BALANCE FOR LIFE CENTER LLC (NPI# 1295992477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295992477 |
| Entity Type | Organization |
| Organization Name | BALANCE FOR LIFE CENTER LLC |
| Practice Address |
291 E 4500 S Murray UT 84107-3883 |
| Practice Telephone | 8012641010 |
| Practice Fax Number | 8012641027 |
| Mailing Telephone | 8012641010 |
| Mailing Fax Number | 8012641027 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-09-10 |
| Authorized Official Name | CRAIG A BLAMIRES (MBR) |
| Authorized Official Telephone | 8012641010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
291 E 4500 S |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-3883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856558 | Richard K Madsen | Chiropractor | 291 E 4500 S, Ste C, Murray, UT 84107 | 2006-01-18 |
| 1518081819 | Injury & Wellness Center LLC | Chiropractor | 291 E 4500 S, Murray, UT 84107-3883 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700143906 | Daniel Robert Cox | Otolaryngology | 5169 S Cottonwood St Ste 310, Murray, UT 84107 | 2012-04-12 |
| 1497877492 | Scott R. Newman | Otolaryngology | 5169 S Cottonwood St Ste 640, Murray, UT 84107-6771 | 2007-04-03 |
| 1477669083 | Robert Gail Hunter | Otolaryngology | 5169 So Cottonwood St #310, Murray, UT 84107 | 2006-08-23 |
| 1265899165 | Ihc Health Services Inc | Otolaryngology | 181 E Medical Tower Dr, Murray, UT 84107 | 2016-01-22 |
| 1144529595 | Mark Asher Merkley | Otolaryngology | 181 E Medical Tower Dr, Murray, UT 84107-4872 | 2011-03-24 |
| 1073777694 | Phillip B Klapper Md Psc | Otolaryngology | 300 S 8th St, Ste 304 E, Murray, KY 42071-2400 | 2008-07-13 |
| 1942462569 | Ihc Health Services Inc | Otolaryngology | 181 E Medical Tower Dr, Murray, UT 84107-4886 | 2008-06-25 |
| 1992962757 | Roy Kim Davis | Otolaryngology | 181 E Medical Tower Dr, Murray, UT 84107-4872 | 2008-05-20 |
| 1689700825 | Dean R Smart | Otolaryngology | 5770 S 250 E, Murray, UT 84107-8100 | 2007-02-23 |
| 1295771582 | Frederick S Lorenz | Otolaryngology | 300 S 8th St, Suite 109e, Murray, KY 42071-2400 | 2006-06-22 |
| Find all providers in MURRAY | ||||
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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.