WEST VALLEY DERMATOLOGY


Address: 3465 S Pioneer Pkwy, Suite 1, Salt Lake City, UT 84120-2076
Phone: 8019661403

WEST VALLEY DERMATOLOGY (NPI# 1548680184) 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) 1548680184
Entity Type Organization
Organization Name WEST VALLEY DERMATOLOGY
Practice Address 3465 S Pioneer Pkwy
Suite 1
Salt Lake City
UT 84120-2076
Practice Telephone 8019661403
Practice Fax Number 8019646478
Mailing Telephone 8019661403
Mailing Fax Number 8019646478
Enumeration Date 2014-04-22
Last Update Date 2014-04-22
Authorized Official Name DR. JESSE DAVID JENSEN (DERMATOLOGIST)
Authorized Official Telephone 6022061250
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 8963761-1204 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 3465 S PIONEER PKWY
SUITE 1
City SALT LAKE CITY
State UT
Zip Code 84120-2076

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891349213 Eli Kenny Physical Therapist 336 South 4155 West, West Valley City, UT 84120 2019-07-25
1841765377 Wan Jen Horng Pharmacist 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 2018-10-11
1841784220 Andrea Savas Physical Therapist 3460 South 4155 West, West Valley City, UT 84120 2018-06-19
1235628223 Meds In Motion, LLC Pharmacy 12101 S State St, Suite 101a, Draper, UT 84120 2018-05-04
1316477383 Kendra Lindsey Social Worker 4052 W 3390 S Suite 105, West Valley City, UT 84120 2017-06-13
1154726842 National Vision, Inc. Technician/Technologist 2569 South 5600 West, Ste A 550, West Valley, UT 84120 2014-10-24
1154637825 Granger Pediatric Dentistry Clinic/Center 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 2010-08-19
1104060714 Comprehensive Medical Management, PC Physical Medicine & Rehabilitation 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 2009-04-27
1336384197 Bamileke Sinju Sinju Home Health 3712 South Golden Grain Cir, West Valley City, UT 84120 2008-12-09
1164673331 Empowered for Life, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5004 West Janette Drive, West Valley City, UT 84120 2008-10-07
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558782276 Margaret Maria Cocks Dermatology 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132-0002 2013-12-23
1588007520 Blake Patrick Sampson Dermatology University of Utah Department of Dermatology, 30 N 1900 E, Salt Lake City, UT 84132-0001 2013-04-09
1689943219 Richard H Odell Md PC Dermatology 1345 E 3900 S. Suite 110, Salt Lake City, UT 84124 2011-12-28
1770779050 Keith Duffy Dermatology University of Utah Dept Of, 50 N Medical Dr, Salt Lake City, UT 84112-1102 2007-09-19
1255543971 Norman Everett Bystol Dermatology 4021 S 700 East, Suite 300 Comp Health, Salt Lake City, UT 84107 2007-05-04
1740346071 Rosemary Ann Deshazo Dermatology 50 N 1900 E, Univ of Utah Internal Medicine Dept, Som 4c104, Salt Lake City, UT 84132-0001 2006-12-29
1215999875 Richard H Odell Dermatology 1345 E 3900 S Ste 110, Salt Lake City, UT 84124-4403 2006-04-06
1659350049 Don L Reese Dermatology 999 Murray Holladay Rd, Suite 207, Salt Lake City, UT 84117-4901 2006-01-13
1407851595 Wendy L Matis Dermatology 710 E 200 S, Ste 1b, Salt Lake City, UT 84102-2265 2005-06-16
1356905046 Dev Ram Sahni Dermatology 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132-0002 2019-04-28
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City SALT LAKE CITY
Zip Code 84120

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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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