AARON ECKHAUSER (NPI# 1083761951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083761951 |
Entity Type | Individual |
Full Name | AARON ECKHAUSER |
Credential | MD |
Practice Address |
100 N. Mario Capecchi Dr Suite 2800 Salt Lake City UT 84113-1103 |
Mailing Address |
2675 E Wren Rd Holladay UT 84117-5423 |
Practice Telephone | 8016625566 |
Mailing Telephone | 8018898189 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2012-09-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
8281722-1205 | UT | Allopathic & Osteopathic Physicians |
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8281722-1205 | UT | Allopathic & Osteopathic Physicians |
Street Address |
100 N. MARIO CAPECCHI DR SUITE 2800 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84113-1103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952338808 | M Ericksen | Anesthesiology | 100 N. Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
Find all providers in zip 84113 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235398645 | Grant Bryan Erickson | Surgery | Dept Vascular Surgey, 30 North 1900 East, Room 3c 344 Som, Salt Lake City, UT 84132-0001 | 2008-06-02 |
1437347770 | Summit Laser Medical Arts, LLC | Surgery | 2952 Caitland Ct, Salt Lake City, UT 84121-7018 | 2007-10-11 |
1790719219 | Mark D Morasch | Surgery | 1160 E 3900 S Ste 3500, Salt Lake City, UT 84124-1264 | 2006-07-10 |
1922552413 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-08-12 |
1720482532 | University of Utah Adult Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
1073956793 | Ian Schlieder | Surgery | 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 | 2013-04-11 |
1437249042 | Michelle Tower Mueller | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2006-10-13 |
1467542084 | Mark Russell Sarfati | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2006-10-13 |
1962592576 | Larry W. Kraiss | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
1831287242 | Fritz R Bech | Surgery | 1160 E 3900 S Ste 3500, Salt Lake City, UT 84124-1264 | 2006-10-11 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84113 |
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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.