CARLOS E. RODRIGUEZ CORREA


Address: 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002
Phone: 8015857676

CARLOS E. RODRIGUEZ CORREA (NPI# 1255858619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255858619
Entity Type Individual
Full Name CARLOS E. RODRIGUEZ CORREA
Credential MD
Practice Address 30 N 1900 E Rm 4a100
Salt Lake City
UT 84132-0002
Practice Telephone 8015857676
Mailing Telephone 8015857676
Enumeration Date 2017-08-26
Last Update Date 2020-06-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
11734089-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 30 N 1900 E RM 4A100
City SALT LAKE CITY
State UT
Zip Code 84132-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467505206 Ravi Ranjan Internal Medicine 30 N 1900 E Rm 4a100, Health Sciences Center, Salt Lake City, UT 84132-0002 2007-01-18
1831715895 Ben Sadeh Student in an Organized Health Care Education/Training Program 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2020-06-24
1902379290 Christy Lan Ma Physician Assistant 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2019-01-09
1396231528 Chantel White Physician Assistant 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2018-07-11
1003302183 Breynn Collazo Physician Assistant 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2018-07-02
1871003285 Jean Grose Physician Assistant 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2017-10-11
1215466271 Holly L. Gaines Internal Medicine 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2017-06-05
1124552641 Andrew G. Bullock Internal Medicine 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2017-04-12
1508220054 Daniel Lloyd Varela Internal Medicine 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2016-04-11
1427410414 Robert Carl Sturm IIi Internal Medicine 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132-0002 2016-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003189622 Mehmet Akkaya Internal Medicine University of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132-0001 2012-02-13
1700199627 Majd Ibrahim Internal Medicine 30 N Medical Dr Rm 4a100, Salt Lake City, UT 84132 2010-07-20
1588804314 Michael John Preece Internal Medicine 1064 Donner Way, Salt Lake City, UT 84108-2507 2009-03-06
1902071673 John Joseph Ryan Internal Medicine Division of Cardiology University of Utah, 50 North Medical Dr, Salt Lake City, UT 84132-0100 2008-04-24
1831364561 Lowell Chang Internal Medicine 30 N Medical Dr, Salt Lake City, UT 84132-0001 2008-04-23
1467505206 Ravi Ranjan Internal Medicine 30 N 1900 E Rm 4a100, Health Sciences Center, Salt Lake City, UT 84132-0002 2007-01-18
1952321192 G Michael Vincent Internal Medicine 324 10th Ave Ste 130, Salt Lake City, UT 84103-2812 2006-07-20
1811965122 John D Day Internal Medicine 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2006-03-11
1083699144 Frank G Yanowitz Internal Medicine 8th Ave & C St, Lds Hospital, Salt Lake City, UT 84143-0001 2005-12-13
1306835186 Peter P Steele Internal Medicine 3350 S 2940 E, 9677, Salt Lake City, UT 84109-3159 2005-10-14
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Competitor

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City SALT LAKE CITY
Zip Code 84132

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Dataset Information

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.

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