MR. GARY NOLAN GODFREY


Address: 299 S Main St Ste 1700, Salt Lake City, UT 84111-2279
Phone: 8013030186

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
217034-4405 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 299 S MAIN ST STE 1700
City SALT LAKE CITY
State UT
Zip Code 84111-2279

Providers in the same zip code

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 Information

Taxonomy Code 2083X0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Occupational Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SALT LAKE CITY
Zip Code 84111

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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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