MR. ADAM CODY CHRISTIANSEN (NPI# 1073088969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073088969 |
| Entity Type | Individual |
| Full Name | MR. ADAM CODY CHRISTIANSEN |
| Credential | PA-C |
| Practice Address |
1950 Circle of Hope Dr Salt Lake City UT 84112-5500 |
| Mailing Address |
13267 S Apple Pear Cir Draper UT 84020-9302 |
| Practice Telephone | 8012136034 |
| Mailing Telephone | 3855192382 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11410993-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 375 S Chipeta Way, Salt Lake City, UT 841081260 | 3855192382 |
| Street Address |
1950 CIRCLE OF HOPE DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922092147 | Sean Patrick Strope | Physician Assistant | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2005-09-02 |
| 1225639966 | Steven John Caverley | Social Worker | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-11-07 |
| 1639785058 | Kelly Fritz | Pharmacist | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-09-21 |
| 1457960015 | Nichole Rose Robinson | Social Worker | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-07-29 |
| 1194340448 | Nicholas Maurice Cheek-o'donnell | Social Worker | 1950 Circle of Hope Dr, Bmt Clinic, Salt Lake City, UT 84112 | 2020-06-12 |
| 1639701188 | University of Utah Behavioral Health Services | Nurse Practitioner | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-02-12 |
| 1992345730 | Jamie Paula Wadsworth | Speech-Language Pathologist | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-01-09 |
| 1609420983 | Kristen Pauley | Genetic Counselor, MS | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2019-07-25 |
| 1417428582 | Grace Blissell | Nurse Practitioner | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2018-12-16 |
| 1841768710 | Paige Harasha | Physician Assistant | 1950 Circle of Hope Dr, Department of Hematology, Salt Lake City, UT 84112-5500 | 2018-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
| 1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
| 1336770544 | Kelsey Rae Thompson | Physician Assistant | 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 | 2020-01-28 |
| 1245885458 | Adam Douglas Whitney | Physician Assistant | 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 | 2019-08-05 |
| 1306498654 | Jarred J Entringer | Physician Assistant | 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 | 2019-07-16 |
| 1588216840 | Christina Thomas | Physician Assistant | 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 | 2019-07-16 |
| 1770135022 | Evar Saelee | Physician Assistant | 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 | 2019-07-16 |
| 1982263471 | Ashley Marten | Physician Assistant | 3610 E Cascade Way, Salt Lake City, UT 84109-2307 | 2019-06-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
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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.