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Matthew James Hegewald

  • Male

Medical Specialty

Professional ID

  • NPI: 1710094065
  • PECOS ID: 5294639472
  • Enrollment ID: I20070412000168
  • Credential(MD, DO, DPM): MD
  • Medical School: University Of Chicago Pritzker School Of Medicine
  • Medical School Graduation Year: 1988

Hospital Service

  • Hospital CCN1: 460010
  • Business Name (LBN)1: Intermountain Medical Center
  • Hospital CCN2: 460044
  • Business Name (LBN)2: Alta View Hospital
  • Hospital CCN3: 460049
  • Business Name (LBN)3: The Orthopedic Specialty Hospital

Medical Practices

  • Organization Name: Ihc Health Services Inc
  • Group Practice ID assigned by PECOS: 1850209420
  • Number of Group Practice member: 2216

Location

  • Address1: 5121 S Cottonwood Dr
  • Address2: Imed Ekg Phys
  • City: Murray
  • State: Utah
  • Zip Code: 84157
  • Phone Number: (801)408-8998

Location

  • Address1: 8 Th Ave And C St
  • Address2: Lds Hosp Eeg Phys Grp
  • City: Salt Lake City
  • State: Utah
  • Zip Code: 84143
  • Phone Number: (801)507-7000

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):