JACQUES L. D'ASTOUS (NPI# 1104881499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104881499 |
| Entity Type | Individual |
| Full Name | JACQUES L. D'ASTOUS |
| Credential | M.D. |
| Practice Address |
Fairfax Road At Virginia Street Shriners Hospitals for Children Salt Lake City UT 84103-4399 |
| Practice Telephone | 8015363600 |
| Practice Fax Number | 8015363686 |
| Mailing Telephone | 8015363600 |
| Mailing Fax Number | 8015363686 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 294318-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 41552369 | 05 |
| Street Address |
FAIRFAX ROAD AT VIRGINIA STREET SHRINERS HOSPITALS FOR CHILDREN |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-4399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861715559 | Richard Scott Hosie | Specialist | Fairfax Road At Virginia Street, Salt Lake City, UT 84103-4399 | 2010-03-09 |
| 1033432760 | Laura Lee Barnett | Speech-Language Pathologist | Fairfax Road At Virginia Street, Salt Lake City, UT 84103-4399 | 2010-03-09 |
| 1386845907 | Susan M. Conner | Nurse Practitioner | Fairfax Road At Virginia Street, Salt Lake City, UT 84103-4399 | 2007-05-30 |
| 1790875300 | Kathleen Ann Murray | Radiology | Fairfax Road At Virginia Street, Shriners Hosptials for Children, Salt Lake City, UT 84103-4399 | 2006-10-13 |
| 1053408708 | Marcella Rae Woiczik | Orthopaedic Surgery | Fairfax Road At Virginia Street, Shriners Hosptials for Children, Salt Lake City, UT 84103-4399 | 2006-10-06 |
| 1366407488 | Kristen L. Carroll | Orthopaedic Surgery | Fairfax Road At Virginia Street, Shriners Hospital for Children, Salt Lake City, UT 84103-4399 | 2006-04-20 |
| 1194780221 | Stephen D. Santora | Orthopaedic Surgery | Fairfax Road At Virginia Street, Shriners Hospitals for Children, Salt Lake City, UT 84103-4399 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144582354 | Daniel Bradley Gibbs | Orthopaedic Surgery | 6360 S 3000 E # Sre210, Salt Lake City, UT 84121 | 2012-06-13 |
| 1992037410 | Geoffrey Alvin Orme | Orthopaedic Surgery | 2045 E 900 S, Salt Lake City, UT 84108-1301 | 2010-02-09 |
| 1700050044 | Junius Clawson Md PC | Orthopaedic Surgery | 5810 S 300 E Ste 300, Salt Lake City, UT 84107-8176 | 2008-04-17 |
| 1376764282 | Joan D Miles | Orthopaedic Surgery | 5169 S Cottonwood St Ste 430, Salt Lake City, UT 84107-6774 | 2007-05-01 |
| 1407988504 | Johnathan Horne | Orthopaedic Surgery | 6362 Vintage Oak Ln, Salt Lake City, UT 84121-6544 | 2007-03-12 |
| 1578606562 | Craig Hugh Mcqueen | Orthopaedic Surgery | 1250 E 3900 S Ste 4050, Salt Lake City, UT 84124-1348 | 2007-02-15 |
| 1548351364 | John F Bermen Jr. | Orthopaedic Surgery | 3465 S 4155 West, Suite 5, Salt Lake City, UT 84120-2013 | 2006-09-27 |
| 1669563706 | Utah Bone & Joint Center Lc | Orthopaedic Surgery | 5323 S. Woodrow St, Ste 202, Salt Lake City, UT 84107 | 2006-09-27 |
| 1255378063 | Kent Mitchell Samuelson | Orthopaedic Surgery | 324 10th Avenue, #100, Salt Lake City, UT 84103 | 2006-06-01 |
| 1366418386 | Michael Shaun Machen | Orthopaedic Surgery | 100 Mario Capecchi Dr # 4550, Salt Lake City, UT 84113-1103 | 2006-02-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84103 |
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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.