RICHARD BLAINE IVERSON


Address: 1050 E South Temple, Salt Lake City, UT 84102-1507
Phone: 8013504734

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
8199146-1204 UT Allopathic & Osteopathic Physicians

Other Providers RICHARD IVERSON

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Office Location

Street Address 1050 E SOUTH TEMPLE
City SALT LAKE CITY
State UT
Zip Code 84102-1507

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

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.

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