MR. SHANE MERWIN KJAR


Address: 324 10th Ave Ste 154, Salt Lake City, UT 84103-2876
Phone: 8014088666

MR. SHANE MERWIN KJAR (NPI# 1013932342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013932342
Entity Type Individual
Full Name MR. SHANE MERWIN KJAR
Credential P.A.
Practice Address 324 10th Ave Ste 154
Salt Lake City
UT 84103-2876
Practice Telephone 8014088666
Practice Fax Number 8013220567
Mailing Telephone 8014088666
Mailing Fax Number 8013220567
Enumeration Date 2006-07-13
Last Update Date 2008-02-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3757931206 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 324 10TH AVE STE 154
City SALT LAKE CITY
State UT
Zip Code 84103-2876

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710910252 Lori Decker Physician Assistant 324 10th Ave Ste 154, Salt Lake City, UT 84103-2876 2006-07-08
1265686281 Phillip Egbert Wilson Psychiatry & Neurology 324 10th Ave Ste 154, Salt Lake City, UT 84103-2876 2008-11-05
1982629200 Michael Hans Ferguson Physician Assistant 324 10th Ave Ste 154, Salt Lake City, UT 84103-2876 2006-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932509213 Paul David Rauch Specialist/Technologist 701 De Soto Street, Salt Lake City, UT 84103 2014-08-24
1073866695 University Neuropsychiatric Institute Community Based Residential Treatment Facility, Mental Illness 252 South 500 East, Salt Lake City, UT 84103 2012-10-19
1114285558 Christopher John Murphy Student in an Organized Health Care Education/Training Program 585 1st Ave, Salt Lake City, UT 84103 2012-04-23
1447573266 Peter Louis Kapelke Specialist Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 2010-03-08
1578763389 Susana Auhangamea Kinikini Nurse Practitioner Fairfax @ Virginia Street, Salt Lake City, UT 84103 2007-07-19
1609082320 Cynthia N Shumway Social Worker 580 10th Avenue, Salt Lake City, UT 84103 2007-05-16
1811010655 Kent Walker Farnsworth Obstetrics & Gynecology 1509 Federal Heights Drive, Salt Lake City, UT 84103 2007-04-09
1912082421 Eloise Agnes Maughan Nurse Practitioner 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 2006-10-25
1407968464 Kit D Smith Anesthesiology 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 2006-08-31
1396854113 Lisa H Carter Physical Therapist 1285 East Fairfax Road, Salt Lake City, UT 84103 2006-08-29
Find all providers in zip 84103

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556986 Brittany Tran Physician Assistant 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 2020-10-25
1528674975 James Christopher Nichols Physician Assistant 1746 E 2100 S, Salt Lake City, UT 84106-4165 2020-09-21
1841826971 David Souza Physician Assistant 52 N Medical Dr, Salt Lake City, UT 84132-0001 2020-03-20
1134751902 Jacie Anna Mundahl Physician Assistant 8th Ave C St E 80, Salt Lake City, UT 84143-0001 2020-02-10
1336770544 Kelsey Rae Thompson Physician Assistant 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 2020-01-28
1245885458 Adam Douglas Whitney Physician Assistant 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 2019-08-05
1306498654 Jarred J Entringer Physician Assistant 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 2019-07-16
1588216840 Christina Thomas Physician Assistant 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 2019-07-16
1770135022 Evar Saelee Physician Assistant 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 2019-07-16
1982263471 Ashley Marten Physician Assistant 3610 E Cascade Way, Salt Lake City, UT 84109-2307 2019-06-10
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84103

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Dataset Information

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.

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