WILLIAM MARTIN MCMAHON (NPI# 1063553626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063553626 |
| Entity Type | Individual |
| Full Name | WILLIAM MARTIN MCMAHON |
| Credential | M.D. |
| Practice Address |
650 Komas Dr 206 Slc UT 84108-1215 |
| Mailing Address |
1970 Michigan Ave Slc UT 84108-1324 |
| Practice Telephone | 8015857781 |
| Practice Fax Number | 8015818979 |
| Mailing Telephone | 8015857781 |
| Mailing Fax Number | 8015859098 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
1602251205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174893952 | William John Mcmahon | General Practice | 10465 S Seeley Ave, Chicago, IL 60643-2630 | 2012-01-10 |
| 1235424763 | William J Mcmahon | Radiology | 74 Stonehenge Dr, Washington, PA 15301-3026 | 2011-06-13 |
| 1891853420 | William Lewis Mcmahon | Emergency Medicine | 4905 Winding Rose Dr, Suwanee, GA 30024-3074 | 2006-12-05 |
| 1700487493 | William Stanley Mcmahon | Nurse Practitioner | 56 E Main St, Munford, TN 38058-6054 | 2020-11-08 |
| 1679865976 | William Mcmahon | Counselor | 235 Main St, Blakely, PA 18447-1233 | 2011-05-05 |
| 1073558458 | William Stephen Mcmahon | Pediatrics | 1700 6th Ave S, Suite 9100, Birmingham, AL 35233-1802 | 2006-06-18 |
| Street Address |
650 KOMAS DR 206 |
| City | SLC |
| State | UT |
| Zip Code | 84108-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689941049 | Rebecca Glover | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1588931950 | Charisse Lyn Sagers | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1720355100 | Melissa Ann Brewer | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1477820843 | Mark Jefferson Lance | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1629345095 | Paula H Hansen | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1356618714 | Josette Therese Dorius | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1669749032 | Dean Weedon | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1700153186 | Jennifer Kristen Rust | Case Manager/Care Coordinator | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2011-11-29 |
| 1649459488 | Jeanne Garfield | Social Worker | 650 Komas Dr, #200, Slc, UT 84108-1215 | 2007-10-29 |
| 1558550046 | Taryn Kathleen Nicksic-springer | Counselor | 650 Komas Dr, 200, Slc, UT 84108-1215 | 2007-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225147283 | David L Corwin | Psychiatry & Neurology | 100 N Medical Dr, Slc, UT 84113-1103 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101014 | Tms Elevated | Psychiatry & Neurology | 1790 Sun Peak Dr Ste B105, Park City, UT 84098-6625 | 2020-07-14 |
| 1134643596 | Ladders | Psychiatry & Neurology | 1399 S 700 E Ste 10, Salt Lake City, UT 84105-2167 | 2017-07-27 |
| 1477999688 | Kiera Schlansky | Psychiatry & Neurology | 1010 N 500 E Ste 110a, North Salt Lake, UT 84054-1949 | 2013-05-14 |
| 1710280565 | Dr Ryan Raymond Williams Md PC | Psychiatry & Neurology | 190 South 100 West, Beaver, UT 84713-1512 | 2010-12-17 |
| 1376725077 | Paul D Francom | Psychiatry & Neurology | 5600 N Heritage School Dr, Heritage School Inc, Prove, UT 84604 | 2007-12-04 |
| 1487779955 | Rachel Anne Weir | Psychiatry & Neurology | 650 Komas Dr Ste 208, Salt Lake City, UT 84108-1241 | 2007-03-20 |
| 1437297272 | Traci L. David | Psychiatry & Neurology | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2007-02-02 |
| 1073674768 | Ralph William Knapp | Psychiatry & Neurology | 1130 W Center St, North Salt Lake, UT 84054-2917 | 2006-12-13 |
| 1477565539 | Brian Lee Grimwood | Psychiatry & Neurology | 320 E 600 S, St George, UT 84770-3949 | 2006-08-13 |
| 1942268446 | Melissa P Lopez-larson | Psychiatry & Neurology | 383 S Colorow Dr, University of Utah, Salt Lake City, UT 84108-1201 | 2006-05-03 |
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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.