UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC (NPI# 1215463724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215463724 |
| Entity Type | Organization |
| Organization Name | UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC |
| Other Organization Name | UTAH MUSCULOSKELETAL SPECIALISTS (UMS) |
| Practice Address |
144 S 700 E Salt Lake City UT 84102-1357 |
| Practice Telephone | 8015321822 |
| Practice Fax Number | 8015327544 |
| Mailing Telephone | 8015321822 |
| Mailing Fax Number | 8015327544 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-30 |
| Authorized Official Name | DANIEL L PREECE (CHAIRMAN) |
| Authorized Official Telephone | 8015321822 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 7720998-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
7720998-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
7720998-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Utah Musculoskeletal Specialists (UMS) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1043745987 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 150 N Main St Ste 202, Heber City, UT 84032-1671 | 2017-04-28 |
| 1912433426 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 5455 W 11000 N, #203, Highland, UT 84003-8800 | 2017-05-03 |
| 1295260131 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 1434 E 9400 S, #203, Sandy, UT 84093-2957 | 2017-04-28 |
| 1851826721 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 4578 S Highland Dr, #380, Salt Lake City, UT 84117-4243 | 2017-04-27 |
| 1174942460 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 430 N 400 W, Salt Lake City, UT 84103-1229 | 2014-04-15 |
| Street Address |
144 S 700 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417335 | Michael Karl Lowe | Podiatrist | 144 S 700 E, Salt Lake City, UT 84102-1109 | 2005-06-14 |
| 1437433422 | Salt Lake Podiatry Center Pllc | Podiatrist | 144 S 700 E, Salt Lake City, UT 84102-1109 | 2011-10-08 |
| 1114248762 | Brigham Stoker | Dentist | 144 S 700 E, Suite 2, Salt Lake City, UT 84102-1109 | 2010-06-17 |
| 1003098005 | Podiatry Center Inc | Podiatrist | 144 S 700 E, Salt Lake City, UT 84102-1109 | 2007-11-30 |
| 1548336696 | Douglas Green Stoker | Podiatrist | 144 S 700 E, Salt Lake City, UT 84102-1109 | 2006-11-28 |
| 1992705644 | Alison Jennifer Dunkerley | Podiatrist | 144 S 700 E, Salt Lake City, UT 84102-1109 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1972875524 | Utah Podiatry Group PC | Podiatrist | 2159 S 700 E Ste 150, Salt Lake City, UT 84106 | 2012-01-29 |
| 1891082830 | Selina Sekulic | Podiatrist | 348 E 4500 S Ste 370, Salt Lake City, UT 84107-3906 | 2011-06-28 |
| 1841586096 | Brian B Liljenquist | Podiatrist | 1250 E 3900 S Ste 440, Salt Lake City, UT 84124 | 2011-06-27 |
| 1659683381 | Christiaan Horst Goebel | Podiatrist | 4578 S Highland Dr, Suite 380, Salt Lake City, UT 84117-4243 | 2010-07-10 |
| 1639306889 | Daniel L Preece | Podiatrist | 430 N 400 W, Salt Lake City, UT 84103-1229 | 2009-06-15 |
| 1962513820 | Jason Ross Bowen | Podiatrist | 3710 Twinbrook St, Salt Lake City, UT 84109-3714 | 2006-08-31 |
| 1760499180 | Paul Norman Daniels | Podiatrist | 1449 E 3300 S, Salt Lake City, UT 84106-3308 | 2006-08-01 |
| 1710955745 | Flegal Foot & Ankle Clinic, LLC | Podiatrist | 740 E 3900 S, Suite 108, Salt Lake City, UT 84107-2525 | 2006-03-08 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC.
| 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.