DR. CAMILLE MICHAEL MINDER


Address: 5169 S Cottonwood St, Ste. 520 Bldg. 2 Outpatient Center, Salt Lake City, UT 84107-6767
Phone: 8015073500

DR. CAMILLE MICHAEL MINDER (NPI# 1518100924) 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) 1518100924
Entity Type Individual
Full Name DR. CAMILLE MICHAEL MINDER
Credential M.D.
Practice Address 5169 S Cottonwood St
Ste. 520 Bldg. 2 Outpatient Center
Salt Lake City
UT 84107-6767
Practice Telephone 8015073500
Practice Fax Number 8015073505
Mailing Telephone 8015073500
Mailing Fax Number 8015073505
Enumeration Date 2009-04-14
Last Update Date 2017-04-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine D0073872 MD Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
2013-00328 NC Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
9768009-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 5169 S COTTONWOOD ST
STE. 520 BLDG. 2 OUTPATIENT CENTER
City SALT LAKE CITY
State UT
Zip Code 84107-6767

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083151500 Garet Cooper Nurse Practitioner 5169 S Cottonwood St, 510, Salt Lake City, UT 84107-6767 2017-01-22
1588027684 Mary Louise Sydney Leguyader Internal Medicine 5169 S Cottonwood St, Salt Lake City, UT 84107-6767 2016-04-05
1326272295 Eric Peterson Brinton Ophthalmology 5169 S Cottonwood St, Suite 630, Salt Lake City, UT 84107-6767 2009-05-07
1366577256 Michael P Collins Thoracic Surgery (Cardiothoracic Vascular Surgery) 5169 S Cottonwood St, Ste 600, Salt Lake City, UT 84107-6771 2007-02-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
Find all providers in zip 84107

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003189622 Mehmet Akkaya Internal Medicine University of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132-0001 2012-02-13
1700199627 Majd Ibrahim Internal Medicine 30 N Medical Dr Rm 4a100, Salt Lake City, UT 84132 2010-07-20
1588804314 Michael John Preece Internal Medicine 1064 Donner Way, Salt Lake City, UT 84108-2507 2009-03-06
1902071673 John Joseph Ryan Internal Medicine Division of Cardiology University of Utah, 50 North Medical Dr, Salt Lake City, UT 84132-0100 2008-04-24
1831364561 Lowell Chang Internal Medicine 30 N Medical Dr, Salt Lake City, UT 84132-0001 2008-04-23
1467505206 Ravi Ranjan Internal Medicine 30 N 1900 E Rm 4a100, Health Sciences Center, Salt Lake City, UT 84132-0002 2007-01-18
1952321192 G Michael Vincent Internal Medicine 324 10th Ave Ste 130, Salt Lake City, UT 84103-2812 2006-07-20
1811965122 John D Day Internal Medicine 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2006-03-11
1083699144 Frank G Yanowitz Internal Medicine 8th Ave & C St, Lds Hospital, Salt Lake City, UT 84143-0001 2005-12-13
1306835186 Peter P Steele Internal Medicine 3350 S 2940 E, 9677, Salt Lake City, UT 84109-3159 2005-10-14
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84107

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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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