INTERMOUNTAIN HEART CENTER, PC (NPI# 1700897923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700897923 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN HEART CENTER, PC |
| Practice Address |
5292 College Dr Suite 201 Murray UT 84123-2672 |
| Practice Telephone | 8012814278 |
| Practice Fax Number | 8012815960 |
| Mailing Telephone | 8012814278 |
| Mailing Fax Number | 8012815960 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-12-22 |
| Authorized Official Name | STEPHEN L MILLER (PRESIDENT) |
| Authorized Official Telephone | 8012814278 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
3605311205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5292 COLLEGE DR SUITE 201 |
| City | MURRAY |
| State | UT |
| Zip Code | 84123-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676892 | Haven Associates Inc | Hospice Care, Community Based | 5292 College Dr, Ste 304, Murray, UT 84123-2960 | 2005-06-01 |
| 1255653101 | Phillip Downing | Physician Assistant | 5292 College Dr, Ste 201, Murray, UT 84123-2672 | 2010-02-19 |
| 1790919645 | Ihc Health Services Inc | Clinic/Center | 5292 College Dr, Ste 200, Murray, UT 84123-2672 | 2009-05-06 |
| 1326212234 | R Scott Haupt Md PC | Plastic Surgery | 5292 College Dr, #302, Murray, UT 84123-2672 | 2008-04-22 |
| 1992985535 | Carlotta Kay Veasy | Nurse Practitioner | 5292 College Dr, Suite 302, Murray, UT 84123-2672 | 2007-11-12 |
| 1306036181 | Daniel W. West | Dentist | 5292 College Dr, Ste. 203, Murray, UT 84123-2672 | 2007-07-27 |
| 1881771871 | Haven Associates Inc | Hospice Care, Community Based | 5292 College Dr, Suite 304, Murray, UT 84123-2672 | 2006-11-01 |
| 1508877119 | Russell Scott Haupt | Specialist | 5292 College Dr, Suite 302, Murray, UT 84123-2672 | 2006-08-10 |
| 1790790111 | Cassity Wright Ballentine | Physician Assistant | 5292 College Dr, Suite 201, Murray, UT 84123-2958 | 2006-07-31 |
| 1578514477 | Stephen L Miller | Internal Medicine | 5292 College Dr, Suite 201, Murray, UT 84123-2672 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326226671 | Deborah Budge | Internal Medicine | 5121 So. Cottonwood Drive, J.l. Sorenson Heart & Lung Center, Lower Level One, Murray, UT 84107-5701 | 2008-02-07 |
| 1811093453 | Utah Heart Clinic. Lc | Internal Medicine | 5169 S Cottonwood, Building B Suite 510, Murray, UT 84107-5701 | 2006-09-14 |
| 1548280464 | Yunus Ali Moosa | Internal Medicine | 300 S 8th St Ste 182w, Murray, KY 42071-2444 | 2006-07-21 |
| 1902843931 | James Langley Orford | Internal Medicine | 5169 S Cottonwood St Ste 520, Murray, UT 84107-6756 | 2006-05-31 |
| 1942208517 | Ralph D Millsaps | Internal Medicine | 1000 S 12th St, Murray, KY 42071-9303 | 2005-07-08 |
| 1376971663 | Ihc Health Services Inc | Internal Medicine | 5169 S Cottonwood St, Ste 600, Murray, UT 84107-6771 | 2013-10-23 |
| 1669773461 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, Ste 510, Murray, UT 84107-6767 | 2010-11-10 |
| 1982833398 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, Ste 520, Murray, UT 84107-5701 | 2009-07-07 |
| 1770742140 | Michael D. Mcculloch | Internal Medicine | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2008-06-02 |
| 1467656264 | Rasheel Chowdhary | Internal Medicine | 5979 S Fashion Blvd, Murray, UT 84107-7364 | 2007-06-14 |
| Find all providers in MURRAY | ||||
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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.