PHYSICIAN GROUP OF UTAH INC (NPI# 1033671540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033671540 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN GROUP OF UTAH INC |
| Practice Address |
1580 W Antelope Dr Ste 290 Layton UT 84041-1179 |
| Mailing Address |
Po Box 281415 Atlanta GA 30384-1415 |
| Practice Telephone | 8017760880 |
| Practice Fax Number | 8017737399 |
| Mailing Telephone | 8006731270 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | TYLER K WILKO (CEO) |
| Authorized Official Telephone | 8019843293 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| STEWARD MEDICAL GROUP OF UTAH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223848 | Physician Group of Utah Inc | Internal Medicine | 1577 Dewar Dr Ste 8, Rock Springs, WY 82901-5716 | 2020-04-10 |
| 1154883668 | Physician Group of Utah Inc | Internal Medicine | 5979 S 300 E, Murray, UT 84107-7364 | 2019-04-03 |
| 1477676930 | Physician Group of Utah Inc | Specialist | 406 W South Jordan Pkwy, Suite 500, South Jordan, UT 84095-3965 | 2007-04-09 |
| 1760944243 | Physician Group of Utah Inc | Specialist | 406 W South Jordan Pkwy Ste 500, South Jordan, UT 84095-3945 | 2019-04-03 |
| Street Address |
1580 W ANTELOPE DR STE 290 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447387519 | Rocky Mountain Women's Health Center, Inc. | Obstetrics & Gynecology | 1580 W Antelope Dr Ste 290, Layton, UT 84041-1179 | 2007-02-27 |
| 1346474764 | Susan Arulmalar Arogyasami | Obstetrics & Gynecology | 1580 W Antelope Dr Ste 290, Layton, UT 84041-1179 | 2009-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447387519 | Rocky Mountain Women's Health Center, Inc. | Obstetrics & Gynecology | 1580 W Antelope Dr Ste 290, Layton, UT 84041-1179 | 2007-02-27 |
| 1073554044 | Craig L Hurst | Obstetrics & Gynecology | 1660 West Antelope Dr, #210, Layton, UT 84041-1165 | 2006-06-09 |
| 1467452383 | Karen Boheen | Obstetrics & Gynecology | 1492 W Antelope Dr, #205, Layton, UT 84041-1139 | 2005-07-21 |
| 1053832501 | Ihc Health Services Inc | Obstetrics & Gynecology | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| 1205214772 | Bryant Lowell Johnson | Obstetrics & Gynecology | 2121 N 1700 W, Layton, UT 84041-8803 | 2015-05-15 |
| 1174918601 | Malorie Nicole Snider | Obstetrics & Gynecology | 2121 N 1700 W, Layton, UT 84041-8803 | 2015-04-01 |
| 1346474764 | Susan Arulmalar Arogyasami | Obstetrics & Gynecology | 1580 W Antelope Dr Ste 290, Layton, UT 84041-1179 | 2009-05-13 |
| 1700047099 | Leah N Torres | Obstetrics & Gynecology | 1580 W Antelope Dr, 290, Layton, UT 84041-1160 | 2008-06-19 |
| 1467597005 | Ihc Health Services Inc | Obstetrics & Gynecology | 2075 University Park Blvd, Layton, UT 84041-1611 | 2007-02-21 |
| 1881787885 | William G Hughes | Obstetrics & Gynecology | 1580 W Antelope Dr, #290, Layton, UT 84041 | 2006-10-02 |
| Find all providers in LAYTON | ||||
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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.