CHAD JARVIS (NPI# 1619974664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619974664 |
| Entity Type | Individual |
| Full Name | CHAD JARVIS |
| Credential | DA-C |
| Practice Address |
2356 N 400 E Ste 201 Tooele UT 84074 |
| Practice Telephone | 4358822350 |
| Practice Fax Number | 4358822039 |
| Mailing Telephone | 4358822350 |
| Mailing Fax Number | 4358822039 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2009-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 57467031206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417404898 | Chad Jarvis | Pharmacist | 2241 Se Heathwood Cir, Port St Lucie, FL 34952-6927 | 2016-09-02 |
| Street Address |
2356 N 400 E STE 201 |
| City | TOOELE |
| State | UT |
| Zip Code | 84074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809528 | Kim A. Halladay | Podiatrist | 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 | 2005-05-27 |
| 1598295586 | Bradley Allen Klemetson | Physical Therapist | 2356 N 400 E, Tooele, UT 84074-3409 | 2017-06-13 |
| 1013466978 | Jesse Yarrington | Physician Assistant | 2356 N 400 E, Ste 201, Tooele, UT 84074-3409 | 2016-10-03 |
| 1851767495 | Kenneth David Brown | Physical Therapist | 2356 N 400 E, Tooele, UT 84074-3409 | 2015-08-18 |
| 1205178571 | Joshua Scott Ingleby | Physician Assistant | 2356 N 400 E, Ste 201, Tooele, UT 84074-3409 | 2013-03-25 |
| 1497011605 | Acg Counseling Services, LLC | Counselor | 2356 N 400 E, Suite 202, Tooele, UT 84074-3409 | 2012-04-02 |
| 1366719015 | Jim J. Gould, Md PC | Clinic/Center | 2356 N 400 E, Suite 202, Tooele, UT 84074-3409 | 2011-11-23 |
| 1699004499 | Tooele Valley Imaging, LLC | Clinic/Center | 2356 N 400 E, Suite 103, Tooele, UT 84074-3409 | 2009-12-08 |
| 1255509154 | Tooele Foot & Ankle Clinic, Inc. | Podiatrist | 2356 N 400 E, Ste 104, Tooele, UT 84074-3409 | 2008-02-13 |
| 1770766586 | Sergio Abarca, M.d., Inc | Family Medicine | 2356 N 400 E, Ste 201, Tooele, UT 84074 | 2007-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| 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 |
|---|---|---|---|---|
| 1982914693 | Cameron Dortch | Physician Assistant | 1959 Aaron Dr # F, Tooele, UT 84074 | 2010-10-15 |
| 1861725889 | Jonathan David Atkin | Physician Assistant | 2356 North 400 East, Suite 201, Tooele, UT 84074 | 2009-09-09 |
| 1336385707 | Melinda Choate | Physician Assistant | 2356 N. 400 E., Suite 201, Tooele, UT 84074 | 2009-01-06 |
| 1730372947 | Sara Carstensen | Physician Assistant | 1959 Aaron Dr, Suite F, Tooele, UT 84074-8111 | 2007-08-21 |
| 1518453976 | Cameron Cooper | Physician Assistant | 2321 N 400 E Ste 300, Tooele, UT 84074-3440 | 2018-07-09 |
| 1013466978 | Jesse Yarrington | Physician Assistant | 2356 N 400 E, Ste 201, Tooele, UT 84074-3409 | 2016-10-03 |
| 1356792360 | Jeffrey Adam Ball | Physician Assistant | 1244 N Main St Ste 201, Tooele, UT 84074-9839 | 2016-06-30 |
| 1912338872 | Lori C Hamilton | Physician Assistant | 2356 N 400 E Ste 201, Tooele, UT 84074-3409 | 2013-12-03 |
| 1205178571 | Joshua Scott Ingleby | Physician Assistant | 2356 N 400 E, Ste 201, Tooele, UT 84074-3409 | 2013-03-25 |
| 1891058392 | Sarah Jane Lamoreaux | Physician Assistant | 196 E 2000 N, Tooele, UT 84074-9335 | 2012-06-19 |
| Find all providers in TOOELE | ||||
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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.