MR. SEAN L. WEBSTER (NPI# 1063759215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063759215 |
Entity Type | Individual |
Full Name | MR. SEAN L. WEBSTER |
Credential | PA-C |
Practice Address |
557 W 2600 S Bountiful UT 84010-7717 |
Practice Telephone | 8012989155 |
Mailing Telephone | 8012989155 |
Enumeration Date | 2013-01-08 |
Last Update Date | 2014-08-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
8482017-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
557 W 2600 S |
City | BOUNTIFUL |
State | UT |
Zip Code | 84010-7717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447256953 | Ralph David Wade | Family Medicine | 557 W 2600 S, Bountiful, UT 84010-7747 | 2005-06-21 |
1508410622 | Lindsay S Martinez | Nurse Practitioner | 557 W 2600 S, Bountiful, UT 84010-7717 | 2019-07-26 |
1124549100 | Niesha R Nelson | Nurse Practitioner | 557 W 2600 S, Bountiful, UT 84010-7717 | 2017-06-29 |
1609226091 | Brittaney Lee Cahoon | Nurse Practitioner | 557 W 2600 S, Bountiful, UT 84010-7717 | 2016-06-15 |
1073875126 | David L Badham | Physician Assistant | 557 W 2600 S, Bountiful, UT 84010-7717 | 2012-06-14 |
1558597831 | Wade Family Medicine, Inc. | Family Medicine | 557 W 2600 S, Bountiful, UT 84010-7747 | 2009-06-01 |
1790933216 | Hannah Belnap-gunn | Physician Assistant | 557 W 2600 S, Bountiful, UT 84010-7717 | 2008-09-09 |
1003080409 | Allison Hanna | Family Medicine | 557 W 2600 S, Bountiful, UT 84010-7717 | 2008-04-16 |
1134228166 | Debra J Wing | Registered Nurse | 557 W 2600 S, Bountiful, UT 84010-7717 | 2006-09-22 |
1801850755 | Allen Freestone | Family Medicine | 557 W 2600 S, Bountiful, UT 84010-7717 | 2006-04-15 |
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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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083156384 | Melissa Yamashiro | Physician Assistant | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5084 | 2016-11-17 |
1881060523 | Emily Peck | Physician Assistant | 425 Medical Dr, Suite 205, Bountiful, UT 84010-4945 | 2015-08-17 |
1790188829 | Hailey Poppe | Physician Assistant | 390 N Main St, Bountiful, UT 84010-6046 | 2014-10-03 |
1790933216 | Hannah Belnap-gunn | Physician Assistant | 557 W 2600 S, Bountiful, UT 84010-7717 | 2008-09-09 |
1033238209 | David Elden Schow | Physician Assistant | 440 Medical Dr, Bountiful, UT 84010-4950 | 2007-03-28 |
1861510240 | Konneen Willis | Physician Assistant | 1551 Renaissance Towne Dr, Ste 460, Bountiful, UT 84010-7667 | 2007-03-26 |
1124000427 | Edward Guy Hunter | Physician Assistant | 380 N 200 W, Suite 209, Bountiful, UT 84010-7079 | 2005-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
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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.