REX A OUTTRIM (NPI# 1558355313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558355313 |
| Entity Type | Individual |
| Full Name | REX A OUTTRIM |
| Credential | MD |
| Practice Address |
3723 W 12600 S Riverton UT 84065-7295 |
| Mailing Address |
5121 S Cottonwood St Suite 520 Salt Lake City UT 84107-5701 |
| Practice Telephone | 8012854590 |
| Mailing Telephone | 8015073500 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5006181205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
3723 W 12600 S |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-7295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440391 | Nellie Bubb | Occupational Therapist | 3723 W 12600 S, Riverton, UT 84065-7295 | 2019-08-01 |
| 1417509464 | Stephanie Babbitt | Psychologist | 3723 W 12600 S, Riverton, UT 84065-7295 | 2019-07-10 |
| 1558924746 | Michelle Mary Waters | Nurse Practitioner | 3723 W 12600 S, Riverton, UT 84065-7295 | 2019-04-15 |
| 1710419908 | Keeshia Christensen | Pharmacist | 3723 W 12600 S, Suite 170, Riverton, UT 84065-7295 | 2017-03-28 |
| 1770941726 | Ihc Health Services Inc | Internal Medicine | 3723 W 12600 S, Ste 430, Riverton, UT 84065-7296 | 2016-02-05 |
| 1417393661 | Katherine Ann Larson | Internal Medicine | 3723 W 12600 S, #270, Riverton, UT 84065-7295 | 2013-05-15 |
| 1740529973 | Shauna Chriss | Nurse Practitioner | 3723 W 12600 S, Riverton, UT 84065-7295 | 2013-02-07 |
| 1194003640 | Ihc Health Services Inc | Internal Medicine | 3723 W 12600 S, Ste 480, Riverton, UT 84065-7295 | 2011-08-02 |
| 1841586278 | Huyen-tran Nguyen | Allergy & Immunology | 3723 W 12600 S, Riverton, UT 84065-7295 | 2011-06-23 |
| 1861713679 | Eric Richard Dockter | Orthopaedic Surgery | 3723 W 12600 S, Suite 460, Riverton, UT 84065-7295 | 2010-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225681166 | Motivational Medicine | Internal Medicine | 621 E Mayor Place Dr, American Fork, UT 84003-8015 | 2019-07-19 |
| 1972026227 | Castleview Physician Practice, LLC | Internal Medicine | 945 W Hospital Dr Ste 3, Price, UT 84501-4230 | 2017-07-19 |
| 1134470347 | Lynn R Nimer, Md, A Professional Corporation | Internal Medicine | 1380 East Medical Center Ste 3500, St. George, UT 84790-2123 | 2012-09-27 |
| 1003189622 | Mehmet Akkaya | Internal Medicine | University of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132-0001 | 2012-02-13 |
| 1700199627 | Majd Ibrahim | Internal Medicine | 30 N Medical Dr Rm 4a100, Salt Lake City, UT 84132 | 2010-07-20 |
| 1588804314 | Michael John Preece | Internal Medicine | 1064 Donner Way, Salt Lake City, UT 84108-2507 | 2009-03-06 |
| 1902071673 | John Joseph Ryan | Internal Medicine | Division of Cardiology University of Utah, 50 North Medical Dr, Salt Lake City, UT 84132-0100 | 2008-04-24 |
| 1831364561 | Lowell Chang | Internal Medicine | 30 N Medical Dr, Salt Lake City, UT 84132-0001 | 2008-04-23 |
| 1326226671 | Deborah Budge | Internal Medicine | 5121 So. Cottonwood Drive, J.l. Sorenson Heart & Lung Center, Lower Level One, Murray, UT 84107-5701 | 2008-02-07 |
| 1942486915 | Grant L Christian Md A Professional Corporation | Internal Medicine | 425 Medical Dr Ste 118, Bountiful, UT 84010-8914 | 2008-01-21 |
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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.