Mr. Ian Daniel Primavera, PA-C
Mr. Ian Daniel Primavera, PA-C is a Physician Assistant in Hurricane, Utah. Graduated from Mid West Medical College in 2012, 14 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in California and Utah.
- Years since qualifying
- 14
- Trained at
- Mid West Medical College
- Licensed in
- CA, UT
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
75 N 2260 WHurricane, UT 84737-2034
Phone: (760) 757-0224
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 12870631-1206 (UT) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA22615 (CA) |
Record details
| NPI number | 1831441237 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 9, 2012 |
| Last updated in NPPES | July 25, 2022 |
| Certification date | July 25, 2022 |
| Mailing address | 75 N 2260 W, Hurricane, UT 84737-2034 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | MID WEST MEDICAL COLLEGE |
| Graduated | 2012 (14 years in practice) |
| Group practice | Ihc Health Services Inc — 3947 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |