MR. DEVON E. DAHLKE (NPI# 1598866691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598866691 |
| Entity Type | Individual |
| Full Name | MR. DEVON E. DAHLKE |
| Credential | PA-C |
| Practice Address |
630 E 1400 N Ste 150 Logan UT 84341-2549 |
| Mailing Address |
Po Box 25535 Salt Lake City UT 84125-0535 |
| Practice Telephone | 4359154465 |
| Practice Fax Number | 4355144556 |
| Mailing Telephone | 8668987136 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
5703274-1206 | UT | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1598866691 | 05 |
| Street Address |
630 E 1400 N STE 150 |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679048 | Shawn Robert Israelsen | Social Worker | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2020-11-03 |
| 1487269080 | Sean Nicholas Wright | Physician Assistant | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2020-09-10 |
| 1639713589 | Sterling Provider Group | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2019-11-04 |
| 1134697477 | Adam Garfield | Physician Assistant | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2018-11-05 |
| 1265807614 | Sterling Medical LLC | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2534 | 2015-12-10 |
| 1316329220 | Jacob Douglas Anderson | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2015-06-26 |
| 1134567282 | Tod Michael Morrison | Nurse Practitioner | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285298968 | Marissa Weeks | Physician Assistant | 16 W 1285 S, Logan, UT 84321-8549 | 2019-04-27 |
| 1447706007 | Conner Andrews | Physician Assistant | 7425 Old Main Hill, Logan, UT 84322 | 2016-09-01 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1003095373 | Adrienne Mcmaster | Physician Assistant | 2380 N 400 E Ste B, Logan, UT 84341-1756 | 2007-11-02 |
| 1538166855 | Ryan J Garfield | Physician Assistant | 1281 N 600 E, Logan, UT 84341-6988 | 2005-07-01 |
| 1134697477 | Adam Garfield | Physician Assistant | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2018-11-05 |
| 1609360940 | Benjamin D Adkins | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-06-20 |
| 1477067775 | Crystal Anne Burtis | Physician Assistant | 1325 N 600 E Ste 101, Logan, UT 84341-6743 | 2017-11-22 |
| 1861845638 | Chelsea Mackall | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2016-07-18 |
| 1073994810 | Benjamin Seale | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2015-06-17 |
| Find all providers in LOGAN | ||||
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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.