MR. MARK P PULVER (NPI# 1205007093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205007093 |
| Entity Type | Individual |
| Full Name | MR. MARK P PULVER |
| Credential | PA |
| Practice Address |
602 Fort Union Blvd 2nd Floor Midvale UT 84047-2216 |
| Mailing Address |
1250 E 3900 S Ste 450 Salt Lake City UT 84124-1349 |
| Practice Telephone | 8013131010 |
| Practice Fax Number | 8017472116 |
| Mailing Telephone | 8013131010 |
| Mailing Fax Number | 8017472116 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2016-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6766665-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| Street Address |
602 FORT UNION BLVD 2ND FLOOR |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235162199 | Brian Jeffery Williams | Dermatology | 602 Fort Union Blvd, 2nd Floor, Midvale, UT 84047-2216 | 2006-07-07 |
| 1902171895 | M R Hinckley Md Pllc | Dermatology | 602 Fort Union Blvd, 2nd Floor, Midvale, UT 84047-2216 | 2012-03-12 |
| 1255502050 | Brian J Williams Md PC | Dermatology | 602 Fort Union Blvd, 2nd Floor, Midvale, UT 84047-2216 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098065 | Joseph Hawkins | Physician Assistant | 8265 S Lance St Apt 8, Midvale, UT 84047-4331 | 2018-10-08 |
| 1477763613 | Janet L Williams | Physician Assistant | 1225 Fort Union Blvd Ste 200, Midvale, UT 84047-1882 | 2007-05-23 |
| 1285794552 | Patrick Barde Lang | Physician Assistant | 7495 South. State Street, Midvale, UT 84047 | 2006-12-09 |
| 1578578357 | Keri L Holyoak | Physician Assistant | 7396 Union Park Ave Ste 201, Midvale, UT 84047-6702 | 2006-07-30 |
| 1588216824 | Matthew Pierce | Physician Assistant | 65 E Twin Peaks St, Midvale, UT 84047-1215 | 2019-07-16 |
| 1881178580 | Benjamin John Rich | Physician Assistant | 220 W 7200 S Ste A, Midvale, UT 84047-1043 | 2018-09-18 |
| 1265976237 | Deisy Ramirez Aguilar | Physician Assistant | 220 W 7200 S Ste A, Midvale, UT 84047-1043 | 2016-12-11 |
| 1477802825 | Tony Scott Gregory | Physician Assistant | 8446 S Harrison St, Midvale, UT 84047-3501 | 2012-08-30 |
| 1033414248 | Nicole Marie Johnson | Physician Assistant | 7302 S Bingham Junction Blvd, Midvale, UT 84047-4804 | 2011-01-19 |
| 1649502931 | Meghann R Hilgert | Physician Assistant | 7302 S Bingham Junction Blvd, Midvale, UT 84047-4804 | 2010-02-11 |
| Find all providers in MIDVALE | ||||
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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.