RICHARD JACK POPE (NPI# 1053392613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053392613 |
| Entity Type | Individual |
| Full Name | RICHARD JACK POPE |
| Credential | MD |
| Practice Address |
630 Medical Dr Bountiful UT 84010-4908 |
| Mailing Address |
380 N 200 W Suite 209 Bountiful UT 84010-7079 |
| Practice Telephone | 8012992200 |
| Practice Fax Number | 8012966199 |
| Mailing Telephone | 8012981300 |
| Mailing Fax Number | 8012966199 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2011-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
165029-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 06400 | 05 | |
| UT | DESERET MUTUAL BENEFITS ADMINISTRATORS | 351118 | 01 |
| UT | RAILROAD MEDICARE | 300083845 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649784463 | Richard Pope | Counselor | 3009 Burnet Ave, Cincinnati, OH 45219-2419 | 2017-12-01 |
| 1205107844 | Richard Pope | Acupuncturist | 1011 E Burnside St, Portland, OR 97214-1328 | 2012-01-12 |
| 1114191152 | Richard Pope | Counselor | 12165 W Center Rd, Suite 70, Omaha, NE 68144-3962 | 2008-04-22 |
| 1396812319 | Richard William Pope | Orthopaedic Surgery | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2006-11-29 |
| 1689789588 | Richard Pope | Internal Medicine | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-08-20 |
| 1114985728 | Richard Pope | Physician Assistant | 1389 W Main St, Suite120, Waterbury, CT 06708-3104 | 2006-05-03 |
| 1881688117 | Richard T Pope | Internal Medicine | 411 10th St Se, Ste 300, Cedar Rapids, IA 52403-2442 | 2005-09-01 |
| Street Address |
630 MEDICAL DR |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144201120 | Richard N Hartvigsen | Radiology | 630 Medical Dr, Bountiful, UT 84010-4908 | 2005-11-08 |
| 1932665239 | Stephanie Lynn Blundell | General Acute Care Hospital | 630 Medical Dr, Bountiful, UT 84010-4908 | 2019-02-12 |
| 1205308780 | Janice Trump | Nurse Practitioner | 630 Medical Dr, Bountiful, UT 84010-4908 | 2018-12-21 |
| 1821521337 | Samuel John Kozloff | Internal Medicine | 630 Medical Dr, Bountiful, UT 84010-4908 | 2017-04-11 |
| 1619379971 | Selma Hercinovic | Social Worker | 630 Medical Dr, Bountiful, UT 84010-4908 | 2014-09-18 |
| 1952720633 | Alex G. Drake | Emergency Medicine | 630 Medical Dr, Bountiful, UT 84010-4908 | 2014-04-10 |
| 1518383546 | Greg Mendiola | Pharmacist | 630 Medical Dr, Bountiful, UT 84010-4908 | 2014-03-14 |
| 1396186409 | Karine Julie Hachon | Nurse Anesthetist, Certified Registered | 630 Medical Dr, Bountiful, UT 84010-4908 | 2013-07-17 |
| 1295071694 | Mountainstar Behavioral Health LLC | Behavioral Analyst | 630 Medical Dr, Bountiful, UT 84010-4908 | 2012-12-13 |
| 1174868525 | Mountainstar Behavioral Health LLC | Psychiatry & Neurology | 630 Medical Dr, Bountiful, UT 84010-4908 | 2012-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144201120 | Richard N Hartvigsen | Radiology | 630 Medical Dr, Bountiful, UT 84010-4908 | 2005-11-08 |
| 1831199918 | Robert Michael Bell | Radiology | 380 N 200 W, Suite 209, Bountiful, UT 84010-7079 | 2005-07-29 |
| 1568789295 | Bryant Oliverson | Radiology | 380 N 200 W, Ste 209, Bountiful, UT 84010-7079 | 2010-04-20 |
| 1346393212 | Bountiful Radiology Associates Inc | Radiology | 630 Medical Dr, Bountiful, UT 84010-4908 | 2007-01-22 |
| 1093761264 | Jose Perez Tamayo | Radiology | 380 N 200 W, Suite 209, Bountiful, UT 84010-7079 | 2006-05-26 |
| 1811978497 | Travis G. Snyder | Radiology | 380 N 200 W, Suie 209, Bountiful, UT 84010-7079 | 2005-11-09 |
| 1083695068 | Comprehensive Imaging Services LLC | Radiology | 1551 Renaissance Towne Dr, Bountiful, UT 84010-7667 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406281 | Slmri, LLC | Radiology | 10696 S River Front Pkwy, South Jordan, UT 84095-3525 | 2020-01-10 |
| 1487296505 | Us Sports Medicine, LLC | Radiology | 1178 E Brickyard Rd, Salt Lake City, UT 84106-2555 | 2019-10-09 |
| 1043771645 | Bear River Spine Center, Pllc | Radiology | 630 E 1400 N Ste 115, Logan, UT 84341-2691 | 2019-03-27 |
| 1558877134 | Gregory Wallace Johnson | Radiology | 769 W 1900 S, Woods Cross, UT 84087-1720 | 2017-12-19 |
| 1295285344 | Telerad of Ut Account Management LLC | Radiology | 607 N 1200 E, Mapleton, UT 84664-5622 | 2016-10-12 |
| 1073907556 | Peter Hinckley | Radiology | 4650 S Quail Park Dr Apt E, Slc, UT 84117-4843 | 2015-03-24 |
| 1467865329 | Shane Nicholas Weber | Radiology | 30 N 1900 E Rm 1a07, Salt Lake City, UT 84132-0002 | 2014-06-09 |
| 1003253667 | James Blain Sowby | Radiology | 5334 S Woodrow St Ste 100, Murray, UT 84107-5838 | 2013-05-22 |
| 1487090528 | Wendell Andrew Gibby | Radiology | 3152 N University Ave Dept Of, Provo, UT 84604-4745 | 2013-05-16 |
| 1790047371 | Jason Meigs | Radiology | 224 N 2650 W, Lehi, UT 84043-4319 | 2012-06-11 |
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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.