UTAH CENTER FOR REPRODUCTIVE MEDICINE (NPI# 1164724860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164724860 |
| Entity Type | Organization |
| Organization Name | UTAH CENTER FOR REPRODUCTIVE MEDICINE |
| Practice Address |
675 Arapeen Dr 205 Salt Lake City UT 84108-1223 |
| Mailing Address |
Po Box 410475 Salt Lake City UT 84141-3475 |
| Practice Telephone | 8015812121 |
| Mailing Telephone | 8012133800 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | CHARLES MATTHEW PETERSON (DEPARTMENT CHAIR) |
| Authorized Official Telephone | 8015812121 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| Street Address |
675 ARAPEEN DR 205 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407815863 | William R Keye Jr. | Obstetrics & Gynecology | 675 Arapeen Dr, Salt Lake City, UT 84108-1223 | 2006-03-22 |
| 1407084148 | Amanda Corinne Walker | Pharmacist | 675 Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1223 | 2009-07-01 |
| 1710024534 | Amber Mecham Overton | Pharmacist | 675 Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1223 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407889397 | Robert Neal Taylor | Obstetrics & Gynecology | 30 N 1900 E Rm 2a242, Salt Lake City, UT 84132-3006 | 2006-07-07 |
| 1407815863 | William R Keye Jr. | Obstetrics & Gynecology | 675 Arapeen Dr, Salt Lake City, UT 84108-1223 | 2006-03-22 |
| 1902200710 | University of Utah Adult Services | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1740360650 | Harry H. Hatasaka | Obstetrics & Gynecology | 30 N 1900 E # 2b-200, Salt Lake City, UT 84132-0002 | 2006-10-16 |
| 1518057116 | Kirtly Parker Jones | Obstetrics & Gynecology | 30 N 1900 E, Suite 2b200, Salt Lake City, UT 84132-0002 | 2006-10-13 |
| 1316037930 | C. Matthew Peterson | Obstetrics & Gynecology | 30 N 1900 E, Suite 2b200, Salt Lake City, UT 84132-0002 | 2006-10-13 |
| 1578653176 | Mark Gibson | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050221 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 1900 N State St Ste 105, Provo, UT 84604-1354 | 2018-11-01 |
| 1437440377 | California Fertility Partners | Obstetrics & Gynecology | 2435 W 450 S, Suite 103, Pleasant Grove, UT 84062-3159 | 2011-04-26 |
| 1154582443 | Stuart R Wise | Obstetrics & Gynecology | 1579 Willow Ln, Provo, UT 84604-2804 | 2008-06-19 |
| 1134216955 | John Lawrence Gililland Jr. | Obstetrics & Gynecology | 10150 S Petunia Way, Sandy, UT 84092-4318 | 2006-10-05 |
| 1992764278 | Jason D Parker | Obstetrics & Gynecology | 1446 W Pleasant Grove Blvd, Pleasant Grove, UT 84062-3216 | 2006-03-23 |
| 1063546349 | University of Utahdept of Obgyn Reproductive Endocrinology | Obstetrics & Gynecology | 50 N Medical Dr, Slc, UT 84132-0001 | 2007-03-16 |
| 1730252180 | James Rex Bryner | Obstetrics & Gynecology | 5770 S 250 E, G-45, Murray, UT 84107-8100 | 2006-11-15 |
| 1952353930 | Shawn Elizabeth Gurtcheff | Obstetrics & Gynecology | 50 N Medical Dr, Slc, UT 84132-0001 | 2006-05-17 |
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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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.