DR. JARON THADDEUS ABBOTT (NPI# 1053565978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053565978 |
| Entity Type | Individual |
| Full Name | DR. JARON THADDEUS ABBOTT |
| Credential | MD |
| Practice Address |
1157 N 300 W Suite 301 Provo UT 84604-6124 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013574960 |
| Mailing Telephone | 8073574960 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2014-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 7277593-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1157 N 300 W SUITE 301 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-6124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710188 | Stephen Peters | Psychiatry & Neurology | 1157 N 300 W, Provo, UT 84604-6124 | 2005-06-16 |
| 1699315572 | Tyler Bills | Physical Therapist | 1157 N 300 W, Provo, UT 84604-6124 | 2020-01-08 |
| 1558917906 | Shaylene Dye | Specialist/Technologist | 1157 N 300 W, Provo, UT 84604-6124 | 2019-08-12 |
| 1053801308 | Monica Maria Alvarez Hinckley | Physical Therapist | 1157 N 300 W, Provo, UT 84604-6124 | 2018-05-12 |
| 1821592890 | Clinton Sherrill Anderson | Orthopaedic Surgery | 1157 N 300 W, Provo, UT 84604-6124 | 2018-03-22 |
| 1487165932 | Jesse Wren Ellis | Social Worker | 1157 N 300 W, Provo, UT 84604-6124 | 2017-10-23 |
| 1376066779 | Lindsey Kyle Jones | Physical Therapist | 1157 N 300 W, Provo, UT 84604-6124 | 2017-07-18 |
| 1922528314 | Julie Elizabeth Vancour | Physical Therapist | 1157 N 300 W, Provo, UT 84604-6124 | 2017-06-26 |
| 1467992560 | Dane Smith | Specialist/Technologist | 1157 N 300 W, #201, Provo, UT 84604-6124 | 2017-03-08 |
| 1972986057 | Steven Faux | Nurse Practitioner | 1157 N 300 W, Suite 303, Provo, UT 84604-6124 | 2015-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770043317 | Christopher Gordon Do, LLC | Allergy & Immunology | 745 N 500 W Ste 200, Provo, UT 84601-1472 | 2019-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912562240 | Edwin Ansell Bronsky | Allergy & Immunology | 3700 E Millstream Dr, Salt Lake City, UT 84109-3221 | 2019-05-02 |
| 1295989630 | Dorian J Carroll | Allergy & Immunology | 6095 Fashion Blvd Ste 100, Murray, UT 84107-7377 | 2008-11-12 |
| 1639369853 | Loida Viera-hutchins | Allergy & Immunology | 5296 S Commerce Dr, Murray, UT 84107-4767 | 2007-07-25 |
| 1447460274 | Ahmad Sami Halwani | Allergy & Immunology | Health Information Dpt of Utah Hospital, 50 North Medical Drive, Room Aa241 Som, Salt Lake City, UT 84132-0001 | 2007-05-23 |
| 1124163902 | Southern Utah Allergy and Asthma Clinic PC | Allergy & Immunology | 515 S 300 E Ste 101, Saint George, UT 84770-3931 | 2007-02-20 |
| 1164468955 | Andrew Smith | Allergy & Immunology | 6095 S Fashion Blvd Ste 100, Murray, UT 84107-7377 | 2006-06-21 |
| 1700859907 | Eric C Chenworth | Allergy & Immunology | 24 S 1100 E Ste 201, Salt Lake City, UT 84102-1554 | 2006-02-08 |
| 1154307197 | Marc O Anderson | Allergy & Immunology | 2121 No 1700 W, Layton, UT 84041 | 2005-12-21 |
| 1912906330 | Charles Mitchell Rogers | Allergy & Immunology | 6095 Fashion Blvd, Suite# 100, Murray, UT 84107-7397 | 2005-07-18 |
| 1275535411 | Duane Jones Harris | Allergy & Immunology | 12422 S 450 E, Ste C, Draper, UT 84020-5645 | 2005-06-01 |
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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.