INTERMOUNTAIN HEALTH AND WELLNESS LLC (NPI# 1174057277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174057277 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN HEALTH AND WELLNESS LLC |
| Practice Address |
7430 S Creek Rd Suite 104 Sandy UT 84093-6158 |
| Practice Telephone | 8019818795 |
| Practice Fax Number | 8019878051 |
| Mailing Telephone | 8019818795 |
| Mailing Fax Number | 8019878051 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |
| Authorized Official Name | DR. BRETT SPIERS LUDDINGTON (CLINIC DIRECTOR) |
| Authorized Official Telephone | 8019818795 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 48060411202 | UT | Chiropractic Providers |
| Y | 208D00000X | General Practice | 1686321205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
7430 S CREEK RD SUITE 104 |
| City | SANDY |
| State | UT |
| Zip Code | 84093-6158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578903670 | Jaron Traveller | Dentist | 7430 S Creek Rd, Suite 101, Sandy, UT 84093-6158 | 2013-07-03 |
| 1205208691 | William Cimikoski Md, LLC | Clinic/Center | 7430 S Creek Rd, #104, Sandy, UT 84093-6158 | 2015-10-23 |
| 1154750149 | Brett Luddington, Inc. | Clinic/Center | 7430 S Creek Rd, Ste 104, Sandy, UT 84093-6158 | 2013-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830674 | Maren Vanwagoner Ferre | Nurse Practitioner | 1455 E Quail Stream Ln, Cottonwood Heights, UT 84093 | 2020-01-22 |
| 1154820041 | Cassandra Bringhurst | Music Therapist | 8261 S Viscounti Dr., Sandy, UT 84093 | 2018-02-06 |
| 1518480540 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8645 S Highland Dr, Sandy, UT 84093 | 2017-07-21 |
| 1457881955 | Valor Psychological Services, LLC | Psychologist | 8160 S Highland Dr Ste C104, Sandy, UT 84093 | 2017-06-16 |
| 1700279197 | Russell G. Lewis | Dentist | 1434 E. 9400 S. Ste 201, Sandy, UT 84093 | 2015-03-10 |
| 1568771350 | Susan Lynn Nikola | Pharmacist | 8745 S. Highland Dr, Sandy, UT 84093 | 2010-09-28 |
| 1659696227 | Pamela Elizabeth Boyleston | Nurse Anesthetist, Certified Registered | 2628 Partridge Way, Sandy, UT 84093 | 2010-04-07 |
| 1700025582 | Kirk Madson Neuberger | Surgery | 9181 Wedgefield Dr., Sandy, UT 84093 | 2009-02-18 |
| 1326230392 | Sunrie Sandy Senior Living LLC | Assisted Living Facility | 2101 E 9400 S, Sandy, TN 84093 | 2007-08-14 |
| 1497870588 | Chandra Lee Roberson | Counselor | 8188 So. Highland Drive, Suite D-4, Sandy, UT 84093 | 2007-03-20 |
| Find all providers in zip 84093 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770916306 | Freedom Healthcare, LLC | General Practice | 8899 S 700 E, Ste 250, Sandy, UT 84070 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056269 | Dry Creek Integrative Medical LLC | General Practice | 3300 N Running Creek Way Bldg E, Lehi, UT 84043-5563 | 2020-09-08 |
| 1225647480 | Utah Therapeutic Health Center | General Practice | 740 E 3900 S Ste 108, Salt Lake City, UT 84107-2525 | 2020-07-23 |
| 1750922415 | Woundtech of Utah, Inc. | General Practice | 517 D St, Salt Lake City, UT 84103-2831 | 2019-10-03 |
| 1992355630 | East West Health Pleasant Grove LLC | General Practice | 11020 N 5500 W # 101, Highland, UT 84003-9643 | 2019-09-15 |
| 1396393369 | Root Medical | General Practice | 266 W 100 N Ste 2, Vernal, UT 84078-2026 | 2019-09-03 |
| 1154973576 | Koraima Morel Tirado | General Practice | 1035 W 190 S, Lehi, UT 84043-3833 | 2019-07-15 |
| 1841856986 | Northwestern Band of The Shoshone Nation Health & Human Services Dept. | General Practice | 241 W Forest St Ste A, Brigham City, UT 84302-2014 | 2019-05-14 |
| 1790297661 | The Bridge Recovery Center | General Practice | 98 N 6680 W, Hurricane, UT 84737-6138 | 2017-10-31 |
| 1790295947 | Low T Clinic, LLC | General Practice | 2150 N Main St Ste 10, North Logan, UT 84341-1740 | 2017-10-02 |
| 1104345636 | Coral Canyon Joint & Spine Health | General Practice | 83 S 2600 W Ste 102, Hurricane, UT 84737-3268 | 2017-09-15 |
| Find all providers with the same taxonomy | ||||
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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.