DJORDJE ATANACKOVIC (NPI# 1417384694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417384694 |
Entity Type | Individual |
Full Name | DJORDJE ATANACKOVIC |
Credential | M.D. |
Practice Address |
30 N 1900 E Rm 5c402 Salt Lake City UT 84132-2706 |
Mailing Address |
Barmbeker Str. 148 Hamburg HAMBURG 22299 DE |
Practice Telephone | 8015853229 |
Mailing Telephone | 494031792942 |
Enumeration Date | 2013-10-02 |
Last Update Date | 2013-10-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
8702756-1252 | UT | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
8702756-1252 | UT | Allopathic & Osteopathic Physicians |
Street Address |
30 N 1900 E RM 5C402 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84132-2706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386160596 | Daniel A. Ermann | Internal Medicine | 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 | 2017-08-18 |
1679094700 | Haoran Li | Internal Medicine | 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 | 2017-06-28 |
1912435579 | Shashank Sama | Internal Medicine | 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 | 2017-05-26 |
1164885083 | Kristen Kelley | Internal Medicine | 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 | 2016-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
Find all providers in zip 84132 |
Taxonomy Code | 207RH0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology |
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225325145 | Internal Med- Hematology- Hematologic Department of University of Utah | Internal Medicine | 1950 East Circle of Hope Drive, Salt Lake City, UT 84112-5550 | 2011-06-29 |
1619925369 | Utah Cancer Specialists PC | Internal Medicine | 3838 S 700 E Ste 100, Salt Lake City, UT 84106-1494 | 2006-05-05 |
1740684513 | University of Utah Adult Services | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2014-10-22 |
1942444609 | Douglas Weston Sborov | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2009-04-26 |
1972742245 | Srinivas Kiran Tantravahi | Internal Medicine | University of Utah Hospital, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2009-02-11 |
1952593576 | Deborah Marie Stephens | Internal Medicine | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2007-08-16 |
1992895510 | Paul J. Shami | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2006-10-13 |
1932115524 | Michael Werner Nikolaus Deininger | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689881898 | Lamia Boric | Internal Medicine | 5131 S Cottonwood St Ste L2, Murray, UT 84107-5701 | 2007-05-17 |
1093787541 | William T. Stephenson II | Internal Medicine | 395 W Bulldog Blvd Ste 103, Provo, UT 84604-3334 | 2006-02-07 |
1851417158 | Wayne D Ormsby | Internal Medicine | 5131 S Cottonwood St # L-2, Murray, UT 84107-5701 | 2007-03-21 |
City | SALT LAKE CITY |
Zip Code | 84132 |
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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.