JEFFREY A KURRUS (NPI# 1275561045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275561045 |
| Entity Type | Individual |
| Full Name | JEFFREY A KURRUS |
| Credential | MD |
| Practice Address |
1220 E 3900 S Ste 2c Salt Lake City UT 84124-1319 |
| Practice Telephone | 8012632482 |
| Practice Fax Number | 8012632424 |
| Mailing Telephone | 8012632482 |
| Mailing Fax Number | 8012632424 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
275268-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
275268-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNIV OF UTAH | 2295 | 01 | |
| ALTIUS | QM0000018105 | 01 | |
| SELECT CARE | 107007682101 | 01 | |
| MOLINA | PRA01659 | 01 | |
| PEHP | 44399 | 01 | |
| DMBA | 345899 | 01 | |
| EMIA | 870450466JE1 | 01 |
| Street Address |
1220 E 3900 S STE 2C |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124075437 | David Klein | Internal Medicine | 1220 E 3900 S Ste 2c, Salt Lake City, UT 84124-1319 | 2006-05-30 |
| 1902839657 | Mark S Shockey | Internal Medicine | 1220 E 3900 S Ste 2c, Salt Lake City, UT 84124-1319 | 2006-07-08 |
| 1417980178 | Pulmonary Internal Medicine PC | Internal Medicine | 1220 E 3900 S Ste 2c, Salt Lake City, UT 84124-1319 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1114931540 | Jamile Sarah Woods | Internal Medicine | Lds Hospital, 324, 8th Avenue, Salt Lake City, UT 84143-0001 | 2006-07-29 |
| 1003820754 | Hildegard K Smith | Internal Medicine | 324 10th Ave Ste 104, Salt Lake City, UT 84143-0001 | 2006-07-28 |
| 1629010079 | John Wade Shigeoka | Internal Medicine | Pulmonary Section 111p, Va Medical Center, Salt Lake City, UT 84148-0001 | 2006-06-11 |
| 1700858727 | Paul T Teman | Internal Medicine | Sleep-wake Center, 375 Chipeta Way, Suite A200, Salt Lake City, UT 84108-1260 | 2006-02-03 |
| 1508861964 | Mark L Martinez | Internal Medicine | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2005-06-14 |
| 1487124624 | Ihc Health Services Inc | Internal Medicine | 324 E 10th Ave Ste 170, Salt Lake City, UT 84103-2858 | 2018-11-30 |
| 1093119893 | University of Utah Adult Services | Internal Medicine | 50 North Medical Drive, Salt Lake City, UT 84132 | 2014-10-22 |
| 1417375213 | Bonnie Ronish | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-7414 | 2014-03-31 |
| 1134563729 | Ashley Lauren Garrett | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2013-04-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.