KATHLEEN K BOYNTON MD PC (NPI# 1649481151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649481151 |
| Entity Type | Organization |
| Organization Name | KATHLEEN K BOYNTON MD PC |
| Practice Address |
3584 W. 9000 S. 300 West Jordan UT 84088 |
| Practice Telephone | 8015635121 |
| Practice Fax Number | 8015653663 |
| Mailing Telephone | 8015635121 |
| Mailing Fax Number | 8015653663 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-11-25 |
| Authorized Official Name | KATHLEEN KARN BOYNTON (PHYSICIAN) |
| Authorized Official Telephone | 8015635121 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 178452-1205 | UT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 264251147092 | 05 |
| Street Address |
3584 W. 9000 S. 300 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053327312 | Janis K Cline | Physician Assistant | 3584 W. 9000 S., Suite 311, West Jordan, UT 84088-4775 | 2006-07-31 |
| 1508926551 | South Valley Ear Nose and Throat Associates, Pllc | Otolaryngology | 3584 W. 9000 S., Suite 311, West Jordan, UT 84088-4775 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045237 | Brian Baker | Specialist | 8796 S 4770 W, West Jordan, UT 84088-4930 | 2019-10-19 |
| 1881060341 | Fernando Febres | Specialist | 6389 W Elbow River Cir, West Jordan, UT 84081-4941 | 2015-08-18 |
| 1457761884 | Hepfree2, LLC | Specialist | 6671 S Redwood Rd Ste 110, West Jordan, UT 84084-7491 | 2014-05-07 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528389210 | Alison Wendel | Specialist | 1547 Eaglemann Ct, West Jordan, UT 84084-3410 | 2010-06-16 |
| 1518084995 | David B Lewis | Specialist | 6884 Redwood Rd, West Jordan, UT 84084-2405 | 2007-03-23 |
| 1144345737 | Southwest Children's Clinic | Specialist | 8822 So Redwood Rd, C211, West Jordan, UT 84088-8811 | 2007-03-20 |
| 1306943121 | Gregory Patrick Dupont | Specialist | 9103 S 1300 W, Suite 103, West Jordan, UT 84088-6706 | 2006-09-20 |
| 1679587687 | Leslie J Harris | Specialist | 3584 W 9000 S Ste 405, West Jordan, UT 84088-5712 | 2006-07-27 |
| 1508881707 | Andrew A Miller | Specialist | 3590 W 9000 S, West Jordan, UT 84088-8857 | 2006-07-12 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
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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.