MARC O ANDERSON (NPI# 1154307197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154307197 |
| Entity Type | Individual |
| Full Name | MARC O ANDERSON |
| Credential | MD |
| Practice Address |
2121 No 1700 W Layton UT 84041 |
| Mailing Address |
Po Box 337 Layton UT 84041-0337 |
| Practice Telephone | 8017734840 |
| Practice Fax Number | 8015258151 |
| Mailing Telephone | 8017734840 |
| Mailing Fax Number | 8015258151 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2012-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 291536-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 2915361205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | D0994 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033551650 | Marc E Anderson | Counselor | 2366 Eastlake Ave E Ste 221, Seattle, WA 98102-6500 | 2013-07-24 |
| 1669592598 | Marc L Anderson | Dentist | 9940 Belvedere Rd, Ste E, Royal Palm Beach, FL 33411 | 2007-04-02 |
| 1154969707 | Marc Anderson | Pharmacist | 855 Salem Rd, Conway, AR 72034-4820 | 2019-12-13 |
| 1316314842 | Marc Anderson | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2015-09-01 |
| 1275866865 | Marc David Anderson | Chiropractor | 161 19th St S, Suite #101, Sartell, MN 56377-2153 | 2009-09-14 |
| 1972687549 | Marc Anderson | Social Worker | 199 Town Sq, Suite G, Wheaton, IL 60187-3878 | 2006-10-24 |
| Street Address |
2121 NO 1700 W |
| City | LAYTON |
| State | UT |
| Zip Code | 84041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285610063 | R Robert Taylor | Internal Medicine | 2121 No 1700 W, Layton, UT 84041 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417595497 | Regenerative Medicine of Utah, LLC | Family Medicine | 2297 N Hill Field Rd Ste 101, Layton, UT 84041-6927 | 2019-12-20 |
| 1710496047 | Benjamin T Dedrickson | Family Medicine | 1580 W Antelope Dr Ste 110, Layton, UT 84041-1153 | 2017-09-29 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| 1891193504 | Onsite Care At Davis Hospital | Family Medicine | 1508 W Antelope Dr., Suite 110, Layton, UT 84041 | 2014-12-11 |
| 1013047521 | Kaysville Clinic, LLC | Family Medicine | 934 S Main, Layton, UT 84041-4250 | 2007-03-06 |
| 1538220306 | Layton Family Practice LLC | Family Medicine | 2950 N Church St Ste 200, Layton, UT 84040-6590 | 2006-12-13 |
| 1912091422 | Paul Ray Taylor | Family Medicine | 124 South Fairfield Rd, Layton, UT 84041 | 2006-10-02 |
| 1366449241 | Adam Nebeker | Family Medicine | 2075 N 1200 W, Layton, UT 84041-1616 | 2005-07-07 |
| 1588227797 | Dane Phillip Lyman | Family Medicine | 201 W Layton Pkwy Ste 1a, Layton, UT 84041-3692 | 2019-04-15 |
| 1497207872 | Eclipse Medical LLC | Family Medicine | 1660 W Antelope Dr, Ste 320, Layton, UT 84041-1156 | 2016-11-01 |
| Find all providers in LAYTON | ||||
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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.