Provider Demographics
NPI:1427129535
Name:CARMAN, CHAD (DO)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:CARMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5852 W WOODSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:UT
Mailing Address - Zip Code:84003-8005
Mailing Address - Country:US
Mailing Address - Phone:801-839-9700
Mailing Address - Fax:
Practice Address - Street 1:5852 W WOODSHIRE LN
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:UT
Practice Address - Zip Code:84003-8005
Practice Address - Country:US
Practice Address - Phone:801-839-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-11
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7584137-1204207P00000X
AZ4249207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH91712Medicare UPIN