GULSO PODIATRY, LLC (NPI# 1376688341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376688341 |
| Entity Type | Organization |
| Organization Name | GULSO PODIATRY, LLC |
| Practice Address |
415 Medical Dr C200 Bountiful UT 84010-4946 |
| Practice Telephone | 8012948266 |
| Practice Fax Number | 8012948265 |
| Mailing Telephone | 8012948266 |
| Mailing Fax Number | 8012948265 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | GREGORY GULSO (MEMBER) |
| Authorized Official Telephone | 8012948266 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Street Address |
415 MEDICAL DR C200 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848338 | Christine A Cheng | Specialist | 415 Medical Dr, Suite D102, Bountiful, UT 84010-4946 | 2005-08-10 |
| 1639685316 | Melissa Gardner | Behavior Technician | 415 Medical Dr, Bountiful, UT 84010-4946 | 2017-12-18 |
| 1982139903 | Karen Louise Nickl | Psychologist | 415 Medical Dr, Suite B101, Bountiful, UT 84010-4946 | 2017-04-27 |
| 1427592740 | Heather Dillon | Assistant Behavior Analyst | 415 Medical Dr, Suite D 101, Bountiful, UT 84010-4946 | 2016-12-05 |
| 1295286383 | Luekenga Way, LLC | Audiologist | 415 Medical Dr, 202a, Bountiful, UT 84010-4946 | 2016-10-24 |
| 1942657960 | Paul C Larsen Dmd PC | Dentist | 415 Medical Dr, Ste D201, Bountiful, UT 84010-4946 | 2016-05-19 |
| 1467831586 | Rita Zimmerman | Counselor | 415 Medical Dr, Suite D 101, Bountiful, UT 84010-4946 | 2015-05-21 |
| 1942641931 | Neurobehavioral Center for Growth LLC | Psychologist | 415 Medical Dr, Suite A 201, Bountiful, UT 84010-4946 | 2013-07-08 |
| 1659661288 | Mark Spencer Mcgowan | Dentist | 415 Medical Dr, A200, Bountiful, UT 84010-4946 | 2011-04-16 |
| 1164723482 | Joe R Nielsen Md PC | Clinic/Center | 415 Medical Dr, D-200, Bountiful, UT 84010-4946 | 2010-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893703 | Brockbank Foot & Ankle Clinic PC | Clinic/Center | 9690 S 1300 E Ste 120, Sandy, UT 84094-3798 | 2018-06-06 |
| 1366618688 | Sugarhouse Foot Care Inc | Clinic/Center | 2435 Highland Dr, Salt Lake City, UT 84106-2709 | 2008-05-06 |
| 1487272365 | Cook Foot and Ankle Specialists LLC | Clinic/Center | 935 N 1000 W, Tremonton, UT 84337-9356 | 2020-07-08 |
| 1790243111 | Novacel | Clinic/Center | 4624 S Holladay Blvd Ste 201, Salt Lake City, UT 84117-7168 | 2019-03-05 |
| 1083144406 | Family Foot & Ankle | Clinic/Center | 491 N Main St, Tooele, UT 84074-1654 | 2017-06-18 |
| 1922476282 | Summit Foot and Ankle Specialists | Clinic/Center | 3000 N Triumph Blvd, Suite 340, Lehi, UT 84043-4999 | 2015-09-03 |
| 1629445473 | Summit Foot and Ankle Specialists | Clinic/Center | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2015-08-27 |
| 1366819112 | Summit Foot and Ankle Specialists | Clinic/Center | 1355 N University Ave, Suite 125, Provo, UT 84604-2721 | 2015-08-27 |
| 1467843698 | Ellsworth Foot and Ankle Clinics, LLC | Clinic/Center | 1377 E 3900 S, Suite 100, Salt Lake City, UT 84124-1476 | 2015-02-10 |
| 1710395140 | Arches Foot and Ankle Clinic Pllc | Clinic/Center | 179 N 1200 E Ste 103, Lehi, UT 84043-2255 | 2014-07-29 |
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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.