HUNTSMAN WEST SPINE LLC (NPI# 1457793697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457793697 |
| Entity Type | Organization |
| Organization Name | HUNTSMAN WEST SPINE LLC |
| Practice Address |
230 N 1680 E Ste I-1 Saint George UT 84790-2579 |
| Practice Telephone | 4356526024 |
| Practice Fax Number | 4356526025 |
| Mailing Telephone | 4356526024 |
| Mailing Fax Number | 4356526025 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | KRISTOFFER R WEST (MEMBER / MANAGER) |
| Authorized Official Telephone | 4356526024 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
8635840-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
230 N 1680 E STE I-1 |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84790-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039178 | Abbey Robison | Behavioral Analyst | 230 N 1680 E, Saint George, UT 84790-2579 | 2020-09-24 |
| 1790256485 | Garrett Bartyn | Behavior Technician | 230 N 1680 E, Saint George, UT 84790-2579 | 2018-12-06 |
| 1336518000 | Tyler Olson | Behavioral Analyst | 230 N 1680 E, Suit A, Saint George, UT 84790-2579 | 2015-09-23 |
| 1952696270 | Jacob S Roberts | Nurse Practitioner | 230 N 1680 E, Suite H1, Saint George, UT 84790-2579 | 2011-06-15 |
| 1376758342 | Jaime Lee Bacon | Social Worker | 230 N 1680 E, Ste T2, Saint George, UT 84790-2573 | 2007-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081412 | Alta Canyon Spine LLC | Orthopaedic Surgery | 5770 S 250 E Ste 135, Salt Lake City, UT 84107-8241 | 2017-06-02 |
| 1972741528 | Stephen J. Warner Md PC | Orthopaedic Surgery | 5323 South Woodrow Street Suite 200, Murray, UT 84107 | 2009-02-04 |
| 1518115419 | Reed Fogg Md PC | Orthopaedic Surgery | 5770 So 250 E, Suite 135, Murray, UT 84107-8241 | 2008-09-04 |
| 1164491460 | Stephen M Hansen | Orthopaedic Surgery | 619s Bluff St, St George, UT 84770-3853 | 2006-03-17 |
| 1881663870 | Reed Fogg | Orthopaedic Surgery | 5770 South 250 East, Suite 135, Salt Lake City, UT 84107-8241 | 2006-03-14 |
| 1841654407 | University of Utah Pediatric Services | Orthopaedic Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
| 1770987471 | University of Utah Surgical Services | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-10-09 |
| 1902223043 | Peter Shorten | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-03-26 |
| 1295755924 | Gary D Snook | Orthopaedic Surgery | 2321 N 400 E Ste 300, Tooele, UT 84074-3440 | 2006-07-19 |
| 1164453106 | Stephen Warner | Orthopaedic Surgery | 5323 South Woodrow Street, Suite 200, Murray, UT 84107 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84790 |
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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.