WALTER S MEDLIN MD PC


Address: 1046 E 100 S Ste A, Salt Lake City, UT 84102-1520
Phone: 8017462885

WALTER S MEDLIN MD PC (NPI# 1699327684) 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) 1699327684
Entity Type Organization
Organization Name WALTER S MEDLIN MD PC
Practice Address 1046 E 100 S Ste A
Salt Lake City
UT 84102-1520
Mailing Address Po Box 95590
South Jordan
UT 84095-0590
Practice Telephone 8017462885
Practice Fax Number 8017462886
Mailing Telephone 8013529500
Mailing Fax Number 8013527976
Enumeration Date 2019-07-10
Last Update Date 2019-07-10
Authorized Official Name WALTER SCOTT EDWARDS MEDLIN (OWNER)
Authorized Official Telephone 4062382500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437612447 Walter S Medlin Md PC Surgery 777 Hospital Way, Pocatello, ID 83201-5175 2019-04-08

Office Location

Street Address 1046 E 100 S STE A
City SALT LAKE CITY
State UT
Zip Code 84102-1520

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1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912439530 Meghan Eileen Mali Surgery University of Utah Hospital General Surgery, 30 N. 1900 E., Salt Lake City, UT 84132-0001 2017-04-02
1124438924 James Glen O'loughlin Surgery 30 N 1900 E Rm 3b324, Salt Lake City, UT 84132-0001 2014-05-01
1639457542 August Robert Bauer Jr. Surgery 3115 East Lion Lane, Suite 160, Salt Lake City, UT 84121 2011-07-26
1154611986 Anthony Wayne Bacon Surgery 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 2011-04-13
1902109549 Bariatric Medicine Institute Surgery 1046 E. 100 S., Salt Lake City, UT 84102 2010-12-20
1235468471 J Barry Robb Md Professional Corporation Surgery 1220 E 3900 S Ste 3f, Salt Lake City, UT 84124-1326 2009-12-17
1609020130 Alexander Wojciech Pastuszak Surgery 30 N 1900 E Dept Of, Salt Lake City, UT 84132-0002 2008-11-11
1326209735 Scott Short Surgery 100 N Mario Capecchi Dr Ste 3800, Salt Lake City, UT 84113-1103 2008-06-18
1003076779 Gregory Lawrence Livers Surgery 129 F St, Salt Lake City, UT 84103-2601 2008-06-16
1295915536 Toby Merrill Enniss Surgery 30 N. 1900 East, Mreb 307, University of Utah School of Medicine, Dept. of Surgery, Salt Lake City, UT 84132 2007-11-03
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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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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