UTAH VALLEY RADIOLOGY ASSOC (NPI# 1295034908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295034908 |
| Entity Type | Organization |
| Organization Name | UTAH VALLEY RADIOLOGY ASSOC |
| Practice Address |
380 W. 100 N. Monticello UT 84535 |
| Mailing Address |
283 E 930 S Orem UT 84058-5001 |
| Practice Telephone | 8012256246 |
| Mailing Telephone | 8012256246 |
| Mailing Fax Number | 8012251525 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | JANELL BURGON (CREDENTIALING) |
| Authorized Official Telephone | 8017016504 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 87028448008 | 05 |
| Street Address |
380 W. 100 N. |
| City | MONTICELLO |
| State | UT |
| Zip Code | 84535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841250040 | Billy Joe Bardin | Specialist | 380 W. 100 N., Monticello, UT 84535-0308 | 2006-03-23 |
| 1457708562 | Daniel C Mower | Nurse Anesthetist, Certified Registered | 380 W. 100 N., Monticello, UT 84535-0308 | 2016-05-18 |
| 1588924658 | Douglas Zeb Crofts | Family Medicine | 380 W. 100 N., Monticello, UT 84535-0308 | 2012-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134731292 | Benjamin Wolsey Nielson | Social Worker | 133 E. 200 S., Monticello, UT 84535 | 2020-08-20 |
| 1346797909 | Utah Navajo Health System, Incorporated | Dentist | 217 S. 100 West, Monticello, UT 84535 | 2016-09-01 |
| 1346648094 | Kayenta Dental | Dentist | 225 S. Main, Monticello, UT 84535 | 2014-12-11 |
| 1700225679 | Michael Ray Nielson | Family Medicine | 380 W. 100 North, Monticello, UT 84535 | 2013-06-24 |
| 1871932640 | Angelic Hands, Inc | Home Health | 64 West 200 South, Monticello, UT 84535 | 2013-06-14 |
| 1982910519 | Julee Dawn Slade | Registered Nurse | 417 S. 100 W., Monticello, UT 84535 | 2010-08-20 |
| 1477886059 | Blue Mountain Family Center | Substance Abuse Rehabilitation Facility | 580 North Main, Monticello, UT 84535 | 2009-09-14 |
| 1710114665 | Nathan James Turnbow | Dentist | 225 South Main, Monticello, UT 84535 | 2009-06-18 |
| 1447465141 | San Juan Dental | Dentist | 217 S. 100 W., Monticello, UT 84535 | 2007-05-14 |
| 1902952062 | San Juan County | Ambulance | 117 South Main, Monticello, UT 84535 | 2007-01-25 |
| Find all providers in zip 84535 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972785715 | Eric D Johnson | Radiology | 75 Wal-mart Plaza Rd Unit #4, Monticello, KY 42633-2314 | 2007-12-04 |
| 1447295944 | Raymond L Kercher | Radiology | 555 N Jefferson St, Monticello, FL 32344-2060 | 2006-06-18 |
| 1114966843 | William Mitchell Hall | Radiology | 166 Hospital St, Monticello, KY 42633-2416 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406281 | Slmri, LLC | Radiology | 10696 S River Front Pkwy, South Jordan, UT 84095-3525 | 2020-01-10 |
| 1487296505 | Us Sports Medicine, LLC | Radiology | 1178 E Brickyard Rd, Salt Lake City, UT 84106-2555 | 2019-10-09 |
| 1043771645 | Bear River Spine Center, Pllc | Radiology | 630 E 1400 N Ste 115, Logan, UT 84341-2691 | 2019-03-27 |
| 1558877134 | Gregory Wallace Johnson | Radiology | 769 W 1900 S, Woods Cross, UT 84087-1720 | 2017-12-19 |
| 1295285344 | Telerad of Ut Account Management LLC | Radiology | 607 N 1200 E, Mapleton, UT 84664-5622 | 2016-10-12 |
| 1073907556 | Peter Hinckley | Radiology | 4650 S Quail Park Dr Apt E, Slc, UT 84117-4843 | 2015-03-24 |
| 1467865329 | Shane Nicholas Weber | Radiology | 30 N 1900 E Rm 1a07, Salt Lake City, UT 84132-0002 | 2014-06-09 |
| 1003253667 | James Blain Sowby | Radiology | 5334 S Woodrow St Ste 100, Murray, UT 84107-5838 | 2013-05-22 |
| 1487090528 | Wendell Andrew Gibby | Radiology | 3152 N University Ave Dept Of, Provo, UT 84604-4745 | 2013-05-16 |
| 1790047371 | Jason Meigs | Radiology | 224 N 2650 W, Lehi, UT 84043-4319 | 2012-06-11 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 84535 |
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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.