ADVANCED ORTHOPEDICS AND SPORTS MEDICINE (NPI# 1114959616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114959616 |
| Entity Type | Organization |
| Organization Name | ADVANCED ORTHOPEDICS AND SPORTS MEDICINE |
| Practice Address |
8785 Jordan Valley Way West Jordan UT 84088-9772 |
| Practice Telephone | 8015683480 |
| Practice Fax Number | 8015683482 |
| Mailing Telephone | 8015683480 |
| Mailing Fax Number | 8015683482 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CARL JOHNSON (CLINIC MANAGER) |
| Authorized Official Telephone | 8015683480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 22772 | UT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598226383 | Advanced Orthopedics and Sports Medicine | Orthopaedic Surgery | 12330 Metcalf Ave Ste 400, Overland Park, KS 66213-1307 | 2019-03-26 |
| 1003268087 | Advanced Orthopedics and Sports Medicine | Orthopaedic Surgery | 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064-2379 | 2016-07-01 |
| Street Address |
8785 JORDAN VALLEY WAY |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-9772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045237 | Brian Baker | Specialist | 8796 S 4770 W, West Jordan, UT 84088-4930 | 2019-10-19 |
| 1881060341 | Fernando Febres | Specialist | 6389 W Elbow River Cir, West Jordan, UT 84081-4941 | 2015-08-18 |
| 1457761884 | Hepfree2, LLC | Specialist | 6671 S Redwood Rd Ste 110, West Jordan, UT 84084-7491 | 2014-05-07 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528389210 | Alison Wendel | Specialist | 1547 Eaglemann Ct, West Jordan, UT 84084-3410 | 2010-06-16 |
| 1518084995 | David B Lewis | Specialist | 6884 Redwood Rd, West Jordan, UT 84084-2405 | 2007-03-23 |
| 1144345737 | Southwest Children's Clinic | Specialist | 8822 So Redwood Rd, C211, West Jordan, UT 84088-8811 | 2007-03-20 |
| 1306943121 | Gregory Patrick Dupont | Specialist | 9103 S 1300 W, Suite 103, West Jordan, UT 84088-6706 | 2006-09-20 |
| 1679587687 | Leslie J Harris | Specialist | 3584 W 9000 S Ste 405, West Jordan, UT 84088-5712 | 2006-07-27 |
| 1508881707 | Andrew A Miller | Specialist | 3590 W 9000 S, West Jordan, UT 84088-8857 | 2006-07-12 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
Please comment or provide details below to improve the information on ADVANCED ORTHOPEDICS AND SPORTS MEDICINE.
| 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.