DR. JARED T CLEGG (NPI# 1588664759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588664759 |
| Entity Type | Individual |
| Full Name | DR. JARED T CLEGG |
| Credential | DPM |
| Practice Address |
1973 North State Street Provo UT 84604-1012 |
| Mailing Address |
2561 S 1560 W Ste B Woods Cross UT 84087-2361 |
| Practice Telephone | 8013732499 |
| Practice Fax Number | 8013735200 |
| Mailing Telephone | 8015050821 |
| Mailing Fax Number | 8015050803 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2016-02-10 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 370946-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1973 NORTH STATE STREET |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457737579 | Utah Podiatry Group PC | Podiatrist | 1973 North State Street, Provo, UT 84604-1012 | 2015-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589258 | Valley Foot & Ankle | Podiatrist | 777 N 500 W Ste 103, Provo, UT 84601-1552 | 2018-08-24 |
| 1750794533 | Scott Humpherys, Dpm Inc | Podiatrist | 1355 N. University Ave, #125, Provo, UT 84604-2722 | 2014-06-09 |
| 1275688764 | James Thomas Ross | Podiatrist | 1015 Canyon Meadow Dr, # 5, Provo, UT 84606-3623 | 2007-01-24 |
| 1528179256 | Val G. Mullinax | Podiatrist | 1928 N 1120 W # 6, Provo, UT 84604-1045 | 2006-08-31 |
| 1154437655 | David Jaramillo | Podiatrist | 3355 N University Ave Ste 175, Provo, UT 84604-6620 | 2006-08-21 |
| 1275647596 | Scott Brett Humpherys | Podiatrist | 1928 N 1120 W, Provo, UT 84604 | 2006-08-17 |
| 1720069446 | Thomas G Rogers | Podiatrist | 150 W 800 N, Provo, UT 84601-1624 | 2005-11-09 |
| 1386120715 | Dhj, PC | Podiatrist | 3355 N University Ave Ste 175, Provo, UT 84604-6620 | 2018-07-18 |
| 1831343185 | Francis Mckay Winkel | Podiatrist | 3651 N 100 E, Suite 125, Provo, UT 84604-4597 | 2008-11-13 |
| 1821021957 | Kelly Allan Gomez | Podiatrist | 777 N 500 W, Suite 103, Provo, UT 84601 | 2006-07-09 |
| Find all providers in PROVO | ||||
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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.