JOSEPH BRENT HAGLOCH (NPI# 1568894707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568894707 |
| Entity Type | Individual |
| Full Name | JOSEPH BRENT HAGLOCH |
| Credential | PA-C, RDN |
| Practice Address |
5169 S Cottonwood St Ste 320 Murray UT 84107-6768 |
| Practice Telephone | 8015072531 |
| Mailing Telephone | 8015072531 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 8733335-4901 | UT | Dietary & Nutritional Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
8733335-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5169 S COTTONWOOD ST STE 320 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-6768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821640665 | Laura Gleed | Nurse Practitioner | 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 | 2019-07-11 |
| 1700446325 | Ihc Health Services Inc | Internal Medicine | 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 | 2019-06-17 |
| 1508383738 | Benjamin Philip Draleau | Physician Assistant | 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 | 2017-08-28 |
| 1093236895 | Chantel Leigh Duffey | Transplant Surgery | 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 | 2017-06-30 |
| 1578096897 | Kelsey Gaid | Physician Assistant | 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 | 2017-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770929036 | Hayley Dawn Kemp | Physician Assistant | 5121 Cottonwood Street, Trauma Services, Murray, UT 84121-7552 | 2013-05-14 |
| 1669669388 | Theresa K Kulikowski | Physician Assistant | 5323 S Woodrow Street, Suite 200, Murray, UT 84107-5841 | 2007-09-26 |
| 1982739199 | Richard Jonathan Greene | Physician Assistant | 300 S 8th St Ste 374w, Murray, KY 42071-2446 | 2007-02-21 |
| 1174617773 | Meghan Lynn Smith | Physician Assistant | 5323 South Woodrow St., Sutie #102, Murray, UT 84107 | 2006-10-03 |
| 1306939350 | Kristin Gale Goeller | Physician Assistant | 5770 S 250 E Ste 415, Murray, UT 84107 | 2006-10-02 |
| 1932674413 | Hannah Stark | Physician Assistant | 181 E Medical Tower Dr, Murray, UT 84107-4872 | 2018-10-10 |
| 1063992022 | Fernando Rivero | Physician Assistant | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2018-08-20 |
| 1578096897 | Kelsey Gaid | Physician Assistant | 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 | 2017-04-04 |
| 1407398639 | Laura Elise Juarez | Physician Assistant | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2016-11-04 |
| 1144778192 | Kelli Jean Moylan | Physician Assistant | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2016-09-20 |
| Find all providers in MURRAY | ||||
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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.