DJORDJE ATANACKOVIC


Address: 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-2706
Phone: 8015853229

DJORDJE ATANACKOVIC (NPI# 1417384694) 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) 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

Taxonomy

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

Office Location

Street Address 30 N 1900 E RM 5C402
City SALT LAKE CITY
State UT
Zip Code 84132-2706

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RH0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City SALT LAKE CITY
Zip Code 84132

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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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