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