STEPHEN B DEVENPORT (NPI# 1093730467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093730467 |
| Entity Type | Individual |
| Full Name | STEPHEN B DEVENPORT |
| Credential | MD |
| Practice Address |
12391 S 4000 W Riverton UT 84065 |
| Practice Telephone | 8013021760 |
| Practice Fax Number | 8013021714 |
| Mailing Telephone | 8013021760 |
| Mailing Fax Number | 8013021714 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 60902561205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
12391 S 4000 W |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265403463 | William Benjamin Warner | Obstetrics & Gynecology | 12391 S 4000 W, Riverton, UT 84096-7012 | 2006-01-27 |
| 1649755349 | Joshua Streeter | Nurse Practitioner | 12391 S 4000 W, Riverton, UT 84096-7012 | 2018-09-27 |
| 1326436007 | Mike Black | Physical Therapist | 12391 S 4000 W, #210, Riverton, UT 84096-7012 | 2015-01-02 |
| 1225446263 | Apex Dental Draper LLC | Dentist | 12391 S 4000 W, Suite 206, Riverton, UT 84096-7012 | 2014-07-22 |
| 1467735621 | Brandon James Hansen | Physician Assistant | 12391 S 4000 W, Riverton, UT 84096 | 2011-09-23 |
| 1063742492 | Apex Family & Cosmetic Dentistry | Dentist | 12391 S 4000 W, Suite 206, Riverton, UT 84096-7012 | 2010-01-07 |
| 1235464413 | Utah Gastroenterology P C | Internal Medicine | 12391 S 4000 W, Riverton, UT 84096-7012 | 2009-10-06 |
| 1801121108 | Carly Rae Davis | Pediatrics | 12391 S 4000 W, Riverton, UT 84096-7012 | 2009-10-05 |
| 1538321237 | Jeremy Paul Gerritsen | Optometrist | 12391 S 4000 W, Riverton, UT 84096-7012 | 2008-06-25 |
| 1649455403 | Daniel Todd Richards | Orthopaedic Surgery | 12391 S 4000 W, Riverton, UT 84096-7012 | 2007-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932599719 | After Hours Medical LLC | Family Medicine | 13348 South Market Center Drive, Suite 100, Riverton, UT 84065-8017 | 2015-01-30 |
| 1114326709 | Jcd Enterprises, LLC | Family Medicine | 3352 W Merryvale Cir, Riverton, UT 84065-6045 | 2014-08-19 |
| 1760743421 | David H. Workman, M.d., P.C. | Family Medicine | 1214 Sun River Dr, Riverton, UT 84065-6196 | 2012-05-30 |
| 1932469459 | Benjamin Thomas Christensen | Family Medicine | 13638 S Meribel Way, Riverton, UT 84065-6914 | 2012-05-17 |
| 1326307729 | Gwen Lauren Libby | Family Medicine | 1620 Riverview Rd, Riverton, WY 82501-5906 | 2012-05-07 |
| 1558634915 | Travis Mcdonald | Family Medicine | 13348 S Market Center Dr, Suite 120, Riverton, UT 84065-8001 | 2012-02-16 |
| 1407010853 | L Joanne Hedgecock Md PC | Family Medicine | 1025 College View Dr, Riverton, WY 82501-2266 | 2008-07-15 |
| 1063596401 | Robert D Williams | Family Medicine | 1288 West 12700 South, Riverton, UT 84065 | 2006-10-24 |
| 1972559557 | Gregory Sharp Daynes | Family Medicine | 5746 W 13400 S, Riverton, UT 84065-6907 | 2006-05-26 |
| 1659329449 | David H Workman Ix | Family Medicine | 1214 W Sun River Dr, Riverton, UT 84065-6196 | 2006-05-04 |
| Find all providers in RIVERTON | ||||
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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.