WASATCH SENIOR AND FAMILY CARE LLC (NPI# 1255981643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255981643 |
| Entity Type | Organization |
| Organization Name | WASATCH SENIOR AND FAMILY CARE LLC |
| Practice Address |
160 W 500 N Heber City UT 84032-1206 |
| Mailing Address |
Po Box 307 Bountiful UT 84011-0307 |
| Practice Telephone | 9494331234 |
| Mailing Telephone | 8012946907 |
| Mailing Fax Number | 8012946917 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | MICHAEL JAMES FARRELL IV (SOLE MEMBER) |
| Authorized Official Telephone | 9494331234 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
160 W 500 N |
| City | HEBER CITY |
| State | UT |
| Zip Code | 84032-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
| 1558807883 | Heber City Dental | Dentist | 345 E Gateway Drive, Suite 200, Heber City, UT 84032 | 2017-01-10 |
| 1326584921 | Deer Creek Childrens Dentistry | Dentist | 575 South 200 East, Heber City, UT 84032 | 2017-01-06 |
| 1194197871 | Ryan Hall | Physician Assistant | 150 N Main St #105, Heber City, UT 84032 | 2015-10-21 |
| 1841686631 | Jamar Romanceles Grayson | Family Medicine | 1485 Us-40 Ste G, Heber City, Ut 84032, Heber City, UT 84032 | 2015-04-08 |
| 1003218512 | Zebadia Pessetto | Physical Therapist | 380 E 1500 S Ste 102, Heber City, UT 84032 | 2014-09-16 |
| 1033471602 | Erik Mcclure | Anesthesiology | 899 E 200 S, Heber City, UT 84032 | 2012-06-11 |
| 1164716122 | Alicia M Power | Marriage & Family Therapist | 55 South 500 North, Heber City, UT 84032 | 2011-06-07 |
| 1073849873 | Ron T Dummar | Chiropractor | 325 West 600 S St. 403, Heber, UT 84032 | 2009-10-29 |
| 1407031255 | Wasatch County Health Department | Public Health or Welfare | 55 East 500 South, Heber City, UT 84032 | 2007-12-28 |
| Find all providers in zip 84032 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1497221618 | Senior Health LLC | Internal Medicine | 576 W 900 S Ste 103, Woods Cross, UT 84010-8232 | 2018-10-15 |
| 1700988656 | Robert S Powel | Internal Medicine | 9350 S 150 E Ste 150, Sandy, UT 84070-2703 | 2006-09-01 |
| 1083638308 | Mark Andrew Supiano | Internal Medicine | University of Utah Healthcare, 30 North 1900 East; Ab193 Som, Salt Lake City, UT 84132-0001 | 2006-07-27 |
| 1568489375 | Rachael Stubbs | Internal Medicine | 2981 Juliet Way, Salt Lake City, UT 84121-7023 | 2006-07-16 |
| 1265475131 | Byron Bair | Internal Medicine | Slc Vamc Grecc (182), 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-14 |
| 1457398703 | Randall W. Rupper | Internal Medicine | Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2006-06-02 |
| 1790779106 | Bonnie J Lee | Internal Medicine | 554 S 800 E, Slc, UT 84102-2931 | 2005-08-31 |
| 1245613298 | Genesis Eldercare Physicians LLC | Internal Medicine | 400 E 5350 S, Ogden, UT 84405-6931 | 2015-07-08 |
| 1609263300 | Shannon M. Devlin | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2015-04-20 |
| Find all providers with the same taxonomy | ||||
| City | HEBER CITY |
| Zip Code | 84032 |
Please comment or provide details below to improve the information on WASATCH SENIOR AND FAMILY CARE LLC.
| 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.