RICHARD BLAINE IVERSON (NPI# 1568788602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568788602 |
Entity Type | Individual |
Full Name | RICHARD BLAINE IVERSON |
Credential | D.O. |
Practice Address |
1050 E South Temple Salt Lake City UT 84102-1507 |
Mailing Address |
10003 S Chip Cir South Jordan UT 84095-2781 |
Practice Telephone | 8013504734 |
Mailing Telephone | 8013504734 |
Enumeration Date | 2010-04-14 |
Last Update Date | 2013-01-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
8199146-1204 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538261912 | Richard Bruce Iverson | Family Medicine | One University Circle, Beu Health Center, Macomb, IL 61455 | 2006-09-05 |
1134772924 | Richard Dean Iverson | Student in an Organized Health Care Education/Training Program | 200 University Pkwy, Yakima, WA 98901-9539 | 2019-07-20 |
Street Address |
1050 E SOUTH TEMPLE |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84102-1507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861495160 | Medical Center Pharmacy Inc | Pharmacy | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2005-05-31 |
1780292672 | Emily May Peterson | Physical Therapy Assistant | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2020-07-17 |
1902439326 | Cally Lynn Orr | Occupational Therapist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2020-02-13 |
1043842842 | Whitney Hull Lopez | Physical Therapy Assistant | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2020-02-10 |
1366074049 | Lon Forsyth | Occupational Therapist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2020-02-10 |
1538713375 | Deanna Washburn | Dietitian, Registered | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2019-07-30 |
1609334911 | Santibanez Aguirre Slc PC | Hospitalist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2019-03-05 |
1609344373 | Kenneth Harold Hicken | Social Worker | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2018-11-11 |
1619460599 | Casey Snell | Physical Therapist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2018-06-14 |
1104319847 | Brittney Marie Passman | Occupational Therapist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2018-06-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
Find all providers in zip 84102 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962842864 | Matthew Scott Johnson | Pathology | 2000 Circle of Hope Dr Rm N3100, Salt Lake City, UT 84112-5550 | 2013-06-25 |
1578852661 | Jolanta Jedrzkiewicz | Pathology | 434 2nd Ave Apt 4, Salt Lake City, UT 84103-5623 | 2011-03-30 |
1891922951 | Thomas Cary Wilson | Pathology | 5330 S 900 E Ste 120, Salt Lake City, UT 84117-3504 | 2009-06-16 |
1780822809 | Dana Claire Gingell | Pathology | 1372 S 300 E, Salt Lake City, UT 84115-1502 | 2009-01-27 |
1639315070 | Benjamin Lloyd Witt | Pathology | University of Utah 50 N Medical Dr, Department of Pathology, Salt Lake City, UT 84132-0001 | 2009-01-06 |
1164683959 | Jessica Comstock | Pathology | 100 N Mario Cappechi Dr, Primary Childrens Medical Center Dept of Pathology, Salt Lake City, UT 84113 | 2008-06-24 |
1932308152 | Daniel Joseph Albertson | Pathology | 1950 Circle of Hope Dr Rm N3105, Huntsman Cancer Hospitadepartment of Surgical Pathology, Salt Lake City, UT 84112-5500 | 2007-07-17 |
1639299324 | Edward Hubert Hart | Pathology | University of Utah Hospital Pathology, 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2007-03-29 |
1760547855 | Joseph P. Gormley | Pathology | 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100 | 2006-12-27 |
1912940164 | Elizabeth M Jensen | Pathology | 1200 East 3900 South, Salt Lake City, UT 84124-1300 | 2006-06-14 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84102 |
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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.