VINCENT SURGICAL ARTS, LLC (NPI# 1538572169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538572169 |
| Entity Type | Organization |
| Organization Name | VINCENT SURGICAL ARTS, LLC |
| Practice Address |
6710 S Blackstone Rd Suite 201 Cottonwood Heights UT 84121-6072 |
| Practice Telephone | 8019421111 |
| Practice Fax Number | 8019421188 |
| Mailing Telephone | 8019421111 |
| Mailing Fax Number | 8019421188 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |
| Authorized Official Name | DR. DRAKE G VINCENT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8019421111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
5767298-8905 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | BUSINESS ENTITY | 5828175-0160 | 01 |
| Street Address |
6710 S BLACKSTONE RD SUITE 201 |
| City | COTTONWOOD HEIGHTS |
| State | UT |
| Zip Code | 84121-6072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720122583 | Christopher P Kelly | Surgery | 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 | 2007-02-16 |
| 1437216306 | Kimball M Crofts | Surgery | 385 W 600 N, Lindon, UT 84042-1330 | 2007-01-02 |
| 1508878372 | Jayant Prasad Agarwal | Surgery | Division of Plastic Surgery Administrative Office, 30 North 1900 East 3b205, Salt Lake City, UT 84132-0001 | 2006-08-12 |
| 1720005317 | Jason T Koo | Surgery | 13249 Cascade Glen Dr, Draper, UT 84020-7146 | 2006-07-17 |
| 1295705697 | Todd B Engen | Surgery | 1735 N State St, Provo, UT 84604-1010 | 2006-01-26 |
| 1538151063 | Allisyn Okawa | Surgery | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2005-08-19 |
| 1346633203 | University of Utah Dental Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-16 |
| 1275937088 | University of Utah Adult Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1689906976 | Premier Plastic Surgery Group of Utah | Surgery | 11762 S State St Ste 220, Draper, UT 84020-7156 | 2010-02-11 |
| 1073729943 | Lauren Opal Florence | Surgery | 1250 East 3900 South, Suite #301, Salt Lake City, UT 84124-1362 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD HEIGHTS |
| Zip Code | 84121 |
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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.