MD.... 47 Moreland, Oakden, Richard Wade MD.37, 47 Peterson, David Noel MD...... 74 Martinez-Ferrate, Rodolfo MD.53 Kimberly Smith MD...... 60 Obray, Cathleen M MD...... 82 Peterson, Dennis Roger MD...... 42 Mashkuri, Pari L MD...... 63 Morgan, Jessica Angela MD...... 53 Odell, John Dennis MD...... 39 Peterson, Jonathan Paul MD..... 79 Matheny, Cali C MD...... 63 Morin, Sylvia S APRN...... 61 Odell, Timothy Wade DO...... 70 Peterson, Michael Cary MD.48, 49 Matich, Andrea Jensen MD...... 53 Morrell, Stephen Lynn MD...... 42 Ogden, Jeffrey Gale MD...... 76 Peterson, Michael Cary MD...... 68 Matson, Summer PA...... 66 Morrill, Arnold B DO...... 42, 53 Ogden, Lida Jimena MD...... 74 Peterson, Michael James MD..... 54 Matson, Summer Ann PA...... 66 Morrill, Lawrence Lynn DO...... 46 Oglesby, John S MD...... 61 Peterson, Scott David MD...... 74 Matthews, Thomas M MD...... 37 Morris, Jared Abraham MD...... 42 Okerlund, Jason APRN...... 69 Pham, Marian Hong MD...... 43 Maxwell, Roderick D PA...... 46, 88 Morris, Maisa MD...... 53 Okubo, David H MD...... 63 Phillips, Sandra Arico MD...... 64 McBride, Brayden MD...... 74 Morris III, Ray MD...... 53 Olesen, Renee Elizabeth MD..... 63 Piacitelli, Annliza Lachica MD.. 54 McBride, Jill Diane MD...... 53 Mower, Douglas R MD...... 74 Ollerton, Ryan C DO...... 77 Pidwell, William B MD...... 70 McBride, Karen E CNM...... 84 Muije, Elizabeth H APRN...... 59 Olsen, Amy APRN...... 72 Pieri, Danielle DO...... 40 McBride, Shauna Lynn PA...... 83 Mumford, Scott Harris MD...... 79 Olsen, Darrel W MD...... 68 Pippitt, Karly Ann MD...... 54 McClellan, Munger, Jonas Seth MD...... 47 Olsen, Maynard MD...... 74 Pitts, George D MD...... 80 Bruce Clark MD...... 49, 85 Murdock, Kenneth Joe MD...... 74 Olsen, Michael MD...... 72 Plunkett, Earl K MD...... 40, 67 McCune, Brian Clark MD...... 79 Murillo, Ena C NP...... 39 Olsen, Richard Kent MD...... 76 Pohl, Susan D MD...... 54 McDonald, Kent B MD...... 82 Murnin, Kelly P MD...... 58 Olsen, Tandy Garth MD...... 39 Pollary, Rodney Anthony MD... 72 McDonald, Stanton B MD...... 80 Murphy, Melanie Norene PA..... 80 Omura, Terry H MD...... 63 Polson, Drew E MD..47, 49, 69, 82 McElwain, Kristin Kaye APRN.. 59 Muscolino, Gina M MD...... 43 Oneal, Andrea Vicki CNM...... 50 Ponce, Sean Anthony MD...... 54 McGovern, Cheryl Jean PA...... 66 Myers, Bethany Ann PA...... 66 Oneida, Maria A MD...... 54 Poor, David Dewile MD...... 54 McKenna, Russell T DO...... 39 Nabi, Syed Iftikharun MD...... 58 Orchard, Anna Grace MD...... 63 Pope, David Michael MD...... 69 McLay, Michael S MD...... 74 Naisbitt, Byron Hunter MD...... 86 Oremland, Gordon Their MD... 54 Poppen, Robin Scott MD...... 58 Mcmahon, Kristina Tiffany NP.82 Naisbitt, Jed P MD...... 86 Orians, Mary E APRN...... 38 Porter, Stuart Brent DO...... 