Susan Payne Etheridge
Medical Specialty
Professional ID
- NPI: 1952480527
- PECOS ID: 9032002894
- Enrollment ID: I20141002002519
- Credential(MD, DO, DPM): MD
- Medical School: Rush Medical College Of Rush University
- Medical School Graduation Year: 1987
Hospital Service
- Hospital CCN1: 463301
- Business Name (LBN)1: Primary Childrens Hospital
Medical Practices
- Organization Name: University Of Utah Pediatric Services
- Group Practice ID assigned by PECOS: 0547552473
- Number of Group Practice member: 63
Location
- Address1: 81 N Mario Capecchi Dr
- Address2:
- City: Salt Lake City
- State: Utah
- Zip Code: 84113
- Phone Number: (801)213-3599
Medical Practices
- Organization Name: Ihc Health Services Inc
- Group Practice ID assigned by PECOS: 1850209420
- Number of Group Practice member: 2216
Location
- Address1: 100 N Mario Capecchi Dr
- Address2:
- City: Salt Lake City
- State: Utah
- Zip Code: 84113
- Phone Number: (801)662-1000
Medical Practices
- Organization Name: Alaska Heart Institute
- Group Practice ID assigned by PECOS: 2668371469
- Number of Group Practice member: 48
Location
- Address1: 3841 Piper St
- Address2: Suite T100
- City: Anchorage
- State: Alaska
- Zip Code: 99508
- Phone Number: (907)561-3211
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):