DR. SEAN FREDERICK EDMUNDS


Address: 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228
Phone: 8012686811

DR. SEAN FREDERICK EDMUNDS (NPI# 1508155193) 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) 1508155193
Entity Type Individual
Full Name DR. SEAN FREDERICK EDMUNDS
Credential MD
Practice Address 1140 E 3900 S
Ste 400
Salt Lake City
UT 84124-1228
Practice Telephone 8012686811
Practice Fax Number 8012688673
Mailing Telephone 8012686811
Mailing Fax Number 8012688673
Enumeration Date 2011-04-04
Last Update Date 2015-08-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 8406583-1205 UT Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1140 E 3900 S
STE 400
City SALT LAKE CITY
State UT
Zip Code 84124-1228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760481162 Timothy Robert Lapine Pediatrics 1140 E 3900 S, Salt Lake City, UT 84124-1228 2005-07-18
1295166809 Marnae Harward Nurse Practitioner 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 2013-12-06
1568893279 Lindsay Janke Physician Assistant 1140 E 3900 S, Ste 340, Salt Lake City, UT 84124-1228 2013-12-05
1841628666 Robert Sylvester Nurse Practitioner 1140 E 3900 S, Suite 360, Salt Lake City, UT 84124-1228 2013-10-15
1336584861 Kristin May Brown Physician Assistant 1140 E 3900 S, Suite 410, Salt Lake City, UT 84124-1228 2013-05-10
1447593520 Linh Ai Moran Obstetrics & Gynecology 1140 E 3900 S, Salt Lake City, UT 84124-1228 2013-03-27
1548516172 Megan Judkins Genetic Counselor, MS 1140 E 3900 S, St. Mark's Hospital, Salt Lake City, UT 84124-1228 2012-08-01
1457627507 Obstetrix Medical Group of Utah, PC Obstetrics & Gynecology 1140 E 3900 S, Ste 390, Salt Lake City, UT 84124-1228 2012-03-22
1326328345 Louis V Melini Physician Assistant 1140 E 3900 S, 360, Salt Lake City, UT 84124-1228 2011-08-22
1659522472 Camille Stevenson Obstetrics & Gynecology 1140 E 3900 S, Suite 410, Salt Lake City, UT 84124-1228 2008-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144753013 Jessica Kaplan Obstetrics & Gynecology University of Utah University Hospital, 50 N Medical Drive, Salt Lake City, UT 84132-0001 2017-04-07
1326571621 Kylie Measom Soffe Obstetrics & Gynecology Ob Gyn Administration 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132-2101 2017-04-04
1639564016 Kristen Hansord Lilja Obstetrics & Gynecology 82 S 1100 E Ste 305, Salt Lake City, UT 84102-4703 2015-04-01
1194119172 Irina Cassimatis Obstetrics & Gynecology University of Utah Obgyn Dept, 30 N 1900 East. Room 2b200, Salt Lake City, UT 84132-0001 2015-03-26
1033509740 Kathryn Fay Obstetrics & Gynecology 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132-2209 2015-02-02
1932528676 Aliye Runyan Obstetrics & Gynecology 30 North 1900 East 2a200, Dept of Obgyn, Salt Lake City, UT 84132 2014-04-09
1467870295 Ashley Elizabeth Benson Obstetrics & Gynecology 30 N 9100 E, Room 2b200, Salt Lake City, UT 84132-0001 2014-03-29
1386088706 Michelle Lynne Precourt Debbink Obstetrics & Gynecology 30 N 1900 E # 2a200, Salt Lake City, UT 84132-5000 2013-04-29
1427300938 Nathan R Blue Obstetrics & Gynecology 30 N 1900 E # 2b200, Salt Lake City, UT 84132 2012-10-08
1417216516 Robert Lee Dood Obstetrics & Gynecology University of Utah Health, Dept of Obgyn, 30 N 1900 E, Rm 2b200, Salt Lake City, UT 84132 2012-05-09
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City SALT LAKE CITY
Zip Code 84124

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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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