74 Mcmanus, Shawn Patrick DO... 74 Nance, Steven G MD...... 77 Ormond, Dallen K APRN...... 57 Potter, Sterling Glade MD...... 40 McMaster, Ian Bruce MD...... 74 Nash, Karen A APRN...... 61 Ormsby, Sarah Ann MD...... 64 Potter, Steven Jared MD...... 42 McMillan, Heidi Susan MD...... 71 Nash, Robert Michael MD...... 39 Ortega, Catherine L PA...... 88 Powel, Robert S MD...... 59 McMullin, Karl T APRN...... 83 Nay, Richard Bill MD...... 68 Ortiz-Pacheco, Clarivette MD... 54 Powell, John Jacob PA...... 84 Meek, Steven C MD...... 43 Nebeker, Adam Rich MD...... 42, 85 Ostler, Kathy M MD...... 70 Powell, Melinda PA...... 71 Melendez, Terry D MD...... 77 Neeley, June E APRN...... 70 Ostler, Leslie Ann MD...... 43 Price, Lynn MD...... 54 Melling, Mitchell J MD...... 37 Nelson, Chadd Dee DO...... 43 Ott, Darin Dale DO...... 48 Price, Torilynn APRN...... 72 Memmott, Jim Cleon MD...... 63 Nelson, David Christian DO..... 53 Overas, Mark F PA...... 40 Priest, Nicole L MD...... 54 Merrell, Chad L MD...... 37 Nelson, Erica C CNM...... 72 Oveson, Mark C MD...... 48, 68 Probst, Jared MD...... 54 Merrell, Rodney W MD...... 37 Nelson, James Robert MD...... 60 Owan, Patience E MD...... 87 Pruitt, Anthony Gene MD...... 45 Merrill, Rodney Stephen DO..... 86 Nelson, Jeanette Claire PA...... 66 Owen, David Gareth MD...... 54 Pugh, Brenten Clark MD...... 54 Merrill, Steven L MD...... 76 Nelson, Joseph W DO...... 71 Owen, Robert Evan MD...... 45 Pulley, Jeffrey PA...... 40, 50 Messinger, Nelson, Todd Robert MD...... 54 Owens, Cynthia Smart MD...... 64 Qader, Nameer Tarik MD...... 85 Kristin Elaine APRN...... 57 Nemetz, David W MD...... 85 Owens, Joshua Morgan PA...... 88 Quinton, Connie Kim APRN.... 40 Metcalf, Thomas James MD...... 63 Neubert, Martin G PA...... 67 Ozbolt, Julia A MD...... 58 Rabin, Mara Lee MD...... 54 Michalek, George Horacio MD.79 Neville, Roark Bradford MD..... 42 Pace, Bradley Rudolph PA....66, 88 Rada, Mark Alan MD...... 59 Mickelson, Steven A NP...... 57, 75 Newbold, Scott Gilbert DO..48, 83 Packer, Alissa A MD...... 64 Rahaniotis, Valerie Louise MD.. 64 Middleton, Raymond Jack MD. 81 Newman, Steven R MD...... 47 Panisi, Uaisele PA...... 66 Rahimi, Danesh MD...... 59 Midgley, Melinda M MD...... 74 Newman, Steven Richard MD Park, Gordon Sherman MD...... 61 Ralston, Charles W MD...... 64 Miles, Jeffrey Grady MD...... 53 ...... 47, 49, 69, 81 Parker, Edward W MD...... 77 Ramsey, Keith P MD...... 64 Miller, Ngatuvai, Tauaina James MD.... 74 Parker, James Edward PA...... 88 Rappleye, Alan Tunis MD...... 61 Christopher Wayne MD...... 63 Nguyen, Ahn Tai MD...... 54 Parker, Robert Gil DO...... 54 Rasmussen, Brian Craig MD..... 54 Miller, Garron Eugene MD...... 79 Nguyen, Viet Dung N MD....63, 70 Parker II, Alma L MD...... 72 Rasmussen, Carol F NP...... 57 Miller, Gia DeGiovanni MD...... 48 Nichols, John Milton DO...... 60 Parkinson, J Scott DO...... 82 Rasmussen, Dixie S CNM...... 69

