MAZEN SIRES (NPI# 1154370765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154370765 |
| Entity Type | Individual |
| Full Name | MAZEN SIRES |
| Credential | MD |
| Practice Address |
9450 S 1300 E Fl 4 Sandy UT 84094-5555 |
| Practice Telephone | 8015012140 |
| Mailing Telephone | 8015012140 |
| Mailing Fax Number | 8015012188 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 60496111205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MEDICARE | 000059004 | 01 |
| UT | PALMETTO | P00317619 | 01 |
| Street Address |
9450 S 1300 E FL 4 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-5555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1780193763 | Marcia Marie Mitchell | Internal Medicine | 4 Longwood Lane, Sandy, UT 84092 | 2017-09-22 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1790843373 | Vernon K Liu | Internal Medicine | 880 E 9400 S Ste 102, Sandy, UT 84094-4139 | 2006-12-05 |
| 1013012418 | Philip Leonard Roberts | Internal Medicine | 10965 State Street, 100, Sandy, UT 84070 | 2006-09-13 |
| 1366559791 | After Hours Medical Company | Internal Medicine | 7998 South 1300 East, Sandy, UT 84094-0744 | 2006-08-23 |
| 1588698831 | Robin Scott Poppen | Internal Medicine | 10965 S State St, Suite 100, Sandy, UT 84070-4270 | 2006-07-11 |
| 1295171247 | John Bradley Morris | Internal Medicine | 9450 S 1300 E, Sandy, UT 84094-5555 | 2013-05-17 |
| 1437402088 | Barclay F Bigelow Md PC | Internal Medicine | 880 E 9400 S, Suite 105, Sandy, UT 84094-3667 | 2012-10-19 |
| 1215293055 | Mark Rada Md Inc | Internal Medicine | 8074 S 1300 E, Sandy, UT 84094-0743 | 2012-04-05 |
| 1942516059 | Mark Alan Rada | Internal Medicine | 8074 S 1300 E, Sandy, UT 84094-0743 | 2010-08-26 |
| Find all providers in SANDY | ||||
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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.