DR. DUSTIN EDWARD MONROE (NPI# 1225340003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225340003 |
Entity Type | Individual |
Full Name | DR. DUSTIN EDWARD MONROE |
Credential | M.D., M.B.A. |
Practice Address |
750 W 800 N Orem UT 84057-3660 |
Practice Telephone | (801) 714-6350 |
Mailing Telephone | (801) 714-6350 |
Enumeration Date | 2010-07-08 |
Last Update Date | 2017-08-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 10255195-1205 | UT | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 47602 | AZ | Allopathic & Osteopathic Physicians |
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
10255195-1205 | UT | Allopathic & Osteopathic Physicians |
N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
10255195-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | LICENSE | MD47602 | 01 |
AZ | 825752 | 05 |
Street Address |
750 W 800 N |
City | OREM |
State | UT |
Zip Code | 84057-3660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205834843 | Dale R Gerstmann | Pediatrics | 750 W 800 N, Orem, UT 84057-3660 | 2005-07-08 |
1790249373 | Amber Laura Castro | Registered Nurse | 750 W 800 N, Orem, UT 84057-3660 | 2019-01-28 |
1023530854 | Jorge Arturo Delgadillo | Nurse Practitioner | 750 W 800 N, Orem, UT 84057-3660 | 2017-07-13 |
1700322732 | Jared Ryan Webb | Nurse Anesthetist, Certified Registered | 750 W 800 N, Orem, UT 84057-3660 | 2017-01-14 |
1073061313 | Matt Newbury | Nurse Anesthetist, Certified Registered | 750 W 800 N, Orem, UT 84057-3660 | 2016-09-15 |
1164884441 | Christine Mooney | Student in an Organized Health Care Education/Training Program | 750 W 800 N, Orem, UT 84057-3660 | 2016-03-24 |
1043574221 | Colt Brunson | Anesthesiology | 750 W 800 N, Orem, UT 84057-3660 | 2012-07-02 |
1326311572 | Jacob Merrill Hunsaker | Nurse Anesthetist, Certified Registered | 750 W 800 N, Orem, UT 84057-3660 | 2012-02-20 |
1245517408 | Mountainstar Intensivist Services LLC | Internal Medicine | 750 W 800 N, Orem, UT 84057-3660 | 2011-11-15 |
1649553306 | Craig Nuttall | Nurse Practitioner | 750 W 800 N, Ste 2, Orem, UT 84057-3660 | 2011-09-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
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Taxonomy Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942642541 | Elizabeth Quigley | Pediatrics | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2013-07-23 |
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 |
1588634729 | William Bradley Poss | Pediatrics | 295 E Chipeta Way, Salt Lake City, UT 84108-1287 | 2006-01-23 |
1174039614 | Ihc Health Services Inc | Pediatrics | 1034 N 500 W, Provo, UT 84604-3380 | 2017-12-20 |
1174056758 | Andrew Daniel Fontes | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2017-04-10 |
1457883449 | Lauren Burgunder | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2017-03-30 |
1376907410 | University of Utah Pediatric Acuity Care | Pediatrics | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-04-05 |
1891156741 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-03-18 |
1669866133 | Angela Coker | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108 | 2015-03-23 |
1801216957 | Kevin Hummel | Pediatrics | 30 N 1900 E # 1c412, Salt Lake City, UT 84132-9760 | 2014-04-16 |
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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.