EMILY MARIE GROSSELL


Address: 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215
Phone: 2529169436

EMILY MARIE GROSSELL (NPI# 1437347481) 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) 1437347481
Entity Type Individual
Full Name EMILY MARIE GROSSELL
Credential M.D.
Practice Address 650 Komas Dr
Suite 208
Salt Lake City
UT 84108-1215
Practice Telephone 2529169436
Practice Fax Number 8015859096
Mailing Telephone 2529169436
Mailing Fax Number 8015859096
Enumeration Date 2007-10-03
Last Update Date 2007-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 6348985-1205 UT Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
6348985-1205 UT Allopathic & Osteopathic Physicians
N 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
6348985-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 650 KOMAS DR
SUITE 208
City SALT LAKE CITY
State UT
Zip Code 84108-1215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295720969 Kevin Duff Clinical Neuropsychologist 650 Komas Dr, 106a, Salt Lake City, UT 84108-1215 2005-09-19
1396000873 Travis D Sorenson Social Worker 650 Komas Dr, Salt Lake City, UT 84108-1215 2012-07-10
1336410265 Bethany H Lawrence Social Worker 650 Komas Dr, 200, Salt Lake City, UT 84108-1215 2012-01-24
1538451455 University of Utah Adult Behavioral Health Services Psychiatry & Neurology 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 2011-05-11
1467614966 Jonathan Cox Psychologist 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 2008-06-26
1952528374 Benjamin Russell Chan Psychiatry & Neurology 650 Komas Dr, Suite 200, Salt Lake City, UT 84108-1215 2007-04-19
1619003449 Michael Byron Johnson Nurse Practitioner 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 2007-02-26
1073659090 Dianne Farrell Hale Counselor 650 Komas Dr, Suite 217-a, Salt Lake City, UT 84108-1215 2007-01-29
1700933538 Rachele Mary Mccarthey Pediatrics 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 2007-01-04
1376641456 Matthew Louis Moench Psychiatry & Neurology 650 Komas Dr, #208, Salt Lake City, UT 84108-1215 2006-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753056 Maxine Ht Erickson Assistant Behavior Analyst 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 2018-06-08
1841704061 Robyn Carver Occupational Therapist 421 Wakara Wat, Salt Lake City, UT 84108 2017-11-27
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1447708912 Aubrianne Squire Evans Occupational Therapist 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 2016-09-14
1629524426 Ryan Weisenbeck Specialist/Technologist 580 S Guardsman Way, Salt Lake City, UT 84108 2016-08-31
1164885547 Michael Fazzone Student in an Organized Health Care Education/Training Program 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 2016-04-01
1669833489 Bryon Claflin Registered Nurse 650 S Komas Ste 200, Salt Lake City, UT 84108 2016-03-08
1801283833 Autism Assement Treatment Program Adult Psychologist 650 S Komas, Suite 200, Salt Lake City, UT 84108 2015-04-16
1578993275 Matthew and David Dental Pllc Dentist 1355 Foothill Drive, Salt Lake City, UT 84108 2013-11-15
1841631520 Deepika Garg Internal Medicine 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 2013-07-10
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619430303 Hailey N. Baisch Pediatrics 81 N Mario Capecchi Dr Rm 1a.001, Salt Lake City, UT 84113-1125 2019-04-09
1811415565 Community Health Centers, Inc. Pediatrics 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 2017-09-01
1033566658 Kathryn Eleanor Curry Gradick Pediatrics University of Utah 50 North Medical Drive, Salt Lake City, UT 84132-0001 2016-05-24
1134582935 Bradley Kramer Pediatrics 1140 E 3900 S Ste 360, Salt Lake City, UT 84124-1247 2016-03-30
1831523828 Max Shaw Perelman Pediatrics 515 E 100 S, Suite 200, Salt Lake City, UT 84102-4211 2013-08-26
1780950147 Jonathan Wheatley Schmidt Pediatrics University of Utah 30 N 900 E, Salt Lake City, UT 84132-0001 2012-03-29
1942508619 Charles Elliott Richards Pediatrics 767 Sunrise Ave, Salt Lake City, UT 84103-3735 2011-03-04
1922331479 David Ray Thomas Pediatrics 2795 Casto Ln, Salt Lake City, UT 84117-6304 2009-09-16
1417101882 Scott Szucs Carleton Pediatrics 1225 3rd Ave, Salt Lake City, UT 84103-4338 2008-11-11
1063665032 Jennifer Goldman Luthy Pediatrics University Pediatric Clinic, 50 N Medical Drive, Salt Lake City, UT 84132-0001 2008-11-04
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Competitor

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City SALT LAKE CITY
Zip Code 84108

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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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