DR. AMIR ALLAK (NPI# 1467751008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467751008 |
Entity Type | Individual |
Full Name | DR. AMIR ALLAK |
Credential | MD |
Practice Address |
3584 W 9000 S Ste 311 West Jordan UT 84088-4775 |
Practice Telephone | (801) 566-8304 |
Practice Fax Number | 8015668330 |
Mailing Telephone | (801) 566-8304 |
Mailing Fax Number | 8015668330 |
Enumeration Date | 2011-03-22 |
Last Update Date | 2017-08-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
A143092 | CA | Allopathic & Osteopathic Physicians |
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
10478109-1205 | UT | Allopathic & Osteopathic Physicians |
Street Address |
3584 W 9000 S STE 311 |
City | WEST JORDAN |
State | UT |
Zip Code | 84088-4775 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
Find all providers in zip 84088 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356714505 | Lisa M. Morris Md, Pllc | Otolaryngology | 5089 S 900 E Ste 100, Salt Lake City, UT 84117-5731 | 2015-11-10 |
1982040010 | Mobley Md Facial Plastic and Reconstructive Surgery, Pllc | Otolaryngology | 5292 S College Dr, Suite 303, Murray, UT 84123-2958 | 2013-05-15 |
City | WEST JORDAN |
Zip Code | 84088 |
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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.