ELIZABETH DEMOS NICHOLSON (NPI# 1245262229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245262229 |
| Entity Type | Individual |
| Full Name | ELIZABETH DEMOS NICHOLSON |
| Credential | M.D. |
| Practice Address |
5121 S. Cottonwood Street Salt Lake City UT 84157 |
| Mailing Address |
Po Box 30180 Salt Lake City UT 84130-0180 |
| Practice Telephone | 8012692500 |
| Practice Fax Number | 8012692690 |
| Mailing Telephone | 8012692500 |
| Mailing Fax Number | 8012692690 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 6623361-8905 | UT | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 6623361-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | A86767 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962952259 | Elizabeth Nicholson | Speech-Language Pathologist | 915 Rosedale Rd Ne, Lower Unit, Atlanta, GA 30306-4827 | 2016-10-11 |
| 1417220252 | Elizabeth Lee Nicholson | Nurse Anesthetist, Certified Registered | 3636 N Belt W, Belleville, IL 62226-5947 | 2012-02-09 |
| 1750403408 | Elizabeth J Nicholson | Rehabilitation Counselor | 227 W Country Dr, Bartlett, IL 60103-4674 | 2007-04-04 |
| 1366059321 | Elizabeth Nicholson | Speech-Language Pathologist | 2701 Chestnut Station Ct, Louisville, KY 40299-6395 | 2020-09-24 |
| 1336497429 | Elizabeth Nicholson | Speech-Language Pathologist | 953 High St, Victor, NY 14564-1168 | 2012-08-21 |
| 1497074124 | Elizabeth Nicholson | Psychiatry & Neurology | 501 Billingsley Rd, Ste B, Charlotte, NC 28211-1009 | 2010-05-20 |
| 1245558964 | Elizabeth A Nicholson | Social Worker | 1913 Smith Ave, Thomasville, GA 31792-5751 | 2010-05-05 |
| 1700919867 | Elizabeth Nicholson | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-03-14 |
| 1871689190 | Elizabeth A Nicholson | Physician Assistant | 550 N University Blvd, Indianapolis, IN 46202-5149 | 2006-10-05 |
| Street Address |
5121 S. COTTONWOOD STREET |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691393 | Sandra Lee Stoker | Nurse Practitioner | Intermountain Medical Center - Ricu, 5121 S. Cottonwood St., Bldg. 5, Level 5, Murray, UT 84157 | 2018-03-01 |
| 1447425897 | Jennifer Abigale Jurynec | Nurse Practitioner | 5121 South Cottonwood St., Murray, UT 84157 | 2008-04-28 |
| 1144415282 | Corwin Q Edwards | Internal Medicine | 5121 S Cottonwood Dr, Salt Lake City, UT 84157 | 2007-09-12 |
| 1891819843 | Warren Lewis Butterfield | Orthopaedic Surgery | 5169 South Cottonwood Street, Suite 430, Murray, UT 84157 | 2007-03-16 |
| 1033211776 | Ida Ripley | Advanced Practice Midwife | 5161 S Cottonwood St, Ste 130, Murray, UT 84157 | 2006-09-02 |
| 1154313690 | Steven M Scott | Orthopaedic Surgery | 5169 S Cottonwood St, Ste 430, Slc, UT 84157 | 2005-08-19 |
| 1619341278 | James Bokinskie II | Physical Therapist | 5121 Cottonwood Street, Murray, UT 84157 | 2015-11-19 |
| 1083917355 | John Dudley Duross | Physician Assistant | 5121 South Cottonwood Street, Murray, UT 84157 | 2010-12-08 |
| 1942501168 | John Miller | Physical Therapy Assistant | 5121 Cottonwood St, Murray, UT 84157 | 2010-11-04 |
| 1902032295 | Eliza Boyer Johnson | Emergency Medicine | 5121 S. Cottonwood St., Intermountain Medical Center, Murray, UT 84157 | 2009-06-01 |
| Find all providers in zip 84157 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414216 | True North Health Navigation LLC | Emergency Medicine | 136 E South Temple Ste 1400, Salt Lake City, UT 84111-1143 | 2020-03-30 |
| 1609377589 | David A. Burton | Emergency Medicine | 1040 S Oak Hills Way, Salt Lake City, UT 84108-2024 | 2018-02-26 |
| 1184131922 | Wally Lee | Emergency Medicine | 3539 E Brighton Point Dr, Salt Lake City, UT 84121-5510 | 2018-01-02 |
| 1295240026 | Allison Mcphee | Emergency Medicine | 1021 E 3300 S, Salt Lake City, UT 84106-2142 | 2017-12-01 |
| 1104351592 | David Crockett | Emergency Medicine | University of Utah School of Medicine 30 N 1900 E 1c026, Salt Lake City, UT 84132-2147 | 2017-04-24 |
| 1699160598 | Sean Damian Slack | Emergency Medicine | Division of Emergency Medicine School Of, 30 N 1900 E 1c026, Salt Lake City, UT 84132-0001 | 2015-03-30 |
| 1801201496 | Dwight Burdick | Emergency Medicine | 2665 E 2100 S, Salt Lake City, UT 84109-1372 | 2014-06-23 |
| 1467872358 | Anna Rudolphi | Emergency Medicine | 30 N 1900 E 1c026, Division of Emergency Medicine- University of Utah, Salt Lake City, UT 84132 | 2014-04-18 |
| 1598004087 | Alison L Smith | Emergency Medicine | 764 E Hawthorne Ave, Salt Lake City, UT 84102 | 2013-02-04 |
| 1205195229 | Brian Galovic | Emergency Medicine | University of Utah Hospital Emergency, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2012-05-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84157 |
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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.