ANTHONY WAYNE BACON


Address: 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002
Phone: 8015851618

ANTHONY WAYNE BACON (NPI# 1154611986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154611986
Entity Type Individual
Full Name ANTHONY WAYNE BACON
Credential M.D.
Practice Address 30 N 1900 E Rm 3c344
Salt Lake City
UT 84132-0002
Practice Telephone 8015851618
Mailing Telephone 8015851618
Enumeration Date 2011-04-13
Last Update Date 2019-06-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 11275378-1205 UT Allopathic & Osteopathic Physicians
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
11275378-1205 UT Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
13001 E 17th Pl, Aurora, CO 800452570 3037246031

Office Location

Street Address 30 N 1900 E RM 3C344
City SALT LAKE CITY
State UT
Zip Code 84132-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902288384 Jane J. He Surgery 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 2015-06-22
1407237092 Mark A. R. Kryskow Surgery 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 2015-06-09
1225425085 Sophia Tam Surgery 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 2015-04-20
1578965133 Erin Beale Smith Physician Assistant 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 2014-09-25
1073956793 Ian Schlieder Surgery 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 2013-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942604632 University of Utah Acuity Care Services Surgery 50 N Medical Dr, Salt Lake City, UT 84132-0001 2014-10-09
1063754265 Marta Louise Mccrum Surgery 30 N 1900 E, Division of General Surgery, Salt Lake City, UT 84132-0002 2013-03-26
1659461275 Jeffrey R. Saffle Surgery 50 N Medical Dr, Salt Lake City, UT 84132-0001 2006-10-13
1831108166 University of Utah Surgical Associates Surgery 50 N Medical Dr, Salt Lake City, UT 84132-0001 2006-08-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649319500 Eric D Anderson Surgery 5169 Cottonwood St Ste 410, Murray, UT 84107-6769 2007-02-06

Competitor

Search similar providers

City SALT LAKE CITY
Zip Code 84132

Improve Information

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Dataset Information

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.

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