JORDAN VALLEY DERMATOLOGY CENTER LLC (NPI# 1558766477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558766477 |
| Entity Type | Organization |
| Organization Name | JORDAN VALLEY DERMATOLOGY CENTER LLC |
| Practice Address |
3570 W 9000 S West Jordan UT 84088-8869 |
| Practice Telephone | 8015691456 |
| Practice Fax Number | 8015657931 |
| Mailing Telephone | 8015691456 |
| Mailing Fax Number | 8015657931 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Authorized Official Name | DR. WESLEY R BROWN (OWNER) |
| Authorized Official Telephone | 8015691456 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 1756931205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
3570 W 9000 S |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-8869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831171941 | Family Plaza Pharmacy Inc | Pharmacy | 3570 W 9000 S, Ste 150, West Jordan, UT 84088-8869 | 2005-11-15 |
| 1831504992 | Christie N Porter | Obstetrics & Gynecology | 3570 W 9000 S, West Jordan, UT 84088-8869 | 2014-06-27 |
| 1255771499 | Jennifer Lynne Glazier | Physician Assistant | 3570 W 9000 S, West Jordan, UT 84088-8869 | 2013-07-02 |
| 1730429374 | Paula Huff Bryant | Physician Assistant | 3570 W 9000 S, Ste. 200, West Jordan, UT 84088-8869 | 2013-02-19 |
| 1598002602 | Bryce Paul Jensen | Physician Assistant | 3570 W 9000 S, Suite 200, West Jordan, UT 84088-8869 | 2013-01-09 |
| 1053622555 | Frances Bechek | Obstetrics & Gynecology | 3570 W 9000 S, #210, West Jordan, UT 84088-8869 | 2010-06-29 |
| 1942462825 | Leeann Johnson | Nurse Practitioner | 3570 W 9000 S, Ste 100, West Jordan, UT 84088-8869 | 2008-07-01 |
| 1285808634 | Maria C Rugamas | Specialist/Technologist, Other | 3570 W 9000 S, Suite 210, West Jordan, UT 84088-8876 | 2008-04-16 |
| 1184758989 | South Valley Women's Imaging, LLC | Specialist | 3570 W 9000 S, #130, West Jordan, UT 84088-8869 | 2007-03-15 |
| 1508900127 | Anna I Mair | Physician Assistant | 3570 W 9000 S, #210, West Jordan, UT 84088-8876 | 2007-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863893 | Central Utah Dermatology | Dermatology | 861 N Main, Richfield, UT 84701 | 2020-02-21 |
| 1548810401 | Smart & Gibbs | Dermatology | 3200 W Clubhouse Dr Ste 100, Lehi, UT 84043-4325 | 2019-09-12 |
| 1043874332 | Waymore Shade LLC | Dermatology | 451 S Main St Ste 1, Springville, UT 84663-2293 | 2019-04-23 |
| 1598261869 | Tuttle Dermatology PC | Dermatology | 617 E Riverside Dr Ste 103, St George, UT 84790-8049 | 2018-04-04 |
| 1770099251 | Ihc Health Services Inc | Dermatology | 395 W Bulldog Blvd Ste 604, Provo, UT 84604-3331 | 2017-12-20 |
| 1417467986 | Red Ledges Dermatology Pllc | Dermatology | 1449 N 1400 W Ste 22, St George, UT 84770-5237 | 2017-10-10 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1861861155 | Brent H. Goodsell, Do | Dermatology | 162 S 1100 E, American Fork, UT 84003-2817 | 2015-09-17 |
| 1912316654 | Jeanna Tachiki Ryan | Dermatology | 243 E 6100 S, Murray, UT 84107-7302 | 2014-08-07 |
| 1659785889 | Dana Rice | Dermatology | 6095 S Fashion Blvd Ste 270, Murray, UT 84107-7387 | 2014-06-16 |
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| City | WEST JORDAN |
| Zip Code | 84088 |
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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.