BRANDON S HERMANSEN (NPI# 1508116450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508116450 |
| Entity Type | Individual |
| Full Name | BRANDON S HERMANSEN |
| Credential | PA-C |
| Practice Address |
1433 N 1075 W Ste 104 Farmington UT 84025-2746 |
| Mailing Address |
Po Box 25488 Salt Lake City UT 84125-0488 |
| Practice Telephone | 8012981300 |
| Practice Fax Number | 8012966199 |
| Mailing Telephone | 8004753698 |
| Mailing Fax Number | 8012966199 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6711038-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | PEHP | 143659 | 01 |
| UT | RAILROAD MEDICARE | P01132445 | 01 |
| UT | WINDSOR HEALTH PLAN MEDICAREEXTRA/STERLING HEALTH PLAN | 964305 | 01 |
| Street Address |
1433 N 1075 W STE 104 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075684 | Steven Brent Lee | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2005-07-06 |
| 1508347634 | Mckenzie Elise Stenberg | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2018-08-27 |
| 1811416373 | Sierra Marie Hobberstad | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2017-09-15 |
| 1255879086 | Treesa Steel Ryan | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2017-01-31 |
| 1366883324 | Richard Blair Willis | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2013-07-08 |
| 1770891434 | Stephanie Lynn Lemmon | Physician Assistant | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2010-09-15 |
| 1568774826 | Christopher Ryan Trimble | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2010-07-02 |
| 1740411339 | David Vincent Strain | Internal Medicine | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2009-07-31 |
| 1679738744 | Richard Nelson Irion | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2008-07-28 |
| 1548443716 | Lauren Virginia Zollinger | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2007-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068538 | Lauren Rose Payne | Physician Assistant | 5610 State Route 96, Farmington, NY 14425-8901 | 2020-06-23 |
| 1003439936 | Lisa Petricca | Physician Assistant | 28 Berkshire Dr, Farmington, CT 06032-2506 | 2020-05-27 |
| 1710544945 | Najia Wasiuddin | Physician Assistant | 35031 Drakeshire Ln Apt 204, Farmington, MI 48335-3220 | 2019-05-22 |
| 1083189880 | Sarah E Hudson | Physician Assistant | 991 Shepard Ln Ste 200, Farmington, UT 84025-2974 | 2018-10-08 |
| 1003307109 | Jason S. Pinho | Physician Assistant | 399 Farmington Ave Ste 110, Farmington, CT 06032-1944 | 2018-05-23 |
| 1659747475 | Arsalan Ahsan | Physician Assistant | 36545 Saxony Rd, Farmington, MI 48335-3022 | 2015-08-16 |
| 1083970297 | Elizabeth Ann Putt | Physician Assistant | 33166 Maplenut St, Farmington, MI 48336-4437 | 2012-04-02 |
| 1275782997 | Sarah Marie Zimmerman | Physician Assistant | 23133 Orchard Lake Rd Ste 100, Farmington, MI 48336-3278 | 2008-09-17 |
| 1104002849 | Stephanie Behrens | Physician Assistant | 21 South Rd Ste 110, Farmington, CT 06032-2482 | 2008-01-11 |
| 1619033388 | Kathleen A. Lillicraf | Physician Assistant | John Dempsey Hospital: Dept of Anesthesiology, 263 Farmington Avenue, Mc-2015, Farmington, CT 06030-0001 | 2006-12-28 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
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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.