185 Primary Care Index of Providers Rasmussen, Grant J MD...... 48, 68 Schaat, Timothy MD...... 55 Snethen-Boyer, Tayler, Gregory P MD...... 80 Rassner, Leslie H MD...... 54 Schaecher, Kenneth L MD...... 59 Kimberly Ann PA...... 89 Taylor, James R MD...... 37 Rawling, David A MD...... 40 Schaelling, Michael P MD...... 42 Sojourner, Taylor, Jerald Bruce DO...... 48 Reay, Paul Robert MD...... 47, 67 Schaffer, Monica Maria MD Heather Diemer MD...... 55 Taylor, John Stewart MD...... 75 Redd, Edward H MD...... 39 ...... 70, 81 Solomon, Taylor, Leroy Cecil MD...... 42 Rees, James H MD...... 42 Scharmann, Stephen Daryl MD.85 Margaret Hope MD...... 59, 71 Taylor, Roy R MD...... 43 Rees, Scott Stephen DO...... 77 Schauers, Todd Neil PA...... 66 Sorensen, Jennifer A CNM...... 37 Templeman, Mark C MD...... 64 Reineke, Barbara Patterson NP. 57 Schellenberg, Sorensen, Pamela J PA...... 84 Terashima, Robert S MD...... 64 Reis, John Kleber MD...... 86 Matthew Michael DO...... 55 Sorensen, Teela Southwick MD.44 Terry, Susan A MD...... 59 Renstrom, Schelling, Travis Kay PA...... 88 Southwick, Martha Fern NP...... 57 Tew, Jonathan M MD...... 64 Collette Campbell NP...... 43 Schlichter, Gary W MD...... 64 Southworth, Scott E MD...... 43 Thacker, Paula G CNM...... 50 Reynolds, Brand Paxton NP...... 71 Schlotterback, Matthew MD..... 82 Spackman, Jared Paul PA...... 66 Thackeray, Steven Milton MD... 61 Reynolds, Brandon Lee DO...... 61 Schmitz, J David MD...... 85 Spangrude, Thomas, Kathleen W APRN...... 70 Rifleman, Kurt Edward MD...... 85 Schneider, Stephen D MD...... 39 Kimberly Ann APRN...... 57 Thomas, Kelly Laforge DO...... 55 Rigby, Rohn Clark MD...... 42 Scholes, Cheryl APRN...... 57 Spanos, Seth Anthony MD...... 82 Thomas, Tiffany A MD...... 64 Riggs, Brannick Barton MD.42, 85 Schow, Jan-Erik MD...... 37 Speakman, Robert L DO...... 55, 70 Thompson, Angie C NP...... 39 Riggs, Freddie PA...... 67, 68 Schriewer, Sharon K MD...... 64 Spector, Jay M MD...... 71 Thompson, Bradley S DO...... 82 Rignell, Robert Paul MD...... 82 Schultz, Edward Richard MD.... 55 Spencer, Matthew S MD...... 37 Thompson, Brooks David MD.. 67 Ring, Shellie Jean MD...... 64 Scott, Elizabeth APRN...... 77 Spencer, Michelle NP...... 57 Thompson, Daniel Owen MD... 55 Ripplinger, Rex F MD...... 76 Scoville, Spencer Lee DO...... 69 Spencer, Neil Orrin MD...... 44 Thorpe, Jefforey Ruel MD...... 77 Rizk, Abigail Hattie CNM...... 72 Seale IV, Fred George MD...... 86 Spencer, Steven J MD...... 55 Thur, Vilate M APRN...... 57 Robbins, Brett E NP...... 47 Seibert, Hilary Smith DO...... 71 Spencer, Weston Eugene MD..... 79 Tilaro, Frank E MD...... 86 Robbins, Karina M