INTERMOUNTAIN STROKE CENTER, INC.


Address: 5292 College Dr, Suite 204, Salt Lake City, UT 84123-2672
Phone: 8012630611

INTERMOUNTAIN STROKE CENTER, INC. (NPI# 1467463489) 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) 1467463489
Entity Type Organization
Organization Name INTERMOUNTAIN STROKE CENTER, INC.
Practice Address 5292 College Dr
Suite 204
Salt Lake City
UT 84123-2672
Practice Telephone 8012630611
Practice Fax Number 8012639141
Mailing Telephone 8012630611
Mailing Fax Number 8012639141
Enumeration Date 2006-08-11
Last Update Date 2020-08-22
Authorized Official Name DR. NANCY N FUTRELL (PRESIDENT)
Authorized Official Telephone 8012630611
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084V0102X Psychiatry & Neurology
Specialization: Vascular Neurology
Allopathic & Osteopathic Physicians

Office Location

Street Address 5292 COLLEGE DR
SUITE 204
City SALT LAKE CITY
State UT
Zip Code 84123-2672

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1740706571 Laura B Ellsworth Case Manager/Care Coordinator 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 2017-08-14
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1548716236 Andres Ramos Licensed Psychiatric Technician 697 West 4170 South, Murray, UT 84123 2016-09-01
1467807040 Sheryl R Schindler Counselor 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 2016-05-02
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Taxonomy Information

Taxonomy Code 2084V0102X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Vascular Neurology

Taxonomy Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629394556 Lee Shan Chung Psychiatry & Neurology 175 N Medical Dr East, Salt Lake City, UT 84132-0001 2010-04-16
1487897898 Adam Helme De Havenon Psychiatry & Neurology 175 N Medical Dr, East 5th Floor, Salt Lake City, UT 84132-5901 2009-04-15
1437376571 Vivek K Reddy Psychiatry & Neurology 175 N Medical Drive East, Salt Lake City, UT 84132-5705 2007-04-19
1902268626 Piotr Tomasz Tekiela Psychiatry & Neurology 175 N Medical Drive, Salt Lake City, UT 84132-0001 2016-03-22
1538448774 University of Utah Vascular Neurology Department of University Psychiatry & Neurology 50 N Medical Dr, Salt Lake City, UT 84132-0001 2011-08-05
1053568204 Edgar Jorge Garcia-morales Psychiatry & Neurology 5121 Cottonwood St, Neurovascular Medicine 4th Floor Tower . Murray, Salt Lake City, UT 84107-5701 2008-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750516241 Kyle Stanley Hobbs Psychiatry & Neurology 5171 S Cottonwood St Ste 810, Murray, UT 84107 2009-05-27

Competitor

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City SALT LAKE CITY
Zip Code 84123

Improve Information

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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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