KAREN K MINCHOW (NPI# 1538675418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538675418 |
Entity Type | Individual |
Full Name | KAREN K MINCHOW |
Credential | PA-C |
Practice Address |
12000 E Big Cottonwood Canyon Rd Brighton UT 84121-9710 |
Mailing Address |
7149 S Way Mar Cir Salt Lake City UT 84121-6650 |
Practice Telephone | 8015341400 |
Mailing Telephone | 8016330940 |
Enumeration Date | 2017-12-14 |
Last Update Date | 2018-04-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 105860-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
105860-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
12000 E BIG COTTONWOOD CANYON RD |
City | BRIGHTON |
State | UT |
Zip Code | 84121-9710 |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326596396 | Constantina Kostka | Physician Assistant | 1560 Commonwealth Ave, Apt. #16, Brighton, MA 02135-5038 | 2016-09-19 |
1689919318 | Alexis Grant Kochevar | Physician Assistant | 70 S 20th Ave Ste H, Brighton, CO 80601-3704 | 2012-12-06 |
1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
1154804847 | Rebecca Lynn Kahn | Physician Assistant | 8273 Grand River Rd Ste 210, Brighton, MI 48114-9346 | 2018-09-10 |
1831695634 | Amanda Dvorak | Physician Assistant | 2801 Purcell St, Brighton, CO 80601 | 2018-04-02 |
1942759998 | Stephen Norris Pope-rolewski | Physician Assistant | 2801 Purcell St, Brighton, CO 80601-3551 | 2016-09-30 |
1780032524 | Alyssa Zantello | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2016-06-02 |
1689070963 | Shawna Karman | Physician Assistant | 2801 Purcell St, Brighton, CO 80601-3551 | 2014-11-13 |
1013324367 | Lane Marie Bryant | Physician Assistant | 1860 E Egbert St, Brighton, CO 80601-2475 | 2014-07-18 |
1083902811 | Lindsay C. Stanley | Physician Assistant | 736 Cambridge St, Brighton, MA 02135-2907 | 2011-07-14 |
Find all providers in BRIGHTON |
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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.