DR. MARK FREDRIC ABBOTT (NPI# 1295993871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295993871 |
| Entity Type | Individual |
| Full Name | DR. MARK FREDRIC ABBOTT |
| Credential | M.D. |
| Practice Address |
1200 E 3900 S Attn: Radiology Department Salt Lake City UT 84124-1300 |
| Mailing Address |
380 N 200 W Ste 209 Bountiful UT 84010-7075 |
| Practice Telephone | 8012981300 |
| Practice Fax Number | 8012966199 |
| Mailing Telephone | 8012981300 |
| Mailing Fax Number | 8012966199 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2013-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
8495680-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
149032 | NC | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
8495680-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | SELECTHEALTH | 107120161102 | 01 |
| UT | RAILROAD MEDICARE | P01180702 | 01 |
| UT | BCBSU | 10000009999001 | 01 |
| UT | EMI HEALTH | 1295993871 | 01 |
| UT | MOLINA HEALTHCARE | 1295993871 | 01 |
| UT | PEHP | 145448 | 01 |
| UT | DMBA | 1137616 | 01 |
| UT | AETNA HEALTHCARE | 4697935 | 01 |
| UT | 1295993871 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134461445 | Mark A Abbott | Social Worker | 23 Rebecca Ann Ln, East Falmouth, MA 02536 | 2013-03-25 |
| 1114949641 | Mark Andrew Abbott | Chiropractor | 161 E Otterman St, Greensburg, PA 15601-2578 | 2006-07-24 |
| 1013452549 | Mark Abbott | Nurse Practitioner | 6030 Marshalee Dr, #202, Elkridge, MD 21075 | 2016-12-19 |
| 1609940600 | Mark Nicholas Abbott | Counselor | 940 S Coast Dr, Suite 250, Costa Mesa, CA 92626-7735 | 2006-11-20 |
| Street Address |
1200 E 3900 S ATTN: RADIOLOGY DEPARTMENT |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641249 | Samir N Wadhvania | Internal Medicine | 1200 E 3900 S, Suite 4b, Salt Lake City, UT 84124-1300 | 2005-07-06 |
| 1346847456 | Amanda Marie Robinson | Social Worker | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2020-10-02 |
| 1467081786 | Katherine Rogers | Physical Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2020-04-07 |
| 1972163368 | Carepoint Inpatient Blue Sky Neurology Utah, Pllc | Psychiatry & Neurology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2019-06-18 |
| 1023596632 | Elizabeth Ann Lockwood | Physical Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2018-08-06 |
| 1073037941 | Melanie Steere | Dietitian, Registered | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2017-08-01 |
| 1003337585 | Mark Powell | Occupational Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2017-07-05 |
| 1932650207 | Jennifer Miller | Registered Nurse | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-10-20 |
| 1154775062 | Alex Nelson Knight | Anesthesiology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-04-17 |
| 1437512662 | Salt Lake Trauma Specialists Pllc | Surgery | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-04-04 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1487296505 | Us Sports Medicine, LLC | Radiology | 1178 E Brickyard Rd, Salt Lake City, UT 84106-2555 | 2019-10-09 |
| 1467865329 | Shane Nicholas Weber | Radiology | 30 N 1900 E Rm 1a07, Salt Lake City, UT 84132-0002 | 2014-06-09 |
| 1508124843 | Nikolas Michael Damme | Radiology | 30 N 1900 East #1a071, Apt B4, Salt Lake City, UT 84413-2140 | 2012-04-24 |
| 1093071045 | Kaerli Main Christensen | Radiology | 30 North 1900 East, Room 4c104, University of Utah Department of Internal Medicine, Salt Lake City, UT 84132 | 2012-04-04 |
| 1952697849 | Ashley D. Gettemy | Radiology | 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002 | 2011-06-20 |
| 1598056848 | Miriam Peckham | Radiology | 30 N 1900 E # 1c412, Gme Office, Salt Lake City, UT 84132-2115 | 2011-04-20 |
| 1285945006 | David Cameron Olson | Radiology | 30 N 1900 E # 1a71, Salt Lake City, UT 84132-0002 | 2010-06-25 |
| 1619292182 | Richard Keller | Radiology | 1235 East 200 South #702, 1235 East 200 South #702, Salt Lake City, UT 84102-8410 | 2010-03-29 |
| 1699914267 | George Nicholas Baldwin | Radiology | 3519 E. Arcata R, Salt Lake City, UT 84124-4738 | 2009-02-05 |
| 1285896415 | Joseph Scott Mcnally | Radiology | 447 Edith Ave, Salt Lake City, UT 84111-4724 | 2008-06-29 |
| 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.