UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC (NPI# 1043745987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043745987 |
Entity Type | Organization |
Organization Name | UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC |
Other Organization Name | UTAH MUSCULOSKELETAL SPECIALISTS (UMS) |
Practice Address |
150 N Main St Ste 202 Heber City UT 84032-1671 |
Mailing Address |
144 S 700 E Salt Lake City UT 84102-1357 |
Practice Telephone | 4356714726 |
Practice Fax Number | 4356544026 |
Mailing Telephone | (801) 532-1822 |
Mailing Fax Number | 8015327544 |
Enumeration Date | 2017-04-28 |
Last Update Date | 2017-05-30 |
Authorized Official Name | DANIEL L PREECE (CHAIRMAN) |
Authorized Official Telephone | 8015321822 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | 5587758-0501 | UT | Podiatric Medicine & Surgery Service Providers |
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
5587758-0501 | UT | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5587758-0501 | UT | Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
Utah Musculoskeletal Specialists (UMS) | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
1912433426 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 5455 W 11000 N, #203, Highland, UT 84003-8800 | 2017-05-03 |
1215463724 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 144 S 700 E, Salt Lake City, UT 84102-1357 | 2017-05-03 |
1295260131 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 1434 E 9400 S, #203, Sandy, UT 84093-2957 | 2017-04-28 |
1851826721 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 4578 S Highland Dr, #380, Salt Lake City, UT 84117-4243 | 2017-04-27 |
1174942460 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 430 N 400 W, Salt Lake City, UT 84103-1229 | 2014-04-15 |
Street Address |
150 N MAIN ST STE 202 |
City | HEBER CITY |
State | UT |
Zip Code | 84032-1671 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
1558807883 | Heber City Dental | Dentist | 345 E Gateway Drive, Suite 200, Heber City, UT 84032 | 2017-01-10 |
1326584921 | Deer Creek Childrens Dentistry | Dentist | 575 South 200 East, Heber City, UT 84032 | 2017-01-06 |
1194197871 | Ryan Hall | Physician Assistant | 150 N Main St #105, Heber City, UT 84032 | 2015-10-21 |
1841686631 | Jamar Romanceles Grayson | Family Medicine | 1485 Us-40 Ste G, Heber City, Ut 84032, Heber City, UT 84032 | 2015-04-08 |
1003218512 | Zebadia Pessetto | Physical Therapist | 380 E 1500 S Ste 102, Heber City, UT 84032 | 2014-09-16 |
1033471602 | Erik Mcclure | Anesthesiology | 899 E 200 S, Heber City, UT 84032 | 2012-06-11 |
1164716122 | Alicia M Power | Marriage & Family Therapist | 55 South 500 North, Heber City, UT 84032 | 2011-06-07 |
1073849873 | Ron T Dummar | Chiropractor | 325 West 600 S St. 403, Heber, UT 84032 | 2009-10-29 |
1407031255 | Wasatch County Health Department | Public Health or Welfare | 55 East 500 South, Heber City, UT 84032 | 2007-12-28 |
Find all providers in zip 84032 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427245448 | Ryan D Taylor | Podiatrist | 150 North Main Street, Suite 202, Heber City, UT 84032 | 2007-10-03 |
1942733415 | Utah Podiatry Group PC | Podiatrist | 345 W 600 S, Ste 408, Heber City, UT 84032-2247 | 2017-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033721303 | Stride Foot and Ankle Pllc | Podiatrist | 1365 W 1250 S Ste 101, Orem, UT 84058-2303 | 2020-08-18 |
1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
1447773122 | Apex Foot and Ankle Institute | Podiatrist | 882 N Main St # 2, Richfield, UT 84701-1840 | 2017-07-25 |
1902328644 | Weston Charles Packard | Podiatrist | 1561 W 7000 S Ste 201, West Jordan, UT 84084-3556 | 2017-07-14 |
1053844753 | Elite Ankle and Foot Pllc | Podiatrist | 39 E Center Street, Gunnison, UT 84634 | 2017-04-10 |
1811341621 | Victor Kent Myers | Podiatrist | 754 S Main St Ste 3, St George, UT 84770-5505 | 2016-04-18 |
1598119463 | Landon Cameron | Podiatrist | 1490 E Foremaster Dr Ste 250, St George, UT 84790-4501 | 2016-04-18 |
1417338161 | Adam Bowen Wood | Podiatrist | 1248 E 90 N Ste 101, American Fork, UT 84003-2954 | 2015-06-17 |
Find all providers with the same taxonomy |
City | HEBER CITY |
Zip Code | 84032 |
Please comment or provide details below to improve the information on UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC.
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.