BOB WEITZEL, MD, PC (NPI# 1386072338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386072338 |
| Entity Type | Organization |
| Organization Name | BOB WEITZEL, MD, PC |
| Practice Address |
78 U St Salt Lake City UT 84103-4304 |
| Practice Telephone | 2146932029 |
| Mailing Telephone | 2146932029 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2017-11-27 |
| Authorized Official Name | ROBERT ALLAN WEITZEL (OWNER) |
| Authorized Official Telephone | 2146932029 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
187798-1205 | UT | Ambulatory Health Care Facilities |
| Street Address |
78 U ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982971826 | Robert Allan Weitzel | Psychiatry & Neurology | 78 U St, Salt Lake City, UT 84103-4304 | 2011-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790269892 | Center for Healing Therapies | Clinic/Center | 699 N. S. Temple, Suite 201 G, Salt Lake City, UT 84102-4252 | 2018-09-24 |
| 1730661349 | City Center Psychology, Pllc | Clinic/Center | 175 S Main St Ste 530, Salt Lake City, UT 84111-1916 | 2018-08-30 |
| 1649684903 | Child and Family Empowerment Services, LLC | Clinic/Center | 1578 W 1700 S Ste 200, Salt Lake City, UT 84104-3461 | 2014-06-16 |
| 1215215181 | Stein Mann Institute, LLC | Clinic/Center | 10 W Broadway Ste 820, Salt Lake City, UT 84101-2000 | 2011-07-26 |
| 1326159948 | Front Line Services, Inc. | Clinic/Center | 1800 S West Temple, Suite A110, Salt Lake City, UT 84115-1851 | 2006-08-31 |
| 1548239940 | Center for Human Potential Inc | Clinic/Center | 525 E 100 S, Suite 120, Salt Lake City, UT 84102-2070 | 2006-03-16 |
| 1285261016 | Tava Health, Inc | Clinic/Center | 222 E 7th Ave, Salt Lake City, UT 84103-2518 | 2020-03-23 |
| 1952883589 | Susan Curtis, Cmhc, PC | Clinic/Center | 1390 S 1100 E Ste 203, Salt Lake City, UT 84105 | 2018-08-30 |
| 1518466465 | Salt Lake Counseling and Coaching, Pllc | Clinic/Center | 1516 S 1100 E, Salt Lake City, UT 84105-2425 | 2018-02-06 |
| 1417469115 | Soul Growth LLC | Clinic/Center | 1719 S Main St, Salt Lake City, UT 84115-1911 | 2017-11-02 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84103 |
Please comment or provide details below to improve the information on BOB WEITZEL, MD, PC.
| 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.