CLARK J RASMUSSEN (NPI# 1134136906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134136906 |
| Entity Type | Individual |
| Full Name | CLARK J RASMUSSEN |
| Credential | MD |
| Practice Address |
5169 Cottonwood St Suite 410 Murray UT 84107-6767 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8012668850 |
| Mailing Telephone | 8012668850 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 3355181205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5169 COTTONWOOD ST SUITE 410 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554141 | Tawnya Bowles | Surgery | 5169 Cottonwood St, Suite 440, Murray, UT 84107-6767 | 2005-11-10 |
| 1528323508 | Lindsey Marie Andersen | Nurse Practitioner | 5169 Cottonwood St, Suite 510, Murray, UT 84107-6767 | 2012-07-06 |
| 1407121809 | Sarah Christensen | Physician Assistant | 5169 Cottonwood St, Suite 320, Eccles Outpatient Center, Murray, UT 84107-6767 | 2012-03-19 |
| 1669773461 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, Ste 510, Murray, UT 84107-6767 | 2010-11-10 |
| 1154639276 | Kristi Reinschmidt | Physician Assistant | 5169 Cottonwood St, Suite 320, Murray, UT 84107-6767 | 2010-09-23 |
| 1982833398 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, Ste 520, Murray, UT 84107-5701 | 2009-07-07 |
| 1629230958 | Mountain West Cardiovascular Associates | Specialist | 5169 Cottonwood St, Suite B620, Murray, UT 84158 | 2008-06-27 |
| 1740478445 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, #640, Murray, UT 84107-6767 | 2007-10-09 |
| 1851587133 | Travis Mark Remington | Physician Assistant | 5169 Cottonwood St, Suite# 410, Murray, UT 84107-6767 | 2007-09-19 |
| 1366640153 | Robert Edward Hugh Ferguson Jr. | Plastic Surgery | 5169 Cottonwood St, Suite 410, Murray, UT 84107-6767 | 2007-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740672641 | Randall Jones | Surgery | 1353 E Old Maple Ct, Murray, UT 84117-7303 | 2015-03-02 |
| 1811282452 | Andrew I Gagnon | Surgery | 5171 S Cottonwood St Ste 650, Murray, UT 84107-5716 | 2011-06-11 |
| 1619292745 | Nickolas Ray Byrge | Surgery | 5169 S Cottonwood St Ste 410, Murray, UT 84107-6769 | 2010-03-31 |
| 1679554141 | Tawnya Bowles | Surgery | 5169 Cottonwood St, Suite 440, Murray, UT 84107-6767 | 2005-11-10 |
| 1962401315 | Alfonso Preciado | Surgery | 4000 S 700 E, Ste 9, Murray, UT 84107-2180 | 2005-07-19 |
| 1609873595 | Sarah Dawn Majercik | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2005-07-07 |
| 1013412568 | Ihc Health Services Inc | Surgery | 5169 S Cottonwood St Ste 640, Murray, UT 84107-6771 | 2018-03-27 |
| 1356634976 | Ute Gawlick | Surgery | 5169 S Cottonwood St, Ste 410, Murray, UT 84107-6767 | 2011-05-16 |
| 1629210216 | Brady Tyler Harris | Surgery | 300 S 8th St, Suite 401e, Murray, KY 42071-2400 | 2009-03-30 |
| 1588831861 | Shane D. Lewis | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2008-05-14 |
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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.