MARY JANE NORMAN MD A PROFESSIONAL CORPORATION (NPI# 1558693523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558693523 |
| Entity Type | Organization |
| Organization Name | MARY JANE NORMAN MD A PROFESSIONAL CORPORATION |
| Practice Address |
451 Bishop Federal Ln Salt Lake City UT 84115-2357 |
| Mailing Address |
Po Box 901797 Sandy UT 84090-1797 |
| Practice Telephone | 8019420616 |
| Practice Fax Number | 8019426861 |
| Mailing Telephone | 8015995258 |
| Mailing Fax Number | 8015050803 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-03-10 |
| Authorized Official Name | DR. MARY JANE NORMAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8015995258 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0205X |
Medical Genetics Specialization: Ph.D. Medical Genetics |
181657-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
451 BISHOP FEDERAL LN |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545798 | Mary Jane Norman | Internal Medicine | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2005-08-15 |
| 1346544962 | Connie J Simms | Social Worker | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2010-12-23 |
| 1255634879 | Successor Healthcare LLC | Assisted Living Facility | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2010-12-21 |
| 1003010158 | Christus St. Joseph Villa | Religious Nonmedical Health Care Institution | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-06-13 |
| 1780887521 | Simone Jasmin Hennig | Social Worker | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-06-08 |
| 1124142427 | Ihc Health Services Inc | Clinic/Center | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-03-19 |
| 1184708919 | Christus Health Utah | Psychiatric Hospital | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2006-10-25 |
| 1699868950 | Sonja J Bates | Nurse Practitioner | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2006-10-01 |
| 1093774218 | Christus Health Utah | Skilled Nursing Facility | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 207SG0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program and serves as a consultant to medical and dental specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on MARY JANE NORMAN MD A PROFESSIONAL CORPORATION.
| 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.