ANASTASIYA MANKOUSKI (NPI# 1003366766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003366766 |
| Entity Type | Individual |
| Full Name | ANASTASIYA MANKOUSKI |
| Other Name | ANASTASIYA CHYSTSIAKOVA |
| Credential | MD |
| Practice Address |
5121 S Cottonwood St Salt Lake City UT 84107-5701 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015077000 |
| Mailing Telephone | 2015275501 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
10102332-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5121 S COTTONWOOD ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544604 | Angela Hall Birkeland | Nurse Practitioner | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2019-08-26 |
| 1720545585 | Alessa Wade | Dietitian, Registered | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2019-02-27 |
| 1437503091 | Matthew Neil Lamont | Hospitalist | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2016-04-20 |
| 1588048979 | Utah Emergency Physicians | Emergency Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2015-07-15 |
| 1740608686 | Stephanie Aileen Chan | Internal Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2014-03-28 |
| 1225471816 | Jason Edward Allen | Internal Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2013-04-12 |
| 1760825822 | Jeffrey Leonard Halleck | Internal Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2013-04-09 |
| 1356609317 | Lana Joelle Mcgill | Internal Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2012-04-27 |
| 1013293620 | Jared David Miller | Internal Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2011-10-26 |
| 1710272026 | Cheryl L Pierce | Registered Nurse | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2011-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481162 | Timothy Robert Lapine | Pediatrics | 1140 E 3900 S, Salt Lake City, UT 84124-1228 | 2005-07-18 |
| 1356876858 | Allison M. Fisher | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-04-22 |
| 1427580794 | Ariel Tarrell | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-03-28 |
| 1770947814 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
| 1235591876 | Whitley Hulse | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2016-03-23 |
| 1013322494 | Matthew Douglass | Pediatrics | 50 N Medical Dr, Salt Lake City, UT 84132-5524 | 2014-06-24 |
| 1265850952 | Kristina Gulliver | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-03-31 |
| 1346538808 | Carrie Beth Torr | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2011-07-19 |
| 1134416183 | Sabrina Renee Malone Jenkins | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2011-06-28 |
| 1083843262 | Restorative Health Center LLC | Pediatrics | 2150 S 1300 E, Suite 500, Salt Lake City, UT 84106-4333 | 2009-07-08 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.