UNIVERSITY OF UTAH ADULT SERVICES (NPI# 1487032363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487032363 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Other Organization Name | MEMORIAL HOSP SWEETWATER-CARDIOLOGY |
| Practice Address |
1200 College Dr Rock Springs WY 82901-5868 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015812121 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | EDWARD CLARK (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8015876336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MEMORIAL HOSP SWEETWATER-Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982135984 | University of Utah Adult Services | Audiologist | 417 S Wakara Way, 1112, Salt Lake City, UT 84108-1436 | 2017-03-22 |
| 1083158257 | University of Utah Adult Services | Dentist | 375 S Chipeta Way Ste A200, Salt Lake City, UT 84108-1261 | 2016-12-07 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1255719407 | University of Utah Adult Services | Internal Medicine | 1208 Hilltop Dr Ste 102, Rock Springs, WY 82901-5858 | 2015-05-08 |
| 1932586294 | University of Utah Adult Services | Internal Medicine | 250 South Eagle Road, Meridian, ID 83642 | 2015-05-06 |
| 1629455282 | University of Utah Adult Services | Internal Medicine | 976 Mountian City Hwy, A Plus Total Care, Elko, NV 89801-2728 | 2015-05-04 |
| 1356745137 | University of Utah Adult Services | Internal Medicine | 1950 E Circle of Hope Drive, Salt Lake City, UT 84112 | 2014-10-22 |
| 1851904247 | University of Utah Adult Services | Orthopaedic Surgery | 9385 S Snowbird Center Dr, Sandy, UT 84092-6249 | 2020-08-26 |
| 1114431921 | University of Utah Adult Services | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2017-12-01 |
| 1174033989 | University of Utah Adult Services | Clinic/Center | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-10-06 |
| Street Address |
1200 COLLEGE DR |
| City | ROCK SPRINGS |
| State | WY |
| Zip Code | 82901-5868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376537845 | Cielette M Karn | Pathology | 1200 College Dr, Rock Springs, WY 82901-5868 | 2005-09-09 |
| 1730659566 | Shauna Lyn Erramouspe | Dietitian, Registered | 1200 College Dr, Rock Springs, WY 82901-5868 | 2018-12-05 |
| 1134627227 | Alisha Mackie | Registered Nurse | 1200 College Dr, Rock Springs, WY 82901-5868 | 2018-01-24 |
| 1356896773 | Josefina Ibarra | Dietitian, Registered | 1200 College Dr, Rock Springs, WY 82901-5868 | 2016-08-16 |
| 1063866085 | Alicia M Gray | Internal Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2016-04-15 |
| 1750769634 | University of Utah Adult Services | Internal Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-12 |
| 1104204361 | University of Utah Adult Services | Surgery | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-08 |
| 1164800314 | University of Utah Adult Services | Emergency Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-08 |
| 1821475450 | University of Utah Adult Services | Internal Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-04 |
| 1790189611 | Rocky Mountain Holdings, LLC | Ambulance | 1200 College Dr, Rock Springs, WY 82901-5868 | 2014-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094043 | Carol Mary Iverson | Naturopath | 120 Winston Dr., Ste. 101, Rock Springs, WY 82901 | 2020-02-12 |
| 1366098691 | Nolan Jeffres | Dentist | 1151 Gateway Blvd, Suite 102, Rock Springs, WY 82901 | 2019-08-13 |
| 1588149181 | Ali Pendleton | Case Manager/Care Coordinator | 79 Winston #235, Rock Springs, WY 82901 | 2018-09-28 |
| 1982142014 | Tammy Fausett | Speech-Language Pathologist | 1105 Applewood Drive, Rock Springs, WY 82901 | 2017-02-09 |
| 1649713983 | Lori Lee Cunningham | Case Manager/Care Coordinator | 325 Archers Trl, Rock Springs, WY 82901 | 2016-11-18 |
| 1841664505 | Theresa Morrison | Case Manager/Care Coordinator | 308 Peak Road, Rock Springs, WY 82901 | 2015-11-18 |
| 1811376478 | Aspen Mountain Medical Center LLC | General Acute Care Hospital | 4401 College Ave, Rock Springs, WY 82901 | 2015-05-28 |
| 1487931416 | Stephanie Lee Dupree | Nurse Practitioner | 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 | 2011-11-04 |
| 1114201845 | Cowboy Urgent Care, Inc | General Practice | 1453-a Dewar Drive, Rock Springs, WY 82901 | 2011-09-29 |
| 1649564931 | Guardian Flight Inc | Ambulance | 1208 Hilltop Drive, Suite 203, Rock Springs, WY 82901 | 2011-06-03 |
| Find all providers in zip 82901 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223848 | Physician Group of Utah Inc | Internal Medicine | 1577 Dewar Dr Ste 8, Rock Springs, WY 82901-5716 | 2020-04-10 |
| 1255719407 | University of Utah Adult Services | Internal Medicine | 1208 Hilltop Dr Ste 102, Rock Springs, WY 82901-5858 | 2015-05-08 |
| 1124384797 | Mansour Eltaher Khaddr | Internal Medicine | 1453a Dewar Dr, Rock Springs, WY 82901-5812 | 2012-04-08 |
| 1821475450 | University of Utah Adult Services | Internal Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376686329 | Joseph Ramon Garcia | Internal Medicine | 1333 W 5th St, Ste 103, Sheridan, WY 82801-2752 | 2007-02-15 |
| 1043315872 | Laurence William Vale Deboer | Internal Medicine | 430 Medical Arts Ct., Gillette, WY 82716 | 2006-09-14 |
| 1164524823 | John Edward Glode | Internal Medicine | 1200 E 20th St Ste A, Cheyenne, WY 82001-3979 | 2006-09-02 |
| 1649387176 | Gerald Dorros | Internal Medicine | 1120 S Thunder Rd, Wilson, WY 83014 | 2006-08-23 |
| 1619903705 | Michael W. Brennan | Internal Medicine | 1333 West 5th St, Ste 103, Sheridan, WY 82801-2752 | 2006-06-23 |
| 1629019351 | Larry J Hattel | Internal Medicine | 3235 Sparks Rd, Suite 200, Cheyenne, WY 82001-6158 | 2006-06-10 |
| 1891748703 | John William Pickrell | Internal Medicine | 1230 E 1st St, Casper, WY 82601-2704 | 2006-05-19 |
| 1821041740 | Michel W Skaf | Internal Medicine | 428s Durbin St 104, Casper, WY 82601-2818 | 2006-05-19 |
| 1801848593 | Nicholas J Stamato | Internal Medicine | 501 S Burma Ave Ste 3500, Gillette, WY 82716-3426 | 2006-05-17 |
| 1700875754 | Timothy Fleming M.d. PC | Internal Medicine | 1511 Charles Ave, Worland, WY 82401-4122 | 2005-10-20 |
| Find all providers with the same taxonomy | ||||
| City | ROCK SPRINGS |
| Zip Code | 82901 |
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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.