ALPINE MEDICAL GROUP (NPI# 1306030440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306030440 |
| Entity Type | Organization |
| Organization Name | ALPINE MEDICAL GROUP |
| Practice Address |
24 S 1100 E 201 Salt Lake City UT 84102-1500 |
| Practice Telephone | 8014780010 |
| Mailing Telephone | 8014780010 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | DIXIE SMITH (OFFICE MANAGER) |
| Authorized Official Telephone | 8014780010 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALPINE MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713382 | Alpine Medical Group | Anesthesiology | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2006-08-03 |
| 1740216860 | Alpine Medical Group | Internal Medicine | 1060 E 100 S, Suite L10, Salt Lake City, UT 84102-1501 | 2006-06-23 |
| Street Address |
24 S 1100 E 201 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888748 | Thomas R Calame | Internal Medicine | 24 S 1100 E, Ste 105, Salt Lake City, UT 84102-1500 | 2005-08-17 |
| 1902277908 | Tia Peterson | Nurse Practitioner | 24 S 1100 E, #201, Salt Lake City, UT 84102-1500 | 2015-10-15 |
| 1205222627 | Brittney Balogh, Md, PC | Surgery | 24 S 1100 E, Suite 302, Salt Lake City, UT 84102-1500 | 2015-04-13 |
| 1215325576 | Daniel Camp | Physician Assistant | 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 | 2015-01-08 |
| 1649681065 | Margy Batson LLC | Clinic/Center | 24 S 1100 E, Suite 209, Salt Lake City, UT 84102-1500 | 2014-05-20 |
| 1821421983 | Eric C. Chenworth, D.o.,p.c. | Allergy & Immunology | 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 | 2013-08-13 |
| 1699010769 | Joanne Sumpio Hinson Md Pllc | Obstetrics & Gynecology | 24 S 1100 E, Ste 210, Salt Lake City, UT 84102-1500 | 2012-11-30 |
| 1376887927 | Eric C Chenworth D O P C | Clinic/Center | 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 | 2012-11-20 |
| 1710262860 | Patricia Jean Romney Church | Physician Assistant | 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 | 2011-10-19 |
| 1861776494 | Jordan Robert Mcqueen | Physician Assistant | 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 | 2011-09-30 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699327684 | Walter S Medlin Md PC | Surgery | 1046 E 100 S Ste A, Salt Lake City, UT 84102-1520 | 2019-07-10 |
| 1912439530 | Meghan Eileen Mali | Surgery | University of Utah Hospital General Surgery, 30 N. 1900 E., Salt Lake City, UT 84132-0001 | 2017-04-02 |
| 1124438924 | James Glen O'loughlin | Surgery | 30 N 1900 E Rm 3b324, Salt Lake City, UT 84132-0001 | 2014-05-01 |
| 1639457542 | August Robert Bauer Jr. | Surgery | 3115 East Lion Lane, Suite 160, Salt Lake City, UT 84121 | 2011-07-26 |
| 1154611986 | Anthony Wayne Bacon | Surgery | 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 | 2011-04-13 |
| 1902109549 | Bariatric Medicine Institute | Surgery | 1046 E. 100 S., Salt Lake City, UT 84102 | 2010-12-20 |
| 1235468471 | J Barry Robb Md Professional Corporation | Surgery | 1220 E 3900 S Ste 3f, Salt Lake City, UT 84124-1326 | 2009-12-17 |
| 1609020130 | Alexander Wojciech Pastuszak | Surgery | 30 N 1900 E Dept Of, Salt Lake City, UT 84132-0002 | 2008-11-11 |
| 1326209735 | Scott Short | Surgery | 100 N Mario Capecchi Dr Ste 3800, Salt Lake City, UT 84113-1103 | 2008-06-18 |
| 1003076779 | Gregory Lawrence Livers | Surgery | 129 F St, Salt Lake City, UT 84103-2601 | 2008-06-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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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.