MOUNTAINSTAR INTENSIVIST SERVICES LLC (NPI# 1245517408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245517408 |
| Entity Type | Organization |
| Organization Name | MOUNTAINSTAR INTENSIVIST SERVICES LLC |
| Practice Address |
750 W 800 N Orem UT 84057-3660 |
| Practice Telephone | 8017146387 |
| Practice Fax Number | 8017146596 |
| Mailing Telephone | 8017146387 |
| Mailing Fax Number | 8017146596 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | MELISSA HEINER (DIRECTOR OF REIMBURSMENT) |
| Authorized Official Telephone | 8017717770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| 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 |
| 1649553306 | Craig Nuttall | Nurse Practitioner | 750 W 800 N, Ste 2, Orem, UT 84057-3660 | 2011-09-20 |
| 1225340003 | Dustin Edward Monroe | Pediatrics | 750 W 800 N, Orem, UT 84057-3660 | 2010-07-08 |
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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 |
| Find all providers in zip 84057 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912034315 | Omar E Mendez-figueroa | Internal Medicine | 750 W 800 N, Orem, UT 84057-3660 | 2007-02-27 |
| 1497710388 | Jay S Cowen | Internal Medicine | 750 W 800 N, Orem, UT 84057-3660 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199246 | Nigeen H. Janisch | Internal Medicine | 26 N 1900 E # 701, Salt Lake City, UT 84132-0002 | 2016-04-18 |
| 1376585372 | Charles Thomas Ivester | Internal Medicine | 2132 N Robins Dr Ste 307, Layton, UT 84041-7077 | 2006-06-12 |
| 1386691558 | Ann Jefferds | Internal Medicine | University of Utah Medical Center 50 North # 160, Salt Lake City, UT 84132-2853 | 2006-05-31 |
| 1124075437 | David Klein | Internal Medicine | 1220 E 3900 S Ste 2c, Salt Lake City, UT 84124-1319 | 2006-05-30 |
| 1104875574 | Tala'at Al-shuqairat | Internal Medicine | 555 W Sr 164, Salem, UT 84653-1666 | 2006-05-10 |
| 1013994813 | Ali Ahmed Fazili | Internal Medicine | 324 E 10th Ave Ste 170, Salt Lake City, UT 84103 | 2005-12-22 |
| 1740822774 | Ihc Health Services Inc | Internal Medicine | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2019-10-10 |
| 1376016618 | Ihc Health Services Inc | Internal Medicine | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2019-01-09 |
| 1750730743 | Kathryn W Hendrickson | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2016-06-09 |
| 1013364744 | Katarina Wrzos | Internal Medicine | 26 N 1900 E # 701, Salt Lake City, UT 84132-0002 | 2016-05-23 |
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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.