CNM.....41, 84 Severance, Michael E PA...... 88 Speth, Chad Brent NP...... 38, 50 Tipton, David J MD...... 75 Roberts, Shakeri, Mehrnoosh MD...... 59 Staheli, Clark John MD...... 82 Tipton, Mary Delila MD...... 59 Becky Sue APRN...... 46, 47, 49 Shamo, Steven Wayne MD...... 49 Staheli, John K MD...... 76 Tomco, Abraham Robert MD.... 75 Roberts, Joseph Allen MD....45, 64 Shapiro, Mary MD...... 64 Stahl, Kathleen M NP...... 39 Townson, Walter Karl MD...... 61 Roberts, Philip Leonard MD..... 59 Sharp, Lisa Ann NP...... 43 Staker, Gregory L MD...... 46 Tran, Tan Duy MD...... 55 Robertson, Glenn L MD...... 46 Shaw, Dana M NP...... 57 Stampfl, Daniel Ray MD...... 64 Trudel, Ronald Raymond MD... 71 Robins III, Mont Clinton PA..... 46 Shaw, Michael C MD...... 37 Standteiner, Tschetter, Kevin William MD.... 59 Robinson, Aaron M MD...... 74 Shen, Katherine Anne MD...... 55 Heidi Elizabeth MD...... 59 Tubay, Amy Michele MD...... 55 Robinson, David Edward MD... 54 Sheridan, Scott Daniel MD...... 55 Stanford, Joseph Barney MD..... 55 Tufts, Gillian MD...... 55 Robinson, Dawn O MD...... 71 Shields, Russell B MD...... 43 Stanford, Melinda J APRN...... 47 Tullis, David T MD...... 80 Robinson, Janice H APRN...... 75 Shifrar, Jacolin Anne CNM...... 50 Stanger, Victoria PA...... 66 Tully, Jacqueline Rachel PA...... 48 Rodgers, Brian Joseph DO...... 42 Shurtliff, Shaun C DO...... 72 Steele, Sabrina L PA...... 66 Turok, David Keith MD...... 61 Rogers, Jeffrey G MD...... 83 Sigg, Laurent Christophe MD... 45 Stelter, Casey Lawrence MD Twede, Michael L MD...... 61 RoperHodges, Sheryl A NP...... 39 Silas, Peter E MD...... 45 ...... 42, 85 Twelves, Tricia Anne MD...... 61 Rose, Allyn Patrick MD...... 87 Simmons, Daniel Glen MD...... 79 Stevens, Richard Thomas MD... 38 Twiggs, Jerry Douglas MD...... 83 Rose Jr, James J MD...... 74 Singer, Christopher NP...... 40, 67 Stevenson, Camille MD...... 61 Valdez, Orlando Raymond MD.79 Rosenbeck, Singer, Stephanie Marie DO...... 70 Stevenson, Valentine, Christopher B MD.... 55 James Franklin DO...... 48, 68 Sittler, Susan Joan NP...... 57 Kenneth Edward MD...... 87 Valentine, Marilyn MD...... 64 Rosenfield, Micah Gulick MD... 54 Sjoquist-Terry, Lena Kris MD.... 70 Stewart, Gayle M MD...... 61 Vance, Rebecca Michele CNM... 41 Rossi, Louis PA...... 84 Skinner, Reed J MD...... 77 Stewart, Ryan Lee MD...... 42 VanHala, Sonja Nadeen MD...... 55 Roth, James Thomas MD...... 61 Skousen, Gale J MD...... 74 Stipelman, Carole H MD...... 64 VanStaden, Rouzer, Steven V MD...... 47 Slack, Caryn Kendra MD...... 55 Stock, Jennifer Susan APRN...... 57 Gavin Nicholas MD...... 42 Rowan, Ryan David PA...... 71 Slavens, Gary D MD...... 47 Stockman, Vargo, Beverly Luann MD...... 79 Rush, Brian J MD...... 70 Sloan, Carrie Leigh MD...... 61 Paula Elizabeth