JOSEPH ROBERT SHERBOTIE


Address: 100 N Medical Dr, Salt Lake City, UT 84113-1103
Phone: 8015812121

JOSEPH ROBERT SHERBOTIE (NPI# 1205915873) 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) 1205915873
Entity Type Individual
Full Name JOSEPH ROBERT SHERBOTIE
Practice Address 100 N Medical Dr
Salt Lake City
UT 84113-1103
Mailing Address Po Box 581100
Salt Lake City
UT 84158-1100
Practice Telephone 8015812121
Mailing Telephone 8012133800
Enumeration Date 2006-11-03
Last Update Date 2013-12-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0210X Pediatrics
Specialization: Pediatric Nephrology
316204-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 100 N MEDICAL DR
City SALT LAKE CITY
State UT
Zip Code 84113-1103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598763112 Michael Wayne Boyer Pediatrics 100 N Medical Dr, Bmt, Salt Lake City, UT 84113-1103 2005-07-08
1679719215 Kristen Haacke Nurse Practitioner 100 N Medical Dr, Salt Lake City, UT 84113-1103 2009-01-04
1508001736 Juliann Wintch Allred Psychiatry & Neurology 100 N Medical Dr, Clinical Neurosciences Center, Neurology, Salt Lake City, UT 84132-0001 2008-12-02
1811141500 Jennifer Grace O'donohoe Student in an Organized Health Care Education/Training Program 100 N Medical Dr, Salt Lake City, UT 84113-1103 2008-11-08
1033362264 Erin Kristin Zinkhan Pediatrics 100 N Medical Dr, Residency Office, Salt Lake City, UT 84113-1103 2008-10-31
1962652966 Rachael D Rich Nurse Practitioner 100 N Medical Dr, Salt Lake City, UT 84113-1103 2008-09-25
1528229101 Julia Kelsey Gunther Pediatrics 100 N Medical Dr, Salt Lake City, UT 84113-1103 2008-06-17
1225295520 Primary Children's Medical Center General Acute Care Hospital 100 N Medical Dr, Primary Children's Medical Center Pediatric Cardiology, Salt Lake City, UT 84113-1103 2008-05-22
1942476569 Pediatric Behavioral Health Pediatrics 100 N Medical Dr, Peds Behavioral Health, Salt Lake City, UT 84113-1103 2008-05-03
1871769471 Machelle Ross Bateman Nurse Practitioner 100 N Medical Dr, Salt Lake City, UT 84113-1103 2008-05-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386111060 Melissa Marie Dixon Psychologist Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 2018-10-31
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1487945135 Justin C Wheeler Pediatrics 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 2011-04-29
1154612117 Dana Boucek Pediatrics 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 2011-04-26
1285959502 Anna Katherine Eyre Ermarth Pediatrics 81 Mario Capecchi, Salt Lake City, UT 84113 2010-03-30
1457682072 Elizabeth K Cho Nurse Practitioner 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 2010-01-21
1528290848 Nancy Crandell Brown Nurse Practitioner 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 2009-08-20
1679708481 Primary Children's Medical Center General Acute Care Hospital 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 2009-05-22
1467697235 Tara Hook Physical Therapist 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 2008-12-09
1144474768 Jennifer K Workman Pediatrics 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 2008-11-10
Find all providers in zip 84113

Taxonomy Information

Taxonomy Code 2080P0210X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Nephrology

Taxonomy Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487018057 University of Utah Pediatric Services Pediatrics 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 2016-04-11
1760742530 Caitlin Gannon Peterson Pediatrics 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2012-05-25
1346364429 Matthew Michael Grinsell Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2007-03-16
1972682540 Raoul Devin Nelson Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2006-11-03
1053357251 Meredith L. Seamon Pediatrics 100 Mario Capecchi Dr, University of Utah- Department of Pediatrics, Salt Lake City, UT 84113-1103 2006-06-22

Competitor

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City SALT LAKE CITY
Zip Code 84113

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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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