BOUNTIFUL INTERNAL MEDICINE & PULMONOLOGY ASSOCIATES LLC (NPI# 1124293808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124293808 |
| Entity Type | Organization |
| Organization Name | BOUNTIFUL INTERNAL MEDICINE & PULMONOLOGY ASSOCIATES LLC |
| Practice Address |
520 Medical Dr Suite 200 Bountiful UT 84010-4968 |
| Mailing Address |
Po Box 1468 Bountiful UT 84011-1468 |
| Practice Telephone | 8012949333 |
| Mailing Telephone | 8012949333 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2009-04-29 |
| Authorized Official Name | SCOTT SOUTHWORTH (MD) |
| Authorized Official Telephone | 8012949333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
520 MEDICAL DR SUITE 200 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655668 | Douglas Ray Coombs | Specialist | 520 Medical Dr, #301, Bountiful, UT 84010-4968 | 2005-08-10 |
| 1972952844 | Emily Daines | Nurse Practitioner | 520 Medical Dr, #301, Bountiful, UT 84010-4968 | 2016-06-10 |
| 1558633487 | Douglas R. Coombs, Md, Inc | Pediatrics | 520 Medical Dr, #301, Bountiful, UT 84010-4968 | 2012-02-08 |
| 1891008777 | Grant A. Fairbanks, Md PC | Plastic Surgery | 520 Medical Dr, Suite 210, Bountiful, UT 84010-4968 | 2010-07-20 |
| 1841421914 | Mount Ogden Eye Center | Clinic/Center | 520 Medical Dr, Ste 201, Bountiful, UT 84010-4968 | 2009-08-06 |
| 1194903328 | John B Lyman Md PC | Ophthalmology | 520 Medical Dr, Suite 201, Bountiful, UT 84010-4968 | 2008-02-11 |
| 1235340019 | Gina Markos Capps | Nurse Practitioner | 520 Medical Dr, Bountiful, UT 84010-4968 | 2007-05-24 |
| 1447478458 | Brian James Holdstock | Nurse Practitioner | 520 Medical Dr, Suite #301, Bountiful, UT 84010-4968 | 2007-04-23 |
| 1184840597 | G Richard Ellis | Physician Assistant | 520 Medical Dr, Suite #310, Bountiful, UT 84010-4968 | 2007-04-17 |
| 1255466447 | Ihc Health Services Inc | Dermatology | 520 Medical Dr, #320, Bountiful, UT 84010-4968 | 2007-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154543155 | William Taylor Sadler | Internal Medicine | 415 South Medical Drive, Suite C202, Bountiful, UT 84010 | 2007-05-02 |
| 1104061191 | William T Sadler Md PC | Internal Medicine | 415 Medical Dr, Suite C202, Bountiful, UT 84010-4946 | 2008-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992009799 | Sleep and Lung Clinic of Utah, Inc. | Internal Medicine | 5801 S. Fashion Blvd, Ste. 280, Murray, UT 84107-6159 | 2011-01-07 |
| 1497885453 | Ihc Health Services Inc | Internal Medicine | 1380 E Medical Dr, #1400, St George, UT 84790 | 2007-03-07 |
| 1902943988 | Lynette Mardel Brown | Internal Medicine | 5121 S. Cottonwood Suite 307, Intermountain Medical Center, Murray, UT 84157-7000 | 2007-01-31 |
| 1942374020 | Gregory D Hammond | Internal Medicine | 613 E Fort Union, Suite #a102, Midvale, UT 84047-5531 | 2006-11-20 |
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1851498273 | Imad S Farrukh | Internal Medicine | 3584 W 9000 S Ste 201, West Jordan, UT 84088-4773 | 2006-09-20 |
| 1114931540 | Jamile Sarah Woods | Internal Medicine | Lds Hospital, 324, 8th Avenue, Salt Lake City, UT 84143-0001 | 2006-07-29 |
| 1003820754 | Hildegard K Smith | Internal Medicine | 324 10th Ave Ste 104, Salt Lake City, UT 84143-0001 | 2006-07-28 |
| 1891726162 | Sandeep Chowdhary | Internal Medicine | 3181 W 9000 So, West Jordan, UT 84088 | 2006-07-05 |
| 1629010079 | John Wade Shigeoka | Internal Medicine | Pulmonary Section 111p, Va Medical Center, Salt Lake City, UT 84148-0001 | 2006-06-11 |
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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.