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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
Allopathic & Osteopathic Physicians |
Street Address |
5292 COLLEGE DR SUITE 204 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84123-2672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
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 |
1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
Find all providers in zip 84123 |
Taxonomy Code | 2084V0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Vascular Neurology |
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] |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750516241 | Kyle Stanley Hobbs | Psychiatry & Neurology | 5171 S Cottonwood St Ste 810, Murray, UT 84107 | 2009-05-27 |
City | SALT LAKE CITY |
Zip Code | 84123 |
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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.