SUSANNA BENAVIDEZ CHAPMAN (NPI# 1215238530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215238530 |
| Entity Type | Individual |
| Full Name | SUSANNA BENAVIDEZ CHAPMAN |
| Other Name | SUZY B. CHAPMAN |
| Credential | PA |
| Practice Address |
4745 S 3200 W Taylorsville Salt Lake City UT 84118-2822 |
| Practice Telephone | 8019646214 |
| Mailing Telephone | 8019646214 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
7796308-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4745 S 3200 W TAYLORSVILLE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84118-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922084813 | David Mortin Gontrum | Family Medicine | 4745 S 3200 W, Salt Lake City, UT 84118-2822 | 2005-12-21 |
| 1174962963 | Maria Dalia Garza | Counselor | 4745 S 3200 W, Salt Lake City, UT 84129-2822 | 2013-06-14 |
| 1548471147 | Linda Stearns | Registered Nurse | 4745 S 3200 W, Salt Lake City, UT 84118-2822 | 2007-05-24 |
| 1770600918 | Thomas Carlyle Whittaker | Family Medicine | 4745 S 3200 W, Salt Lake City, UT 84118-2822 | 2007-03-23 |
| 1801992953 | Community Health Centers Inc. | Obstetrics & Gynecology | 4745 S 3200 W, Salt Lake City, UT 84118-2822 | 2006-09-16 |
| 1356446215 | Martha P Mandujano | Physician Assistant | 4745 S 3200 W, Salt Lake City, UT 84118-2822 | 2006-09-14 |
| 1902901838 | Phung Kim Do | Physician Assistant | 4745 S 3200 W, Salt Lake City, UT 84118-2822 | 2006-09-14 |
| 1316923113 | Keith Owen Horwood | Family Medicine | 4745 S 3200 W, Salt Lake City, UT 84118-2822 | 2005-12-22 |
| 1265419022 | Kathy Jane Pedersen | Family Medicine | 4745 S 3200 W, Salt Lake City, UT 84118-2822 | 2005-12-22 |
| 1902883721 | Paula Anne Guerra | Family Medicine | 4745 S 3200 W, Salt Lake City, UT 84118-2822 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527500 | Hoan K Doan | Case Manager/Care Coordinator | 3809 West 6200 South, Kearns, UT 84118 | 2018-05-02 |
| 1750664785 | Giao L Tran | Pharmacist | 5586 W 6200 S, Slc, UT 84118 | 2011-09-26 |
| 1982913406 | Brent James Seely | Counselor | 5934 S 8400 W, Kearns, UT 84118 | 2010-10-01 |
| 1558593830 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Early Intervention Provider Agency | 5242 South 4820 West, Att Janet Wade, Kearns, UT 84118 | 2009-08-20 |
| 1063643120 | Phung Matthews | Pharmacist | 1837 West 4700 South, Taylorsville, UT 84118 | 2009-08-06 |
| 1689824963 | Mary Candace Christensen | Social Worker | 3703 West 6200 South, Valley Mental Health Artec - Therapeutic Foster Care, Bennion, UT 84118 | 2008-09-24 |
| 1164695128 | Life's Endeavour | Chiropractor | 2494 West Sharron Drive, Taylorsville, UT 84118 | 2008-04-10 |
| 1750585485 | Wendy Kay Cotting | Pediatrics | Taylorsville Kidscare, 3845 W. 4700 S., Taylorsville, UT 84118 | 2007-06-14 |
| 1720102841 | Wendy Lee Bingham | Physical Therapist | 3845 W. 4700 S., Ihc Taylorsville Health Center, Taylorsville, UT 84118 | 2007-03-16 |
| 1417028952 | Terry Milo Hansen | Optometrist | 2828 West 4700 South, Suite D, West Valley City, UT 84118 | 2006-11-13 |
| Find all providers in zip 84118 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1710372784 | Sarah Beth Wills | Physician Assistant | 500 Foot Drive, Salt Lake City, UT 84148-4004 | 2015-04-06 |
| 1821323742 | Sara Diane Feltz | Physician Assistant | 615 Arapeen Drive, Suite 100, Salt Lake City, UT 84108 | 2009-10-09 |
| 1457597809 | Wesley Messer Norwood | Physician Assistant | 150 S 1000 E Ste 200, Salt Lake City, UT 84102-1496 | 2009-01-06 |
| 1235146937 | Kara Alexander-agresta | Physician Assistant | 3838 S 700 E Utah Cancer Specialist-cancer Ctr, Suite 100, Salt Lake City, UT 84106 | 2006-08-02 |
| 1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
| 1912515230 | Lesly Pineda | Physician Assistant | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-07-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84118 |
Please comment or provide details below to improve the information on SUSANNA BENAVIDEZ CHAPMAN.
| 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.