PA...... 66 Vastardis, Karen Sue APRN...... 86 Ryan, Jeffrey L PA...... 88 Smallwood, Julie L MD...... 82 Stoesser, Kirsten L MD...... 55 Verbrugge, Dorothea J MD...... 55 Ryan, Jimmy Lynn MD...... 64 Smith, Alan R MD...... 49 Stoneburner, Hugh M MD...... 59 Vered, Eldad MD...... 71 Sabella, Lareine Stampfle MD... 70 Smith, Andrea Nicole MD...... 61 Stones, Michael John MD...... 39 Villalobos, Miguel Angel MD.... 55 Sabey, Aaron Jay PA...... 80 Smith, Daniel Criag MD...... 69 Storz, Benjamin MD...... 55 Villalobos, Miguel Robert MD.. 55 Sabol, Dusan MD...... 82 Smith, Elizabeth Rowe MD...... 71 Stowell, Carol Jean NP...... 57 Villalva, Venus Louise MD...... 64 Sadiq, Smitha MD...... 49 Smith, Garrett Bona DO...... 74 Stratford, C Kerry MD...... 82 Vis, Christopher Anthony PA.... 66 Sahuc, Martha Kay CNM...... 50 Smith, Gordon L MD...... 82 Street, Nelladee APRN...... 67 Visick, Michael K MD...... 39 Saidi, Merium K MD...... 64 Smith, Kent E MD...... 46 Strong, Jeffrey S MD...... 39 Vlam, Sheri Lynn APRN...... 50 Salari, Ali DO...... 71 Smith, Kerri N DO...... 83 Summerhays, Haley M CNM.... 50 Vogeler, Douglas M MD...... 55 Salek, Allyson MD...... 64 Smith, Lance C MD...... 37, 47 Sumsion, Kevin Spafford MD... 44 Voss, Stephen C MD...... 61 Salem, Allen MD...... 43 Smith, Layne Alan MD...... 61 Swensen, Paul H MD...... 64 Voss, William David DO...... 75 Salter, David Michael MD...... 48 Smith, Michelle D APRN...... 77 Swift, Scott Dee MD...... 86 Vroman, Stacy PA...... 66 SamsonFang, Lisa J MD...... 64 Smith, Philip E MD...... 48 Swoboda, Paul Richard MD...... 55 Vroman, Stacy Theresa PA...... 66 Sandberg, Emily PA...... 46 Smith, Rhonda E MD...... 85 Syddall, Tracy PA.46, 66, 70, 71, 80 Wade, Ralph David DO...... 42 Sandberg, Rebecca W NP...... 43 Smith, Roger Hal MD...... 37, 47 Syndergaard, Wadwekar, Saudamini D MD.... 55 Sanders, Stephen Michael MD.. 48 Smith, Scott Leroy MD...... 75 Clayton Scott DO...... 46 Walker, Adrianne R MD...... 83 Sanderson, Jody L PA...... 40 Smith, Traysa Suzzann PA...... 46 Szpunar, Agnieszka M MD...... 39 Walker, Douglas C DO...... 37 Sanderson, Michael J MD...... 54 Smith Holmen, Takasaki, Roman Yasuo MD...... 75 Walker, Jennifer Page CNM...... 72 Sandvig, Jennifer Lynn MD...... 64 Barbara E APRN...... 57 Tan, Sally Suk lun MD...... 42 Wall, John B MD...... 64 Sanyer, Osman N MD...... 54 Smith III, Russell N MD...... 46 Tanner, Gregory Charles MD.... 61 Wall, Jon Thomas MD...... 56 Saturnino, Lisa M MD...... 70, 80 Smithers, Jacqueline CNM...... 50 Taveras-Espinal, Wallace, Seth MD...... 56 Savage, Shelly Lynne MD...... 74 Smithing, Larry Orme MD...... 86 Carmen Marila MD...... 45, 87 Wallin, Richard K MD...... 42

