DERRICK CRIPPS GALE (NPI# 1548695729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548695729 |
| Entity Type | Individual |
| Full Name | DERRICK CRIPPS GALE |
| Credential | M.D. |
| Practice Address |
4063 W 12600 S Riverton UT 84096-7302 |
| Mailing Address |
756 E 12200 S Draper UT 84020-9724 |
| Practice Telephone | 8013282522 |
| Practice Fax Number | 8015330589 |
| Mailing Telephone | 8013282522 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 11131583-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | R6005 | TX | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 2013019934 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14603 Huebner Rd Ste 101, San Antonio, TX 78230 | 2104685426 |
| Street Address |
4063 W 12600 S |
| City | RIVERTON |
| State | UT |
| Zip Code | 84096-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
| 1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
| 1770960452 | Tyler Rolland Petersen | Social Worker | 13351 S Shaunna Lane, Herriman, UT 84096 | 2015-05-01 |
| 1649687948 | Victor Clark | Assisted Living Facility | 6352 W 13100 S, Herriman, UT 84096 | 2014-07-18 |
| 1548539554 | Neck and Back Relief | Chiropractor | 12600 S. 4013 W., Suite E, Riverton, UT 84096 | 2011-12-20 |
| 1114220092 | Sharlene Christensen | Counselor | 13878 S. Ken Cv, Herriman, UT 84096 | 2010-12-14 |
| 1518156991 | Jon Christian Fairbanks | Dentist | 5532 W. Herriman Main Street, #210, Herriman, UT 84096 | 2007-10-22 |
| 1215154232 | Karen Jane Olson | Nurse Practitioner | 13400 S. 5746 W #200, Herriman, UT 84096 | 2007-04-19 |
| 1619022969 | Jeffrey T Lambert | Dentist | 5532 W. Herriman Main St., #210, Herriman, UT 84096 | 2007-01-25 |
| 1578638854 | Stevenson Pediatric Dentistry P.C. | Dentist | 4019 W. 12600 S., Suite 200, Riverton, UT 84096 | 2006-11-21 |
| Find all providers in zip 84096 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407055833 | Kevin Gilbert | Otolaryngology | 3723 W 12600 S, Suite 270b, Riverton, UT 84065-7295 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073177796 | Christopher A. Hamilton | Otolaryngology | 50 North Medical Dr Som 3c120, Salt Lake City, UT 84132-0001 | 2019-04-29 |
| 1972007433 | Eric Edward Babajanian | Otolaryngology | 50 N Medical Dr Som 3c120, Salt Lake City, UT 84132-0001 | 2018-03-20 |
| 1619362779 | Joshua Brian Bradshaw | Otolaryngology | 1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010-7671 | 2015-04-05 |
| 1063853885 | Craig N Stevens, Md | Otolaryngology | 2576 E Valley View Ave, Holladay, UT 84117-5429 | 2013-07-09 |
| 1801233994 | Tolbin Matthew Collett | Otolaryngology | 201 W Layton Pkwy, Layton, UT 84041 | 2013-05-29 |
| 1700143906 | Daniel Robert Cox | Otolaryngology | 5169 S Cottonwood St Ste 310, Murray, UT 84107 | 2012-04-12 |
| 1447551544 | James L. Parkin | Otolaryngology | 2390 Bernadine Dr, Salt Lake City, UT 84109-1206 | 2010-11-05 |
| 1447584636 | Ryan D. Lewis | Otolaryngology | 11506 S State St, Draper, UT 84020-9453 | 2009-09-22 |
| 1710210323 | Kendrick Oliver Morrison | Otolaryngology | 1599 Quartz Dr, South Jordan, UT 84095-8382 | 2009-09-14 |
| 1700023900 | Dean Harding Zobell | Otolaryngology | 1530 Chandler Dr, Salt Lake City, UT 84103-4219 | 2009-01-10 |
| Find all providers with the same taxonomy | ||||
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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.