JOANNA SEWALL MANUM


Address: 30 N 1900 E # 3b400, Salt Lake City, UT 84132-0002
Phone: 8015818419

JOANNA SEWALL MANUM (NPI# 1326386228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326386228
Entity Type Individual
Full Name JOANNA SEWALL MANUM
Other Name JOANNA SEWALL
Credential PA-C
Practice Address 30 N 1900 E # 3b400
Salt Lake City
UT 84132-0002
Practice Telephone 8015818419
Enumeration Date 2013-01-28
Last Update Date 2014-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant MA055963 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
6742502-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 30 N 1900 E # 3B400
City SALT LAKE CITY
State UT
Zip Code 84132-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275695546 Alvin Kwok Plastic Surgery 30 N 1900 E # 3b400, Salt Lake City, UT 84132 2006-12-14
1558822775 Evelyn R. Reed Plastic Surgery 30 N 1900 E # 3b400, Salt Lake City, UT 84132-0002 2019-03-29
1649624925 Thomas Wright Student in an Organized Health Care Education/Training Program 30 N 1900 E # 3b400, Salt Lake City, UT 84132-0002 2016-04-22
1023375771 Hailey Richards Specialist 30 N 1900 E # 3b400, Salt Lake City, UT 84132-0002 2012-04-19
1023305018 Shaun Douglas Mendenhall Plastic Surgery 30 N 1900 E # 3b400, Salt Lake City, UT 84132 2011-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104284124 Amanda Cummings Physician Assistant 30 N 1900 E # 3b110, Salt Lake City, UT 84132-0002 2016-02-04
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1861895344 Ariel Black Physician Assistant 30 N 1900 E # 3c344, Salt Lake City, UT 84132-0002 2014-09-29
1912130311 Andrew M Strong Physician Assistant 5323 Woodrow St Ste 202, Salt Lake City, UT 84107-5848 2009-09-01
1104005503 Michael A. Pond Physician Assistant Fairfax Rd At Virginia St, Salt Lake City, UT 84103-4399 2007-11-01
1760575518 Bruce Warelo Sperry Physician Assistant 500 Foothill Blvd # 112, Salt Lake City, UT 84148-0001 2006-10-02
1801448378 Meghan Deyoung Physician Assistant 30 N 1900 E, Salt Lake City, UT 84132-0002 2019-07-15
1386119279 Westley Hunsaker Physician Assistant 375 S Chipeta Way, Salt Lake City, UT 84108-1260 2018-10-08
1891277950 Brittany Marie Cross Physician Assistant 50 N Medical Dr, Salt Lake City, UT 84132-0001 2018-09-05
1609382050 Samuel Stephen Richards Physician Assistant 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 2017-12-21
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84132

Improve Information

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Dataset Information

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.

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