186 Primary Care Index of Providers Walsh lll, William Joseph MD... 59 Whipple, Debra M APRN...... 86 Williams, Kenneth Lewis MD.... 47 Wynn, Gregory Scott MD...... 79 Walton, Matthew S DO...... 75 White, Charles D MD...... 42 Williams, Robert D MD...... 56 Wynn, John Richard MD...... 79 Ward, Nathan Clark MD...... 44, 61 White, Gary B MD...... 46 Williams, Zane H PA...... 89 Yamashiro, Ward, Parker James PA...... 89 White, Justin Shane DO...... 85 Willis Jr, Marshall F MD...... 75 Vernon Koyu MD...... 61, 70 Ward, Raymond Paul MD...... 42 White, Vernon F MD...... 75 Wilson, George Samuel MD...... 42 Yaroshchuk, Ward, Roberta Lynn CNM...... 72 Whiting, David Todd MD...... 79 Wilson, Kathleen Barrett MD.... 59 Larisa Borisovna MD...... 56 Wardle, Mark Lee DO.....49, 68, 69 Whiting, Michael Don MD...... 79 Winward, Tracy Willow MD...... 83 Yarrish, Daniel Walter MD...... 59 Warner, Claude A MD...... 82 Whittaker, Kay C NP...... 75 Wirkus, Paul Egbert MD...... 64 Yates, Jay Reese MD...... 42 Warner, William Lawrence MD.77 Whittaker, Wise, Dustin MD...... 79 Young, David Barton DO...... 77 Wasden, Michelle PA...... 89 Thomas Carlyle MD...... 37, 56 Wise, Marilyn APRN...... 86 Young, Shane S MD...... 56 Watson, Randall L MD...... 56 Whittemore, Karen W NP....47, 82 Witter, lori MD...... 59 Young, Timothy P MD...... 56 Watts, Daren A MD...... 61 Wight, Ryan Dennis PA...... 66 Wolsey, Brian L MD...... 77 Zackrison, David R MD...... 59 Wayment, Nadya P MD...... 85 Wilcken, Julie A PA...48, 49, 69, 84 Wonnacott, Monica C MD...... 64 Zarbock, Zachary Robert MD... 64 Webster, Leslie Worthen MD..... 70 Wilcox, Justin Carl PA...... 66 Woodmansee, James A MD...... 75 Zaugg, Laura Maudlyn CNM.... 41 Weeks, Jonathan Andrew MD... 42 Wilcox, Ryan Brent MD...... 79 Woods, Hyrum D MD...... 86 Zavala, Jeffrey S MD...... 85 Weibell, Nicholai J MD...... 77 Wilde, Jeffrey Virgil MD...... 80 Woods, Jackson Jay MD...... 56 Zega, Nancy Jo MD...... 85 Weipert, John D MD...... 79 Wilding, David Gregg MD...... 37 Woods, Rachel J MD...... 64 Zehnder, Brian Keith MD...... 56 Weir, Peter Thompson MD...... 56 Wilding, Gregg Harry MD...... 37 Woodward, Kirk J MD...... 72 Zelenkov, Kristine Mary MD..... 44 Welker, Robert W MD...... 82 Wilkerson II, Julie Sun MD...... 64 Woolley, Joseph H MD...... 82 Zimmerman, Patrick H MD...... 69 Weller, Dana PA...... 66 Willden, Gerald J MD...... 68 Woolman, Michael D MD...... 85 Zirkle, Toby A MD...... 56 Wells, John Spencer MD...... 46 Williams, Anneli Sarah PA...... 66 Woolsey, Sarah Lynn MD...... 56 Zollo, Kenneth Allen MD...... 79 Welter, Matthew John MD...... 38 Williams, Ben Douglas MD...... 46 Worwood, Danny K MD...... 82 Werner, Matthew J MD...... 37 Williams, Garett Randal MD..... 56 Wright-Bennion, West, Renee Rochelle MD...... 85 Williams, Katherine K MD...... 47 Jennifer CNM...... 73

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