MR. GARY NOLAN GODFREY (NPI# 1376181891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376181891 |
Entity Type | Individual |
Full Name | MR. GARY NOLAN GODFREY |
Credential | APRN |
Practice Address |
299 S Main St Ste 1700 Salt Lake City UT 84111-2279 |
Practice Telephone | 8013030186 |
Practice Fax Number | 8018807599 |
Mailing Telephone | 8013030186 |
Mailing Fax Number | 8018807599 |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
217034-4405 | UT | Allopathic & Osteopathic Physicians |
Street Address |
299 S MAIN ST STE 1700 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84111-2279 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
Find all providers in zip 84111 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841618956 | Amilcar Fabian Cardona | Preventive Medicine | 391 S Chipeta Way, Salt Lake City, UT 84108-1263 | 2014-04-04 |
1659558641 | Nancy J Williams | Preventive Medicine | 391 Chipeta Way Ste C, C/o Rocky Mtn Center for Occ & Env Health, Salt Lake City, UT 84108-1294 | 2008-01-22 |
1679758536 | Jeremy Biggs | Preventive Medicine | 201 Presidents Circle, Salt Lake City, UT 84112 | 2008-01-09 |
1932229416 | Wesley Ronald Brown | Preventive Medicine | 4000 S 200 E, Ste #10, Salt Lake City, UT 84107 | 2007-03-30 |
1811028160 | Deborah Lynn Mattingly | Preventive Medicine | 2390 S Redwood Rd, Salt Lake City, UT 84119-2027 | 2007-03-08 |
1295831915 | Kyle F. Jarnagin | Preventive Medicine | 391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 | 2006-09-16 |
1487144242 | Joshua Aaron Fullmer | Preventive Medicine | 391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 | 2018-05-16 |
1407353089 | Dallas Shujing Shi | Preventive Medicine | 391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 | 2018-04-10 |
1598298663 | Hansjorg Schwertz | Preventive Medicine | 30 North 1900 East, University of Utah School of Medicine, Internal Medicin, Salt Lake City, UT 84132 | 2017-04-06 |
1184165474 | Trevor C. Pugh | Preventive Medicine | 391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 | 2017-03-20 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84111 |
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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.