VALLEY OBSTETRICS AND GYNECOLOGY, P.C. (NPI# 1558773242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558773242 |
Entity Type | Organization |
Organization Name | VALLEY OBSTETRICS AND GYNECOLOGY, P.C. |
Other Organization Name | WOMENS MEDICINE |
Practice Address |
585 N 500 W Provo UT 84601-1548 |
Practice Telephone | 8013741809 |
Practice Fax Number | 8012168357 |
Mailing Telephone | 8013741809 |
Mailing Fax Number | 8012168357 |
Enumeration Date | 2014-05-29 |
Last Update Date | 2014-05-29 |
Authorized Official Name | SHERI BENNETT (CONTRACT & CREDENTIALING SPEC) |
Authorized Official Telephone | 4356280498 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 8046570-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | NPI | 1578889465 | 01 |
Other Name | Type Code |
---|---|
Womens Medicine | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770050221 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 1900 N State St Ste 105, Provo, UT 84604-1354 | 2018-11-01 |
1962923433 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 1250 E 3900 S Ste 200, Salt Lake City, UT 84124-1368 | 2017-07-05 |
1992279392 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601-1548 | 2019-01-18 |
1346718764 | Valley Obstetrics and Gynecology, P.C. | Clinical Medical Laboratory | 585 N 500 W, Provo, UT 84601-1548 | 2018-11-03 |
1164952826 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 700 W 800 N, Orem, UT 84057-6301 | 2017-06-15 |
1710399472 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 285 E 400 S, Springville, UT 84663-1957 | 2014-05-28 |
1780002188 | Valley Obstetrics and Gynecology, P.C. | Advanced Practice Midwife | 120 N 1220 E, Suite 7, American Fork, UT 84003-2089 | 2014-04-02 |
1841415338 | Valley Obstetrics and Gynecology, P.C. | Clinic/Center | 39 Professional Way, #4, Payson, UT 84651-1675 | 2007-04-17 |
Street Address |
585 N 500 W |
City | PROVO |
State | UT |
Zip Code | 84601-1548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639150485 | Jeffrey Charles Broberg | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601-1548 | 2005-11-09 |
1396397733 | Karlie Porter | Advanced Practice Midwife | 585 N 500 W, Provo, UT 84601-1548 | 2019-07-16 |
1366004244 | Brittany Elise Mccready | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-07-01 |
1366003840 | Jennifer Lauren Smith | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-06-25 |
1437613874 | Tiniesha Lynn Jensen | Registered Nurse | 585 N 500 W, Provo, UT 84601-1548 | 2019-01-30 |
1992279392 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601-1548 | 2019-01-18 |
1346718764 | Valley Obstetrics and Gynecology, P.C. | Clinical Medical Laboratory | 585 N 500 W, Provo, UT 84601-1548 | 2018-11-03 |
1770021123 | Tina Nackos | Advanced Practice Midwife | 585 N 500 W, Provo, UT 84601-1548 | 2017-02-06 |
1437607876 | Sarah Roberts | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2016-09-14 |
1952786196 | Stephanie Miller | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2015-07-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
Find all providers in zip 84601 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407453160 | Utah Valley Natural Health Clinic | Family Medicine | 3311 N University Ave Ste 100, Provo, UT 84604-7432 | 2020-10-06 |
1750840054 | Jonathon Lee Gross | Family Medicine | 395 W Cougar Blvd Ste 205, Provo, UT 84604-3328 | 2019-03-16 |
1275099897 | Optimal Health Family Practice Pllc | Family Medicine | 75 S 200 E Ste 100, Provo, UT 84606-3146 | 2019-02-19 |
1518414481 | Ihc Health Services Inc | Family Medicine | 395 W Bulldog Blvd Ste 603, Provo, UT 84604 | 2016-09-08 |
1790175628 | Brigham Young University | Family Medicine | 173 Richards Building, Dance Department, Provo, UT 84602-2000 | 2015-01-30 |
1790198141 | Micia Roby | Family Medicine | 1055 N 500 W Building A, Provo, UT 84604 | 2014-06-03 |
1295171874 | Angel Kae Lybbert | Family Medicine | 395 W. Bulldog Blvd. Suite 6b, Provo, UT 84604 | 2013-05-22 |
1912267212 | Ihc Health Services Inc | Family Medicine | 1401 E 2000 S, Provo, UT 84606-2072 | 2012-05-21 |
1710250253 | Mark Timothy Ross | Family Medicine | 3737 N 970 E, Provo, UT 84604-5247 | 2012-02-14 |
1639497191 | John Frederic Templeman | Family Medicine | 4728 Mile High Dr, Provo, UT 84604-5318 | 2010-05-08 |
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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.