GATEWAY AESTHEETIC INSTITUTE& LASER CENTER (NPI# 1124208343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124208343 |
| Entity Type | Organization |
| Organization Name | GATEWAY AESTHEETIC INSTITUTE& LASER CENTER |
| Practice Address |
440 W 200 S Ste 250 Salt Lake City UT 84101-1462 |
| Practice Telephone | 8015951600 |
| Practice Fax Number | 8013640423 |
| Mailing Telephone | 8015951600 |
| Mailing Fax Number | 8013640423 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | MR. MARK B TAYLOR (CEO/PHYSICIAN) |
| Authorized Official Telephone | 8015951600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 158056-8905 | UT | Hospitals |
| Street Address |
440 W 200 S STE 250 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023589611 | Bahman Sotoodian | Dermatology | 440 W 200 S Ste 250, Salt Lake City, UT 84101-1462 | 2018-12-08 |
| 1982007134 | Amanda C Lucero | Naturopath | 440 W 200 S Ste 250, Salt Lake City, UT 84101-1462 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649470113 | New Life Centers | Special Hospital | 1255 E 3900 S Ste 300, Salt Lake City, UT 84124-1389 | 2007-07-23 |
| 1023306297 | Slc Va Medical Center | Special Hospital | 500 Foothill Drive, Salt Lake City, UT 84148 | 2011-07-21 |
| 1801181631 | University of Utah | Special Hospital | 175 N Medical Dr, Salt Lake City, UT 84132-0001 | 2011-06-09 |
| 1104075092 | Victoria Serpico | Special Hospital | 1950 Circle of Hope, Suite Number 6500, Salt Lake City, UT 84112 | 2008-09-16 |
| 1598801300 | Mary Lampas | Special Hospital | 1950 Circle of Hope Dr, Suite 2110, Salt Lake City, UT 84112-5500 | 2007-01-29 |
| 1538271861 | Christopher Burr Dechet | Special Hospital | 1950 Circle of Hope Dr, Rm 6755, Salt Lake City, UT 84112-5500 | 2006-08-31 |
| 1568494060 | Va Health Care System, Salt Lake City, Ut | Special Hospital | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093189839 | St. George Detox Center LLC | Special Hospital | 120 W 1470 S Bldg B, St George, UT 84770-6798 | 2015-11-17 |
| 1831505874 | Shadow Mountain LLC. | Special Hospital | 120 W. 1470 South, Building B, St. George, UT 84770 | 2014-07-10 |
| 1063754893 | Trenton Lyle Neal | Special Hospital | 308 W 7200 S, Midvale, UT 84047-1041 | 2013-03-19 |
| 1629411020 | Valerie Price | Special Hospital | 9414 S 1335 E, Sandy, UT 84092-2947 | 2013-04-16 |
| 1780926592 | Deborah Deann Rowley | Special Hospital | 308 W 7200 S, Midvale, UT 84047-1041 | 2013-03-19 |
| 1215294228 | Hyrum John Kerbs | Special Hospital | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2012-04-13 |
| 1609886126 | Ihc Health Services Inc. | Special Hospital | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2006-08-08 |
| City | SALT LAKE CITY |
| Zip Code | 84101 |
Please comment or provide details below to improve the information on GATEWAY AESTHEETIC INSTITUTE& LASER CENTER.
| 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.