SUMMIT LASER MEDICAL ARTS, LLC (NPI# 1437347770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437347770 |
| Entity Type | Organization |
| Organization Name | SUMMIT LASER MEDICAL ARTS, LLC |
| Practice Address |
2952 Caitland Ct Salt Lake City UT 84121-7018 |
| Practice Telephone | 8014145339 |
| Mailing Telephone | 8014145339 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | DR. DAVID FEUER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8014145339 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
5252145-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | D4937 | 05 |
| Street Address |
2952 CAITLAND CT |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-7018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235398645 | Grant Bryan Erickson | Surgery | Dept Vascular Surgey, 30 North 1900 East, Room 3c 344 Som, Salt Lake City, UT 84132-0001 | 2008-06-02 |
| 1790719219 | Mark D Morasch | Surgery | 1160 E 3900 S Ste 3500, Salt Lake City, UT 84124-1264 | 2006-07-10 |
| 1922552413 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-08-12 |
| 1720482532 | University of Utah Adult Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1073956793 | Ian Schlieder | Surgery | 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 | 2013-04-11 |
| 1083761951 | Aaron Eckhauser | Surgery | 100 N. Mario Capecchi Dr, Suite 2800, Salt Lake City, UT 84113-1103 | 2007-01-04 |
| 1437249042 | Michelle Tower Mueller | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2006-10-13 |
| 1467542084 | Mark Russell Sarfati | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2006-10-13 |
| 1962592576 | Larry W. Kraiss | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1831287242 | Fritz R Bech | Surgery | 1160 E 3900 S Ste 3500, Salt Lake City, UT 84124-1264 | 2006-10-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
Please comment or provide details below to improve the information on SUMMIT LASER MEDICAL ARTS, LLC.
| 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.