DR. KYLE SHIGERU MATSUMURA


Address: 6750 S Highland Drive, Ste 100, Cottonwood Heights, UT 84121
Phone: 8016857246

DR. KYLE SHIGERU MATSUMURA (NPI# 1619907490) 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) 1619907490
Entity Type Individual
Full Name DR. KYLE SHIGERU MATSUMURA
Credential MD
Practice Address 6750 S Highland Drive
Ste 100
Cottonwood Heights
UT 84121
Practice Telephone 8016857246
Practice Fax Number 8017475487
Mailing Telephone 8016857246
Mailing Fax Number 8017475487
Enumeration Date 2006-07-04
Last Update Date 2016-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
951306801205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT D5367 05
UT CAL MEDICAL LICENSE # G79891 01
UT DEA NUMBER BM5218652 01
UT UTAH MEDICAL LICENSE # 951306801205 01

Office Location

Street Address 6750 S HIGHLAND DRIVE
STE 100
City COTTONWOOD HEIGHTS
State UT
Zip Code 84121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043521016 Heidi Marie Duckworth Nurse Practitioner 6750 S Highland Drive, Suite 100, Cottonwood Heights, UT 84121 2010-06-24
1750426276 Anna Louise Peters Physician Assistant 6750 S Highland Drive, Ste 100, Cottonwood Heights, UT 84121 2007-02-21
1992736557 Spine Care Center, LLC Pain Medicine 6750 S Highland Drive, Suite 100, Cottonwood Heights, UT 84121 2006-07-05
1942230602 Arun Rajagopal Pain Medicine 6750 S Highland Drive, Suite 100, Cottonwood Heights, UT 84121 2006-07-05
1700817442 Kathy Jean Hemming Physician Assistant 6750 S Highland Drive, Suite 100, Cottonwood Heights, UT 84121 2006-07-05
1285664185 Rajiv Shah Anesthesiology 6750 S Highland Drive, Cottonwood Heights, UT 84121-1829 2006-07-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407483522 Kaitlyn Horne Behavior Technician 6910 S. Highland Drive, Cottonwood Heights, UT 84121 2020-03-26
1952936387 Jared Wells Behavior Technician 6910 S Highland Drive, Cottonwood Heights, UT 84121 2020-03-05
1518591874 Slc Plastic Surgery LLC Plastic Surgery 6686 Highland Drive, Cottonwood Heights, UT 84121 2020-02-26
1093273708 Anna O'hearon Counselor New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 2019-03-12
1053883181 Charles Keller IIi Pediatrics 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 2018-12-31
1669964516 Marissa King Specialist 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 2018-06-05
1376044313 Slpd Cottonwood LLC Dentist 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 2018-02-26
1700315462 Nelson & Tillmann Family Dentistry, PC Dentist 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 2017-06-07
1912430588 Wasatch Midwifery and Wellness, LLC Dietitian, Registered 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 2017-04-10
1407308331 Tina Polgar Registered Nurse 6244 Highland Drive, Murray, UT 84121 2016-10-26
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992736557 Spine Care Center, LLC Pain Medicine 6750 S Highland Drive, Suite 100, Cottonwood Heights, UT 84121 2006-07-05
1942230602 Arun Rajagopal Pain Medicine 6750 S Highland Drive, Suite 100, Cottonwood Heights, UT 84121 2006-07-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972862605 Intermountain Pain Management and Injury, Inc Pain Medicine 6575 S Redwood Rd, St 201, Taylorsville, UT 84123-5688 2012-05-15
1285958439 Advanced Spine Pain Specialists Pain Medicine 286 N Gateway Dr Ste 201, Providence, UT 84332-5603 2010-03-17
1326665829 Wasatch Wellness Center LLC Pain Medicine 1215 S 1680 W, Orem, UT 84058-4939 2020-06-30
1689226391 Utah Intermountain Pain Management Pain Medicine 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 2019-07-12
1568909836 Glacier Peak Pain Care Pllc Pain Medicine 1407 N 2000 W, Clinton, UT 84015-8562 2017-01-25
1073959714 Wasatch Sports, Spine & Pain Treatment Center Pllc Pain Medicine 680 E Main St, 202, Lehi, UT 84043-2241 2013-05-21
1841531340 Wasatch Pain Solutions, PC Pain Medicine 661 W 10600 S, South Jordan, UT 84095-8524 2013-03-07
1376821587 Canyon Ridge Pain and Spine PC Pain Medicine 1551 Renaissance Towne Dr, Suite 460, Bountiful, UT 84010-7667 2011-07-22
1063721850 Alta Pain Physicians, Pllc Pain Medicine 11333 S 1000 E, #102, Sandy, UT 84094-5428 2010-09-28
1861643330 Craig William Davis Pain Medicine 3181 W 9000 So, West Jordan, UT 84088 2008-10-02
Find all providers with the same taxonomy

Competitor

Search similar providers

City COTTONWOOD HEIGHTS
Zip Code 84121

Improve Information

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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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