INTERMOUNTAIN ALLERGY & IMMUNOLOGY CLINIC (NPI# 1215030325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215030325 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN ALLERGY & IMMUNOLOGY CLINIC |
| Other Organization Name | INTERMOUNTAIN ALLERGY & ASTHMA |
| Practice Address |
12422 S 450 E Suite C Draper UT 84020-8050 |
| Practice Telephone | 8015531900 |
| Practice Fax Number | 8015539995 |
| Mailing Telephone | 8015531900 |
| Mailing Fax Number | 8015539995 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | DUANE HARRIS (PARTNER) |
| Authorized Official Telephone | 8015531900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP RAILROAD MEDICARE | DD5679 | 01 |
| Other Name | Type Code |
|---|---|
| Intermountain Allergy & Asthma | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841393972 | Intermountain Allergy & Immunology Clinic | Allergy & Immunology | 5929 Fashion Point Dr, Ste 101, South Ogden, UT 84403-4672 | 2006-09-06 |
| 1972606036 | Intermountain Allergy & Immunology Clinic | Allergy & Immunology | 6065 Fashion Blvd, Ste 255, Salt Lake City, UT 84107-7381 | 2006-09-06 |
| Street Address |
12422 S 450 E SUITE C |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-8050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535411 | Duane Jones Harris | Allergy & Immunology | 12422 S 450 E, Ste C, Draper, UT 84020-5645 | 2005-06-01 |
| 1902343635 | American Current Care Pa | Clinic/Center | 12422 S 450 E, Draper, UT 84020-8050 | 2017-01-19 |
| 1972048395 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 12422 S 450 E, Draper, UT 84020-8050 | 2016-12-20 |
| 1598009136 | Iaa Draper Inc | Clinic/Center | 12422 S 450 E, Suite C, Draper, UT 84020-8050 | 2012-11-20 |
| 1215296504 | Julie Hoffman | Physical Therapist | 12422 S 450 E, Draper, UT 84020-8050 | 2012-05-08 |
| 1760773923 | Work Care-south Side, LLC | Clinic/Center | 12422 S 450 E, Draper, UT 84020-8050 | 2011-04-22 |
| 1013061688 | Gordon Thier Oremland | Family Medicine | 12422 S 450 E, Draper, UT 84020-8050 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535411 | Duane Jones Harris | Allergy & Immunology | 12422 S 450 E, Ste C, Draper, UT 84020-5645 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912562240 | Edwin Ansell Bronsky | Allergy & Immunology | 3700 E Millstream Dr, Salt Lake City, UT 84109-3221 | 2019-05-02 |
| 1295989630 | Dorian J Carroll | Allergy & Immunology | 6095 Fashion Blvd Ste 100, Murray, UT 84107-7377 | 2008-11-12 |
| 1639369853 | Loida Viera-hutchins | Allergy & Immunology | 5296 S Commerce Dr, Murray, UT 84107-4767 | 2007-07-25 |
| 1447460274 | Ahmad Sami Halwani | Allergy & Immunology | Health Information Dpt of Utah Hospital, 50 North Medical Drive, Room Aa241 Som, Salt Lake City, UT 84132-0001 | 2007-05-23 |
| 1124163902 | Southern Utah Allergy and Asthma Clinic PC | Allergy & Immunology | 515 S 300 E Ste 101, Saint George, UT 84770-3931 | 2007-02-20 |
| 1164468955 | Andrew Smith | Allergy & Immunology | 6095 S Fashion Blvd Ste 100, Murray, UT 84107-7377 | 2006-06-21 |
| 1700859907 | Eric C Chenworth | Allergy & Immunology | 24 S 1100 E Ste 201, Salt Lake City, UT 84102-1554 | 2006-02-08 |
| 1154307197 | Marc O Anderson | Allergy & Immunology | 2121 No 1700 W, Layton, UT 84041 | 2005-12-21 |
| 1912906330 | Charles Mitchell Rogers | Allergy & Immunology | 6095 Fashion Blvd, Suite# 100, Murray, UT 84107-7397 | 2005-07-18 |
| 1972505212 | Alan Fetzer Bitner | Allergy & Immunology | 389 South 900 East, Salt Lake City, UT 84102 | 2005-06-01 |
| 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.