JACQUELINE A. RENDO


Address: 333 S 900 E, Salt Lake City, UT 84102-2310
Phone: 8015358163

JACQUELINE A. RENDO (NPI# 1407944457) 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) 1407944457
Entity Type Individual
Full Name JACQUELINE A. RENDO
Credential MD
Practice Address 333 S 900 E
Salt Lake City
UT 84102-2310
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8015358163
Practice Fax Number 8013554011
Mailing Telephone 8015358163
Mailing Fax Number 8013554011
Enumeration Date 2006-10-11
Last Update Date 2011-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 7583334-1205 UT Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology 30914 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ BCBS AZ0741230 01
AS 797277 05

Office Location

Street Address 333 S 900 E
City SALT LAKE CITY
State UT
Zip Code 84102-2310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053347765 Russell Jon Ord Otolaryngology 333 S 900 E, Salt Lake City, UT 84102-2310 2006-06-24
1962749473 Chelsie Coates Registered Nurse 333 S 900 E, Salt Lake City, UT 84102-2310 2013-01-04
1952631772 Ihc Health Services Inc. Clinic/Center 333 S 900 E, Salt Lake City, UT 84102-2310 2009-12-29
1356550578 Darci Stapley Dietitian, Registered 333 S 900 E, Salt Lake City, UT 84102-2310 2007-05-22
1073642757 Ihc Health Services Inc Radiology 333 S 900 E, Salt Lake City, UT 84102-2310 2007-03-05
1629107305 Ihc Health Services Inc Dermatology 333 S 900 E, Salt Lake City, UT 84102-2310 2007-03-05
1972631042 Ihc Health Services Inc Radiology 333 S 900 E, Salt Lake City, UT 84102-2310 2007-03-01
1356414650 Charles R Sokol Pharmacist 333 S 900 E, Salt Lake City, UT 84102-2310 2006-11-16
1619047743 Mark Charles Foote Psychiatry & Neurology 333 S 900 E, Salt Lake City, UT 84102-2310 2006-11-08
1821173774 John Wallace Mcmurray Pharmacist 333 S 900 E, Salt Lake City, UT 84102-2310 2006-10-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144753013 Jessica Kaplan Obstetrics & Gynecology University of Utah University Hospital, 50 N Medical Drive, Salt Lake City, UT 84132-0001 2017-04-07
1326571621 Kylie Measom Soffe Obstetrics & Gynecology Ob Gyn Administration 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132-2101 2017-04-04
1639564016 Kristen Hansord Lilja Obstetrics & Gynecology 82 S 1100 E Ste 305, Salt Lake City, UT 84102-4703 2015-04-01
1194119172 Irina Cassimatis Obstetrics & Gynecology University of Utah Obgyn Dept, 30 N 1900 East. Room 2b200, Salt Lake City, UT 84132-0001 2015-03-26
1033509740 Kathryn Fay Obstetrics & Gynecology 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132-2209 2015-02-02
1932528676 Aliye Runyan Obstetrics & Gynecology 30 North 1900 East 2a200, Dept of Obgyn, Salt Lake City, UT 84132 2014-04-09
1467870295 Ashley Elizabeth Benson Obstetrics & Gynecology 30 N 9100 E, Room 2b200, Salt Lake City, UT 84132-0001 2014-03-29
1386088706 Michelle Lynne Precourt Debbink Obstetrics & Gynecology 30 N 1900 E # 2a200, Salt Lake City, UT 84132-5000 2013-04-29
1427300938 Nathan R Blue Obstetrics & Gynecology 30 N 1900 E # 2b200, Salt Lake City, UT 84132 2012-10-08
1417216516 Robert Lee Dood Obstetrics & Gynecology University of Utah Health, Dept of Obgyn, 30 N 1900 E, Rm 2b200, Salt Lake City, UT 84132 2012-05-09
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City SALT LAKE CITY
Zip Code 84102

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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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