FREDERICK L GOTTLIEB (NPI# 1174532931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174532931 |
| Entity Type | Individual |
| Full Name | FREDERICK L GOTTLIEB |
| Credential | MD |
| Practice Address |
University of Utah 50 Salt Lake City UT 84132-0100 |
| Mailing Address |
University of Utah Adult Services Po Box 413033 Salt Lake City UT 84141-3033 |
| Practice Telephone | 8015812628 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2015-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
177082-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
UNIVERSITY OF UTAH 50 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868908 | Catherine Wick | Pharmacist | University of Utah, Division of Id; 30 N 1900 E, Salt Lake City, UT 84132-0001 | 2005-11-15 |
| 1205172392 | Justin James Mackenzie | Psychologist | University of Utah, 30 North 1900 East, 1b620 Som, Salt Lake City, UT 84132-0001 | 2012-12-18 |
| 1841502671 | Stanley Lawrence Giddings | Internal Medicine | University of Utah, Division of Infectious Diseases, Salt Lake City, UT 84132-6511 | 2010-07-09 |
| 1902030455 | George Michael Samadashwily | Student in an Organized Health Care Education/Training Program | University of Utah, 30 North 1900 East 4a330, Salt Lake City, UT 84132-0001 | 2009-05-13 |
| 1629221841 | Eric M Lindley | Internal Medicine | University of Utah, Salt Lake City, UT 84132-0001 | 2008-10-31 |
| 1235348897 | Marcellus Saka Assiago | Internal Medicine | University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132-0100 | 2007-05-21 |
| 1104916725 | Michael Adam Rubin | Internal Medicine | University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132-0100 | 2006-10-13 |
| 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 Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1083638308 | Mark Andrew Supiano | Internal Medicine | University of Utah Healthcare, 30 North 1900 East; Ab193 Som, Salt Lake City, UT 84132-0001 | 2006-07-27 |
| 1568489375 | Rachael Stubbs | Internal Medicine | 2981 Juliet Way, Salt Lake City, UT 84121-7023 | 2006-07-16 |
| 1265475131 | Byron Bair | Internal Medicine | Slc Vamc Grecc (182), 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-14 |
| 1457398703 | Randall W. Rupper | Internal Medicine | Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2006-06-02 |
| 1609263300 | Shannon M. Devlin | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2015-04-20 |
| 1407250202 | University of Utah Adult Services | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1164765053 | Kristin Marie Hueftle | Internal Medicine | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2013-03-29 |
| 1689709859 | Ihc Health Services Inc | Internal Medicine | 324 10th Ave, #200, Salt Lake City, UT 84103-2853 | 2007-02-21 |
| 1629145123 | Laurene Gay Joseph | Internal Medicine | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1202 | 2006-11-29 |
| 1609966217 | Jonathan Rich Nebeker | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
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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.