SUNNYSIDE PEDIATRICS (NPI# 1275940611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275940611 |
Entity Type | Organization |
Organization Name | SUNNYSIDE PEDIATRICS |
Other Organization Name | SUNNYSIDE PEDIATRICS, LLC |
Practice Address |
1060 E 100 S #400 Salt Lake City UT 84102-1501 |
Practice Telephone | 8015212640 |
Practice Fax Number | 8013636407 |
Mailing Telephone | 8015212640 |
Mailing Fax Number | 8013636407 |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |
Authorized Official Name | BECKY SELLERS (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 8015268353 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sunnyside Pediatrics, LLC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275810780 | Sunnyside Pediatrics | Pediatrics | 600 S 8th St, Griffin, GA 30224-4214 | 2011-11-11 |
Street Address |
1060 E 100 S #400 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84102-1501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548263213 | Lisa Stout | Specialist | 1060 E 100 S, Ste 110, Salt Lake City, UT 84102-1591 | 2005-05-24 |
1336686856 | Wasatch Psychological Services, LLC | Psychologist | 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 | 2017-01-23 |
1982083440 | Dr Amy Lynn Fehlberg | Psychologist | 1060 E 100 S, Ste 100, Salt Lake City, UT 84102-1582 | 2015-05-29 |
1386042760 | John Richard Mcvey | Physician Assistant | 1060 E 100 S, Suite 110, Salt Lake City, UT 84102-1501 | 2014-12-16 |
1164853651 | Garcia Clinical Psychology, LLC | Clinic/Center | 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 | 2013-12-09 |
1447522859 | Ryan Woodrow Wilkes | Psychologist | 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 | 2012-01-31 |
1912274309 | Julia Jacobs | Psychologist | 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 | 2011-11-29 |
1609167899 | Ryan Garcia | Psychologist | 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 | 2011-04-22 |
1225333842 | Wh-bm Consultant LLC | Specialist | 1060 E 100 S, L10, Salt Lake City, UT 84102-1501 | 2011-01-12 |
1619108057 | Amy Lynn Fehlberg | Psychologist | 1060 E 100 S, Ste 100, Salt Lake City, UT 84102-1582 | 2009-08-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
Find all providers in zip 84102 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760033443 | Careatc | Clinic/Center | 669 W 200 S, Salt Lake City, UT 84101-1014 | 2019-09-24 |
1174006605 | Bristol Palliative Care Services, L.L.C. | Clinic/Center | 3216 S Highland Dr Ste 100, Salt Lake City, UT 84106-4196 | 2018-09-11 |
1053764431 | Olympus Family Medicine | Clinic/Center | 4624 S Holladay Blvd Ste 100, Salt Lake City, UT 84117-7054 | 2016-07-20 |
1467830919 | Mary M. Martineau | Clinic/Center | 335 E 2nd Ave Apt A, Salt Lake City, UT 84103-2626 | 2015-05-15 |
1316117344 | Avenues To Health, LLC | Clinic/Center | 223 W 700 S, Suite D, Salt Lake City, UT 84101-2718 | 2008-03-05 |
1487260550 | Doctors House Calls of Utah, LLC | Clinic/Center | 1250 E 3900 S Ste 440, Salt Lake City, UT 84124-1349 | 2020-09-23 |
1184093924 | Westech Wellness Center | Clinic/Center | 3605 S West Temple, Salt Lake City, UT 84115-4409 | 2015-09-23 |
1447667217 | Granger Medical Clinic, Inc. | Clinic/Center | 1250 E 3900 S, Suite 250, Salt Lake City, UT 84124-1348 | 2014-07-14 |
1821225079 | Sara A. Wells, M.d., A Professional Corporation | Clinic/Center | 2131 E 2100 S, Salt Lake City, UT 84109-1128 | 2009-06-15 |
1730331984 | Future Care Plan, Inc | Clinic/Center | 7084 S 2300 E, Suite #110, Salt Lake City, UT 84121-3968 | 2008-10-21 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84102 |
Please comment or provide details below to improve the information on SUNNYSIDE PEDIATRICS.
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.