JENNIFER LYNN MAKOSKY (NPI# 1073767463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073767463 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN MAKOSKY |
| Credential | M.D. |
| Practice Address |
5770 S 250 E Suite 290 Murray UT 84107-8100 |
| Practice Telephone | 8017478700 |
| Practice Fax Number | 8017478701 |
| Mailing Telephone | 8017478700 |
| Mailing Fax Number | 8017478701 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2015-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 7471297-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5770 S 250 E SUITE 290 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992928 | Janet K Harnsberger | Pediatrics | 5770 S 250 E, Ste 330, Murray, UT 84107-8104 | 2005-06-15 |
| 1245602507 | Debra Camp | Registered Nurse | 5770 S 250 E, #310, Murray, UT 84107-8100 | 2015-10-27 |
| 1912374521 | Cindy Clymore | Registered Nurse | 5770 S 250 E, Murray, UT 84107-8100 | 2015-08-31 |
| 1558738161 | Laura Guilmain | Registered Nurse | 5770 S 250 E, Suite 310, Murray, UT 84107-8100 | 2015-08-31 |
| 1710319058 | Stacey Claire Snow | Audiologist | 5770 S 250 E, #285, Murray, UT 84107-8100 | 2013-08-08 |
| 1407292451 | Amy K. Stewart | Social Worker | 5770 S 250 E, Murray, UT 84107-8100 | 2013-05-17 |
| 1174866941 | Jake C Jones | Pediatrics | 5770 S 250 E, Suite 290, Murray, UT 84107-8100 | 2013-03-31 |
| 1851633903 | Rebecca Elizabeth Kincaid | Pediatrics | 5770 S 250 E, Suite 290, Murray, UT 84107-8100 | 2013-03-26 |
| 1699021741 | Leslie Pollio Farrell | Nurse Practitioner | 5770 S 250 E, Ste 330, Murray, UT 84107-8100 | 2012-07-26 |
| 1346595188 | Cottonwood Pediatric Gastroenterology | Pediatrics | 5770 S 250 E, Ste330, Murray, UT 84107-8100 | 2012-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477736718 | Murray Pediatrics LLC | Pediatrics | 164 East 5900 South, Ste. A-112, Murray, UT 84107 | 2007-12-10 |
| 1437181682 | Virginia Vierra | Pediatrics | 5063 Cottonwood St, Suite 160, Murray, UT 84107-6766 | 2006-07-07 |
| 1588602320 | Kristin Ann Lynch | Pediatrics | 5063 S Cottonwood St, Suite # 160, Murray, UT 84107-6766 | 2006-06-03 |
| 1518934793 | Elizabeth J Harris | Pediatrics | 6272 S Highland Dr, Murray, UT 84121-2126 | 2006-03-07 |
| 1205214301 | Murray Calloway County Public Hospital | Pediatrics | 300 S 8th St Ste 208e, Murray, KY 42071-2472 | 2015-05-11 |
| 1912325747 | Mackenzie Stunson Lowery | Pediatrics | 300 S 8th St Ste 208e, Murray, KY 42071-2472 | 2014-03-29 |
| 1174866941 | Jake C Jones | Pediatrics | 5770 S 250 E, Suite 290, Murray, UT 84107-8100 | 2013-03-31 |
| 1851633903 | Rebecca Elizabeth Kincaid | Pediatrics | 5770 S 250 E, Suite 290, Murray, UT 84107-8100 | 2013-03-26 |
| 1760757231 | Heath Morgan Cates | Pediatrics | 300 S 8th St Ste 208e, Murray, KY 42071-2472 | 2012-03-17 |
| 1851699896 | Jackie P Milo | Pediatrics | 300 S 8th St, Suite 208e, Murray, KY 42071-2400 | 2011-02-28 |
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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.