DR. JENNIFER HEMBERG (NPI# 1114330685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114330685 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER HEMBERG |
| Credential | M.D. |
| Practice Address |
30 N 1900 E # 1c412 Salt Lake City UT 84132-5000 |
| Mailing Address |
30 N 1900 E # 1c412 Salt Lake City UT 84132-0002 |
| Practice Telephone | 8015877435 |
| Practice Fax Number | 8015877455 |
| Mailing Telephone | 8105877435 |
| Mailing Fax Number | 8015877455 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301105080 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
10740262-1205 | UT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E Medical Center Dr, Ann Arbor, MI 481095000 | 7347635589 | 7347634208 |
| Street Address |
30 N 1900 E # 1C412 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598056848 | Miriam Peckham | Radiology | 30 N 1900 E # 1c412, Gme Office, Salt Lake City, UT 84132-2115 | 2011-04-20 |
| 1679952972 | Joel Kevin Bagley II | Student in an Organized Health Care Education/Training Program | 30 N 1900 E # 1c412, Salt Lake City, UT 84132-0002 | 2015-05-20 |
| 1376939702 | Bornali Kundu | Neurological Surgery | 30 N 1900 E # 1c412, Department of Neurosurgery, Clin Neuroscienc Center, Salt Lake City, UT 84132-0002 | 2015-04-13 |
| 1093100372 | Aaron Marcus Conger | Physical Medicine & Rehabilitation | 30 N 1900 E # 1c412, Salt Lake City, UT 84132-2115 | 2015-04-02 |
| 1083008569 | Kathryn Totino | Radiology | 30 N 1900 E # 1c412, Salt Lake City, UT 84132-0002 | 2015-03-24 |
| 1700293974 | Ali Alalawi | Student in an Organized Health Care Education/Training Program | 30 N 1900 E # 1c412, Salt Lake City, UT 84132-0002 | 2014-07-18 |
| 1801216957 | Kevin Hummel | Pediatrics | 30 N 1900 E # 1c412, Salt Lake City, UT 84132-9760 | 2014-04-16 |
| 1215374772 | Sanaa Beguwala | Student in an Organized Health Care Education/Training Program | 30 N 1900 E # 1c412, Salt Lake City, UT 84132-0002 | 2013-05-23 |
| 1225370802 | Abdulmohsin M.s Ahmadjee | Student in an Organized Health Care Education/Training Program | 30 N 1900 E # 1c412, Salt Lake City, UT 84132-0002 | 2013-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023545670 | Natalie Justine Tedford | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2017-05-15 |
| 1437513926 | University of Utah Pediatric Services | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
| 1538523675 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
| 1255795399 | University of Utah Pediatric Services | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
| 1811350325 | Jonathan Robert Eisenberg | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2016-04-01 |
| 1295121184 | Tiana Monostory | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2015-04-08 |
| 1568889541 | Cheryl Yang | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2014-03-27 |
| 1811230378 | Sydney Ryan | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2013-04-03 |
| 1245524651 | Pediatric Emergency Sedation Service | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2011-06-02 |
| 1184915217 | Rachel Elizabeth Whitney | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2011-04-24 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
Please comment or provide details below to improve the information on DR. JENNIFER HEMBERG.
| 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.