SMART MEDICAL, LLC (NPI# 1548630908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548630908 |
| Entity Type | Organization |
| Organization Name | SMART MEDICAL, LLC |
| Other Organization Name | SMART MEDICAL |
| Practice Address |
6337 S Highland Dr Ste 110 Salt Lake City UT 84121-2107 |
| Mailing Address |
6337 S Highland Dr Ste 110 Holladay UT 84121-2107 |
| Practice Telephone | 8018651884 |
| Practice Fax Number | 8013869890 |
| Mailing Telephone | 8018651884 |
| Mailing Fax Number | 8013869890 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | MR. MICHAEL RUSSELL BROWN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8018651884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
57788 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Smart Medical | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SMART MEDICAL, LLC | 90 Beaver Street, Apt. 11, Waltham, MA 02453 |
| Street Address |
6337 S HIGHLAND DR STE 110 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-2107 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557846 | Flow Acupuncture & Apothecary | Clinic/Center | 1390 S 1100 E Ste 110, Salt Lake City, UT 84105-2463 | 2015-05-08 |
| 1457529117 | Ignatz Nascher Medical Services | Clinic/Center | 842 E 4315 S, Salt Lake City, UT 84107-3094 | 2008-02-15 |
| 1033722087 | Olympus Healing Clinic | Clinic/Center | 2870 E 3300 S, Salt Lake City, UT 84109-2821 | 2020-08-28 |
| 1770060980 | Centro De Salud Cruz | Clinic/Center | 34 S 500 E Ste 207, Salt Lake City, UT 84102-1065 | 2018-07-20 |
| 1477098283 | Physician Specialty Care of Utah | Clinic/Center | 1115 S 900 E, Salt Lake City, UT 84105-1323 | 2017-01-03 |
| 1467996710 | Cc Natural Medicine, LLC | Clinic/Center | 880 E 3900 S, Salt Lake City, UT 84107-2151 | 2016-12-06 |
| 1093123945 | Accident Rehab Clinic PC | Clinic/Center | 1154 S. 300 W., Suite, Salt Lake City, UT 84101 | 2014-07-23 |
| 1649681065 | Margy Batson LLC | Clinic/Center | 24 S 1100 E, Suite 209, Salt Lake City, UT 84102-1500 | 2014-05-20 |
| 1699197749 | Brighton Rehabilitation | Clinic/Center | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2014-01-08 |
| 1588813521 | Concentra Health Services, Inc. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2008-09-15 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| 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.