IHC HEALTH SERVICES INC (NPI# 1255466447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255466447 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | BOUNTIFUL COSMETIC DERMATOLOGY |
| Practice Address |
520 Medical Dr #320 Bountiful UT 84010-4968 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8012999050 |
| Mailing Telephone | 8012999050 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | DR. LINDA C LECKMAN (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Telephone | 8014423974 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 200631121 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bountiful Cosmetic Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942828520 | Ihc Health Services Inc | Psychologist | 5373 S Green St Ste 400, Murray, UT 84123-4740 | 2020-07-09 |
| 1194343095 | Ihc Health Services Inc | Internal Medicine | 5217 S State St Ste 250, Murray, UT 84107-4943 | 2020-07-08 |
| 1639797509 | Ihc Health Services Inc | Internal Medicine | 4387 Harrison Blvd Ste C1, Ogden, UT 84403-3148 | 2020-07-08 |
| 1124661384 | Ihc Health Services Inc | General Acute Care Hospital | 765 E Marketplace Dr, Spanish Fork, UT 84660 | 2019-10-21 |
| 1881166361 | Ihc Health Services Inc | Clinic/Center | 201 W Layton Pkwy Ste 1a, Layton, UT 84041-3692 | 2018-12-21 |
| 1235626698 | Ihc Health Services Inc | Clinic/Center | 1485 S Highway 40 Ste G, Heber City, UT 84032-3522 | 2018-04-20 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1770099251 | Ihc Health Services Inc | Dermatology | 395 W Bulldog Blvd Ste 604, Provo, UT 84604-3331 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| Street Address |
520 MEDICAL DR #320 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655668 | Douglas Ray Coombs | Specialist | 520 Medical Dr, #301, Bountiful, UT 84010-4968 | 2005-08-10 |
| 1972952844 | Emily Daines | Nurse Practitioner | 520 Medical Dr, #301, Bountiful, UT 84010-4968 | 2016-06-10 |
| 1558633487 | Douglas R. Coombs, Md, Inc | Pediatrics | 520 Medical Dr, #301, Bountiful, UT 84010-4968 | 2012-02-08 |
| 1891008777 | Grant A. Fairbanks, Md PC | Plastic Surgery | 520 Medical Dr, Suite 210, Bountiful, UT 84010-4968 | 2010-07-20 |
| 1841421914 | Mount Ogden Eye Center | Clinic/Center | 520 Medical Dr, Ste 201, Bountiful, UT 84010-4968 | 2009-08-06 |
| 1124293808 | Bountiful Internal Medicine & Pulmonology Associates LLC | Internal Medicine | 520 Medical Dr, Suite 200, Bountiful, UT 84010-4968 | 2008-04-24 |
| 1194903328 | John B Lyman Md PC | Ophthalmology | 520 Medical Dr, Suite 201, Bountiful, UT 84010-4968 | 2008-02-11 |
| 1235340019 | Gina Markos Capps | Nurse Practitioner | 520 Medical Dr, Bountiful, UT 84010-4968 | 2007-05-24 |
| 1447478458 | Brian James Holdstock | Nurse Practitioner | 520 Medical Dr, Suite #301, Bountiful, UT 84010-4968 | 2007-04-23 |
| 1184840597 | G Richard Ellis | Physician Assistant | 520 Medical Dr, Suite #310, Bountiful, UT 84010-4968 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154641272 | Anova Dermatology PC | Dermatology | 425 Medical Dr. Ste 220, Bountiful, UT 84010 | 2010-06-11 |
| 1831326941 | Brooks Bahr | Dermatology | 460 S 200 W, Bountiful, UT 84010-7126 | 2009-06-16 |
| 1396230116 | Anthony David Johnson | Dermatology | 460 S 200 W, Bountiful, UT 84010-7126 | 2018-06-25 |
| 1144608266 | Bahr Dermatology PC | Dermatology | 460 S 200 W, Bountiful, UT 84010-7126 | 2015-05-08 |
| 1588822076 | Ihc Health Services Inc | Dermatology | 425 Medical Dr, Ste 202, Bountiful, UT 84010-4977 | 2008-05-30 |
| 1619148129 | Jason C Hadley | Dermatology | 1560 Renaissance Towne Dr, Suite 210, Bountiful, UT 84010-7680 | 2008-03-13 |
| 1841499084 | Amy Valette Curtis | Dermatology | 425 Medical Dr, Suite 218, Bountiful, UT 84010-4945 | 2007-07-17 |
| 1467561613 | Tanya E. Christensen | Dermatology | 390 N Main St, Bountiful, UT 84010-6046 | 2006-08-30 |
| 1629187638 | John E Robison | Dermatology | 390 N Main St, Bountiful, UT 84010-6046 | 2006-08-30 |
| 1699797811 | Michael L Hadley | Dermatology | 1560 Renaissance Towne Dr, Ste 210, Bountiful, UT 84010-7680 | 2006-07-24 |
| Find all providers in BOUNTIFUL | ||||
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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.