SAMUEL DRUCE MONTMORENCY (NPI# 1275160947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275160947 |
| Entity Type | Individual |
| Full Name | SAMUEL DRUCE MONTMORENCY |
| Practice Address |
5126 W Daybreak Pkwy South Jordan UT 84009-5994 |
| Mailing Address |
12482 S Red Elm Way Riverton UT 84065-7193 |
| Practice Telephone | 8012134500 |
| Mailing Telephone | 8016414872 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 2019032895 | UT | Emergency Medical Service Providers |
| Street Address |
5126 W DAYBREAK PKWY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84009-5994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972641 | Brandon Lee Reynolds | Obstetrics & Gynecology | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2005-09-16 |
| 1174121503 | Diana Palandri | Pharmacist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-10-16 |
| 1396358693 | Allison Yarborough | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-08-26 |
| 1275175176 | Laura Rice Kenney | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-10-11 |
| 1205481876 | Kendall Sauter | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-08-09 |
| 1922653351 | Ashley Joy Jensen | Advanced Practice Midwife | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-08-02 |
| 1881247427 | Erik Shane Hansen | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-23 |
| 1972156693 | Deborah Elizabeth Morgan | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-22 |
| 1548822265 | David Bennion | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-02 |
| 1285195743 | Makayla Nelson | Plastic Surgery | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347061 | Pony Express Dental Daybreak, LLC | Clinic/Center | 5396 W Daybreak Parkway, South Jordan, UT 84009 | 2017-06-30 |
| 1831630763 | Tina Patel | Dentist | 11501 S 4000 W Ste 101, South Jordan, UT 84009 | 2017-03-10 |
| 1811396260 | Out of This World Dentistry Sj PC | Dentist | 10426 S. 4000 W., South Jordan, UT 84009 | 2014-08-21 |
| 1184970956 | Robert Owyn Lindquist IIi | Social Worker | 10609 S. Granby Way, South Jordan, UT 84009 | 2012-07-31 |
| 1013138254 | Kelly Kristen Adams | Pediatrics | 4686 W Crosswater Road, South Jordon, UT 84009 | 2007-05-02 |
| 1760081061 | Someone To Talk To | Psychologist | 10352 S Sturgeon Dr, South Jordan, UT 84009-1218 | 2020-10-19 |
| 1699317685 | Daybreak Pdc Pllc | Dentist | 4040 West Daybreak Pkwy, Suite 103, South Jordan, UT 84009-1286 | 2019-10-11 |
| 1518414911 | Charli Danielle Peters | Nurse Practitioner | 9636 S Skye Park Rd, South Jordan, UT 84009-1506 | 2016-09-02 |
| 1760933832 | Naomi Mackert | Massage Therapist | 4988 W Wood Ranch Dr, South Jordan, UT 84009-1532 | 2016-10-24 |
| 1396285425 | Preston Howard Catmull | Physical Therapist | 9988 S Hook Dr, South Jordan, UT 84009-2786 | 2017-03-08 |
| Find all providers in zip 84009 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437650157 | Michael Hogue | Emergency Medical Technician, Basic | 2036 E Harkers Way, Eagle Mountain, UT 84005 | 2018-02-27 |
| 1942716998 | Mike A Black | Emergency Medical Technician, Basic | 4989 S State St Unit 57768, Salt Lake City, UT 84157-5032 | 2017-12-28 |
| 1528345634 | Katherine Marie Woods | Emergency Medical Technician, Basic | 1850 E 250 S, Hper E Rm 207, Salt Lake City, UT 84112 | 2011-11-03 |
| 1730241399 | William Blain Empey | Emergency Medical Technician, Basic | 1135 Smith Fieldhouse, Provo, UT 84602-0002 | 2006-12-13 |
| 1629699517 | Collin Owen Lamborn | Emergency Medical Technician, Basic | 90 E 200 N, Logan, UT 84321-4034 | 2020-05-01 |
| 1427679448 | Richard T Hinkle | Emergency Medical Technician, Basic | 401 S 400 E, Bountiful, UT 84010-4933 | 2020-04-30 |
| 1720530348 | Andrea Marie Pigeon | Emergency Medical Technician, Basic | 3870 Stadium Way, Dept. 2701, Ogden, UT 84408-5149 | 2016-10-31 |
| 1043518012 | After Hours Medical Company | Emergency Medical Technician, Basic | 7611 Jordan Landing Blvd, Suite 202, West Jordan, UT 84084-5610 | 2011-03-01 |
| City | SOUTH JORDAN |
| Zip Code | 84009 |
Please comment or provide details below to improve the information on SAMUEL DRUCE MONTMORENCY.
| 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.