Question 1

What type of a medical provider is Maite Antola?

Accepted Answer

Maite Antola is a Internal Medicine Physician.

Question 2

Where does Maite Antola practice medicine?

Accepted Answer

Maite Antola has the following practice address:421 N OREM BLVD, OREM, UT 84057-8813

Question 3

Does this provider have a license number?

Accepted Answer

Maite Antola has the following license number: License Number 11971127-1206 issued in Utah.

Question 4

Does Maite Antola accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Maite Antola have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Maite Antola a member of any Medical Groups?

Accepted Answer

Maite Antola is affiliated with one medical group in the OREM area, JEFFREY G OGDEN MD PC.

Question 7

Does Maite Antola participate in PECOS?

Accepted Answer

Yes, Maite Antola participates in PECOS.

Question 8

What phone number can I call to contact Maite Antola?

Accepted Answer

You can call the following number: (801)-764-0200

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Maite Antola.

Question 10

Is Maite Antola  affiliated with any hospitals?

Accepted Answer

The provider is affiliated with the following hospital: UTAH VALLEY HOSPITAL

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 4 years ago (10/13/2021).

Taxonomy	State	Primary?
Internal Medicine Physician - Taxonomy Code 207R00000X	UT	Y
Single Specialty Group - Taxonomy Code 193400000X	UT	N
Student - Taxonomy Code 390200000X	--	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20210513002612
PECOS Individual PAC ID:	4183033699
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Maite Antola

Overview